The more I think about airlines abruptly allowing mask removal w/o warning—mid-flight for many—the angrier I get. People who are #immunocompromised had no choice not to travel or to upgrade their protection at that point. Some will go on to die. As an oncologist, I am enraged.
If you haven’t had #cancer or been a caregiver to someone with it, you don’t know how much people endure. I’m a breast oncologist. Our patients have breasts amputated, lose their fertility, go bald, risk nerve damage, infection, & more from chemo, because they want to live.
The fact that the airlines made a corporate decision to drop masks w/o warning—any airline could’ve chosen to give crew/passengers hrs or days of notice—disgusts me. For an industry that prides itself on safety, this is a fail.

@Delta @united @SouthwestAir @AmericanAir @JetBlue
I hope to see strong statements from our #oncology professional societies on the irresponsibility of the airlines’ response to this judicial ruling. The airlines placed people w/ cancer at unnecessary risk for the thrill of making a big announcement over the PA system.
Risk differs when all mask vs only the most vulnerable mask.
If 2 ppl speaking a few ft apart & 1 has #COVID19:
👉1 in surg😷=90% odds of infection in 1/2 hr
👉1 in N95😷=20% odds in 1 hr
👉Both in surg😷=30% odds in 1 hr
👉Both in N95😷=0.4% odds in 1 hr

doi.org/10.1073/pnas.2…
It's impractical to tell #immunosuppressed people not to fly. Even leaving aside travel for pleasure, people with cancer may have to fly for work. The #maskmandate helped to protect us all in a #pandemic, & especially those at higher risk.
People at increased risk can & should continue to #wearamask on public transportation. Others can & should too, but we've seen with the end of #maskmandates in other settings from businesses to schools that mask use falls off quickly when mandates are lifted.
I can't imagine hearing that wearing a simple item over part of my face for a couple hrs could prevent someone's hospitalization or death & then choosing not to do it. But sadly we have seen that many people make that very choice when there is no mandate.
And this 🧵 has been about air travel. What about all the people who depend on the bus or subway, where air quality is far poorer, to get to work or even to medical appts? They face a much higher risk of repeated #COVID19 exposures with no #maskmandate. We have failed them.
Surviving #cancer only to die of #Covid19 is a preventable tragedy that should be unacceptable to us all. If you’ve been told masks don’t work, you’ve been misinformed by someone, & I’m sorry about that. Look after each other, friends. You can save a life.

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More from @tmprowell

Apr 19
.@Delta @united @AmericanAir @southwest, can y'all break it down for us why seatbelts, why bags "fully under seat," why seat backs & tray tables "full upright & locked position for landing"? We can't choose to risk ourselves & others at risk on the plane...or something? #maskup🤷‍♀️
You know, it's a hassle to have to contort myself to get my bag out from under the seat when we arrive. And I often have to make slides on my flights. I like to use every minute to work on them from boarding to exiting. Also it's a lot easier to do that with the tray table down.
It's almost as if you expect passengers to sacrifice their own needs & comfort a little for the safety of themselves & those around them. That's wild. I thought we had quit that.
Read 4 tweets
Mar 4
Trying hard to stay in my lane on #UkraineUnderAttack. I’m a physician, not a foreign policy expert. But per AP, Russian attacks have just caused a fire at Europe’s largest nuclear power plant, & elev radiation levels are being detected in the region. That is a big deal.
Tweet 2/3:

Sharing CDC fact sheet again on acute radiation emergencies for #MedTwitter in the region. Really hope we do not need it. Please retweet/translate. #UkraineUnderAttack #Ukraine #Belarus #Poland #Slovakia

cdc.gov/nceh/radiation…
Tweet 3/3: Here’s an article on the attack. Ukrainian firefighters attempting to extinguish the blaze at Zaporizhzhia nuclear power plant are reportedly being shot at by Russian troops & cannot safely get through.

apnews.com/article/russia…
Read 4 tweets
Mar 1
🧵As a scientist & physician, when our #pandemic predictions are off, I think it's important to circle back & analyze why. In late Dec 2021, I tweeted a🧵predicting widespread disruption of everything from health care & pharmacies to grocery stores & schools in Jan/Feb '22. 1/x
The reason for my prediction was the pattern of a huge spike in #COVID19 cases the prior winter (driven in part by holiday travel) & the fact that #omicron was considerably more contagious than prior #COVIDvariants & more able to evade immunity from vaccines or prior infxn. 2/x
The pace in growth of cases in Dec '21 in countries w/ early #Omicron outbreaks was stunning. The graphs were vertical. In the US, we appeared on target to have >500K cases/d in the US. We had no idea yet how long the surge would last. 3/x
Read 18 tweets
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
Jan 26
🧵My #UrgencyOfNormal includes:
👉People w/ #cancer needing urgent chemo getting a hosp bed without a wk+ wait & a desperate plea by their dr on Twitter
👉My #immunocompromised patients not wondering if kids brought home #COVID19 that can kill them (#vaccineswork less in them)
(P.S. You might think these are someone else's problems, but >1 in 3 Americans get #cancer in their lifetime, so reply w/ care...this could well become you or yours)
👉Timely medical care in our local ERs
👉The same teacher, not a parade of subs, because of #COVID19 illness

/2
👉#NurseTwitter, #MedTwitter, & drs in training not getting called in to cover repeatedly when they're finally off b/c yet another colleague has #COVID19
👉Thousands in US dying/d of a virus we'd never heard of a little over 2y ago
👉170K US kids not being orphaned by this virus
Read 4 tweets
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

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