Assistant professor Emerg Med @uottawa. @McGillMed alum. Views my own. (She/her)
Canada
Joined March 2020
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Sarah Addleman MD retweeted
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?
Sarah Addleman MD retweeted
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…
Sarah Addleman MD retweeted
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
Sarah Addleman MD retweeted
Perfect time to talk about the extremely long ER wait times - after Ontario's provincial election. How strategic!
Sarah Addleman MD retweeted
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.
Sarah Addleman MD retweeted
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.
Sarah Addleman MD retweeted
Close contact is not a mode of transmission. Let’s not do this all over again.
Sarah Addleman MD retweeted
Monkeypox: A rapid review, as you apparently might be seeing this in the emergency department #FOAMed first10em.com/monkeypox/
Sarah Addleman MD retweeted
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
🧵
Sarah Addleman MD retweeted
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/
Sarah Addleman MD retweeted
"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 🧵
Sarah Addleman MD retweeted
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.
Sarah Addleman MD retweeted
In a new normal, continuing to wear my mask for the time being is a sacrifice I am happy to make if it means protecting those who are more vulnerable, including my daughters.
I hope you do too.
thepeterboroughexaminer.com/…
Sarah Addleman MD retweeted
And it's not just hideously callous to those who will die, or suffer, or grieve as a consequence of this latest wave, but also, like "mild" did so brutally just 2 months ago, may negatively influence behaviour change and political action
Sarah Addleman MD retweeted
I'm a doctor. Here's why I'm masking.
I've discussed:
-the physics with aerosol scientists
-benefits of N95s with occupational hygienists
-limits of RCTs on this complex intervention with epidemiologists
-and risks of #longcovid & new variants with immunologists & virologists.
Sarah Addleman MD retweeted
It would be great to see this type of proactive reporting in @MonCepeo schools. The province has abandoned contact tracing, but we don’t have to. Cc @STremblay613 @JacintheMarcil
Sarah Addleman MD retweeted
1/ Most hospitals will not be able to catch all healthcare worker infections, esp not before there is some nosocomial transmission to patients. These will largely start from the community & come into hospitals. Many levers to address here— universal N95 use during surges is one.
