Catherine Clase @cmclase@qoto.org

The first black child ever allowed to attend a white school is only 68 years old now.
White parents pulled their children from school. White teachers refused to teach her.
Ruby Bridges now works as an activist & public speaker
This wasn’t a million years ago. /1

I don’t understand why people think Mastodon is difficult. It seems pretty straightforward, and the separate servers are no biggie. I’m enjoying this fresh start here, like moving to a new apartment!

The notice of motion to #BringBackMasks was sent to @OCDSB@twitter.com trustees today. Meeting to discuss early next week and date to implement TBD. Heartbreaking that while we debate children are at risk. Also sad that it is left up to us to act. This is about health and safety. #WeNotMe

Good grief. To those who say masks “caused” the current crisis, peddling silly ideas about “immunity debt,” epidemiology colleagues remind us that Texas, Oklahoma, Florida, Sweden have RSV surges, too, after no masking. Children are waiting for us to act. #BringBackMasks #WeNotMe

It’s becoming clear to me how much I depended on Twitter to make me aware of changes in the medical literature, and how hopelessly disrupted that is

I really don’t want to go back to eToC

For example, I missed Semler / Vanderbilt’s oxygen target trial

https://www.nejm.org/doi/full/10.1056/NEJMoa2208415

I'm writing a short article on getting started with Mastodon for Computers in Libraries and have found @nikodemus guide invaluable. You might too. https://docs.google.com/document/d/1D9gfeKg_-hlsU66R-dLEvUeyMsqEfyIx2pnfUeX0t_E/edit?usp=sharing

The #NephJC chat tonight on #EMPAKIDNEY will still occur on the bird site as most of #Nephrology peeps are still over there

We are hosting a Spaces conversation at 10 pm Eastern if someone’s interested in talking #TwitterMigration

Me

The gout - James Gillray
#rheumatology

Do your urban streets have enough street trees? Only if your design choices prioritize them! Touring #Vancouver projects with a client who’s the chief planner for another city, he marvelled at the amount of trees & landscaping everywhere in our downtown — this Yaletown street has 4 rows of #trees on just one side of the street! Yard trees, double row of sidewalk street trees, then bike-lane buffer trees. Lot of #density there, so don’t tell me you have to choose between density OR green! #cities

Saying "we can't mask anymore, because at some point we have to get back to normal" is racist. Asian countries have been masking for years. What is normal is taking collective action in order to protect others, especially those most vulnerable. #BringBackMasks

#COVID #COVID19 #publichealth #epidemiology

#womeninscience
Women scientists maybe you thought were men

Maud Menten (Michaelis–Menten equation)
Yvonne Barr (Epstein-Barr virus)
Marilyn Kozak (Kozak consensus sequence)
Tsuneko Okazaki (Okazaki fragments - with her husband Reiji)
Helen Quinn (Peccei–Quinn theory)
Phyllis Nicolson (Crank–Nicolson method)
Hilde Mangold (Spemann-Mangold organizer)
Laura P. Bautz (Bautz–Morgan classification )
Katharine B. Blodgett (Langmuir–Blodgett (LB) film)
Martha Chase (Hershey–Chase experiments)

Don’t let politicians tell you there isn’t public support to #BringBackMasks. There is. What we lack is a government willing to lead, to truly take care of infants and children (and seniors, people with disabilities, essential workers, educators, healthcare workers). #WeNotMe

@jordy_bc @cmclase @LaurieTomlinson since I am on a roll 😎
What about flozins?
Yes you can see euglycemic DKA in a small number, but
- EMPULSE shows benefit starting with acute decompensated HF https://www.nature.com/articles/s41591-021-01659-1
- DARE showed no harm starting DAPA in peeps hospitalized with COVID

It’s not stop flozins for all when sick - we need nuanced guidance🤔

@cmclase @LaurieTomlinson @jordy_bc @hswapnil This is the way. The question is not how early benefit accrues from SGLT2i (or RASi) but when it is safe to start. I’ m a critical care #flozinator😅

@LaurieTomlinson @jordy_bc @cmclase @mike_johansen
Just like AKI and RASi, I agree euglycemic DKA is a real thing
But stopping all meds on admission (or if sick) seems too broad a stroke?

@yaneerbaryam
In fact, the same thing is happening in the southern hem. where we are in spring.
This graph is the last 10 years of resp. viruses infection rate, and we've never had a spike this time of the year. It's not seasonal.