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grepmeded's profile
GrepMed
GrepMed
GrepMed
@grepmeded

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GrepMed

@grepmeded

Image Based Medical Reference: Sharing crowd-sourced checklists, algorithms, decision aids, #PhysicalExam #POCUS, and more - by @GeraldMDMD + @k00bideh

Sacramento, CA
grepmed.com
Joined March 2018

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    1. Melody Ong‏ @MOngMD Mar 23
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      Melody Ong Retweeted Melody Ong

      UPDATE: Finally received result, negative. Looking forward to heading to the frontline again.https://twitter.com/MOngMD/status/1241758389228765185 …

      Melody Ong added,

      Melody Ong @MOngMD
      1/x I'm an ER physician still waiting for my COVID19 swab result, and it's been nearly 5 days now. I am waiting on the sidelines to go back to work, and it feels so incredibly frustrating. @PublicHealthON @TOPublicHealth
      Show this thread
      14 replies 5 retweets 141 likes
    2. Jennifer Taher‏ @JennyTaher Mar 23
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      Replying to @MOngMD

      The sensitivity of the test is “less than optimal” with percentage estimations as low as 50%. So is a negative result really that useful given that is cannot rule out..... this is my concern.

      3 replies 1 retweet 4 likes
    3. GrepMed‏ @grepmeded Mar 23
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      Replying to @JennyTaher @MOngMD

      yes for high risk healthcare workers with concerning symptoms if there isn’t testing scarcity should test twice to prevent coworkers spread. Probably all mod-high risk inpatients as well.

      1 reply 0 retweets 3 likes
    4. Melody Ong‏ @MOngMD Mar 23
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      Replying to @grepmeded @JennyTaher

      I'm aware of testing limitations and the mediocre sensitivities of current tests. Are other hospital recommending their staff have two negative test swabs prior to return to work?

      1 reply 0 retweets 2 likes
      GrepMed‏ @grepmeded Mar 23
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      Replying to @MOngMD @JennyTaher

      No- bc of test scarcity. But given 60-80% sensitivity and risk of harm to patients and coworkers it should be mandatory IMO. FAHZU protocol to test patients twice or combine neg test with CT, require 2 neg test for discharge.

      3:26 PM - 23 Mar 2020
      • 1 Retweet
      • 6 Likes
      • Jennifer Taher Monica Delgado Lumos SK Gray Wolf Melody Ong Diogo Nunes
      2 replies 1 retweet 6 likes
        1. New conversation
        2. GrepMed‏ @grepmeded Mar 23
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          Replying to @grepmeded @MOngMD @JennyTaher

          if we ever get high output testing as promised some of us at my shop are advocating to test all inpts 1x and those with resp issues twice if neg given downside risk to employees of false negative.

          1 reply 0 retweets 2 likes
        3. Melody Ong‏ @MOngMD Mar 23
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          Replying to @grepmeded @JennyTaher

          Our hospital has moved to wearing surgical masks at all times while providing patient care, regardless of COVID status, as another means to reduce risk of transmission between patients & HCW. But yes, there are major limitations of testing in North America.

          1 reply 0 retweets 2 likes
        4. 2 more replies
        1. New conversation
        2. Melody Ong‏ @MOngMD Mar 23
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          Replying to @grepmeded @JennyTaher

          China was also able to mobilize 40,000+ healthcare workers to Wuhan. I cannot see that happening in Canada as easily or rapidly.

          1 reply 0 retweets 2 likes
        3. GrepMed‏ @grepmeded Mar 23
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          Replying to @MOngMD @JennyTaher

          unfortunately we have Wuhans sprouting in every major city 🥺

          0 replies 0 retweets 1 like
        4. End of conversation

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