Gabriel Bosslet Profile picture
Dad of 4 | married to @Bossletmd | IM PCCM fellowship PD | Asst Dean of Faculty Development @iumedschool | he/him | @gbosslet@med-mastodon.com
Nov 21 11 tweets 6 min read
Everyone should understand what is going on with the Indiana Attorney General and @drcaitbernard

It is not good for physicians

It is not good for patients

It is not good for Hoosiers

A review of the timeline may be helpful

A quick 🧵

2/

indianacapitalchronicle.com/2022/11/18/jud… On July 1 2021, @drcaitbernard was contacted by a physician in Ohio about a 10-year old who was pregnant after an assault

Ohio had a law making abortion illegal

Indiana didn't (yet)

Dr. Bernard cared for the patient and spoke out about the issues

2/

indystar.com/story/news/hea…
Nov 12 16 tweets 4 min read
A quick thread on why Mastodon is superior to Twitter and how to do it for those who are initimidated

(It is not hard but is a bit more lo-fi than Twitter)

You can read more from a 30,000 foot view about mastodon and the fediverse here fedi.guide

1/
Mastodon is a decentralized network

Rather than being a single server handling all posts, it is a bunch of servers, each with individual administrators

But all the "federated" networks talk to each other- like email clients

So there is no single corporate overlord

2/
Nov 2 16 tweets 4 min read
Yesterday was the 1-year mark from the last time I had a drink

I'm gonna put a few thoughts down here about why I did this and what it has been like for me to be sober for a year after an adulthood of alcohol being a major part of my life

1/
First, sobriety is not for everyone

I am jealous of folks who can have a reasonable relationship with alcohol

And if I see you IRL I will still want to go have a drink with you, even at breweries and wine bars- I love that stuff

2/
Oct 22 13 tweets 5 min read
There is a Supreme Court case (Talevski v. Health and Hospital Corp) that originated in Indiana that has major implications for federal safety net programs

This thread will outline the details and end with an advocacy opportunity

supremecourt.gov/search.aspx?fi…

1/
If you follow me you know I am from Indiana and a big proponent of #HoosierTwitter

This case originates in Indy, which is why I am so aware of it- but it has nationwide implications and now is the time we need to put on pressure to drop this case

Indiana needs your help

2/
Oct 22 9 tweets 3 min read
Indianapolis early voting thread

In this thread you can find links to the Marion and donut counties early voting hours (weekday for now but weekends start next Saturday, 10/29)

You can vote at any early voting site in your county

#HoosierTwitter

1/

vote.indy.gov/early-voting/ Boone county (this is a word doc but is trustworthy)

2/

boonecounty.in.gov/wp-content/upl…
Aug 28 14 tweets 6 min read
On Tuesday I will be joining @heidiforindiana to discuss what the abortion ban what this means for medicine and Hoosiers

A year ago I would not have done this- being public about politics was verboten

I quick 🧵 on how that changed for me

bit.ly/3pReDYS

1/14 If you want to hear me bloviate about this with @ETSshow, you can listen to us chat about much of the content of this thread here



2/14
Jul 31 5 tweets 1 min read
Anyone want to know what is going on in Indiana with the abortion bill?

SB1 passed the State Senate yesterday, 26-20

It moves to the House Monday

It was a bad bill as proposed and is an abhorrent bill as passed

Details on the bill next 3 tweets

1/4
SB1:

1. Bans elective abortion completely

2. Includes exceptions "to prevent a substantial permanent impairment of the life of the pregnant woman" or in cases of rape or incest

2/4
May 25 6 tweets 3 min read
#Hoosiertwitter

I just called @SenatorBraun and @SenToddYoung's offices to urge them to support HR 8, the Bipartisan background checks bill

Calling your Senator is easy

A quick 🧵to make it easy for those who haven't done this before

1/6 First, a word on HR 8-

This bill, passed in 2021 by the House, would close background check loopholes for unlicensed sellers

It is not perfect, but would move us toward making sure every gun transaction includes a background check

everytown.org/what-is-hr-8/

2/6
Feb 24 9 tweets 3 min read
Holy crap

I stayed up to watch the Indiana Senate Judiciary Committee meeting on HB 1077 (which would eliminate permits to open carry guns in Indiana)

It was a study in the damage the Republican Supermajority is doing to democratic debate in Indiana

A quick thread

1/
The meeting lasted 8 hours

@kaitlin_lange does a terrific job covering it for the @indystar and this article is well worth reading

2/

indystar.com/story/news/pol…
Jan 16 11 tweets 4 min read
I worked an unexpected overnight last night

This 🧵 is an exhausted, muddy-headed takedown of the historic but continued saddling of medical trainees with ridiculous work hours

There will be no data and I will appeal to emotion a lot

Here we go!

#MedTwitter

1/
Last night I was blessed to work with two amazing residents

We were busy with very sick patients

They were constantly working

I don't know if they ate

I arrived at 5 pm and left this morning exhausted after getting about 2-3 hours of sleep

2/
Jan 4 7 tweets 3 min read
OK let's talk about hospital admissions (with a focus on #Indiana) and what we can maybe expect with Omicron

Last week I talked about ICU beds, but what about hospitalizations overall?


1/
A new report out of the United Kingdom suggests several things:
1. Omicron seems to hospitalize at about half the rate of Delta
2. Vaccination is protective against hospitalization, and boosters are important to extend this risk

Report: bit.ly/3Hwq0fC

2/
Dec 30, 2021 11 tweets 3 min read
If you are attending a large New Year celebration with strangers, please know that in many areas of the country you are contributing to the collapse of the health care system.

This applies regardless of your vaccination status.

I know this sounds dramatic- please read on.

1/
I am not chicken little when it comes to COVID

I have been a proponent of pulling back restrictions and mask requirements for the vaccinated

But the goal of public health measures is to protect hospital capacity

In Indiana, we are worse than ever.


2/
Dec 27, 2021 15 tweets 6 min read
This recent COVID-19 surge has put a major strain on hospital systems

I am an ICU physician and we have felt it acutely in this area of the hospital

Indiana has somewhere around 250 ICU beds currently unoccupied in the state (out of ~2100)

How can 250 feel like zero?

A 🧵

1/
First, a word about statewide data.

Never has there been a microscope on these data like this, and the transparency is awesome.

Both @ISDH and @HHS keep track of hospital metrics regarding occupancy.

@ISDH data: bit.ly/3qLcNJh

@HHS data: bit.ly/3erSk6l

2/
Aug 20, 2021 5 tweets 2 min read
mRNA injected into deltoid cells lasts about 72 hours and do not travel to distant sites in the body.

I get asked about this all of the time, so I went to find the primary science on this.

A couple of quick tweets

1/
The first paper I can find on this was in @ScienceMagazine in 1990 and showed the half-life of RNA in muscle cells to be less than 24 hours- RNA encoding the luciferase protein was injected into mouse quads and luciferase was undetectable at 60 hours. pubmed.ncbi.nlm.nih.gov/1690918/

2/
Jul 22, 2021 7 tweets 3 min read
Earlier this summer I was adamant that school would be reasonable without masks, even for the ages for which vaccines are not available.

I have changed my tune. A quick 🧵as to why.

1/
Most data suggest that the SARS-CoV-2 virus affects kids in a generally quite benign way.

I know people get frustrated when COVID is compared to the flu, but for kids the data suggest the comparison is reasonable. And this accounts for "long COVID" and MIS-C.

2/
Apr 13, 2021 17 tweets 7 min read
This week our manuscript on the role of in-person school on community spread of SARS-CoV-2 in Indiana was published online in Clinical Infectious Diseases.

This thread will outline our findings.

manuscript: bit.ly/3mIXvC5

1/17 This was a truly interdisciplinary effort.
@micahpollak (@iunorthwest): economics
Jeong Jang (@IUmedschool): biostats
@rebekah_roll (@IUmedschool): data gathering
Mark Sperling (@iunorthwest education): education
@deliriumkahn: analysis

I just sort of herded cats.

2/17
Apr 4, 2021 14 tweets 4 min read
Over the last about 6 years I have adopted the practice of not checking email AT ALL on vacation.

When I mention this, many scoff and say that would never work for them.

I said the same thing when I started.

Join me for a 🧵 about my journey to vacation email freedom.

1/
I have a relatively busy job as a clinician, fellowship director, and assistant dean for faculty development/affairs.

I average 70-100 emails per day.

So committing to not checking it for a week (or 2!) away is admittedly no small task.

I adopted this practice in stages.

2/
Apr 3, 2021 4 tweets 1 min read
Bread and butter pickles are disgusting. Also why don’t they make chicken broth with 33% MORE sodium?

I feel like they are ignoring most of the market here.
Feb 6, 2021 7 tweets 3 min read
It's tax time!!

Today I sit down and slot through a bunch of forms and discover whether or not I win or lose the tax lottery.

A 🧵about online filing and the fact that is is free for most despite the fact that no one knows this.

Includes links with how to do it for free.

1/
IN 2003, the IRS partnered with a group of companies called the "Free File Alliance", which is a group of tax software companies to help Americans file their taxes ONLINE for FREE.

freefilealliance.org

2/
Feb 4, 2021 8 tweets 3 min read
Headlines about a recent study point out that a recent study of the Astra Zeneca vaccine appears to slow transmission of the SARS-CoV-2 virus.

nyti.ms/39HJ78f

I think it is important to show what this study does and does not imply.

1/7
You can find the manuscript here: bit.ly/3cF1Fbe

NOTE THAT THIS IS A PREPRINT AND HAS NOT YET UNDERGONE PEER REVIEW.

2/7
Dec 30, 2020 17 tweets 5 min read
There is chatter about this study in @nature that "disproves" asymptomatic spread- ergo, lockdowns were unneeded.

Let's unpack this because I think this is a blatant misinterpretation of this amazing study.

go.nature.com/3rAmzgV

1/
First off, let's talk about what an unbelievable study this is.

The city of Wuhan, China had a SARS-CoV-2 screening program in which they set out to test all city residents- and were successful in testing 9,899,828 individuals (92.9% of eligible citizens).

IN 19 DAYS.

2/