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Craig_A_Spencer's profile
Craig Spencer MD MPH
Craig Spencer MD MPH
Craig Spencer MD MPH
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@Craig_A_Spencer

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Craig Spencer MD MPHVerified account

@Craig_A_Spencer

NYC ER doctor | Ebola Survivor | Director of Global Health in Emergency Medicine @ColumbiaMed | Teach Public Health @ColumbiaMSPH | @MSF_USA Board of Directors

 🗽 New York City  🗽
craig-a-spencer.medium.com
Joined February 2017

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    Craig Spencer MD MPH‏Verified account @Craig_A_Spencer 15 Dec 2021

    There’s still a lot of uncertainty around Omicron. But it’s clearly about to cause a massive spike in cases. And soon. Working in the ER today made me really concerned about what we’ll see in the coming weeks. This is what I’m worried about… 🧵

    8:07 PM - 15 Dec 2021
    • 2,231 Retweets
    • 7,048 Likes
    • Anthony T. DiPietro Esq Social✽Fly Pursuit of Snappiness Sierra Ryan D.🌹🚑 Bridget Devane Mo, Esq. Margaret Reclaiming my Time
    191 replies 2,231 retweets 7,048 likes
      1. New conversation
      2. Craig Spencer MD MPH‏Verified account @Craig_A_Spencer 15 Dec 2021

        Craig Spencer MD MPH Retweeted Emergency Physicians

        For starters, we are facing a massive nursing shortage. Nurses are overextended, taking care of more patients than is generally considered safe. Anyone working in the ER knows that nothing happens without nurses. And a good nurse can be the difference between life and death.https://twitter.com/EmergencyDocs/status/1471246202356355074 …

        Craig Spencer MD MPH added,

        Emergency PhysiciansVerified account @EmergencyDocs
        As COVID cases surge, nursing shortages can complicate patient access to care and stress physician-led care teams. We urgently need to address the longstanding issues challenging the emergency medicine workforce. Read our full statement: https://www.emergencyphysicians.org/press-releases/2021/12-15-21-nursing-shortages-compound-capacity-concerns-strain-emergency-departments-amid-covid-surge … pic.twitter.com/7HHwwH7zOn
        26 replies 393 retweets 1,758 likes
        Show this thread
      3. Craig Spencer MD MPH‏Verified account @Craig_A_Spencer 15 Dec 2021

        Craig Spencer MD MPH Retweeted Craig Spencer MD MPH

        On top of that, healthcare workers are burnt out. Crushed. Exhausted after two years of the pandemic. They are quitting in droves. Those that stay are struggling with psychological scars or grasping to find the empathy that used to come so easily.https://twitter.com/craig_a_spencer/status/1470605747205644295?s=21 …

        Craig Spencer MD MPH added,

        Craig Spencer MD MPHVerified account @Craig_A_Spencer
        I wish people truly understood how exhausted healthcare workers are. Whether it’s managing Covid or something else, we’re all just really tired.
        Show this thread
        19 replies 413 retweets 2,235 likes
        Show this thread
      4. Craig Spencer MD MPH‏Verified account @Craig_A_Spencer 15 Dec 2021

        Most still pull it together and come to work. Many just go through the motions. They’re ‘there’, but not like they used to be. And a lot have just left. 18 percent of health-care workers have quit since the pandemic began. @edyong209https://www.theatlantic.com/health/archive/2021/11/the-mass-exodus-of-americas-health-care-workers/620713/ …

        7 replies 323 retweets 1,622 likes
        Show this thread
      5. Craig Spencer MD MPH‏Verified account @Craig_A_Spencer 15 Dec 2021

        And lastly, most ERs are swamped. Many were bad before the pandemic. They’re worse now. Even those not crushed with Covid. Today I saw a patient who needed heart surgery before the pandemic but put it off, showing up today when things got much worse.https://www.npr.org/sections/health-shots/2021/10/26/1046432435/ers-are-now-swamped-with-seriously-ill-patients-but-most-dont-even-have-covid …

        13 replies 232 retweets 1,417 likes
        Show this thread
      6. Craig Spencer MD MPH‏Verified account @Craig_A_Spencer 15 Dec 2021

        The point is that even if Omicron cases turn out to be milder (which is no guarantee), the sheer number of expected cases can overwhelm an already fragile system. Previously we asked you to flatten the curve. But the next curve could truly flatten us.

        26 replies 484 retweets 2,208 likes
        Show this thread
      7. Craig Spencer MD MPH‏Verified account @Craig_A_Spencer 15 Dec 2021

        Sure, we know a lot more know about Covid. We have much more experience treating severe disease and saving lives. And we aren’t worried about ventilator shortages like March 2020. But it’s much harder to produce a nurse than a ventilator.

        14 replies 310 retweets 1,924 likes
        Show this thread
      8. Craig Spencer MD MPH‏Verified account @Craig_A_Spencer 15 Dec 2021

        In South Africa 20% of healthcare providers got sidelined with Covid after Omicron started spreading there. If we experience even a fraction of that loss amongst our already struggling and short-staffed frontline providers, we’re in huge trouble.https://mg.co.za/coronavirus-essentials/2021-12-09-alarm-as-almost-20-of-south-africas-healthcare-workers-contract-covid/ …

        17 replies 376 retweets 1,501 likes
        Show this thread
      9. Craig Spencer MD MPH‏Verified account @Craig_A_Spencer 15 Dec 2021

        Moreover, everything we learned about how to treat Covid over the last two years doesn’t matter much if you have to wait three times as long in the ER. In many ways we’re much better off than we were in March 2020. In many others, we’re not.

        4 replies 146 retweets 1,330 likes
        Show this thread
      10. Craig Spencer MD MPH‏Verified account @Craig_A_Spencer 15 Dec 2021

        Whether out of complacency or exhaustion, we ignore this at our own peril. As an ER doc, I promise you’d rather face the next few months fully vaccinated. Wear a mask. Rapid test before indoor gatherings. Be safe. And if you know a healthcare worker, maybe tell them thanks.

        100 replies 539 retweets 3,010 likes
        Show this thread
      11. End of conversation
      1. New conversation
      2. gary‏ @garyfdny 15 Dec 2021
        Replying to @Craig_A_Spencer

        Get Vaccinated Wear a Mask

        2 replies 0 retweets 18 likes
      3. Show replies

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