Shout out to participants in #clinicaltrials. I’m enrolled in an NIH RADx-supported trial that requires me to do #COVID19 rapid tests & PCR every other day within a time window, & then drive a pkg to a FedEx every other day by 3p. This is the 4th study I’ve joined in my life…
The studies I’ve been in have ranged from pregnancy outcomes yrs ago to #COVID19 diagnostics. I keep joining them because I believe #ScienceWillWin, but also because it’s important to be reminded what a genuine hassle it is to be in a study. /2
In the very best of circumstances, it’s an inconvenience. It ALWAYS costs participants something, whether it’s missed work, lost wages, childcare, gas for a 🚗, discomfort, or more. And it’s always one more thing in a day that may already have way too many things already (🙋🏻‍♀️). /3
When I told a colleague I was in this study last wk & what was involved, they said “Why do that? Someone else could do it. It doesn’t have to be you.” To this, I say false. Why?
👉I can afford to do it. Not all can.
👉If we all took this position, no study would ever happen.
/4
👉If you have ever designed a protocol, analyzed data from a study, served as a peer reviewer for a manuscript, etc—things I’ve done many times—you’ll be far better at your job if you’ve also been a study participant.
👉 Learning is lifelong.
/5
So I’m off to ship another pkg, with apologies to investigators that my latest round of tests was done outside of the time band because I was at a kid event. Studies are imperfect even when we believe in science & try our best. And it’s a good reminder for me. #regulatory /End

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More from @tmprowell

Jan 10
This cannot possibly end well. As a doctor, especially one to people whose treatments are rarely optional, I hate to say this, but honesty compels me to: your goal of the next month is to do all you can to avoid health care settings. This is just not safe. #MedTwitter
Being treated by health care workers contagious with #Omicron is not safe. Being treated in clinics & hospitals so short-staffed that they’re allowing people actively infected with #COVID19 to provide patient care is not safe. None of this is normal. None of this is ok.
All of this leaves patients appropriately terrified. And remember that all of us—incl #MedTwitter & #NurseTwitter—are one diagnosis away from being on the other side of the stethoscope. This imperils ALL of us. At this point, choices have been made. #Omicron is out of control.
Read 8 tweets
Jan 8
🧵 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
Read 23 tweets
Jan 2
In case no one has told you, the odds your kids will be at school in person in 2-3 wks in the US approach zero in most areas, no matter what your BOE or Governor decide about opening. There won’t be enough people well to run buses, lunches, clean, or teach. Plan now as a family.
I do think we’ll see a rapid peak of #omicron cases by some point in January & then a fall, but enough critical staff will be sick that it will be logistically impossible to keep most schools open during Jan. Our own county @hcpss had a 90 driver shortfall to start the school yr.
And our cases were low then. If it were that easy to just find more bus drivers, their efforts to hire all summer would’ve been successful. It isn’t going to be possible to hire a full cadre of replacement bus drivers in a wk or two. You don’t have enough people trained to do it.
Read 5 tweets
Jan 2
This is horrifying. I expected this to happen at some point in Jan or Feb with #Omicron. I didn't expect it happen on January 1. 💔

🙏 to all of of the volunteer #firefighters & #EMS. Friends, please go donate to your local depts to honor their service. #MedTwitter #Maryland
Listen, important. Most adults in #Maryland are #vaccinated. Fewer kids are. MANY haven't yet gotten a #boostershot (only 70M in entire US pop of 331M #boosted). A booster will ⬇️ risk of hospitalization by 88% & starts protecting you in 7d with major protection in 14d. GO DO IT!
If you're #boosted, THANK YOU. Your job is to call 3 people age 16+ NOW who are #vaccinated but not yet #boosted & tell them to #GetBoosted ASAP. This is time-critical, esp w/ #schools to reopen in 36 hrs. #Baltimore #Maryland, appts here as soon as 1/4: umms.org/coronavirus/co…
Read 4 tweets
Dec 31, 2021
Read this case study @hcpss @GovLarryHogan @mjmsuper @HoCoHealth @MDHealthDept & tell me how we’re going to have students eating unmasked indoors without infecting all staff, students, bus drivers…(& their households…) all at once in <2 wks. Go ahead. I’ll wait. ⏳ #Omicron
The sensible thing to do is:
1. Delay reopening or go virtual now & do a school-based campaign to get as many as possible 12+ (& 5+ who are #immunocompromised) #boosted next wk: google.com/amp/s/www.nyti…. That will decrease breakthrough cases & odds of severe illness in community.
2. Use the time to figure out how we can do lunches safely, something we should’ve figured out a yr ago w/ an airborne virus & that we are now forced to confront w/ #Omicron.

Options:
👉Eat outdoors (I personally volunteer as a parent to do some shifts to monitor outside)…
Read 9 tweets
Dec 30, 2021
Please don't panic about what this tweet means. I say this as a doctor in a #pandemic, as well as a daughter who lost a parent this year: please make sure your will is current & your loved ones know where it is & that your wishes on end-of-life care are known to your family.
It is an enormous & avoidable source of stress when people become seriously ill or die without them. You can create a simple will online, often for free (consumerreports.org/estate-plannin…).
If you don't have an advanced directive of some kind, you really should. Even if you are young & healthy. Even if there were no #pandemic. It is a great relief to families not to have to guess whether someone wants to be put on life support, etc. aarp.org/caregiving/fin…
Read 5 tweets

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