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sanjum's profile
Sanjum S. Sethi MD, MPH
Sanjum S. Sethi MD, MPH
Sanjum S. Sethi MD, MPH
@sanjum

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Sanjum S. Sethi MD, MPH

@sanjum

Vascular Medicine and Interventional Cardiology Columbia University Irving Medical Center. @nyphospital Patient care first, all else second. Tweets are my own.

New York, NY
columbiadoctors.org/sanjum-sethi-md
Joined March 2009

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    1. Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020

      I don’t usually rant on social media. However, after a week of service in the ICU, I’d like to get a few things off my chest. #COVID19 (1/10)

      666 replies 11,120 retweets 30,563 likes
      Show this thread
    2. Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020

      1) This is a horrible, relentless, nasty disease in its severe form. If the patient is obese and/or has renal failure, the prognosis is extremely grim. They are NOT dying from comorbidities. They are dying from COVID -19. #COVID19 (2/10)

      74 replies 1,850 retweets 8,795 likes
      Show this thread
    3. Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020

      2) When I say relentless; most patients make some improvements initially (days 4-6), but decompensate with a 2nd cytokine storm (as many have described). It is this 2nd decompensation that is deadly and that we need to prevent. https://www.jhltonline.org/article/S1053-2498(20)31473-X/fulltext … (3/10)

      42 replies 1,394 retweets 6,850 likes
      Show this thread
    4. Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020

      3) We are forced to share dialysis circuits given the high percentage of renal failure (these people had normal kidneys before!) Why isn’t there more press for this fact? We need more machines to manage our patients effectively. @NYTHealth @WSJhealth #COVID19 (4/10)

      59 replies 2,455 retweets 8,708 likes
      Show this thread
    5. Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020

      4) This IS ARDS full stop. While certain pts may be phenotypically different and benefit from lower PEEP, others de recruit quickly. Different phenotypes should be treated as such. We are seeing more atypical presentations than usual because the volume is tremendous. (5/10)

      28 replies 788 retweets 5,269 likes
      Show this thread
    6. Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020

      5) My interest is in thrombosis and there is a definite hypercoagulable state associated with this illness. Anticoagulation is all over the place at different centers, but there is no randomized data yet to guide any of it (working on it) #COVID19 https://onlinelibrary.wiley.com/doi/abs/10.1111/jth.14830 … (6/10)

      62 replies 900 retweets 5,228 likes
      Show this thread
      Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020

      6) Every single ICU patient (barring QTc issues) got hydroxychloroquine and it doesn’t seem to have helped. Maybe it helps for prophylaxis or in mild disease, but doesn’t appear to do anything once in ICU. It is NOT a pancea and should not be given indiscriminately. (7/10)

      9:31 AM - 12 Apr 2020
      • 3,438 Retweets
      • 11,358 Likes
      • classy hell Vin Kohl Eleanor White Lillian Aldaia, MD, FACC FumingMadPt🌊 Steve Jones kimberley lodge cole 🌻🦖 Paula WaterGardens 💚💙🏳️‍🌈✊🏾🏳️‍⚧️
      140 replies 3,438 retweets 11,358 likes
        1. New conversation
        2. Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020

          7) Listen to people who have been studying viruses and ARDS before all this began and will continue to investigate/clinically deal with it long after we have all moved on #COVID19 #DrFauci @PulmCrit @CDCgov @nycHealthy @ishlt @ColumbiaCCM (8/10)

          21 replies 989 retweets 6,337 likes
          Show this thread
        3. Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020

          8) Be skeptical, but armchair conspiracy theories without any viable solutions are extremely disheartening. We are all in this together, help us generate the data that will answer those questions you are skeptical about and more importantly help our patients #COVID19 (9/10)

          23 replies 952 retweets 6,985 likes
          Show this thread
        4. Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020

          9) The rapid dissemination of materials, protocols, data is truly impressive. I feel like every intellect is pointed at one problem. Further, the support from people inside and outside of the hospital is truly overwhelming and much appreciated #COVID19 @nyphospital (10/10)

          14 replies 706 retweets 6,506 likes
          Show this thread
        5. Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020

          I have only glimpsed what this disease can do, so hats off to the leadership for their transparency and stewardship over the last 6 weeks. It is remarkable to witness the level of dedication of each individual trying to make a difference. @nyphospital @ColumbiaMed

          13 replies 543 retweets 5,400 likes
          Show this thread
        6. Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020

          I alluded to it but felt remiss that I didn’t specifically mention that the nurses, residents, and fellows are truly superstars working tirelessly under less than ideal conditions #NYPHeroes

          32 replies 790 retweets 8,087 likes
          Show this thread
        7. Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020

          As was pointed out to me - PAs, NPs, housekeeping, food service, techs, CNAs, CRNAs, transport, security, parking, etc. They all contribute far more than most of us (including myself) and deserve our gratitude. #NYPHeroes

          30 replies 1,048 retweets 8,951 likes
          Show this thread
        8. Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020

          Yes course. Respiratory therapists. PT OT - I dont mean to exclude anyone. If I do - please forgive the mistake!

          139 replies 667 retweets 7,744 likes
          Show this thread
        9. End of conversation
        1. New conversation
        2. Assis, PhD‏ @AssisT_styx 12 Apr 2020
          Replying to @sanjum

          Everyone working on HCQ including the Koreans and Chinese and French and Brazilians say you should give HCQ as soon the symptoms appear. Why don’t you adopt this suggestion then? Are u still waiting for a radomized controlled double blind multicentric with a huge N???

          3 replies 1 retweet 9 likes
        3. Sanjum S. Sethi MD, MPH‏ @sanjum 12 Apr 2020
          Replying to @AssisT_styx

          We have a protocol where most get hydroxychloroquine on arrival depending on certain clinical criteria

          0 replies 0 retweets 5 likes
        4. Show replies
        1. New conversation
        2. Pam Vila, DO‏ @petitewhitecoat 12 Apr 2020
          Replying to @sanjum

          Saw the same thing here! Otherwise reached for tocilizumab in the ICU.

          1 reply 2 retweets 5 likes
        3. *BaphoResurrected* 🔻 🥾 🐍 🍥‏ @BaphoResurrect 12 Apr 2020
          Replying to @petitewhitecoat @sanjum

          I just mentioned it in a comment. Seems interesting for late stages patients!

          0 replies 0 retweets 0 likes
        4. End of conversation

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