Feb 23 National #COVID-19 Critical Care Rounds #tweetstorm

Anecdotally, the new COVID variants have some differences in disease course.
Vikram Mukherjee, ICU director at Bellevue, NYC

33 yr old Male -re-infection
33 yr old Male -re-infection
Pregnant women at high risk for ARDS
Especially with UK variant
Variant case- brain bleed pericardia bled
Variant case- brain bleed pericardia bled
Even with near herd "immunity" new variant causing huge surge
Harry Sibold - past Montana State EMS Medical Director
20’s 2 months of intubation
#COVID disease course can take unusual presentation, far from conventionally expected respiratory symptoms/distress
Pulmonary and GI presentations in absence of ARDS Pulmonary/respiratory complaints (happy hypoxics)
Endocrine issues
COVID seems to be inducing diabetes symptomologies frequently
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More from @GuerinGreen

17 Feb
Bringing Fusion to the Grid 'tweetstorm'
Nat'l Academy of Science on bringing #fusion to the grid
#fusion would be key to future electrical generation mix
Read 17 tweets
16 Feb
@KPcolorado knew a vaccine was coming for at least 9 months, but didn't use the time to construct systems to ensure efficient and timely vaccinations of seniors.
Seniors who use #Medicare ... so
essentially tax dollars were wasted. We will need investigations and transparency so future public health disasters are better handled. @jaredpolis put senior lives in the hands of providers that lack the capacity
and the capability for an essential task. This despite reams of research that says provider communication is key to successful health outcomes.
We knew our health system was piss-poor at managing #chronicdisease- CVD, metabolic syndrome, obesity
Read 11 tweets
30 Jan
This is @laurenboebert's campaign manager. BTW, she is all about billionaires/millionaires (including C OGovernor @jaredpolis) "flipping" us into socialism. Now I don't quite get why wealthy capitalists want socialism that would strip them of their wealth. vimeo.com/465195363
God called Bishop to this effort, apparently. She is quite handy with apocalyptic and "end-times" language, as well as a very militant approach to politics. I'm thinking @KyleClark would enjoy this presentation, perhaps for #heynext
"May sure your Sheriff is with you. The Sheriff is the last line of defense." According to #Boebert campaign manager, he is the one who will protect you from a tyrannical gov't. Apparently, because the exercise of state power, including violence and imprisonment, isn't the gov't.
Read 5 tweets
29 Jan
The insurrectionist ex-SEAL @AdamNewbold21, the one who embarrassed the entire @USNavy, has revealed what must be serious challenges to the SEAL training
Note that you never see ex #Delta guys exhibiting this kind of attention-seeking, married to betrayal of their oath. @USASOCNews needs to get a handle on the failures in training and screening. The Navy needs to root out Right-Wing Extremists and benchmark Delta training.
If there are more ex-SEALs like @AdamNewbold21 on the loose, the Navy has created a significant domestic terror threat. @SecDef Austin needs to do a critical top-bottom review of what happened with Newbold, make sure he has
Read 7 tweets
16 Jan
@Carvana was supposed to deliver a car in the next three hours, something that was scheduled over a week ago
At the last minute, they notify it won’t be here until Tuesday.
Guessing they couldn’t find a truck, but they knew that days ago.
You have to wonder about @Carvana’s generally competency, and their motivation, in this notification. Does this extend to other parts of their business. #TheNewWayToBuyCar still has significant impairments of the old way to buy a car
What else did they dissemble about? Will we find significant undisclosed damage to the car? It’s #unsettling at best, and cast doubts about the whole of the frictionless @Carvana purchase process
Read 5 tweets
5 Jan
National Critical Care Rounds tweetstorm
Haven’t been on the calls since before the holidays
It was one of the more depressing calls to date. Volume of very sick #COVID patients and changing disease course /1
Read 21 tweets

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