I spent last night thinking of medical work arounds for this horrific law, until it is rectified in the courts.
So, this is what I would tell my daughter or her friends if they were in Texas.
[I know this isn't enough, but as a mom, and doctor, I am sharing my thoughts].
Amy Coney Barrett, whose own family should be quarantining right now, is still meeting with Senators as they violate their own quarantine guidelines.
For a judge, that’s pretty bad judgment.
I am a 40 year old doctor who just got prohibited from purchasing sudafed for my daughter who is crying because I didn’t have ID on me. We regulate sudafed stronger than we regulate guns.
#docs4gunsense
🤦🏻♀️
Parent Teacher Conferences should stay on zoom, even when the pandemic is over.
I would like to never sit in an elementary school hallway at 7pm on a mini chair again.
A 🧵 on COVID Living Room Spread:
Saturday:
- Older, out of the house brother wants to visit younger siblings.
Mom says "get a test on the way, if you are negative you can come."
- Rapid test is (-), family spends a day together inside, laughing, playing, eating.
1/
This started with a 20 yo healthy white male testing (-) to see his family.
Infected 3 "family" members land in the lungs of a 60+ yo Black woman who is now hospitalized on oxygen and steroids.
This is living room spread.
And it has to stop.
/fin
Name me a state that has robust testing for healthcare workers AND antibody testing?
Because if not, there is no state ready for "Phase 1."
Seriously asking.
Almost every case of community spread I am seeing amongst otherwise "careful people" was transmitted over a maskless meal.
If you are going to decrease your risk with ONE choice, please stop eating and drinking with people outside your household.
Clarification: This is a family I know socially, not professionally and they gave permission to share their story in an attempt to "tell everyone to be smarter than we were."
And I am grateful they did.
An assassination attempt on the most powerful women in American government, resulting in the hospitalization of her husband, should be the top news story on every platform.
Regardless of your politics.
We are all
@KeishaBottoms
right now.
“If Brian Kemp thought he should silence my voice could have asked my husband if that was a good idea first.”
😂
#TheReidOut
@JoyAnnReid
Someone should really answer why 58 basketball players got tested when patients I see, and determine need it for medical risk stratification, can’t.
#COVID19
This is the proximity of Mike Pence and Mike Lee (+) at this event.
Can any reputable scientists or physician explain why Pence is able to skip quarantine?
FYI If you are traveling this holiday season,
remember you risk BOTH:
-taking the virus with you and spreading it to your vacation destination
AND
-catching it on the way home, and bringing a new strain to your home state.
Please just stay home.
Took my son for a haircut today.
He is unvaccinated and we wore masks.
The barber was unmasked when he called my son over.
I went over and asked him to put a mask on first.
He told me that although he was vaccinated he was happy to mask up for our comfort and safety.
🥰
Things Trump has packed so far:
- The Courts
- Our Hospitals
- Refrigerated morgue trucks
- His hotels
Things Trump hasn’t packed yet:
- His bags
65 days to go.
As we settle into this “new normal” of astronomically high cases, 1000’s of daily deaths and an under vaccinated population, I think of all the healthcare workers who will bear witness to the consequences of our decision to “move on”.
And my ❤️ just 💔.
This is my dad, Alan Gitlin.
He passed away suddenly Friday. 💔
He raised 3 strong, confident daughters.
He was our biggest, loudest and fiercest champion.
We would not be us without him.
Happy
#InternationalWomensDay
to him and the other Girl Dads in our corners.
Sunday:
- Older brother leaves, his cough starts.
- Mom sees her elderly parents in her home, unmasked for dinner and hanging out.
- They are in the same "bubble" and have seen each other regularly in the pandemic.
2/
Wednesday:
- Mom tests COVID +
- 2 children, 6 office mates, 2 elderly parents and a nanny begin quarantine, all initially testing negative.
-Nanny decides to quarantine with the family to isolate from her own children at home.
4/
Monday:
- Children's nanny comes to work.
- Mom goes to work, spends time unmasked with close work colleagues.
- Older brother tests, 20 yo white male, COVID (+).
Tuesday:
-Mom begins to track family contacts, and starts to develop symptoms.
3/
Friday:
- Nanny is Day 8 of symptoms and worsening, time for her to get antibodies.
- There is no central system for her to find out how to get them.
- Mom, now better, starts making calls as her advocate.
9/
Sunday:
- Mom is improving
- Nanny is not feeling well
- 1 office mate, a 70+ yo white woman tests COVID (+) with mild symptoms.
- Office mate's daughter arranges for antibody infusion due to risk factors on day 2 of symptoms.
6/
Tuesday:
-Elderly parents, youngest child, other office mates continue to quarantine and continue to test (-).
Wednesday- Thursday:
- All patients improve EXCEPT the Nanny.
- She continues to get worse and has no primary care doctor.
8/
Saturday:
- Nanny, Day 9 of symptoms, gets worked up for synthetic antibodies.
Sunday:
-Nanny gets first antibody infusion.
Monday:
- Nanny is weak and her oxygen is low. She goes to the hospital and is admitted.
10/
Take a pregnancy test every 4.5-5 weeks.
Buy a bunch now.
Get them in bulk and get comfortable taking them.
This may feel redundant if you are on birth control, but time is of the ESSENCE with this law.
Knowledge is your only power.
If you find out you are pregnant, and do not want to be, you have very little time to do it.
Do not shut down.
This will be hard, but you can't delay.
Call me, we will figure this out, together.
Received THE email last night from my child’s school.
“Your child was a close contact of someone who has COVID.
Our records indicate they are vaccinated so no quarantine is necessary.”
Bless vaccines, masks and responsible school policy.
Vaccines keep our kids in school.
Understand how to seek a medical abortion.
There are ways to safely seek care privately even if you need to leave the state to do it.
Share this information with your friends.
Be a resource to ANYONE who needs it.
A lot of people will be afraid.
This is a horrific time,
We are all scared.
And we are sorry we let this happen.
We will continue to fight, but we also need to be prepared starting today.
I love you.
PS. I am aware this leaves out many circumstances leading to abortion care (non-consensual intercourse, fetal abnormality, health of the pregnant person) but given the broad scope of this law, and its applicability to early elective termination, I am focusing on that here.
These are just a few of the medical expert(S) you can turn to if you are sick of listening to Dr. Fauci.
If you want more, just tweet.
We got you.
Oh, and we
#StandWithFauci
, in case you were confused.
EVERY PATIENT WHO IS EXPOSED SHOULD QUARANTINE FOR 14 DAYS.
THE FACT THAT THEY ONLY ISOLATE AFTER A POSITIVE DIAGNOSIS IS WHY THEY CONTINUE TO SPREAD THE VIRUS
AND WEAR A DAMN MASK, IT WILL HELP STOP THE SPREAD
(YES, I AM YELLING)
It's just rude to tweet distrust and contempt of the medical community WHILE you are still admitted to the hospital receiving our care.
Some tweets can wait until you get home.
Today I was promoted to Associate Professor at one of oldest and most respected medical schools in the country.
Stay true to who you are, your voice and the work you believe in.
Everything else will fall into place.
Thank you everyone who helped me get here.
Just because mask mandates are lifted and everything is 100% open doesn't mean you NEED to go mask-free or hang out in high risk places.
In case you were wondering.
My friend’s mom was originally denied transport last night to an ER in LA.
Her condition was concerning but it was not “life threatening.”
They had nowhere to take her.
After 20 years of EM I was 😲.
We are at a breaking point and it’s bad.
Please
#StayAtHome
OK, but why are Americans fearful of breakthroughs? I'd suggest it's largely because of the mixed messages they're hearing from public health officials and the media, which often imply that vaccinated people should behave with a *lot* of caution rather than "returning to normal".
Dear Mr. President:
There are a lot of issues with testing.
Signed a doctor who lives in a hotel because she can't get tested she knows she is safe to go back home to her kids.
There are no plans for President Trump to invite president-elect Joe Biden to the White House in the coming days, according to a source familiar with the matter
He is personally responsible for loans and other debts totaling $421 million, with most of it coming due within four years. Should he win, his lenders could be placed in the unprecedented position of whether to foreclose on a sitting president.
Officially
#COVID19
negative.
Came home for the night.
Hugged my kids, cut their hair, ate dinner.
After one month apart, it’s like we didn’t miss a day.
I know it’s hard to be separated, but keeping your family safe is worth it.
Stay strong.
We got this.
Let me introduce you to
@ashishkjha
:
He is the newly appointed Dean of Public Health at Brown University and has been a voice on testing and logic since day 1.
Hey NY and those who love NY.
Seeing a Broadway show is one of the safest things you can do right now.
Everyone is fully vaccinated and masked.
Please take the night, see a show and keep Broadway's lights on.
If you have recently seen a show, drop a note here.
Reflecting on the canceled bat mitzvah party.
Me: You have been really good about this. Are you sure you aren’t too upset?
HK (12 yo): I mean it sucks, but it’s better to cancel than have 100 people get sick, right? There will eventually be more parties.
#ProudMom
#GreatKid
Let me introduce you to
@Laurie_Garrett
She LITERALLY wrote the book on pandemics (she even got a Pulitzer for it).
She is one of the most authentic (and accurate) voices out there.
And she has a mean home office!
On the way to my first ER shift in 3 weeks.
About half of the people are wearing masks.
Most of them are homemade.
I love New York and am forever grateful to live in this city.
Hate is not a mental illness.
White supremacy is not a mental illness.
Toxic masculinity is not a mental illness.
Stop blaming mental illness for ideology and rage.
Let me introduce you to
@uche_blackstock
Aside from being the CEO of Advancing Health Equity, she is a practicing EM doctor in NYC.
She can teach you a bit about how systemic racism has been amplified in this pandemic.
"We have a pretty horrible history of the health care system and the government exploiting and abusing black and brown communities," says Dr. Uché Blackstock.
"What we need...[is] an equitable allocation of resources…[so that] those communities are adequately resourced."
Watching
@maddow
cover the surge of patients in
#utah
,
#california
,
#arizona
and
#Florida
is the worst case of deja vu ever.
It’s baffling that the country could watch what we went through in NY and not learn from it all.
This is a choice America - and you are making it.
Let me introduce you to
@RealCedricDark
He is someone you might recognize, as he is practicing EM doctor in your homestate!
He is an expert on health policy, founding a group called
@PolicyRx
, ask him some queestions!
Let me introduce you to
@PeterHotez
He is the Dean for the National School of Tropical Medicine right in your backyard!
You will love him, he's could be your vaccine guy!
Daily reminder about Pre-Thanksgiving testing.
Testing allows us to isolate those who are positive not give a free pass to those who are negative.
If you test negative today, you can be positive tomorrow.
Please act accordingly.
Let me introduce you to
@meganranney
She is an Associate Professor of EM at Brown, a digital health expert and gun violence prevention researcher.
She helped found
#GetUsPPE
to fill the gaps on getting PPE to healthcare workers all over the country.
"The President's analysis is what we would call magical thinking... This disease is real. We're not finding it because we're testing more, we're finding it because it is spreading more, it is getting more people sick."
Dr. Megan Ranney on Trump's Covid-19 response
As an ER physician and human, I know that when a system is overwhelmed you ask why.
When you realize it’s because you are caging children at numbers never seen before you work to find another way.
You don’t build more cages.
As an ER physician and Army doctor, I know that when the system is overwhelmed you go into triage mode. Well, our immigration system is overwhelmed. And
@DHSgov
is working fast to triage it. They've installed 4 new facilities, and the number of children held is down to 300-350.
Let me introduce you to
@angie_rasmussen
She is the virologist at Columbia and an expert on how to get this virus under control. She writes for
@Forbes
on the regular.
Google her work, and here's a video.
AZAR: The coronavirus results for the US could've been vastly worse
TAPPER: It's worse here than anywhere else
A: When you look at mortality rates, that's simply not correct
T: I'm looking at number of dead bodies
A: The US population has significant unhealthy comorbidities
Back in the ER, day 1.
Everyone is trying to help. The hierarchy of healthcare has flattened in an attempt to flatten the curve. Senior surgeons getting oxygen or residents checking IV drips, everyone is doing whatever they can to address this virus head on. It is inspiring.
Life got exciting for a while. We had a son, he got sick. His liver was dying and it would kill him. They said I could donate 1/3 of mine to him- and he would get better. We did it. He is better. My liver grew back. Now we are boring again.
@LiveOnNewYork
#ShareAStoryInOneTweet
One of my kids tested (+) for COVID yesterday.
Got the email from the nurse he can rerun in 5 days…in a mask until day 10.
It’s INSANITY that we are knowingly sending kids back to school who are likely (+).
Test to return or stay home. 🤦🏻♀️
That’s how we stop the spread.
Getting vaccinated is privilege.
Not everyone has the chance, and vaccines don’t work for everyone who gets them.
Please get vaccinated if you can.
-signed the mom of a transplant kid who is too young to get the vaccine.
I have a job that lets me sleep in my bed every night, spend weekends with my kids and take vacations on school holidays.
I can feel the weight that has been lifted from my shoulders.
I loved working in the ER but now I see how bad that schedule was for me and my family.