There is a lot of discussion about whether #coronavirus infection will result in long-term #immunity. We don't yet have data on this, but in the meantime, a brief discussion of some types of immunity that we might see. (thread)
1. Sterilizing immunity--this is the best-case scenario. Sterilizing #immunity means that the body is able to prevent reinfection entirely. Viruses may enter the body, but they are unable to infect cells, replicate, or otherwise cause harm or further spread.
Apr 27, 2020 • 10 tweets • 4 min read
1/Notes from the #COVID19 plateau:
2/In #Washington the total number of #COVID19 cases is down from the peak but not very far. In the hospital, it feels steady. Plenty of capacity for more if we need it. Thankfully, public health efforts and clinical surge planning prevented us from running out of beds.
Apr 6, 2020 • 10 tweets • 5 min read
After spending the last four weeks working in an #ICU here in #Seattle, a final set of #COVID19 clinical and general thoughts:
#COVID4MDs#seattlecovid19#medtwitter (1/10)
Last week’s diagnoses are this week’s admissions. We’ve started to see people admitted to the ICU with known #COVID19 diagnoses but whose condition has worsened. Sometimes, as others have observed, the worsening is quick—in a matter of hours. (2/10)
Mar 27, 2020 • 12 tweets • 5 min read
A set of my thoughts and reflections from week 3 of working in a #Seattle#ICU in the time of #COVID19: (1/11)
Things are still changing at work but not as quickly now. I have adjusted to my new morning routine. When I wake up, I no longer feel the pull of habit to iron a clean shirt and make sure my shoes match my belt. Everyone wears scrubs; they all get left at the hospital. (2/11)
Mar 21, 2020 • 10 tweets • 6 min read
Some thoughts after week 2 of working in an #ICU here in #Seattle: (1/10)
The “new normal” is still in flux, but certain things are becoming more routine. I’ve adjusted to the slower pace of entering rooms with #InfectionControl precautions, online meetings are less buggy, and ordering some tests for patients has become easier. (2/10)
Mar 15, 2020 • 10 tweets • 5 min read
After a week of working in the #ICU here in #Seattle caring for patients with #COVID19 (and other illnesses), here are some thoughts. #medtwitter (1/10)
We try to have a high index of suspicion for #SARSCoV2 and test critically-ill patients broadly. However, this means that many patients we test are actually negative. This presents a challenge for clinical reasoning. (2/10)
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