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Nov 15, 2022

Inside Medicine is now on Substack!

Merging what I'm seeing in the ER with rigorous deep-dives on the very latest medical and public health data. I want you know what’s really happening and what matters. Click to read Inside Medicine,...

Inside Medicine

Benjy Renton

@bhrenton

Important slide from today's FDA VRBPAC meeting which underscore the need to especially protect the oldest and youngest members of the population. - Babies <6 months (before vaccine eligibility) — vaccinate pregnant people - Boost older individuals fda.gov/media/164814/d

17h

Inside Medicine: Are yearly Covid-19 boosters the best we can do?

Are yearly Covid-19 boosters the best we can do?

No. But alternative plans will take creativity and effort, and apparently, we're too tired. Nevertheless, lives are on the line.

Jan 26

😃

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Child dies from Nipah virus in Rajshahi

Dr. Syra Madad

@syramadad

Jan 26

Child dies from Nipah virus in Rajshahi

newagebd.net

A seven-year-old child died of Nipah virus at the Rajshahi Medical College Hospital on Monday. Md Sowad, son of Md Sanwar of Ishwardi upazila in...

Genevieve Friedman

@genevievefri

What do you LOVE most about medicine, your job, your patients, medical education, or some other aspect of your career in healthcare? Comment below! #MedTwitter #MedEd #healthcare #NurseTwitter

When ER doctors talk… Phrases that sound like word salad to you have clear meanings and even subtle connotations to us. I often wonder if people overhearing us can understand a thing we are saying. Well, now’s your chance to learn some ER jargon…

How ER doctors communicate: A look inside a complex and fascinating lingo.

When doctors rapidly transition care from one doctor to the next, our jargon probably sounds like gibberish. It's not. It's an amazing language.

The residents made me proud last night. They work so hard.

Inside Medicine -- How ER doctors communicate: A look inside a complex and fascinating lingo.

How ER doctors communicate: A look inside a complex and fascinating lingo.

When doctors rapidly transition care from one doctor to the next, our jargon probably sounds like gibberish. It's not. It's an amazing language.

CDC Makes Biggest Agency Changes Yet

Jan 24

CDC Makes Biggest Agency Changes Yet | MedPage Today

medpagetoday.com

Creates new offices, leadership positions as agency revamp continues

Ali S. Raja, MD and 9 others

“

is helping convert our nation’s ERs into the front door for addiction recovery.” Honored to share the stage here at the

@whitehouse

w/ advocates and federal leaders to talk about the work of

@GetWaivered

@MassGeneralMDs

and beyond. Now, it’s time to #TreatOUD. #FORE

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Jan 24

Inside Medicine -- Field Notes: The deceptively dangerous thing many people do with their medications.

Field Notes: The deceptively dangerous thing many people do with their medications.

Please don't do this...(And also, one thing you absolutely should do!)

Jan 24

Carbs: 4 cal/gram Protein: 4 cal/gram Fat: 9 cal/gram And yet somehow: Yogurt-covered pretzels: 139 cal/gram Peanut brittle: 2950 cal/gram

Raj Rajnarayanan

@RajlabN

Debunking a misleading talking point about #Covid #death certificates and unnatural causes. H/T

Data Snapshot: Unnatural Deaths Like Accidents, Trauma, and Overdose Rarely Attributed to Covid.

Debunking a misleading talking point about Covid death certificates and unnatural causes.

Benjy Renton

@bhrenton

Some may claim that many died of trauma/external causes but they happened to test/positive for COVID.

shows us the data. Of ~1 million deaths which COVID was listed, 0.5% of them had an external reason as the main cause — many of them falls.

Data Snapshot: Unnatural Deaths Like Accidents, Trauma, and Overdose Rarely Attributed to Covid.

Debunking a misleading talking point about Covid death certificates and unnatural causes.

Jerome Adams

@JeromeAdamsMD

Important insights about the “with vs from” covid debate from ⁦

⁩. Spoiler alert: are we are NOT massively overcounting Covid deaths. Data Snapshot: Unnatural Deaths Like Accidents, Trauma, and Overdose Rarely Attributed to Covid.

Data Snapshot: Unnatural Deaths Like Accidents, Trauma, and Overdose Rarely Attributed to Covid.

Debunking a misleading talking point about Covid death certificates and unnatural causes.

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Inside Medicine -- Data Snapshot: Unnatural Deaths Like Accidents, Trauma, and Overdose Rarely Attributed to Covid.

Data Snapshot: Unnatural Deaths Like Accidents, Trauma, and Overdose Rarely Attributed to Covid.

Debunking a misleading talking point about Covid death certificates and unnatural causes.

OpenAI helped me write today’s headline for Inside Medicine. I was having trouble. I wrote the gist and asked for a headline. It came up with something better than what I’d had. With tweaks, here’s the final version. I think it did well. Subscribe: insidemedicine.substack.com/subscribe

Data Snapshot:
Unnatural Deaths Like
Accidents, Trauma, and Overdose Rarely Attributed to Covid.

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Dan Suan

@DanSuan2

It’s NOT the vaccine. If it was the vaccine, Australia would have observed excess heart attacks all through 2021, when we had very high vaccination but very little COVID infection We only started to observe the increase in heart attacks in 2022 with widespread Omicro infection

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Data Snapshot: Covid death certificate rumors debunked. A talking point about about Covid and trauma is a classic example of a misunderstanding if not misinformation. Tomorrow’s Inside Medicine. 👇

Inside Medicine

Inside Medicine: Resisting the urge to hoard children's Tylenol.

Resisting the urge to hoard children's Tylenol.

The pediatric medicine shortage is real. I faced a moral dilemma today.

Now on to Nielsen Symphony #4. Weird piece. But delightful!

"Now, I can sleep at night knowing my family is unlikely to suffer any serious or long-term consequences if and when that happens. That does not mean I’m just going to “let it rip,” though. So, what does this mean for me?" 👇

At last, my immediate family is now fully vaccinated against Covid-19.

My risk tolerance will now change, but that does not mean I'm going to "let it rip."

Charting at home to catch up on notes from last ER shift. Plus, I’m listening to Nielsen Symphony #2, and the family is asleep. Could be worse!

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Quote Tweet

DesertedPIaces

@DesertedPIaces_

Abandoned Chuck E. Cheese animatronic found in a landfill

The sound of my 4-year-old narrating her play in long-form improvised song is basically pure joy for me.

At this rate, we’ll all be dead in 100 years.

Inside Medicine: Inside Medicine Week In Review (January 21, 2023).

Inside Medicine Week In Review (January 21, 2023).

Quick catch up, solid reading recs, and my appreciation to you!

Andrew Bowman, ACNP, NRP, FAEN

@AndrewACNP1

Make sure you are precharging your defibrillator before pausing for rhythm check to keep pause under 5 seconds. VF->SHOCK->CPR Keep compression fraction high AHA 60% compression fraction ACR 95% desired compression fraction

“Now, I’m not sure that paper has the methods to back that conclusion up (in fact, I have my reservations about the study), but it literally goes against the columnist’s point.”

A point-by-point rebuttal of the Washington Post's double down on Covid deaths being "overcounted."

Last week, a Washington Post columnist with whom I am friendly (but have had important disagreements with) wrote that we are overcounting Covid-19 deaths in Massachusetts. The opinion relied upon...

A line-by-line debunking of the Post piece doubling down on overcounting Covid deaths

A point-by-point rebuttal of the Washington Post's double down on Covid deaths being "overcounted."

Last week, a Washington Post columnist with whom I am friendly (but have had important disagreements with) wrote that we are overcounting Covid-19 deaths in Massachusetts. The opinion relied upon...

c̶o̶r̶r̶e̶l̶a̶t̶i̶o̶n̶ ≠ causation. But random unsupported opinion?

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MedPage Infectious Disease

Dr.

, editor-in-chief of

, discusses a new study from Israel outlining the effectiveness of the #bivalentbooster in adults ages 65 and up: bit.ly/3GPKP77 #IDTwitter #MedTwitter

medpagetoday.com

Opinion | Real-World Data Support Bivalent COVID-19 Boosters in Older Adults

Study from Israel showed high level of protection in people 65 and up

Let’s celebrate when the pandemic is really over, rather than declaring it over just because we are no longer seeing a 9/11 worth of Covid deaths every single day. A 9/11 worth of Covid deaths every week is also not good. 👇

A point-by-point rebuttal of the Washington Post's double down on Covid deaths being "overcounted."

Last week, a Washington Post columnist with whom I am friendly (but have had important disagreements with) wrote that we are overcounting Covid-19 deaths in Massachusetts. The opinion relied upon...

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Inside Medicine: A point-by-point rebuttal of the Washington Post's double down on Covid deaths being "overcounted."

A point-by-point rebuttal of the Washington Post's double down on Covid deaths being "overcounted."

Last week, a Washington Post columnist with whom I am friendly (but have had important disagreements with) wrote that we are overcounting Covid-19 deaths in Massachusetts. The opinion relied upon...

161

405

I am deleting a post because the name of the author of the Post piece I am debunking is not the point. But debunking will be here:

Inside Medicine

Céline Gounder, MD, ScM, FIDSA

@celinegounder

COVID deaths are NOT being overcounted. We're UNDERcounting. Still. My friend/colleague

does a great job of analyzing the data & debunking this claim: insidemedicine.substack.com/p/data-snapsho The REAL question is whether you/we think those deaths matter. And maybe you/we don't.

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Mehdi Hasan

Covid deaths are not being overcounted - if anything, they're being *undercounted*. In today's deep dive on the @MehdiHasanShow, I debunked Dr. Leana Wen's dangerous & fact-free op-ed in the Washington Post - her gift to the Covid deniers! Watch/share:

9:43

363.9K views

380

1,284

Thank you to

for featuring

's piece and our work on COVID and excess deaths on his show today, clearly showing how excess deaths rise contemporaneously with COVID waves and how, if anything, we are mostly undercounting deaths attributed to COVID.

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Mehdi Hasan

9:43

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Mehdi Hasan

Covid deaths are not being overcounted - if anything, they're being *undercounted*. In today's deep dive on the

@MehdiHasanShow

, I debunked Dr. Leana Wen's dangerous & fact-free op-ed in the Washington Post - her gift to the Covid deniers! Watch/share:

9:43

363.9K views

From

The Mehdi Hasan Show

905

3,283

7,729

The Mehdi Hasan Show

@MehdiHasanShow

“When I looked at that headline, I was disappointed because it's factually inaccurate.” A doctor’s column in the Washington Post claims Covid deaths are being overcounted — and

tells