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Dr Dan Goyal

@danielgoyal

7 Dec

Starting to get a bit annoyed about this...

Let us be clear:

If we are forced into heavier social restrictions (e.g. circuit breakers/lockdowns) the BLAME sits more with those who supported Mass Infection, and NOT on those who tried to stop the spread.

Rant 1/5

If you are one of the toddler-adults who have refused to wear a mask to protect others...its on you!

If you are one of those who promoted unmitigated Mass Infection of a novel pathogen...its on you!

Read 6 tweets

Dr Dan Goyal

@danielgoyal

5 Dec

@jburnmurdoch

Thanks @jburnmurdoch for clear update.
Clinical concerns:
At an individual level we are still not clear on threat level.
At a societal level, the numbers are very worrying. And the government should be panicking.
The rate of hospital admission seems very high with #Omicron.
1/5

https://twitter.com/jburnmurdoch/status/1467270450111787012

A number of countries do not have the additional hospital capacity to manage yet another surge.
The US and UK (and others) are (IMV) in a very poor position to manage #Omicron.

In the UK and US the ongoing Covid-19 wave is TRIPLING the healthcare burden of 'normal' pneumonia.
Access to care for both Covid and Non-Covid diseases are already limited and this lack of capacity is causing death and disability.

[Table = 'extra deaths from any cause']

Read 6 tweets

Dr Dan Goyal

@danielgoyal

4 Dec

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.

Read 13 tweets

Dr Dan Goyal

@danielgoyal

30 Nov

@nicolasturgeon

Dear First Minister Sturgeon,
@nicolasturgeon

Your instincts are right. Covid-19 needs to be taken more seriously; the UK’s national strategy falls well short of adequate. You are right to challenge Johnson’s impotent pandemic response and seeming disregard for public safety.

We support you. By 'we' I mean those of us who can see past the spin and half-truths and the shameful misrepresentation of the evidence. Those of us who respect life and can see the devastation Covid-19 is doing to our society.

Your instincts are right: Covid is not a benign infectious disease. It is, by a long way, the most destructive infectious disease in the UK. It is TRIPLING the number of pneumonia deaths and injuring many more. It is killing more than breast, colon and prostate cancer combined.

Read 9 tweets

Dr Dan Goyal

@danielgoyal

28 Nov

Dear Tweeples,
I'm thinking about starting a campaign.
Healthcare provision for people with Covid-19 is far too inadequate in the UK. It does not even meet WHO standards for a low-resource setting.
With #Omicron on the horizon, I felt it was time to call for more #CareForCovid.

To date, Covid-19 cases in the UK:
1. Receive no initial assessment (triage)
2. Have no formal follow-up service - not even the high risk patients.
At the moment even an 80yr old can contract Covid and receive no contact from any healthcare professional. UNACCEPTABLE!

Finally,
3. Healthcare capacity.
To try and tackle a pandemic without increasing healthcare capacity (beds) is perhaps even more barmy. The UK is the only country I know of that has reduced their bed capacity during the pandemic. Everyone suffers!

Read 5 tweets

Dr Dan Goyal

@danielgoyal

27 Nov

The new variant #Omicron reminds us that we MUST be pandemic ready.
The clinical basics:

1⃣ Find the sick.
2⃣ Treat the sick.
3⃣ Stop others getting sick.

Some nations have failed on all three.

Short thread.
If you want good care, you must demand it!
RT pls.
1/9
#Covid_19

It is worrying that some nations - 20 months in - still have not got the clinical basics down:
1. TRIAGE.
Triage is the initial clinical assessment when someone is expected or confirmed to have Covid. It determines if someone needs further medical care.

We know that identifying those needing care earlier reduces the need for ICU, the length of hospital stay, and the rates of Long COVID. #LongCovid
Being clinically proactive saves resources, keeps hospitals open, and crucially, diminishes the level of pandemic THREAT.

Read 9 tweets

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