Physician, epidemiologist. Interest in health policy, econ, and infectious diseases. Tweets = own.
ATL
Joined August 2009
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“Do not get lost in a sea of despair. Do not become bitter or hostile. Be hopeful, be optimistic. Never, ever be afraid to make some noise and get in good trouble, necessary trouble.” - Rep. John Lewis
“133 students, 14 percent were Black and 30 percent were Hispanic… A vast majority of the U.C. Davis class — 84 percent — comes from disadvantaged backgrounds, and 42 percent are the first in their family to go to college.”
UC Davis doing it right.
nytimes.com/2023/07/02/us/af…
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This paper reminds me why my undergrad has a course called "Physics for Biological Science Majors"
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@Verizon - I’m at one of your stores trying to pick up a phone and being told “the system is down”. This is after being in the same store for 2.5 hours trying to order the same phones. It’s impressive when your in-person service is as bad as your website.
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This feels like a metaphor for my workplace “wellness” and “resiliency” programs.
A chimpanzee who ran away from a Ukrainian zoo was talked into returning after zookeepers offered her a raincoat, a hug and a bike ride. wapo.st/3ew4A92
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In spite of nearly 2x dispensing sites, poorer zip codes had about 1/2 the rates of dispensing for oral COVID medications. Not okay.
Dispensing of Oral Antiviral Drugs for Treatment ... cdc.gov/mmwr/volumes/71/wr/m… via @CDCgov
I have >10 reasons why I do clinical work on weekends in additional to my weekday public health work. Among the best is learning from my patients and colleagues. Today I learned/re-learned: 1) pathophys of hyperuricemia; 2) drug sensitivities of CoNS; 3) GLP-1 for weight loss.
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This is in addition to some downtime for reading the excellent review on viral RNA persistance from Diane Griffin out on @PLOSBiology
xitter.cf/PLOSBiology/status/153…
Most RNA #viruses cause acute infections, but phenomena such as #LongCovid suggest that viral #RNA can persist after recovery. In this Unsolved Mystery, Diane Griffin explores the meaning, origins and consequences of persistent viral RNA. @JohnsHopkinsSPH plos.io/3MfSPio
ALT Graph showing patterns of virus production over time that maintain human viruses within the population
@ElsevierConnect I know my reading patterns are all over the place, but these recommendations are special. (I clicked on 2/3 of these).
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Very excited about our publication - the narrowing/closed gap in COVID-19 vaccine uptake by race/ethnicity, out in MMWR today! (thread)
cdc.gov/mmwr/volumes/71/wr/m…
I’ve been wondering this for 2 years.
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Why can cefepime cause neurological toxicity?
And why is renal failure the main risk factor for this complication?
The answer requires us to learn about cefepime's structure and why it unexpectedly binds to a certain CNS receptor.
#MedTwitter #Tweetorial
via @NYTOpinion - I’ve been thinking a lot about trust in government recently. This quote rings true - “Legitimacy is not solely — not even primarily — a product of the procedures that agencies follow,” [Bagley] says. 1/2 nytimes.com/2022/05/29/opini…
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@nytimes please don’t have news flashes of beloved 97 year-olds without specifying “IN EXCELLENT HEALTH” in the lede.
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Our study is online while it undergoes peer review!
1. Vax requirements ↔️ higher coverage
2. Vax req ↔️more equitable coverage
3. Vax req ↔️ greater vax confidence
Employer Requirements and COVID-19 Vaccination and Attitudes among HCPs in the U.S. medrxiv.org/content/10.1101/…
“Divisive among Italians” 😂 - so relieved to read a poll with polarization without involving democratic decline or vaccines.
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The part where we are incredulous towards effective health interventions adopted in other countries is very on brand🇺🇸🇺🇸.
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Bundled payments cannot ↗️ physical healing. At some point, ↘️ LOS shifts care to families - care that working families are less resourced for. “% receiving help [with ADLs] after discharge more than doubled … increasing from 9.3% receiving help in 2011 to 31.8% in 2017.”
Excited for this paper to be out! We examined how often people d/c home from the hospital needed help with daily activities. It increased from 38% in 2011 to 52% in 2017.
Trends in Receipt of Help at Home After Hospital Discharge ja.ma/3D41W0R via @JAMANetworkOpen
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1. Immediate cash payments (25/per shot) promote COVID vaccine uptake.
2. It’s likely the most cost effective and simplest to administer intervention.
3. Thank you @noelTbrewer so that I don’t have to keep citing the Swedes.
Immediate cash payments led to higher Covid-19 vaccination rates at clinics in North Carolina. Ours is the first US study to demonstrate benefits of cash payments, "particularly for low-income, Black, and Hispanic individuals."
jamanetwork.com/journals/jam…
@JAMAInternalMed
The lost narrative reflects the uncertain goals/effectiveness of NPIs in the mind of policy makers - preventing infections vs hospitalizations; droplets vs aerosols; precaution vs reaction. Without clear direction, the muddle will continue.
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