Steven J. Stack Profile picture
Oct 3, 2020 10 tweets 5 min read Read on X
#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
Packing people close together in

-Confined spaces,
-Without masks

Is like betting our house and entire 401k on snake eyes at the craps table. We might get lucky on occasion, but 35 times out of 36 we’re gonna lose it all.

4/10
#COVID19
-Doesn’t care what we believe,
-Relentlessly pursues humans in which to multiply, and
-Preys without remorse on the vulnerable, disadvantaged, unlucky, and naive.

When we ignore these realities, we add to our suffering while the virus laughs at our foolishness.

5/10
Hopefully everyone w/ #COVID19 has a full recovery. But not everyone is so lucky. Kentucky data shows for people with #COVID19:
- 7.7% are hospitalized,
- 2.2% end up in the ICU, and
- 1.7% die.

Mortality increases w/ age - only 9% under 60 die. Good odds. Ready to play?

6/10
Kentucky’s running hot. Our #COVID19 map is ugly.

With 1 day left, we already set a new weekly record for new cases for the 2nd week in a row.

The house is winning and that really stinks ‘cause when cases go up, more folks get hospitalized, and more folks die.

7/10
There are many tragedies in this.

One glaring tragedy is that it didn’t have to be this way.

We are waging a foolish battle w/ ourselves, not the virus, and that’s killing Americans in droves.

Other democracies figured it out. Sadly, our nation has not met the challenge.

8/10
So, #TeamKentucky and fellow Americans:
- Is it better to die than wear a cotton mask?
- If I don’t want to wear a mask and don’t die, is it ok if others die for my choice?
- 1 in 10 persons with #COVID19 appear to have long-term symptoms; do I care if I’m one of them?

9/10
Fundamentally, we are good people and want to be ‘good guys’ in our own lives.

So, #TeamKentucky and fellow Americans:
- Be kind,
- Love your neighbor,
- Save a life…

Wear a mask. 😷

Stay >6 feet away. 📏

Wash your hands. 🤲

Stay home if sick. 🏡

Be heroes. 🦸

10/END

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More from @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
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
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
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
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 demonstrated in April how #HealthyatHome kept Kentuckians safer by flattening the curve. /3
Read 9 tweets
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 Image
A little more detail on TX. /2 Image
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 Image
Read 8 tweets
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. Image
Or perhaps Florida. Image
Read 8 tweets
Jun 21, 2020
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. Image
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. Image
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…
Read 4 tweets

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