{"id":1266567260891578400,"conversation_id":"1266567254528847873","created_at":1590808141000,"date":"2020-05-30","time":"03:09:01","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"6/ Next: Should we open schools? I’d vote yes, partly because one bit of happy Covid news is that kids not only don’t get sick very often but don’t transmit the disease very much either. But hundreds of devilish details: can we get kids to wear masks, how to halve class sizes…?","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":13,"likes_count":89,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1266567260891578368","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266567257846501400,"conversation_id":"1266567254528847873","created_at":1590808140000,"date":"2020-05-30","time":"03:09:00","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"3/ Which will come 1st, treatment or vaccine? I'd vote vaccine. We’ve hit key milestones (2 vaccines led to antibodies; safe so far; vaccine prevented infection in monkeys). Many steps ahead but I like odds of vaccine in ‘21, widespread vaccination in hi-risk populations by ’22.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":17,"likes_count":90,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1266567257846501378","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266567256881811500,"conversation_id":"1266567254528847873","created_at":1590808140000,"date":"2020-05-30","time":"03:09:00","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"2/ They say you should write what you know, and today I did four different Covid Q&A webinars – and was asked a ton of great questions (don't worry, unusual day). So here are a few of the most frequently asked, and my brief answers. Still plenty we – or at least I – don’t know.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":11,"likes_count":35,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1266567256881811457","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266221202390937600,"conversation_id":"1266221178646958085","created_at":1590725634000,"date":"2020-05-29","time":"04:13:54","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"22/ Q&A @ 1:25:110: Is PCR more likely to be + in symptomatic pts? Answer: don’t know for sure. We do know viral load highest early in course, but immediately after exposure you don't have enough virus to create pos PCR. Probably less infectious too, but that hasn’t been proven.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":1,"likes_count":19,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1266221202390937600","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266221199052308500,"conversation_id":"1266221178646958085","created_at":1590725633000,"date":"2020-05-29","time":"04:13:53","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"19/ @ 1:25:45: For now, if pt < 2 weeks out we usually look for 2 negative PCRs tests to prove no active virus. Chaz thinks 2 wks after symptoms is safe cutoff for not infectious. Eventually we’ll have tests to look for live virus in persistent PCR+ situations; not available yet.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":4,"likes_count":22,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1266221199052308480","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266221193457090600,"conversation_id":"1266221178646958085","created_at":1590725632000,"date":"2020-05-29","time":"04:13:52","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"14/ So final mortality figure is in flux but will be significantly better than usual literature reports of ~50%. Antonio is certain that the fact that we have not been overwhelmed has led to better outcomes – a powerful argument to flatten the curve and not overwhelm the ICU.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":10,"likes_count":60,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1266221193457090560","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266221192622440400,"conversation_id":"1266221178646958085","created_at":1590725632000,"date":"2020-05-29","time":"04:13:52","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"13/ Outcomes @ 54:40: 34 patients intubated/vented, out of 54 total in ICU. Among those intubated: 4 died out of 34 (2 others died without going on vent due to patient preferences). 17/34 vented have been discharged home, 4 went to outside facility. Only 6 patients still on vent.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":5,"likes_count":24,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1266221192622440453","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266221186406510600,"conversation_id":"1266221178646958085","created_at":1590725630000,"date":"2020-05-29","time":"04:13:50","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"8/ @ 34:00: Carla & Louise: we missed the impact of Covid on elders at 1st because they often lacked “symptoms” (fever, etc) – but they often had “classic geriatric symptoms” such as delirium. Louise: “we know what to do [to better care for older people] so we should just do it.”","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":24,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1266221186406510593","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266221185647300600,"conversation_id":"1266221178646958085","created_at":1590725630000,"date":"2020-05-29","time":"04:13:50","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"7/ @ 20:50: Carla: assisted living also under-regulated. More pts could live @ home if they had support: not just medical but also for social & functional needs. With Covid, families want to keep pts home, but “if you can’t transfer someone from bed to commode, home won’t work.”","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":3,"likes_count":29,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1266221185647300608","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266221184724549600,"conversation_id":"1266221178646958085","created_at":1590725630000,"date":"2020-05-29","time":"04:13:50","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"6/ @ 16:15: Charlene H: 37% of US Covid-related deaths in nursing homes. Staffing in NHs is problematic; those with fewer RNs had more Covid cases. Non-profits/hospital-based NHs do better, for-profits worse. “35% of $s going to NHs goes to nursing care” – rest to profits, admin.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":16,"likes_count":44,"hashtags":[],"cashtags":["$s"],"link":"https://twitter.com/Bob_Wachter/status/1266221184724549638","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266221182929350700,"conversation_id":"1266221178646958085","created_at":1590725629000,"date":"2020-05-29","time":"04:13:49","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"4/ @ 5:25: Louise: Covid shows “we think about aging as a monolith.” Elders are >60 and “as geriatricians we care for people into their 100s,” so elderhood is nearly half-a-lifetime. @ 8:45: “Ageism is a particularly curious prejudice since it’s a bias against your future self.”","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":13,"likes_count":79,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1266221182929350656","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265482775315878000,"conversation_id":"1265482749701308417","created_at":1590549579000,"date":"2020-05-27","time":"03:19:39","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"18/ OK, here’s one final case: A 54-year-old woman has a positive SARS-CoV-2 antibody test, done as part of a screening program at work. She doesn't recall any symptoms in the prior three months.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":4,"likes_count":38,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1265482775315877888","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265482773239750700,"conversation_id":"1265482749701308417","created_at":1590549579000,"date":"2020-05-27","time":"03:19:39","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"16/ OK, let’s try a 2nd case: A 65-year old male was diagnosed with Covid 3 wks ago with a positive viral test. He is required to have a negative test to return to work, but a repeat test, taken 16 days into his illness, is still positive. He is a bit achy but mostly feels better","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":4,"likes_count":34,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1265482773239750656","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265482764037484500,"conversation_id":"1265482749701308417","created_at":1590549577000,"date":"2020-05-27","time":"03:19:37","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"11/ OK, let's go to Covid test results. We internists apply Bayesian reasoning about 50 times a day. But for a newbie, this is wildly confusing stuff, made worse by all kinds of Covid-specific head fakes: asymptomatic infection, viral vs antibody, time & location dependency...","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":5,"likes_count":56,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1265482764037484546","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265482760736497700,"conversation_id":"1265482749701308417","created_at":1590549576000,"date":"2020-05-27","time":"03:19:36","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"8/ \"Specificity\"=Negativity in Health, or the proportion of people who DON’T have the disease who have a neg test. If a test for antibodies to SARS-CoV-2 is 99% specific, then 1/100 positive results will be false positives: the test says they have antibodies, but they truly don’t","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":5,"likes_count":50,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1265482760736497665","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265482759759257600,"conversation_id":"1265482749701308417","created_at":1590549576000,"date":"2020-05-27","time":"03:19:36","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"7/ Terms to know: \"Sensitivity\"=Positivity in Disease, or the proportion of people with a disease who have a + test. If a treadmill for coronary artery disease is 80% sensitive, 8/10 people with CAD have a + result. Thus, 20% of pts w/ actual CAD will have “false negative” result","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":5,"likes_count":58,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1265482759759257600","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265482758664552400,"conversation_id":"1265482749701308417","created_at":1590549575000,"date":"2020-05-27","time":"03:19:35","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"6/ In interpreting any medical test (an x-ray looking for cancer, EKG for heart attack, a prostate exam), key point is that no test is perfect. Some (eg, HIV tests) are close, but all tests can be wrong, both ways: negative when someone has the disease, positive when they don’t.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":9,"likes_count":58,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1265482758664552448","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265482754096955400,"conversation_id":"1265482749701308417","created_at":1590549574000,"date":"2020-05-27","time":"03:19:34","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"3/ With more testing & various versions of 2 different types of tests, the confusion is unsurprising. Last month's “Can I fly?” or “Can I touch the mail?” questions are increasingly like this: “My daughter tested positive, then neg, then… What does that mean?”","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":4,"likes_count":50,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1265482754096955392","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1264028003505279000,"conversation_id":"1264027988795904000","created_at":1590202735000,"date":"2020-05-23","time":"02:58:55","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"16/ That doesn’t give us any practical guidance (since we have no way of knowing who is a super-spreader), but studying super-spreaders might offer important insights into the virus or the host, insights that could aid in finding new treatments or approaches.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":8,"likes_count":88,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1264028003505278976","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1264027999038390300,"conversation_id":"1264027988795904000","created_at":1590202734000,"date":"2020-05-23","time":"02:58:54","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"11/ And the billion dollar question: would it be ethical to pay “volunteers”? Sorting these challenge test issues out could be Ethicist Full Employment Act. And we do need to sort it out now, so that we're ready to roll if a candidate vaccine is poised to test for efficacy.","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":9,"likes_count":113,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1264027999038390272","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1264027998212067300,"conversation_id":"1264027988795904000","created_at":1590202733000,"date":"2020-05-23","time":"02:58:53","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"10/ Potential problem: likely recruits would be healthy young'uns (low risk of bad outcomes if vaccine didn’t work), but that might not accurately predict whether the vaccine works in 75-year-olds in nursing homes. Some older (& sick) people don't respond as well to vaccines.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":12,"likes_count":102,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1264027998212067328","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1264027996450517000,"conversation_id":"1264027988795904000","created_at":1590202733000,"date":"2020-05-23","time":"02:58:53","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"8/ Why so long? Longest lag will be testing in large populations & waiting (cue worldwide toe-tapping) to see if vaccine works. Then we're at the mercy of the virus – if this was NYC in March, it wouldn’t take too long to tell. But if in SF (with few cases), it would take a while","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":7,"likes_count":89,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1264027996450516992","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1263673029722136600,"conversation_id":"1263673000668233729","created_at":1590118102000,"date":"2020-05-22","time":"03:28:22","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"24/ @ 1:20:00, Leavitt recommends higher dose of anticoagulation than usual, but doesn’t recommend therapeutic-dose anticoag for Covid pt without clot. Nor would he recommend anticog or aspirin for outpatients with Covid. The clots are scary, but anticoagulation is risky as well.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":5,"likes_count":38,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1263673029722136576","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1263673027461431300,"conversation_id":"1263673000668233729","created_at":1590118102000,"date":"2020-05-22","time":"03:28:22","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"22/ Final topic, @ 1:03:00, Andy Leavitt on thromboembolic complications (aka “Covid-Associated Coagulopathy”). It’s the real deal, and “we don’t understand it mechanistically.” It’s not just a form of DIC (a fairly common bleeding/clotting abnormality in very sick patients).","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":11,"likes_count":42,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1263673027461431296","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1263673025804644400,"conversation_id":"1263673000668233729","created_at":1590118101000,"date":"2020-05-22","time":"03:28:21","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"20/ @ 56:00, Joel gives more details on the two ways of testing vaccine efficacy: a population-based study vs. a human challenge. He also notes that some vaccines block infections; other effective vaccines just attenuate the illness rather than completely blocking infection.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":2,"likes_count":31,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1263673025804644352","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1263673019588722700,"conversation_id":"1263673000668233729","created_at":1590118100000,"date":"2020-05-22","time":"03:28:20","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"15/ We’re still waiting for better studies of Remdesivir, incl. to tell us if it’s useful in patients w/ milder disease, & if using it in combo w/ other drugs is helpful. Unfortunately, it’s IV only, which thwarts possibility of giving it earlier in course of illness (@ 41:06).","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":5,"likes_count":51,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1263673019588722688","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1263673015591530500,"conversation_id":"1263673000668233729","created_at":1590118099000,"date":"2020-05-22","time":"03:28:19","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"12/ Finally, @ 23:50, I asked how much George worries about fomites. \"It’s not as worrisome as somebody sneezing in your face, but you ignore it at your peril.” He’d worry about a metal rail in a public place (like a subway), but doesn’t fret re: touching shopping bags or mail.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":26,"likes_count":91,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1263673015591530496","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1263673014761033700,"conversation_id":"1263673000668233729","created_at":1590118099000,"date":"2020-05-22","time":"03:28:19","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"11/ @ 21:30: Early message in Covid was that masks only help others, but GR confirms they also help wearer – just not as much as they prevent transmission to others. It would be great if this message got out more – masks aren’t just an act of charity, they’re also self-interest.","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":128,"likes_count":289,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1263673014761033729","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1263673013972553700,"conversation_id":"1263673000668233729","created_at":1590118099000,"date":"2020-05-22","time":"03:28:19","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"10/ Moving off peds, @ 20:10 I asked Rutherford about the interrelationship between distancing & masks. “I think masks are more important than social distancing… if I had to choose one, I’d choose masks.” “We’re trying to prevent asymptomatic people from transmitting…”","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":48,"likes_count":143,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1263673013972553729","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1263673011724365800,"conversation_id":"1263673000668233729","created_at":1590118098000,"date":"2020-05-22","time":"03:28:18","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"8/ @ 18:05: George Rutherford favors reopening U.S. schools, carefully. Should be different am/pm kindergarten groups; “The whole point is to keep mixing to a minimum & maintain distancing.” Masks are key. MIS-C doesn’t change his thinking re: reopening schools; it’s too rare.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":15,"likes_count":60,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1263673011724365825","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1262574594197606400,"conversation_id":"1262574569585389570","created_at":1589856215000,"date":"2020-05-19","time":"02:43:35","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"18/ We can only keep ourselves safe if we do it communally, working to protect ourselves and one another. In this moment, America’s proclivity for individualism and partisanship work against our own interests. This, frankly, is what scares me the most as we enter our new phase.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":77,"likes_count":248,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1262574594197606401","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1262574593362940000,"conversation_id":"1262574569585389570","created_at":1589856215000,"date":"2020-05-19","time":"02:43:35","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"17/ This is where the mixed messages coming out of D.C. are most harmful. Given the complexity of the science & the recommendations, it doesn’t take much chaos or misdirection for folks to question guidelines or, less charitably, to ask why they should sacrifice to spare others.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":20,"likes_count":107,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1262574593362939904","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1262574589361569800,"conversation_id":"1262574569585389570","created_at":1589856214000,"date":"2020-05-19","time":"02:43:34","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"14/ At Mass General/Brigham (where Gawande does surgery), the risk of a HCW being infected is more correlated with his/her home zip code (ie, is their neighborhood “hot”?) than the hospital floor on which they work (incl. Covid floors). Ergo, likely infected outside the hospital.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":9,"likes_count":79,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1262574589361569793","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1262574586748498000,"conversation_id":"1262574569585389570","created_at":1589856213000,"date":"2020-05-19","time":"02:43:33","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"11/ But the degree to which NY’s response suffered from infighting between De Blasio his own health advisors, and especially between De Blasio & Cuomo, was new to me. The battles set them back a week, an eternity in Covid-time because of the virus’s exponential spread.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":9,"likes_count":78,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1262574586748497920","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1262574580389961700,"conversation_id":"1262574569585389570","created_at":1589856212000,"date":"2020-05-19","time":"02:43:32","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"7/ While the activity of SARS-CoV-2 utterly respects the laws of math, biology & physics, there’s also an element of chance that influences the outcomes. Acting smart gives you the best chance of success, but some states that open up carelessly...","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":8,"likes_count":69,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1262574580389961733","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1262574575381934000,"conversation_id":"1262574569585389570","created_at":1589856210000,"date":"2020-05-19","time":"02:43:30","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"4/ I came away from the Q&A mildly optimistic – better to find antibodies than not – but with a deeper appreciation of the many hurdles still to be cleared. We’re still talking about traversing a 12-month obstacle course, with no certainty that we’ll get to the finish line.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":13,"likes_count":88,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1262574575381934080","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1262574573263806500,"conversation_id":"1262574569585389570","created_at":1589856210000,"date":"2020-05-19","time":"02:43:30","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"3/ Next steps: test more patients to rule out serious but uncommon side effects. Then test for efficacy, either with controlled studies in at-risk communities/populations, or by challenge tests in volunteers who agree to be infected. Latter is very tricky – what if somebody dies?","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":8,"likes_count":65,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1262574573263806465","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1262574571288293400,"conversation_id":"1262574569585389570","created_at":1589856209000,"date":"2020-05-19","time":"02:43:29","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"2/ Watch if you can, but here are Joel’s key points: Moderna vaccine is RNA-based, often safer than DNA. Vaccine seemed safe, but side effects seen at highest dose. 8 pts developed neutralizing antibodies, potential evidence of at least some immunity. Verdict: promising but early","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":13,"likes_count":99,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1262574571288293379","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261482071588925400,"conversation_id":"1261482047618445313","created_at":1589595737000,"date":"2020-05-16","time":"02:22:17","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"#9, cont: … but Covid is a great equalizer, since, on Jan 1, 2020, no one knew anything about this virus & its harms. People have gotten to see science's iterative process: one step forward…, what we knew yesterday is often wrong today. Frustrating, but it’s called progress /21","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":10,"likes_count":64,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261482071588925441","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261482070712316000,"conversation_id":"1261482047618445313","created_at":1589595737000,"date":"2020-05-16","time":"02:22:17","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"#9, cont: For non-scientists, understanding Covid has required learning about clinical trials, Bayesian reasoning, sensitivity/specificity, epidemic modeling… Scientists/MDs had a head start in that the terms/methods are familiar & we can analogize to other things we know… /20","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":8,"likes_count":56,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261482070712315906","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261482069093314600,"conversation_id":"1261482047618445313","created_at":1589595737000,"date":"2020-05-16","time":"02:22:17","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"#8, cont:…In a 4x4 block area in SF’s Mission district, of 1,145 Latinos tested for virus 58 (5%) had it. Of 981 Caucasians living in same 4x4 blocks, zero had it. The causes are many and the solutions hard, but we must do everything possible to address these disparities /18","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":56,"likes_count":132,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261482069093314565","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261482065649778700,"conversation_id":"1261482047618445313","created_at":1589595736000,"date":"2020-05-16","time":"02:22:16","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"#6: The National Response: I’m not a Trump fan, but I couldn't have predicted how dysfunctional the federal response would be. True: even with a thoughtful, grounded, empathic, data-driven leader, this situation would be hard. But the dreadful response has hurt, badly.… /14","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":30,"likes_count":185,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261482065649778688","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261482064869683200,"conversation_id":"1261482047618445313","created_at":1589595736000,"date":"2020-05-16","time":"02:22:16","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"#5: Politicization of Everything: Covid treatments, opening up or not, testing, mortality rates, “like the flu,” China, travel bans, masks… Is there any issue that won’t become chum in our political waters? The virus is foe enough. Why do this to ourselves? Which leads to…  /13","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":18,"likes_count":118,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261482064869683200","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261482061182808000,"conversation_id":"1261482047618445313","created_at":1589595735000,"date":"2020-05-16","time":"02:22:15","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"#3: Mortality: Several surprises here. First, the high mortality of Covid (decidedly not the flu, particularly when it strikes older folks & pts w/ underlying conditions). If it’s ~0.8% (best estimate), then 1/125 people die. In a disease striking millions, that’s a huge deal /9","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":27,"likes_count":74,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261482061182808065","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261482060402704400,"conversation_id":"1261482047618445313","created_at":1589595735000,"date":"2020-05-16","time":"02:22:15","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"#2: Clinically, there were more surprises. Covid could strike the kidneys, the skin, the clotting system, sense of taste and smell, and the toes. There could be strokes, and a bizarre immunologic syndrome in children. For clinicians, Covid teaches multitudes… and humility /8","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":16,"likes_count":62,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261482060402704384","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261482059614175200,"conversation_id":"1261482047618445313","created_at":1589595734000,"date":"2020-05-16","time":"02:22:14","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"#1: Asymptomatic Covid: 3 mths ago, we thought nearly all Covid pts had symptoms. With testing, it became clear that pts could be asymptomatic. Now we know that ~50% are asymptomatic (or presymptomatic). It’s a Covid superpower that makes case-finding & preventing spread tough /7","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":29,"likes_count":86,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261482059614175237","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261143937130967000,"conversation_id":"1261143910090305538","created_at":1589515120000,"date":"2020-05-15","time":"03:58:40","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"23/ @ 1:25:05: Marson: High specificity is key – need to try to avoid false positives, particularly in testing low-prevalence populations. Question of whether antibodies are protective: Answer: no way to tell from lab, will require following antibody positive patients over time.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":9,"likes_count":42,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261143937130967040","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261143933951721500,"conversation_id":"1261143910090305538","created_at":1589515119000,"date":"2020-05-15","time":"03:58:39","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"20/ @ 1:33:00: Given problems w/ antibody tests, wise to consider combo approach: point of care test, then follow-up w/ a confirmatory test. Per Greenhouse, in their antibody tests in zero-prevalence Bolinas, they'll do a confirmatory test in follow-up to any positive result.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":4,"likes_count":40,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261143933951721475","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261143931196080000,"conversation_id":"1261143910090305538","created_at":1589515118000,"date":"2020-05-15","time":"03:58:38","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"17/ Havlir @ 1:02:45: Lessons from the HIV epidemic in SF: Having a partnership between the community, academics, & public health organizations is critical to making progress in Covid. \"It's the most effective and efficient way to combat an epidemic.”","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":18,"likes_count":96,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261143931196080129","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261143930344624000,"conversation_id":"1261143910090305538","created_at":1589515118000,"date":"2020-05-15","time":"03:58:38","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"16/ Jacobo @ 58:45: “was a bit of shock” on seeing Mission results. “Poor folks are…@ higher risk than those who have privilege to stay home.” Policy response: SF making tests available to essential workers. And new policy to provide $ s to people w/ Covid so they can stay home.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":20,"likes_count":103,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261143930344624131","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261143918424383500,"conversation_id":"1261143910090305538","created_at":1589515115000,"date":"2020-05-15","time":"03:58:35","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"7/ Peters @ 19:15: “I learned humility ….anyone who is very confident that they know the right thing to do in these scenarios doesn’t appreciate how complicated these decisions are.” “There was a lot of death… it’s a great way to crush your ego.”\n\nSo grateful to our NYC team.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":11,"likes_count":95,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261143918424383493","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261143917505900500,"conversation_id":"1261143910090305538","created_at":1589515115000,"date":"2020-05-15","time":"03:58:35","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"6/ Yu @ 18:25: Plenty of empiric anticoagulation – “I have lots of mixed feelings... Almost every MD had a case of intracranial hemorrhage…(on anticoagulants).” Bad side effects, but she also had healthy young pt on a blood thinner who developed a massive clot. Very tough calls.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":9,"likes_count":49,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261143917505900545","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1261143916612468700,"conversation_id":"1261143910090305538","created_at":1589515115000,"date":"2020-05-15","time":"03:58:35","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"5/ Yu @ 16:40: What really impressed me was the “local heroes”, “the janitorial staff to the mid-levels to the nurses... they were absolutely incredibly and pulled together as a team.” @ 17:10: Impressed by how helpful proning was for Covid patients with respiratory failure.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":11,"likes_count":81,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1261143916612468736","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1260763206726717400,"conversation_id":"1260763186891915264","created_at":1589424346000,"date":"2020-05-14","time":"02:45:46","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"17/ One problem with the literature is that masking is rarely the lone intervention – it's usually part of a bundle of interventions incl. distancing, hand hygiene, etc. But it’s clear that countries w/ more masking (who tend to do other stuff too) enjoy lower infection rates.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":11,"likes_count":96,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1260763206726717440","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1260763196375220200,"conversation_id":"1260763186891915264","created_at":1589424344000,"date":"2020-05-14","time":"02:45:44","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"8/ Part of why mask story is tricky is cloth or surgical masks (surgical a bit better) mostly protect other people, though they do protect wearer somewhat. Thus, mandating them mixes the “What’s in it for me?” with the “Give Me Liberty or Give Me Death” veins of American culture.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":20,"likes_count":107,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1260763196375220224","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1260763189647556600,"conversation_id":"1260763186891915264","created_at":1589424342000,"date":"2020-05-14","time":"02:45:42","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"3/ Like many issues w/ Covid, mask-wearing exposes many fault lines in American life: facts vs emotion, protecting self vs others, state power vs individual liberty, the powerful vs everybody else. And the mask issue amps up the volume by adding yet another ingredient: vanity.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":39,"likes_count":178,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1260763189647556608","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1260763188695462000,"conversation_id":"1260763186891915264","created_at":1589424342000,"date":"2020-05-14","time":"02:45:42","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"2/ It’s been wild seeing new Covid issues crop up, at least once a week: virus vs economy, hydroxychloroquine, death # s, antibody testing... \n\nToday's issue: masks. Such simple things, yet so confusing. Do they work? Should they be required? How did they become new battleground?","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":23,"likes_count":105,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1260763188695461888","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1260047942368419800,"conversation_id":"1260047922109902855","created_at":1589253814000,"date":"2020-05-12","time":"03:23:34","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"17/ I learned: a) schools are very worried re: mental health, esp. of kids in single rooms (of course, also worried re: infection risk of roommates); b) they may divide kids into cohorts of ~30 who’ll take all classes together (to ease contact tracing & prevent wildfire spread).","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":10,"likes_count":57,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1260047942368419840","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1260047941433090000,"conversation_id":"1260047922109902855","created_at":1589253814000,"date":"2020-05-12","time":"03:23:34","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"16/ For example, leaders of a liberal arts college are trying to sort out how to bring students to campus in Aug. Current thoughts are to offer mix of online and in-person classes, partly to limit class size. They worry that college kids won't follow distancing or mask guidelines","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":7,"likes_count":43,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1260047941433090048","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1260047940447375400,"conversation_id":"1260047922109902855","created_at":1589253814000,"date":"2020-05-12","time":"03:23:34","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"15/ Of course, in addition to the worker/customer, the other side of equation is what businesses or schools need to do to convince people they’re safe. In recent weeks, I’ve spoken to several big companies & start-ups trying to find solutions. Much depends on the context.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":2,"likes_count":36,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1260047940447375361","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1260047932805353500,"conversation_id":"1260047922109902855","created_at":1589253812000,"date":"2020-05-12","time":"03:23:32","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"8/ Which brings us to testing. To know if a worker or customer is safe, most useful data would be negative viral test, done that day. Trump said that 1 of his staffers who was diagnosed w/ Covid had tested negative 4 days ago, a vivid illustration of the limits of a single test.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":10,"likes_count":80,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1260047932805353472","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258964574205665300,"conversation_id":"1258964552739254272","created_at":1588995519000,"date":"2020-05-09","time":"03:38:39","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"20/ This complexity is why it was so crazy to hear Trump tout a Covid med before it had run this gauntlet. We hold \"journal clubs\" where we’ll spend an hr dissecting one study to see if it passes muster. This rigor is crucial when you’re talking about giving drugs to sick people.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":14,"likes_count":103,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258964574205665281","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258964573392007200,"conversation_id":"1258964552739254272","created_at":1588995519000,"date":"2020-05-09","time":"03:38:39","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"19/ Since we’ll see many such observational studies, how to interpret? I’m more confident in studies that survived peer review (top journal even better) than pre-print; in results repeated in >1 study; in physiologically plausible results; & if treatment is low risk & cost.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":6,"likes_count":45,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258964573392007169","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258964569826852900,"conversation_id":"1258964552739254272","created_at":1588995518000,"date":"2020-05-09","time":"03:38:38","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"15/ In Covid World, these steps play out in 2 months, and the results are often published in pre-print or via press release before peer review. At one level, this is terrific – we need answers fast. But it’s also risky – short-circuiting many safety checks in the normal process.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":11,"likes_count":68,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258964569826852864","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258964569004732400,"conversation_id":"1258964552739254272","created_at":1588995518000,"date":"2020-05-09","time":"03:38:38","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"14/ Hyper-speed at which Covid science is coming out is amazing. Normally, launching a clinical trial, getting funding & approvals, enrolling pts, analyzing data, writing it up, having a journal review it, dealing w/ requests for revisions, then publishing it would take 1-2 yrs.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":11,"likes_count":68,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258964569004732416","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258964568170086400,"conversation_id":"1258964552739254272","created_at":1588995518000,"date":"2020-05-09","time":"03:38:38","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"13/ Also, since 99% of Covid patients will get better eventually, it’s easy to attribute an outcome to a drug when the pt would have improved anyway. Proving benefit is easier w/ sicker pts (such as ICU pts) since so many more will have an outcome you're measuring (e.g. death).","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":15,"likes_count":62,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258964568170086401","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258964567352209400,"conversation_id":"1258964552739254272","created_at":1588995517000,"date":"2020-05-09","time":"03:38:37","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"12/ So an MD might decide to give a drug to a patient who looks better (worried that a side effect could kill a sicker pt). If so, a pt who gets the drug might appear to do better because of the drug, but really, the decision to give the drug was a marker for a better prognosis.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":9,"likes_count":60,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258964567352209408","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258964566517543000,"conversation_id":"1258964552739254272","created_at":1588995517000,"date":"2020-05-09","time":"03:38:37","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"11/ These are tricky to analyze due to confounding: in an observational, non-randomized study, the reason a patient gets a drug may be linked to the pt's outcome. This can make it appear that a drug worked, when in fact the pt was destined to do better, even without the drug.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":14,"likes_count":53,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258964566517542913","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258964565695410200,"conversation_id":"1258964552739254272","created_at":1588995517000,"date":"2020-05-09","time":"03:38:37","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"10/ We’re now entering the stage of therapeutics, as studies launched 2-3 months ago of various therapies become ripe enough to report. The first wave published will also be observational: patients who happened to get Drug A vs. Drug B or, more often, Drug A vs. usual care.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":7,"likes_count":51,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258964565695410177","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258964564822995000,"conversation_id":"1258964552739254272","created_at":1588995517000,"date":"2020-05-09","time":"03:38:37","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"9/ March studies added a policy layer: role of social distancing, shut-downs, etc. And more studies of disease course & outcomes as Covid rolled through China, then Italy, then Seattle & NYC. All studies were observational: let’s look at what happened & try to make sense of it.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":6,"likes_count":52,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258964564822994947","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258964563959005200,"conversation_id":"1258964552739254272","created_at":1588995517000,"date":"2020-05-09","time":"03:38:37","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"8/ Changing gears: interesting to consider evolution of Covid research agenda in past 3 mths. Jan-Feb studies were all about the virus (basic science, evidence from other viruses, history of epidemics) & patterns of Covid spread: person-to-person, city-to-city, country-to-country","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":9,"likes_count":52,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258964563959005184","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258964561387872300,"conversation_id":"1258964552739254272","created_at":1588995516000,"date":"2020-05-09","time":"03:38:36","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"6/ Healthcare jobs prop up economy (#1 employer in many cities), but also rob it by sucking up so much $. If healthcare becomes more efficient while preserving quality, that’ll cause big short-term pain (many laid-off workers), but major benefits to society by freeing up dollars","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":31,"likes_count":181,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258964561387872256","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258633362245185500,"conversation_id":"1258633339235209218","created_at":1588916552000,"date":"2020-05-08","time":"05:42:32","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"21/ Ernst: Drugs will come before vaccines. Blockbuster drug: 7/14/21. \n\nKrogan: Drugs 1st, need drug combo; available late 2020.\n\nOtt: Drugs first, also need combo, early '21.\n\nGanem: Drugs really hard. Partially effective vaccine (good enough to be a gamechanger): 2023 (3 yrs).","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":22,"likes_count":77,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258633362245185537","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258633361418936300,"conversation_id":"1258633339235209218","created_at":1588916552000,"date":"2020-05-08","time":"05:42:32","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"20/ Finally @ 1:35:00 I asked all four experts to take out their crystal balls and predict when a blockbuster (treatment or vaccine) would be available, and which (drug or vaccine) would come first. Results in next tweet: 3 moderately optimistic and one quite a bummer.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":33,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258633361418936320","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258633360437477400,"conversation_id":"1258633339235209218","created_at":1588916552000,"date":"2020-05-08","time":"05:42:32","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"19/ On treatment side, Ganem is a bit more hopeful. Remdesivir proves Covid drugs can work, but limited value since requires IV, which means patients who get it will be fairly late in their course. Need oral drugs that can be given early, during active viral replication phase.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":2,"likes_count":34,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258633360437477376","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258633359514669000,"conversation_id":"1258633339235209218","created_at":1588916551000,"date":"2020-05-08","time":"05:42:31","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"18/ Q&A @ 1:13:30: Ganem described how biopharma firms think re drugs/vaccines. More than 90 companies working on vaccine. But we’ll need to not only find vaccine but figure out distribution/supply chain. Past coronavirus studies don't give confidence that vaccine will be easy.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":26,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258633359514669057","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258633352048861200,"conversation_id":"1258633339235209218","created_at":1588916550000,"date":"2020-05-08","time":"05:42:30","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"12/ @ 36:00, discussion re: “needing the right antibodies.” Neutralizing antibodies are protective; there are actually some antibodies that can be harmful. For many coronaviruses, immunity is not long lasting, tends to wane in 1-2 years.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":1,"likes_count":25,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258633352048861184","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258633351218335700,"conversation_id":"1258633339235209218","created_at":1588916549000,"date":"2020-05-08","time":"05:42:29","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"11/ Fascinating discussion re mucosal immunity (@ 41:40): virus invades mucosal surfaces (nose/respiratory tract). I asked @ 1:28:30 whether a nasal spray could work. Don Ganem: many practical problems w/ pharmacokinetics. Melanie Ott: “the blood is not the [key] place to look.”","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":2,"likes_count":25,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258633351218335744","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258633348949225500,"conversation_id":"1258633339235209218","created_at":1588916549000,"date":"2020-05-08","time":"05:42:29","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"9/ @ 27:05: Some early evidence that Covid may “not be hyper-transmissible” in children, good news as we think about opening schools. George reviews evidence (“it needs to be repeated about 800 times for us to believe it”) and describes why kids might not be very contagious.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":7,"likes_count":56,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258633348949225472","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258633346709459000,"conversation_id":"1258633339235209218","created_at":1588916548000,"date":"2020-05-08","time":"05:42:28","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"7/ @ 21:00: Per White House: by 6/1, 200,000 Covid cases PER DAY in U.S; surge due to relaxing distancing. George: \"Really sobering.” WH also projecting 3000 deaths/day by 6/1: Korean War-like toll in a month. Northern CA will likely continue to do well; more worried about SoCal.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":8,"likes_count":40,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258633346709458945","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258236102474780700,"conversation_id":"1258236085026471936","created_at":1588821838000,"date":"2020-05-07","time":"03:23:58","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"16/ Worth remembering Stalin’s brutal but sadly astute observation: A single death is a tragedy; a million deaths is a statistic. As we debate… Was that a Covid death or not? Are U.S. deaths numbers 70,000 or 75,000?... it’s too easy to get numbed into resignation.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":32,"likes_count":177,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258236102474780674","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258236099597459500,"conversation_id":"1258236085026471936","created_at":1588821837000,"date":"2020-05-07","time":"03:23:57","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"14/ And other non-Covid patients did the same and died at home. Did they “die of Covid”? That’s more a philosophical question than an actuarial one. Answer: they died because of Covid, but not of Covid. In either case, though, their deaths add to the pandemic’s staggering toll.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":6,"likes_count":54,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258236099597459456","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258236098783801300,"conversation_id":"1258236085026471936","created_at":1588821837000,"date":"2020-05-07","time":"03:23:57","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"13/ Of course, the true mortality rate can't be pinned down perfectly. Clearly some patients died of Covid at home, undiagnosed, especially in early days before testing was more widespread. Also, some pts are so scared of coming to hospital that they tried to tough it out at home","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":2,"likes_count":35,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258236098783801346","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258236092446212000,"conversation_id":"1258236085026471936","created_at":1588821835000,"date":"2020-05-07","time":"03:23:55","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"8/ Not proof, exactly, but it makes me confident that recovered pts have antibodies, & antibodies lead to immunity. So much hinges on this issue – immunity: yes or no – that this helps me sleep. Duration of immunity is a separate question, & one about which we’re truly uncertain.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":12,"likes_count":129,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258236092446212098","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258236091607380000,"conversation_id":"1258236085026471936","created_at":1588821835000,"date":"2020-05-07","time":"03:23:55","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"7/ Even after accounting for possibility that such pts would be super-careful re: keeping safe, if immunity didn’t work one would still expect hundreds of pts w/ recurrent Covid. (Of course, most would be discharged into high prevalence areas.) Has anyone heard of a single one?","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":4,"likes_count":53,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258236091607379969","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258236088834900000,"conversation_id":"1258236085026471936","created_at":1588821835000,"date":"2020-05-07","time":"03:23:55","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"4/ Party line is that we can’t prove that pts who recover from Covid are immune. True enough, but a question for my clinician-readers: has anyone seen a pt who was hospitalized w/ Covid, fully recovered, and was later readmitted w/ another confirmed case? I haven’t heard of one.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":22,"likes_count":151,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1258236088834899969","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1257507289130360800,"conversation_id":"1257507263381569537","created_at":1588648075000,"date":"2020-05-05","time":"03:07:55","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"14/ Sadly, when a disease hits “others,” many avert their eyes. In ‘80s, once it was clear that AIDS struck gay people & IV drug users, many politicians (& many people) ignored it. Shamefully, Pres. Reagan didn’t say “AIDS” in a speech till 1987, 6yrs & 20K deaths after 1st cases","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":26,"likes_count":191,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1257507289130360832","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1257507275201110000,"conversation_id":"1257507263381569537","created_at":1588648072000,"date":"2020-05-05","time":"03:07:52","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"6/ Even as CA opens, as a >60 yr old I won’t go to restaurants & barber yet, though I will do outdoor stuff w/ 6 ft distancing (golf!). Raises key point: “Opening up” won’t boost economy if folks are still fearful. A huge challenge for all businesses to create sense of security.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":44,"likes_count":314,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1257507275201110018","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256406723427852300,"conversation_id":"1256406711876718593","created_at":1588385680000,"date":"2020-05-02","time":"02:14:40","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"8/ Note that in many re-opening plans, outdoor stuff (construction, golf) favored over inside, which is logical. Combo of breeze/no walls/sun lowers risk of transmission (vs. closed indoor space). Think about path of exhaled smoke in indoor space vs. outside & you get the idea.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":24,"likes_count":144,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1256406723427852288","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256406714259103700,"conversation_id":"1256406711876718593","created_at":1588385678000,"date":"2020-05-02","time":"02:14:38","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"3/ Here’s my thinking: Decision-making in March/April was brutally hard but utterly simple: Lockdown for all but essential businesses (e.g. urgent healthcare & grocery stores)*\n\n*Exception: states w/ strong libertarian leanings that hadn’t yet suffered a big uptick in Covid.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":9,"likes_count":79,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1256406714259103744","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256406713378287600,"conversation_id":"1256406711876718593","created_at":1588385678000,"date":"2020-05-02","time":"02:14:38","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"2/ Welcome to May, likely to be a turning point in our Covid saga. It’s clear that our tolerance for strict lockdown is flagging and the economic consequences are mounting. So fasten your seatbelts as we embark on 50 (or more) natural experiments in various ways of opening up.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":85,"likes_count":326,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1256406713378287616","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256067369690005500,"conversation_id":"1256067345727938560","created_at":1588304772000,"date":"2020-05-01","time":"03:46:12","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"16/ Sanjay: “The strength to keep going into work when it’s the worst thing you can imagine–or not even imagine.” @ 1:19:01: “Amir [Jaffer] didn’t talk about this, but he was hospitalized for 7d w/ Covid & returned to work while he was still [short of breath] & needed oxygen.”","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":48,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1256067369690005504","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256067367206916000,"conversation_id":"1256067345727938560","created_at":1588304771000,"date":"2020-05-01","time":"03:46:11","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"14/ @ 1:15:08, Amir describes human toll. They’ve had ~500 pts die, 27% mortality. “We’ve safely discharged 1500 pts, which is what we try to focus on.” They’ve lost colleagues as well. “We remember them, and use that as a source of inspiration to drive us…to focus on our pts.”","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":47,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1256067367206916096","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256067360252809200,"conversation_id":"1256067345727938560","created_at":1588304769000,"date":"2020-05-01","time":"03:46:09","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"9/ Starting @ 36:10, Q&A w/ Brian on many topics, incl. asymptomatic testing, utility of checking temps, ins/outs of serology tests. He agrees that, while not proven, weight of evidence is that pts who've recovered from Covid are, in fact, immune. Big question is: for how long?","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":9,"likes_count":40,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1256067360252809216","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1255685464243073000,"conversation_id":"1255685440436269058","created_at":1588213718000,"date":"2020-04-30","time":"02:28:38","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"18/ Cool part of last 2 mths has been speed of discovery: from scientists, epidemiologists, policy types, historians… My list of Qs would've been twice as long in March, which gives me confidence we’ll answer these 10 soon (though new ones will pop up).\n\nGrand Rounds tomorrow…","mentions":[],"urls":[],"photos":[],"replies_count":20,"retweets_count":10,"likes_count":236,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1255685464243073025","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1255685461575528400,"conversation_id":"1255685440436269058","created_at":1588213718000,"date":"2020-04-30","time":"02:28:38","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"15/ 8th: Will people follow Covid directives? A region can have rules (masks, shelter-in-place), but will people (esp. those at low personal risk from Covid, but capable of spreading it) follow? I believe SF’s success was partly that our citizens followed health recs early & well","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":13,"likes_count":104,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1255685461575528449","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1255685455837687800,"conversation_id":"1255685440436269058","created_at":1588213716000,"date":"2020-04-30","time":"02:28:36","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"14/ My 6th question moves into more policy-oriented territory: once the wildfire is out and we’re looking for Covid embers, how effective will our approach be? Yes, I get it: testing→contact tracing→isolation & more testing, repeat. But how well will each element actually work?","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":3,"likes_count":63,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1255685455837687809","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1255685455065911300,"conversation_id":"1255685440436269058","created_at":1588213716000,"date":"2020-04-30","time":"02:28:36","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"13/ My 5th Q: how effective is our public health strategy? Empirical evidence is very supportive, but as we open up we’ll need more granularity. Is it safe to have friends over w/ masks & 6 ft distance? To sit in restaurant? Inside vs outside? People will need specific guidance.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":7,"likes_count":92,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1255685455065911298","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1255685452532600800,"conversation_id":"1255685440436269058","created_at":1588213716000,"date":"2020-04-30","time":"02:28:36","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"10/ Herd immunity requires 70% of people have antibodies, but only if antibodies are fully protective. Note that herd immunity isn’t an on-off switch, ie, 70% or nothing. If 35% immune [as they may soon be in NYC], should halve transmission.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":13,"likes_count":89,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1255685452532600832","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1255685450766798800,"conversation_id":"1255685440436269058","created_at":1588213715000,"date":"2020-04-30","time":"02:28:35","timezone":"UTC","user_id":239210681,"username":"bob_wachter","name":"Bob Wachter","place":"","tweet":"9/ My 3rd question – are antibodies protective? – is a big one. If they're not, we're screwed. Not only would it mean that having and recovering from Covid doesn’t protect you from getting it again, but it might also mean that we won’t ever be able to make an effective vaccine.","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":31,"likes_count":166,"hashtags":[],"cashtags":[],"link":"https://twitter.com/Bob_Wachter/status/1255685450766798849","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"239210681","username":"Bob_Wachter"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
