ID doc | Animal lover | Mother during a pandemic | Believer in science | Always snacking| Tweets are not medical advice
Joined December 2015
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Scientific curiosity in Infectious Diseases (ID) was one reason I went into the field. I will share some interesting things I’ve learned, in hopes it can bring some (intellectual) joy during these stressful times ❤️🦠🕵️♀️
#IDtidbits
#joyofID
#IDtwitter
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True.
The entertainment industry has had incredible COVID precautions from the start of the pandemic.
Why not schools and workplaces too?
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Nirmatrelvir Use and Severe Covid-19 Outcomes during the Omicron Surge | NEJM nejm.org/doi/full/10.1056/NE…
- patients over 65 did benefit from Paxlovid, even if they were previously vaccinated. (Under 65 had no benefit)
Isolate until MPX is ruled out.
When confirmed, continue isolating until “All MPX lesions are fully healed and a fresh layer of skin has formed at lesion sites and any other symptoms have been resolved for at least 48 hours.”
Will govt help those who don’t get paid sick leave?
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Even the CDC Is Acting Like the Pandemic Is Functionally Over - The Atlantic
“…chiller guidelines will only spur further transmission…upending school and workplace schedules, delaying care in medical settings, and seeding more long-term disability.” theatlantic.com/health/archi…
Applies to US:.”with health care systems dangerously close to the brink, it is utter folly to ignore the reality that this winter may well see new COVID-19 waves, along with the resurgence of seasonal viruses such as influenza. We must double down on simple public health measures
Winter is coming. We're in a much better place w/ COVID-19, but let's take the modest steps needed to contain a multi-viral autumn that will punish the vulnerable & further strain our healthcare systems.
@DrFahadRazak, @KatharineSmart, @AlikaMD.
theglobeandmail.com/opinion/…
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Proactive policies are better than reactive ones when it comes to public health, preventive measures, and keeping kids healthy and in school.
Somehow people have forgotten that.
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Some good news:
“Scientists hope nasal vaccines…cold…help weaken the chain of transmission and reduce the continued impact of Covid. There are at least 12 nasal vaccines in clinical development, with four in phase 3 trials” theguardian.com/world/2022/a…
What if the CDC had 2 options for their COVID guidelines:
Option 1: If you don’t mind getting and spreading COVID over and over with possibility of long term disability or worse, do “X”
Option 2: If you and your community would prefer to stay as healthy as possible, do “Y”
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The moment you realize that after >10 years of high loan payments, you’ve actually paid back all the $$ you initially borrowed, but your remaining balance is still more than what you initially borrowed 🤪
Is this normal?
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Things that monkeypox has mimicked this week:
-primary syphilis (painless penile ulcer), with inguinal lymphadenopathy
-folliculitis
-rectal gonorrhea (proctitis with drainage)
When it doubt swab and test - and wear full PPE when doing so even if suspicion not too high !
The answer from the article is “maybe”. Let’s hope it does help. Endemic monkeypox everywhere would not be great.
Will the @WHO's emergency declaration for #monkeypox help contain the outbreaks?
Here's what the incomparable @arimoin, @cmyeaton, and @Boghuma had to say.
For @Nature:
nature.com/articles/d41586-0…
Leading Causes of Death in the US During the COVID-19 Pandemic, March 2020 to October 2021
(COVID was #3 cause of death in all ages studied, and the #1 cause of death in ages 45-54 Jan-Oct ‘21, see graph below) jamanetwork.com/journals/jam…
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Great video with helpful pearls to differentiate from other common illnesses like hand /foot/mouth or syphilis.
Take home point is we should be swabbing/testing as much as possible unless there is a clear cut alternative diagnosis.
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Seems like there is not even close to enough monkeypox vaccine for those who would benefit from it.
I really hope this changes soon.
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It seems like many who haven’t had COVID yet are getting it now for the first time.
Many doctors I know still haven’t had it, and if they all do at the same time it will be a very bad month for healthcare systems and patients 😞
#maskup
#improveventilation
#vaccinate