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Tatiana Prowell, MD

@tmprowell

Jul 28

https://twitter.com/annemariebatten/status/1552082761674014721

Please reply with a few words or a story about an amazing nurse in your life. Patients, caregivers, #MedTwitter or #NurseTwitter, chime in. Our nurse colleagues are exhausted in this #pandemic & need to know how much they are appreciated. Bring it.

https://twitter.com/annemariebatten/status/1552082761674014721

@HopkinsGynOb

I’ll start. I want to recognize Mary Evans at @HopkinsGynOb. With my firstborn, I had a difficult labor & then he was in the NICU for breathing problems. She held my hand for ages, long after her shift was over. Nearly 2 decades later, her presence still means everything to me.

@hopkinskimmel

And I’d like to recognize the many #OncTwitter nurses I have had the joy & honor of working with at @hopkinskimmel, but especially @JHHMartha, the late Margaret Gardner, & @LillieShockney. They share a common trait, which is almost magical to witness...

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Tatiana Prowell, MD

@tmprowell

Jul 24

I’m concerned that labeling #monkeypox a sexually transmitted infection (STI) will cause confusion & delay (🚂) in public response. It’s transmitted most often by direct skin-to-skin contact w/ the rash (see the whole list of ways it spreads from CDC 👇), and sex includes … 1/

plenty of direct skin-to-skin contact, but you certainly don’t need to have sex to get it. That means that we will identify cases regardless of sex/gender/age, & whether or not ppl are sexually active. We have to get this right in #SciComm headlines & opening paragraphs …/2

because most people won’t read the whole article (or 🧵). They skim. We want people to understand that common STI risk reduction advice like “wear a condom” is valuable but will still leave ppl open to a lot of risk if a partner has #monkeypox. /3

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Tatiana Prowell, MD

@tmprowell

Jul 21

For the first time in nearly a decade, we have a case of #polio in an unvaccinated adult. Per CDC, ~1 in 14 US 2y olds are currently NOT fully vaxxed & thus at risk. The US polio vaccine is safe & effective. Please verify you & your kids are up to date.
washingtonpost.com/health/new-yor…

#Polio most commonly spreads via the "fecal-oral" route which usually means not washing hands after using toilet then eating (or biting nails or, for kids, thumbsucking) but may also spread via airborne route. #WashYourHands #GetVaccinated #MedTwitter

history.com/news/vaccines-…

There are no meds to treat polio, it's all prevention. Here's info from CDC about #polio, but a better use of your time would just be to ensure you/kids are fully vaxxed. The IPV vaccine is highly effective & safe, & then you can go back to not thinking about it. #VaccinesWork

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Tatiana Prowell, MD

@tmprowell

Jun 23

#OncTwitter
NCI Pooled analysis (N=6.9K) of antiPD1/PDL1:
👉0.6% incidence CPI-related major cardiac AEs, 77% grade 3+
👉Almost half were myocarditis
👉 Twice as common w/ combos vs monotherapy & w/ CPI + targeted agent vs CPI + antiCTLA4…
#ImmunoOnc
ascopubs.org/doi/full/10.12…

#OncTwitter
👉Major cardiac AEs were mostly early events (1-2 months) occurring after median of 2 doses of CPI
👉1/4 of cases of myocarditis were fatal, all preceded by myositis 👀
👉Diverse clinical presentations so have high index of suspicion to diagnose & intervene early…

#OncTwitter
My commentary: It’s also concerning (& not surprising given what we know about pro-inflammatory metabolic syndrome as a cardiac risk fx) that markedly ⬆️ risk of MI has been reported in pts with multi-yr use of CPIs. I predict this follows a course much like HIV…

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Tatiana Prowell, MD

@tmprowell

Jun 9

Hey, #HoCoMD friends, be careful out there. This rain is crazy. Just got flash flood warning. Those of us who have lived here awhile know the history of this town, including the last tragic flash flood just 4y ago: apps.npr.org/ellicott-city/. #ECstrong

And now add a tornado warning to the flash flood warning, #HoCoMD. Done that before too in our own backyard (📸 2003). Careful out there, #EllicottCity neighbors.

#HoCoMD #EllicottCity

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Tatiana Prowell, MD

@tmprowell

Jun 4

🧵 A little vignette for #ASCO22 attendees & esp speakers/chairs. Today I spoke in an Ed session. E350 is small enough I could see faces. When we began, most were in 😷, but I counted 11 who weren’t. One had a drink. The rest didn’t appear to be eating/drinking. Importantly… 1/

a few people (not sure if in 😷 or not) were coughing. That’s something you always hear, but it takes on added significance in a #pandemic because #COVIDisAirborne & current #Covidvariants spread as easily as measles, the most contagious respiratory pathogen on earth. /2

Before I began my talk, I called attention to the fact that I would be continuing to #WearAMask while speaking. #Covid19 doesn’t care that I’m at the #ASCO22 podium. I said I was speaking masked to model the #OncTwitter behavior I hope to see. /3

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