I have been getting so many questions about boosters, omicron, etc. Here are some thoughts on the State of #COVID19 and how to stay safe right now.

📢 If you haven't gotten your booster yet, get it ASAP. We KNOW the booster is helping protect people even more from #Omicron.
📢 If you got Johnson and Johnson as your first shot, get a Pfizer or Moderna booster, they are more effective. It is OK to mix and match. And if you got Pfizer and want a Moderna booster or vice versa, that is also ok
cnn.com/2021/12/16/hea…
📢Delta is still surging, Omicron is very transmissable. Hospitals are reaching capacity because we have both COVID cases going up in this latest surge, and people still need regular medical care. We are seeing a rise in COVID19 and non-COVID19 admissions.
📢Unlike in 2020 when hospitals were primarily full of COVID patients, they are now overflowing with COVID patients and ALSO with people with other medical problems. In 2020, many were delaying care until we understood more. Now those people need care, and they are coming in
📢I PERSONALLY know of patients across the country who have not been able to get medical care for heart attacks, emergencies, etc that are NON-COVID related.
📢 I also know many hospitals that do not have beds, and HCW are again trying to find hospitals miles away where patients can be admitted or transferred. The pleas from physicians in private conversations and social media groups for beds and transfers have started again.
📢 But now in 2021 WE KNOW how to turn this around. I know many people feel the pandemic is over, or if you are vacccinated it won't impact you. I want to remind everyone, this impacts all of us. Because people need medical care. Whether it's COVID related or not.
📢Vaccinated individuals get less sick if they contract #COVID19 So getting vaccinated remains incredibly important.

Here are some tips as holidays 🎄🕎🎅are upon us. So...
💉Get your BOOSTER (or vaccine if you haven't yet)
🧪Everyone should get tested before you socialize with friends/family
😷Wear a mask when indoors and with members outside of your household
🤒If you are having symptoms, get tested
I feel sometimes that I live in two worlds. One where I see the devastating impact this virus continues to have on our communities and people are still taking precautions, and one where people have thrown their hands up and want to pretend like the pandemic is over.
Trust me when I say, even though I talk about #COVID19 a lot, I WISH this pandemic was over and I didn't have to talk about it. I WISH we could live our lives in a pre-pandemic way. But #Delta variant and #Omicron variants are here, more transmissible, and numbers keep going⬆️
Our healthcare systems are pushed beyond the brink, and with the mass resignation, burnout, understaffed beds, necessary COVID and non-COVID medical care is being sacrificed.
I am hearing stories from across the country where medical care is being practiced in a manner that could be described and triage and determining care based on who has the highest chance of making it.
That is not how our healthcare systems should be functioning, but a lack of control of the spread of #COVID19 has led to this. I don't say this just because our healthcare workforce is overwhelmed, but also because medical care is being delivered in a suboptimal manner.
When "elective" surgeries are canceled, just remember, cancer surgeries are often labeled as "elective." So elective does not mean an optional surgery, it just means not an emergency. When someone having a heart attack can't get care because there isn't a bed...that is a problem.
We can turn this around. Get your booster. Re-up your mask game (and wear a GOOD mask, surgical or N95 or KN95). Talk to friends and family and ask them to get vaccinated. As we enter this holiday season, please realize, you may be done with COVID19, but it is not done with us.

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More from @ShikhaJainMD

20 Oct
I give many talks on #GenderEquity and #WomenInMedicine. Two slides I have started sharing are examples of all the incredible work #WomenInMedicine continue to do, and emphasize the fact that this work is largely UNPAID and does not help in the promotions process in academia. 🧵
A survey from @McKinsey @LeanInOrg showed the IMMENSE amt of invisible work taken on during the pandemic by women across >400 companies. This work is necessary for companies and organizations to thrive and function. But the women often see no ROI.

womenintheworkplace.com
Our healthcare systems, patients, and teams thrive because of the incredible amount of extra work #WomenInMedicine put in, often nights, wknds, "free time." The work is necessary, but does not provide currency, whether financial, or otherwise, needed for career advancement.
Read 20 tweets
6 Sep
It's been over a week since @TedLasso Episode 6 for which I was asked to be a guest on the amazing #MedLasso podcast with @ETSshow and @TheRealDoctorT. While we covered quite a bit, there was SO much we couldn't get to. Sharing a brief 🧵 here.
explorethespaceshow.com/podcasting/med…
I mentioned at the beginning that I had major #ImplicitBias when we first met @TheKeeleyJones. Since then, she has become one of my FAVORITE characters, for many reasons.
There is so much more to her than what is on the surface. She epitomizes don't judge a book by its cover.
Funny I reacted to her initial entrance in that way as I have often been told I am too bubbly/ enthusiastic to be taken seriously or seen as a professional. Goes to show you how these unconscious stereotypes can influence all of us, even when we have been on the receiving end.
Read 22 tweets
4 Sep
Brief #covid19 reminder thread. I know we are 18+months into this thing. And URIs are back and ppl are getting non-covid19 illnesses. BUT covid is still here and it’s spreading fast.
If you feel any symptoms. Do not go to work, don’t go to that social event, get yourself tested and quarantine until your test comes back negative. If you are unvaccinated and were exposed, quarantine for the amount of time recommended. Why may you ask?
Well if your test comes back positive, think of all people you may have infected.
Your colleague has cancer but you don’t know, and is now at risk for contracting #covid19 even though they got vaccinated.
Read 7 tweets
27 Aug
I want to share a brief reflection on perspective. A🧵 Many times in my life I have been told that I am too bubbly, too verbose, too excitable, too loud... too much. I have been told to speak softer, speak less, not show my enthusiasm, not show my excitement...its unprofessional.
I once attended a talk by the brilliant @LaurieBaedke who said (and I paraphrase here) "There are people who want you to put @SPANX your personality...those are not your people." We all nodded & applauded, but recently I had a moment that opened my eyes to what she really meant.
I was with some colleagues the other day, and we started talking about some of the initiatives I was working on @UICancerCenter @IMPACT4HC @WIMSummit and one of the women said "Do you see how excited she gets talking about this?! This is why we love working together!"
Read 10 tweets
23 Aug
I did a @fox32news w @SylviaFOX32 on the new @US_FDA approval of Pfizer today. Interview link to follow. I made an analogy that I want to mention here.

People say it’s their personal choice to get vaccinated. Which I understand. I want to make a comparison here. A brief 🧵
In the US, it is legal to drink alcohol if you are over 21. You can drink as much as you want. It is your choice. But you cannot get into a car and drive if you are inebriated. Why is that? Because we are members of a society.
If your car were to hit someone else or damage property, you would be responsible. Also, you would be arrested because it is against the law to drive when intoxicated, even if you never hurt anyone else. Why is that a law when it’s your personal choice to drink alcohol?
Read 15 tweets
19 Aug
A lot of people are asking me how I talk to people about getting vaccinated. I'll share a short thread here. This is by all means not all encompassing so please share your own experiences and tips below!
The first thing I always do is I try to find out the "Why?" My first question is always "Would you mind telling me why you haven't gotten the vaccine yet?" But I always ask in a neutral non accusatory way. You don't want to put the person on the defensive.
Next, listen. This is KEY. Let the person explain why they haven't gotten it yet. This is so so important. People are less likely to listen to what you have to say if you don't listen to what their concerns are.
Read 24 tweets

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