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Updated Shorter Is Better Tables posted now on the website, including new pediatric neutropenic fever trial. That makes 4 neutropenic fever trials showing HOW LONG criteria work.
bradspellberg.com/shorter-is-bet…
Brad Spellberg
15.6K posts
Brad Spellberg
@BradSpellberg
CMO Los Angeles General Medical Center, hospitalist, infectious diseases expert, researcher
Joined March 2016
- Are we over-reading Israel's experience? Iceland & Denmark haven't had severe COVID return. And in LA, 8 months into vaccination, at the 2 public hospitals I'm currently CMO at, 693+ tests since July: 90% of all tests in unvaccinated 98% all admissions due to COVID unvaccinated
- Replying to @Dave99117584 and @joaquinlifeERs are indeed very busy and hospitals are full because beds are closed because we can’t find enough nurses. But we are not busy with Covid. We are busy with patients who don’t have Covid, many of whom have had care deferred for > 2 years.
- Having chart reviewed all COVID+ at 2 public hospitals in LA since early July: 90% of pts with +test not vaccinated 96.4% of pts with +test admitted to hospital for any reason not vaccinated 98.2% of pts with +test admitted to hospital d/t COVID not vaccinated. That is all.
- Replying to @johnnyasheville and @StribGuyPeople have been predicting the end of the world for as long as people have had written language. How about we all try to take a deep breath and make 2023 >/=10-fold less unnecessarily dramatic as 2022?
- I recently evaluated a pt with a fever of 40.5 C, WBC 15,000, & hypotensive/tachycardic. I was really torn. Could the pt have inflammation of some kind? I wasn't sure. But then, thankfully, I saw that someone had ordered a CRP. And that's when I knew there was inflammation.
- Finally got around to updating Shorter Is Better Table, now with 10th CAP trial (pediatrics) included. Updated 7/12/20:
- Confession: I haven't been on a plane in >2 years, and Im reluctant. But invited to give a talk on oral Abx at ID Week. I was hoping it would be virtual, but apparently not. I guess I have some COVID PTSD. Should I do it? Are people comfortable traveling at this point?
- Replying to @eliowaI can tell you that at the two public hospitals in LA for which i review all Covid + tests, at this point only 1/3 of Covid+ admissions are admitted because of Covid. And only 20-25% +tests in ED are admitted. Agree, reliance upon administrative data is misleading.
- Replying to @jakescottMDUsed to see lots of that. But rifabutin is now a promising option for such cases. And colistin is still there. And there’s eravacycline and cefedericol.
- Alright ID Tweeps, Shorter Is Better table is now updated with new DFO study. Table is getting awfully full! bradspellberg.com/shorter-is-bet…
- General observation. It's really hard to be in the middle. You take flak from both extremes. Which is why it's all the more important that we try to move towards the middle. Decreasing polarization is good, don't you think?
- Note to the world. I’m sick to death of admitting young women to the hospital with advanced stage cervical cancer. It’s tragic and totally preventable. Vaccines save lives. Deniers kill.
- Update Shorter Is Better Table! 12 CAP studies now! 3 days taking over from 5? bradspellberg.com/shorter-is-bet…
