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#MasksInSchools Dr Noor Bari Profile picture
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Aug 1 • 10 tweets • 2 min read
Join your union.

Vote.

#nswpol #auspol
I’m not going to tell anyone who or what to vote for. I too believe in democracy, not a technocracy.

However, I believe in a free and fair democracy.

I believe in a democracy informed by the most accurate information.

I believe in free (not hate) speech.

Vote.
They say that they are returning your freedom to you.

Why then does it feel like the boot of oppression is getting heavier by the day?

Vote.
Nurses are bound by contract not to discuss operational details in NSW.

They have no individual voice.

As a union, they have a collective voice which is also being solidly ignored.

Patients are suffering. Nurses are exhausted.

If not strike, then what?
“Ratios” are not about nurses having an easy life. Those of us that have done this work (yes I have done some basic nursing a long time ago) know, it is about safety.

One human can only do so much.
This bizarre thing where you suddenly change roles, suddenly step up into more complex roles, step sideways into specialties you have no idea about…

Yes you are a human being that cares, but without the training and supervision…you feel like a spare part and stuff goes wrong.
It is terrifying for nurses to do this. Nurses have very little leeway if a drug error kills someone or a missed observation results in harm.

It is terrible for the patients.
This kind of temporary stitching together and stretching of services is meant to happen only for a few days, occasionally.

This is now most of the time.

This is mismanagement.
I fully support the nurses in their action. We need better management of health NOW.

Worse things are coming soon. We are not ready.
I don’t support fining nurses unions for taking the only course of action left to them, in a situation that you would have to be a robot to not feel moral injury in.

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More from @NjbBari3

#MasksInSchools Dr Noor Bari Profile picture
Aug 2
4th of September 2020.

After a long battle, my Aunty, a Professor in Obstetrics and Gynaecology in Dhaka🇧🇩 , died of COVID-19. It’s coming up to the second anniversary of her death, and here we are again, sending healthcare workers into danger, without adequate protection.
Two critical errors are occurring again.

1 Downgraded pathogen from airborne transmission so adequate PPE won’t be available, especially in LMIC.

2 Vaccine supply and equity issues.
It is far too soon to be repeating the same mistakes again, and yet here we are.

We are asking unvaccinated, inadequately protected HCW to put their families lives on the line again… This time, the pathogen affects kids most.

#MonkeyPoxIsAirborneToo
Read 6 tweets
#MasksInSchools Dr Noor Bari Profile picture
Aug 1
If you are in a monkeypox outbreak zone, I recommend disposing disposable masks responsibly after use, rather than the COVID-19 recycle in a bag thing.

That won’t work so well for pox. :-(

If using elastomeric, read manufacturers instructions for decontamination. ->
and check to see if CDC approved solutions are OK.

They will probably degrade some masks over time so check carefully for damage before wearing again.
Different disposable masks may respond differently to heat/UV decontamination. Please be aware that this does affect fit & filtration of masks. Pox is hazardous enough that I wouldn’t try this unless I had to, and there are limits to how often this can be done. Hence dispose. 😱
Read 7 tweets
#MasksInSchools Dr Noor Bari Profile picture
Aug 1
I get asked often “which respirator”…

Unfortunately there is no good answer to this. If you read the reviews, some are more likely to fit more people than others, but in reality, you have to try them out yourself.

I can tell you the kind of things I look for.
Fit. Got to be flawless.
Filtration. Minimum N95 for shopping. N99/100 equivalent for high risk close contact.
Soft?
Weight?
Will glasses fit? (Best to wear your mask when buying new glasses to line up pupils properly.)
Reusable? ->
Sound transmission?
Mouth visibility needed?
Strap thickness (thicker can wear longer with less headache).
Price?
Environmentally friendly?
How to clean and service, is it easy?
Support/spare parts/supplies?
Snazzy looking? 🤣
Read 5 tweets
#MasksInSchools Dr Noor Bari Profile picture
Jul 31
One of the greatest fallacies of recent times… that serious illness means inpatient care, or even dying in hospital.

No.

The vast majority of chronic and serious disease is managed in the community, and yes, palliated in the community.
Be very wary of using hospitalisation only as a marker of disease impact. There are better scales of function we can use.
Don’t underestimate long COVID. You will miss your health when it’s gone…
Read 4 tweets
#MasksInSchools Dr Noor Bari Profile picture
Jul 30
A really nice study looking at the type of exposure and the type of symptoms.

Invasive = bite/scratch from prairie dog.

Non-invasive= other exposure to infected prairie dogs.

Note 80% upper respiratory tract symptoms.

#MonkeypoxIsAirborneToo

academic.oup.com/jid/article/19…
People that were infected without being bitten or scratched by the infected prairie dogs showed predominantly systemic 53.3% or upper respiratory 26.7% symptoms at presentation.

In my view, this could be because virus was inhaled rather than transferred across skin.
Those that did have an obvious skin breech (bite/scratch), developed rash earlier. Some even commenced at the sit of the wound.

Those that didn’t, had constitutional symptoms earlier, rash later, without the early localising lesion to the skin to indicate how virus got in.
Read 5 tweets
#MasksInSchools Dr Noor Bari Profile picture
Jul 29
“…the majority of people in the community did not want to be told what to do…”

Yup. I don’t like to be told what to do either, but sometimes, it’s necessary…

#MaskMandates
Some examples when risks require regulations, laws or mandates to manage effectively.

Serious but uncommon risks.
Unintuitive or hidden risks.
Risk to others, not self.
Risks that occur a long time after an action is taken.
Risk is new or has changed.
Risk may be taken for financial or other gain, setting up traps for others.

etc.

We’ve always needed some limitations on the risks we take, otherwise bridges would fall down, people would still be windscreen pizza after an accident cos no seatbelt…
Read 4 tweets

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