Last week I was supervising EMTs on a home visit service & a woman called to request her father be seen. He was in his 90s, confused, no other symptoms. Only when I called to confirm the address she mentioned she had COVID, but she "didn't think that was it."
When the EMT got there, the patient had a heart rate in the 120s. He had spent the day in bed. He was #COVID positive. We sent him straight to the emergency room.
He was admitted to ICU and passed away 72 hours later.
It isn't the family's fault that they couldn't protect him. @CDCgov@ashishkjha, @CDCdirector, health pundits, and elected officials are all responsible for propagating misinformation downplaying COVID. The effect: we throw older adults, like my patient, under the bus.
1⃣ In older adults especially, weakness can be the main symptom of COVID. The weakness could be due to a low oxygen level, even without apparent shortness of breath.
2⃣ Please, disclose ALL cold symptoms or recent COVID infections to health workers so we can wear appropriate PPE
COVID is very serious for older adults, who increasingly suffer the majority of COVID deaths. We need a society which keeps them safe, and one-way masking isn't enough.
Burdening people with weakened immune systems and household members to "protect themselves" is patently inadequate. Most people can't meet their basic needs without being repeatedly exposed to COVID, which is airborne and transmitted in the air we share.
We should make essential spaces safe for all by wearing masks to protect each other. If a masked person spends a prolonged period in a crowded, poorly-ventilated, indoor setting with many unmasked people, they can still catch COVID-19, even in an N95 mask
Masks work to prevent transmission of airborne and respiratory pathogens like COVID-19. Universal masking works better than one way masking to decrease transmission. Also not everyone can mask (like children/babies), so others should mask to protect them. pubmed.ncbi.nlm.nih.gov/33431650/
We should all be so blessed to have older adults in our lives. We as a society should do better to prevent COVID transmission & protect them. Recent deaths in nursing home outbreaks show we aren't taking COVID seriously enough. cbsnews.com/boston/news/4-…@maura_healey@KateWalshHHS
And don't forget that #LongCOVID, which can follow even mild infections, and can include brain fog, heart attacks, blood clots and other potentially disabling symptoms which can affect even young, healthy adults and children. pubmed.ncbi.nlm.nih.gov/36639608/
We need urgent action to improve indoor air quality in all essential spaces, and especially in nursing homes. Not to mention that we should be requiring N95 respirators for workers and visitors in nursing homes to protect the residents. @maura_healey@KateWalshHHS
While it's nice to see efforts to prevent nosocomial infection on @BostonGlobe front page, why the focus on rare Mycobacterium abscessus, while much more deadly, hospital-acquired #COVID19 infections occur in US academic medical centers? academic.oup.com/cid/article/74…@ByJessBartlett
And a YouGov/Economist poll in November 2022 showed that Americans also support wearing masks in airports... so why is anyone trying to remove masks in healthcare, where they should be part of standard precautions? #KeepMasksInHealthcare
COVID is still the #3 cause of death in the US and in the top 10 causes of death for kids. In 2022, it caused over 250,000 deaths, and continues to kill about 2000 people in the U.S. each week. covid.cdc.gov/covid-data-tra…
If @POTUS & electeds want to end the pandemic, they should ensure public spaces are safe for all & everyone has access to healthcare, paid sick leave, clean indoor air, N95 respirators, COVID vaccines, tests and treatments. Until then we should #KeepthePHEpeoplescdc.substack.com/p/keepthephe?p…
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h/t @luckytran for a brilliant op-ed re: the anti-mask @CochraneLibrary update
TLDR: How to hide evidence that masks work, if you are anti-mask, like lead author TJ, who works @ COVID-19 misinformation Brownstone Institute which his COI statement left out
Tom Jefferson also fails to disclose the relationship with Brownstone Institute in this fuller conflict of interest statement here: restoringtrials.org/competing-inte…
COI statements are important to help protect against industry and other forces influencing outcomes of literature. Even if an individual does not receive financial support, they should declare it to allow the editors to assess the implications. training.cochrane.org/online-learnin…
When the BPS parent group @FamCOSa asked to #BringBackMasks after Thanksgiving break and test before returning to school, the Boston Board of Public Health said they prefer to listen to the experts.
You'll never guess what happened next...
Or maybe we could have...
Perhaps they missed the study from @NEJM (prominent medical publication) that shows that #masksmandates in schools decrease #COVID19 cases, reducing absences among students and staff? Funny that, it's based on data from #Boston nejm.org/doi/full/10.10…
Just tried to send a 2-week old baby in mild respiratory distress to a community ER. The ER doc told me they are having trouble transferring pedi patients to big hospitals & to send directly to a children's hospital.
This is only the beginning of #COVID19/Flu season #Medtwitter
Everyone #MaskUp indoors now to prevent the spread of COVID. The numbers in MA, recently increased in response to the school year starting without masks or mitigation measures in spite of our calls for more protections bostonglobe.com/2022/08/22/met… h/t @JuliaRaifman@jonlevyBU@FamCOSa
The CDC "Community Levels" map suggests that Massachusetts is in medium, based on availability of hospital beds. But pediatric hospital beds fill more quickly...
We should #MaskUp when Covid transmission rates are high to slow spread and prevent surges.
Last weekend I needed a new dishwasher installed, but the installation techs arrived wearing cloth masks, one with the mask falling off his face.
When I asked them to wear high-quality #N95s (which I offered), or at least something that would cover the nose, they REFUSED. 🧵
One of them said: "I'm the boss here and we wear our own masks. If you need us to wear something different we will leave, and you can wait until the pandemic is over to get a new dishwasher."
I should be able to keep the air in my own house safe. #COVID19 spreads in the air like smoke, when people breathe, talk, cough or sneeze and the virus can remain suspended in the air for minutes to hours after an infected person leaves the room.
@RobbieForChange lamented in a public lecture yesterday that US public health policy is constrained by what Americans are willing to do...
🤔 I would argue the chief constraint is @CDC inappropriately messaging safety with a pretty pastel map while we are in a surge 🧵
A recent poll showed that 74% of Americans would #MaskUp if we were in a surge.
Instead of holding a press conference and sending alerts on social media about the impending threat of COVID in coming weeks, they "forecast" thousands of deaths.