Ogechika "Oge" Alozie MD MPH

More than 10 years experience in ID/HIV and Informatics/Media Medical Contributor and Public Speaker. Views are my own. Educate...Escalate...Elevate

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

Golden rules by @BradSpellberg
1️⃣🌟There is nothing magical about IV antibiotics.
2️⃣🌟There's no magical infectious disease that requires IV antibiotic treatment.
3️⃣🌟There is NO minimum required IV lead-in duration.
#IDXposts #MedEd

[Brian Frescas, PharmD, BCIDP @BriFrescas]

@ABsteward @BradSpellberg Honorable mentions:
4️⃣🌟 IV antibiotics will not magically drain, debride, or remove sources of infection.
5️⃣🌟 Poor perfusion is not an indication for IV; IV antibiotics do not have magical revascularization properties.
6️⃣🌟 The bug doesn’t know how the drug got there.

[Vinay Prasad MD MPH @VPrasadMDMPH]

The CDC was so stupid it added covid19 vaccines to the childhood schedule. This is a useless vaccine for healthy kids to get. So naturally, parents would doubt them all. CDC is totally incompetent. I would fire all employees tbh.

[Paul Sax @PaulSaxMD]

Well played

[Ogechika "Oge" Alozie MD MPH @ogeisimo]

@Foxworth24 What's the name of the philosophy book you read with your son? 🙏🏾

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

After propensity matching, Early Empiric Antibiotic use in patients hospitalized with COVID-19:
⬆️risk for in-hospital mortality
Prolonged mechanical ventilation
Late broad-spectrum antibiotic exposure
late Clostridium difficile infection
#IDTwitter
https://t.co/cy4chVCuMJ

[WIRED @WIRED]

Now you can talk to ChatGPT instead of text. Read all about OpenAI's new ChatGPT app: https://t.co/fjofqs0A2e

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

🔥🔥Just published 🔥🔥
@iwgdf / @IDSAInfo 2023
Guidelines on the diagnosis and treatment of foot infection in persons with diabetes
Check 🌟table 5🌟 similar to our OM @Wiki_Guidelines recomm #shorterisbetter theme is prevailing! #IDTwitter
https://t.co/56LRsdEiam
#IDTwitter

[Ogechika "Oge" Alozie MD MPH @ogeisimo]

@Spotify U (Juju) by Davido

[Vinay Prasad MD MPH @VPrasadMDMPH]

The b******* quality metric is fine for half day a week, but if you have to do it five full days a week, it's murder. These policy people almost never subject their ideas to randomize trials. So I guess they were perfectly poised for the pandemic

[Vinay Prasad MD MPH @VPrasadMDMPH]

Primary care is already the most thankless field.
People forget, but a big reason it's abused is that these health policy pundits at Harvard & yale who run half day clinics go to Medicare and add all this bullshit quality metrics to primary care

[Ogechika "Oge" Alozie MD MPH @ogeisimo]

@PaulSaxMD Looking for this article but don't see it in this issue?

[Blake Madden 🏥 @B_Madden4]

KAISER IS CREATING A NATIONAL INTEGRATED CARE DELIVERY PLATFORM AND THIS IS THE FIRST STEP IN THAT DIRECTION EVERYONE.

An absolutely MASSIVE acquisition is happening between Kaiser Permanente and Geisinger Health, two vertically integrated health systems.

• Kaiser is forming a new health system, called Risant Health (sigh).

• Risant's goals are to "expand and accelerate the adoption of value-based care in diverse, multi-payer, multi-provider, community-based health system environments."

• Geisinger is join the Risant as its first 'platform-level' acquisition/affiliation

In 2022, Geisinger reported ~$7B in revenue.
Kaiser generated ~$95B in revenue in 2022.

• Then, an almost PE-like rollup play will unfold from there.

• Risant will continue to grow by gobbling up other community health systems who want to join the platform.

• These health systems continue to operate independently while benefiting from Risant's scale, KP's expertise, and I assume shared resources.

My take?

KP is providing scale and support for smaller, financially struggling health systems and created Risant opportunistically to help health systems struggling financially or who want to get more involved in risk.

It's like...physician enablement. But for literal health systems.

Risant is targeting health systems that are already moving toward value-based care models.

This is NOT a full-fledged, traditional merger between Kaiser and Geisinger.

Kaiser is fronting Risant with $5B in funding.

Side note - where the heck was my tip off here??? c'mon yall!!

[Ogechika "Oge" Alozie MD MPH @ogeisimo]

@dchou1107 Crystal ball time...where do you think this leads in the next 5 years

[Jeffrey Flier @jflier]

“Free speech is the “dread of tyrants,” and sustaining that freedom — against left-wing protests and right-wing lawmakers — will preserve America’s democratic experiment.” Scholars of diverse viewpoints on numerous campuses are now responding to the threats.

[Ogechika "Oge" Alozie MD MPH @ogeisimo]

@jeffm1981 Hot Cheetos express

[Ogechika "Oge" Alozie MD MPH @ogeisimo]

@BruceEdmunds Rexx Life Raj

[Cesar Blanco @CesarJBlanco]

(1/2) Had a very positive & constructive conversation with @county_el about the #HEALTexansAct today. I received great feedback on how to make #SB1700 better for patients and look forward to working with my colleagues to improve options and access to quality healthcare. #txlege

[Monica Gandhi MD, MPH @MonicaGandhi9]

HIV FROM CHAOS TO CURE: The progress has been amazing and yet we have so much farther to go with the major setbacks that occurred in HIV during COVID-19
https://t.co/crAdYjnxwz via @YouTube

[Ogechika "Oge" Alozie MD MPH @ogeisimo]

@LizHighleyman So... More infection but less death