🧵 A little vignette for #ASCO22 attendees & esp speakers/chairs. Today I spoke in an Ed session. E350 is small enough I could see faces. When we began, most were in 😷, but I counted 11 who weren’t. One had a drink. The rest didn’t appear to be eating/drinking. Importantly… 1/
a few people (not sure if in 😷 or not) were coughing. That’s something you always hear, but it takes on added significance in a #pandemic because #COVIDisAirborne & current #Covidvariants spread as easily as measles, the most contagious respiratory pathogen on earth. /2
Before I began my talk, I called attention to the fact that I would be continuing to #WearAMask while speaking. #Covid19 doesn’t care that I’m at the #ASCO22 podium. I said I was speaking masked to model the #OncTwitter behavior I hope to see. /3
And then I called attention to the fact that most people in the audience were also masked, & I thanked them for keeping everyone safe at #ASCO22. That’s it. When I sat down 7 minutes later, only 2 people were unmasked. About 40 mins later, it was the same: all but 2 in 😷. /4
This tells me a few things:
👉Most people have a mask & they’ll put it on w/ minor prompting, even w/ a brief respectful reminder & w/o a direct request.
👉 It’s possible to use “peer pressure” for good.
👉We have a kind & responsible #ASCO22#community. I’m proud of us. /5
The most important thing though was that this evening I got an email from someone in the audience who shared that their unvaccinated kid is #immunocompromised. They told me they were nervously listening to the coughs & thanked me for what I had said. /6
Our #ASCO22 session contained many #MedStudentTwitter & @HemOncFellows, one of whom said to me after “I was planning to do onc anyway, but all of the #OncTwitter people just seem cool. You can tell you guys really like each other.” A reminder that the 🌍 is always watching. /7
So if you’re privileged enough to be given a microphone at #ASCO22, or anywhere, USE IT FOR ALL THE GOOD THAT YOU CAN. And remember that someone is always watching & taking their cues from what ALL of us say/do. Choose to believe people want to do the right thing. #ASCO22 /End
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🧵 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
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
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
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. 😖
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
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.
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.
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.