It’s one am, and I had a serious thought of ordering a carrot by Uber for the horse tomorrow. These pitfalls are the reason I should have gone to sleep ages ago. 🤣 ridiculous. Goodnight.

“However, many people who are sick with influenza virus infection do not manifest fever, especially those who are older or immunosuppressed.” www.cdc.gov/flu/hcp/clin...

Even worse when I am 1500 miles away to even attempt to do them is nearly impossible short of tagging her with a device such as your suggestion one final? Do you know the best devices some seem good but then have terrifyingly bad reviews?

You can tell that LotR was written by an academic because Gandalf disappears for like 20 years doing research to answer a single question.

As the year winds to an end, I’d like to thank everyone for making this community on BlueSky a place where we can have a good conversation, meet friends, and share the journey.

I did lots of work and fun stuff this year and kept myself safe

Bringing holiday cheer (& no airborne viruses) through singing carols at the doorstep, outdoors in #N95 #Masks #H3N2

BA.3.2 emerged in Nov 2024 after ~3 years of intrahost evolution with >50 new spike AA muts, but since then, it's changed very little. Could the mutagenic drug molnupiravir (MOV) galvanize BA.3.2 into pursuing new evolutionary paths? A new 89-mut BA.3.2 sequence hints that it could. 1/11

When you’re disabled, the holidays can be challenging. Many of us are alone, in pain or in the hospital. We’re excluded from celebrations because people don’t want a reminder of “sickness”. If you’re struggling tonight, please know you’ve got a community behind you

Western Australia Virus Watch is on a holiday pause. ❌ No weekly updates over Christmas & New Year 📅 Reporting resumes 9 Jan 2026 Source: www.health.wa.gov.au/Articles/F_I...

I saw a dragonfly with a purple stripe on the back…

Canada: Increase in cold, flu, and COVID cases brings return of masks to Ontario hospital. Joseph Brant Hospital in Burlington announced a mask mandate effective Dec 22. Everyone entering must wear a mask in patient care areas; masks are provided at entrances to reduce spread and protect patients.

What are we even doing?! "There are sick children in the waiting room and patient care areas; we encourage you to leave any healthy children at home whenever possible." But your kid with flu or who needs stitches might also get measles. Or COVID. www.albertahealthservices.ca/stollery/Pag...

I'm three weeks away from my six year anniversary of my only COVID infection. I usually sleep quite well, ~9 hours per "night," but I can only sleep between 6 am and 3 pm. Six years post-infection. I feel fortunate that I can sleep, though. I know many log haulers struggle with insomnia. I'd go mad.

While we are on the topic of congenital heart disease. www.cidrap.umn.edu/covid-19/mat...

NSW Measles Alert NSW Health is advising people to be alert for signs and symptoms of measles following the notification of three confirmed cases of measles who were unknowingly infectious while visiting many locations across Sydney Includes Gran Torino Restaurant Double Bay and Allianz Stadium

I wonder how many people that have an infant with congenital heart disease this specialist has said this to… 💩 it’s all gonna land in ED. Thanks mate. Happy New Year to you too.

There are silent F bombs in my last thread. 😡

I just heard that a specialist told the mother of several children, the youngest of whom is a neonate with congenital heart disease “not to worry about respiratory viruses”. #MedSky this is getting ridiculous.

I believe prisoners have rights. A right to have basic human needs met, like food, sleep, shelter, health —including mental health. War prisoners, criminals, ordinary people that were just looking for a way to feed and house themselves and their families, refugees locked up waiting for decisions.

A global epidemic huh… who’d have thought we’d see another one of those so soon? C19, mpox, flu.

Too many have forgotten what pandemic means ... from the the Greek pan ... meaning all, demic from the Greek demos ... the people ... all the people, not just those in your home/village/town/city/state-oblast/country/continent/hemisphere ... it's the whole world (& global pandemic is tautology).

Congratulate me. I braved local IGA on the eve of Christmas Eve in my cute-as-a-button Zimi Chrissy mask. And yes, it was ridiculously busy. But in good news, I found a a decent sized cauliflower (my goal) that didn't cost a kidney, & sugar & lemons to make jam from cherries our neighbour gave us.

It’s very interesting to me that some people are debating whether subclade K is “super-flu” or not. Whether it is intrinsically more severe… or the scenarios are due to host factors shall we say…

It’s arrived in South America. #SubcladeK #flu #influenza www.batimes.com.ar/news/amp/arg...

Yes last year my father took photos of me and my sister. I was masked. He looked at the pics and deleted them all. To Said they were useless. I travelled almost 2,000k to see him and other family and there were no photos of me. He died this year

It’s somewhere between 22 - 34C in Queensland… humidity 88%… outdoors… and flu/RSV/C19 is spreading like fire… probably because people are not outdoors. Diseases of dirty indoor air my friends.

Queensland Weekly Respiratory Surveillance Report: 16 Dec to 22 Dec 2025 Reported cases: 🔹COVID: 413 (+10.1%) 🔹Influenza: 1,994 (+17.9%) 🔹RSV: 409 (+31.0%) Hospitalisations: 🔸COVID: 25 (-21.8%) 🔸Influenza: 93 (+40.9%) 🔸RSV: 39 (+25.8%) Source: health.qld.gov.au/clinical-pra...

🤔

You know that Mama Bear that comes out when someone threatens to hurt the kids? I think that same bear comes out in me when people threaten my patients, or higher risk people generally. Including by spreading misinformation that will kill people. Normally I ignore right wing media… but… ooo😡

🤢 Do people hear themselves when they say how important it is to get sick to not get sick? 😷

Social media?

The roads are quiet, the hospital is not. At least the good coffee place in the hospital is OPEN today so that's a win.

Air Canada in flight air quality. Runway wait CO2 very high. CO2 did not go sub 1500 ppm the entire flight (even at altitude). #WearARespirator

Right. I have to go to the post office. It will be crowded… the queues will be out of the doors. Maybe I should pack a chair… or… maybe I can get Hubby to go… 🤭 No. I can’t be that cruel. It’s our anniversary today. I have to be nice for at least 24 hours.

i made some comically large pancakes for breakfast this morning

A Cat 5 ridiculous discourse tempest brewing in these replies

When you don’t accept that the work people do is important and requires specific knowledge and skills, then try and replace them with untrained cheaper substitutes or nobody, poor outcomes result Applies across the board in any profession but in health the poor outcomes are deadly

Whew.

holy, hell man, have some respect for your profession! the first author of a paper you cite characterized your piece as misinfo/disinfo on this very site. it’s been nearly a full day now, and no apology, let alone response? address it! have your rag issue a correction! bsky.app/profile/ukha...

Health care systems across the western world are in crises but taking a step to try and stay healthy (or avoid further illness) is labelled as extreme? Bro a 14 year old boy did of pneumonia in Canada because the emergency room was overwhelmed and didn’t pay attention to him.

You should have spoken with Dr Akiko Iwasaki of Yale, a long Covid expert and other long Covid experts. you should have done enough research to know that over half of those with primary immune deficiency can’t make sufficient antibodies even if fully vaccinated and boosted so remain at high risk.

It’s really magical thinking to think the high risk are somehow now no longer high risk. Do you know how many high risk people got covid from medical facilities during needed medical treatment and then later died of covid? Far too many.

I have severe panlobular emphysema, I mask, I avoid crowded indoor spaces, I still practice keeping a distance from people & I’ve got an air purifier running in my house. I’m going to die but why be stupid, I’m trying to slow down the progression of the disease.

Yes, it’s called a “razors and blades” business model, where you sell the main item near or below cost, but lock people into expensive consumables (sometimes with DRM technologies) to recover the margins. It’s a fundamentally dishonest business model, because it hides the operating costs. (More)

Maybe by “refuse to re-enter society” he actually meant “refuse to hang out with the right-wing”… cos that is actually true. 🤣

I’ve come across an issue and would like to give a heads up. Just like printers have ink refills that cost more than the gadget, some commercial HEPA filters have filter replacements that can make your eyes water. Check replacement filter cost and availability before committing.

Exactly. The efforts to pathologize people who are taking precaution against respiratory diseases (as also seen recently in rags like Compact) is ultimately a fascistoid undertaking. How dare these freaks not walk in line getting infected like the rest of us?

It’s not a refusal to re-enter society. It’s not shaping your life around Covid avoidance. It’s adaptation. It’s a desire to protect health. It’s being willing to accept that things change, and masking & clean air are the way forward. Mass death & disability is not normal