Dr Dan Goyal Profile picture
Dec 4, 2021 13 tweets 4 min read Read on X
How to prepare for #Omicron?

We have learned much over the last two years.
As we face another variant we should not panic…
but we should prepare!

Ten things we can each do...

#CareForCovid
1. Keep perspective.
Covid-19 is not the flu. It carries a significantly greater mortality. But, equally, the overall mortality rate is likely to be somewhere between about 0.5 to 0.05% (variance between countries). The odds are most definitely in your favour.
2. But take #Omicron serious.

Whether it is this variant or another or it is another pandemic, we should be ready. Individually we can prepare now so when it arrives we can continue with our lives, less anxious, less consumed.
3. Mitigate any risk factors.
Some are at greater risk than others. Still - perspective -, even if you have many risk factors, the odds remain in your favour.
A number of risks can be modified…
4. Get better control of any co-morbidities.
Better control of diabetes, hypertension, asthma, COPD, heart disease, obesity, substance misuse, kidney disease, and many others are all likely to help. We have got very good at optimising disease control.
5. Get #CovidFit
Most of us carry extra weight. And many of us feel we are not nearly as fit as we could be. Does it matter if fighting Covid-19?
It really does. Being fitter helps when we fight the infection and also during recovery. So, for most: lots of veg and stay active.
6. Mental Health.
Also, pay attention to your mental health. As you prepare and once you are prepared, enjoy your life. Let whatever was at its centre before the pandemic return to its centre. Enjoy family and friends, and stay connected.
7. Prevent infection
Infection is not inevitable.
Delaying infection also has its advantages: 1) it avoids getting unwell when hospitals are overwhelmed and 2) more treatments are coming.
Masks work. A well-fitted mask significantly reduces the risk of getting infected.
8. Vaccination
I am no vaccine expert. I am reasonably informed and have seen the bad end and mild end of Covid-19. I have also seen some of the side-effects. I choose to get it. Even more so in countries where access to healthcare is limited…BEST CHANCE of protecting yourself.
9. Early intervention
If you do get Covid, it is usually mild. But you must seek help if you get worse or are worried. Shortness of breath with Covid-19 means you need URGENT medical care. Get a pulse oximeter. Thread explains more.

Please don’t wait until you are very unwell before contacting your healthcare provider. You may think you are saving healthcare resources but you are not. Waiting neither helps you nor healthcare services…it is much harder to recover someone who presents late.
10. Protect each other.
Avoid others if you have cold or flu-like symptoms.
Mask-up.
You can use home test kits before meeting others.
Try and avoid crowded events.
You can form your own social bubbles.
And advocate for improved ventilation in places of work/education.
Finally,
None of this is particularly difficult. You are not being asked to fight in a war or send your kids away or ration food. Covid-19 is killing more people per month than WW2 did. Let’s pull together, protect each other, and by doing so allow us to remain free and healthy.

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More from @danielgoyal

Sep 20
I need to tell you where the trap is in relation to the NHS

Both Streeting & Starmer have committed to keeping the NHS “free at the point of use”…

But that can look like many different things
🧵
1/x
For example, currently you can see your GP, get referred for a colonoscopy, be seen in a private hospital, and not be charged a penny. Technically, free at the point of care, even though it has cost us all more money to deliver that care.
So, Starmer and Streeting could expand this…allowing even more “NHS patients” to use the private sector but paid for with public money, with money taken directly from the NHS budget in fact.
Read 17 tweets
Sep 13
The Darzi Report (England only)

My thoughts…

🧵
Darzi seems to grasp - to some degree - the depths of the state of the NHS crisis.

Crucially, Darzi gets that primary care is grossly overwhelmed.
His Second paragraph highlights the FACT GPs are seeing more patients with less GPs. Image
A&E is a disaster. Image
Read 24 tweets
Aug 23
The new commonwealth healthcare survey is out & summarised here by @HealthFdn

Some read!

In short, all the rhetoric about “can’t get a GP appointment” is BS

Our primary care remains one of the best in the world

Hospitals don’t fare so well

🧵1/4

health.org.uk/publications/l…
Big news is that access to GPs in the U.K. was one of the best

Yes, you read that right…

“This places the UK among the better-performing nations with respect to same- or next-day appointments, with only the Netherlands (50%) and Germany (49%) significantly higher.”
This access may be coming at a cost though!

The UK scored poorly on “time spent” with appointments

No surprise given most countries run at 15-20 minute appointments versus the UKs 10 mins.

In 2013 85% of people felt the GP spent enough time. It’s now 58%
Read 5 tweets
Jun 19
NEW: SNP manifesto

This is the kind of manifesto many wanted Labour to deliver

The pitch is left of centre - socially progressive…

with a persistent argument about the harms of being tied to a broken Westminster

Protecting the NHS from privatisation is a key theme

🧵
Some highlights:

SNP taking a clear position on integrity in politics and the lack thereof in Westminster. Hard to argue against this Image
3. Some hard data comparing Scotland to England.

The SNP argues this is despite a stranglehold Westminster has on Scotland policy areas and the “power grab” of the current U.K. govt. Image
Read 12 tweets
Jun 17
Given some so called patriots want a French healthcare system, let’s take a look at it.

🧵

Summary: social insurance with 95% of people taking private healthcare to cover copays. Costs £40bn per year more. Less equitable than NHS, but can turn a profit
1/10
Akin to some other European countries, France uses a social insurance based model predominantly - where employer and employee pay a means-tested insurance premium

but unlike most EU countries the French people pay a surcharge on pretty much everything they access or use
This has led to 95% of the population taking out private insurance.

This is an insurance premium (on top of the social insurance premium) that is in part based on likelihood of needing health care - older people paying more.

Typical costs: Image
Read 13 tweets
Jun 14
Labour Manifesto - NHS

Some good policies but overall disappointing and a bit concerning.

A summary thread
1/x
1. There is the title: Build an NHS Fit for the Future

In one way, fair enough. Buildings are outdated and crumbling and IT is hopeless

But, Labour seems oblivious to the fact the NHS leads the world in medical and surgical care. The issue is merely access not tech upgrades. Image
2. "publicly owned and funded" is meaningless. Even the deranged health system of the U.S. has a publicly funded component - waiting lists are horrendous and access to treatment is very limited.

We want universal access to all available treatments - quite different! Image
Read 20 tweets

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