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Tatiana Prowell, MD

@tmprowell

May 28

🧵 My oncology colleagues know how often I say: #WordsMatter. So I’m thinking about words we use to talk about #RobbElementary & every other incident of #GunViolence in 🇺🇸. Part of why people can scroll past these things, why they may not even register as news to us... /1

Is that somewhere along the way, we had words like “school shooter” & “gunman” drilled into our consciousness as the usual terms. These things oddly sound more like jobs—‘school shooter’ sounds like school principal or school secretary & ‘gunman’ like fireman or repairman… /2

And hear me out on this because the same sentence lands very differently if you substitute, for example, mass murderer or elem school killer. Try it. Grab any article. Listen to any news story. Swap all the words. #Uvalde school shooting m becomes #RobbElemementaryMassacre. /3

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Tatiana Prowell, MD

@tmprowell

May 25

@SenatorCardin

It’s morning. It’s time to act. I’ve just left VMs at offices of @SenatorCardin, @ChrisVanHollen, @RepKweisiMfume. I’ve confirmed my whole fam age 18+ is reg to vote, I’m donating to @MomsDemand & volunteering. #LetsGo #GunSafetyNow #RobbElementary

congress.gov/members/find-y…

Register to #Vote, confirm that you are registered, request a mail-in ballot, or find your polling place here: vote.org. Stop scrolling & act. Ask your friends & family too. Help them w/ the process if they need it. #RobbElementary #GunSafetyNow

@runforsomething

And if you feel like your views & concerns are not well-represented by your elected officials, maybe it’s time for YOU or someone else in your life to @runforsomething. #GunSafetyNow #RobbElementary

Read 4 tweets

Tatiana Prowell, MD

@tmprowell

May 18

https://twitter.com/BNODesk/status/1527033475131445248

So I wasn’t that worried a few hrs ago. This dials it up a little.

For anyone who has ever played the collaborative board game #Pandemic, you may know how it goes when there’s uncontrolled spread of one pathogen throughout 🌎 & then outbreak of a new one in mult countries. 😖

https://twitter.com/BNODesk/status/1527033475131445248

The current #monkeypox outbreak now includes cases in #UK, #Spain, #Portugal, #Canada, #US…from what I’m reading, this sounds like person-to-person transmission, which historically was thought to be rare, & evidence of community spread. Wow. #MedTwitter

npr.org/sections/goats…

Smallpox vaccination provides at least partial protection against #monkeypox, but routine smallpox vaccination in the 🇺🇸 stopped in 1972. Most Americans under age 50, including myself, are not #vaccinated.

Read 4 tweets

Tatiana Prowell, MD

@tmprowell

May 17

https://twitter.com/apoorva_nyc/status/1526191168169680898

We have either rapid re-infection, or rebound #Covid19 after Paxlovid, in my own 🏡 . Vaxxed & boosted. Symptoms & rapid test pos 5/2, 5d of Pax 5/4-5/8, all symptoms gone, neg rapid test x 2 5/8 & 5/9.

5/16 new symptoms & RAT instantly pos (📸). Our #MedTwitter 🏡 is weary.

https://twitter.com/apoorva_nyc/status/1526191168169680898

By the way, the right answer is not “So Paxlovid doesn’t work.” It works very well to ⬇️ risk of severe illness, which matters a lot. And right answer is not “so let’s just give 10d.” Right answer is we need data to understand this phenomenon & direct rational antiviral use.

I’m sharing this because:
👉Anecdotes can generate scientific hypotheses that THEN MUST BE STUDIED WITH RIGOR &
👉The public needs to know for #publichealth reasons that, one way or another, we can end up symptomatic & contagious again a wk after apparent #COVID19 recovery.

Read 11 tweets

Tatiana Prowell, MD

@tmprowell

May 9

@NoNutTraveler

Per @NoNutTraveler, “the @united pilot came back, & he & the flight attendant began asking me if we had Epi-Pens. I said, of course we do. To which the flight attendant gaily said: ‘Well then, we can serve anything because he can just use the pen.’” NO! /1
allergicliving.com/2022/05/09/i-w…

This represents a fundamental misunderstanding of anaphylaxis, including #peanutallergy. In fact, this fallacy—if you’ve got an Epipen, exposures aren’t a concern—was the topic of a past corrective ad that FDA required the maker of Epipen to air. /2 mmm-online.com/home/channel/o…

I’m speaking here as a dr & the mom of a kid who has nearly died of inadvertent peanut exposures even with an Epipen, which we always carry. Airlines & the public need to know that Epipens are a rescue med, not a preventative, & do not eliminate the need to avoid the allergen. /3

Read 4 tweets

Tatiana Prowell, MD

@tmprowell

May 7

Lots of chatter in my feed & my DMs this AM about Paxlovid & “rebound.” Let’s be mindful of the diff ways this term is getting used & interpreted, #MedTwitter. Some are referring to return of symptoms after feeling better, others to triggering more severe symptoms… /1

Others are using “rebound” to mean going from rapid test neg (not contagious) back to positive (contagious) again; still others are using it to mean increased short-term risk of new infection w/ same #Covidvariant. People are suggesting alt dosing, duration. Stop, stop, stop. /2

Learn from #pandemic yr 1&2. This conversation has gotten way ahead of the data. We risk inadvertent #publichealth harm from the mis/dis-info machinery if we speak/act imprecisely here, esp without data. Next tweet has an article w/ a good summary of what we do & don’t know. /3

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