Megan Ranney MD MPH 🌻 Profile picture
Apr 1 6 tweets 5 min read Twitter logo Read on Twitter
My friend @GitaPensaMD just published this brilliant piece in @TIME about the unspoken fear that is driving many docs, nurses, & other #healthcare providers out of clinical care. It’s not what you think. Take a read.

time.com/6267208/doctor…
In tandem, I learned that UCSF nurses are protesting exactly the same conditions that Gita describes: overcrowding, insufficient staffing, a place in which it is IMPOSSIBLE to provide high quality care. sfstandard.com/public-health/…
And last night I had a conversation with a non-medical friend who is experiencing the misery of emergency department overcrowding, first-hand.

➡️Patients & providers, together, must call for better.
*insurance reform, so hospitals don’t have to prioritize lucrative surgeries over care of “low-$” kids, primary care, & ER patients
* adequate staffing, to keep pts safe (& allow providers to give good care)
* real penalties for families/pts who bite, kick, punch, threaten healthcare providers
* reform of the med-mal system
* incentives for use of #telehealth & #digitalhealth when and where appropriate
* adequate preventive care/#publichealth to keep people safe to begin with

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More from @meganranney

Mar 27
None of us - NONE OF US - are immune to our American epidemic of #gunviolence. Worse, the effects of the daily trauma on our children - on ALL of us - are nearly unimaginable.

We need hope.

Which means: we need change. What got us here, will not get us to a better space.
PS: I do a LOT of work with firearm owners, with communities affected by daily #gunviolence, and with communities affected by suicides.

It is worth highlighting that the extremist positions of a few, are not the beliefs of the many.
None of us want people who are hate-filled, intent on hurting themselves & others, and with a history of felonies to have access to a firearm.

None of us want this type of murder, to be glorified.

None of us want our public spaces to feel unsafe.
Read 5 tweets
Mar 4
Well done @jonstewart @TheProblem:

YES individuals are the problem
YES hatred is the problem
YES poverty & racism are the problem
But YES guns in the hands of people who want to hurt themselves or others is, most of all, the problem.

#gunviolence is a #publichealth problem.
There are lots of ways to change this.

One very important way: recognizing risk & acting on it.

This can be done BEFORE or AFTER someone has a gun. It can be done by family members, friends, healthcare providers, or (last ditch option) law enforcement.
acpjournals.org/doi/full/10.73…
Another very important way: reducing the risk before it gets to an emergency stage.

This is about structural change. Teaching conflict resolution. Reducing substance use. And more.
theatlantic.com/health/archive…
Read 5 tweets
Feb 28
. @VictorDzau @theNAMedicine at @NorthwellHealth event:

As of 2013 there was virtually no data or research, thx to Dickey Amend.

(2020 is when funds were finally made available.)
We know what we need to do next to change the patterns of this epidemic. Glad to be partnering today w/ hospitals, community leaders, #publichealth to finally go upstream on #gunviolence.🙏
nature.com/articles/d4158…
@MichaelJDowling @drchethansathya @TheHAVI
Here are 5 key questions we can - and must - answer to bend the curve:

washingtonpost.com/opinions/2023/…
Read 4 tweets
Feb 14
5 years ago, I wrote with @Rsbeidas about how the drumbeat of trauma was changing our kids.

Since then, the frequency of shootings has accelerated. #Gunviolence has overtaken car crashes as the LEADING cause of death for American youth.

nbcnews.com/think/opinion/…
We then examined the data scientifically. YES there is a link between exposure to gun violence, & future #mentalhealth issues among youth.

(Caveat: our review also found incomplete evidence in many areas, & very little on interventions.)

psycnet.apa.org/record/2019-45…
This morning, on the wake of the #michiganstateshooting, I had to tell my daughter that there was a social media threat against our school system yesterday. (The threat was deemed not credible, but there will still be an increased police presence today at school.)
Read 7 tweets
Feb 6
Key q for discussion: How will #climatechange address the timing and severity of infectious outbreaks in the years to come?

🦠 influenza, #covid19, & other respiratory dx’ed
🦟malaria & other vector-borne illnesses
🚽diarrheal & other fecal-oral disease

@Brown_SPH
1. Heat, cold, & water/drought change these pathogens’ evolution

2. Heat, cold, & water/drought also change how humans act

3. And health systems are changed, too! (Just look at the effect of Katrina)
We are at a unique moment of “coupled risks”: urbanization, easy trans-national travel, large agricultural industries…

We get to make decisions every day both to adapt & to prevent. @Craig_A_Spencer
Read 7 tweets
Jan 30
Research can help us fix our nation’s firearm injury epidemic - and maybe not in the ways you think. My new piece for @washingtonpost outlines 5 key questions we need answered:

washingtonpost.com/opinions/2023/…
1. What are the actual numbers (of injuries, defensive gun use, stolen guns, averted shootings, etc)?

Believe it or not, we don’t know. (This is why CDC websites mostly discuss death rates - that’s what we actually have semi-reliable data on.)
2. Who is at risk?

We can’t reliably identify what makes someone higher risk for gun suicide, homicide, mass shootings…. (Kudos to folks who are trying… but we need better data and prediction tools, both in the moment and over time.)
Read 7 tweets

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