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Steven J. Stack

@StevenStackMD

Jun 21, 2020 • 4 tweets • 3 min read • Read on X

I was asked if KY breaks down #COVID19 PCR vs. serology studies. Yes. For those interested in the data, govstatus.egov.com/kycovid19 presents top line data updated daily. Through that website, you can access a Desktop Dashboard that also enables you to explore county-specific data.

We present and break down various data on the website. Lab Confirmed positive requires a PCR + test result. Serology + tests and clinical diagnosis of #COVID19 via other means are reported as Probable positive.

CDC has case definitions that determine the criteria for assigning patients to various categories such as Lab Confirmed or Probable. You can view an example of a CDC #COVID19 case definition here: wwwn.cdc.gov/nndss/conditio…

Be careful w/ serology (antibody) tests. Interpretation of these tests is complicated and it is easy to misinterpret the results. Simply said, a positive antibody does NOT ensure you have immunity and may not even ensure you were ever infected. More here: ama-assn.org/delivering-car…

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Steven J. Stack

@StevenStackMD

Oct 6, 2020

Yesterday, Kentucky completed its highest week ever for new #COVID19 cases.

The most recent weeks are concerning for the beginning of exponential growth.

I’ll share some stats and more reflective thoughts in this thread.

1/9

Kentucky’s incidence rate map (#COVID19 cases/100k persons) is very ‘hot.’

5 counties are around 50 cases/100k, double the level necessary to be red.

Sadly, people disregarding social distancing and mask use appears to be contributing to the problem.

2/x

Other democracies have done much better than USA.

New #COVID19 cases per million people (visual estimate of y-axis):

USA: 22k
Canada: 4.2k
Germany: 3.9k
New Zealand: 0.2k

It’s not the disease, it’s our choices as Americans.

3/9

Read 9 tweets

Steven J. Stack

@StevenStackMD

Oct 3, 2020

#COVID19 is like a casino. If you play long enough, when your luck runs out, the house always wins.

Folks, the USA and Kentucky are in for a world of hurt this autumn if we don’t pull ourselves together real fast.

1/10

The President of the United States has:
-the most powerful political office,
-the most secure house, helicopter, plane, etc., and
-some of the smartest scientists...

In the entire world.

The President of the United States is hospitalized with #COVID19.

2/10

The President of the United States and
-His wife,
-Many of his closest advisors,
-Multiple members of Congress, and
-Others...

Have all contracted #COVID19.

We are witnessing a #COVID19 cluster and possible super-spreading event unfold among our senior federal officials.

3/10

Read 10 tweets

Steven J. Stack

@StevenStackMD

Jul 29, 2020

I was asked yesterday at the press conference about hydroxychloroquine & chloroquine as treatments for #COVID19 At this time, medical research has not shown these medications to be meaningfully helpful for this disease. Here’s a short thread with just a handful of articles. /1

@JAMANetwork

May 11: “...treatment with hydroxychloroquine, azithromycin, or both, compared with neither treatment, was not significantly associated with differences in in-hospital mortality.” ja.ma/2X4JEKO @JAMANetwork /2

@NEJM

June 18: “..our findings do not support the use of hydroxychloroquine at present, outside randomized clinical trials testing its efficacy.” nejm.org/doi/full/10.10… @NEJM /3

Read 5 tweets

Steven J. Stack

@StevenStackMD

Jul 7, 2020

#TeamKentucky, here’s a review our #COVID19 pandemic journey from March until now.

To begin:
1)Socially Distance
2)Wear a Mask 😷
3)Clean your Hands
4)Stay Home if Sick & Get Tested

Why? Keep reading. /1

In March, NYC showed us how rapidly and dangerously #COVID19 spreads. Hospitals were overrun. As of July 7, >71,000 New Yorkers have died from COVID19 in <6 months. Kentucky flattened this first potential curve through #HealthyatHome. Graphic 91-divoc.com /2

@UKGattonCollege

.@UKGattonCollege demonstrated in April how #HealthyatHome kept Kentuckians safer by flattening the curve. /3

Read 9 tweets

Steven J. Stack

@StevenStackMD

Jul 2, 2020

It’s straightforward - Wear a mask, socially distance, wash your hands, & get tested if sick. It shouldn’t require mandates. Let’s take a look again at what happens when folks choose poorly. /1

A little more detail on TX. /2

When it gets real bad, the hospitals fill up, run out of space, and can run out of resources to maximally treat everyone who needs care. Let’s pray this doesn’t happen in Arizona (or anywhere else) /3

Read 8 tweets

Steven J. Stack

@StevenStackMD

Jul 2, 2020

Folks, please take #COVIDー19 seriously. This is not a drill. A lot of people will get hurt if enough of us don’t wear masks, socially distance, and sanitize our hands. —>
L.A. County again closes restaurants amid coronavirus surge - Los Angeles Times latimes.com/california/sto…

Or maybe Texas is more your style.

Or perhaps Florida.

Read 8 tweets

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