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“One heavily affected hospital in San Jose area”

Well, guess cat may be out of the bag?

For a week I’ve been hearing unconfirmed reports that some Bay Area hospitals were already seeing influx of coronavirus patients. But haven’t seen official news. Maybe this is confirmation?
A Stanford faculty member tested positive recently. Many friends there, hope they are ok. mercurynews.com/stanford-medic…
Also, this suggests more patients than current public perception:

“In attendance were physicians from Santa Clara, San Francisco, and Orange County who had all seen and cared for COVID-19 patients, both returning travelers and community-acquired cases.”
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Balaji S. Srinivasan
@balajis
My one edit to this:

I don't think it's practical to "end" the FDA, anymore than it was practical to "end" the Fed

Too much infra around it, can't replace overnight

Instead, do it like crypto. Route around with an alternative

Here, that's expanded right-to-try at state level
That is, if you say "end" the Fed or FDA, it works as slogan but the establishment doesn't take it seriously. These institutions are the core of the whole system, all backlinks go into them, can't just set that to zero.

The real threat is to *build the alternative*.
All Bitcoin needed was the right to exist.

Technological decentralization ensured it couldn't be easily shut down by any state. And then once that alternate pathway existed, it started outcompeting* the Fed's dollar over the long-term.

* Yes, down now, but up >10000X since '10
Read 7 tweets
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Balaji S. Srinivasan
@balajis
The 2020s will be the decade of biomedicine. Almost everything else may crash but budgets for this will be unlimited.

Founders should consider joining Illumina, Roche, GSK, etc to learn skills. And learning how to "biohack" at home.
medium.com/@ThatMrE/a-gui…
What the internet was to software, or crypto was to finance, the virus will be to biomedicine.

It is going to decentralize it, accelerate it, make it highly personal, cause an enormous surge of new talent into the area, and (most importantly) change the risk calculus.
The risk calculus part is important. Up until this point, the cost of biomedical delay was invisible and deniable.

But what FDA's CDRH division did in terms of delaying EUAs for lab tests has now very publicly cost us trillions of dollars and likely many American lives.
Read 7 tweets
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Balaji S. Srinivasan
@balajis
Quarantine theater?

It appears the US right now is doing half-ass TSA-ish things.

Rather than a short, sharp, universal lockdown it is taking huge economic damage without the full health benefit. If we're doing this, we need to do it like Asia or Israel would do it. ImageImage
Measuring success requires:

1) massive diagnostics capability for the foreseeable future
2) centralized site to collect these stats

We need (1) because this is an infectious disease, so people will need to be retested many times. We need (2) to get a scoreboard.
US government dysfunction means we'll need to do this the hard way: the decentralized response.

Testing is ramping now that it's finally outside the FDA/CDC bottleneck (see below).

Our general mental model must be: the state will mess it up, so we need to monitor & decentralize Image
Read 6 tweets

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👩🏻‍⚕️Hi, I’m Dr Chen and older than I look
@Chenbariatrics1
1/ Notes from the front lines:
#Sharing from another physician:

From an ID conference in California

3/8/2020

Infectious Disease Association of California (IDAC) Northern California Winter Symposium on Saturday 3/7.
2/
In attendance were physicians from Santa Clara, San Francisco & Orange Counties who had all seen and cared for COVID-19 patients, both returning travelers and community-acquired cases. Also present was the Chief of ID for Providence, who has 2 affected Seattle hospitals.
3/
Erin Epson, CDPH director of Hospital Acquired Infections, was also there to give updates on how CDPH and CDC are handling exposed health care workers, among other things. Below are some of the key take-aways from their experiences.
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Defense: Allegation that Assange put people knowingly at risk, which the Prosecution argues justifies separate treatment under the First Amendment, is “obviously false” based on publicly available information - and that is part of the abuse of process of these proceedings.
One can accurately describe the Prosecution allegations as “lies, lies and more lies”.
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Okay kids, it's 8:48pm Pacific on Sunday, I've got my Cats screener ready to stream, so let's do this... #cats
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Day 2 #Gambia v #Myanmar #ICJ begins, w/#ASSK up first. She declares #genocide is a crime, applied by #ICTR to #Rwanda but not to #Kosovo or #Croatia by #ICTY or #ICJ, because of a lack of dolus specialis.
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#JuliElmoSerye

Ex Y Me

Wherein Ariella and Kyrie are exes thrown together into each other's lives yet again, with a little help and a few nudges here and there from their best friend, Phoebe aka AriRie's number one fan.
Characters:

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Hindi ko alam kung bakit ang aga ko nagising ngayon para mag bake ng cupcakes. Nang matapos ako agad ko itong pinost sa twitter account ko.

#1
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