I said to @AnaCabrera and @yasminv today that we all suspected, based on the press conference, that Trump had received oxygen.

It has now been confirmed by @nytimes as well as @AP.

nytimes.com/live/2020/10/0…
It's time to get real:

Based on data from clinical trials in the UK, this suggests that he has about a 23-26% mortality risk, depending on whether he received dexamethasone.
nejm.org/doi/full/10.10…
And based on my clinical experience, I and many other physicians across the country are quite concerned.

(Caveat: we haven't examined him. We have however seen lots and lots of patients like him.)
Even if he survives, he likely faces weeks of recovery .... and possibly long-term consequences to his lungs, heart, and other organs. (Even Boris Johnson took a month to get better!)

Great summary of the evidence on #LongCovid here:
nature.com/articles/d4158…
It is of course possible that the experimental drugs he received, combined with luck, will result in a quick recovery. And 3/4 of patients receiving O2 do not die.

But: we need to be honest about where we are at, and what we should be preparing for as a country.
I wish him and our country strength and good luck in the weeks to come.

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More from @meganranney

20 Jan
Waiting with @JimLangevin to get through security for #Inauguration. So much energy & excitement in Rayburn. 💓

Ps: we all had #covid19 test yesterday, 100% masking, and vast majority have had at least 1st dose of vaccine. Image
Here we go 💗 Image
Looking down on the podium. Poet @TheAmandaGorman just walked in. 😍

I'm wishing I had remembered to bring Kleenex..... Image
Read 18 tweets
18 Jan
So.... I'm going to start a series of polls about TRUTHS about #vaccines in general, and the #COVID19 vaccine in particular. Please feel free to play along :)

@SemaSgaier @darakass @SaskiaPopescu @DrJRMarcelin @DraCoquiMD @ashishkjha
Question #1:
Vaccines are held to higher safety standards than other pharmaceuticals in the U.S.
Question #2:
Pharmaceutical companies test vaccines carefully, in general, before releasing to the public
Read 8 tweets
18 Jan
I read the @Transition46 plan for #covid19 last week with what can only be described as relief.

At last, here are ALL THE THINGS we know will work to reduce spread of this virus. Here's all the science, attention to equity, attention to planning. 🎉 nytimes.com/2021/01/18/opi…
Here is the attention to manufacturing and supplies.

To workforce.

To IT systems.

To primary care.

To testing.

To #publichealth.
I see the minds of so many brilliant folks reflected herein @celinegounder @ERIC_Yale @ASlavitt @vivek_murthy @globalgamechngr @mtosterholm @Atul_Gawande et al

And it gives me hope, that we can beat this virus at last

*but*:
Read 8 tweets
17 Jan
You can take the girl out of Buffalo....
NOW THAT'S FOOTBALL
Read 4 tweets
14 Jan
"For almost a year now, healthcare workers have been at the frontline fighting the #covid19 pandemic... but the vaccine isn't going to address the #mentalhealth effects of this grueling pandemic on HCWs"

Honored to discuss w/ @drsanjaygupta & @drjessigold cnn.com/audio/podcasts…
I share stories of friends and colleagues (& myself!) struggling with the virus.

Stories of being threatened by patients.

And Jessi shares how she counsels folks like me.
As @drsanjaygupta says - "Balancing hope and honesty" is part of our job in medicine.

We need to find sustenance for ourselves, & her communities.

And I will tell you: this conversation sustained ME.
Read 5 tweets
13 Jan
🚨 Today, while our country is in the midst of turmoil, I received notice that the White House is proposing to cut firearm injury prevention research funding.

This is RIDICULOUS (but, predictable)

rollcall.com/2021/01/12/whi…
It reflects the continued, tired trope that a #publichealth approach to firearm injury is inherently opposed to gun ownership.

It ignores the fact that firearm injury IS a health problem.

nejm.org/doi/full/10.10…
It ignores that the only way forward, is by coming together and creating real data - real evidence - that can motivate real, sustained change.

(This is how we've decreased car crash & HIV deaths, & the basis of much #COVID19 work.)
ted.com/talks/megan_ra…
Read 7 tweets

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