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Note: This thread is related to #COVID19.

Follow the World Health Organization's instructions to reduce your risk of infection. Avoid the three Cs: Crowded places, Close Contact Settings & Confined spaces. Airborne aerosols play an important role in transmitting COVID-19.

- Avoid crowded places and limit time in enclosed spaces

- Apply social distance

- Air rooms by opening windows & doors

- Keep hands and surfaces clean, cover coughs & sneezes

- Wear a mask when you are not at home or when physical distancing is not possible

Doug
+ Your AuthorsArchive @LungDocDoug Husband Dad Brother Uncle Son. Pulmonary/Critical Care MD. Illini & Chicago sports fan. Mediocre cyclist, Zealot for tobacco harm reduction tobaccotreatment.net/ Sep. 19, 2021 1 min read

A thread of Anger. Any other ICU professionals tired of being asked about resilience? It feels analogous to asking how well the armor is doing at stopping bullets, instead of asking how can we help avoid the bullets in the first place 1/7

Last March I walked into an ICU that I (and everybody else) knew was about to be overrun by COVID. It's said that bravery is not the absence of fear, but rather duty in the face of fear. We felt fear, but also an unmistakable sense of purpose, duty, and solidarity. 2/7

Since then I have walked into 3 MORE similar surges of COVID, now working through the fourth. The first few we saw that sense of purpose, mutual support, and duty...to each other AND to our patients. That feeling is probably still there but its buried...3/7

Purpose has given way to seething anger, boiling under the surface but undoubtedly there, even if we don't say it out loud. It's anger because this did not have to happen. Contrary to what has been widely assumed, NOT all the sick are unvaccinated. Clearly it's the majority...4/7

...but in my ICU there are also those who are vaccinated, but also (for one reason or another) immunosuppressed, either for congenital reasons or because of organ transplants. Imagine coming close to death, being rescued because somoene dies and donates their organs, then...4/7

...dying of COVID in spite of being vaccinated because someone with a "My body, My choice" sign (if there was ever a more inappropriate use of an appropriate phrase, I haven't seen it) decided to breath near you. THIS is what your neighborhood ICU docs/RNs/RTs are seeing... 6/7

We're seeing unnecessary suffering, often inflicted by the worst form self-centered ignorance. Professionalism means you do your best, even when not at your best, but devotion to duty erodes like steel exposed to water. Slowly but progressively, and it will catch up to us. END.


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