1/🧵🎥 COVID & Thanksgiving Safety: 🍁

Use of Rapid Antigen Testing❓

I’m getting lots of QUESTIONS about eating Tgiving turkey w people who are not #Vaxxed. A very safe thing to do is have people cleared by a rapid Ag test.

Watch 2 min👇: @michaelmina_lab & I’ll unpack…
2/ It’s NOT a brain biopsy like PCR. More like picking your nose. 😂

Legit Rapid Ag tests you get commercially at a drugstore or online will tell you: AM I INFECTIOUS?

Am I shedding COVID virions in a quantity that places others at risk.

I’m NOT endorsing any one test here. Image
3/ PCR is the most sensitive way to detect COVID globally. @US_FDA & @CDCgov say so and that’s technically accurate. But (1) PCR takes too long & is not practical for YOUR purposes (outdated by the time you’re w mom). (2) PCR will stay positive way longer than you are infectious!
4/ The Rapid Ag tests are VERY specific. Almost NO false positives. They won’t read positive unless you are for sure shedding virus in enough quantity to infect someone eating pumpkin pie across from you at the Thanksgiving table. 🦃 Image
5/ There can be false negatives, but only if you have much lower viral load. That’s why AG testing is good #PublicHealth test.

Meaning, #RapidAg testing is how we need to approach our pandemic on a large scale level. This was in my 1st year Master’s degree classes. MPH 101. Image
6/ Do you want to (1) be in control of your own safety (2) conveniently, and (3) privately?

Rapid Antigen testing is the way.

I think people will act responsibly and quarantine when they test positive.

And if at all worried, ALSO #MASK up. Image
7/fin
“Hi Mom, want a hug?!”
Look at the TOP 3 ROWS of this table (TY @michaelmina_lab). If you are risky infectious, Rapid Ag tests “detect you” 94%-100% of the time! BAM. In just 10 minutes you can feel safe to gain an entire day w friends & family! Tomorrow? Just test again! Image
👇Look at this crazy difference between the United States and the United Kingdom. People have replied to this thread saying they can’t even find a rapid test in US within 100 miles while the UK provides multiple types of tests for free. Ugh!

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More from @WesElyMD

17 Nov
1/🧵COVID Antibody Lunacy 🌚

Antibodies can NOT be used “rule out” #LongCOVID and should NOT be used to determine if you are immune or if the vaccine “worked.” This perspective in @JAMA_current outlines flaws in such thinking. I review highlights…👇

bit.ly/3ckYFQ0
2/ The FDA already stated we don’t have established thresholds to interpret Antibody tests.

They are NOT usable reliably to see if you were infected (esp after vaccine). The tests are not standardized yet & WHO doesn’t include in #LongCOVID definition.

bit.ly/3ljLpQK
3/ If you’re trying to prove you had COVID or #Vaxx response, don’t fall for $170 direct to consumer testing for routine Antibody checks. It’s not nearly that simple.

EG: #Vaxxed or previously infected people could test negative on some assays despite having immunity.
Read 8 tweets
11 Nov
1/🧵A patient told me he lost hope. A spouse got mad at me for being too direct. I needed #compassion & truth to restructure #hope toward what was possible. These tools can be taught, learned & modeled.

A story for you, placing compassion & hope side-by-side… Image
2/ Compassion and Hope must be modeled for students to learn…and must be part of every interaction with patients.
 
In my end-of-life conversations, while always remaining kind, I avoid providing false hope. Image
3/ I was once explaining to a daughter that her mother was dying on the ventilator, a conclusion I had come to over five days as, despite everything we had done, no reprieve was in sight. The once-placid daughter slammed her fist on the table, then raised it at me as I recoiled.
Read 7 tweets
10 Nov
1/🧵 End-of-Life: Thoughts
 
I was explaining to others how the end of my patients’ lives is often such a beautiful experience. They looked back at me with utter confusion. I could tell they thought I was crazy.

Since then, I’ve been thinking of what I should have said…
2/ I should’ve explained that too often in life I feel like I hold on to things I need to let go of. That sometimes I try and force solutions in relationships and all sorts of situations when I simply need to let go.
3/ I watch my patients often try and carry the weight of circumstances way past when it’s obvious the burden is too great bear. The only logical solution is to let go of the rock that is drowning them. To let life flow and take its natural course.
Read 13 tweets
8 Nov
1/🧵 #Coronavirus Words 📕
 
Words matter!

These 4 new words were added to the @MerriamWebster dictionary last month…
 
📍Breakthrough medical infection
📍super-spreader
📍#LongCOVID
📍Vaccine Passport
 
Defined below…
 
bit.ly/3H38mkb
2/ Breakthrough medical: infection occurring in someone who is fully vaccinated against an infectious agent — often used before another noun (as in “breakthrough cases” or “breakthrough infection”). Image
3/ Super-spreader: an event or location at which a significant number of people contract the same communicable disease (as in a “super-spreader event”). The term super-spreader originally referred only to a highly contagious person. Image
Read 6 tweets
8 Nov
1/🧵 #Wisdom in 2 little words: Over & Next
 
@rachelnpr on @NPR asked Norman Lear at 99 y/o (“All in the Family” game) how he’s persevered?
 
Lear’s answer is both simple and mystic! Read on…💥
 
n.pr/3mC0VZ1
2/ “Two little words we don’t pay enough attention to: Over & Next. When something is over, it is over. And we are on to next. I like to think about the hammock in the middle of those two words.”
 
I’m going to rest in the hammock today…what do this mean for me?
3/ “That’s living in the moment. That’s the moment I believe I’m living as I complete this sentence. And it couldn’t be more important to me.” #NormanLear
 
I’m reminded of this next quote… Image
Read 8 tweets
22 Oct
1/🧵For months I’ve been grappling with what seemed like a real gap in conversations about #LongCOVID.

Here in @STATnews, I introduce you to 30 references & 3 #COVID survivors – Ray, Pam, and Carolyn – who taught me a lot. I hope you think so, too…

bit.ly/2Zb9S2J
2/ "I feel like I'm getting the silent treatment & it's killing me," #LongCOVID pt Pamela Bishop confided in me about her months-long interactions as she tried to get answers about a strange array of symptoms that have plagued her since recovering from #Covid19.

Pam then & now…
3/ Up to1 in 3 COVID survivors report experiencing #longCovid symptoms 3 to 6 months later. Their stories give me an extreme case of déjà vu because this is playing out similarly to the problem of long-term survivorship after non-COVID critical illness.
 
bit.ly/3vzcIdn
Read 26 tweets

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