Denise Dewald, MD 🗽 Profile picture
Feb 20, 2022 9 tweets 4 min read Read on X
"Survival of the fittest"

What does that mean?

For humans, it has always meant using tools to adapt for survival.

Lessons for handling #Covid. #SundayThoughts
A brief thread🧵 1/8
We didn't develop sharp teeth to process meat.

We developed stone and then metal tools to cut it, and learned to harness fire to cook it. 2/8
We didn't develop a thick coat of fur to live in cold climates.

We appropriated other animals' cold weather protection, and then developed our own synthetic materials. 3/8 Innuits in fur coats. Creator: Evgenii Mitroshin  Credit: Ge
We didn't limit ourselves to a hunter-gatherer lifestyle, eating only what was around us.

We developed animal husbandry and agriculture. 4/8
foodsystemprimer.org/food-productio…
The way to survive this pandemic is to not force ourselves to rely on our "natural immunity." It's to use tools.

Refusing to use the tools that we have at our disposal is as nonsensical as going out in the snow naked or trying to gnaw on an animal carcass. 5/8
We have the tools to seriously mitigate the harm this virus can cause right now:
▶️High quality masking (N95 or equivalent)
▶️ventilation
▶️air filtration
▶️vaccination
▶️testing
▶️quarantine/isolation

Taiwan shows that these work, and without any lockdowns. 6/8
We should continue to use these tools until we have developed the tools that can effectively treat acute infection and prevent or treat #LongCovid, through more effective treatments and vaccinations

We ignore the long term risks at our peril: 7/8
Additionally, improving air quality will help our health in many ways, leading to improved mental health, higher productivity in the workplace, and overall quality of life.
green.harvard.edu/tools-resource… End/
Addendum: my husband wanted me to point out that without tools, humans would be scavenging carrion if they wanted to eat meat, because they can’t catch hardly anything with their bare hands.

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More from @denise_dewald

Mar 30, 2023
Why are the public health and medical communities signing us all up for this? I don’t get it.
It’s not like this is a rare anecdotal story. It’s common. Check out the literature.

Meta-analysis: frontiersin.org/articles/10.33…
Easy to read summary (not all studies described were mild cases, despite the title) ncbi.nlm.nih.gov/pmc/articles/P…

“This could be the start of a dementia-related epidemic fueled by this latest coronavirus”
Read 4 tweets
Feb 16, 2023
We have a Constitution that is meant to protect us from this.

There can be no immunity for police officers who behave like thugs. These police officers should be prison inmates by now for their actions and complicity. That they aren’t shows you how deep the rot goes.
These Constitutional rights — freedom from arbitrary imprisonment, the right to due process — derive from the Magna Carta from 1215. These rights are the foundation of a civil society in which people are not subject to the whims of the powerful. Watch:
Without these rights people simply become the “shit that the oligarchs grow their money in,” as the Ukrainians say (credit @AndreaChalupa )
Read 4 tweets
Dec 1, 2022
Next up: norovirus outbreaks on cruise ships are the result of immunity debt. 🤡
Also: Travelers diarrhea occurs because people in developed countries aren’t exposed to a myriad of water-borne pathogens.
Did public health make a huge mistake by championing clean water? I mean, we got rid of all this valuable immunity that comes from drinking crud-filled water. 🤷‍♀️
Read 5 tweets
Nov 10, 2022
I ask every contractor who comes to my house to wear an N95 mask, and I provide them with one.

I also run my Corsi box, HEPA filters, and open windows.

I wear my own N95 for several hours after they leave. 1/
This past week a contractor coming on a repeat visit thanked me for the Aura mask I had previously given him—he said he wore it for days and it was the most comfortable N95 he had ever worn. I told him he could buy them at Home Depot. 2/
Another contractor didn’t understand why I wanted him to wear a mask when he was alone in the basement, so I explained to him that aerosols float in the air, and can persist for hours after a person leaves the room.

He hadn’t know that.
3/
Read 6 tweets
Oct 19, 2022
“Some doctors said their office scales could not accommodate wheelchairs, so they had told patients to go to a supermarket, a grain elevator, a cattle processing plant or a zoo to be weighed, or they would tell a new patient the practice was closed.” Image
Some used the limitations of 15-minute time slots as an excuse.

SO ADVOCATE FOR YOUR PATIENTS. I routinely requested complicated patients get an extended slot when I did primary care. Physicians can band together and call the shots. Image
Read 6 tweets
Oct 17, 2022
Ebola’s mode of transmission has a lot more in common with the modes of transmission of diarrheal viruses and hepatitis B than it does with Covid. The vast majority of people are infected by taking care of sick people or by touching dead bodies during funerals.
While airborne transmission may potentially occur in close contact with sick people, this is relatively uncommon (though given the consequences, it is prudent for all health care workers taking care of Ebola patients to use respiratory PPE—along with head-to-toe coverings).
Ebola is not a disease that you are going to catch by simply walking by someone who has been infected.
Read 4 tweets

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