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Dr David Berger, aBsuRdiSTe cROnickLeR Profile picture
@YouAreLobbyLud
Feb 10, 2024 • 13 tweets • 7 min read • Read on X
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1/ Why, indeed? Thousands of patients are catching COVID in Australian hospitals. It kills 10% of them. This is due to a basic LACK OF INFECTION CONTROL. As @drajm says in this outstanding article, this is shaping up to be the Robodebt scandal of medicine.
abc.net.au/news/2024-02-1…

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2/ People catching COVID in hospitals is the ROBODEBT SCANDAL OF MEDICINE 👇

abc.net.au/news/2024-02-1…
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3/ If you are in hospital, you are, by definition, 'vulnerable'. Failing to safeguard patients from catching COVID kills them. This is a FACT. Australian health authorities may choose to try and ignore it, but THE FACT remains.
abc.net.au/news/2024-02-1…
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4/ Much credit to @ama_qld's @BoultonMaria for pressuring the authorities on this. Turns out "We too have been concerned about this problem for some time." Uh huh. Right. Whatever. Just get on and do something about it. Quicktime.
abc.net.au/news/2024-02-1…
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5/ Infection control really isn't rocket science. To prevent hospital acquired COVID infections, we must finally accept the evidence that COVID IS AIRBORNE and act accordingly.

HARMING LARGE NUMBERS OF PATIENTS THROUGH NEGLIGENCE IS NOT ACCEPTABLE
abc.net.au/news/2024-02-1…
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6/ Masks or N95 respirators DO NOT IMPAIR COMMUNICATION WITH THE VAST MAJORITY OF PATIENTS. The patient being dead impairs patient communication.
abc.net.au/news/2024-02-1…
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7/ There is a basic equity issue here. All of us have a right to access safe healthcare. Those with particular vulnerabilities should not have to fight even harder for it.

abc.net.au/news/2024-02-1…
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8/ Cancer hospitals need to get their act together and protect all their patients, who are ALL VULNERABLE. Why N95s only for haematological patients, not all cancer patients? It just makes no sense at all.

abc.net.au/news/2024-02-1…
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9/ I used to think the economic / staffing argument would make hospitals want to protect their staff from occupationally acquired COVID. I know, I know. Very naive. 🤦‍♂️

abc.net.au/news/2024-02-1…
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10/ We have never before said about complex patients: "Oh well, they were sick anyway. Never mind that they were tipped over the edge by an infection they acquired in hospital."

If a patient gets a skin infection from an IV cannula, INFECTION CONTROL LOSES ITS COLLECTIVE MIND. Image
10/ Yes, WHERE IS THE ACCOUNTABILITY? It must not take Freedom of Information requests to get data on hospital acquired COVID infections. Until we have accountability there will be no improvement. Feet must be held to the fire to get improvement. Regrettable, but true. Image
11/ Healthcare authorities need to show some leadership and not cave in to whines from people who don't want to wear PPE to protect their patients and their colleagues.

How can I put this politely? Everyone just needs to toughen the fuck up.

abc.net.au/news/2024-02-1…
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12/ "... the liability is accumulating for people who should know better than to be permissive about COVID infection in healthcare facilities."

Yes, it is. And this is a terrific article by @Hayley_Gleeson. Please read, share and give her a follow.

abc.net.au/news/2024-02-1…

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More from @YouAreLobbyLud

Dr David Berger, aBsuRdiSTe cROnickLeR Profile picture
Oct 27, 2024
1/ The lesson of the Nazis, the one that has to be remembered and carried with us all forever, is that 'It could happen here'.

We have been done a dangerous disservice by the popular approval of Godwin's Law - that all Internet disputes ultimately devolve into people shouting 'Nazi' at each other.
2/ Why? Because Nazism threatens to break out at all times and in all places, and requires constant energy and vigilance to be suppressed. Godwin's Law has made us shy of using the Nazi comparison, EVEN WHEN IT IS BLATANTLY OBVIOUS. As it is with Trump and the MAGA movement.
3/ I wrote about this in 2016 in relation to Australia's treatment of non-white refugees and I stand by every word.

The Nazis are a warning from history and that warning must be heeded, and the rot stamped out wherever and whenever it arises.

newmatilda.com/2016/05/22/its…
Read 5 tweets
Dr David Berger, aBsuRdiSTe cROnickLeR Profile picture
Oct 13, 2024
1/ "The impact of various INFECTIOUS AGENTS on human survival and reproduction over THOUSANDS OF YEARS has exerted SELECTIVE PRESSURE on numerous regions of the HUMAN GENOME."

Can we please clear something up?

ncbi.nlm.nih.gov/pmc/articles/P…
2/ People mistakenly say that the reason the Native Americans died of smallpox, the flu, syphillis and others is that the individuals concerned didn't have the constant exposure to them that European populations had, so had not built up immunity.
3/ This is completely wrong. All these diseases and more were huge killers in mediaeval European populations. However, constant contact with them over THOUSANDS of years meant that the overall gene pool of all Europeans had evolved to a state of higher resistance to them.
Read 11 tweets
Dr David Berger, aBsuRdiSTe cROnickLeR Profile picture
Sep 24, 2024
I'm not going to put any effort into refuting this point by point, because... Brandolini

But, really?! I remain baffled by the vehement objection to cleaner air generally, and in schools in particular. Can anyone come up with a coherent explanation? Image
This seems to me a much more appropriate reponse to @Hayley_Gleeson article and the outstanding work of @ColinKinner 👇
@Hayley_Gleeson @ColinKinner I mean, why on Earth would you object to improving air quality in schools? As I have said before, it is a very odd hill to decide to die on.🤷‍♀️

theconversation.com/australian-chi…
Read 8 tweets
Dr David Berger, aBsuRdiSTe cROnickLeR Profile picture
Aug 6, 2024
1/ I cannot encourage people more to log into this event this afternoon. It is one of the most critical events in improving indoor air quality since the beginning of the pandemic. Many big cheeses (grandes fromages) will be there. 🧀 See rest of thread.

events.csiro.au/Events/2024/Ju…
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2/ Cathy Foley @DrCathyFoley
Chief Scientist at Australia's national science agency CSIRO. Image
3/ Ged Kearney @gedkearney
Member for Cooper, Assistant Minister for Health and Aged Care.

Dr Michelle Ananda-Rajah MP Image
Read 4 tweets
Dr David Berger, aBsuRdiSTe cROnickLeR Profile picture
Aug 2, 2024
1/ Couldn't be anything at all to do with the widespread prevalence of previous repeat and current COVID infection impacting the performance of these elite athletes, for whom a 1% fall in VO2 max spells disaster, could it? 🤔
2/ If you can postulate immunity debt as the reason behind the big surge in incidence and severity of other infections, but dismiss a potential direct effect of COVID out of hand, you are not a serious player.
3/ Similarly, if you can postulate the swimming pool surface as a cause of poor performance, but ignore the very real effect of mass COVID infection on the exercise capacity of elite athletes, you are not a serious player.
Read 6 tweets
Dr David Berger, aBsuRdiSTe cROnickLeR Profile picture
Jul 23, 2024
1/ Guys, guys, guys, this is very interesting. Look at these Boeing 737 CO2 traces from last week on Aranet4 HOME CO2 monitors, one in the cockpit and one in the back with the rest of the Self Loading Freight.
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2/ Look at the difference between the inflight CO2 levels in the cockpit (700ppm) and the cabin (1800-2000ppm). Why is this? Because the pilots in the cockpit breathe only fresh air. They do not breathe recirculated cabin air. Image
3/ Why is this important? Two reasons. Firstly, infection risk (though inflight cabin air is HEPA filtered, somewhat decoupling CO2 level from infection risk), but secondly cognitive function. This paper demonstrated significant degradation in pilot...

. hsph.harvard.edu/news/press-rel…
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Read 5 tweets

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