Dr. David Pate Profile picture
Ret. President & CEO of @stlukeshealth. MD in internal medicine from @BCMHouston; JD in health law from @UHLaw. Author: Preparing for the Next Global Outbreak
Feb 11, 2023 4 tweets 2 min read
@PeterHotez makes an important point here. We must be preparing for the next outbreak with pandemic potential. Even during the current pandemic, we have seen the potential for new pandemics with MPox, Ebola & avian influenza, to name just a few. And, unfortunately, we seem to be making the same mistakes. Most recently, we saw shortages in certain antibiotics and children’s cold and cough medicines. We are not prepared, and I am not sure that we have learned many of the lessons that this pandemic should have taught us. We have been wasting time for the
Feb 9, 2023 9 tweets 2 min read
There are so many reasons to be extremely skeptical of Dr. Cole’s claims in addition to the lies and purposeful misrepresentations he has made:
1. I don’t remember exactly when in 2021 Dr. Cole began making his claims of a 20x increase in cancers, but I remember thinking that it was way too short a timeline to be due to the vaccines. We have seen and studied the process of the development of cancer from a mutagen and this process takes years or decades in every instance that I can think of off the top of my head - not weeks.
2. Remember that a 20-fold
Nov 6, 2022 4 tweets 2 min read
Top circulating sub-variants in the US from sequencing:

13.0% BA.5.2.1
9.3% BA.5.2
6.4% BA.4.6
6.2% BQ.1.1
4.5% BA.5.1
4.1% BQ.1
3.3% BA.5.1.6
3.0% BF.7
1.9% BA.5
1.9% BF.26

But keep 3 things in mind. Sequencing data will be at least a week old data due to the time it takes for sequencing and reporting. Some of these sub-variants appear to have doubling times that are on the order of a week, so fast growing sub-variants may have already increased in percentages by the time we see these numbers.
Secondly, these are 15-day rolling
Nov 6, 2022 12 tweets 3 min read
I hope that we will learn the lessons from this pandemic. It won’t be our last. That is why Dr. Epperly and I wrote our book that will come out in April.
Just as you have pointed out, doctors are seeing many of these cases where people with “mild” to moderate COVID have died suddenly in the year following with massive pulmonary emboli (blood clots to the lungs), heart attacks or other causes of sudden death. We have had studies showing that your chances of having cardiovascular conditions following COVID significantly increase in the year following
Nov 6, 2022 5 tweets 1 min read
The problem is we don’t sequence all the + specimens; we only do a small percentage for surveillance; and my understanding is that those report only the predominant variant identified in a sample, which might be the only variant. (Happy to be corrected by virologists or other experts out there.) I don’t know of any source that reports the frequency with which a sample contains more than one variant or what variants are involved in co-infection. We clearly know that co-infections with more than one variant or sub variant can occur, because a number of
Nov 5, 2022 12 tweets 3 min read
@audreydutton and @Idaho_Liberty76 CK.2.1.1 is a fast growing sub variant that has now become one of the top identified circulating sub-variants in the world. It is a sub, sub, sub …. Variant of BA.5, specifically of BA.5.2.24 with the addition of 5 potentially problematic mutations. It was first identified and designated on October 7. It has been circulating in Spain, Germany, England, Denmark, Austria, the U.S., Canada, France and Australia. As best I can tell, it was not detected in the US until 3 weeks ago, so I was surprised earlier today when
Apr 3, 2022 5 tweets 2 min read
I am a huge fan and have learned so much from you. But, this is not the time for us to pick interdisciplinary fights and cause further harm to the trust in the American health system. We can all learn from each other. Eye-rolling and overly broad generalizations will simply mean MDs won’t pay attention to the valuable things you are teaching us. This isn’t the time to turn doctors off, but rather to engage doctors in what you and @michaelmina_lab have to teach us. You know how much time it takes you to try to keep up with all the literature coming out on
Apr 2, 2022 16 tweets 3 min read
I understand the concern, but I think the concern is way overblown. Let’s discuss why. Let’s go from the clearest to the muddiest examples. First, I think that we can all agree that if I were to launch a social media and cable news campaign to argue that Americans are being lied to about colon cancer, that I am a doctor and an expert in the field and people should turn to me for advice, and that I have extensively reviewed the world’s literature and concluded that more people are being harmed by colon screening tests (occult blood, flex sig and
Apr 2, 2022 6 tweets 2 min read
This is a very important message. Please listen. While I understand that the divisions run deep with respect how much of a threat individuals perceive this virus to be to them or their families, the willingness to adopt public health measures vs. the disruption to people’s lives, the safety and effectiveness of the COVID-19 vaccines, etc., I would think that all of us would want true facts and accurate information to make our individual health decisions. We must realize that there will be future pandemics. Those viruses may be 30x more deadly and may not
Aug 27, 2021 9 tweets 2 min read
Hi Brandon. Good questions. As you know, I am retired now, so I don’t have as much inside info to be able to tell you for sure, but I certainly still talk to many people in the various hospitals and health systems. I believe that some of the hospitals bought additional ventilators starting early last year as it appeared that the major issue with COVID was going to be respiratory failure, such that it might strain our resources and we saw numerous failures in the supply chains. Some of those purchases may have been for short-term projected needs
Aug 27, 2021 5 tweets 2 min read
It is truly perplexing how and why they make the decisions they do. Let me be clear, the board should be considering factors in addition to the medical guidance, But, on the other hand, they should not disregard the public health and medical guidance. The problem is poor governance, poor planning, poor understanding, and lack of transparency in their decision-making. I have studied governance and had the opportunity to see many good and many poor practices. I can tell you, the only thing worse than poor governance is poor governance and poor
Mar 7, 2021 4 tweets 1 min read
Well, I can’t get school boards to pay attention to what is happening with the UK variant in other countries and the changes that can be expected in schools (I am under the impression none of them in this part of Idaho have revised and updated their operational plans that they were using prior to the variants being detected in Idaho), but maybe a US example will help. “Despite the accelerating vaccination pace in recent days and positive trends in key metrics, Minnesota health officials continue to implore Minnesotans to stay vigilant against COVID-19.
Mar 7, 2021 5 tweets 1 min read
I have been warning schools that they must anticipate the variants of concern, especially when they are now, for reasons I can’t understand, planning to reduce physical distancing of students later this month and next. As far as I can tell, only one board member is listening. I have told them, you don’t have to believe me- look to other countries that are experiencing the UK variant and I gave them a list of countries they could examine. One of those on the list is Italy.

Here is an excerpt from the LA Times: MILAN, Italy — The virus swept through
Feb 25, 2021 5 tweets 2 min read
They should go back and read all the guidance. If they did and actually had an open mind, they wouldn’t see this as a suggestion or aspirational goal. Even if they still don’t see it, you cannot read those documents and come away with “it is perfectly fine to decrease your distancing from what you have been doing.” When the guidance says “at least” 6 feet, I don’t think a reasonable interpretation is “when possible.” And, I have no idea how you interpret any of it to support that you can sit students 2.5 feet apart. They just need to be honest and
Feb 25, 2021 16 tweets 3 min read
School boards seem intent on making full in-person attendance decisions for March/April based on data from the past success in hybrid with D614G strain of SARS-CoV-2. The problem is that is not how science works. Data from a study of a participants under one set of conditions with one variant tells you nothing about the outcomes to expect if you change the conditions (double the students/halve the physical distancing) & you have a variant with quite possibly different transmission characteristics (reported by numerous sources). It is especially risky
Jan 28, 2021 9 tweets 2 min read
Bad news. The day before yesterday, we had confirmation of 3 new variants of concern in the US. As of yesterday, we now have 4. Three of the 4 variants have just been confirmed in the last month. The new one yesterday is the South African variant.

What does this mean for Americans?
1. If you have been lucky and been able to get away with being in gatherings and not wearing a mask up until now, your luck is about to run out. It’s time to take the public health guidance seriously and don’t get in large gatherings, especially indoors, and you need
Jan 28, 2021 4 tweets 1 min read
Guest opinion: We’re almost to the finish line, don’t end Idaho emergency declaration idahostatesman.com/opinion/reader… There is a lot of wisdom in this guest opinion. And, here is the key part:

“The need for quick and nimble action is the very reason the founders created an executive branch and not just a legislative branch. It is appropriate for the governor to be able to act in times of
Jan 28, 2021 4 tweets 2 min read
I have never been more hopeful about the future of Idaho than now, when @GovernorLittle, and two former Idaho House Speakers - @CongMikeSimpson and Bruce Newcomb are willing to call out Idaho Republican legislators for legislative mischief and nonsense that will only hurt Idahoans in the end. All these legislators who are sponsoring bills to end the emergency declaration are taking actions to slow down vaccinations for all @AARPIdaho seniors who have been patiently waiting for their opportunity to get vaccinated while they watch people half their
Jan 17, 2021 10 tweets 2 min read
We are facing a new epidemic. It seems to be affecting only some Republicans in the state legislature. The infection seems to be manifesting itself in several ways. One form of the infection is causing some, like Rep. Crane who appears to have one of the worst cases, to say, despite the fact that cases and deaths in the US from COVID are setting new records and despite the fact that people will be vaccinated in just days or weeks or months, we should not wait that short time to get protected, but rather throw our hands up in the air, give up and in
Jan 16, 2021 4 tweets 1 min read
If the pandemic has taught us anything, it is that we need people on our public health boards who understand public health (doesn’t seem like this should be a revelation). I am so excited that CDH will have choices of potential new board member. Dr. Sky Blue is someone we all have tremendous respect for:

•Idaho’s leading infectious disease physician.
•Devoted more time and energy than almost anyone this year studying the COVID-19 virus and helping to treat patients suffering from it.
Nov 29, 2020 15 tweets 4 min read
From my interview last Wednesday on @IdahoMatters on @KBSX915:

MICHAEL: We wanted to first talk about a letter circulating by Dr. Jim Souza of St. Luke's, in fact, you addressed this during Leadership Boise last week with Dr. Souza at the meeting. He talks about how their modeling predicts in December our hospital systems will be at the brink. He writes, quote, "The full spectrum of care will not be available to everyone if we are resource-constrained." So even though it may seem obvious to you, explain to us, because bone doctors work on bones,