I am going to post how this virus has destroyed me as a HCW. I have a Dr. in pharm, with a specialty in infectious disease. I worked on the critical weird cases. I have practiced for 18 years. I knew about #covid on 12/29/19. This was me the week before I knew is was airborne 🧵
I started crunching the numbers Jan 7 2020. By the 14th I knew it was airborne. I started warning colleagues & hospital admin on the 27th. I was laughed at & criticized. Gaslighting at its finest. By Feb 5th I had to take my Covid info private due to professional harassment 🧵
I kept trying to fight the good fight. Many people who did work with me asked me for advice. I recommended the following Feb 7th 2020. I knew this was going to be catastrophic. I calculated an initial R2.3 & mortality of 1.3-2.3%. This was FEBRUARY 2020! The @WHO or @CDCgov?! 🧵
I heard over & over that I was wrong & overreacting. I contacted the hospital admins & presented everything, all based on real data. Explained we needed to order PPE NOW. Not surgical masks, but #N95 & respirators preferably. They quoted @CDCgov saying it wasn’t airborne 🙄 🧵
I decided to go underground, so I started offering live Q&A to HCWs regarding donning & doffing PPE. I recommended a full face mask respirator. As well as explaining what airborne WAS, why it was so dangerous. How this was spreading so rapidly. Why prevention was SO important! 🧵
I had many friends going to Carnival in Venice. I knew this would be a super spreader event. Here were people coming in from all over the world. Guess where is hit Europe first? Veneto, Italy. Where all the Carnival people flew into. I predicted this Feb 2 20. Where was @WHO? 🧵
Almost every prediction I have made has come true. But I am not working in medicine or public health at ALL. I feel so betrayed by those I once trusted to protect people. They still stand there & lie to the public. It’s a horrible mess. I see VERY bad things in our future 😞🧵
I see where this is going. It’s so bad I no longer speak about it. This snowball of disease has reached catastrophic critical mass & is destabilizing governments. The way out is not easy, but it is very simple. However the world will not listen to those like me. They will wait 🧵
However @WHO & @CDCgov have lost all credibility. There is no where left to turn. Governments have opted for the path to catastrophe in the form of serially infecting their populations for a pipe dream of “herd immunity”. IT DOESN’T EXIST WITH COVID. We need a layered approach 🧵
However until the sane, rational, WELL EDUCATED, voices, who have been right this whole time are heard, humanity is in for a rough road that medicine can’t fix. Governments are bowing to big business & 🍒 pick their “experts” to tell them what they want to hear. BAD POLICY 🧵
Layered approach: vaccinate (optional), high quality N95 masks with info on how to use, care for them, & when to replace, routine TRACKED home testing, greatly improved indoor air quality standards with ventilation requirements, people stay home until RAT test negative 🧵
GOVERNMENTS would have to provide these things. Including free healthcare & mental healthcare. People are traumatized & afraid. Not a good combination. HCWs need major support. We are quitting en mass. You need us. So care for us. We can’t just be easily replaced. #CovidIsNotOver
I miss being happy 😞 I see this photo and it was the last “normal” photo of me (even though it’s a little goofy).
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🧵 So I have contacted @3M a # of times regarding a serious safety issue. Many users have experienced catastrophic failure w/ 9205 masks. An #N95 fail miduse is literally life threatening in professional situations. Why has @NIOSH not addressed this? It’s a simple fix. #HCWs
I have reported the 9205 design flaw & so have numerous other practitioners. Why hasn’t @NIOSH or @OSHA_DOL acted?They have know that these break mid use, exposing us to dangerous pathogens. Yet @3M can’t seem to do the right thing & use braided elastic exclusively like the 9210!
It would be one thing if @3M weren’t aware. But they are! I have been trying for a year to get this flaw fixed. Dozens of others reported the SAME problem on my tweet about this last night. That’s a SINGLE tweet. Yet many lives are put at risk? #ClassActionLawsuits anyone? #3M
So I want to explain some terms today & put things in perspective. You hear the term Ro or R naught. What it is is the measure of an average of how many people 1 infected person spreads a disease to. Covid was originally about R2.4, it has increased to an astounding R12+ with BA2
What does this MEAN? This means that the virus is getting BETTER at spreading with each wave. Improving the ability to infect us. What can happen next is a mutation increasing mortality, or the percentage of people it kills. Fun times! #CovidIsntOverplus.maths.org/content/epidem…
Unlike other viruses #COVID19 has the unique ability to spread before you even have symptoms. In other words this virus could have a 100% mortality rate & it wouldn’t matter. It would continue to spread. As it has already spread before it kills its host. Which is us. #MaskUp
I promised I would provide a way to calculate room air exchange, using a simple MERV-13 filter & a box fan. The sweet spot seems to be 6 exchanges per hour. This means all the air in the room is moved through the filter 6 times in 1 hour. 1/6 #ProtectHCWs#ProtectKids#Covid#BA2
First we need to get the volume of a room. It doesn’t need to be perfect! But note units are important. We are using feet/inches here. Use this calculator & input the measurements, A, B, & C as shown in the graphic below. Order is NOT important 2/6 #Filtervcalc.com/wiki/KurtHeckm…
I found a company that did calculations using a box fan on high speed & MERV-13 filters of different depths. The thicker the filter the BETTER the air flow! Strange but true. Note I added the Air Volume based on a 20” square box fan. 3/6 #N95#BoxFanFiltertexairfilters.com/how-a-merv-13-…
I want to share an analogy & call to #Hospitals to #ProtectHCWs. 2+ years yet hospitals leave workers open to PREVENTABLE death & disability. They need to held to task & REQUIRED to properly & fully protect their workers. Please join me & share this. #HCWs#Covid#LongCovid (1/3)
Providing P100 respirators, increasing proper indoor air filtration, & testing workers regularly will help attract & retain staff. In addition to it being the RIGHT THING TO DO! Questions? Contact me #DoTheRightThing#LegislateProtection#ProtectHCWs#Nurses#ProtectRNs (3/3)
Let me tell you a story. By Jan 7, 2020 I knew this was airborne based on the spread occurring in China. By the 21st I had calculated an Ro of 2.4 (turned out to be pretty damned accurate). By the 23rd I called on my fellow healthcare professionals to ensure they had N95s
Or better yet P100 respirators. Then the backlash started. On the 27th I was openly mocked online by an ID doc I had worked with. It snowballed. I was trying to get anyone to listen. I was treated like I was nuts. All I was advising was to stock up on PPE & be prepared
I advised that we figure out a system for increasing mask longevity/reuse at my hospital system. I was dismissed as “reactionary”. The ICU attending & ID MDs went on international vacations in February & March. The hospital admin ignored this. I started posting videos on PPE
I think it’s time to revisit masking with #BA2 & how contagious it is. I am upgrading my recommendations to a P100 @3M respirator. They are less likely to suffer structural damage, meaning I have had them in use for 1 year at a time. That 100 is for 100% an N95 is 95% blocking
Note do NOT use @amazon they have a huge issue with #CounterfeitMasks. The @US_FDA doesn’t seem to be doing their job & cracking down while Bezos lounges on his yacht. I have samples of counterfeit 3M masks I bought off of Amazon. I confirmed with 3M DIRECTLY. So this is serious
This isn’t hearsay but actually provable. Amazon hides behind “tHeY aRE iDepEnDanT coTrAcTOrS” while they rake in that sweet pandemic cash. I recommend you order from @HomeDepot as they buy directly from 3M. I wish I had a better solution. #MaskUp#P100Masks#CovidIsNotOver