Joe Hyder

#DearIntern It's always a privilege to take care of patients.

@marziehg @jon_y_huang Yes! Makes the think of this classic. Nancy Krieger's Epidemiology and the web of causation: has anyone seen the spider? ncbi.nlm.nih.gov/pubmed/7992123

What do you call someone who watched a webinar and is now THE EXPERT ON COVID?

The cleaning staff at our hospitals are hardly ever mentioned and they also deserve a tribute!

@ajake74 @WarnerMatthewA Not yet...

Anyone know the performance specs on this new test from Abbott? Sensitivity/specificity? PPV/NPV?@WarnerMatthewA @JosephHyder

Detect COVID-19 in as Little as 5 Minutes abbott.com/content/abbott…

Giving covid care a human touch. Our team printed this out for the patients who just see their care being delivered by masks instead of people. Idea by @paulk_mi @UTSWIMchief @DinoKazi #parklandstrong

This sounds like a nice way share comfort. It’s what we do for men and women deployed in the #USmilitary. Would some thing like this pass hospital infection prevention and control review? @PSampathkumarMD

@MSharifpourMD This is great. How do patients like to use them most? How do you sterile them between patients?

@JosephHyder Joe, we have started using iPads. It is not the same but for our non-intubated ones we use iPads. Thoughts?

Think social distancing at home is bad? We have lots of patients in hospitals around the country feeling very lonely - no visitors, no human faces, few hands to hold. What is one way to safely make this a more human experience for our inpatients?

@AlexAndersonMD This is a really great idea and would help to communicate how much we care behind all the #PPE.

@MeganTStevenson @causalinf Not yet mentioned follow for #COVID19? @PSampathkumarMD is an expert on hospital epi and infection control.

Who should I follow for expert takes on the coronavirus situation? Looking for epidemiologists, immunologists, etc.

@AmyPearsonMD @Awareness_Live For ARDS, P:F ratio is nice and all but can be misleading. Patient vent-free days, survival, and functional status are why patients come to us. It’s worth holding judgement until a larger study is done. Other takes? @WarnerMatthewA

@Awareness_Live Primary outcome was improvement in P:F which was achieved. I wonder if it was powered for mortality/morbidity, we’d see these numbers become significant. @JosephHyder - thoughts?

What if when we do end up putting #COVID19 patients on #anesthesia machines, we add some sevoflurane and it improves their ARDS? Decreases IL-6, increases P:F ratio! #wishfulthinking? atsjournals.org/doi/pdf/10.116…

@rsatyak @DrMStiegler @SBHartlageMD @AmyPearsonMD @LaurenJonesMD @DrMikeAziz @dremilym @EMARIANOMD @emilysharpe @tbenjaco @laxswamy @KellyCawcuttMD @Ron_George @SCCM Put another way: If you don’t know what “pendelluft” means, you probably shouldn’t be splitting ventilators.

@rsatyak @DrMStiegler @SBHartlageMD @AmyPearsonMD @LaurenJonesMD @DrMikeAziz @dremilym @EMARIANOMD @emilysharpe @tbenjaco @laxswamy @KellyCawcuttMD @Ron_George Doubling up ventilators? Desperate times may call for desperate measures, however, @sccm has just come out against this practice, pointing to potential to cause more harm (to many patients at once) than good.

For your #COVIDー19 files: how to split one ventilator among 2 people. A Single Ventilator for Multiple Simulated Patients to Meet Disaster Surge HT @LaurenJonesMD #hlink1" target="_blank" rel="nofollow noopener">onlinelibrary.wiley.com/templates/jsp/… #COVID #COVID19US #CoronavirusPandemic

@stefoons @randydemartino @AlexAndersonMD @AmyPearsonMD @ehlJAMA I won’t comment on my own institution, however, some US health care organizations permit prescribing clinicians to enter their own record. I don’t know if those orgs have policies about folks writing notes (such as advance directives) about themselves. @AmerMedicalAssn

@ASALifeline @EricTopol @JoanMTeno

If U didn’t listen yesterday to @PSampathkumarMD from @MayoClinic telling everyone how we got here W the PPEs debacle, here is another link where she appeared on #OutspokenOncology explaining proper use, misuse, & what @CDCgov should have done. #WeNeedPPEs journalofclinicalpathways.com/multimedia/epi…

Let’s not panic and let’s not close the liquor stores. Our ERs, hospitals, and ICUs would be swamped treating folks with alcohol withdrawal, unnecessarily stressing a system that needs to be ready for COVID19 patients. @CabreraERDR @GovTimWalz

I keep thinking of this Milton Friedman quote: 'Only a crisis — actual or perceived — produces real change. When that crisis occurs, the actions that are taken depend on the ideas that are lying around. (...) the politically impossible becomes politically inevitable.'

@JosephHyder I am going to be reviewer 1 and say: #1. The manuscript could likely be shortened. #2. Change ‘one of the biggest game changers’ to ‘HUGE game changers.’