I was alone on an elevator today when I began hearing a voice.

It asked me if I “still support President Donald Trump’s ambitious agenda?”

I look around. No one here.

Hmm that’s weird
1/
Then the voice asked me if I’d like to “make a donation to support President Trump and the America first agenda he enacted?”

Pause

Umm no. This is an elevator.

Pause

The voice said “Aha.”

Then it continued “I’m sorry. Thank you bye bye.”

2/
So either:
A. I’m having a pro-Trump command auditory verbal hallucination or
B. His campaign robocalled the elevator’s emergency phone

3/
I’m pretty sure it’s B because I got a video of the second half.

4/
Apparently modern elevators all have telephones ☎️ not intercoms.

There is even sub-discipline of phreaking called elevator phone phreaking. @WIRED had a good story on it:
wired.com/story/elevator…

If you look closely, you can see that the red “call placed indicator” is on.
5/
Anyway you can be sure I’ll always be checking the panel to see if that little red “don’t worry you aren’t crazy Nick” LED is on.

So bottom line: this could have been a elevator phone phreaking prank but more likely just a hilarious wrong robodial.
6/
Alternatively, this could be the most hyper-targeted campaign call ever. I imagine a meeting at Mar-a-Lago:
“We NEED to target college educated 30-something HCWs in the Seattle area who never vote Republican”

“But *HOW* can we reach them?”

“The Elevator”

“Great idea Jared!”
7/

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More from @nickmmark

7 Jan
As someone who has dedicated a lot of time to studying and making #dataviz, let me explain why I dislike this NYT COVID graphic so much.

1/
It’s not that it’s a spiral - one of my favorite types of graphs is the Condegram spiral. (Named after Mark Conde)

It’s used in astronomy/meteorology to show changes the Earths magnetic fields (Kp index) & is used to visualize space weather.

2/
Another awesome spiral graph - and one of the best examples of #dataviz ever IMO - is the Rose plots by Florence Nightingale.

These 1858 plots show the causes of mortality in Crimean war & make a compelling case that for improving conditions (particularly shelter in winter).
3/
Read 11 tweets
5 Jan
The risk of myocarditis in kids after mRNA vaccines is MUCH lower than was initially feared.

12-15 yo: 265 cases/18.7m doses = 1.4 cases/100k kids vaxxed
5-11 yo: 12 cases/8m doses = 0.12 cases/100k kids vaxxed

For context, the risk of getting struck by⚡️ is ~0.2/100k per year.
People asking about 16-17 yo males:

Yes we know that group has slightly higher (but still objectively low 7/100k) rates of myocarditis

The point is that rates of myocarditis are *even* lower in younger kids (5-15 yo) Hence ACIP’s recommendation that kids *should* get boosted.
As for the VSD data. In this dataset, among people aged 12-17yo, they reported 39 cases out of 1.1m vaccinations. Most were mild.

This is higher but still objectively very rare: 3.2/100k

Again, this safety data was used by ACIP to justify a stronger “SHOULD” recommendation
Read 5 tweets
4 Jan
The US hits a million COVID cases in one day. Shit.
Hospitalizations also rising rapidly.

The key is that “milder” ≠ “mild”

A variant that is 2x infectious but 30% less virulent is still very bad & has potential to overload our hospitals.
Also important: most people in the hospital don’t have COVID but everyone’s care is harmed when we don’t have enough staff.

Some hospitals have >30% of acute care staff out sick.

Today is a bad day to need the cath lab or OR.
Read 4 tweets
27 Dec 21
Finally read the new @American_Heart AHA guidelines & they are absolute garbage.

Providers shouldn’t delay compressions or defib to put on PPE? Seriously?!? It takes like 10 seconds to put on an N95!

1/
Also were they afraid to actually *recommend* vaccination?

How about saying “vaccines substantially reduce the risk of DYING or getting SERIOUSLY ILL from COVID. All healthcare workers *should* be vaccinated”

Instead they went with a toothless “may reduce their risk” blah
2/
Others have pointed out the utter hypocrisy of people who are NEVER the first responders to a code writing this guideline. This is true.

Also, logistically, who do they think will respond to a code when a dozen RNs are home sick after being exposed at the last one?
3/
Read 5 tweets
25 Dec 21
Nothing conveys so much scientific ignorance so concisely as “Dandelion 22.7pH”
It’s a common misconception that you can’t have a pH above 14.

You actually CAN have a strong base with pH >14 (or an acid with a pH <0). It’s just super duper hard to dissolve that much base in water.

🧪 Let’s look at what it would take to make a BASIC solution with pH=22!
1/
First off what do we mean when we say BASIC?

I guess it could be any of these things…
2/ ImageImageImageImage
Read 19 tweets
25 Dec 21
Doing a coding refresher while my kids were watching a movie, resulted in an epic crossover: Home Alone ICD10

First the title. 3 options:
Z62.29 Other upbringing away from parents
Z60.2 Problems related to living alone
T76.02XA Child neglect or abandonment, initial encounter
1/
The movies opens with household chaos. The protagonist (Kevin) is bullied by his older Brother “Buzz”.

Don’t worry there’s not one but two ICD10 codes for this:
1️⃣Y07.41 Sibling, perpetrator of maltreatment
2️⃣F93.9 Childhood emotional disorder, unspecified
2/
Kevin fears that Fuller (played by his real life brother Kieran) will wet the bed.

You can code this concern from Fuller’s perspective or from Kevin’s:
1️⃣N39.44 Nocturnal enuresis
2️⃣W55. contact with urine of unspecified mammal

3/
Read 32 tweets

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