🧵 🪡 THREAD: Mobile Phones
This might be controversial, unpopular or uncomfortable to read but I genuinely worry about the damage mobile phones do, not just to our young people but also to us as fully developed adults. 1/7
@jonstewart Lost our best boy in September. Through your tears, you managed to express so insightfully how deep and all consuming this loss can feel.
From one grieving family to another, we see you and we are sending love.
Colleagues and I are doing far more resuscitations, crash intubations, and seeing far more patients in cramped and packed ERs. A bunch of bugs are to blame, including that-which-shall-not-be-named, and it's only getting started.
Some advice:
- Now is the time to be a bit more careful in crowded or poorly ventilated spaces, like a subway train, bus, or plane. Maybe switch to WFH (work from home) if available, or wear a good quality mask when commuting or while at work/school or in crowded shops/malls.
- Have a plan for antivirals if you're in a vulnerable category. Some jurisdictions easily dispense them through pharmacies, others go through an online application; find out ahead of time.
- If you have cold or flu symptoms, stay home! It is no longer socially acceptable to 'tough it out' at work, and your co-workers will hate you if you try.
- When sick with cold/flu symptoms, use rapid tests to check. There's no way clinically to tell a simple cold apart from flu or C19. You may have a mild course, but a more vulnerable or unlucky family member might not, and they could do badly.
- Get updated vaccines while you can. Anecdote: elderly relative contracted Covid this week, his wife did not. Both were boosted 3w ago. He is now on Paxlovid and isolating from the rest of the family (including staying away from young kids and pregnant family members). So the vaccine provides some but not perfect protection against infection for a short period of time, and of course excellent protection against hospitalization.
- Know when to go to the hospital. I've seen a few people end up in the ICU this week who should have come sooner to be assessed. In one case they were on multiple courses of antibiotics for a 'cold.' Not an exhaustive list:
- Trouble breathing, shortness of breath, rapid breathing, low oxygen levels (on a home monitor)
- Significant chest pain
- Fevers lasting more than 4-5 days
- Poor oral intake, can't eat or drink much, severe vomiting/diarrhea
- Be careful with travel, particularly cruise ships. Seems nearly every friend or patient returning from long-haul travel and cruises is getting sick.
- When you recover, but you're feeling breathless and lethargic and a bit foggy, do not try to push through it. That could lead to these symptoms staying long-term (the dreaded Long Covid). Take it easy, and allow your body to heal from the damage done to it, and better luck dodging it next time!
Best of luck to you all this season!
A short thread on the contents of this article:
"Kids cared for in hallways as viral illness overflows ER at McMaster Children’s Hospital" 1/4
https://t.co/kGAEcaOpTm
Canadian COVID Forecast: Aug 12-25, 2023
SEVERE: AB, BC
VERY HIGH: CAN,MB, NB, NL, ON, SK
HIGH: North, NS, PEI, QC
ELEVATED: none
MODERATE: none
LOW: none
About 1 in 46 people in Canada are CURRENTLY infected.
A new surge/wave has started in most provinces.
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@zbpipe I share a class 50/50. She does mornings and I do afternoons BUT our principal is very understanding if adjustments need to be made. For example, if one of us works a full day for a school trip, the other one takes that day off and works a full day earlier in the week.
@mhdksafa I’m sorry to hear you’re feeling low. I admire your ask for help. Listen to Good Morning by Alex Aiono, and know that every time you wake up is a chance for things to shift in the right direction.
@TheBruthaVoodoo@theJamieBarnes You have absolutely made our daughters day. She is beaming with pride and can’t believe she’s “famous” in Scotland. Thank you!