So the kids at our local high school are now referring to “Homecoming fever,” a cough/fever that is hitting tons of the student body since the dance on Saturday.

I’m so tired of perpetual sickness. I know you are too.

#GetBoosted & 😷 & #WashYourHands

#Pandemic #HoCoMD
Update: hearing from LOTS more parents on another platform that their kids have fever & cough post #Hoco2022. Sev have tested + for #Influenza A. If your kids aged 6m & up haven’t had a #FluShot, get it done. We don’t need more home/school/work disruption. 😷 + #WashHands.
Update #2: Posted about this in a high school parent group text as well, & now everyone I know is texting me this morning that their kid also tested pos for influenza A. There are prescription meds to both treat & prevent (if exposed) flu, so see a dr. #HoCoMD #Homecoming
Update #3: one case of confirmed influenza A in our household after #HoCoMD #Homecoming over the wknd. Another one of our teens said about half the students were absent from all of their class periods today. Who else wants off this ride? #WearAMask

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More from @tmprowell

Oct 4
This trend of #COVID19 followed soon after by #rhinovirus or #enterovirus (& we have it in our 🏠 , test-confirmed) is 👎👎. The 🫁 are taking a beating. Beware, especially folks w/ #asthma & other lung diseases. Masks on. 👀 recent CDC alert: emergency.cdc.gov/han/2022/han00…. #MedTwitter
If you are age 12+, it’s been at least 2 mos since your last dose of #COVID19 #vaccine or any # of #booster dose, & you haven’t gotten your updated #Omicron bivalent #boostershot, get it! Likewise anyone 6m old & up who hasn’t had a #FluShot this fall, go get one. Same day is👌.
There is unfortunately no vaccine vs #rhinovirus or #enterovirus. For that, our best bet is to improve air quality (open windows if possible, Corsi-Rosenthal boxes, etc), #MaskUp, & try to get those around us to #WearAMask too. Really concerned for folks with #asthma etc like us.
Read 4 tweets
Oct 3
Part 2 of ACP-Medicine Forward series on solutions to #FixPriorAuth happening now w/ amazing lineup! @gabrieldane, co-founder w/ @EricTopol of @MedicineForward, kicks off the mtg w/ comments about urgency of #MedTwitter #advocacy & activism to protect dr-patient relationship.
Dr. @ShikhaJainMD is orienting audience to the amt of time #MedTwitter spends doing prior auth & peer-to-peer calls, in many cases w/ insurance company "peers" w/ no training in the specialty. Some could not even pronounce the tumor type or drug name. #DenialOfCare #FixPriorAuth
Dr. @ShikhaJainMD says that she cares for a patient with #cancer whose insurance company only allow 4 CT scans LIFETIME for their #cancer, which prevents her from assessing how well the treatment is working. This is absurd & MUST be fixed. #DenialOfCare #FixPriorAuth #MedTwitter
Read 8 tweets
Aug 20
FDA has extended emergency auth of Novavax #vaccine to age 12-17y. Given as 2 doses 3w apart, it was 78% effective in preventing confirmed symptomatic #COVID19 7d after dose 2. It is a protein-based vaccine like many familiar vaccines in use for decades, e.g. tetanus. #MedTwitter
Those under 18 are much less likely to be fully #vaccinated against #COVID19 than adults in the US, even though we now have vaccines authorized & recommended for kids as young as 6 mos. We'll see fewer kids missing school this fall/winter the more we #GetVaccinated now.
When I am trying to decide about something outside of #MedTwitter, I ask what professionals in that field do themselves. In case that approach is helpful to you, here's a poll.

Doctors: did you get your eligible kids #vaccinated against #COVID19?
Read 4 tweets
Aug 3
I’m more cautious than @Bob_Wachter when it comes to #WearAMask indoors (basically always w/ ppl from outside my 🏡 except briefly when I have to eat). I share his🧵 because this approach is sound: choose deliberately knowing current trends & weighing risk vs benefits. I differ…
On one point: I don’t agree that “the tools now exist” means everyone has the tools. We know that #COVID19 treatments are being underutilized in low-income & minoritized groups. We know that the high-quality N95 😷 that Dr. Wachter concedes are tough to wear all day every day…
Are what is needed to optimally protect workers in high-risk settings (think public mass transit workers, etc). Each time any one of us chooses not to #WearAMask & risks getting infected, we make it more necessary for others to wear N95 level masks to stay safe from us.
Read 6 tweets
Jul 28
Please reply with a few words or a story about an amazing nurse in your life. Patients, caregivers, #MedTwitter or #NurseTwitter, chime in. Our nurse colleagues are exhausted in this #pandemic & need to know how much they are appreciated. Bring it.
I’ll start. I want to recognize Mary Evans at @HopkinsGynOb. With my firstborn, I had a difficult labor & then he was in the NICU for breathing problems. She held my hand for ages, long after her shift was over. Nearly 2 decades later, her presence still means everything to me.
And I’d like to recognize the many #OncTwitter nurses I have had the joy & honor of working with at @hopkinskimmel, but especially @JHHMartha, the late Margaret Gardner, & @LillieShockney. They share a common trait, which is almost magical to witness...
Read 4 tweets
Jul 24
I’m concerned that labeling #monkeypox a sexually transmitted infection (STI) will cause confusion & delay (🚂) in public response. It’s transmitted most often by direct skin-to-skin contact w/ the rash (see the whole list of ways it spreads from CDC 👇), and sex includes … 1/
plenty of direct skin-to-skin contact, but you certainly don’t need to have sex to get it. That means that we will identify cases regardless of sex/gender/age, & whether or not ppl are sexually active. We have to get this right in #SciComm headlines & opening paragraphs …/2
because most people won’t read the whole article (or 🧵). They skim. We want people to understand that common STI risk reduction advice like “wear a condom” is valuable but will still leave ppl open to a lot of risk if a partner has #monkeypox. /3
Read 7 tweets

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