A 🧵 on COVID Living Room Spread:

Saturday:

- Older, out of the house brother wants to visit younger siblings.

Mom says "get a test on the way, if you are negative you can come."

- Rapid test is (-), family spends a day together inside, laughing, playing, eating.

1/

Sunday:

- Older brother leaves, his cough starts.

- Mom sees her elderly parents in her home, unmasked for dinner and hanging out.

- They are in the same "bubble" and have seen each other regularly in the pandemic.

2/

Monday:

- Children's nanny comes to work.

- Mom goes to work, spends time unmasked with close work colleagues.

- Older brother tests, 20 yo white male, COVID (+).

Tuesday:

-Mom begins to track family contacts, and starts to develop symptoms.

3/

Wednesday:

- Mom tests COVID +

- 2 children, 6 office mates, 2 elderly parents and a nanny begin quarantine, all initially testing negative.

-Nanny decides to quarantine with the family to isolate from her own children at home.

4/

Thursday:

- Mom symptoms get worse, everyone else locks down.

Friday:

- Nanny, a 60+ yo Black woman, tests COVID (+), develops mild symptoms

5/

Sunday:

- Mom is improving

- Nanny is not feeling well

- 1 office mate, a 70+ yo white woman tests COVID (+) with mild symptoms.

- Office mate's daughter arranges for antibody infusion due to risk factors on day 2 of symptoms.

6/

Monday:

- 3 yo daughter tests COVID (+), mild symptoms.

- Older brother (patient zero) feels well.

- Mom has relapsing symptoms.

-Nanny is feeling okay.

- Office mate feels better after antibodies.

7/

Tuesday:

-Elderly parents, youngest child, other office mates continue to quarantine and continue to test (-).

Wednesday- Thursday:

- All patients improve EXCEPT the Nanny.

- She continues to get worse and has no primary care doctor.

8/

Friday:

- Nanny is Day 8 of symptoms and worsening, time for her to get antibodies.

- There is no central system for her to find out how to get them.

- Mom, now better, starts making calls as her advocate.

9/

Saturday:

- Nanny, Day 9 of symptoms, gets worked up for synthetic antibodies.

Sunday:

-Nanny gets first antibody infusion.

Monday:

- Nanny is weak and her oxygen is low. She goes to the hospital and is admitted.

10/

This started with a 20 yo healthy white male testing (-) to see his family.

Infected 3 "family" members land in the lungs of a 60+ yo Black woman who is now hospitalized on oxygen and steroids.

This is living room spread.

And it has to stop.

/fin

Clarification: This is a family I know socially, not professionally and they gave permission to share their story in an attempt to "tell everyone to be smarter than we were."

And I am grateful they did.