If you are attending a large New Year celebration with strangers, please know that in many areas of the country you are contributing to the collapse of the health care system.

This applies regardless of your vaccination status.

I know this sounds dramatic- please read on.

1/
I am not chicken little when it comes to COVID

I have been a proponent of pulling back restrictions and mask requirements for the vaccinated

But the goal of public health measures is to protect hospital capacity

In Indiana, we are worse than ever.


2/
Omicron’s spread is nuts.

I’ve followed the data closely the entire time and I am floored by it.

3/
Omicron is less severe but will lead to hospitalization: in England, hospitalizations have almost doubled in the last 10 days despite an 82% vaccination rate and are going up quickly.

4/
The perfect storm of Omicron in Indiana:
1.An astoundingly fast spreading virus that will hospitalize some unvaccinated people
2.A hospital system already at the point of bursting
3.A population with a very low vaccination rate

5/
And it sucks, but vaccinated people will become infected more than with delta (but less than the unvax)

They won’t generally get very sick, but they will be more a part of the chain of transmission than before

6/
And with the amount of COVID in the community, a New Year’s Eve party at a bar or public place where you pay a certain amount and get all you can drink and kiss someone at midnight will most certainly have Omicron there

And many will be infected regardless of vaccine status.

7/
This sucks

It is not the holiday season any of us had wanted

But all the indications are that this fire will ignite fast and burn itself out quickly

And while the Omicron conflagration is burning, we have real risk of a humanitarian disaster with sickness and it scares me

8/
Because hospitals without capacity means a heart attack or stroke or car accident becomes something different than usual- because there is no place or people to help

And right now we to need to protect the helpers

9/
For those of you getting together with small groups of family, please use a home test if you can afford to immediately before the gathering and cancel if positive

Omicron strikes quick and even if you are all vaccinated, reducing the chain of transmission is important

9/
Once hospitalizations go back to something that resemble normal, I will stop the shouting

But for now to protect hospitals we need to limit interactions with other humans

Hopefully not for long, but now is more important than ever

10/

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Gabriel Bosslet

Gabriel Bosslet Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @gbosslet

27 Dec 21
This recent COVID-19 surge has put a major strain on hospital systems

I am an ICU physician and we have felt it acutely in this area of the hospital

Indiana has somewhere around 250 ICU beds currently unoccupied in the state (out of ~2100)

How can 250 feel like zero?

A 🧵

1/
First, a word about statewide data.

Never has there been a microscope on these data like this, and the transparency is awesome.

Both @ISDH and @HHS keep track of hospital metrics regarding occupancy.

@ISDH data: bit.ly/3qLcNJh

@HHS data: bit.ly/3erSk6l

2/
We feel a major crunch in ICU beds

constantly moving people out of the ICU to accommodate transfers

currently there is always a list of people waiting to come to our facility from other places

many of which report that they are out of room

3/
Read 15 tweets
20 Aug 21
mRNA injected into deltoid cells lasts about 72 hours and do not travel to distant sites in the body.

I get asked about this all of the time, so I went to find the primary science on this.

A couple of quick tweets

1/
The first paper I can find on this was in @ScienceMagazine in 1990 and showed the half-life of RNA in muscle cells to be less than 24 hours- RNA encoding the luciferase protein was injected into mouse quads and luciferase was undetectable at 60 hours. pubmed.ncbi.nlm.nih.gov/1690918/

2/
In 2007, a study agreed:

Luciferase-encoding mRNA injected into human ear dermis peaked transcription at 17h and was undetectable at 3 days (panel d).

They also looked for luciferase expression at distal sites in the ear and saw none (panel e).

pubmed.ncbi.nlm.nih.gov/17476302/

3/
Read 5 tweets
22 Jul 21
Earlier this summer I was adamant that school would be reasonable without masks, even for the ages for which vaccines are not available.

I have changed my tune. A quick 🧵as to why.

1/
Most data suggest that the SARS-CoV-2 virus affects kids in a generally quite benign way.

I know people get frustrated when COVID is compared to the flu, but for kids the data suggest the comparison is reasonable. And this accounts for "long COVID" and MIS-C.

2/
So when I suggest that masks should be mandatory in school for kids, I am not worried about the health of my unvaccinated 6 and 11 year olds.

I am worried about it causing widespread community transmission and overwhelming hospitals.

Again.

3/
Read 7 tweets
13 Apr 21
This week our manuscript on the role of in-person school on community spread of SARS-CoV-2 in Indiana was published online in Clinical Infectious Diseases.

This thread will outline our findings.

manuscript: bit.ly/3mIXvC5

1/17
This was a truly interdisciplinary effort.
@micahpollak (@iunorthwest): economics
Jeong Jang (@IUmedschool): biostats
@rebekah_roll (@IUmedschool): data gathering
Mark Sperling (@iunorthwest education): education
@deliriumkahn: analysis

I just sort of herded cats.

2/17
I’m going to target this thread to a wide audience, so my description of our work may leave some wanting more detail. The detail is in the online version and the supplement. Happy to answer any questions on the work as they come up.

3/17
Read 17 tweets
4 Apr 21
Over the last about 6 years I have adopted the practice of not checking email AT ALL on vacation.

When I mention this, many scoff and say that would never work for them.

I said the same thing when I started.

Join me for a 🧵 about my journey to vacation email freedom.

1/
I have a relatively busy job as a clinician, fellowship director, and assistant dean for faculty development/affairs.

I average 70-100 emails per day.

So committing to not checking it for a week (or 2!) away is admittedly no small task.

I adopted this practice in stages.

2/
My initial state was bad- there was one vacation in which I was answering emails on my computer on the beach as my kids were frolicking in the ocean.

This was when I knew I had to make a major change. This was my low point.

3/
Read 14 tweets
3 Apr 21
Bread and butter pickles are disgusting.
Also why don’t they make chicken broth with 33% MORE sodium?

I feel like they are ignoring most of the market here.
And cottage cheese is complicated. Matching curd size and %milk fat gets complicated. Like I need a 2x2 grid to figure that shit out.
Read 4 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(