🧵 Parents of teens looking for N95/KN95/KF94 masks that your teens will wear without complaint, I feel your pain. We are 2 drs w/ 3 teens. We obviously believe in high-quality masks, & we’ve struggled to find masks that fit well & are comfy enough for kids to wear all day. 1/x
Let me start by saying we have no relationship with any mask company, no one gave us any free masks, & no one asked us to review or recommend any mask. Our views don’t represent any employers. Tweeting here as parents & your kids may be different. 2/x
My teens (14, 16, 17) are both sexes & pretty average sizes, especially their faces (unlike their mom…I have a small face & can wear some kids’ eyeglass frames). We started trying the masks that we liked or had ourselves. 3/x
For my small face, I have found the Respokare N95 (size M) to be a comfy mask that I can put on & not need to adjust, & it’s got antiviral coating. It was too tight on them. Size L fit them width-wise but was still too long top to bottom, so would be 👍 for a long/wide face. 4/x
The antiviral coating has kind of a vinegar smell. I don’t mind it. It kind of reminds me of salt & vinegar chips. But one of my kids who is sensitive to smells & textures etc found the smell to be a dealbreaker. May not be a good choice if your kid is the same. 5/x
It comes only in light blue & straps go around head.

We also tried the 3M Aura N95 mask, which seems to be avail all over. We bought it directly off the 3M website, but I know many have found it in the paint aisle of HD, hardware stores, etc. It comes only in white.

6/x
It fits all 5 of us well, despite a pretty dramatic range of face sizes, & we all get a good seal, so if you had to go grab N95 masks for a ✈️ or something & hope they fit, it’s a 👍 bet. The nose wire is covered by soft rubber inside, which makes it comfy. Straps go around head.
Our kids have worn it for higher risk things where I was very worried about aerosol, like singing, & it doesn’t muffle voice, but straps are tight. They wear it w/o complaint it for 2-3 hrs, but all agree they would find it tough to wear for a full school day, day after day.

8/x
My kid who hates anything too tight from clothes to masks finds it too tight & will only stay in it for 20-30 mins before insisting on changing it. Many HCWs wear the Aura at work, so it CAN be worn all day, but the efficacy of a 😷 that’s not worn is 0%. Know your kids.

9/x
Since our kids felt those masks were too short/long, tight, or vinegary, we tried the Kimberly-Clark Kimtech N95 pouch respirator 53358. It comes only in white & has straps around head, but they are a soft kind of fabric, not rubber, so they don’t pull hair whatsoever.

10/x
Because they are thin & have a lot of airspace in front of the mouth, they also get less hot/humid & don’t muffle the voice at all. I thought that made them a slam dunk for school. Alas the teens feel they make them look the most ridiculous of any mask we’ve tried. Sigh.

11/x
They’re still extremely comfortable & affordable. My teens agree you could wear it all day & forget it’s on. (Except for people pointing at them.) A good 😷 for a teen who just wants comfort & doesn’t care if they look different. A good 😷 in home isolation for same reason.

12/x
And finally we tried Powecom GB2626-2019 KN95 mask. It comes in white, black, or pink, & has both ear loop & strap around head style. We got the ear loop one, & all agreed it was very comfy on both their faces & ears. The mask is closer to the mouth than any other.

13/x
But they didn’t find it bothersome. No one found it too hot or humid. No one asked if we were done yet. It’s also pretty affordable at ~$1 each, & it has scratch-off w/ a unique code on each bag you check on their website to know it’s legit (KN95 counterfeits are an issue).

14/x
I suspect part of why they like it is that it’s very well-fitted to the face, but not nearly as tight as a true N95 w/ headstrap is designed to be. It’s the only non-N95 mask we tried with them, & the only one with ear loops. It’s possible they’d like any KN95 just as well.

15/x
Nonetheless all are happy with this one. Being less tight, it’s prob less protective than one of the true N95 masks we tried, but I have far greater confidence they’ll keep it on, which is its true test in the real world. One of them liked it enough to give some to friends.

16/x
Lots of these masks are available via the nonprofit @projectn95, where the people are available 365 days per yr & so helpful if you’re having trouble finding a good match for yourself or your family. They’re affordable too, even without buying a truckload.

17/x
We’ve seen others available via the US-based family-run @BonaFideMasks, which began selling 😷 in 2020 at request of a community org. If you are buying KN95 masks, you should know that up to half of these in the US have been found to be counterfeit. I would strongly suggest

18/x
That you buy these from a place w/ a reputation for vetting its products carefully. Read the About Us section of the website. Or buy a brand that includes a scratch off # or QR code on the bag to enable you to verify the KN95 authenticity on the manufacturer’s website.

19/x
This article is helpful to identify reputable sites: scientificamerican.com/article/why-we…. If you buy KN95 masks in a store, ask the manager where they source their products from. If it’s not the manufacturer directly, might be best to steer clear.

20/x
If you’re still with me, on tweet #21, I think, at midnight on a Friday, you get a 🍪. Parents of teens, drop recs for other high-protection masks your kids like. They may not love to #WearAMask, but #schools will NOT succeed during #omicron w/o them.
Finally, we didn’t try any KF94 masks (the South Korean equiv of our N95; KN95 is the Chinese equiv). We’ve heard of KF94 masks w/ same shape as the 3M Aura & adjustable ear loops that many people say offer a great fit & comfort, but never any in stock, eg Bluna Facefit.

22/x
And finally, a surgical mask that you tie & tuck per this CDC demo () w/ a 😎 cloth mask over top is far better than either alone if your teen just won’t do an N95/KN95/KF94. Most important msg: we’re SO much safer w/ #Omicron when we all #MaskUp. 👇

/End

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More from @tmprowell

May 25
It’s morning. It’s time to act. I’ve just left VMs at offices of @SenatorCardin, @ChrisVanHollen, @RepKweisiMfume. I’ve confirmed my whole fam age 18+ is reg to vote, I’m donating to @MomsDemand & volunteering. #LetsGo #GunSafetyNow #RobbElementary

congress.gov/members/find-y…
Register to #Vote, confirm that you are registered, request a mail-in ballot, or find your polling place here: vote.org. Stop scrolling & act. Ask your friends & family too. Help them w/ the process if they need it. #RobbElementary #GunSafetyNow
And if you feel like your views & concerns are not well-represented by your elected officials, maybe it’s time for YOU or someone else in your life to @runforsomething. #GunSafetyNow #RobbElementary
Read 4 tweets
May 18
So I wasn’t that worried a few hrs ago. This dials it up a little.

For anyone who has ever played the collaborative board game #Pandemic, you may know how it goes when there’s uncontrolled spread of one pathogen throughout 🌎 & then outbreak of a new one in mult countries. 😖
The current #monkeypox outbreak now includes cases in #UK, #Spain, #Portugal, #Canada, #US…from what I’m reading, this sounds like person-to-person transmission, which historically was thought to be rare, & evidence of community spread. Wow. #MedTwitter

npr.org/sections/goats…
Smallpox vaccination provides at least partial protection against #monkeypox, but routine smallpox vaccination in the 🇺🇸 stopped in 1972. Most Americans under age 50, including myself, are not #vaccinated.
Read 4 tweets
May 17
We have either rapid re-infection, or rebound #Covid19 after Paxlovid, in my own 🏡 . Vaxxed & boosted. Symptoms & rapid test pos 5/2, 5d of Pax 5/4-5/8, all symptoms gone, neg rapid test x 2 5/8 & 5/9.

5/16 new symptoms & RAT instantly pos (📸). Our #MedTwitter 🏡 is weary. Image
By the way, the right answer is not “So Paxlovid doesn’t work.” It works very well to ⬇️ risk of severe illness, which matters a lot. And right answer is not “so let’s just give 10d.” Right answer is we need data to understand this phenomenon & direct rational antiviral use.
I’m sharing this because:
👉Anecdotes can generate scientific hypotheses that THEN MUST BE STUDIED WITH RIGOR &
👉The public needs to know for #publichealth reasons that, one way or another, we can end up symptomatic & contagious again a wk after apparent #COVID19 recovery.
Read 11 tweets
May 9
Per @NoNutTraveler, “the @united pilot came back, & he & the flight attendant began asking me if we had Epi-Pens. I said, of course we do. To which the flight attendant gaily said: ‘Well then, we can serve anything because he can just use the pen.’” NO! /1
allergicliving.com/2022/05/09/i-w…
This represents a fundamental misunderstanding of anaphylaxis, including #peanutallergy. In fact, this fallacy—if you’ve got an Epipen, exposures aren’t a concern—was the topic of a past corrective ad that FDA required the maker of Epipen to air. /2 mmm-online.com/home/channel/o…
I’m speaking here as a dr & the mom of a kid who has nearly died of inadvertent peanut exposures even with an Epipen, which we always carry. Airlines & the public need to know that Epipens are a rescue med, not a preventative, & do not eliminate the need to avoid the allergen. /3
Read 4 tweets
May 7
Lots of chatter in my feed & my DMs this AM about Paxlovid & “rebound.” Let’s be mindful of the diff ways this term is getting used & interpreted, #MedTwitter. Some are referring to return of symptoms after feeling better, others to triggering more severe symptoms… /1
Others are using “rebound” to mean going from rapid test neg (not contagious) back to positive (contagious) again; still others are using it to mean increased short-term risk of new infection w/ same #Covidvariant. People are suggesting alt dosing, duration. Stop, stop, stop. /2
Learn from #pandemic yr 1&2. This conversation has gotten way ahead of the data. We risk inadvertent #publichealth harm from the mis/dis-info machinery if we speak/act imprecisely here, esp without data. Next tweet has an article w/ a good summary of what we do & don’t know. /3
Read 4 tweets
May 7
Here are 2 family members, similar ages/#MedTwitter history, #vaxxed & #boosted, dev symptoms & tested pos same day, got Paxlovid same day. Day 4 tests below. Why are we still using a 'one size fits all' strategy to exit isolation when rapid tests are readily available, @CDCgov ?
I doubt policy will change (note: shortening isolation to 5d was done to minimize societal impact from loss of essential workers to isolation in Jan #Omicron wave), so you should choose to rapid test to exit isolation. A positive = contagious, no matter how many days it's been.
Here's another example. Two more people, again similar age/health history, both vaxxed and boosted. On the left, patient #1 on day #13. On the right, patient #2 on day #5. We'll see what happens with patient #2 but I'd be willing to bet they can leave isolation well before 2 wks.
Read 4 tweets

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