Great opinion piece in @statnews co-authored by my colleague @Ateevm re: why #telemedicine is already losing it's precarious foothold in the U.S. healthcare system. Below is a summary of their line of reasoning in 3 tweets 🧵💡
1) In any business, uncertainty in future conditions dampens interest in investing resources 💰 to establish a new, long-term capability.
2) Most US healthcare organizations are run as businesses that have limited resources and must make a profit to survive.
3) TEMPORARY regulations ⬆️⬆️uncertainty.
4) Regulations re: telehealth payments 💸 in the #COVID19 pandemic have been explicitly TEMPORARY.⏱️
5) As such, it would be misguided to expect US healthcare organizations to invest the significant resources 💰necessary to establish...
...telehealth capabilities in the current regulatory environment.
6) If the capability to provide #telehealth has intrinsic value--which the authors argue it does--then PERMANENT regulatory changes are necessary to alleviate the uncertainty preventing widespread implementation.
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Given recent events with #POTUS, there's a renewed interest in the typical clinical course of #COVID19.
Here is a quick refresher for all audiences:
1) Symptoms severe enough for patients to seek hospital care often don't occur until 5-7 days after symptom onset.
a med🧵 1/
Week 2 of #COVID19 symptoms is, on average, the "danger window" when some patients become abruptly and critically ill.
2/
Week 3 of #COVID19 symptom--for patients who have been hospitalized with moderate or severe symptoms--is typically when we see them turn the corner and start improving.
The fact is we still don’t know what the long-term complications of #COVID19 will be, so student athletes cannot yet make an informed choice on the risks and benefits of playing.
(thread)
1/3
We know that if the Big 5 conferences decide to go ahead with football this fall, despite the unknown (but potentially serious!) risks to the athletes, many athletes will have circumstances that, rightly or wrongly, compel them to participate.
2/3
No scholarship is worth permanent disability from, say, cardiomyopathy from #COVID19.
I’d like to use some #popculture to highlight a truly awful, but yet-unmeasured impact of the current #COVID19 pandemic in the U.S.: restrictions on visitors to hospitals.
I’m currently reading Becoming by @MichelleObama. It’s fantastic.
Finished chapter 10 and...
...I couldn’t help but think of the countless people who've been robbed of this type of moment in their own lives because of COVID-19’s effect on hospital visitor policies. Perhaps it is just another unquantifiable tragedy in the midst of many in this pandemic...
...but I think it’s worth highlighting that the human costs of COVID-19 have and will go far beyond the mortality statistics, lost QALYs, etc. COVID-19 will also leave scars on many who never directly encountered the virus.
1/ Is my hospital workstation contaminated with SARS-CoV-2?
Here’s: #HowIreadThisPaper from @CDCgov's J of Emerging Inf Diseases on aerosol and surface distribution of the virus that causes COVID-19 in a hospital in Wuhan, China.
2/ Study goal: systematically assess contamination of hospital environment w/ SARS-CoV-2. Areas studied were a COVID+ ICU and an isolation general ward (“GW”). Authors stated the ICU had 15 pts w/ “severe” dz, and GW had 24 pts w/ “milder” dz. No mention of mechanical ventilation
3/ SETTING
🔦HIGHLIGHT #1: the layout of their COVID+ care units is pictured here. Does this look like your hospital’s COVID+ units?
I suspect the answer is a strong no. Take a look. This will be important in applying any of their results to your own hospital.