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Hospice docs, NPs, nurses, aides and caregivers NEED YOUR HELP
With #COVID, in person Face to face visits are NOT SAFE.
#HPM #PalliativeCare #ACHPN @AAHPM #NoFTF

Your caregivers hope is to get waivers to eliminate FTF or make telemedicine visits an alternative ASAP:
1)Will save hospice patient lives (and minimize spread to families visiting them from across the country)
2)Will save physician/nurse practitioner lives
3)Will allow physicians/nurse practitioners to focus more time on medical needs (Most hospice docs/NPs are #PCP docs/NPs)
4)Will reduce waste of scarce personal protective gear
5)Will have NO impact on CMS finances (no evidence these regulatory requirements save money)
Here is the letter our groups sent: bit.ly/2Wu2DPI
Please make this TREND and tag YOUR OWN Reps and Senators and anyone you know in #HHS #CMS
@SenToomey @SenBobCasey @GReschenthaler @RepMGS @ConorLambPA @vivek_murthy @TheresaBrown @Atul_Gawande @DemFromCT @VAArk @BobDohertyACP @rabrazzak @DrRobDavidson @RoKhanna #HelpHospice
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Thread by @cmhughesmd: Hospice docs, NPs, nurses, aides and caregivers NEED YOUR HELP With #COVID, in person Face to face visits are NOT SAFEalliativeCare #ACHPN @AAHPM #NoFTF Your caregivers hope is to get waivers to eliminate FTF or make telemedicine v… threadreaderapp.com/thread/1240694…
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Chris M Hughes, MD
@cmhughesmd
Watching this excellent interview with @AnandWrites about wealth inequality, and at about 3:30 he hits an excellent point about work and its value to society 1/ :
“Entrepreneurs are just one type of person in society pursuing one type of good, which is money and growth. You know, it turns out that what teachers do is not motivated by that kind of calculation and actually turns out to be really, really important to a civilized society… 2/
If [people] abandoned [going] into medicine or public service, if we abandoned that, [and only] pursuit of money is an end goal, we'd have an impoverished society…” 3/
Read 8 tweets

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Pawprints Dog Rescue (UK)
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#Covidー19uk Statement

Pawprints Dog Rescue was first set up as a charity in 2012 with the primary aim to save the lives of stray dogs abandoned at local pounds. We will continue to do our utmost to meet any demands in the almost surreal situation that we find ourselves in, as
long as we can meet the financial obligation this will place on us from the highly likely increase of abandonment due to fear, illness or very sadly, death; that we can provide the kennel space and ensure that we have back up plans in place in case of mass self-isolation or
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David Sinclair, PhD AO
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Since my Harvard lab closed yesterday, I've been reading and interpreting this week's published papers on #COVID19. What follows is a thread of information, my interpretation, links to sources & predictions. Let's start with what you need to know... #coronavirus #COVIDー19
Treatments that seem to work are chloroquine (a cheap malarial drug), Gilliad's remdesivir with interferon-beta (in clinical trials from COV-19), plasma from recovered patients, and a steroid (methylprednisilone). Doctors in US are now using remdesivir off-label...
SARS-CoV2 attacks pneumocytes in lung, intestine, heart & cells lining blood vessels. In lung, CoV2 prevents cells from making biological detergents to keep lung passages open. Acute respiratory distress follows. O2 levels fall..but there's may be a dangerous underlying process..
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C.J. Hayden
@CJHayden
At the beginning of 2020, I went on sabbatical for 4 months. To celebrate my full recovery from cancer, I had planned a bucket-list trip: a round-the-world cruise on a small ship. Talk about bad timing!#coronavirus #cruiseship 1/
Back in January, no one expected a virus in China would explode into #coronapocalypse. My #travelinsurance company helpfully informed me that "fear" of a disease was not a covered reason for cancellation. The #cruiseship line wasn't offering refunds then either. 2/
We departed Los Angeles Jan 20, westbound on the Pacific Princess. There were the usual #cruiseship hiccups: harbor traffic in Rangiroa diverted us to Moorea, Cyclone Uesi kept us from reaching Stewart Island and Milford Sound so we went to Christchurch instead. 3/
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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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Dr. Chris Mackie
@Healthmac
A thread on why I am not panicking about #Coronavirus #COVID-19.
In 2003, the world experienced an outbreak of SARS (Severe Acute Respiratory Syndrome). I was in med school. Initially, the illness seemed to be linked with travel to China, but the Chinese government was not saying anything about it.
The cause of SARS was completely unknown, and it was five months between the illness first appearing and the World Health Organization (WHO) becoming significantly involved, alerting public health authorities around the world.
Read 46 tweets
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Abigail
@TeriCottone
Docs you all write brilliant articles, but unless they're affected people don't read them.

PLEASE watch this 2 min video, this is URGENT! There are articles attached to prove this is critical. This can affect every #American. People are needlessly dying, We need your #Help
Almost 6 decades ago the UN addressed the under-treatment of pain, despite narcotic pain relief many people around the world suffer needlessly. In 1961 we recognized the undertreatment of #pain is a #HumanRights abuse. #RNC & #DNC are you listening?

ncbi.nlm.nih.gov/pmc/articles/P…
The #DEA is arguably waging a war against the weakest members of society These are #HumanRights abuses! #Trump Administration you think #KidsInCages was bad!

Plz, use the link in the article to let the DEA know what you think about more cuts to supplies
.painnewsnetwork.org/stories/2019/1…
Read 12 tweets

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