Vinny Arora MD MAPP Profile picture
Dean for Medical Education @uchipritzker transforming how doctors learn and creating learning environments for all to thrive. Tweets my views only. (she/hers)
Dec 29, 2021 11 tweets 4 min read
🧵 Why are our hospitals and our healthcare workforce strained to the brink with #COVID19 when reported risk of hospitalization is lower and omicron is “mild”?*

PLUS How can you help?

*Important to understand and a question I am getting from many outside healthcare. Many of our hospitals may still have Delta! That is probably most apparent by the recent CDC a adjustments to the omicron percentage. So omicron surge is ON TOP of delta surge from thanksgiving…
Jul 31, 2021 9 tweets 6 min read
As a Chicagoan who has been to #Lollapalooza and a health professional, many looking at out city and some reaching out asking me how we got here.

🧵how this happened & why we must recognize “war” has changed but not just l #DeltaVariant on the ground in hearts & minds of people Well, in May, recall CDC said vaxxed people can they can do whatever they want! And those unvaxxed should just wear a mask or #getvaccinated.

That set the conditions for #Lollapalooza to occur politically and socially. Chicago also had been on a very good trajectory.
Jun 8, 2021 6 tweets 2 min read
Our @uchipritzker students start clinical clerkships this week. It's not #tipsfornewdocs but if you have tips for students on clerkships please share them! #tipsfornewMS3
Here were a few of mine in a short thread.
#medtwitter #meded *Talk to the nurses every day- they are your teachers too. seriously!
*Help your residents- you're an important asset to them, trust me...especially to our new interns who don't know where the bathrooms are or where to get coffee. They need you a lot right now.
Jun 3, 2021 17 tweets 23 min read
Inspired by @PeterHotez #grandrounds, we started a pilot elective to teach #scicomm & debunking #misinformation to @uchipritzker medstudents

Each student selected a myth to debunk & created an infographic with science/#visualart guidance
#medtwitter #scienceupfirst 🧵 Inspired by @tropical_toxic cover art @TIME assignments, @sara_serritella and I are sharing their work here w/permission.
Students could choose any misinformation to debunk. While some chose COVID19, not all did! They also specified their audience.
Feb 20, 2021 16 tweets 14 min read
After weeks, I got lucky and got the shot for a high risk 1b senior! NOT easy so sharing long🧵w tips from multiple sources while looking in 2 states (Maryland & Illinois) AND on national drugstore websites. #ThisIsOurShot #vaccinehunters First, does where you get care have it? If no-this is a big inequity. If yes, make sure your online portal is active. While places prioritize their patients, some do say supply limited so keep looking.
KEY🔑sign up for any and all registrations you can.…
Jan 18, 2021 13 tweets 11 min read
As someone who has studied healthcare handoffs for a while, I can’t stop thinking about the Presidential one coming up. I see I’m not the only one. But this is not like any handoff. My nerdy 🧵 #MedTwitter #Inauguration2021 Handoffs come in many flavors in medicine. In general, the highest risk handoffs are when the patient is really sick and the handoff is permanent and not temporary. So in some ways, yes has elements of a risky handoff. America is definitely sick and the handoff is permanent.
Jan 4, 2021 12 tweets 9 min read
OUR NEW STUDY out @JAMAInternalMed is on personal attacks & sexual harassment of physicians on social media.

Authors on #MedTwitter here and 1st author med student 👏🏽@traependergrast & @ShikhaJainMD @MDaware @MikeGisondi @ShikhaJainMD @NikiWoitowich… This paper is the result of a survey we did on social media in Feb-Mar 2019 so pre pandemic. We posted a @Bitly link daily on our accounts to track engagement. 464 completed our survey of 1103 views (42%).
Dec 20, 2020 7 tweets 4 min read
Despite positive vaccine news, with record high #COVID19 hospitalizations this past week:

National Academy of Medicine & 8 national orgs call for "immediate action to save lives and fairly allocate limited resources" on CRISIS STANDARDS OF CARE.
🧵… NAM, AMA, ANA, NMA, AAMC & more:

"The crisis is now..Hospitals across most of the US are experiencing alarmingly high surges in #COVID19 patients..many ICUs across the country are already over capacity and many more will be so in the coming weeks." 2/x
#medtwitter #nursetwitter
Dec 9, 2020 7 tweets 6 min read
I was watching some news stories this week featuring hospital leaders and healthcare workers talking about how things are in surge states. Reporter always asked if they were 'overwhelmed' and did 'they have beds/staff?"

Sadly, you won't get the real answer this way.

THREAD The thing is that hospital leaders can't go on TV and scare people with how bad things are because of the real concern that patients who are indeed sick won't come in leading to more deaths. They also are managing concerns of risk management and reputation/financial damage too.
Nov 30, 2020 14 tweets 6 min read
Saw news stories saying "despite months of preparation" hospitals/healthcare facilities not ready for surge. While preparation is key,

* Months cannot create trained staff

* in surge, "No STAFF" for beds = "No beds"

* Worst in rural areas with staff shortages.

THREAD Staff not in bubble. When circulating virus is high in community, staff exposed/get sick/care for others. "Run out of beds" because you essentially run out of staff. Also why # beds on a website doesn't always match the reality of what staff see.…
Nov 27, 2020 9 tweets 13 min read

You're looking for a deal.

Hospitals are looking for ICU beds...anywhere they can.

THREAD *St. Louis ICUs "at capacity"
*Hospital leaders calling a list of hospitals btwn St. Louis to Chicago find any ICU bed
*Patients being flown up ~100 mi away for ICU care…
Nov 26, 2020 14 tweets 11 min read
Every year I usually tweet saying I’m #thankful for those working in hospitals, missing #holiday dinners with their families and loved ones, so those who are sick can get the care they need. The year that just doesn’t cut it for me. It shouldn’t for you either. So pls see 🧵 Normally working on holidays like #Thanksgiving in the hospital is not all bad- things are sometimes slow and you can always forage for treats in the break room. People do gather for a special dinner provided by the hospital.
Nov 23, 2020 10 tweets 9 min read
Dear Americans,
Across our nation, esp in the Midwest, children's hospital beds reserved for sick kids are now being deployed to offload adult hospitals due to surge #COVID19 patients.
Is this normal? No.
But you have given hospitals no choice.
Nashville, Tennessee: Vanderbilt prepping surge beds at Children's Hospital
'Space is tight' in 730-bed main hospital
1) has already cancelled surgeries
2) stopped taking ICU transfers
2) over 230 staff are out sick…
Nov 22, 2020 5 tweets 4 min read
This is catastrophic. My Alma mater Wash U St Louis Missouri:

Multiple patients in 1 ICU room. Pediatricians admitting adult #covid19 now

“Barnes-Jewish ICU near capacity.” They take sick patients across Midwest including IL 😢

Be a hero. Stay home.… Helpful @npr on importance of urban ICU capacity in Midwest:

After smaller rural hospitals fill or patients too sick, urban ICUs pick up slack. If urban ICUs cannot do that, we have tragedy of epic proportions.

Those ICU beds last line of defense…
Nov 15, 2020 9 tweets 5 min read
I'm getting questions about what happens when ICU bed capacity in Illinois is exceeded in a few weeks IF nothing is done. Before that, hospitals will pull any lever they have to make space. But none of levers are without harm. Why we sound alarm now.THREAD Hospitals will be forced to stop taking ICU transfers from other hospitals. This means that if you are admitted to a community hospital and need more intensive treatments (e.g. bypass surgery for a heart attack), you will waiting for a bed.@HeartOTXHeartMD…
Aug 20, 2020 17 tweets 17 min read
I was asked by @VuMedi to discuss HOW health professionals should advocate for masking in their practice, communities and on social media to avoid the #infodemic. Why is this important? #medtwitter #nursetwitter 1/n We know misinformation/the #infodemic is a problem. But, health professionals ARE trusted sources of information! A @GallupNews in 2020 shows that 4 of 5 most trusted professions in America are healthcare workers. @WolfsonD @DrSimpsonHSR…
Jul 24, 2020 12 tweets 12 min read
THREAD: our new study w/@NatalieTapaskar in @jhospmedicine explores fixing two-age old problems in hospitals:

Why do we wake patients up for AM labs?
Do we even need the AM labs?

Order SMARTT Sleep: Making Appropriate Reductions in Testing & Timing… In our prior study SIESTA: Sleep for Inpatients Empowering Staff to Act- we modified EHR & did team training to reduce sleep disruptions but we were NOT able to reduce disruptions due to 4AM routine labs. Why?
#choosingwisely @WolfsonD

Jul 4, 2020 7 tweets 9 min read
I have been in academia a long time and need to share a dark underbelly- people who take/co-opt stuff from you & call their own. This has happened to me and @jeannefarnan so many times earlier in my career we lost count (slides, words, ideas, sayings) (THREAD) 1/n Earlier in my career, I "took the high road" often and held my head up high and did not say much. But, it's maddening to see it happen years later to your colleagues who work super hard and especially #womeninmedicine and #womeninSTEM 2/n
Jun 11, 2020 13 tweets 10 min read
For #ShutdownSTEM #shutdownacademia we must discuss how to make TRUE progress in diversifying the STEM research pipeline. While recruitment/retention work needs to occur, why don't more Black and minority students WANT TO ENTER research careers? THREAD 1/n A paper by a Black female student I mentor @christianah_med came out recently during Covid19 with little fanfare in @jmirpub #meded but relates to this exact topic so wanted to share here 2/n
Apr 8, 2020 6 tweets 10 min read
THREAD: Novel idea ....but Why rely solely on medical students who won’t stay in those jobs long term? ...testing and tracing is begging to be a jobs bill that can help build a community health workforce to revitalize both the health and wealth of their communities... Our healthcare system is shattered and this is a great short term patch but let’s recall the cost of training a transient workforce is enormous...we will still need is long term investment in community health infrastructure to not only get is past test and trace but also to...