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Barry Goldberg
@goldbrg
My tweets are my own and do not represent my employer (IBM)
Ossining, NYJoined November 2009
Barry Goldberg’s Tweets
People are asking questions because they don't trust the CDC and FDA. That's because those agencies have lost our trust. Here and I explain sudden death, vax myocarditis, and the true, complex story
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George Santos Signs Lucrative Endorsement Deal With Whoppers
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Jerry Jones after seeing Brett Maher miss another extra point
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Consistent with what I’ve seen in the ER in LA in the last week. No one is testing positive for Covid or flu and certainly no patients being admitted for severe Covid. Definitely the easiest of the 3 pandemic winters for us so far.
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I've covered three pandemic winters now, and hospitals are raising far fewer alarms about this one.
There was no massive post-holidays surge in admissions. Covid is declining. No more "tripledemic" threat because flu, RSV & covid peaked early Dec washingtonpost.com/health/2023/01
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Hundreds of hospitals sue patients for bills they can't afford to pay. Find out if yours is one of them on this interactive map by KHN. Thank you for promoting accountability through good journalism (a lost art) khn.org/MTU5NzAwMA
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Mazel tov Ben Ferencz on the Congressional Gold Medal!
Ferencz, the last living Nuremberg prosecutor, was tasked with charging Nazis for their crimes at just 27 years old and has fought for justice ever since, even at the age of 102.
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Tracking virus spread by ER visits is a fantastic and accurate metric.
Two clear trends:
- RSV, flu, and Covid have already peaked this Winter
- The “scariest variant yet” XBB.1.5 hasn’t taken off given high level of vaccine/infection-induced population immunity
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Today CDC launched two new dashboards to track respiratory virus (COVID-19, Influenza, RSV) trends in the US
- Respiratory Virus Hospitalization Surveillance Network (RESP-NET)
cdc.gov/surveillance/r
- Emergency Department Visits
cdc.gov/ncird/surveill
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HOLIDAY GATHERINGS: Press quick to blame human behavior instead of highly transmissible respiratory viruses, seasonality. Please know immunity has increased massively from 2020 to 2023 against COVID. We see respiratory pathogens every winter; we have tools; will always fight them
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New U.S. government data suggests holiday gatherings didn't spark surges in respiratory diseases. apnews.com/article/health
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First NY injury of 2023
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Sources: Lingering shoulder issue has Yankees starter Frankie Montas behind, and he’s thought most likely to return to pitch in May
nypost.com/2023/01/14/yan
Clyde Frazier on his train ride to Washington D.C. today: "It was so cold I saw politicians with hands in their own pockets."
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This is a very important visual on how the severity of COVID has decreased over time with vaccines, natural immunity, and both
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The #Covid pandemic as shown through the ratio of ICU census to infections:
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18% of the kidney transplants in America come from Orthodox Jews, 0.2% of the population. When you hear about “insularity” and “indifference to outsiders” please remember that. Taking mitzvot seriously often leads - astonishingly- to mitzvot! (And yes, I’m a Conservative Rabbi…)
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Renewal in 2022…
* Facilitated over 90 life-saving transplants.
* Broke the 900 mark for total transplants facilitated since Renewal was founded.
* At one point we did 18 transplants in 21 days! Most probably a world record.
#savinglives
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Tamir, a student in our Animal Care at Tilly Foster program, attends an internship twice a week at Croton Pet Station.
Interning at a retail pet store is providing him with great experience in the animal care field.
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BREAKING: A travel nightmare is unfolding right now on Amtrak. Passengers on the Auto Train have been stuck on board for 29+ hours, currently sitting in the woods in rural South Carolina. Passengers called the local police saying they’re being held hostage.
LISTEN:
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RESPIRATORY VIRAL SEASON: This is what every winter looks like for us in ID. Going forward, older people will likely be boosted every year for COVID (>65 certainly; let's see what decides); we will encourage flu shots >6 months; & RSV vaccine coming for vulnerable
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Update from the ER in LA
Over the weekend, I saw about 40 patients.
- 0 RSV
- 0 Flu
- 1 elderly patient tested + for covid. Covid likely caused an acute exacerbation of her chronic atrial fibrillation and she required hospitalization. Let's break this case down.
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“Widespread medical debt is a uniquely American problem, with such debt totaling at least $195 billion in 2019.”
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Cellular immunity (high population immunity from the vaccine, natural infection or hybrid immunity) why hospitalizations not rising MA (& why hospitalizations so linked to vaccine rates with delta & BA1; now high immunity from natural/hybrid too)
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Here is my attempt to unpack #COVID19 data from Massachusetts to gain some insight into the impact of the XBB.1.5 variant. The chart below combines the results of variant surveillance (data for New England), as well as cases and hospitalizations trends. 
(1/10)
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Yes immune system works
-Please see cellular immunity pinned tweet; so many papers! Will post more
-This is 7th human coronavirus; we know how coronaviruses work
-Retroviruses (HIV: start RNA & go to DNA) & coronaviruses (RNA virus) different
-Basic principles of immunology hold
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Our Immune Systems Weren't Damaged by COVID-19
Despite many claims of widespread immune damage following SARS-CoV-2 infection, there is no epidemiology that supports this claim. These theories result from confusing scientific and clinical findings.
thecounterpoint.substack.com/p/our-immune-s
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Here’s a video I made breaking down my perspective as an ER Doctor on why Damar Hamlin went into sudden Cardiac Arrest
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For #NationalBobbleheadDay we are giving away a Polar Bear Pete Bobblehead. Like or retweet to be eligible. Winner selected on Monday.
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HIGH POPULATION IMMUNITY WITH XBB.1.5 BELOW:
2022/2023 different with variants due to T/B cell immunity in population:
T: Exposure to COVID expands T cells: nature.com/articles/s4159
B: Exposure to COVID or vaccination (more narrowly) expands B cells:
sciencedirect.com/science/articl
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Worried about the new XBB 1.5 variant?
Before you panic, look at COVID rates in New England (75% XBB 1.5) - versus the Chicago area (6% XBB 1.5).
See the big wave of cases in New England? I don't either.
Just because we have a new variant doesn't mean a new surge is coming.
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The difference between the EU and Is that the EU is correct.
Pretty much every time the CDC director did anything at odds with Europe, she was making a mistake. Why can't she just follow European guidance?
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It was super hard being a progressive who supports corporate reform, but actually didn't lose our marbles on COVID19 policy. There are 10 of us. We understand that a baseline single payer health care has advantages and masks don't work. B/c we can read studies.
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Message for end 2022. COVID vaccines and immunity work in the US just like they do in Europe. mental health matters too
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#LISTEN: With more holiday festivities coming up, COVID-19 concerns still loom for this New Year's festivities.
On our Ask an Expert segment, KCBS Radio's Eric Thomas was joined by @MonicaGandhi9, a professor of Medicine at @UCSF.
omny.fm/shows/kcbsam-o
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Pandemic phase "over" when enough of population has gained immunity (most egregious misinformation on this platform/media was that COVID could be eradicated/eliminated; pathogen doesn't have features of this); this virologist also credits less virulence.
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Fairbanks resident Patrick Holland found — and then lost — his chance at an ideal match for a heart transplant last week as poor weather sent air travel into disarray.
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Looks like is running focus city rescue flights tonight, an extra section with a Boeing 788:
ORD-PHX AA9610 500pm - 805pm
PHX-ORD AA9611 8:50pm - 1:15am
Inventory looks wide open.
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I’ve gotten dozens of asks for my view on the meltdown and here it goes. (This post is a good start but I don’t pretend that this is exhaustive) 1/
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A Reddit post explains the Southwest Airlines meltdown (it cancelled >2.5k flights today).
TLDR: Crew scheduling system is 20 years outdated. In event of disruption, can only be changed via phone and manually updated (no app/internet options). And generally understaffed.
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If you had plans to fly on Southwest this week, you probably don't anymore. The carrier expects to operate only 1500 flights per day (about 30-40%) through the end of the week. And *maybe* that will be enough of a reset to let things stabilize.
Seek alternatives if possible.
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Southwest finally, formally acknowledges that the vast majority of the cancelled flights are its fault and will fully refund, as well as cover incidental expenses.
This doesn't necessarily make passengers whole, but it is a good start.
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Also @SouthwestAir is deeming cancellations since 12/24 as controllable, meaning reimbursement for incidental expenses. And refunds for cancellations since 12/24 will include full fare and any other unused charges
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Also @SouthwestAir is deeming cancellations since 12/24 as controllable, meaning reimbursement for incidental expenses. And refunds for cancellations since 12/24 will include full fare and any other unused charges
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Just gonna leave this here.
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IMPORTANT REMINDER: Please be kind to airline agents. At the end of the day, Southwest as a whole is who canceled my flight with no explanation. I watched multiple agents today in tears after how customers treated them. They are here to help, and I’m so grateful to them.
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Here is the video of the intercom announcement.
Speaker says staffing issues have led to the cancelation of 90% of Sky Harbor Southwest flights. They say they cannot get anyone out for the next 4 days.
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Over the intercom at Sky harbor, southwest announced that over 90 percent of their flights have been canceled. They say they won’t be able to rebook anyone for FOUR DAYS.
They are asking folks to go home.
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🎟 RT for a chance to win 🎟
Retweet this for a chance to watch batting practice on field and four tickets to a 2023 game. #MetsHolidaySweepstakes
NPN. Ends 12/25. Rules: atmlb.com/3BEM0nS
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ASYMPTOMATIC SPREAD OF COVID: Systematic review shows most spread (>80%) actually when patient is symptomatic, putting it on par with other respiratory pathogens like flu (flu more contagious with symptoms thelancet.com/journals/langl). Science evolved on this
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👕🛍 RT for a chance to win 👕🛍
Retweet this and follow for a chance to win a #Mets Team Store package, including a personalized bat, personalized jersey and a $50 #Mets Gift Card. #MetsHolidaySweepstakes
NPN. Ends 12/25. Rules: atmlb.com/3BEM0nS
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