Abraar Karan MD, MPH, DTM&H

@AbraarKaran

doctor | columnist | co-founder |

Boston, MA
scholar.harvard.edu/abraarkaran
Vrijeme pridruživanja: veljača 2012.
446 fotografija ili videozapisa Fotografije i videozapisi

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  1. Prikvačeni tweet
    31. sij

    In his famous work, Aequanimitas, William Osler told young physicians to show "clearness of judgement in moments of grave peril." We need to think clearly w/ the . Panic is its own pandemic, & it's already hurting us. Cc

    5 replies 23 proslijeđena tweeta 35 korisnika označava da im se sviđa
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  2. prije 17 sati

    2/ "Fear and Stigma: The Epidemic within the SARS Outbreak"

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  3. prije 17 sati

    1/ The is spreading. How we respond is critical. If we stigmatize & isolate others, we will discourage people from getting tested & treated. We've seen this w/ , , & more. Let's not make the same mistakes again.

    1 reply 4 korisnika označavaju da im se sviđa
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  4. proslijedio/la je Tweet
    4. velj

    HMS’ Abraar Karan explores the damaging effects of xenophobia and misinformation triggered by the current coronavirus outbreak (via )

    1 reply 18 proslijeđenih tweetova 25 korisnika označava da im se sviđa
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  5. 3. velj

    When passed away last week, for many of us LA kids, it felt like our childhood went too. His helicopter crashed behind my middle school. We used to run through those trails. A short letter saying goodbye.

    8 korisnika označava da im se sviđa
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  6. 3. velj

    6/ Link to the case:

    1 reply
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  7. 3. velj

    5/ As cases become more widespread around the world, will be harder to rule out based on travel history alone. Expect to have some missed cases based on a travel hx that doesn't include China & may be falsely reassuring. Will likely depend on evolving epidemiology.

    1 reply 2 korisnika označavaju da im se sviđa
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  8. 3. velj

    4/ -stool & both respiratory specimens tested positive by rRT-PCR; serum remained negative -In summary: In this young, healthy patient, the early presentation is similar to most seasonal viral PNA that we see (cough, subj fever, mild GI sx). Travel hx is key but...

    1 reply 2 korisnika označavaju da im se sviđa
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  9. 3. velj

    3/ -HD5, febrile, new LL opacity on CXR, desats to 90%, c/f bacterial PNA--> empiric vanc/cefepime -HD6, rales at bases, CXR w/ bilateral streaky opacities more c/w atypical PNA -HD7, compassionate use of IV remdesivir; abx stopped -HD8 clinical improvement, ongoing dry cough

    1 reply
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  10. 3. velj

    2/ -intermittent measured fevers started hospital day (HD) 2/ illness day 6 (4 day hx prior to presentation) -loose stools on HD2 -labs w/ leukopenia/ thrombocytopenia/elevated CK & lactate/mild LFT abnormalities -supportive care: IV fluids/tylenol/ibuprofen

    1 reply
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  11. 3. velj

    Thread 1/ case report on 1st US case -35 yo M, healthy returned traveler, 4 day hx of cough/N/V, subjective fever -No contact w/ seafood market. No sick contacts he remembered -afebrile, tachycardic, normal O2 sat -Rhoncherous -Normal initial CXR

    4 proslijeđena tweeta 2 korisnika označavaju da im se sviđa
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  12. 3. velj

    New article I'm currently finishing up explores this w/ some reference to social mobility (cc 's work), social disconnectedness/loneliness, the recent Camden Coalition findings, & lessons we can apply from global health equity, incl and .

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  13. 3. velj

    5/ I reference this in my new piece arguing that social issues are indeed the purview of physicians. Most medical illnesses are the biological manifestations of social inequities. I believe this more every time I truly understand what is bringing a patient in to the hospital.

    1 proslijeđeni tweet 1 korisnik označava da mu se sviđa
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  14. 3. velj

    4/ "What happens...when a patient w/ low literacy is DC'd after a hospitalization w/ new prescriptions, orders to follow up w/ 3 subspecialists, & a referral to outpatient rehab — & has to contend w/ the eviction notice, unpaid utility bills, & isolation that await him at home?"

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  15. 3. velj

    3/ "We also recommend that clinicians attempt to visit the neighborhoods where the majority of their patients live, since such experiences can enhance clinicians' social perspective and help them understand their patients' “health homes.”

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  16. 3. velj

    2/ They propose an extended social history of the patient, including "individual characteristics, life circumstances, emotional health, perceptions of health care, health-related behaviors, and access to and utilization of health care." Great chart in the paper.

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  17. 3. velj

    1/ One of my all-time favorite reads from our global health equity residency program director Dr. Joseph Rhatigan-- "Rethinking the Social History" in _____

    8 korisnika označava da im se sviđa
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  18. 3. velj

    When medical doctors argue that “social issues” are not “medical issues”, we have to ask: at what point is a patient’s health no longer a doctor’s responsibility? This might seem like a straightforward question. Trust me that it’s not.

    1 reply 1 proslijeđeni tweet 18 korisnika označava da im se sviđa
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  19. 3. velj

    Important contributor to misinformation— it is essential that we look to those who are actually experts in , not “generalists”. And, critical that those of us who are not experts make that clear to followers. I’m not a expert by any means.

    Boy, there is a real cottage industry that has sprung up around the outbreak: PR firms trying to secure interviews for "experts." I've received 100 such pitches at least. Everyone I know who's an expert on CoVs is too busy to be soliciting interviews.
    1 proslijeđeni tweet 11 korisnika označava da im se sviđa
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  20. 3. velj

    As we enter a new phase of panic w/ regard to , incl flight bans, quarantines, & selective border control, we can do our part to stop the parallel epidemics unfolding: 1) terrible xenophobia against Asians 2) misinformation from non-experts 3) the flu

    1 reply 39 proslijeđenih tweetova 54 korisnika označavaju da im se sviđa
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  21. 3. velj

    1/ As we see cases in the US, this article in our recent becomes very relevant. It explores the hesitance by healthcare staff in caring for patients in the past, & how to think through personal risk vs duty to serve.

    6 proslijeđenih tweetova 7 korisnika označava da im se sviđa
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