For @TheAtlantic I wrote about how two years of this pandemic has strained hospitals and healthcare workers.

When I got vaccinated against COVID a year ago, I was already exhausted. But there was hope on the horizon.

Sadly, here we are again...🧵

theatlantic.com/ideas/archive/…
With Omicron looming we a face a grim truth:

You can’t surge a circuit that’s been burned out. For frontline providers, there’s simply no new fuse that can fix the fact that we’re fried.

ERs have been over capacity the past few months with the Delta wave and non-COVID care.
Hospitals are doing everything they can to cope.

Cancel elective surgeries.

Try to hire more workers.

Others are taking even more drastic measures, like the hospitals in Cleveland that published a nearly full-page ad with a single word: Image
But all of that is unlikely to turn things around.

There’s no nice way to put this: In much of the country, the next few months will be a really bad time to be really sick with COVID-19.

Or to break an ankle.

Or to get appendicitis.

theatlantic.com/ideas/archive/…
Without a good nurse by its side, a hospital bed is no better than a hotel. And nationwide there just aren't enough nurses.

Nurses bear a disproportionate toll of the pandemic. They spend more time at the bedside of sick patients. They were more likely to die from Covid as well.
But many have quit. Those remaining are taking care of more and more patients.

As an ER doc I promise you want to be fully vaccinated when you meet Omicron. And that seems like only a matter of time.

I assume every person I meet at this point has COVID. theatlantic.com/ideas/archive/…
Even so, we can still stay safe: Upgrade your masks. Limit the size of indoor gatherings and rapid test if you can.

And if you can, say thanks to that healthcare worker you've been texting for advice the past 2 years.

They probably really need it now.
theatlantic.com/ideas/archive/…

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More from @Craig_A_Spencer

19 Dec
I just joined @CNN to talk with @PamelaBrownCNN about Covid in NYC, how we should approach the holidays and why the ongoing travel bans are really bad policy.

The big takeaway: this isn’t March 2020. We’re much better prepared. We have the tools to stay safe, if we use them. 🧵
At the same time, we must recognize hospitals and healthcare workers are already at capacity.

ERs are full, there’s a national shortage of nurses and all providers are exhausted from two years on the frontlines.

Our personal decisions have immense collective impacts.

CLIP#2👇
Lastly, you may think that with a looming tsunami of Omicron cases on the horizon, the travel bans still in place against southern African countries aren’t even worth talking about it.

But their persistence reveals many of the problems with how we’re responding to this pandemic.
Read 4 tweets
16 Dec
There’s still a lot of uncertainty around Omicron.

But it’s clearly about to cause a massive spike in cases. And soon.

Working in the ER today made me really concerned about what we’ll see in the coming weeks.

This is what I’m worried about…

🧵
For starters, we are facing a massive nursing shortage.

Nurses are overextended, taking care of more patients than is generally considered safe.

Anyone working in the ER knows that nothing happens without nurses.

And a good nurse can be the difference between life and death.
On top of that, healthcare workers are burnt out. Crushed. Exhausted after two years of the pandemic.

They are quitting in droves.

Those that stay are struggling with psychological scars or grasping to find the empathy that used to come so easily.

Read 10 tweets
12 Dec
After two years of Covid-19, the world is no better prepared for a pandemic today than it was in 2019.

That’s the damning assessment of the latest Global Health Security Index released last week.

Upsetting, but not surprising.

A 🧵 on what worries me:
nytimes.com/2021/12/08/hea…
Many would assume our response would be better next time, especially after all we’ve learned.

But that’s not a given.

For me, we face 3 critical weaknesses and vulnerabilities:

1. Eroding trust in public health leadership

2. Misuse of travel bans

3. Global vaccine inequity
1. Eroding trust in public health:

Public health has always been political. But the pandemic pitted one against the other.

No, CDC & FDA haven’t been perfect. But politicians spouting falsehoods have aggressively worked to undermine confidence in our public health institutions
Read 10 tweets
26 Nov
Some thoughts on the new variant, B.1.1.529 (aka ‘Nu’):
First and foremost, there is reason for concern, but nearly everything is still unclear at this moment.

The incredible team of scientists in South Africa that identified the variant along with @WHO and others are doing the research right now to answer 👇 important questions…
What IS clear is that knee-jerk reactions like banning flights may be politically palatable, but will do little to slow the spread of this variant.

In the coming days more countries will identify cases. And there’s a good chance it’s already spreading here and in other places.
Read 10 tweets
12 Nov
Seven years ago today I walked out of the hospital after surviving Ebola.

That day at a news conference—my knees shaking—I begged the world to focus on the still-raging outbreak in West Africa. Instead, when the immediate threat was over, we moved on.

Years later, Covid hit 🧵
There were so many lessons we should've learned from Ebola.

Foremost amongst them was the importance of global solidarity in responding to global health threats.

But that's a lesson we just didn't learn. Instead, we dodged a bullet and we moved on.
thelancet.com/journals/lance…
Few people knew that the New York City hospital where I was treated for Ebola had more doctors than Guinea, Liberia, and Sierra Leone—the 3 hardest-hit countries of the Ebola outbreak—COMBINED.

And SO many frontline providers in those countries died of Ebola during the outbreak.
Read 11 tweets
6 Aug
Are you fully vaccinated but worried about Delta? You’re not alone.

In my latest for @TheAtlantic, I explain why everyone needs to relax. The vaccines are still working just fine.

theatlantic.com/ideas/archive/…
I understand everyone’s concern. Delta cases are surging nationally.

Some pharmaceutical companies say their vaccines hold up, while others are less sure.

And in the aftermath of the Provincetown outbreak, hot vax summer started feeling more like hot mask summer overnight.
Misleading headlines and leaked slides added to everyones worry. Everyone is asking me:

“I’m fully vaccinated…but do the shots still protect me?”

Of course they do.

The vaccines are incredible, but they’re not perfect. They never were.
Read 8 tweets

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