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Denise Dewald, MD 🗽

@denise_dewald

23 Dec

It seems like a miscarriage of justice that police officer Kim Potter, who was genuinely distraught about mistakenly killing Daunte Wright, got convicted of manslaughter, when remorseless vigilante Kyle Rittenhouse walked free.

When people make a tragic mistake on the job, we need to look at the systems that led to that mistake.

When patients get harmed because of medical errors, it generally happens because multiple failures have occurred simultaneously. We study these cases to prevent future events.

In this case:

1) Daunte Wright should never have been pulled over for the hanging air freshener. This stuff has to end.

2) Officers need improved training.

From what I saw, she didn't seem like a bad cop. She wasn't a Derek Chauvin. She had never fired her gun on duty before.

Read 5 tweets

Denise Dewald, MD 🗽

@denise_dewald

23 Dec

As a pediatrician, reports like this scare the hell out of me.

What they are describing is not just sensory dysfunction, but brainstem dysfunction.

publications.aap.org/pediatrics/art…

This is actually what I study in my sleep apnea research. A brainstem center called the Kölliker-Fuse matures during early life, programming coordination of the swallow.

Case #1 The 16 month-old child can chew food, but cannot swallow what she chews. She can only swallow liquids

She is also not speaking the single word that she could say prior to getting sick. She was infected at 12 months of age, a time of critical developments for eating and speaking.

The Kölliker-Fuse is also involved in speech and breathing coordination.

Read 5 tweets

Denise Dewald, MD 🗽

@denise_dewald

22 Dec

Our public health leadership failed us.

And I am sure not a single one will face consequences for the disaster that they not only allowed to happen, but facilitated.

They refused to listen to aerosol scientists who had collected the data over the past two decades that respiratory diseases are spread predominantly by respiratory aerosols.

And two years into this disaster, they still don’t provide the people with the tools needed to fix this.

We all need to understand aerosol transmission.

We all need to wear tight fitting, effective masks indoors or at close quarters.

We need to clean our indoor air through ventilation and air filtration.

We need to monitor ventilation with CO2 detectors in public spaces.

Read 7 tweets

Denise Dewald, MD 🗽

@denise_dewald

22 Dec

If you want to live, get vaccinated.

If you want to avoid getting infected, passing it on to another person, and risking Long Covid, wear a properly fitting N95 mask or better, and ventilate and filter the air.

The vaccine is a life insurance policy.

I have gotten complaints about my tweets because they are too negative. Tough.

I believe in the truth. People deserve the unflinching truth. Only truth allows you to make the best decisions.

Lying to people is disrespectful and wrong. And it will always ultimately backfire.

I see vaccinated people all around me catching Covid. I have been exposed myself as a result. Don’t tell me that vaccines protect against infection now. They do not. But it’s the best life insurance policy around, other people than living in a responsible country like Taiwan.

Read 4 tweets

Denise Dewald, MD 🗽

@denise_dewald

20 Dec

Who is Mark E Lindsay, and why did he block me?

I don’t know who he is, and I have no recollection ever interacting with him.

@alisadoc1

Only clue I can come up with. @alisadoc1

Read 4 tweets

Denise Dewald, MD 🗽

@denise_dewald

20 Dec

Amazing that two years into this, people still don’t understand that it starts out mild and then worsens

Given omicron’s doubling time, the denominator you have to work with for outcomes is the number of cases that were infected at the same time as the cases you are measuring.

So to determine case hospitalization rate, you have to use the number of cases from when hospitalized people got sick, some 6-8 days ago. Not today’s case number.

Same with case fatality rate — you have to go even further back in time.

So if we have people dying from Omicron now, when case numbers were barely detectable 10 days ago, we should be very, very afraid.

Read 4 tweets

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