@adamcifu The eloquence and wisdom we are gifted as clinicians...
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Andrew Davis
109 posts
You let me down yesterday. I tweeted this from a pt, "My arms are beginning to look like tripe..."
Nobody on this site suggested the diagnosis of tripe palm. Thankfully I am married to a dermatologist. Up your game #MedTwitter!
cmaj.ca/content/191/13…
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@adamcifu Perhaps a nod to the increasing use of synthetic patient modeling (avatar patients in EMRs to allow hypothesis testing of potential interventions, like expanding remote patient monitoring). Did the patient have blue skin??
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@VPrasadMDMPH Compare your X post "Boosters do not work in people who have had COVID" to the paper's conclusion "This does not contradict the health benefit of vaccinations of very high-risk populations at any time." and 1500 deaths/wk in U.S. Loose with facts again, Vinay.
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Great new study from Austria looks at boosters in people who ALREADY HAD COVID
Surprise: they DO NOT reduce COVID19 death
Check it out
drvinayprasad.com/p/boosters-do-…
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@adamcifu @UChicagoMed @MedChiefs @UChiPritzker Come for the excellent training, stay because you’re frozen stiff! 😉
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Occasional recruitment picture. Steam off the lake when the air temp (-5) drops well below the lake temp (34). Come train with us!
@UChicagoMed @MedChiefs @UChiPritzker
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Totally agree as Epi Prof. So many cancers, so many analytic plans, and infinite time and space to run them. Nutritional epidemiology is a sea of junk.
We need to defund this class of research.
C. Jillian Tsai, MD, PhD@CJTsaiMDPhD
As an epidemiologist, I'm skeptical of such studies linking diet to cancer w/o a firm biological basis. How many cancers have been examined for a potential dietary association with this cohort This is not only unhelpful but can potentially be harmful. jamanetwork.com/journals/jama/…
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A great read on a book that’s been a classic in my family for two generations now. nytimes.com/2024/01/05/boo…
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@adamcifu Isn’t this called empathetic primary care? Proven interventions for definable phenotypes would empower many clinicians, and help many patients, as opposed to positing a rare new breed of specialist doctors.
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@VPrasadMDMPH Ummm. 25 yr old medical trainees take CARE of 75 yr old English professors, and cancer patients, and transplant patients. Nosocomial transmission is a thing, Vinay.
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Wow. Fascinating but to be honest. Those Covid19 shots were better off going to 75 year old English professors than 20-30 year old medical trainees. Age was 10-100x the risk of occupation. 👇
Atul Butte@atulbutte
Fascinating… misuse of an algorithm led @Stanford medical trainees to unionize?! “Stanford's residents and fellows unionized by a vote of 81% in 2022 after mobilizing after the system's 2020 failure to give them shots during the first round of COVID-19 vaccinations. The health system apologized and reportedly blamed an algorithm for the vaccine debacle.” Stanford Residents Get 21% Raise in First Union Contract medscape.com/viewarticle/st… HT @venkmurthy
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@adamcifu @pradzsapre A vibrant expressive and flowering life of such promise...cut short. One of the hardest things to bear in medicine and in life.
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OK, I am 11 years late here. I just read this. So beautiful and so wise for any stage of life. H/T @pradzsapre
yaledailynews.com/blog/2012/05/2…
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Chances are rapidly disappearing to limit Earth’s temperature rise to the globally agreed mark, but researchers say there are some positive signs of progress. nature.com/immersive/d415…
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@VPrasadMDMPH Large KP study worth considering. Prior wild-type vax had poor protection vs XBB…bivalent booster restored protection for range of COVID-19 outcomes (esp for ED, hosp admission and critical illness), both > and <65 thelancet.com/journals/lanre…
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Nobody wants the new COVID booster and there is no good evidence a young healthy person should get it
drvinayprasad.com/p/nobody-wants…
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@adamcifu Lots of diagnostic dilemmas too - do I chase this symptom that’s probably not concerning, but might be?
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@cailinanne @VPrasadMDMPH Funny how methodological issues only get mentioned by Vinay when a study is positive. Cases here mild, almost all alpha variant, race and gender match issues, & depends on WHO case definition. Useful paper, but hardly ‘bombshell’ or ‘sledgehammer’
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I don't doubt that a some small percentage of Long COVID sufferers are suffering from post-viral symptoms. And all of them are suffering - regardless of cause. But understanding the cause (which is probably not COVID for most!) is important to getting people the help they need.
Vinay Prasad MD MPH@VPrasadMDMPH
I explain the bombshell Norwegian paper that links loneliness to long COVID, but can't link COVID to long COVID in kids and adolescents. This is an important & damning paper vinayprasadmdmph.substack.com/p/bombshell-ne…
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If a surgeon uses their scalpel to permanently alter the reproductive organs of a young girl in the name of religious or cultural traditions, in the West we call it “female genital mutilation”.
However, if that exact same surgeon uses their scalpel to permanently alter the reproductive organs of a young girl in the name transgender ideology, in the West we call it “gender-affirming care”.
🤡🌎
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@R_Hughes1 @VPrasadMDMPH @TheAtlantic 30% reduction in those over 60. ‘Worthwhile’ if not excellent, as this is the group with highest mortality.
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Really terrible journalism. Ought to be corrected if @TheAtlantic want to remain credible.
Anthony LaMesa@ajlamesa
It’s remarkable that @DKThomp is claiming the Bangladesh study “found that community-wide mask wearing provided excellent protection, especially for older Bangladeshis.” Excellent? theatlantic.com/newsletters/ar…
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@EricTopol Odd how many comments focus on ‘real world’ while ignoring 500 US deaths a day. Yes efficacy tails off after 2-3 months, but if masks in crowded areas are ‘ridiculous’, how are you protecting YOUR grandparents?
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@sudha_lakshmi @EricTopol @HarvardChanSPH Well, yes. They reduce virus particle dose after exposures and thus lead to milder infections with fewer symptoms. It's not either/or. Would you rather have a severe infection or mild one during community periods of high transmission? science.org/doi/10.1126/sc…
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@EricTopol @HarvardChanSPH It looks like the masks and other mitigations worked really well then 🙄
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As of 10 November 2022, it is estimated that 94% of Americans have had Covid at least once, much of those infections in the past year. Ranking of states w/ most vulnerability d/t lack of vaccines/ boosters medrxiv.org/content/10.110… @HarvardChanSPH
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