@TimLaheyMD

Infectious diseases doc | Ethicist | Educator | in Vermont | Grateful for 💉💊& 😷 | 🏳️‍🌈🕊 @TimLahey@med-mastodon.com | @timlaheymd on 🧵

 Vermont, USA
contentmanager.med.uvm.edu/medicine/infectiousdisease/bio?BioID=34040
Joined January 2011
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3.7KMedia
Took a break from the trolls and the dysfunctional landlord To see how it felt I missed the good conversations - and enjoyed my days more without the misinformation and amorphous rage Off to find a better party. Hope to see good friends there
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A table of contents with links to all 148 (!) of the daily videos I have posted (90s each) on preventing substance use in kids: jessicalahey.com/comingofage…
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Tim Lahey, MD, MMSc retweeted
Julia Belluz@juliaoftoronto7 Feb 2023
Ozempic, and other GLP1 meds, have been unleashed on the market in a contentious moment: Health at Every Size has gained traction, with acolytes saying obesity is not a disease in need of treatment, nor should weight loss be medically prescribed. 1/5🧵 vox.com/science-and-health/2…

Obesity in the age of Ozempic

Drugs like Ozempic and Wegovy are changing how patients view their own weight struggles. Will society follow?

vox.com
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Tim Lahey, MD, MMSc retweeted
Adam Gaffney@awgaffney6 Feb 2023
Our article in @Health_Affairs examining community health, healthcare access, and COVID-19 booster uptake in Massachusetts through April 2022 just published. A few of our main findings: healthaffairs.org/doi/10.137…
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Tim Lahey, MD, MMSc retweeted
Andrew Pavia@AndrewPaviaMD7 Feb 2023
Nice explainer on the consequences of ending the public health emergency. Importantly it looks at the patient perspective. What ending the emergency actually means, by @dr_kkjetelina open.substack.com/pub/yourlo…
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We will never find a better balance between legit corporate profit & public health if we can’t grow our civic conversation beyond the false dichotomy of capitalism vs socialism nytimes.com/2023/01/28/busin…

How a Drug Company Made $114 Billion by Gaming the U.S. Patent System (Published 2023)

AbbVie for years delayed competition for its blockbuster drug Humira, at the expense of patients and taxpayers. The monopoly is about to end.

nytimes.com
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“holding these government contractors accountable would save more than 7,000 lives a year — translating to $1 billion saved in foregone dialysis” nytimes.com/2023/01/28/opini…

Opinion | Tonya Ingram Feared the Organ Donation System Would Kill Her. It Did. (Published 2023)

She died waiting for a kidney. Without urgent action, thousands more will die, too.

nytimes.com
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Tim Lahey, MD, MMSc retweeted
Andrew Stokes@astokespop25 Jan 2023
A recent @washingtonpost opinion piece speculated that COVID-19 deaths are over-counted. Our new @ConversationUS article explains why this piece is flawed. COVID-19 deaths are not overcounted; most evidence indicates they are undercounted. Thread 1/6 theconversation.com/covid-19…

COVID-19 deaths in the US continue to be undercounted, research shows, despite claims of ‘overcou...

Taking into consideration the number of excess deaths caused by COVID-19 compared with pre-pandemic years is critical to getting an accurate accounting of the pandemic’s real toll.

theconversation.com
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We’ve all wondered why scientists or MDs “turn”. How respected folk can find themselves deep in the anti-vax community. It’s a decidedly simple (but dangerous and malicious) process. Below is a thread on how people become “red pilled.” 🧵
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These are stories because insurance companies & Pharma run health care: Who gets expensive new therapies? nytimes.com/2023/01/24/healt… Moderna to charge >$100/dose of publicly-funded vaccines thenation.com/article/econom… More hospital layoffs beckershospitalreview.com/wo…
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Excellent slide by @adarsh_bhimraj about guidelines on convalescent plasma for trearment of #COVID19 From @CDCgov/@IDSAInfo Clinician Call of 2023 #IDTwitter @DrToddLee @ShohamTxID
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Tim Lahey, MD, MMSc retweeted
Liz Szabo@LizSzabo23 Jan 2023
Assessment of Efficacy and Safety of mRNA COVID-19 Vaccines in Children Aged 5 to 11 Years ja.ma/3HrtGC6 via @JAMAPediatrics part of @JAMANetwork

Assessment of Efficacy and Safety of mRNA COVID-19 Vaccines in Children Aged 5 to 11 Years

This systematic review and meta-analysis evaluates the efficacy and safety of mRNA COVID-19 vaccines in children aged 5 to 11 years.

jamanetwork.com
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Tim Lahey, MD, MMSc retweeted
Amaka Eneanya, MD, MPH@AmakaEMD23 Jan 2023
**New Kidney Transplant Policy Alert** As of January 5, 2023 all US kidney transplant centers are REQUIRED to review which Black patients have had a race-based #eGFR equation used for #kidney waitlisting. If used, their waitlist times will be modified. bit.ly/3iS6DHn

Widely used test kept Black people from getting kidney transplants sooner. Now that's changing.

The widely used eGFR test overestimates kidney function in Black patients, leaving some off the transplant list. A new policy tries to correct that.

usatoday.com
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Given that each COVID booster has been associated w/ ⬇️ severe dz in high risk recipients, transitioning to yearly boosters makes sense 👉🏽For now 👉🏽For that group 👉🏽W/ the usual caveats 👉🏽Rolling efficacy studies should inform next steps npr.org/sections/health-shot…

The FDA considers a major shift in the nation's COVID vaccine strategy

The new approach would simplify vaccination guidance so that, every fall, people would get a new shot, updated to try to match whatever variant is dominant.

npr.org
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COVID deaths are NOT being overcounted. We're UNDERcounting. Still. My friend/colleague @jeremyfaust does a great job of analyzing the data & debunking this claim: insidemedicine.substack.com/… The REAL question is whether you/we think those deaths matter. And maybe you/we don't.
Mehdi Hasan
@mehdirhasan20 Jan 2023
Covid deaths are not being overcounted - if anything, they're being *undercounted*. In today's deep dive on the @MehdiHasanShow, I debunked Dr. Leana Wen's dangerous & fact-free op-ed in the Washington Post - her gift to the Covid deniers! Watch/share:
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Tim Lahey, MD, MMSc retweeted
Joseph Eron@joseph_eron20 Jan 2023
Yesterday in clinic we saw our one of our older patients living with HIV for 30 + years who just had their first great, great grandchild. Seriously, who would have dreamed that up 30 years ago.
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Tim Lahey, MD, MMSc retweeted
Keren Landman@landmanspeaking20 Jan 2023
We still don’t know enough about how well the bivalent Covid vaccines are working. My latest for @voxdotcom vox.com/science-and-health/2…

Were bivalent boosters worth it?

The biggest questions about the newest Covid-19 vaccines are still unanswered.

vox.com
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One prominent doc (@DrLeanaWen) says incidental COVID diagnoses cause overestimation of the "still unacceptably high" mortality of COVID-19 Another (@jeremyfaust) says we likely *miss* some deadly COVID consequences How can both be true?
Jeremy Faust MD MS (ER physician)@jeremyfaust20 Jan 2023
Inside Medicine: A point-by-point rebuttal of the Washington Post's double down on Covid deaths being "overcounted." insidemedicine.substack.com/…
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Wen suggests the former is causing over-estimation of mortality Faust shows data suggesting the *bigger signal* is unattributed downstream mortality after undiagnosed COVID Both can recognize the truth in each other's arguments, & Wen should be convinced by Faust's data
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What we need is policy informed by a clear-eyed assessment of true mortality rates Working through these issues, prioritizing data over supposition, is how we get there
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