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Mary Fernando MD Profile picture
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Jan 25 • 4 tweets • 4 min read
1/ This article by @_neginnia is dangerous if it prevents people from protecting their eyes.

I spoke with @_neginnia about my @MedicalPost article on face shields vs goggles:

PDF: static1.squarespace.com/static/5f78940…

This is her article: theglobeandmail.com/canada/british…
2/ After citing 2 Lancet studies showing ocular #COVID19 transmission, there's opining: “The risk of someone getting that close that they’re going to cough and have high concentrations of it near your eyeball is really low,”
Spitting in your eye?
#COVIDisAirborne
Or this gem:
3/ My article explained that face-shields aren't as protective as goggles #COVIDisAirborne

I tweeted it to protect people because #omicron infections occur even with #N95 and eyes might be the route.

The popularity of my tweet resulted in this article that puts them at risk
4/ Summary: this article by @_neginnia is irresponsible. She interviewed me, cites Lancet studies and then follows them by opining and then concludes the opining is correct. Putting people at risk should not be taken lightly. Protect your eyes #COVIDisAirborne

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More from @MaryFernando_

Mary Fernando MD Profile picture
Jan 24
I wrote about the need for 3rd doses from Sept when other countries were giving them. Many experts argued with me. Many went on TV and explained they weren’t needed. These are the results of months of PR by them. Time to say they were wrong publicly and help save lives. #cndpoli
Many are still on tv and do support 3rd doses, however they need to backtrack on their incorrect advice. Because it’s a creating a problem and filling up our hospitals and morgues. Many get their info from TV/articles. Be humble. Say you were wrong and it puts people at risk. 👇🏽
And this is why you need to go back on TV and write articles and say you were wrong and correct your #misinformation. Two doses don’t protect people because of waning and immune escape of #Omicron
Read 4 tweets
Mary Fernando MD Profile picture
Jan 1
1/There are so many #COVID19 infections in people who are being careful.

#Omicron is so highly infectious.

I wrote this earlier but it is even more crucial now: wear eye protection in indoor settings like grocery stores.

Bare eyes can get infected.

canadianhealthcarenetwork.ca/public-health-…
2/ If you're hesitant about wearing goggles, find one that you're comfortable with - don't leave you're eyes bare #COVIDisAirborne

My children wear these ones - they call them 'hipster goggles'
amazon.ca/Goggles-Blocki…
#COVIDisAirborne infecting mucosal surfaces like the eye's conjunctiva

As Dr. Sherif El-Defrawy, one of our top ophthalmologists explained: “If COVID-19 infects the conjunctiva of the eye, it could travel to the nose via the nasolacrimal duct and colonize the nose or throat,”
Read 6 tweets
Mary Fernando MD Profile picture
Apr 29, 2021
🧵Canada's rollout of #COVID19Vaccine

Partial truths (aka half lies):

Fallacy: Ignoring vaccine safety protocols by waiting 4 months is ‘covering everyone with one shot'

Fact: You could end up in the ICU

Plan: @drmwarner - we need to communicate that to keep people safe
2/ Fallacy: Canada is waiting 4 months because of supply issues.

Fact: Canada has given the same # as many countries and has CHOSEN to delay shots longer than any other country in the world. This is a choice. Period.

Plan: if too many get sick, we need to change
3/ Fallacy: Delaying doses is safe

Fact: We aren’t even collecting patient data.

Plan: People half vaccinated should be identified in testing, hospital and ICU - and data must be collected. Tagging our data powerhouses.

If this is dangerous - change. Or just change now
Read 5 tweets
Mary Fernando MD Profile picture
Apr 13, 2021
🧵Why the 4 month delay for our 2nd #CovidVaccine🇨🇦?

The NACI document that this is all based on: "studies have not yet collected four months of data on vaccine effectiveness after the first dose" canada.ca/en/public-heal…

Translation: It's an experiment.
nytimes.com/2021/04/09/hea…
2/ So this delay in doses - let me list the ways this can bite us:

While rushing to cover as many people as we can with 1 dose, will we leave many partially immunized and just get more ICU admissions?

Yes, because THAT we have data for: bbc.com/future/article…

And then...
3/ Then 👇🏽
"it will leave the country vulnerable to variants — those already circulating, as well as new ones that could evolve inside the bodies of partially vaccinated people who are not able to swiftly fight off an infection."
Read 7 tweets
Mary Fernando MD Profile picture
Jan 3, 2021
Spin: hospitals are over capacity ONLY because of #COVID19

Reality: We were overcapacity before #COVID19 but now it's worse.

Fact: 🇨🇦 has cut hospital beds for decades and ranks near the bottom of the OECD theglobeandmail.com/canada/article…
2/What does this mean?

First and foremost - patients have been in hospital hallways for years, or in broom closets as I wrote way back in 2007 😬thestar.com/news/2007/01/2…
🇨🇦 pay taxes for good healthcare - governments should not be cutting Canadians out of good hospital care.
3/ Governments are promising with #COVID19 - as they have for years- to increase beds.

1. Specifics this time, not just promises -how many beds and what staffing?

2. Will these beds be permanent?

We need this- with long covid and surgical backlogs

#PleaseMakeALittleNoise
Read 5 tweets
Mary Fernando MD Profile picture
Oct 1, 2020
1/ My @MedicalPost article "a new clinical reality...: some survivors of the virus have long-term and serious morbidities. People don’t just die or survive and that clear cut dichotomy should be put to rest."
#COVID19
bit.ly/2Gqfyw
ungated - bit.ly/3n9LPIo Image
2/ @DrRickSwartz “the capacity is so thin in the stroke system, as in many specialties, that it will overwhelm the system...Canada, with a population of more than 37 million people, has a total of 1,080 practicing neurologists as of 2019. That number is worrisome." #COVID19
3/ @nilikm "if she gets ill with COVID-19 and is unable to work, the overhead of her practice would bankrupt her because, like all other physicians in Canada, she has no benefits: no sick leave, no pension. If she closes her practice, her 1,400 patients have no care."

#COVID19
Read 7 tweets

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