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Mike Hoerger, PhD MSCR MBA Profile picture
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Dec 22 • 3 tweets • 2 min read
Today, JAMA Oncology's lead article shows that ppl with #hematologic #cancers are among the most vulnerable to COVID infections/hospitalizations.

Thank you to those who went against the grain to mask at the #ASH2022 #ASH22 hematology conference.

jamanetwork.com/journals/jamao…
I will post a thread on our invited editorial later today.
Here is our editorial with suggested solutions:

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More from @michael_hoerger

Mike Hoerger, PhD MSCR MBA Profile picture
Dec 23
In an Invited Editorial in @JAMAOnc today, my colleagues & I call for health systems to develop “Comprehensive #Pandemic Support Programs” for their most vulnerable patients.

These are our Top 10 Tips!

THREAD 🧵
jamanetwork.com/journals/jamao… JAMA Oncology article, &quo...
Tip #1: Health systems should explain to all patients that #COVIDisAirborne and is best avoided through multi-layered mitigation. Swiss Cheese model of COVID...
Tip #2: Health systems should prioritize getting the most vulnerable patients vaccinated & boosted.

Offer #vaccines on-site w/the SAFEST options.

Vulnerable patients want highly-ventilated or outdoor options & high-quality (e.g., N95) masks for safety. Make it happen. Vaccination given while cli...
Read 15 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Dec 17
THREAD: 19 Tips for a DIY mask fit test to reduce your risk of #COVID19.

H/t @amandalhu & @__philipn__

What did I miss? Assorted fit-testing pictures
Fit-testing Tip #1: Keep it Simple.

Get a nebulizer (usually $30-40) & some 3M FT-32 Bitrex solution ($24). The FT-32 fit-test solution (right) goes in the nebulizer. J
Fit-testing Tip #2: Taste the Failure.

Use the nebulizer to spray the bitrex solution (barely visible). Breathe through your mouth. If you taste it, there’s a mask leak.

"It’s not rocket science," as @CorsIAQ likes to say.
Read 21 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Dec 15
Our #pandemic global strategy:
"If I paint a rosy picture, will you promise not to cry?"

ascopubs.org/doi/full/10.12…
1/5 Image
Written a decade ago, the article was about how clinicians too often falsely reassured patients w/terminal #cancer that treatment was working just fine.

There are many parallels b/w cancer cancer, the pandemic, & climate change.

Mortality salience elicits #denial.
2/5 ImageImage
Don't believe me?

Look back at the 1960s. Only 12% of patients were even told they had #cancer.

Society will tolerate BS for a long time to avoid immediate discomfort. So too w/the pandemic. Hardly a mask in sight & reinfections mount.

jamanetwork.com/journals/jama/…
3/5 Image
Read 5 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Dec 2
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.
Read 4 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
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
Mike Hoerger, PhD MSCR MBA Profile picture
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

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