Sarah Addleman MD
@S__Addleman
Assistant professor Emerg Med @uottawa. @McGillMed alum. Views my own. (She/her)
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Reckless, unscientific, inequitable nonsense.
You cannot turn a novel systemic virus into influenza simply by waving a magic wand by creating policies that pretend it is
School and work will become amplifiers of community spread given sub-optimal layers of protection compounded by the CMOH green-lighting individuals returning to these environments while infectious. How will this help a provincial healthcare system already on life support?
Study confirms that HEPA filters work on SARS-CoV-2, of course. Note that antiviral coating doesn't affect removal from air, since it's a physical process. I sketched expected ratio of concentration at time t to initial concentration as function of t. /1 journals.asm.org/doi/full/10.11…
Please Doctors, Nurses, Everybody There is NO (ZERO) reason to tell a #COVID19 positive person that they are not infectious JUST because 5 days has passed since they got symptoms This is not true Many (Most) still are! If Rapid Test Pos.. Do NOT assume you are not infectious
Perfect time to talk about the extremely long ER wait times - after Ontario's provincial election. How strategic!
We can’t keep pretending this is a rare outcome. It isn’t. Failing to put safeguards in place (better air and personal protection) is negligence. As is Public Health pretending that “personal risk assessment” is sufficient. We are in a state of mass denial and it needs to change.
I have been a little quiet on the #longcovid front, partly by design. But as I am nearing ten and a half months and lying in bed with tears in my eyes, I'm just going to type into the ether.
Hey colleagues. I worked with a resident physician the other day who is pregnant and wears an N95 to protect herself and her baby. Why aren’t you all doing the same to protect her and her baby? It’s a workplace and trainee safety issue.
Close contact is not a mode of transmission. Let’s not do this all over again.
Great overview of pediatric hepatitis by @TehseenLadha
This week on #TheDoseCBC, we discuss what we know and don't know about severe acute hepatitis in children. @TehseenLadha joins @NightShiftMD to talk about this rare condition. Listen here: cbc.ca/1.6458448
Monkeypox: A rapid review, as you apparently might be seeing this in the emergency department #FOAMed first10em.com/monkeypox/
first10em.com
Monkeypox - First10EM
A rapid review of the presentation, diagnosis, and management of monkeypox.
First bit of analysis from the CDC on hepatitis cases out yesterday. Summary: -232 cases <=16 yrs -76% are <5 yrs -15% admitted to ICU, 6% transplanted, 1 death -60% adv positive -74% SARS-CoV-2 positive on serology with 12% PCR +ve 🧵
In 1959, Eugene Ionesco wrote the absurdist play Rhinoceros in which one by one, an entire town of people suddenly transform into rhinos. At first, people are horrified but as the contagion spreads, (almost) everyone comes to accept that turning into a rhinoceros is fine. 1/
A thread🧵 on herd immunity.
"Vaccines only" #COVID19 strategy w removal of other protections makes perfect if you hold 6 beliefs Each belief WAS reasonable in 2020, yet proved wrong w time. Now, to maintain the idea that things are OK, each of these 6 beliefs must be defended with ever more vigor 🧵
1. Highly transmissible variants pose a huge challenge, but allowing the virus to spread without any protections is a political choice, not a scientific one.
United States Trends
- 1. Indiana N/A
- 2. Mendoza N/A
- 3. Miami N/A
- 4. Carson Beck N/A
- 5. #NationalChampionship N/A
- 6. Curt Cignetti N/A
- 7. #CFBPlayoff N/A
- 8. Malachi Toney N/A
- 9. Heisman N/A
- 10. Abella Danger N/A
- 11. #iufb N/A
- 12. Natty N/A
- 13. Big Ten N/A
- 14. Fletcher N/A
- 15. Michael Irvin N/A
- 16. Saleh N/A
- 17. #NeverDaunted N/A
- 18. Big 10 N/A
- 19. Raiders N/A
- 20. Jimmy Butler N/A
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