South African doctors are tough. We are used to extreme conditions. Making do with little. Going the extra mile for our patients. We have faced surge after surge of trauma patients hit our depts every weekend, managing the wounded, bleeding, critically injured. A thread 1/

I trained in the early 2000s. When SA didn't have ARVs for patients dying with HIV/Aids. In 2003 as a med student we marched so that South Africans could have access to ARVS. Millions of South Africans died due to the slow rollout of ARVS in the early 2000s 2/

As an intern, as ARVs were just being initiated, countless patients died - too sick to be started on ART, it was too late. As an intern at Bara, I remember certifying 8 patients dead in a night. Some patients were my own age - 24. 3/

ARVs made a huge difference. Life expectancy increased. Child-headed households decreased. More patients living a normal life. The #Covid19SA pandemic has reminded me so much of that pre-ARV era - the helplessness, being overwhelmed with patients and lacking resources 4/

Although we always get nervous when being exposed to HIV, we feel reassured that there ART prophylaxis. With #COVID19 HCWs are at high risk of getting sick, and also severe illness. We have continued to face this fear all year 5/