Fixing healthcare through Direct Primary Care. @alexlickerman, MD is taking us there. How does it work? See this: https://nitter.gq/t.co/nD6xH87L1y
Chicago, IL
Joined August 2015
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ImagineMD retweeted
These actors seem to be “China virus lab theory” conspiracists targeting scientists who’ve done work w Chinese labs.
Pass this thread to your relevant colleagues.
I’m terribly sorry that anyone would use my identity to go after you.
The authorities are investigating. 4/4
ImagineMD retweeted
My new piece in @NewYorker. We have untapped testing capacity and ability to grow it further. But we don’t have the systems to connect it to the need. Making that happen is feasible. And in some places I highlight, people are starting to do it. newyorker.com/science/medica…
ImagineMD retweeted
Teladoc To Buy Livongo Health In $18.5 Billion Virtual Care Mega-Deal forbes.com/sites/brucejapsen…
ImagineMD retweeted
680,000 hysterectomies were performed in 2018.
Mean total patient costs were $43,622 for abdominal, $31,934 for vaginal, $38,312 for laparoscopic, and $49,526 for robotic hysterectomies.
Private practices, including @SurgeryCenterOK start at $8,000.
#healthcare
ImagineMD retweeted
Let's not forget about the moral bankruptcy that this ER and countless hospitals exhibit every day. They trade on the credibility, passion and talents of dedicated clinicians who usually have no clue how their patients are being abused.
You can actually see that really clearly in the story I wrote yesterday, about a woman who got a drive-through coronavirus test. She used her insurance, and they were billed $6,408.
Her friend paid cash and was billed $199.
nytimes.com/2020/06/29/upsho…
(2/8)
ImagineMD retweeted
It's an embarrassment that we don't have great caregiver support/compensation given we spend 2.5x most countries ostensibly on healthcare. Any humane hc system would properly pay for this. Instead we "rent" health plans from Wall Street (w/ carriers carrying/taking our cash)
ImagineMD retweeted
I've seen studies in influenza mouse models and hep B in monkeys, but none in humans that prove initial viral load relates to severity of disease. Other docs, is there good evidence of this in humans in other infectious diseases? References, please.
If true (and I can think of some confounders so I'm not 100% confident) this seems quite important. The fatality rate wouldn't be ~constant across different places. It would be worse in places with severe outbreaks when people are exposed multiple times. nytimes.com/2020/04/27/opini…
ImagineMD retweeted
Don't just do something! Stand there! A brilliant article on why we can't abandon the principles of science no matter how urgently our emotions are driving us to do just that.
A great thing about having been around for a while is reading the brilliant things that your teachers, mentors, colleagues, and former students write. This is a great one. Covid-19 — A Reminder to Reason | NEJM nejm.org/doi/full/10.1056/NE…
ImagineMD retweeted
A name will be given for this period. The Great Recession/Depression are taken.
I believe it will be The Great Reset
What will be reset?
Health insurance
Public health
Primary care
Commuting
How we greet each other
What else?
ImagineMD retweeted
Another pre-print, so take with salt grain. But sensitivity of currently commercially available Ab tests appears to stink across the board. Is the answer wider use of ELISA? medrxiv.org/content/10.1101/…
ImagineMD retweeted
Wonderful article about the importance of proving interventions actually work, and in meaningful ways.
Years ago, wrote a journal article about 2 medical world-views:
1: A give it a shot, worldview
2. RCTs first
Especially timely in era of COVID19 experimental drugs
drive.google.com/file/d/1KkM…
ImagineMD retweeted
Announcing the once a year opportunity for benefits advisors committed to changing the status quo to join our Health Rosetta Advisor Program! Join our April 1st webinar to learn more: bit.ly/33pzypK
ImagineMD retweeted
‘A test result may be reassuring to individuals who feel unwell, but the mask and health care worker to test someone with mild symptoms are resources that could be used to save someone’s life.’ #COVID19 #coronavirus 👇
“In a universe where masks and gowns are starting to become scarce, every time we test someone who doesn’t need one, we’re taking that mask and gown away from someone in the intensive care unit” @DrDemetre washingtonpost.com/health/20…
ImagineMD retweeted
Heads up >> #Chicago has been scouring empty schools, dorms, convents looking for a place to house potentially thousands of #COVID19 patients who need to self-isolate, but can't at home >> tinyurl.com/rzhndgc @WBEZ @WBEZpolitics @ShiaKapos #coronavirus
ImagineMD retweeted
NEW: I dug into the concerns that ibuprofen makes coronavirus symptoms worse. In short, they're unfounded.
And no, despite what you may have read this week, the World Health Organization is NOT warning people against taking ibuprofen.
buzzfeednews.com/article/ste…
ImagineMD retweeted
Very promising results but: 26 (- 3) in the Treatment vs 16 (- 5 negative) controls (needed 24 per arm); not randomized; relatively young (mean 45.1); unclear comorbidities, 6 patients only got Azithro & no mortality result. Need a pragmatic RCT looking at QTc & G6PD deficiency
ImagineMD retweeted
Exactly
Not really an RCT
This is something that may be promising, and worthy of studying properly - not just implementing
ImagineMD retweeted
* Public health officials & hospitals talking every single day about how to scale up quickly after years of using fewer hospital beds.
* Testing is still not widely available, but it's coming.
Details: tinyurl.com/tkmwyd9 @WBEZ @WBEZpolitics #coronavirus
ImagineMD retweeted
We are ringing the alarm bell, folks. The US is 10-14 days behind Italy. We're not doing enough to change that trajectory.
They had 368 deaths yesterday. For a nation of 60 million, it was enough to raise their all-cause mortality rate 20%.
We can avoid that.
#StayHome