Discover and read the best of Twitter Threads about #ZSFG
Most recents (6)
1/ Covid (@UCSF) Chronicles, Day 136
San Francisco is experiencing a surge, so it might seem odd to focus on what SF has done –& continues to do– right. But w/ all the news about California’s surge, SF’s remarkable success story is in danger of being forgotten. It shouldn’t be.
San Francisco is experiencing a surge, so it might seem odd to focus on what SF has done –& continues to do– right. But w/ all the news about California’s surge, SF’s remarkable success story is in danger of being forgotten. It shouldn’t be.
2/ Yesterday, SF’s health director (& my former resident) Grant Colfax offered gloomy projections (“as many as 1800 deaths by the end of the year”) & committed to opening new hospital beds in the city tinyurl.com/y54xq89s. While it’s Grant’s job to paint worst-case scenarios…
3/ … if I were a betting man, I’d take the “under” on that one. SF remains the best performing major city in the U.S. w/ Covid. Even as we’ve let things slip since Memorial Day, we're still doing relatively well, compared with other parts of the nation, and to the rest of CA.
My family just got tested for COVID and antibodies as part of the Mission census tract project. 
We did at Ninos Unidos park. Other testing sites at Garfield park and Caesar Chavez and Flynn schools. You need to live in a certain census tract and ideally preregister.
1/ Covid (@UCSF) Chronicles, Day 38
Still stable at @UCSFHospitals & in SF. @UCSF, 15 pts, 5 on ventilators (Fig on L). In SF: 38 new cases, 23 deaths overall (up 1)(Fig R). A sad milestone: we passed 50,000 deaths in the U.S. today. Staggering, & tens of thousands more to come.
Still stable at @UCSFHospitals & in SF. @UCSF, 15 pts, 5 on ventilators (Fig on L). In SF: 38 new cases, 23 deaths overall (up 1)(Fig R). A sad milestone: we passed 50,000 deaths in the U.S. today. Staggering, & tens of thousands more to come.
2/ @UCSF, we’ve cared for 23 Covid pts in ICU, with one death. #ZSFG w/ similar number of ICU patients & not a single death. Amazing outcomes; far better than published reports. Likely highlights value of flat curve: when health system is overwhelmed, mortality must be higher.
3/ Our overall test positivity rate @ucsf running ~3%, and falling as we do more asymptomatic testing (eg, pre-op patients). Of 567 tests on patients with no symptoms (in past 1-2 wks), just two have been positive (0.35%). Obviously, would be higher in regions w/ more virus.
1/ Covid (@UCSF) Chronicles, Day 29
V stable @ucsfhospitals: 18 cases (down 2), 4 on vents (see last tweet for outcome of one). ZSFG: 25 pts (down 9 from 2d ago), 11 intubated (no change). Drop is a bit misleading since a few pts transfered to other hospitals. No homeless surge
V stable @ucsfhospitals: 18 cases (down 2), 4 on vents (see last tweet for outcome of one). ZSFG: 25 pts (down 9 from 2d ago), 11 intubated (no change). Drop is a bit misleading since a few pts transfered to other hospitals. No homeless surge
2/ SF also remains stable. 1013 total cases; only 26 new cases today. 17 deaths since start, up 2. People have gotten over aversion to saying we've flattened curve (for fear of jinxing or changing behavior). Obviously so, thank goodness.
3/ @UCSF rate of positive tests 3.5%. 2nd day in row w/ no pos tests. Now testing all pre-op patients & will start testing all hospitalized pts @ucsfhospitals on Monday. Suspect very few positives but hope it'll reassure pts & workers that it’s safe to be in hospital: it is.
Attended on the Hospitalist #COVID service for 3 days at #ZSFG. Thread on reflections as a safety-net hospitalist
Don't worry, unlike making lemonade from lemons, I will not make evidence out of limited anecdotal experience
Don't worry, unlike making lemonade from lemons, I will not make evidence out of limited anecdotal experience
2| For context
In SF as of April 5th we have 529 COVID19+ patients with 8 deaths (aka not close to NYC)
At ZSFG, we have 26 admitted patients, with 16 in the ICU
No overt shortages, though we are conserving faceshields & N95 masks between COVID19 patients
In SF as of April 5th we have 529 COVID19+ patients with 8 deaths (aka not close to NYC)
At ZSFG, we have 26 admitted patients, with 16 in the ICU
No overt shortages, though we are conserving faceshields & N95 masks between COVID19 patients
3| At SFGH, the county hospital in SF, we are seeing many otherwise healthy Latinos in their 30s & 40s who comprise the backbone of our 'essential' economy: food industry, transportation, construction.
We all lose if we don't support these communities
We all lose if we don't support these communities
Covid (@UCSF) Chronicles, Day 8
1/ Still the calm before…who knows? Covid+ pts @UCSFHospitals=11, maybe a mini-blip (from 9 yest). ICU:ward ratio creeping up (7 ICU now). Cases in SF: steady, non-exponential climb (223; vs 178 yest). @UCSF planning feels done-ish–mostly waiting
1/ Still the calm before…who knows? Covid+ pts @UCSFHospitals=11, maybe a mini-blip (from 9 yest). ICU:ward ratio creeping up (7 ICU now). Cases in SF: steady, non-exponential climb (223; vs 178 yest). @UCSF planning feels done-ish–mostly waiting
2/ Lots of press interest in NY vs. CA comparison (chart below from bit.ly/2QMzjQs @voxdotcom). Here in SF, we’re allowing ourselves a bit of cautious optimism. Unfortunately, many other states (esp MI, GA, LA) seem to be following NY trajectory, just delayed
3/ Re: why "relative" sparing of SF/CA…I’ve given answers (see @Forbes article bit.ly/3dua67r & this 11 min podcast bit.ly/2wwXdc9 @tradeoffspod) that feel plausible. But reminded of Wm Goldman quote: “Nobody knows anything”
&Remember: We're not out of woods!
&Remember: We're not out of woods!
