Once you fall off oxygen saturation curve at 90%, "low 80s" means nothing. Steroid treatment clearly showed at the time he had oxygen desaturated--those data were out. Monoclonals were where preferential access to (unproven at the time) Rx not available to others outside trial.
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Replying to @ClancyNeil
There was a lot of VIP syndrome commentary at the time, too. (Below is from the NYT then). I think what's interesting to me is how people—medical doctors included—were trying to read between the lines with various guesses rather than, you know, just being able to trust the info.pic.twitter.com/WfFV7Fd532
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Replying to @zeynep
I'll speak personally---almost to a person, my medical colleagues knew he was significantly desaturated, which is why he got dexamethasone, and there was real risk of progression to need for ventilation. There is professional reticence, however, to speculate about a person's
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Replying to @ClancyNeil @zeynep
condition, even if you KNOW what's going on, without access to records, data, and ideally examining the person. This is an "of course" story from our perspective. The outrage by many was over access to monoclonals.
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Replying to @ClancyNeil @zeynep
More accurately, reticence to share your speculation outside of closed professional circle.
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Replying to @ClancyNeil
Right, and even those high professional standards—makes sense when you normally except to be able to trust authorities with such key information. The norm is there is no huge gap between what the president's medical team is saying and what meds he's getting.
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Replying to @zeynep @ClancyNeil
So the NYT story from the time wasn't all "of course he desaturated" but a lot of guessing, wondering about VIP syndrome. The kind of confusion/multiple messages that gets one in the habit of Kremlinology with official statements—was less of a reflex here when I first arrived.
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Replying to @ClancyNeil
Thank you! Very kind. But honestly, I found myself in this weird bridge position... A bunch of skills/habits/interests and experiences that fit the moment, plus the freedom of an academic position. A chance to contribute is a privilege.
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Replying to @zeynep
Well, its been consistently insightful. You see us better than we see ourselves, which might reflect both being inside and outside the culture, and having historic memory and understanding of elsewhere. Anyhow, well done.
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Hah, thanks. I'm what they call a "third-culture kid" both my personal history and my academic career (too many interests/topics that don't fit the existing silos until they hit something that requires.. most of them at once). Good and bad; weird effects.https://en.wikipedia.org/wiki/Third_culture_kid …
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