Kavita Patel M.D.
@kavitapmd
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Physician/Health Policy Researcher/Contributor @msnbc @nbc /views my own
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Joined May 2012
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Is it just me or is it completely surreal to have a president speaking about poverty and hunger and the need to heal the nation? 5 days 16 hours 23 minutes 55 seconds
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Thank you
@NicolleDWallace
for letting me cry the tears I have only shed in quiet or in my car or in the shower and
@esglaude
your words are so healing. God bless these United States. Tonite we felt united.
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Full approval for Pfizer coming Monday. May the odds ever be in your favor.
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The Indian auntie network is NOT to be underestimated- generations of brown doctors/lawyers or engineers can attest to their power
Based on the memes my mom is suddenly forwarding me, the Houston-area Indian auntie network is highly mobilized for the Kamala candidacy
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I think
@jimmykimmel
should do all our public health communication; next can you please explain that masks need to go OVER the nose not under
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And Just Like That...within minutes our map went from
this (cont)
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The lack of transparency about the course of the President's illness is troubling but going to Walter Reed is the right thing to do. Patients can deteriorate quickly. One minute fine. Intubated the next.
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To this great dad who came to this country with $50+student visa-landed in TX used a phone book to find another Patel who he didn’t know but let him sleep on the floor while he went to school and worked nights. Thank you and looking forward to finally seeing you in person.
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President Biden increasing supply directly to 950 community health centers (64% of current clinics)- this will make an incredible tangible difference for millions of BIPOC communities
#CovidVaccine
This is what Presidential leadership looks like.
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I am one of these super-dodgers. Here are my secrets:
1. I wear a mask - a good one
2. I don’t shake hands or even fist bump bc I am not as cool as
@BarackObama
3. Attention to ventilation
4. No social life
Meet the covid super-dodgers
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Rest In Peace Dr Paul Farmer.The world lost a giant today.
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Advice for parents with older kids who test + (and there will be many cases of this)- PLEASE DO NOT ISOLATE YOUR CHILD from a parent-they lack the cognitive ability to handle this & likely feel guilt/sadness over the chaos. Wear a mask and stay with them. They need you.
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⚡️Misinformation correction here- when I get something wrong I always try to own up to it & boy did i do a disservice to the true experts like
@kprather88
and other aerosol specialists. Here is the CORRECT info/ I will make sure
@MSNBC
also allows me to correct-cont
I can’t believe what I just heard on
@MSNBC
.
@kavitapmd
just stated a test for N95 mask seal is spray perfume and if you smell it, the seal is not good. Nooooooo! You smell the gaseous vapor…molecules that masks can’t block. Aerosols w/ virus are MUCH larger. Terrible seal test.
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Nimrata Nikki Haley's invoking her "brown child in a black and white world" narrative just doesn't sit well when she sat silent while brown children were put in cages.
Nikki Haley used to appear to want to be seen as the "normal" pro-Trumper but gradually, over time, she has revealed herself instead to be the norm for a pro-Trumper...pro-corruption, pro-racism, nationalist, a liar, a divider, as bad as any of the others.
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Just for the record this is not me.
The first subpoenas from the House Jan 6 cmte are out -- Patel, Meadows, Scavino & Bannon are the targets
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(1/) So much will be written as it should about guns and violence.
But let me tell you about Uvalde,TX a beautiful town w/beautiful people -home to friends whose lives will never be the same
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this might be the most troubling thing I have read today. In all my medical training I have seen Kawasaki's disease 2 times. and we have 3 cases at children's hospital in DC. even more troubling is the fact that this seems like clinical sequelae of the virus.
NEW: NYC now has 52 confirmed cases of multi-system inflammatory syndrome;
*10 more children being evaluated
*25 tested positive for coronavirus
•22 positive for antibodies
* 1 child has died.
"They continue to grow, & that’s why we are really concerned,” Mayor de Blasio
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I have worked in the senate both in the minority and majority as a democrat staffer and not once did we see our senators say anything like this. Also Cotton was 1 of 6 senators to vote against the motion to advance the Asian anti-hate bill.
This is shameful. Cotton wants to punish states with Democratic Senators by leaving them without an executive to run federal law enforcement, the role US Attys traditionally play. What is he afraid of?
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Unanimous approval from FDA advisory committee to recommend
@pfizer
covid vaccine age 5-11
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So the dating and ride sharing companies are doing the right thing but where is
@DellTech
@HEB
@SouthwestAir
@AmericanAir
@HP
@UnitedAirlines_
and other large corporations with significant footprints in Texas? Where is the outrage?
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.
@mehdirhasan
is right. Here is the teachable moment which is crystal clear to people who see patients & supported by science-
1. COVID is real and even a mild infection can lead to a number for of devastating effects
2. Repeat infections even among vaccinated are dangerous
A huge mistake to link to a piece by Leana Wen in which she again tries to normalize mass Covid infection and re-infection. The idea that everyone should be okay getting Covid *multiple* times a year in a country without free healthcare and without paid sick leave is just crazy.
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Is it strange that I actually want to find excuses to go to department/agency offices in DC just to see this picture hanging in every damn building.
#WhoRunsTheWorld
Honored to share my official portrait and to serve as your Vice President.
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Fact: covid vaccines do not prevent you from contracting the virus-but they do prevent you from dying and having severe covid. But still a reminder that this pandemic is not anywhere near over.
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1. Mistakes happen which reinforces why we need multiple manufacturing options (looking at you novavax/AZ) 2. The fact that these errors were caught is proof of the incredible oversight and safety checks in place in the US
@US_FDA
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I have personally been shocked at the anti muslim sentiment expressed by 1st and 2nd generation hindus in this country as well- it is rooted in what
@RanaAyyub
covers here so eloquently
One of my favorite editing jobs has been the great
@RanaAyyub
’s substack, and the wonderful reporters she hires from around India to cover fascist street violence. I want you to read this one, by
@Samriddhi0809
, especially the final section
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President Biden: “I will stay in isolation until I have 2 consecutive negative antigen tests”
HCW everywhere: “thank you for using common sense and modeling great behavior”
CDC: wearing a mask and finding a free home test is so hard so if you don’t feel bad it’s all good
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If only 15 people are arrested today but over 500 arrested during the George Floyd protests in DC, what message are we sending to our children? You can kill someone and commit felonies but suffer no consequence unless you are the wrong color?
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There is a fine line between injecting a sense of optimism/hope and telling people the truth that with 400-500 deaths/day plus a very unpredictable winter ahead it’s far from over.
Biden: "The pandemic is over. We still have a problem with COVID. We're still doing a lotta work on it. It's-- but the pandemic is over. if you notice, no one's wearing masks. Everybody seems to be in pretty good shape. And so I think it's changing."
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DeSantis did not step in to correct the lie that the vaccines change your RNA. he might not know what RNA is to be fair, but nevertheless the lies proliferate
NEW: A municipal employee - speaking at
@GovRonDeSantis
’ event opposing vaccine mandates - falsely said the vaccine “changes your RNA.”
That is incorrect.
@CBS12
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A group of mostly old white men decided to allow boosters for mostly old white men. Sounds right.
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9/Then I want you to get angry and do something
@MomsDemand
@bradybuzz
@JosephSakran
please direct our energy.
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This is the definition of medical malpractice. If a hospital or clinic had let this happen we would be shut down, fired, fined and cited by feds/state boards. Where is the accountability?
BREAKING—Over 130 Secret Service officers who help protect the Trump WH have recently been ordered to isolate or quarantine because they tested positive for
#COVID19
or had close contact with infected co-workers. The Trump superspreading events had a toll.
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#triggerwarning
#RoeVWade
This is a very long 🧵from a MD colleague who wanted to share her whole story regarding what is at stake with the likely SCOTUS decision -I will use her words in this thread.
This is a story of what is at stake. Read all of it.
1/n
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What happy holidays mean for some:
120,000 children orphaned/lost primary caregiver due to COVID-19
1 in 4 seniors socially isolated
20% young adults report suicidal thoughts
Loneliness and the feeling of being unwanted is the most terrible poverty
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Watching Fauci give clear answers to reporter’s questions at the White House press briefing including saying he doesn’t know something is such an incredible development.
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Florida’s numbers are worse than prior to widespread vaccine availability. And even as the curve descends it still means thousands of unnecessary cases and deaths. Doc friends have begged us to tell people to cancel vacations out of fear of breaking the hospitals
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Thread of how we got to the point where the President is accusing FDA of being part of the Deep State. And why its shameful that neither the Secretary of HHS/FDA Commissioner/Director of the NIH have not vocally and frequently defended their agencies. (1/4)
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A risk of 1 case of myocarditis per 9000 vaccines in the highest risk group (16-17yo males) is still much lower than the risk of having heart complications with COVID (either during acute illnesss or with mis-c).
Based on passive surveillance reporting in the US, the risk of myocarditis after receiving mRNA-based
#COVID19
vaccines was increased across multiple age and sex strata and was highest after the second vaccination dose in adolescent males and young men.
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Many thanks to you
@NicolleDWallace
for putting this topic front and center; if it were the state telling men they could not have viagra without a lecture from a urologist and a video reviewing the 100+ side effects well this would never even become law
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This is an incredible milestone and a great signal that this pandemic indeed will end.
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It took this insane tweet and its falsehoods to put me back on twitter. There are so many things wrong with this and shame on any physician but especially someone with a platform on twitter for spreading this level of misinformation.A 🧵about what is REALLY happening tomorrow 1/n
Tomorrow, the CDC’s Advisory Committee on Immunization Practices (ACIP) will vote on adding the COVID-19 vaccine to the schedule of childhood vaccines required of students in order to attend school.
I will be watching.
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n/n- So finally, lets remember that children under the age of 12 have almost NO therapeutic options if they get covid and that we have >1000 kids who have died from covid/many parents of kids under 5 are scared, so please dont be the A-hole that fights on ways to keep kids safe
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I expected this to happen but not to this level and what a slap in the face to doctors/nurses/technicians who show up and just ask for equitable distribution of a vaccine.
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8/I wrote this thread not to make any smart point since others will but since this was a town that brought me such joy I wanted to put an image beyond what you will see today and for days to come and see the beauty of this town and it’a people
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A coup attempt unpunished is a training exercise.
New video court exhibit released in Jan 6 case shows the chaos in the tunnel. The fog of chemical spray. The people fighting from above the crowd. And the hand to hand combat
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We have lights honoring the angels. We do. Finally. The lights of national acknowledgement our angels have deserved for far too long. A step towards grieving - not alone - but together. Thank you again
@NicolleDWallace
and
@esglaude
for the space to feel more human again
WATCH:
@kavitapatelmd
reacts w/
@NicolleDWallace
to the Covid memorial held by Biden and Harris: "It was so important to have this moment, those lights, to see that those lives are acknowledged. They all mattered... We needed this moment to just be able to grieve."
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Things I wished he would have said:
Long COVID is real and we will apply the same supercharged efforts we will apply to cancer to long COVID
A living memorial for lives lost to COVID
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These headlines don’t capture the evil depth of this-the law also allows for any citizen even those outside the state of Texas to sue any individual who helps a woman obtain an abortion past 6 weeks-putting physicians/rape counselors/friends and family at risk
Texas becomes largest state with a law that bans abortions before many women even know they are pregnant.
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The only thing accidental about the CDC taking down the guidance that Coronavirus is airborne at >6 ft etc is that someone at 1600 Pennsylvania Avenue accidentally read the CDC website.
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Screw
#Omicron
how did I not realize today is a palindrome - backward and forward. You’re welcome
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what I would give to see what he is mouthing under that fierce n-95. Kudos on the Sars-Cov-2 protection Senator Romney.
Watching Romney listen to Hawley *again* throw doubts on the election, despite today’s riots and Hawley’s role in them
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Ok my 3 year old took my phone when it was open to this and hit buttons and liked it and now I think I will have to soak the phone in both uv light and bleach
President Trump won't have to recover from COVID.
COVID will have to recover from President Trump.
#MAGA
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7/Telling a parent their child is never coming home is something impossibly unimaginable.They will try to replay every second of their last minutes and wonder and pray that their child was not scared or alone. I pray that too.
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I have no doubt that hospital personnel ran into the scene to do what they could in Tulsa at St Francis Hospital. I only wish we had elected officials who are 1/100000000000 as brave.
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A friend from high school told me he had old milk gallon containers of gasoline in his basement bc of the pipeline/shortage but he wont get a vaccine bc "we dont really know how safe it is"
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I have a great deal of respect for this message and it’s what defines a great physician-when we talk about when we have been wrong. H/t
@DrEricDing
for calling attention to it. And
@JeromeAdamsMD
i agree and thanks for this
Last year Tony Fauci and I famously, prematurely, & wrongly advised against masks. I felt it was the best call at the time, but now regret it.
I’m worried the CDC also made a similarly premature, misinterpreted, yet still harmful call on masking in the face of ⬆️ delta variant.
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I don’t know why but between the pandemic/ last nights Ohio primary and the full on assault on women’s rights I really needed the ten minutes where I just sat in my minivan in the driveway this morning.
I guess that’s my version of self-care.
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Questions that remain post today's physician briefing:
1. Last known negative PCR test- we still dont know
2. Results of Lung Scans
3. Viral load/antibody levels
4. what is his D-Dimer/sign of inflammation which is critical in this disease and can change tx
5. Where is Dr. Fauci?
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We're seriously underutilizing monoclonal antibodies in the fight against COVID. New research shows that when used appropriately monoclonal antibodies can decrease hospital admissions by 70%. Yet we've only used 30% of all the monoclonal antibody supply that's been distributed
"The only way we can kind of pick ourselves up and do what we have to do day-to-day is to not completely succumb to that incredible intensity we're all experiencing. The president reinforcing that, it almost helps to just set the standard" -
@kavitapmd
w/
@NicolleDWallace
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Prelude to current health crisis in FL: Rust, mold, parasites: Trump's Mar-a-Lago cited for 78 health violations in the last three years
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I need someone smart to tell me how this is happening and people in the us seem to be going ape$&it over wearing masks.
Something bad is in the air tonight. We're under a national emergency, airports are shutting down, military reserves have been called up. I lack the talent to express what it feels like to be in this European capital, home to millions...
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Incredible news for
@moderna_tx
on heels of Covid-19 vax success- filing for full approval with FDA soon, Phase 1 for RSV vaccine showing Ab response, Phase 3 for CMV vax starting this year as well- Flu/HIV vax human trials to start this year as well
@megtirrell
and
@CNBC
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6/Watching gurneys of children come through an er and the sheer terror is something nobody can prepare for even those with the steadiest of hands.
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“Every day matters and every person matters”-
@JoeBiden
- he is the warm hug and cup of hot cocoa I needed tonite
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5/This is Uvalde memorial hospital which is a critical access hospital (meaning it’s an underserved area from an access standpoint) with capacity for about 25 inpatients. Today they received 13 patients - all children.
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And finally let this be a teachable moment that I never want to spread bad information so I will paraphrase Yogi Berra and say I hope I don’t make too many wrong mistakes … but I am sure someone will tell me
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3/Uvalde is a crown jewel in the Texas hill country with an active volcano nearby and the beautiful Frio River which in normal circumstances would be packed with locals this upcoming memorial weekend
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4/This is Robb Elementary where classrooms are filled with laughter and there is a smell of crayons/floor cleaner and chalk at all times. My friends daughter graduated from here recently and can attest to the kindness and generosity of the teachers.
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10/n what needs to be done:
3. schools- ever the divisive topic, it is safe to say we have let our children down over and over by being morons about things. I no longer care about the urgency of normal.
Our kids need the adults to not be A-holes.
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No mask for Pence's wife- after 210k deaths, a White House superspreader event, she blatantly violated CPD guidance: “If anyone does not wear a mask, they will be escorted out,” read the protocols released by the debate commission
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Incredible essay by
@celinegounder
via
@NYTOpinion
Vaccine disinformation is a form of domestic terrorism.
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I agree
@ruthbenghiat
and
@DrEricDing
that it is not theater. I also think the CDC is asking society to self-regulate vaccinated/unvaccinated people without anyway to distinguish between the two and people will lie. The same people who believe Joe Biden is NOT our President.
Not “hygiene theater” (a trendy but uncaring phrase some use) to wear a mask. The immunocompomised need them; parents wanting to be in solidarity w/masked (since still-unvaccinated) kids might wear them too.
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Great interview re long COVID with
@EricTopol
who just nailed it on so many issues - great read
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Thoughts on large events esp
@whca
White House corr dinner:
1. People should wear masks (yes I know this makes for bad red carpet etc)
2. Tests administered by a professional should be done close to time of arrival esp around potus
3. Vaccine req needs to incl booster
-cont
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Recap of
@US_FDA
advisory committee meeting so far: you can manipulate data or ignore data to satisfy the message you want to hear.
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1. Germany and France locking down-France with 40k cases a day and Germany about 10k a day
2. UK on a 3 tier lockdown- 20k cases a day
3. Spain/Italy-10k cases a day w/curfews/expect lockdown soon
4. Its hard to see how we aren't going to need something similar here in US
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Great question and here are the reasons i would support it:
1. I don’t know enough about long covid and would want to minimize chances in the near term
2. My children being a chain in the transmission allows the virus more opportunities to replicate and get smarter
CONT
At least 15 NYC vaxed/boosted parents I interact with are keeping their healthy, vaxed kids out of school tomorrow for fear of catching Covid. Assuming no one at home is severely immunocompromised, is there any good reason to do that?
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I am most struck by 74% efficacy against asymptomatic infection after day 29- THIS IS BIG
FDA briefing document on J&J Covid vaccine posted. The data are very strong, the J&J vaccine provides robust efficacy across all demographics and variants; and shows rising protection over time, consistent with belief it's eliciting strong T-Cell response.
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Simone Biles
Jordan Chiles
Suni Lee
3 women of color just showed us what is possible.
@KamalaHarris
is next
#goals
#GOAT
𓃵
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This is great. The insanity of pharmacy benefit managers is one of the great policy failures of several decades. They neither benefit anyone nor actually manage anything. And as a physician who has to constantly FAX things to them, I really hope
@mcuban
tackles prior auth next
“Billionaire investor Mark Cuban launched an online pharmacy Thursday that offers more than 100 generic drugs at an affordable price with a goal of being “radically transparent” in its price negotiations with drug companies.”
Well done,
@mcuban
.
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7/n-If you are a doctor and you are going to tweet about things you dont know, please state upfront "I dont know what I am talking about but I am going to go ahead and opine anyway"
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This is smart. 40% of public health officials have been fired/harassed/quit bc they stood up for the right thing to do. Let’s not repeat that mistake. Novel virus+unknown behavior+possible waning immunity in select patients= need for caution.
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This is so utterly beautiful and haunting from
@esglaude
. Please watch it. Please share with those you love. With those who have suffered. We don’t have to suffer alone.
"The selfishness that has suffocated the land was held at arm's length for a moment. We've needed a national ritual to mourn, so that we can think about the mourning... Just for a moment, the nation shared their grief " -
@esglaude
shares a personal story w/
@NicolleDWallace
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2/Uvalde is about 80 miles west of San Antonio where I grew up- we used to joke it was the suburbs of San Antonio where tornadoes went since it was not infrequent to get tornado watches/warnings in Uvalde
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If you want to check your mask fit DO not use perfume or anything with a smell factor - I had to do a saccharin/sugar taste test to fit mine and that is VERY different- follow
@kprather88
and see some of her DIY tests - also info here -cont
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This man put his own life in harm's way, facing racist abuse/slurs and untold disgusting attacks all to give Senators including those who have supported Trump and his lies a chance to live. Think of how many times the very lives he saved walked by him and never knew his name.
This moment in
@igorbobic
stunning footage. In front of the officer, coming up the stairs, is a mass of rioters. The USCP officer glances to his left. Between those two chairs is the entrance to the senate floor. He lured them to his right, away from their targets.
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I feel like a
#momfail
many days but my daughter drew this for our wedding anniversary and I knew I did something right when she said “I love my brown skin”/made me recall how I would never pull out the brown crayon when I was a kid. She did it on her own at 4.
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This is likely to play out across the country as many healthcare settings consider a mandate (newsflash they should). You can’t treat patients and pose a Risk to their health.
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@DrEricDing
Yes. and its not lost on any of us that the police who took selfies were a different color than those who were stormed/threatened and overwhelmed.
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I would gladly give up all the money I make so that I could hug my parents, have my kids in school and hold my patients hands. But what do I know. I actually pay taxes each year. Apparently that makes me stupid AND greedy.
Wow -- Trump pushes a baseless conspiracy theory that US coronavirus deaths are overcounted because "doctors get more money and hospitals get more money" if they say people died of Covid instead of other co-morbidities they might have
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And masking still works!
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It is possible to feel relief and incredible sadness at the same time.
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