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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande Jul 13

    The elimination of Agency for Healthcare Research & Quality's National Guidelines Clearinghouse health care is another astonishing and unconscionable blow for access to scientific information.https://thebea.st/2LdQhTj 

    6:01 AM - 13 Jul 2018
    • 1,661 Retweets
    • 1,567 Likes
    • Carol Gigante Rachna Shah Tiger Squeakily, Jr Clelia Biamonti Massimo Kristine Keough literally a snake Stingray73🌹 Rachelle Jervis
    89 replies 1,661 retweets 1,567 likes
      1. New conversation
      2. Jennifer Colamonico‏ @jencolamonico Jul 13
        Replying to @Atul_Gawande

        I have competing thoughts here...(1) this archive needs to be preserved somewhere, and (2) given so many guidelines are outdated/being updated in the current environment, could this provide a meaningful opportunity to dissect the old/ineffective ones and promote the updated ones?

        1 reply 1 retweet 11 likes
      3. Sumana Harihareswara‏ @brainwane Jul 13
        Replying to @jencolamonico @Atul_Gawande

        @archiveteam is on it. https://www.archiveteam.org/index.php?title=Deathwatch#2018 …

        2 replies 3 retweets 34 likes
      4. E Wickersham, MD, MS‏ @Wickersham_Eliz Jul 13
        Replying to @brainwane @jencolamonico and

        So I looked at this link. I can’t quite figure it out. Are you saying they will have it housed and usable by the medical community?

        1 reply 0 retweets 2 likes
      5. Sumana Harihareswara‏ @brainwane Jul 13
        Replying to @Wickersham_Eliz @jencolamonico and

        I'm sorry for not being clear. ArchiveTeam is working to preserve the data that's currently at https://guideline.gov/  and it won't be AS searchable and usable as the old site but I believe individual documents will be retrievable at https://web.archive.org/web/20180101000000*/https://www.guideline.gov/ … .

        3 replies 8 retweets 34 likes
      6. E Wickersham, MD, MS‏ @Wickersham_Eliz Jul 13
        Replying to @brainwane @jencolamonico and

        Thank you!

        0 replies 0 retweets 4 likes
      7. End of conversation
      1. New conversation
      2. David I Soybel, M.D.‏ @DSoybel Jul 13
        Replying to @Atul_Gawande

        @SenateGOP @HouseGOP @SpeakerRyan @NRSC @realDonaldTrump @VP .... why shouldn’t the public have access to the info it paid for?

        1 reply 6 retweets 37 likes
      3. Matthew Moore‏ @thewmo Jul 14
        Replying to @DSoybel @Atul_Gawande and

        Because the guidelines it contains were not written by big pharma.

        1 reply 3 retweets 14 likes
      4. monki‏ @homosapienswhat Jul 15
        Replying to @thewmo @DSoybel and

        Is this sarcastic?

        1 reply 0 retweets 1 like
      5. Matthew Moore‏ @thewmo Jul 15
        Replying to @homosapienswhat @DSoybel and

        Yes, but also probably the actual reason, or part of it.

        1 reply 0 retweets 7 likes
      6. R. Adams Dudley‏ @RAdamsDudleyMD Jul 16
        Replying to @thewmo @homosapienswhat and

        Historically, the biggest opposition to guidelines has come from surgeons, esp ortho and neurosurgeons. This is bc the data show back surgery is often ineffective or creates new problems as bad as the old ones, & they don't want govt saying that. They then give extensively to GOP

        1 reply 0 retweets 2 likes
      7. R. Adams Dudley‏ @RAdamsDudleyMD Jul 16
        Replying to @RAdamsDudleyMD @thewmo and

        One of Tom Price's (ortho surgeon) goals as HHS secretary was to limit the impact of guidelines. Previously, data from trials had been used to deny coverage of some ortho procedures & he wanted that changed (see 4th & 5th paragraphs here):http://www.modernhealthcare.com/article/20161201/NEWS/161139982 …

        1 reply 0 retweets 3 likes
      8. Matthew Moore‏ @thewmo Jul 16
        Replying to @RAdamsDudleyMD @homosapienswhat and

        Very interesting. I was being flip but figured the recommendations must be hurting somebody's bottom line. Thanks!

        1 reply 0 retweets 1 like
      9. R. Adams Dudley‏ @RAdamsDudleyMD Jul 16
        Replying to @thewmo @homosapienswhat and

        Not saying there isn't a prescription drugs issue, though. Consider this: https://tytnetwork.com/2018/07/15/trump-gop-delete-decades-of-medical-guidelines/ …

        1 reply 1 retweet 1 like
      10. 1 more reply
      1. New conversation
      2. Shantanu Nundy‏ @DrNundy Jul 13
        Replying to @Atul_Gawande

        Seems like we should be able to raise enough money to save it. With all the philanthropy out there, this seems high impact per dollar.

        2 replies 0 retweets 6 likes
      3. Tracy Lou‏ @TracyLou3 Jul 14
        Replying to @DrNundy @Atul_Gawande

        I don't think it's really a budget issue. I think there is another more sinister reason behind this. An incentive to limit & dismantle information in order to deregulate medical standards. Profits before patients.

        1 reply 5 retweets 32 likes
      4. Steve Gardner‏ @SteveJGardner Jul 14
        Replying to @TracyLou3 @DrNundy @Atul_Gawande

        You are spot on. There are not always nefarious reasons behind things but of all things to cut...

        0 replies 0 retweets 4 likes
      5. End of conversation
      1. New conversation
      2. Larry Wilson‏ @LarryWilson Jul 15
        Replying to @Atul_Gawande @odawa49

        The government website has already been deleted. There's not even a place-marker page.

        2 replies 1 retweet 2 likes
      3. Arya Snark, #BeAVoter!  🇺🇸‏ @AryaResists Jul 15
        Replying to @LarryWilson @Atul_Gawande @odawa49

        https://guideline.gov/ 

        1 reply 1 retweet 2 likes
      4. Carol Forden‏ @CarolForden Jul 15
        Replying to @AryaResists @odawa49 and

        Nope. I don't believe they keep an archive

        1 reply 0 retweets 0 likes
      5. Arya Snark, #BeAVoter!  🇺🇸‏ @AryaResists Jul 15
        Replying to @CarolForden @odawa49 and

        Arya Snark, #BeAVoter!  🇺🇸 Retweeted Randy #RESIST

        It is still currently up. For a few more hours.https://twitter.com/randyprine/status/1018583132298100736?s=19 …

        Arya Snark, #BeAVoter!  🇺🇸 added,

        Randy #RESIST @RandyResist
        I emailed AHQR on a SUNDAY morning, and got this reply less than an hour later. What dedication. #SaveTheGuidelines pic.twitter.com/9WS8s6F6F8
        1 reply 1 retweet 3 likes
      6. Larry Wilson‏ @LarryWilson Jul 15
        Replying to @AryaResists @CarolForden and

        I'm using WinHTTrack to download the entire website (structure included).

        2 replies 0 retweets 5 likes
      7. Larry Wilson‏ @LarryWilson Jul 15
        Replying to @LarryWilson @AryaResists and

        After I get it downloaded and transferred to my Windows Server 2012 R2, I will bring my server up and leave it online so that people can still view the entire site as it exists today.

        1 reply 0 retweets 3 likes
      8. Carol Forden‏ @CarolForden Jul 15
        Replying to @LarryWilson @AryaResists and

        It's a huge db, over 20 years of data.

        2 replies 0 retweets 2 likes
      9. Larry Wilson‏ @LarryWilson Jul 15
        Replying to @CarolForden @AryaResists and

        1.3GB in only 17 files so far. So, I'm going to set up my 3TB drive and restart the scrape.

        1 reply 0 retweets 3 likes
      10. 6 more replies

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