If you're advocating for more cautious and compassionate COVID policies or generally "doing the right thing," please keep pushing.

I've had three extremely validating interactions in the past week I wish to share (details disguised)....
#1 - A vulnerable family member had a cable guy come to her home. The cable guy refused to mask, so she refused to let him in and called to complain to the cable company. One of those big, hated cable companies.

Know what they did? Fired him on the spot. 🔥
#2 - Met with a ped's specialist (just a follow up, all is well). The hospital is anti-mask, "wash your hands," full droplet dogma.

BUT she was wearing an N95, says she's never going back. Asked thoughtful questions about the #PAPRbuggy. Shared how scary the pandemic onset was.
#3 - Took a tour of a local kindergarten. New Orleans schools are often at 1/20th the air-cleaning standards recommended by California (0.6 ACH vs. 12 ACH). Partner asked the COO about air quality.

Not only did he know the "MERV" ratings for the HVAC, but it was MERV-13. 😮

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More from @michael_hoerger

Nov 15
I've yet to see a well-designed study showing that #COVID #RapidTests are no longer efficacious.

This one is no exception. Why?
5 reasons.

clinicalmicrobiologyandinfection.com/article/S1198-… Image
1. They compare same-day PCR against self-administered/interpreted rapid tests.

For most ppl, that's not reality. It's RAT today or PCR result in 1-3 days (or do both).

A fairer comparison would be a RAT today versus a PCR yesterday (since you'd have to wait for results).
2. They excluded 13% of the sample who were "confirmatory testers" (weird term) -- basically, people who had just tested RAT+ and were coming in for a PCR.

Basically, they excluded the people for whom the test easily worked. Drug trialists pull this stuff all the time.
Read 8 tweets
Nov 14
Cloth masks could be customized to look amazing. BUT they offered weak protection (poor filtration, many gaps).

What if you could safely customize an N95 or #BetterMask with a small logo, decal, or other decoration?

THREAD 🧵

1/ 3M N95 with monotone cancer ribbon (or interpret as another
H/T 🎩 to @amandalhu for recommending rub-on “dry transfers.”

Follow her & see her amazing thread of several examples. Very fun, especially for kids. Many pre-designed options.


2/
But can dry transfers be customized?

YES. I ordered a 6” x 6” sheet with >50 monotone #cancer ribbons from @stickermule. Cost about $20. Price goes waaaaay down the more you order. Comes with free hot sauce for some reason.

If you find other deals, please post.
3/ Sheet of dry transfers with >50 cancer ribbons.Randomly comes with hot sauce. Probably don't want to eat ri
Read 9 tweets
Nov 13
New article in @JAMANetworkOpen provides critical data on the long-term trajectory of COVID-19 symptoms.

Lots of bad news. 😕
Very bad news for ppl w/cancer or bad acute case of COVID. 😬
Also, a few rays of hope. 🌞
#LongCOVID #COVIDcancer

1/12
jamanetwork.com/journals/jaman… Title and graph, journal ar...
66% of adults had at least 1 symptom during the acute phase (first 2 months) of diagnosis of #COVID-19.

I’ve highlighted the symptoms experienced by at least 10%. Note that some of the less common symptoms are quite debilitating though (e.g., 9% w/lung pain).

2/12 Symptom table. Acute sympto...
If you had a #COVID symptom initially, what are the chances it persists beyond 2 months? See 2nd column, green highlights emphasize those enduring among >10%.

Many of the initial symptoms endure in about 20% of ppl. Russian-roulette like odds.

3/12 Table shows the percentage ...
Read 13 tweets
Oct 28
I made a new graphic representing my current gist-level representation of the #SwissCheese Model of #COVID mitigation.

In your mind, how do you organize the categories differently? Is there something else you prioritize?
1/5 Swiss Cheese model of COVID...
My mental model of COVID mitigation differs from others in that it gives more weight to secondary and tertiary prevention.

The less the Western world focuses on the first 8 slices of cheese, the more we will need to focus on the final 2-3 slices.
2/5 Secondary and tertiary prev...
In my #SwissCheese model, I debated how many slices to devote to masking & clean indoor air. Huge weapons. Masking is simple but w/plenty of nuance (mask selection, distribution, fit, duration). Clean air includes ventilation, filtration (CR boxes, HEPA), UVC, fluid dynamics
3/5 Masks and IAQ. Bigger slice...
Read 5 tweets
Sep 26
Empowered communities want free #N95 masks!

Our new pre-print shows that people are excited to use N95s during COVID surges when given them for free w/helpful information on their evidence & how to use them.
1/
psyarxiv.com/f76vw Study abstract: People want...Project banner: Free N95 Qu...Aegle N95, given away in th...
You might remember when we posted about the study back in December!

I hope you find the results useful. We tried to make the figures relatable, even if you're not reading science articles every day. Please let me know if you have questions!
2/

We gave out 2,500 #N95 masks in 5 packs to our racially & socioeconomically diverse community. Many used N95s for the 1st time. People treated us like we were giving them kidneys. So grateful!

97% used at least 1 N95 & 40% used all 5 within 1-mo!

3/
Read 11 tweets
Sep 25
Know someone having a baby soon? CONGRATULATIONS! 🍼🍼🍼

As hospitals drop universal COVID protections, these are my top 7 tips for protecting unmaskable un-vaxable newborns from #nosocomial (hospital-acquired) COVID.

What did I miss?

THREAD of Top 7 Tips 🧵
Tip #1 – Determine your #mask rules. Some parents require staff to #N95. Compliance would vary by region/hospital. Prep for what you’ll say if staff don’t comply.

With our newborn twins, we supplied medical staff w/free N95s & tests. Nobody wanted N95s; 1 took a #RAT. 🤣
Tip #2 – U.S. hospitals SHOULD have excellent ventilation (air cleaning) by reg. But HVAC repair doesn’t have a CPT code. Many of my best & worst air quality readings are from hospitals.

Consider buying a #CO2monitor, read on that hashtag, & follow @joeyfox85 for basic tips.
Read 9 tweets

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