Hi leaders across the country. Is this thing on? Is anyone listening? This messaging "everyone's going to get it" isn't helping. We need mask requirements when indoors, vaccine requirements for engaging in society, like going into restaurants. We need help. Please do something.
We need to reimplement risk mitigation strategies. Capacity limits. Social distancing. We know SO MUCH more than we did a year ago. Why are we not doing what we know works?! These restrictions don't need to be long term. They can be short lived once we get things under control.
We aren't asking for things to be shut down altogether. We know #VaccinesWork, #BoostersWork, #MasksWork. We also know what exponential spread looks like, and what it does to hospitals and healthcare workers.
I'm wondering how much what is happening here on the ground is actually making it up the chain to the people making the decisions. So consider this trying to use the platform I have to put out the Bat Signal.
If you are in a position of power, and you aren't directly clinical, please reach out to the healthcare workers on the ground on the frontlines. If the messaging isn't getting there, help get it to someone who needs to hear it.
We really don't want to keep being the canary in the coa mine. Listen to the people who are on the ground doing the work and seeing what is happening in realtime. The repercussions of our actions now will be felt for years to come.

bostonglobe.com/2021/12/18/met…
We are facing a crisis on multiple levels.
1. No staff (they have burned out/left/retired/gone non clinical or they themselves are sick)
2. We are seeing more COVID19 and also non-COVID19 illnesses.
3. We have supply chain issues.
4. We have new variants that are spreading fast
5. There is much more vitriol against HCW now, it doesn't feel like we are "all in this together." It feels like we are yelling into the wind and people aren't listening.
6. Many of the risk mitigation strategies of 2020/early 2021 are gone
7. Even the strategies still there many are not adhering to.
8. People are gathering with family and friends. Many are testing prior, but many can't find the tests they need to test before gathering.
9. It feels that many have been lulled into a false sense of security that this pandemic is over.
10. Everyone has COVID19 fatigue. We all are sick and tired of this virus.
But again, we KNOW what works!
If you are a leader and have any sway at any level, use your voice and power to get some working plans in place. And please DON'T say "we will wait until after the holidays to implement these plans."
Do what needs to be done now. These decisions now may not only save people who have COVID19, it may preserve a bed for your neighbor who has a heart attack, or your family member with an asthma exacerbation, or your nephew with pneumonia.
Make the hard decisions now.
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More from @ShikhaJainMD

19 Dec
📢📢📢📢📢📢📢📢📢📢Healthcare workers are sounding the alarm. The question now is this…is anyone still listening?
Read below and think of what you can do to protect yourself and ur loved ones.
🧪 Cancel large gathering or make them virtual. Keep gatherings small.
@IMPACT4HC
🧪 Require negative test the day of the event and make sure everyone is vaccinated AND boosted in the small groups you are socializing with
😷 #WearAMask when indoors and with people outside of your household.
😷 Upgrade your cloth mask ASAP.

chicagotribune.com/coronavirus/ct…
💉 #GetBoosted with an mRNA vaccine ASAP
💨 If gathering make sure ventilation is optimized. Crack a window. Get a Hepa filter.
🧍🏽‍♀️Distance when out and about doing your holiday shopping. Don’t wait for a National announcement that things are bad. Up your game now. @IMPACT4HC
Read 4 tweets
16 Dec
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.
Read 17 tweets
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

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