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Mike Hoerger, PhD MSCR MBA Profile picture
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Sep 13 • 4 tweets • 2 min read
Do you know any #parents looking for better #masks for their kids this fall?

Check out all the helpful comments on this Tweet.

Best for many: @flo_mask & 3M Vflex 9105s
Popular: WellBefore, Powecom, Lutema, Vitacore

1/3
The child #MentalHealth clinic I was helping out ended up purchasing the WellBefore masks. Useful in this context b/c they needed disposables in plenty of different sizes.

The clinic runs somewhere between 12-18 ACH to help w/ imperfect mask fit.
2/3
When @vitacoreinc heard about this, they donated >200 CAN99/CAN99e masks to the child mental health clinic!

Very kind. Thanks for supporting child mental health in New Orleans!
3/3 masks for children
FYI, I have no financial interest in an mask/PPE company.

I decline personal gifts. I am happy to function as an intermediary to get PPE to the community. In this case was passing along masks to a clinic I'm unaffiliated with and was advising pro bono.

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More from @michael_hoerger

Mike Hoerger, PhD MSCR MBA Profile picture
Sep 13
Such a proliferation of useless #COVID "treatments," now nasal irrigation.

If a virus kills millions of people, a useful treatment would be published in a journal with impact factor >20, not 1.7.

journals.sagepub.com/doi/full/10.11… Image
The study gave people nasal irrigation and compared it to CDC data on hospitalization and death rates.

Not everything must be an RCT, but the purpose of an RCT is to compare two equivalent groups so that the observed differences can be attributed to the treatment.
Since this is not an RCT, the people in the nasal irrigation could have easily differed from people in the CDC normative sample.

Specifically, people who sign up for studies are often less ill. If they are less ill, they see better outcomes regardless of the "treatment"
Read 4 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Sep 6
The "Urgency of Equity" calls for pandemic policies that promote safer schools for ALL children.

#UrgencyOfEquity
@UrgencyofEquity
urgencyofequity.org

Today, they've updated their evidence-based toolkit. An annotated thread 🧵
1/ Urgency of Equity, cover
Messaging that the "pandemic is over," we need "off-ramps" (but never on-ramps to safety), or comparisons of COVID with a cold or the flu remain inaccurate.

The #UrgencyOfEquity acknowledges the reality that the pandemic continues, and ALL children deserve safer schools.
2/ Urgency of Equity, introduction
Safer schools require multi-layered mitigation, the so-called Swiss Cheese model (see my profile).

#SwissCheese
#ConQueso
3/ Layers of COVID protection
Read 28 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Sep 3
Shocked that a school building manager untrained in #MentalHealth kept parents from donating #HEPA filters out of fear they would trigger kids' anxiety.

HEPA phobia? Clean air PTSD? Replacing asthma attacks w/ panic attacks? 🤣

I wrote a letter to help!
🧵1/8
Here's a deidentified copy of the letter we sent to the school building manager explaining that #HEPA filters don't cause #anxiety disorders.

Happy to co-sign or draft similar letters, vary in tone (this was 7/10 on the meanie scale), etc. It's boilerplate.
2/8
This letter hits 5 key points.

Point # 1: Mental health must be grounded in reality. This is the most fundamental concept, which transcends different theories of #MentalHealth. I cite the 3 most important #COVID papers of the year (reality), IMHO.

3/8
Read 8 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Sep 1
“Reaction Formation” is a psychological defense mechanism that functions as a nuanced form of #denialism grounded in over-optimistic feelings.

A quick thread on #ReactionFormation.
1/6 🧵
“The defense of #ReactionFormation… turning something into its polar opposite in order to render it less threatening. The traditional definition… involves the conversion of a negative into a positive affect [“affect” = emotional response]”

2/6
“A more accurate [psychologically sophisticated] way to depict #ReactionFormation… might be to note that it functions to deny ambivalence [mixed emotions]…. No disposition is totally unmixed.”
3/6
Read 6 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Aug 24
I'm a clinical health psychologist, medical researcher, and strategist.

If you followed me in the past year, it was probably related to our #COVID #mitigation work. These are some of my posts you might find most helpful!

🧵
1/16 Image
First of all, #COVIDisAirborne. No mitigation strategy will be successful without acknowledging that truth.
2/16
We need to track COVID. With U.S. federal testing sites shut down, the best positivity tracker the past 6 months has been from Walgreens.
3/16

Read 16 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Aug 9
As a health scientist, I am deeply concerned by the number of universities dropping #COVID #mitigation this fall.

It will be sad to see young people getting "rare" serious long-term sequelae, more faculty leaving or getting disabled, & broader communities put at risk.

🆘🧵
1/
As universities saw double-digit positivity ratios in surveillance testing programs DURING THE SUMMER, what's the fall plan?

🔸Disbanding surveillance testing programs
🔸Disbanding isolation programs
🔸No mask requirements
🔸Disinformation: COVID is like "a cold or the flu"
2/
Many campuses boast >95% vax/booster rates, but most students were boosted 8-10 months ago!

Immunity wanes. New variants emerge. Moreover, #HybridImmuneDamping means that prior infection does not always reduce the likelihood of future infection.
science.org/doi/10.1126/sc…
3/
Read 10 tweets

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