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It took #COVID19 for telemedicine to get real respect.
"In this instance, it may be a virtually perfect solution"
nejm.org/doi/full/10.10… @NEJM @JuddHollander @Dr_BrendanCarr @TJUHospital @MountSinaiNYC +1, well articulated, Judd and Brendan @EmeregencyDocs
Especially if we can rapidly send #COVID19 test kits to homes throughout the US theverge.com/2020/3/9/21171…
@gatesfoundation @BillGates @seattleflustudy @UWVirology #Telemedicine @EmergencyDocs
Let's get this operational ASAP
“The use of telemedicine is going to be critical for management of this pandemic." @StephenParodiMD @PermanenteDocs nytimes.com/2020/03/11/hea… by @ReedAbelson
and via @mdmajmudar
Our @TheLancet new Digital Medicine essay today is on #Telemedicine 2.0 (an essential adjunct for #COVID19) thelancet.com/journals/lance… by @RayDorseyNeuro @UR_Med and me @ScrippsRTI @scrippsresearch
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#COVID19 #Telemedicine

More from @EricTopol see all

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Eric Topol
@EricTopol
A new @ScienceMagazine paper is the best evidence yet for the people without symptoms ("undocumented," i.e. with no or mild Sx, not tested) driving the spread #COVID19
science.sciencemag.org/content/early/… brilliant modeling of synthetic outbreak
via @hholdenthorp
If anyone questioned the value of social and physical distancing, this ought to help squelch it.
#StayHomeSaveLives stayhomesavelives.us
I'm taking the liberty of changing the headline of this very good @CNN piece
by @elizcohencnn cnn.com/2020/03/14/hea…
Read 3 tweets
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Eric Topol
@EricTopol
Why broad and random #COVID19 testing, not just for those sick, provides critical insights
wsj.com/articles/its-d… by Neeraj Sood @USCPrice @SchaefferCenter
In South Korea, it helped us learn that the young are frequently without symptoms but carriers, a key basis of spread
We're so far behind on testing in the US that its impact will be reduced vs the best model but that doesn't mean we shouldn't proceed
propublica.org/article/how-so… by @SteveEngelberg @propublica

Yet we have our @Surgeon_General @JeromeAdamsMD spreading misinformation that South Korea was able to do this because it is an authoritarian state @foxandfriends (Thx @AlexWardVox @voxdotcom, via @carlzimmer)
Read 3 tweets
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Eric Topol
@EricTopol
For #COVID19, we'll take all the good news we can.
Lack of transmission of virus in 4 pregnancies to the newborns (1st report on this important question)
@FrontPediatrics frontiersin.org/articles/10.33…
Actually it's the 2nd report, 1st was @TheLancet with lack of vertical transmission in 9 pregnancies (1 week ago, I'd missed that one) thelancet.com/action/showPdf…
So it's some good news replicated.
And a 3rd report of 10 pregnancies without vertical transmission atm.amegroups.com/post/view/clin… thanks @sgdambrauskas
The numbers are still small (23 total) but encouraging
Read 3 tweets

Related threads

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Karin Wulf
@kawulf
NB fr #VastEarlyAmerica abt epidemic. It's a commonplace that Europeans diseases hit Native American communities very, very hard. A key point in this excellent 2003 _William & Mary Quarterly_ essay by David Jones is that it was war, social stress, & food shortage that made ...1/
That made diseases take root and have such devastating consequences. In other words, it was the forces of colonialism itself as much as the pathogens. This is the conclusion: 2/
The WMQ then-editor repeatedly cites this as one of the most consequential essays of his tenure. "Virgin Soils," the idea that lack of immunity can be separated from the social conditions of people who are exposed to pathogens, is wrong for the history, and wrong now. ALSO, 3/
Read 5 tweets
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Tom Folan
@tomfolanmd
Clarification: The patchy opacities involving the upper, mid, and lower lung zones bilaterally are ground glass opacities, and do NOT represent necrosis.

This is extensive disease present, and #COVIDー19 can result in chronic lung injury to include fibrosis if not death first.
The following case study illustrates a case from China in a 46 year old male with ground glass opacities involving the bilateral lower lobes (A,B), with 2 day follow up imaging (C, D) with more extensive opacities, now involving right upper lobe as well as bilateral lower lobes.
Comparison of clinical and radiographic features of SARs, MERs, and COVID-19

#COVIDー19
Read 5 tweets
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Samuel V. Scarpino
@svscarpino
That's a tough question, but, if it helps, here's how I'm currently thinking about #COVID19 in the US.
To begin, it's always prudent to prepare, but not panic. I'd point you to @cmyeaton, @HelenBranswell, and @mlipsitch who are the rational experts (w/ consistent Twitter presences) that I look to for all things epidemic preparedness and this US Gov. site: ready.gov/pandemic
Regarding impacts, there's scant evidence that travel restrictions are feasible ways to prevent spread. That has not stopped governments from imposing them. Given the irrationality of our current admin, anything seems possible ncbi.nlm.nih.gov/pmc/articles/P… & journals.plos.org/plosone/articl…
Read 19 tweets
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DocRock1007 🇺🇸
@DocRock1007
...to San Francisco. apnews.com/cc77e92054c495…
2. Roads in and out of #Wuhan (even small side roads) being barricaded with piles of dirt/rocks to block all traffic in or out.
3. "Ye shall not eat any thing with the blood: neither shall ye use enchantment, nor observe times. Ye shall not .. print any marks upon you: I am the LORD. Do not prostitute thy daughter, to cause her to be a whore; lest the land fall to whoredom"..."apnews.com/d59f43a911996a…
Read 279 tweets
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CharterForHealthcare
@charter4values
@mtobiasneely @NIH @TIMESUPNOW @MeTooSTEM @socwomen @Clayman_Inst @ASAnews @insidehighered @chronicle Thanks for asking. Our input & research:
1. Study institutional protection of #harassers. Examples: Johns Hopkins @JHUmetoo #jhtoo & Vanderbilt sciencemag.org/news/2019/02/n… @ProfSharona @AnnOlivarius @darakass @maddow @CWolinetzNIH @SUNYChancellor @NLMdirector @rejoicePhD @CWGreider
@mtobiasneely @NIH @TIMESUPNOW @MeTooSTEM @socwomen @Clayman_Inst @ASAnews @insidehighered @chronicle @JHUmetoo @ProfSharona @AnnOlivarius @darakass @maddow @CWolinetzNIH @SUNYChancellor @NLMdirector @rejoicePhD @CWGreider 2. No one should ever lose their job & tenure for fighting against #SexualHarassment & assault. >8300 supporters so far signed Read their comments change.org/p/vanderbilt-d… @500womensci @500WIM @JamesRPriestMD @scoutout @JulieSegre @kaymtye @HannahValantine @choo_ek @KayKosmos
@mtobiasneely @NIH @TIMESUPNOW @MeTooSTEM @socwomen @Clayman_Inst @ASAnews @insidehighered @chronicle @JHUmetoo @ProfSharona @AnnOlivarius @darakass @maddow @CWolinetzNIH @SUNYChancellor @NLMdirector @rejoicePhD @CWGreider @500womensci @500WIM @JamesRPriestMD @scoutout @JulieSegre @kaymtye @HannahValantine @choo_ek @KayKosmos 3. @McLNeuro is founder of @MeTooSTEM. Her department chair, Sweatt, on leave for allegedly drugging and raping a student, was allowed to be part of the decision to reverse her tenure (at the request of Dean Jeffrey Balser) after tenure had been approved.the-scientist.com/news-opinion/v…
Read 27 tweets
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CharterForHealthcare
@charter4values
@McLNeuro @DrAilshire @JMGrohNeuro @sbarolo @hormiga @risss_evans @KKTreseder @SarahEMyhre @batssiki @sbrietz Set up ways to continue dialogue with @NIHDirector & committee–ongoing conversation & input. Action plan before you leave. Also make clear any further delays are unacceptable. Action plans, strong regulations/policies must be instituted immediately. Petition is excellent example.
@McLNeuro @DrAilshire @JMGrohNeuro @sbarolo @hormiga @risss_evans @KKTreseder @SarahEMyhre @batssiki @sbrietz @NIHDirector 1- Many excellent thoughts/suggestions in thread. We thought a list of comments/support/urgency from many sectors may be useful. Concerning that @NIHDirector has not made clear, active efforts to stop #SexualHarassment by @NIH grant holders while @NSF & other orgs have.
@McLNeuro @DrAilshire @JMGrohNeuro @sbarolo @hormiga @risss_evans @KKTreseder @SarahEMyhre @batssiki @sbrietz @NIHDirector @NIH @NSF 2- Why isn’t #SexualHarassment a top #NIH priority. Why the resistance to actively creating strong policies against #SexualHarassment to protect #WomenInMedicine #WomenInScience #WomenInSTEM #WomeninEngineering, even when called out repeatedly by many. What’s the real issue here?
Read 16 tweets

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