Tim Lahey, MD, MMSc

Infectious diseases doc | Ethicist | Educator | in Vermont | Grateful for 💉💊& 😷 | 🏳️‍🌈🕊 @[email protected] | @timlaheymd on 🧵

[Tim Lahey, MD, MMSc @TimLaheyMD]

Took a break from the trolls and the dysfunctional landlord

To see how it felt

I missed the good conversations - and enjoyed my days more without the misinformation and amorphous rage

Off to find a better party. Hope to see good friends there

[Jessica Lahey is on Threads as teacherlahey @jesslahey]

A table of contents with links to all 148 (!) of the daily videos I have posted (90s each) on preventing substance use in kids:

https://t.co/aYYB6nxTpF

[Julia Belluz @juliaoftoronto]

Ozempic, and other GLP1 meds, have been unleashed on the market in a contentious moment:

Health at Every Size has gained traction, with acolytes saying obesity is not a disease in need of treatment, nor should weight loss be medically prescribed. 1/5🧵

https://t.co/8QtBdXZLAX

[Adam Gaffney @awgaffney]

Our article in @Health_Affairs examining community health, healthcare access, and COVID-19 booster uptake in Massachusetts through April 2022 just published.

A few of our main findings:

https://t.co/Kf6LfjL653

[Andrew Pavia @AndrewPaviaMD]

Nice explainer on the consequences of ending the public health emergency. Importantly it looks at the patient perspective. What ending the emergency actually means, by @dr_kkjetelina https://t.co/TAA7sBHQAo

[Tim Lahey, MD, MMSc @TimLaheyMD]

We will never find a better balance between legit corporate profit & public health if we can’t grow our civic conversation beyond the false dichotomy of capitalism vs socialism https://t.co/RRXL2T5rYY

[Tim Lahey, MD, MMSc @TimLaheyMD]

“holding these government contractors accountable would save more than 7,000 lives a year — translating to $1 billion saved in foregone dialysis” https://t.co/tKnnZ3PPQv

[Andrew Stokes @astokespop]

A recent @washingtonpost opinion piece speculated that COVID-19 deaths are over-counted.

Our new @ConversationUS article explains why this piece is flawed.

COVID-19 deaths are not overcounted; most evidence indicates they are undercounted.

Thread 1/6

https://t.co/mEtqd84NXZ

[Alastair McAlpine, MD @AlastairMcA30]

We’ve all wondered why scientists or MDs “turn”. How respected folk can find themselves deep in the anti-vax community.

It’s a decidedly simple (but dangerous and malicious) process.
Below is a thread on how people become “red pilled.” 🧵

[Tim Lahey, MD, MMSc @TimLaheyMD]

These are stories because insurance companies & Pharma run health care:

Who gets expensive new therapies? https://t.co/eJ2vdQqdMW

Moderna to charge >$100/dose of publicly-funded vaccines https://t.co/0ruRclPAU2

More hospital layoffs https://t.co/8toxQ5jlPi

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

Excellent slide by @adarsh_bhimraj about guidelines on convalescent plasma for trearment of #COVID19
From @CDCgov/@IDSAInfo Clinician Call of 2023 #IDTwitter @DrToddLee @ShohamTxID

[Liz Szabo @LizSzabo]

Assessment of Efficacy and Safety of mRNA COVID-19 Vaccines in Children Aged 5 to 11 Years https://t.co/LWYNXmVlhC via @JAMAPediatrics part of @JAMANetwork

[Amaka Eneanya, MD, MPH @AmakaEMD]

**New Kidney Transplant Policy Alert** As of January 5, 2023 all US kidney transplant centers are REQUIRED to review which Black patients have had a race-based #eGFR equation used for #kidney waitlisting. If used, their waitlist times will be modified. https://t.co/x1CBoETvLz

[Tim Lahey, MD, MMSc @TimLaheyMD]

Given that each COVID booster has been associated w/ ⬇️ severe dz in high risk recipients, transitioning to yearly boosters makes sense

👉🏽For now

👉🏽For that group

👉🏽W/ the usual caveats

👉🏽Rolling efficacy studies should inform next steps

https://t.co/jocDhaal3p

[Céline Gounder, MD, ScM, FIDSA 🇺🇦 @celinegounder]

COVID deaths are NOT being overcounted.

We're UNDERcounting. Still.

My friend/colleague @jeremyfaust does a great job of analyzing the data & debunking this claim:
https://t.co/WAOUhsZUuG

The REAL question is whether you/we think those deaths matter.

And maybe you/we don't.

[Joseph Eron @joseph_eron]

Yesterday in clinic we saw our one of our older patients living with HIV for 30 + years who just had their first great, great grandchild. Seriously, who would have dreamed that up 30 years ago.

[Tim Lahey, MD, MMSc @TimLaheyMD]

@LudwigLin This is such an important point

Most adults know when it’s time to have a conversation in private, or 1:1, because things are going off the rails

Here, the intrinsic superficiality of the medium fuels conflict that we blame too often on folks with whom we could agree in 3D

[Tim Lahey, MD, MMSc @TimLaheyMD]

One prominent doc (@DrLeanaWen) says incidental COVID diagnoses cause overestimation of the "still unacceptably high" mortality of COVID-19

Another (@jeremyfaust) says we likely *miss* some deadly COVID consequences

How can both be true?

[Jeremy Faust MD MS (ER physician) @jeremyfaust]

Inside Medicine: A point-by-point rebuttal of the Washington Post's double down on Covid deaths being "overcounted." https://t.co/lzw0NBrLb8

[Keren Landman @landmanspeaking]

We still don’t know enough about how well the bivalent Covid vaccines are working.

My latest for @voxdotcom https://t.co/lEp4jVGyOw

[Tim Lahey, MD, MMSc @TimLaheyMD]

@schleyman4 yes, agree, that's Faust's point