Chris Vanderveen (yep…me) Profile picture
Jul 29, 2021 13 tweets 5 min read Read on X
THREAD

Prepare yourself for what's to come...

Seriously...

Things are gonna look a little dark in the coming weeks.

Not that you need to panic.

Why?

I'm going to walk you through what you need to know.

#COVID19Colorado

1/
First of all...

Prepare yourself now for the inevitable national news media freakout that's coming.

Because it's coming

Cases are on the rise all over the US. Media outlets more interested in clicks will attempt to capitalize on that.

Don't fall for it.

2/
Yes, rising case counts are concerning.

But it's a story that begs for context...

What kind of context? Welp, look at the UK for example.

UK just went through a BIG case spike. How big? Nearly as big as winter spike

(thanks @nytimes)

3/
But look at what's happened in the UK when it comes to hospitalizations.

Appears to have just peaked... at a MUCH LOWER number than previous winter peak

How much lower?

This peak is 20% of previous

4/
But hold on, you say. Don't hospitalizations lag?

Yes, they do... by a few weeks... but we're already seeing a concrete example that the UK patient peak is just beginning to turn

5/
news.yahoo.com/covid-patients…
To review... in the UK cases SPIKED... big time...

but patient counts didn't...

Why?

Well, you already know the answer to that...

6/
So, if US follows UK path here... yes... a lot of people will get sick... but a lot of people won't end up getting so sick that they end up in hospital

that's the goalpost... has been since the start

BUT... there's one big caveat... (and something you can monitor yourself)

7/
FLORIDA

Yep...

FLORIDA...

Watch what's happening there closely.

Cases are going up...BUT SO ARE HOSPITALIZATIONS

That's not great news.

8/
Why is Florida having such a problem?

Well, vaccination rate isn't great, but it's about middle of the road in the US

(thanks @MayoClinic)

Other states are doing much worse

So, yes, vaccination rate has something to do with this, but it's likely answer is more complicated

9/
But let's compare Florida with Colorado.

Here we are seeing a decent case rise (doubled in about a month and a half)

(still QUITE LOW... see below)

10/
But we have yet to see any substantive rise in hospitalizations.

If it stays this way, we're in ok shape

(Again, not suggesting that COVID infection comes w/o consequence)

11/
Bottom line...

This is why I will be paying close attention to HOSPITALIZATIONS and less attention to CASES

I would recommend you do the same.

I'm telling you... the national news freakout is coming...

Don't get sucked in

12/
You want this upcoming case spike to look like the UK's

(and you don't want it to look like Florida's right now)

Don't let the inevitable CASES ARE RISING freakout get you freaked out.

You should demand context.

Context is key

FIN

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More from @chrisvanderveen

Dec 19
Thousands of times every year, for many years, the largest provider of health care in Colorado has elected to do this.

Send process servers to the doors of their patients in search of money.

Money @UCHealth says its owed.

BUT... there seems to be a problem

A 🧵 Image
Let's start with the basics.

UCHealth is a MAJOR provider of care. It cares for millions every year.

So, yes, it is suing a small percentage of its patients for what it says are unpaid medical bills.

But... even a small lawsuit can be a BIG problem for its patients.

2/ Image
UCHealth has long insisted its litigation practices aren't unusual.

"Our practices are pretty consistent with other systems across Colorado and across the country" their Chief Legal Officer told me in January

But... are they???

3/ Image
Read 16 tweets
Oct 11
You're going to notice a giant mug shot on the stage with the former President today.

I want to talk a little about who that is... Mostly because you're going to see it a lot today

Here he is with @RepBoebert

A quick THREAD

1/ Image
His name is Jose Miguel Reyes-Perez

Earier this year, Lakewood Police arrested him on a felony menacing/vehicle theft case

A tow truck driver said Perez "pointed the rifle" at him.

Police believe he and another were trying to steal a motorcycle, according to arrest report

2/ Image
Aurora Police arrested him on an outstanding warrant on May 22.

That warrant was from JeffCo. He'd been released on a $5000 PR bond, acc to court records, in Feb.

Court records show he was supposed to be arragined in Jefferson County but failed to appear on August 5.

3/
Read 5 tweets
Aug 15
Ok. Someone much smarter than me is gonna have to answer this for me.

But I’m super duper curious about something with these negotiations.

Mostly about how these reductions in list prices compare with the typical rebates/discounts

Let’s start with the basics (below)

1/
The one thing you have to realize in the ridiculous and messy world of the US health care system is that no one typically pays the list price for anything.

Not for ER visits. Not for CTs. And not for rx drugs.

The latter is a mess. And one that still confuses me…but…

2/
Earlier this year the Commonwealth Fund did a study on the 10 drugs Medicare (the govt) will now “negotiate” prices on.

It’s a remarkably nerdy read. But one that’s important.

3/

commonwealthfund.org/publications/2…
Read 10 tweets
Jun 13
BIG NEWS

Following joint investigation by @9news and @ColoradoSun... @GovofCO signs bill to prohibit hospitals from suing patients under someone else's name

Here is our original investigation

We found UCHealth had quietly sued patients for years

🧵
1/
9news.com/article/news/i…
Starting in 2020, UCHealth largely stopped suing patients under its own name in Colorado courts

Why? We still can't say why. UCHealth won't say

But we know right around that time, other hospital systems were under intense public scrutiny for their litigation practices

2/ Image
Last year, when UCHealth wanted Lorena Sanchez to pay more than 24K for a CT scan/ER visit... it elected to sue her... but not under its own name.

Instead, it let Credit Service Company do the work for them.

Which, in turn, hid from the public UCHealth's involvement

3/ Image
Read 9 tweets
Apr 13
As Colorado becomes just the second state in the country to ban use of the term “excited delirium” on police and autopsy reports… following our yearlong investigation…

I want to take a moment to explain the motivation behind our work.

1/

9news.com/article/news/i…
Years ago, we started examining prone restraint deaths…

Deaths that followed prolonged prone restraint.

We spent years on it and found a lot of cases that were barely covered by local media.

Why? More on that in a moment.

Here’s link:

2/

9news.com/article/news/i…
While looking into deaths that happened during or shortly after prolonged prone restraint, we found many were explained not by use of force but by something known as “excited delirium”

Families often had to google the term after being told that’s why their loved one died.

3/ Image
Read 14 tweets
Sep 15, 2023
A THREAD

As the trial of two officers charged in the death of #ElijahMcClain gets underway...

...I would urge you to pay close attention to the term "EXCITED DELIRIUM"

Yes, I've reported on it extensively, but it also plays a BIG role in this death

Let me explain...

1/ Image
You don't need to know much about EXCITED DELIRIUM to know it played a significant role in his death.

How can I say that? Because not long after officers took McClain to the ground, the idea of it materialized.

Right after giving ketamine, a fire paramedic said this:

2/
This is the full sentence:

"No pain compliance"

"Still fighting"

"Diaphoretic" (Sweating)

These are all classic "symptoms" of "excited delirium" (A VERY controversial condition that many call nonsense)

The belief McClain had it is why he received ketamine (a sedative)

3/ Image
Read 11 tweets

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