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Mar 25, 22 (Updated: Aug 23, 22)

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Explainer İstanbul, Turkey 2 years ago

Sign In Instructions - Welcome to HealthStream

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2. Stanford.edu
Populist Pune, India 2 years ago

HealthStream | Graduate Medical Education | Stanford Medicine

https://med.stanford.edu/gme/housestaff/incoming/healthstream.html

About HealthStream; Deadlines; Required Training for Incoming & Continuing Housestaff ... https://www.healthstream.com/HLC/Login/Login.aspx?

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Health Stream Training and Instructions

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Login Instructions: Your user name and password are the same. SMR plus your last 8 digits on your Stanford University Employee ID card. Please note: your SU ...

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Portal | Stanford Health Care

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Access key details from your medical record · View your test results · View upcoming appointments.

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portal2.stanfordhealthcare.org

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Download Citrix Receiver · Instructions & Help.

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4. Lpch.org
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LPCH Intranet - Stanford Children's Health

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Stanford Healthstream - Fill Online, Printable, Fillable, Blank

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Fill Stanford Healthstream, Edit online. ... Rate free healthstream login stanford form ... Keywords relevant to healthstream com hlc stanford form.

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6. Stanfordchildrens.org
Announcer Dresden, Germany 2 years ago

Training Modules MSS-Stanford Children's Health

https://www.stanfordchildrens.org/en/mss/credentialing/trainingmodules

How to Access HealthStream. Login/Password: You have been provided your login and password by your credentialing coordinator. If you did not get one or if ...

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ValleyCare | Stanford Health Care

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Welcome to Stanford Health Care - ValleyCare, providing the Tri-Valley and East Bay region with exceptional patient-centered community medicine, ...

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8. Surdotly.com
Outspoken 1 year ago

Healthstream stanford - Sur.ly

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Lucile Packard Children's Hospital (SCH) [email protected]; Stanford Health Care (SHC) healthstream@stanfordhealthcar... Site rating: 0 0 ...

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HEALTHSTREAM LPCH - CRONA

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Healthstream requirements. The A day nurse will be kept on duty and the nurse who has not completed their assigned modules will report to work and be given ...

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Stanford Health Care Health stream Jobs in Fremont, CA

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8 Stanford Health Care Health Stream jobs in Fremont. Search job openings, see if they fit - company salaries, reviews, and more posted by Stanford Health ...

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HealthStream Learning & Performance Reviews & Ratings 2022

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Healthstream is ok for Healthcare Learning ... connect to live classroom opportunities sponsored by our parent organization, Stanford Hospital and Clinics.

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New Hire HR Operations Checklist House Staff

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Complete Healthstream - http://www.healthstream.com/hlc.stanford ... http://infor.stanfordmed.org ... portal. Enter username and password to log in ...

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Healthstream Expert Jobs, Employment | Indeed.com

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84 Healthstream Expert jobs available on Indeed.com. Apply to Instructional Designer, ... HealthStream3.9. Nashville, TN 37203 ... Stanford Health Care3.9.

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Stanford healthstream courses - NewHotCourses.com

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Stanford Healthstream Login. 3 hours ago HealthStream Graduate Medical Education Stanford … Graduate Med.stanford.edu Show details .

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Guru United Kingdom 1 year ago

Healthstream Flashcards | Quizlet

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When an active shooter situation is in progress, what is usually required to stop the shooter and mitigate harm to victims?

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Recent Tweets By AbraarKaran

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@AbraarKaran 2/ Authors correctly mention--> still need clinical studies of efficacy but good to see this nonetheless from this vaccine platform and potentially useful for those who are not getting mRNA-based shots for various reasons (+ for other countries w/ limited access to mRNA vaxx)
2023-01-26 12:36:27
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@AbraarKaran Novavax booster (dose 4) data in NEJM "induction of a potentially more universal-like response against SARS-CoV-2 variants. We believe that this phenomenon may be driven by the conserved epitopes found on the recombinant protein vaccine" https://t.co/HIkqHpYfUu
2023-01-26 12:32:17
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@AbraarKaran Thanks to @npr @NPRGoatsandSoda for this— my wish for 2023: we must do more to dispel misinformation as a system; & to help individuals identify & filter out misinformation locally. Every one of us deals with this problem every day. https://t.co/GTZL0mUHg7
2023-01-25 08:41:23
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@AbraarKaran 2/ Overwhelmingly national & public dialogue seems to focus on whether covid19 is better now than in 2020, rather than on the investments now needed & emergency response capacity lessons learned from past three years, which deserve far more attention.
2023-01-25 05:40:09
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@AbraarKaran Important talk by Dr. Tara O Toole on future of pandemics. Human contributions to pathogen spillover is alarming. Many reasons to believe (& prepare for possibility that) COVID19 is the beginning rather than a one-off event. @StanfordCIGH @StanfordWoods https://t.co/ElJK0FwvR6 https://t.co/0GQuHgyBf5
2023-01-25 05:37:44
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@AbraarKaran 4/ But when you have high community incidence, that equation at a point will shift to where screening more patients will provide a net benefit. And, during those times, many positives will be true infections (unless someone recently recovered) that need treatment/isolation
2023-01-20 06:26:35
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@AbraarKaran 3/ In times of low community incidence, screening all asymptomatic may put strain on lab capacity for small benefit. If symptomatic or in shared rooms, would definitely advocate for testing in this scenario though as outlined above. Benefit of hospital is you can identify quickly
2023-01-20 06:24:15
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@AbraarKaran 2/ I appreciate costs/benefits of this. On one hand, missed cases could transmit to staff who may be wearing surgical masks (still some protection but less than N95). For shared rooms, more concerning (see our paper) so would definitely screen prior https://t.co/W9npHOvfjt
2023-01-20 06:18:57
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@AbraarKaran 1/ Also, the move recently has been away from screening asymptomatic patients who are being admitted to the hospital. This will reduce burden on hospital/labs to process tons of samples, many which will be negative. It will miss some cases who are incubating + infectious https://t.co/1Md6ug5hTV
2023-01-20 06:16:15
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@AbraarKaran 12/ Excess deaths all over the world have been a major issue during the pandemic. Over 2020-21: "We estimate 14.83 million excess deaths globally, 2.74 times more deaths than the 5.42 million reported as due to COVID-19 for the period." https://t.co/ejlgeFDf9n
2023-01-20 06:11:45
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@AbraarKaran 11/ I understand that some public facing figures want to convey the message that we are in a better spot now than we were in 2020. Perhaps this is well-intentioned to reduce panic. But, as @jeremyfaust outlines in his piece, we need to examine the data carefully
2023-01-20 06:07:48
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@AbraarKaran 10/ LA County Public Health has been very creative and has created smart programs through CDC support to incentivize SNFs to vaccinate more residents which has been working. More public health departments need to step in and get the job done here.
2023-01-20 06:04:16
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@AbraarKaran 9/ I have visited a few SNFs recently in which bivalent booster uptake was very low. There were misunderstandings about the role of vaccinations even for elderly high risk folks, and there isn't adequate incentive (IMO) for SNFs to close these gaps quickly
2023-01-20 06:02:49
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@AbraarKaran 8/ Many have been referencing @DrLeanaWen column. A point I agree w/ is that even if half or a third of reported Covid19 deaths right now are primarily from Covid19, its too many. That's the bigger take-away here and where our focus should be.
2023-01-20 06:01:50
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@AbraarKaran 7/ But for now, much work remains. As @AshishKJha46 & WH have been pushing for months, we need to close the bivalent booster gap. Recent CDC MMWR survey suggests people that didn't get it either weren't aware or didn't know if they were eligible. This is a public health issue.
2023-01-20 05:59:44
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@AbraarKaran 6/ Furthermore, CDC tracks excess mortality data for the pandemic. Most of this has been either due to Covid19 directly, or to issues related to the virus; some also related to other effects from the pandemic itself. Over time, maybe this will lean further away from Covid itself
2023-01-20 05:57:28
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@AbraarKaran 5/ To the question about 'with' v 'for'-- most if not all acknowledge that most deaths occur in elderly w/ comorbidities in whom a covid19 infection is not what you want. If it contributes alongside other health issues, the conclusion is still the same: you don't want infection
2023-01-20 05:53:18
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@AbraarKaran 4/ Moreover, there have been a lot of bold claims about why infections shouldn't matter, despite there being so many unknowns about the morbidity costs of infections. As times goes on, we are understanding this virus more. We are as of now probably still *underattributing* harms.
2023-01-20 05:50:51
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@AbraarKaran 3/ This is true to an extent. But the other side of this is that screening during times where there is high level of community spread still helps identify cases who would likely benefit from antivirals. And, to reduce spread to other hospitalized patients and staff.
2023-01-20 05:49:22
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@AbraarKaran 2/ One of the arguments is that we have 'over-screened' because many infections aren't leading to 2020-21 pneumonia syndromes. Or, that screening can/does sometimes pick up persistent positive on rtPCR representing old infections
2023-01-20 05:48:08
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@AbraarKaran An important thread & article by CDC/NIOSH scientists on how DIY air filtration units can significantly reduce exposure to aerosols which transmit respiratory viruses. We are using these in our RCT examining in-home covid19 transmission @StanfordCIGH https://t.co/0s2E94GPXP
2023-01-07 07:01:43
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@AbraarKaran We must better understand reasons for low vaccine uptake— will matter for more than just this pandemic, esp if sentiment grows deeper without issues being addressed Also, how does general messaging about the pandemic influence urgency on specific interventions like vaccines?
2023-01-06 11:34:05
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@AbraarKaran “Health care providers and patients can be reassured that adverse events reported after a bivalent booster dose are consistent with those reported after monovalent doses” https://t.co/5E2j0t3Mkx
2023-01-06 11:11:23
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@AbraarKaran 3/ as noted in comments/responses, perhaps 18-29 year old group numbers could also represent concern re Long Covid & morbidity but this survey doesn’t get into these specifics
2023-01-04 12:29:56
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@AbraarKaran 2/ I would have thought it would be lower than it is in the 18-29 year old group, and higher than it is in the 65+ age group. Severity of disease is closely correlated with age.
2023-01-04 12:22:47
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@AbraarKaran Surprised by the findings in this @KFF poll by age group breakdown in terms of percent who are very or somewhat worried they will get seriously sick from #Covid19 30% of 18-29 year olds v 43% of 65+ https://t.co/hr3iYg2xAE https://t.co/VDxvbcilAQ
2023-01-04 12:20:49
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@AbraarKaran "About a third (36%) of vaccinated adults ages 65 and older who have not yet gotten the bivalent booster say they don’t think they need it (36%) and a similar share say they don’t think the benefit of the updated booster is worth it." #covid19 @KFF https://t.co/hr3iYg2xAE
2023-01-04 12:17:33
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@AbraarKaran "With COVID-19 cases rising across the country, just about a third of adults say they are worried they will get seriously sick from COVID-19, though nearly half of the public say they are worried about an increase in COVID-19 cases and hospitalizations in the U.S. this winter." https://t.co/WrSnEWCiKq
2023-01-04 12:16:29
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@AbraarKaran @awgaffney Thanks— saw this a while ago but seems there is a December update; will take a closer look too https://t.co/hr3iYg2xAE
2023-01-04 12:10:29
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@AbraarKaran @awgaffney I agree that one can overcome hesitancy; recent conversations in SNFs I visited were eye-opening with regard to reasons both staff and residents were not getting the bivalent. But haven't seen larger-scale surveys as to what is going on nationally in this population.
2023-01-04 12:04:31
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@AbraarKaran @NatashaRSarin @pennlaw @Wharton Congrats!!!
2023-01-04 11:47:13
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@AbraarKaran I'm curious to hear from other physicians and healthcare providers on reasons for vaccine hesitancy specifically as it relates to bivalent boosters in patients who are higher risk/elderly. Or, do you feel this is an issue of access, or something else? #MedTwitter
2023-01-03 11:15:57
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@AbraarKaran 2/ I think that public health efforts at communication during Covid19 pandemic taught us many lessons; but I think focus now needs to be on solving these issues, rather than settling on the fact that we have great vaccines but poor uptake. Messaging must shift.
2023-01-03 11:14:45
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@AbraarKaran In another recent conversation on vaccine hesitancy, a staff member shared, "my infection wasn't even as bad as my vaccine side effects!" They mistakenly took that as evidence the vaccine didn't work, rather than evidence that vaccines protect against severe disease.
2023-01-03 11:11:44
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@AbraarKaran @Justanewsletter I am very interested in how well Novavax performs in this context. I have yet to see any data but would be important as we understand durability of traditional platforms v mRNA.
2023-01-03 11:10:22
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@AbraarKaran 3/ Nonetheless, it is difficult for individuals to appreciate what is going on at a population level. This is the same problem with other interventions such as masking. Individuals may not appreciate what community-level masking with high quality masks could achieve broadly.
2023-01-03 11:04:28
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@AbraarKaran 2/ With that said, recent paper from @NathanLo3579 and colleagues showed that vaccination (& prior infection) do make a dent in onward transmission, as evidenced across 35 California state prisons. https://t.co/DkTNPmjlG6
2023-01-03 11:02:06
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@AbraarKaran One of the arguments I heard in a skilled nursing facility (among staff w/o boosters) was that they got initial vaccines but still got Covid19 We did not do a good job getting across the key purpose and benefit of vaccines, which was to prevent severe disease, not all infections
2023-01-03 10:59:45
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@AbraarKaran 3/ Bivalent booster rate among 65+ was <40% when I checked last week. Finding out reasons for low uptake, and addressing these, across different parts of the country where various beliefs or misunderstandings persist, is a task for public health.
2023-01-03 10:55:59
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@AbraarKaran 2/ Real-world outcomes don't necessarily follow exact patterns of a single datapoints, like nAb response, which is only one part of the immune system. But, in high risk, elderly patients in SNFs who have multiple co-morbidities, waiting to find out isn't the best approach.
2023-01-03 10:54:50
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@AbraarKaran Those with history of prior infection + bivalent booster had most robust antibody response including against XBB sub-variant I have heard this come up in SNFs where people say they've already been infected so why get boosted? https://t.co/5gKGhPczEQ https://t.co/ReTKvghrk1
2023-01-03 10:52:32
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@AbraarKaran Important work here; while vaccines alone won’t stop transmission (nor was that their goal), they will have some effect. History of prior infection also will do the same https://t.co/1AWzrB6kcL
2023-01-02 07:52:17
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@AbraarKaran As we face new variants, ensuring ongoing antiviral efficacy will be important — as will be ensuring access to these medications https://t.co/VTpFpfcNb5
2023-01-01 05:07:06
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@AbraarKaran Three years https://t.co/6nChQNOv8s
2023-01-01 03:40:38
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@AbraarKaran 5/ So despite bivalent vaccine on its own not producing significant neutralizing antibodies against newer #covid19 variants, previous history of infection matters too (which most have); & other aspects of immune system will also kick in
2023-01-01 03:11:02
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@AbraarKaran 4/ “The study has several limitations. First, we have not examined the antiviral roles of non- neutralizing antibodies and cell-mediated immunity. These two immune components, together with neutralizing antibodies, protect patients from severe disease and death”
2023-01-01 03:10:42
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@AbraarKaran 3/ “Previous infection significantly enhanced the magnitude and breadth of BA.5-bivalent-booster-elicited neutralization.”
2023-01-01 03:10:20
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@AbraarKaran 2/ “The results showed that a BA.5-bivalent-booster elicited a high neutralizing titer against BA.4/5 measured at 14- to 32-day post-boost; however, the BA.5-bivalent-booster did not produce robust neutralization against the newly emerged BA.2.75.2, BQ.1.1, or XBB.1.”
2023-01-01 03:10:02
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@AbraarKaran 1/ Another important paper on bivalent covid19 vaccines & newer #SARSCoV2 variants including XBB in @NatureMedicine Even if not perfectly targeted, bivalent vaxx + history of prior infection & other aspects of immunity hopefully = better clinical outcomes https://t.co/wtLzGCpHVM https://t.co/qI3ApMROfl
2023-01-01 03:08:04
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@AbraarKaran As we learn more about how newer covid variants impact clinical outcomes, preventing infections in high risk spaces makes sense, esp for those who are elderly & have comorbidities. Congregate care settings need far more attention & oversight. https://t.co/LU3G0uFvBC
2022-12-31 11:28:08
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@AbraarKaran Thread on #XBB15 covid variant https://t.co/nuNX4NBhhh
2022-12-31 11:25:48
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@AbraarKaran 2/ This is an important trend to keep an eye on but also may take time for this type of divergence in trends to occur
2022-12-31 11:18:15
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@AbraarKaran “While overall Covid hospitalizations are rising around the country, areas such as the Northeast that have seen high levels of the new variant have not experienced a disproportionate increase in hospitalizations” https://t.co/nm9KXFTV2C
2022-12-31 11:15:36
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@AbraarKaran 2/ Hospitalizations tightly correlated w/ age & comorbidities After having spent time at some SNFs this month, realizing there is a big need to do better here.
2022-12-31 10:58:13
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@AbraarKaran Need to increase bivalent booster rates among 65+ Need to improve infection prevention in congregate care settings like SNFs https://t.co/93FYptzArM
2022-12-31 10:56:27
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@AbraarKaran 6/ Comments here saying it “feels like 2020”— I’m relatively confident that won’t be the case. Immune system is far more intricate than just nAbs. I’m sharing this article bc it’s another data point to watch as the virus continues to evolve.
2022-12-31 10:37:49
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@AbraarKaran @ChristinaAuria @1goodtern @DavidSteadson @Librarian4Truth I’m hopeful that won’t be the case. Remember real-world clinical data is more complicated & outcomes in people are most important.
2022-12-31 10:33:45
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@AbraarKaran 5/ Clinical data will be important here; increase in spread has been very quick & hospitalization/death data is delayed relative to infection https://t.co/s8rMuzjB2S
2022-12-31 10:32:24
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@AbraarKaran 4/ this is where I’m most concerned. Mortality rate strongly correlated w/ age & multiple comorbidities Infection prevention in these spaces could be much better also w/ some patients staying for short periods of time, may be underestimates re how much transmission happens here
2022-12-31 10:30:45
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@AbraarKaran @weisman_sara https://t.co/s8rMuzjB2S
2022-12-31 10:28:29
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@AbraarKaran 3/ what some are holding out for is that the pandemic may catapult forward serious progress in health equity. What they are identifying is that this isn’t the case— that we are just as vulnerable to the next pandemic, & only few will be shielded by social, political & $ capital
2022-12-29 12:25:39
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@AbraarKaran 2/ In his book ‘Epidemics and Society’, Snowden says “epidemic diseases are not random events that affect societies capriciously and without warning. On the contrary, every society produces its own specific vulnerabilities.”
2022-12-29 12:22:32
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@AbraarKaran This “holdouts” idea is a big distraction. I’m worried this is actually what the mask wars are becoming as well tbh. I’m less surprised than some bc American politics & healthcare broadly are not equity centered. They weren’t before covid either. https://t.co/osiXm1brRz
2022-12-29 12:17:52
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@AbraarKaran @wsbgnl DIY builds @sri_srikrishna best way to do anything quickly within own home & practically in public spaces; policy & enforcement of policy for IAQ is different ballgame, not sure but @j_g_allen may know Our study may help move the dial- that’s one goal & have discussed w WH & CDC
2022-12-28 09:42:07
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@AbraarKaran @_Eric_Reinhart I appreciate @wsbgnl diagnosis of social & political forces; but the other side translated their versions of the truth into the ear of President at the time (GBD w Trump) The current analysis critical of Democrats doesn’t feel like it leads anywhere bc of 2 party system
2022-12-28 08:31:43
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@AbraarKaran @_Eric_Reinhart But, this only works if your views align w a political party w/ power. Otherwise, not sure what happens — the ability to influence policy quickly relies on this second step happening
2022-12-28 08:28:13
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@AbraarKaran @_Eric_Reinhart Issue w/ social media is it rewards continuous diagnosis & labeling through creation of large followings; some who then get the ear of political leaders that share views; & then get placed in positions of power where they can actually execute those ideas (we saw this w/ GBD)
2022-12-28 08:27:07
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@AbraarKaran Early use of antivirals was something known in the field of ID broadly speaking, yet we delayed giving Remdesivir in 2020 until patients got sicker. PINETREE trial changed that. Reducing viral burden quickly makes sense even as we await more data on LC https://t.co/DcEyXHDVcm
2022-12-28 08:20:38
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@AbraarKaran 4/ what else needs to be done action-wise? Diagnosis is important too, or else people may forget the problem or fail to see it, or understand how it’s changing. But what next? And again, wrt to action (like masking), to what extent, for how long, what metrics? It’s year 4.
2022-12-28 08:16:13
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@AbraarKaran 3/ But what I’m not seeing at least here are what the solutions are. Criticizing public officials via tweets is easy enough- does it work? (@_Eric_Reinhart) For ventilation/filtration, we are trying to produce real world data in our RCT to show this is a worthy investment
2022-12-28 08:16:13
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@AbraarKaran 2/ ultimately I agree w your diagnosis- there has been a deliberate frame shift; efforts to normalize current harms, or at least rely on vertical interventions not easily accessible to all (Paxlovid) or perhaps w/o addressing concerns to implement effectively (booster shots)
2022-12-28 08:16:12
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@AbraarKaran 1/ It may be a huge failure but people’s perceptions of individual risk likely influence behavior more than their concern for population benefit. Will public messaging shifts from current leadership be x-factor that will change this? If not, then best focus efforts in a diff way https://t.co/QSzd0PfbeA
2022-12-28 08:16:11
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@AbraarKaran 5/ also interestingly the family member had almost no symptoms at all during the infection a few months ago while remaining family had symptoms/were ill. Now during this second infection they are symptomatic— fatigued, coughing, headaches etc
2022-12-28 06:10:45
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@AbraarKaran 4/ also had rapid tests on hand to use as soon as symptoms started; and pulse ox to check overnight. So far no one else has tested positive or had symptoms Sharing this to say- many steps need to happen quickly w/ many resources needed to prevent spread/ treat people at home
2022-12-28 06:07:54
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@AbraarKaran 3/ we have space to have index isolate separately w/ separate bathroom. Many if not most don’t have this, esp during holidays when other family may be visiting too Missed days of work; hopefully quick recovery thanks to antivirals but pragmatic challenges here
2022-12-28 06:03:41
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@AbraarKaran 2/ take care of family member. Very clear though that if I were not here, this process would not have been as easy Had to leave middle of the day, 1.5 hour wait at pharmacy (Kaiser); able to do it but many jobs would preclude this flexibility
2022-12-28 06:03:40
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@AbraarKaran 1/ Yet again family member sick w/ #covid19 few months after initial infection Was able to quickly get them Paxlovid (through colleagues who work in that system— wait for a clinic callback otherwise up to 2 days) Able to use GVS N99 I had in supply to protect self while helping
2022-12-28 06:03:39
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@AbraarKaran @wsbgnl Of course, we are now talking about those who have survived to this point.
2022-12-28 01:24:12
Lamp
@AbraarKaran @wsbgnl And until there is some data to suggest that this shift was mostly attributable to what CDC or WH messaging was, I personally think it has more to do w people’s experience w covid (& having recovered). I never had a patient tell me “but CDC said” although maybe others have
2022-12-28 01:23:39
Lamp
@AbraarKaran @wsbgnl Yea I think the efforts would need to be far more than messaging. And not sure federal government can set up any mask related policy that is enforceable on states or counties. Lack of protests (to me) reflects perhaps more deeply where these issues are in terms of ppl priorities
2022-12-28 01:21:58
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