💯agree with @jabarocas - in the past 24 hours 5 healthcare worker friends in different parts of the #US have been diagnosed with #COVID19.
At this rate as hospitalizations ⬆️ there will be an ⬆️ shortage of HCW's- who will care for patients & what will it look like a🧵 1/
✅The provider: patient ratio ⬆️⬆️⬆️
✅Patients wait longer for things like water, ice, food, & meds as nurses are stretched caring for more patients
✅The lab is stretched thin so bloodwork takes longer to return
✅Radiology is busier so it takes longer for an X-ray
2/
✅Physicians have less time to spend with patients and families because they have more individuals to see
✅There is less time to critically think about patients as HCW's are in triage mode trying to meet patients needs (I understand this is concerning, but is reality)
3/
✅If beds are full & you need elective surgery this may be cancelled (elective doesn't mean not essential) & this may delay an important diagnosis
✅If ICU's are full & you need a bed (i.e trauma) there may not be one (you may have to be transferred which could delay care)
4/
✅These are some of the (many) downstream effects on the healthcare system we are seeing as #COVID19 cases ⬆️ and HCW cases ⬆️
✅ For those who continue to dismiss #Omicron as "not that severe" or as a "cold" please think about this b/c we are seeing this happen in real time
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This narrative is exactly what I was worried about👇
We still don’t know #Omicron causes less severe disease but has become so politicized leaders say it only causes a “sore throat” without thinking of the immediate & long term (post #COVID19 condition #LongCovid) effects
#COVID19 and #Omicron most certainly does not only cause a “sore throat” we are seeing ⬆️⬆️ numbers of ICU admits and hospitalizations.
Yes some may have mild disease (thank you #vaccines) but these people can still transmit and put others (ie immunecompromised) at high risk.
The strain this is putting on healthcare systems and workers is tremendous.
Procedures that are non-emergent like cardiac catheterizations, biopsies, & other important surgeries are being postponed. This may lead to delays in diagnosis of things like cancer & adverse outcomes.
-There were 469 cases of #COVID19 in Barnstable, MA in July 2021
- 346 (74%) cases in fully #vaccinated
- #Sequencing in 119/133 (89%) specimens confirmed #DeltaVariant
-274 (79%) with breakthrough infection were symptomatic
-4/5 hospitalized were fully #vaccinated
2/
-Ct value similar in fully vax'd (127) vs. those not (84) (22.7 vs 21.5)
-Most cases in males (85%); median age 40
-Time from vax completion -> infection 86 d (6-178 d)
- Vax as cause for breakthrough #PfizerBiontech (159,46%) #Moderna (131,38%) #Janssen (56,16%)
1/
Information regarding the six patients who have developed CVST after the #JohnsonandJohnson#CovidVaccine
- All were white females
- Only one was on oral contraceptives
I see a lot of suggestions/posts about #vaccine rollout and since I have been involved with this thought I would provide insight based on my experiences
See thread below 👇
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1. Expecting our hospitals/healthcare systems to absorb the #CovidVaccine rollout without support is unreasonable.
- Hospitals are running on empty and short staffed trying to manage caring for patients
- Rolling out this vaccine takes a lot of support and planning
2/
2. The lack of federal coordination is making this increasingly complex
- Each state has its own plan and within each state each hospital has its own plan
- There is no uniformity
- This leads to disparities between and within states
3/
Since I am helping lead the #Pfizer#CovidVaccine rollout at our institution I have spent a lot of time doing town halls and engaging with people on the vaccine.
One of the most common questions I get is in regards to side effects so I thought I would post my slides