Dr Pieter Peach

Anaesthetist/Anesthesiologist | Previously virology | MPH | Cabrini Health, Royal Childrens Hospital Melbourne | https://mas.to/@cleanairstars
#Anaesthesia #Anesthesia #CleanAir #PublicHealth

Public Key

npub1kqk0djjfyvrgjvvtn9npr0cle4sqt9q9ja2kphrjet2964fnnjeqeap97m

NIP-05 Address

PieterPeach_at_mastodon.social@mostr.pub

Profile Code

nprofile1qqstqt8kefyjxp5fxx9ejes3hu0u6cq9jszew4tqm3ev44za25eeevspz4mhxue69uhhyetvv9ujumt0wd68ytnsw43q3m2v8r

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relay.mostr.pub

Author Public Key

npub1kqk0djjfyvrgjvvtn9npr0cle4sqt9q9ja2kphrjet2964fnnjeqeap97m

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Last Notes

2024-08-17 21:50:00

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@npub1w0x…jdf2 I wonder at what point it will make sense to recommence smallpox vaccination programs in these areas, if declining smallpox/#Mpox immunity is seen as a contributing factor.

2024-08-14 21:38:12

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@npub1w0x…jdf2 interestingly it’s making me reconsider the value of IV fluids in some of my cases.

2024-08-14 21:00:17

“WHO Director-General Dr Tedros Adhanom Ghebreyesus has determined that the upsurge of mpox in the Democratic Republic of the Congo (DRC) and a growing number of countries in Africa constitutes a public health emergency of international concern (PHEIC) under the International Health Regulations (2005) (IHR).”
#infectiousdiseases #mpox
https://www.who.int/news/item/14-08-2024-who-director-general-declares-mpox-outbreak-a-public-health-emergency-of-international-concern

2024-08-12 20:04:20

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@npub1nac…0mta too good

2024-08-11 11:26:39

#raygun #ParisOlympics
All her signature moves in one clip.
https://files.mastodon.social/media_attachments/files/112/943/141/480/111/902/original/47ac7e44098e1a24.mp4

2024-08-11 02:20:02

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@npub1prn…53yn totally

2024-08-10 22:27:59

Raygun, our new Aussie legend.
#Olympics2024
https://7news.com.au/sport/olympics/who-is-australias-raygun-and-why-is-she-dancing-at-the-paris-olympics-c-15654657
https://files.mastodon.social/media_attachments/files/112/940/027/144/592/074/original/93d50a227389ca7e.jpeg

2024-08-08 20:53:33

Noah Lyles wins bronze in the #Olympics 200m (considered his best event) running with #COVID19 following his recent gold in the 100m.
An expensive, avoidable infection.
https://www.irishtimes.com/sport/athletics/2024/08/08/it-affected-my-performance-noah-lyles-covid-diagnosis-revealed-as-he-finishes-third-in-200m/

2024-08-08 04:21:07

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@npub1w0x…jdf2 on the same page and just did this myself. I peeled regularly each year so much as a kid and it was what we all did back then.

2024-08-06 20:35:17

The National Science and Technology Council (NSTC) has released a new report on the impact of indoor air quality on the transmission of airborne viral diseases in public buildings and strategies to reduce transmission.
The report was released at a webinar on Tuesday 6 August 2024, chaired by Australia's Chief Scientist, Dr Cathy Foley.
#cleanair #ventilation #iaq
https://www.chiefscientist.gov.au/news-and-media/indoor-air-quality-impact-viral-transmission

2024-08-06 08:26:56

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@npub1w0x…jdf2 it’s free, I’m not complaining

2024-08-06 08:20:43

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@npub1w0x…jdf2 hospital food

2024-08-06 06:44:56

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@npub1w0x…jdf2 by all means be preachy

2024-08-05 22:22:28

CSIRO event on indoor air safety today
(Free online)
“The impact of indoor air quality on the transmission of airborne viral diseases in public buildings”
#ventilation #cleanair
https://events.csiro.au/Events/2024/July/11/Launch-of-the-Indoor-Air-Quality-Report

2024-08-05 05:21:03

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@npub1w0x…jdf2
https://files.mastodon.social/media_attachments/files/112/907/730/555/228/654/original/061203402cd4fcd4.mp4

2024-08-04 23:06:59

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@npub1vv2…nxg7 Airway Twitter has always been a little Twitchy

2024-08-04 20:09:08

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@npub1w0x…jdf2 is it the case that legionella is more common in buildings than we think and it’s simply a matter of how well it’s concentration is controlled?

2024-07-27 00:14:54

#climatechange
https://files.mastodon.social/media_attachments/files/112/855/565/843/399/545/original/db7d2d7d2b9bb03e.jpeg

2024-07-21 09:27:02

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@npub1nac…0mta not here either, but increasingly so

2024-07-18 20:30:22

https://www.bmj.com/content/385/bmj-2024-079444
#anaesthesia #anesthesia
https://files.mastodon.social/media_attachments/files/112/809/384/264/898/906/original/5b0f7569f6e625ce.jpeg

2024-07-17 19:29:38

Understanding the misinformation behind fusion reactor research.
https://youtu.be/LJ4W1g-6JiY?si=x2clatzr_rywXyOb

2024-07-17 06:58:24

https://files.mastodon.social/media_attachments/files/112/800/530/056/369/467/original/9759e13024330ba5.jpeg

2024-06-26 20:43:00

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@npub186a…3jcx the live transcribing of voicemail is a neat addition

2024-06-12 22:46:31

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@npub1748…kuje they probably still have Twitter.com as the url

2024-06-12 07:57:59

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@npub1w0x…jdf2 what was this called?

2024-05-13 11:00:13

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@npub1ps9…zg9j is there still a challenge with federating with small instances (eg not seeing all relevant posts in a feed seen by those on larger instances)?

2024-05-12 07:31:08

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@npub1vv2…nxg7 great shot!

2024-05-08 20:50:35

I did not know this
From: @npub1f5h…wjhr
https://noc.social/@todayilearned/112406853377669159

2024-05-07 05:43:33

@npub189h…mjvh hey, you’re welcome here
https://files.mastodon.social/media_attachments/files/112/398/212/150/650/052/original/17b0ccebde7e47d8.jpeg

2024-05-06 20:28:22

Nature is complicated
https://www.boringreport.org/app/article/6638ca0886982497b771d6b5
https://files.mastodon.social/media_attachments/files/112/396/025/814/767/212/original/9e93d036e3d23235.jpeg

2024-05-06 19:56:50

Orchestral musicians watching a computer about to take their jobs 70 years ago.
From: @npub1l44…ttpp
https://toot.community/@openculture/112395339150656793
https://files.mastodon.social/media_attachments/files/112/395/899/138/703/856/original/563d5c5f6c60767c.jpeg

2024-05-06 19:39:53

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@npub1p9v…zsjy they are incredible. surprised they haven’t featured them in an animated children’s movie yet.

2024-05-06 19:17:33

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@npub1w0x…jdf2 stunning…

2024-05-05 20:32:11

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@npub1w0x…jdf2 what terrible view. Not sure how you cope!

2024-05-05 04:04:22

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@npub1w8t…27vf we had it rough

2024-05-04 23:42:19

How did we survive as kids without a water bottle following us around everywhere we went?
#parenting
https://files.mastodon.social/media_attachments/files/112/385/465/977/721/683/original/9caa0323c5bbc11a.jpeg

2024-05-03 01:34:41

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@npub12nm…wh2s it helps to have one of these https://amzn.asia/d/ayhfXIf
https://files.mastodon.social/media_attachments/files/112/374/584/403/649/647/original/b4d70386e1bc7a1d.jpeg

2024-05-01 19:27:26

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@npub1w0x…jdf2 yikes

2024-04-29 22:41:42

“The cats were found dead with no apparent signs of injury and were from a resident population of ≈24 domestic cats that had been fed [unpasteurised] milk from sick cows. Clinical disease in cows on that farm was first noted on March 16; the cats became sick on March 17, and several cats died in a cluster during March 19–20. In total, >50% of the cats at that dairy became ill and died.”
#h5n1 #influenza #infectiousdisease
Emerg Infect Dis. 2024 Jul https://doi.org/10.3201/eid3007.240508

2024-04-29 01:55:26

If you want to feel immediately less alone in your struggles raising your kids follow the #parenting hashtag.

2024-04-29 01:54:18

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@npub1vv2…nxg7 is there an email filter that recognises font choice?

2024-04-28 03:12:24

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@npub1vv2…nxg7 looks amazing

2024-04-28 00:46:51

Amazingly constructive and positive answer by Phi 3 Mini 4K instruct #LLM running *locally on an iPhone 14* (using Private LLM) when asked “What happened to Avicii”
“While we respectfully acknowledge the impact of an artist's work, focusing more on their contributions rather than their untimely demise helps honor their memory positively.”
https://files.mastodon.social/media_attachments/files/112/346/079/637/570/558/original/02e024d24e5b46ab.jpeg

2024-04-23 04:04:09

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@npub12yz…x63h the main issue however is that stockpiles run out very quickly. Resilient supply chains is what we need

2024-04-23 03:46:13

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@npub12yz…x63h possibly, although likely time between pandemics requiring them?

2024-04-22 22:56:29

The *only* way we can adequately manage risk in healthcare in a pandemic with an airborne pathogen is by having sustainable processes & resources in place to cope with a high volume of cases.
Stockpiles of disposable PPE expire & run out quickly, ramping up processes/skills takes too long, & we can’t rely on building infrastructure being brought up to scratch in a hurry.
Airborne precautions for respiratory tract pathogens needs to be an increasing part of our healthcare routine.

2024-04-21 07:31:07

If you know, you know
https://files.mastodon.social/media_attachments/files/112/308/037/339/232/803/original/814f133dab0af30b.jpeg

2024-04-20 22:01:45

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@npub1kmc…ygkj brutal

2024-04-20 10:41:32

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@npub1eyx…9wqx this Hawaiian toast is a new discovery. Can’t wait to try it

2024-04-20 07:23:30

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@npub1pvf…093g she was clearly sending a message

2024-04-20 07:21:20

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@npub1z0t…dhyd that looks very good

2024-04-20 05:29:59

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@npub1yyt…t6x9 tonight’s dinner!

2024-04-20 05:08:28

Going through a phase of encouraging our son to be more self reliant at home.
This morning’s self-prepared breakfast was *drumroll*…
Pineapple on toast.
Me - *Staring in curiosity*
Son - “I made a big mistake”
#parenting
https://files.mastodon.social/media_attachments/files/112/301/807/502/390/928/original/ba405125c8ed00d9.mp4

2024-04-20 02:52:18

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@npub1dd8…nvdr let’s hope this is a transient phenomenon while they are phased out again

2024-04-20 00:26:05

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@npub1dfp…zhud look forward to watching it

2024-04-17 21:07:10

https://lemmy.dbzer0.com/post/18614564
https://files.mastodon.social/media_attachments/files/112/288/594/793/736/803/original/aaac5651c0737ebc.jpeg

2024-04-16 05:11:05

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@npub1w0x…jdf2
https://files.mastodon.social/media_attachments/files/112/279/175/925/857/417/original/640716d639c2db40.mp4

2024-04-15 11:37:53

https://jemmy.jeena.net/post/932952

2024-04-12 10:04:40

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@npub1nyx…t8td interesting, will keep an eye on it. have only heard it happen once.

2024-04-11 21:39:57

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@npub1frv…evqu ooh, comma

2024-04-11 21:18:24

https://mander.xyz/post/11832168
https://files.mastodon.social/media_attachments/files/112/254/667/940/327/956/original/821bc91743d0ba0e.jpeg

2024-04-11 09:29:18

While driving my iPhone not only read aloud a text message, but also accurately described an attached photo.
That was unexpected
#llm

2024-04-10 08:43:32

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@npub1g53…v0hh uncanny resemblance

2024-04-08 11:11:13

Ventilation can reduce exposure to respiratory viruses in indoor spaces.
https://www.cdc.gov/ncird/whats-new/ventilation-respiratory-viruses.html
https://files.mastodon.social/media_attachments/files/112/235/290/797/537/153/original/b02222effa8cdf99.jpeg
https://files.mastodon.social/media_attachments/files/112/235/290/795/505/258/original/31cb578402b5651f.jpeg

2024-03-26 09:58:07

“Daddy can I tell you sumting? Can you promise me you’ll never buy durian again? Or if you buy it, can you throw it in the bin?”
https://files.mastodon.social/media_attachments/files/112/161/392/252/505/541/original/5775bd1b567e5016.jpeg

2024-03-24 20:12:48

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@npub1vrw…5jtp “Dr Deonandan, are you happy with the article header”
Dr Deonandan - “Perfection”

2024-03-24 09:22:46

Plan accordingly
https://files.mastodon.social/media_attachments/files/112/149/931/240/000/951/original/357a1735fb567d9e.jpeg

2024-03-24 08:53:44

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@npub1vrw…5jtp Measles “are” back?

2024-03-24 01:11:11

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@npub10m8…5a0v 👆

2024-03-20 22:20:52

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@npub1748…kuje you only need one person to be phished to compromise an entire network

2024-03-20 21:17:47

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@npub1748…kuje that’s a pretty clever phishing scam

2024-03-12 20:01:52

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@npub1w0x…jdf2 Kelvinator sounds like an Aussie nickname

2024-01-11 03:05:29

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@npub1nac…0mta They still need to demonstrate that AGMPs create more aerosols than patients in respiratory distress. It’s unfortunate that it’s an invalid excuse to not provide respiratory protection to staff.

2023-11-05 01:14:10

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“I haven’t had a chance to talk to Whitty & Vallance about their experience. They’re both incredibly respected, intelligent & public-oriented individuals; those who worked with them praise their professionalism & resilience. I presume that their view is one of “harm reduction”: speaking out or resigning would have meant an even worse situation. They also both received dreadful public abuse & harassment for roles in which they tried to steer the mad king in a sensible direction”
#ukcovidenquiry

2023-11-05 01:12:24

“Yet when appearing in interviews or alongside Johnson in daily press briefings, none of their concerns were publicly articulated. Both reinforced govt messaging, & their daily presence next to the prime minister made them seem supportive & aligned with the policies & direction the country was taking. They made the “mad king” seem believable to the public. Too often they were used by a dysfunctional government to appear competent & scientifically literate”
#ukcovidenquiry https://www.theguardian.com/commentisfree/2023/nov/03/scientific-advisers-covid-inquiry-chris-whitty-scientists

2023-10-13 20:17:27

It’s a protocol tussle between the World Wide Web Consortium recommended Activitypub decentralised social media protocol (Mastodon, FireFish, Threads, PixelFed, Wordpress etc) https://www.w3.org/TR/activitypub/ and ATProtocol (Bluesky).
It’s disappointing seeing the attention that is migrating away from Twitter heading to Bluesky, further fragmenting people’s social media graphs when a functioning protocol already exists.

2023-10-10 03:15:19

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@npub1nac…0mta what’s a gallon?

2023-10-07 00:55:18

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Insulin dilution errors are common and several factors contribute. How can we minimise the risk of these occurring?
@npub1wvt…wu5q
#asansc2023 #patientsafety #anaesthesia #anesthesia
3/n
https://files.mastodon.social/media_attachments/files/111/191/006/504/713/298/original/3b3c705e48a18cb7.jpeg
https://files.mastodon.social/media_attachments/files/111/191/006/233/690/578/original/4019c49cdcb01c6e.jpeg

2023-10-07 00:44:27

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How do error reduction strategies rank in terms of effectiveness/strength?
#asansc2023 #patientsafety #anaesthesia #anaesthesia
https://files.mastodon.social/media_attachments/files/111/190/963/807/991/370/original/2a1f9c790f2fc777.jpeg

2023-10-07 00:19:55

At the @npub1wvt…wu5q workshop at #asansc2023 learning how to frame the learnings from an adverse or near adverse event into a #BowtieDiagram.
Another way doctors are learning from aircraft safety.
https://files.mastodon.social/media_attachments/files/111/190/867/401/488/856/original/4ca99f4ec3061a87.jpeg

2023-10-06 02:46:03

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We are very short of O -ve blood in Victoria. If you do have the time to donate and have this blood type please do.
https://files.mastodon.social/media_attachments/files/111/185/779/696/057/255/original/7f20c9b0703e6995.jpeg

2023-09-27 01:26:54

We rely on the generosity of blood, plasma, and platelet donors to look after our patients.
It’s the one thing you can do to genuinely save lives that couldn’t be saved otherwise.
#DonateBlood
Australians can book here https://my.donateblood.com.au/app/appointments/location
https://files.mastodon.social/media_attachments/files/111/134/507/589/366/070/original/453256f460a1b474.jpeg

2023-09-01 02:10:31

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Screenshots here.
As an anaesthetist I spend a good amount of time talking, in close proximity, to vulnerable patients while having young children at home coughing and unwell.
I owe it to my patients not to pass on whatever is circulating at home to them.
I've been doing it daily for 3 years and can do it as needed for the remainder of my career.
#n95 #MasksWork
https://files.mastodon.social/media_attachments/files/110/987/431/476/774/049/original/1bae235dd0cd3680.jpeg
https://files.mastodon.social/media_attachments/files/110/987/431/587/531/726/original/18d216d2525339f7.jpeg
https://files.mastodon.social/media_attachments/files/110/987/431/756/670/218/original/a1446554d1410889.jpeg

2023-09-01 01:59:54

This video demonstrates how well fit-tested respirators work as source control vs no masks vs loose fitting medical masks.
No complicated modelling required.
We can achieve higher levels of risk reduction by having our healthcare workers wear these when looking after vulnerable patients, particularly at times where staff are at higher risk of infection (recently symptomatic, close contact of someone unwell at home, or high community prevalence)
Screenshots in the next post.
#N95 #MasksWork
https://files.mastodon.social/media_attachments/files/110/987/406/675/885/718/original/f64299d19056ac92.mp4

2023-08-10 23:55:45

I welcome the new, ice cold, me.
https://files.mastodon.social/media_attachments/files/110/868/020/575/216/077/original/26baf84c31a48bd3.jpeg

2023-08-09 12:04:06

Boring Report is an app that makes news boring to read. It uses AI to process exciting articles into focused content, helping readers get facts without sensationalism.
https://www.boringreport.org
https://files.mastodon.social/media_attachments/files/110/859/559/438/440/728/original/3b3d9d0cc752fccf.jpeg

2023-08-04 21:28:53

I still remember the phase of the pandemic where parents, deciding where best to sit their children for remote learning classes, would position them right in front of their wine collection.

2023-08-02 20:00:31

Growing up I recall the feeling of bemusement when visiting “shoes off” households.
Having been a “shoes off” household for 15 years I can’t believe I grew up wearing shoes inside the house.
#shoesoff
https://files.mastodon.social/media_attachments/files/110/821/796/562/191/185/original/8531df6a51900339.mp4