Alfonso Hernandez-Romieu

702 posts

Alfonso Hernandez-Romieu

@alfherrom

ID physician and epidemiologist interested in global health/health disparities. Enjoy 🧗🎷. Opinions are my own. Retweets not endorsements.

Atlanta, GA Katılım Nisan 2010

516 Takip Edilen485 Takipçiler

Alfonso Hernandez-Romieu@alfherrom·8 Ağu

@gpollara @Boghuma @EmoryInfectDis @Cortes_Penfield @limbsandlungs @LucyCKBell Thank you! Another interesting tidbit is that there was onward transmission to healthcare workers after exposure to the contaminated product during surgery or draining Tb wounds. We are working on a secondary transmission paper so stay tuned :).

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Gabriele Pollara@gpollara·7 Ağu

@alfherrom @Boghuma @EmoryInfectDis @Cortes_Penfield @limbsandlungs @LucyCKBell Yes, agree. This paper makes the case very well. Great work 👏

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Alfonso Hernandez-Romieu@alfherrom·7 Ağu

@gpollara @Boghuma @EmoryInfectDis @Cortes_Penfield @limbsandlungs @LucyCKBell Yes we think it was probably a false negative which is not uncommon in persons with ESRD. But also shows the limitations of screening donors with IGRA tests which is why we strongly recommended testing of tissues when donors have risk factors for TB.

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Gabriele Pollara@gpollara·7 Ağu

@alfherrom @Boghuma @EmoryInfectDis @Cortes_Penfield @limbsandlungs @LucyCKBell Yeah that's true. Had only read the donor details quickly earlier but looking again, that's v plausible differential. Interesting tho negative TST 4 months earlier. Incongruent but not unheard of.

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Alfonso Hernandez-Romieu@alfherrom·7 Ağu

@gpollara @Boghuma @EmoryInfectDis @Cortes_Penfield @limbsandlungs @LucyCKBell We think that the donor died from disseminated tuberculosis that was not diagnosed. He had signs and symptoms as well as epidemiologic and clinical risk factors for TB.

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Gabriele Pollara@gpollara·7 Ağu

@alfherrom @Boghuma @EmoryInfectDis @Cortes_Penfield @limbsandlungs Ah gotcha, thank you very much. My money is then that the source of transplanted Mtb infection was rare stem cells that were infected, dare I say it, latently. @LucyCKBell Example paper (not only one): thelancet.com/journals/lanmi…

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Matthew Collins@CheTranquiloID·7 Eki

insightful commentary on #vulnerable populations including #Latinx for #COVID19 in #CID by @vcantosl and Paulina Rebolledo @EmoryInfectDis

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Alfonso Hernandez-Romieu@alfherrom·1 Eyl

@gsmartinmd @EmoryMedicine @EmoryDeptofMed @emoryid @vmarconi2 @EmoryPulmonary @SushmaCribbs @rlcschuler @drugbuster21 Don't forget @Boghuma who published the first case report of it's use!

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Greg Martin@gsmartinmd·1 Eyl

Congratulations to @EmoryMedicine for leading in drug repurposing and rapidly finding effective #COVID19 treatments using expertise from @EmoryDeptofMed @EmoryID @vmarconi2, Monica Farley, @EmoryPulmonary @SushmaCribbs @rlcschuler, Ashish Mehta, and virology guru @drugbuster21

WesElyMD@WesElyMD

4/ Very early in COVID, @VMarconi2 published that 11 of 15 patients with moderate to severe COVID did unexpectedly well once treated w Bari. As the world was scrambling to figure out how to fight the virus, we decided to design a large Phase III trial! bit.ly/3t06QZl

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Alfonso Hernandez-Romieu retweetledi

Scott Gottlieb, MD 🇺🇸@ScottGottliebMD·24 Ağu

Nature.com on the long scientific path to developing today’s mRNA vaccines; marked by years of careful work, discoveries, and major milestones. h/t @EricTopol nature.com/articles/s4157…

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Alfonso Hernandez-Romieu@alfherrom·15 Nis

@gradydoctor @NEJM @Physns1stWatch Thanks! Las mañanitas is a wonderful song :). I miss my days at Grady so much!

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Kimberly D. Manning, MD, MACP@gradydoctor·14 Nis

Really enjoyed this candid chat with Joe Elia for @NEJM @Physns1stWatch. So much kindness. Hey @alfherrom I gave you a shoutout. ☺️👊🏽 #humanismalways

PhysiciansFirstWatch@Physns1stWatch

Dr. Kimberly Manning (@gradydoctor) shares her experience with clinical inequity — starting with her dad's story. There are many ways to attack the problem. Sometimes, just singing "Happy Birthday" in the right language is the best approach. Listen in: jwat.ch/3sg0l2y

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Alfonso Hernandez-Romieu@alfherrom·13 Mar

@krobharrington @EmoryInfectDis @HIVMA @IDSAFoundation Congrats!

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Kristin Harrington, MD, PhD@krobharrington·12 Mar

Achievements feel few and far between in grad school, but excited to share that a project started while I was still in med school (#doubledocs) has been published! (doi.org/10.1093/ofid/o…) So grateful for my mentors from @EmoryInfectDis and funding from @HIVMA @IDSAFoundation!

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Alfonso Hernandez-Romieu retweetledi

Matthew Collins@CheTranquiloID·27 Oca

Congratulations to @CarlosdelRio7 for well deserved recognition of all the ways he leads in #publichealth #globalhealth @GradyHealth and @EmoryInfectDis

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Alfonso Hernandez-Romieu retweetledi

David Dowdy@davidwdowdy·27 Oca

A counterpoint to the alarm bells that are sounding over novel SARS-CoV-2 variants. Is it possible that we are misinterpreting differences in human behavior as differences in the biological fitness of viral variants? A thread to explain this hypothesis...

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Alfonso Hernandez-Romieu@alfherrom·17 Kas

@colleenkraftmd Listening to some deep tunes! Shine in you crazy diamond is next :)

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Alfonso Hernandez-Romieu retweetledi

The Lancet@TheLancet·6 Kas

Latin America has some of the highest #COVID19 death rates in the world. Why? NEW Editorial discusses how the health crisis initiated by COVID-19 turned into a humanitarian crisis in the region that needs global attention hubs.li/H0zrkt30

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Alfonso Hernandez-Romieu@alfherrom·16 Eki

@IUIDfellowship Orf

Indiana University Infectious Diseases Fellowship@IUIDfellowship·16 Eki

#idboardreview recently slaughtered sheep 🐑 for Eid & now presents with this lesion. Diagnosis? #MedEd #IDMedEd

Indiana University Infectious Diseases Fellowship tweet media

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Alfonso Hernandez-Romieu retweetledi

Natalie E. Dean, PhD@nataliexdean·28 Eyl

VACCINE EFFICACY 101: A biostatistician's primer Ten tweets to cover: - How is vaccine efficacy calculated? - Distinguishing between infection, disease, & severe disease. - Measuring reduced infectiousness. - Vaccine efficacy vs. effectiveness!

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Alfonso Hernandez-Romieu@alfherrom·18 Eyl

@Ahmed_HBabiker this is also solid brazilian gold... Transa by Caetano Veloso open.spotify.com/album/49cBF5iG… #NowPlaying

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Alfonso Hernandez-Romieu retweetledi

Max Adelman@MaxAdelmanMD·25 Ağu

Thanks @gsmartinmd for highlighting our work in @CritCareMed! journals.lww.com/ccmjournal/Abs… Time to intubation and HFNC were not associated with mortality in #COVID19. It was a pleasure to work with the whole team on this, esp @alfherrom @sauldy2 A brief explanation 1/

Greg Martin@gsmartinmd

Conventional timing of intubation and use of high-flow nasal cannula is safe and effective in #COVID19 From @EmoryCCC @alfherrom @MaxAdelmanMD @MaxHockstein @CraigJabaley @MCSCritCare @davidmurphymd journals.lww.com/ccmjournal/Abs…

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Michael Mina@michaelmina_lab·17 Ağu

Just one additional point - although I have been advocating a lot for distributed at home tests, my hospital life is as a medical director in a high complexity CLIA lab. I am not anti CLIA or qPCR. Just really see their downsides when used for wide scale public health testing.

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Rhea Boyd MD, MPH@RheaBoydMD·9 Ağu

This piece is piercing. It is beautifully written and heart-wrenchingly told. Please read it. nejm.org/doi/full/10.10…

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Alfonso Hernandez-Romieu@alfherrom·5 Ağu

@serotavirus @JenniferSpicer4 @Armstrws Can I get that PDF file? Covid cancelled our Armstrong HIV lectures

GIF

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Keşfet

@gpollara @Cortes_Penfield @LucyCKBell @gsmartinmd @EmoryMedicine @EmoryDeptofMed @vmarconi2 @EmoryPulmonary