Share this page!

Amy Cho, MD MBA Profile picture
Twitter logo
Feb 3 • 22 tweets • 8 min read
I really can’t believe this drivel.

I am not an academic. I’m a real doctor who cares for patients and I’m a real parent so I’m just going to spend a few minutes commenting on how this is not a serious nor trustworthy article.
💩1: “Shielding kids from exposure only increases their risk.”

This is NOT true for a vaccine-preventable disease.
And UK is considering changing their strategy based on actual data.

“However, studies in the US & other countries, where vaccine programmes have been running for years, have not seen the large ⬆️ in shingles that were predicted.”

amp.theguardian.com/society/2021/m…
Also…what about the risk of shingles down the line for those kids who don’t get vaccinated? webmd.com/skin-problems-….
💩#2: parents are wrong to be worried about the small but real possibility that their kid could die or get MISC

VACCINES PREVENT MIS-C and DEATH. Maybe, just maybe, we could avoid our kids getting infected *before* they are vaccinated?

cdc.gov/mmwr/volumes/7…
(Don’t forget…they argued in the first paragraph that we shouldn’t vaccinate kids now because otherwise they risk getting their first infection years later, when they are old and at high risk.)
💩#3: The only way to get superior hybrid immunity is to get infected first and then vaccinated

It doesn’t make logical sense and evidence evidence shows that isn’t true.
science.org/doi/10.1126/sc…
💩 #4 Masks don’t work

Both the links are to other opinion pieces BY VP himself!
Here is some actual data on masks folks. Not just data curated to support an ideologic or partisan preference (more below.)
Here is another one.

“Elimination of student quarantine after masked exposure…within school was not associated with secondary transmission. Elimination of unnecessary quarantine may help maximize in-person learning.”

Real life school study.

publications.aap.org/pediatrics/art…
BS #5: Kids are suffering severe harms from mitigations so they shouldn’t get vaccinated???!!!

Truth is kids are suffering, like all of us, because of uncontrolled COVID spread and *lack* of vaccination.
They don’t have any citations in there about the harms of mitigations. Because the data previously curated and false and was thoroughly debunked.
BS #6: it’s “reckless” to vaccinate our kids???!!!

This entire thing is classic anti-vax #ManufactureOfDoubt
Parents are not hysterical or reckless for vaccinating kids to prevent disease severe enough to cause MIS-C or death. 🛑 gaslighting us.
Parents are not hysterical for worrying about their child developing a a severe post-viral condition later in life after a “harmless” case of COVID.

Like malignancies associated with HPV which are VACCINE-PREVENTABLE.
“Widespread HPV vaccination has the potential to reduce cervical cancer incidence around the world by as much as 90%.”

cancer.gov/about-cancer/c…
I don’t expect non-medical folks to know about the *awful* uniformly fatal post-viral measles sclerosing panencephalitis because it has been virtually eliminated with measles vaccination. But I expect physicians to know. Parents aren’t being hysterical. ninds.nih.gov/Disorders/All-…
Did I forget to mention…STOP gaslighting parents who have already been left behind when you- with all possible resources, including access to vaccines - were safe and so you decided that the rest of us need to be “done” with COVID. No later than Feb 15. Everywhere.
Parents are not hysterical for worrying about their child developing Type 1 DM, a lifelong and life changing condition, after a “harmless” case of COVID.
Maybe parents have heard about the study that showed MS is likely caused by EBV? Maybe they think it is reckless to NOT vaccinate because they see yet another minor virus that causes a severe illness later in life.
To any parent out there reading this and wondering who to believe…you should know that these authors are not trustworthy. They are trying to #ManufactureDoubt for some reason. They are fooling you into a #MoralCalm.
More on what makes an expert trustworthy. They aren’t trustworthy. Don’t trust your children with them.

• • •

Missing some Tweet in this thread? You can try to force a refresh
　

Keep Current with Amy Cho, MD MBA

Amy Cho, MD MBA Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @amychomd

Amy Cho, MD MBA Profile picture
Jan 31
“Centering equity often means one size does not fit all.”

Different communities have different resources and face different underlying risk (that varies with surges) as does their need/ability to employ effective public health tools.

There is no simple, binary choice.
Different families and individuals have different resources and face different underlying risk (that varies with surges) as does their need/ability to employ effective mitigations.

There is no simple, binary choice.
The pandemic will “end” for different communities, families and individuals at different times.

Be wary of any “expert” who tells you there is a simple end date and their policy applies to every community at the same time.
Read 4 tweets
Amy Cho, MD MBA Profile picture
Jan 26
Just great.

I am certain that the jeering anti-everything COVID deniers will show up at the next school board meeting demanding that masking end "no later than February 15" with this toolkit in hand as evidence to support their demands.

This is so exhausting.
#NotNormal
I am certain there will be no nuanced discussion of the reality of outbreaks or healthcare capacity. Or of our ethical duties to those most vulnerable among us.

There will be no real world data on whether “focused protection” is feasible or effective.

I am certain that the title of these doctors will be used to justify and normalize leaving our most vulnerable behind. Unnecessarily.

I want to get back to normal too. I agree it is urgent and I’m working hard to get us “there.” But we aren’t there yet. Things are #NotNormal
Read 13 tweets
Amy Cho, MD MBA Profile picture
Feb 1, 2021
We need split flow for vaccination.

In the ER, we run to those with greatest need and triage by acuity. We also “split” off patients with low resource needs into a “fast track.”

It speeds things up for everyone.
We should invest more to vaccinate those at greatest risk due to medical vulnerability + social vulnerability.

Those with social vulnerability that puts them at ⬆️ risk for infection often have barriers to vaccination.
We should identify the barriers and invest in overcoming these barriers quickly. Some include:
👩‍💻MyChart account & tech savvy
⏱Time to search for appointment
🚨Timely alerts about open spots
⏲Time off during business hours to get vaccinated
🚙Transportation
❓Questions answered
Read 6 tweets
Amy Cho, MD MBA Profile picture
Dec 13, 2020
Congress has been working for years to solve “surprise billing.”

I’ve been trying to explain this issue - and EMTALA for years now.

Congress hasn’t been able build consensus or pass a bill for years.

On Friday a deal was announced. At 5:45p, a 300 page bill released.
It will be attached to a must-pass omnibus or COVId relief bill.
The 300 page bill was released on a Friday at 5:45p. The word from staffers is no changes will be entertained. Others say that and changes need to be done by EOD Monday. (So it can be included in a must-pass omnibus bill.)

No hearings. No public comment. No stakeholder review.
Read 30 tweets
Amy Cho, MD MBA Profile picture
Dec 12, 2020
Physicians are among the most resilient people I know.

We don’t need more resiliency training.

This is a system problem.

We need to fix the system.
The system is set up to maximize “efficiency” (ie profit), even as returns are diminishing. But cost (ie outcomes, complaints, burnout) is borne by individuals.

This is a system problem. This is why I’m thankful I work for an independent group with AGENCY to balance trade offs.
When you don’t work on the front line or pay the cost of your mandate, regulation, prior auth requirement or other directive, it’s easy and free to ask physicians to do just one more thing or make another compromise.

nytimes.com/2019/06/08/opi…
Read 4 tweets
Amy Cho, MD MBA Profile picture
Nov 15, 2020
A finish line is in sight. We can do this. Time to hunker down.

What I’m doing:
-keeping littles home from preschool
-pulled all kids from indoor sports
-no gyms
-continue online church
-takeout only
-no indoor gatherings without masks, even with our bubble
Our family is planning for #ChristmasInJuly. It’s not easy but I’ve worked Thanksgiving/New Years or Christmas holiday every single year since I’ve been an emergency physician (long time now 😬.)

Holiday traditions are important but they don’t make families. People do. Image
It’s really hard to tell my kids they can’t do sports or get together with anyone. But we can get through this. There is a finish line and the prize is worth the sacrifice.

But it *really* helps knowing that it’s not forever and the payoff is worth it.
Read 4 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Like this author's thread?

Get emails when @amychomd has new unrolls!

Check out other threads from @amychomd!

Read all threads by @amychomd

:(