Don Goldmann, MD

Chief Scientific Officer, Emeritus @theIHI, professor @harvardmed and @HarvardHSPH

[Don Goldmann, MD @DAGoldmann]

@sacjai Value-based care instead of values-based care

[Don Goldmann, MD @DAGoldmann]

@halletecco Very important. Remembering a child who was being given a ‘supplement’ that turned out to be key in diagnosing her serious condition requiring hospitalization.

[Don Goldmann, MD @DAGoldmann]

Got bivalent mRNA vaccine at branch of major pharmacy chain. Impression, confirmed by friends & colleagues: Even with limited COVID vaccine uptake, pharmacists are overwhelmed by increasing reliance on them for immunizations. Distracted, multi-tasking, feeling unheard. Unsafe.

[Don Goldmann, MD @DAGoldmann]

@sacjai @Forbes As an NHS caregiver who was waiting in line for a breakfast BAP said to me: "Why do you focus on value in the US? I'm more interested in valueS." Equity is required for values based care, as are PROMs & co-design/shared decisions. Shaving 0.2 days from LOS is not the answer.

[Don Goldmann, MD @DAGoldmann]

@Laurie_Garrett @NYPD We need to be careful in naming the ‘culprit,’ who is still a ‘person of interest’. The existing evidence seems convincing, but…. Richard Jewell is a history lesson on this point.

[Don Goldmann, MD @DAGoldmann]

@halletecco Aside from the alleged corruption, the epidemiology supporting some of the cliamed associations was quite weak. A common issue in microbiome research - now better recognized. Good call not to have invested at that point.

[Don Goldmann, MD @DAGoldmann]

@davetp @mlipsitch @jfeldman_epi @michaelmina_lab Deleted for reasons stated in my thread.

[Don Goldmann, MD @DAGoldmann]

@michaelmina_lab @mlipsitch @jfeldman_epi I clearly miss-stated while trying to make a general point about the need for transparency regarding expertise & COI when commenting publicly. You are a key leading expert on rapid testing & clearly have expertise in epi & immunology. No insult intended. Clumsy tweet. I apologize

[Don Goldmann, MD @DAGoldmann]

@mlipsitch @jfeldman_epi For the record, I was talking generally about how some of the best COVID communicators have to speak about issues beyond their expertise. Mina is key expert on testing, leveraging his clear expertise in epi & immunology. No disrespect intended. Main point was need to disclose now

[Don Goldmann, MD @DAGoldmann]

@LouisPostel @JamesFallows A good local first step would be to ban 2-cycle gas leaf blowers in Lexington. Polluting, noisy, needless.

[Don Goldmann, MD @DAGoldmann]

@EricTopol Anything special about the few people who had modest, if any, boost?

[Don Goldmann, MD @DAGoldmann]

@michaelmina_lab @nytimes Please direct the national audience to an honest, clear, accurate source that people not versed in stats can understand, especially if they haven’t achieved the level of health literacy of Twitter experts. Seriously. In general NYT graphics have been clear, creative & informative

[Don Goldmann, MD @DAGoldmann]

More good sense before germ theory: Fracastoro's "seminaria" - infectious "seeds" spread by direct contact, indirect contact by "fomes" (fomites), and airborne by "strong" seeds that could prosper in the victim and spread to others - 1546. De contagione et contagiosis morbis

[Don Goldmann, MD @DAGoldmann]

Good sense before germ theory: Marcilio Facino, 1481, on Bubonic Plague: Avoid conversations...and when you converse stay at least two braccia (6 feet) away from your companion, and be in an open space...And make sure the wind is not blowing towards you.

[Don Goldmann, MD @DAGoldmann]

Roger Bacon, 13th cent. empricist: 4 causes of ignorance/error: The example of unreliable and unsuited authorities, the long duration of habit, the opinion of the ignorant masses, and the propensity of humans for disguising ignorance by the display of psuedo-wisdom. So relevant!

[Don Goldmann, MD @DAGoldmann]

@Robotbeat @ashishkjha It's "sad" because it's inequitable & makes official FDA and CDC approval a joke. When a 75 year-old friend asked if she should take advantage of CVS's lack of scrutiny, knowing what I know about the data and risk, I said yes. But I don't feel good about the system and "fudging"

[Don Goldmann, MD @DAGoldmann]

@DrLeanaWen @CDCDirector With daughter counciling in underserved school in red city, boosting SEEMS logical. But how to connect dots to benefit with existing data? It's ?problematic to say "follow the science" & "guided by data" & then say it's obvious to boost. Always need to state logic behind opinion.

[Don Goldmann, MD @DAGoldmann]

Theater Pharmacy my small town anchor for 90 yrs. I'm loyal so fill my antenol (tier 1 generic) there. This time $56! Told that's PBM price, but discounted to $15. $0 at CVS, Anthem's "preferred" pharmacy along with other chains. Local pharmacy doomed. Ugly face of "integration."

[Don Goldmann, MD @DAGoldmann]

@halletecco Serious question from someone who strongly believes female entrepreneurs have a harder hill to climb. Do U think gender bias played a role in prosecuting E Holmes? Her lack of expertise, naive Board, & unwarranted hype are deplorable, but I can't ignore possible gender bias.