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Tatiana Prowell, MD

@tmprowell

Jan 28

🧵 I’m not sure what I’m about to say has been made clear to ppl w/o a science or #MedTwitter background. It may be a genuine source of confusion (ie good faith questions), so here goes. Many are saying “If #Omicron makes a given person less sick (which appears to be true)…” /1

“Shouldn’t we just go ahead & get it over with? You know, masks off & almost everyone gets infected & then we’ll be done with it?” I get why someone might think or ask that. It makes sense. But it’s not the right thing to do, & here’s why. /2

There are the things you have prob heard before: even a tiny % of infected ppl dying is a lot of dead if most of the 🇺🇸 (or the 🌍 ) gets #Omicron. And there are overwhelmed hospitals, which cause deaths for other reasons. But this 🧵 isn’t about any of that. /3

Read 23 tweets

Tatiana Prowell, MD

@tmprowell

Jan 23

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

Read 6 tweets

Tatiana Prowell, MD

@tmprowell

Jan 10

https://twitter.com/arghavan_salles/status/1480398328797941763

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

https://twitter.com/arghavan_salles/status/1480398328797941763

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

Tatiana Prowell, MD

@tmprowell

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

Tatiana Prowell, MD

@tmprowell

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.

@hcpss

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

Tatiana Prowell, MD

@tmprowell

Jan 2

https://twitter.com/BaltCoVolFire/status/1477439621625696257

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

https://twitter.com/BaltCoVolFire/status/1477439621625696257

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…

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