{"id":1246804855567589400,"conversation_id":"1246803677588963328","created_at":1586096416000,"date":"2020-04-05","time":"14:20:16","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"3/3 Publications won’t matter much in May. They’re needed tomorrow. Today. Urgently. What is working in the ICUs? I’m hearing mortality for intubated patients is running 50-80%, extubation takes 10-14 days. What is it? Get doctors data that will optimize care. Get it today.","mentions":[],"urls":[],"photos":[],"replies_count":115,"retweets_count":771,"likes_count":3293,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246804855567589376","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246804120872288300,"conversation_id":"1246803677588963328","created_at":1586096241000,"date":"2020-04-05","time":"14:17:21","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/3 Doctors are being forced to let clinical experience guide care decisions in absence of systematic data. They’re experimenting with fluids, high flow oxygen, prone positioning - in absence of systematic literature and data on what works and what doesn’t. This isn’t acceptable.","mentions":[],"urls":[],"photos":[],"replies_count":48,"retweets_count":543,"likes_count":2363,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246804120872288263","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246554258285232000,"conversation_id":"1246554258285232128","created_at":1586036669000,"date":"2020-04-04","time":"21:44:29","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The combination of 1. Massive surveillance for #COVID19 2. Aggressive case-based interventions to isolate and contain outbreaks 3. Safe and effective drugs that can mitigate severe disease or prevent its onset in those who were exposed; can sharply reduce the threat this fall.","mentions":[],"urls":[],"photos":[],"replies_count":101,"retweets_count":472,"likes_count":1791,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246554258285232128","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246519748420141000,"conversation_id":"1246518325926080513","created_at":1586028441000,"date":"2020-04-04","time":"19:27:21","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/2 If we can’t get a very effective medicine cabinet by Summer, and sharply reduce the threat from #COVID19, then the alternative will be to start considering what Fall looks like when we can only operate at a 75% economy — and take more steps now to mitigate ensuing hardships.","mentions":[],"urls":[],"photos":[],"replies_count":170,"retweets_count":921,"likes_count":3925,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246519748420141057","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246518325926080500,"conversation_id":"1246518325926080513","created_at":1586028102000,"date":"2020-04-04","time":"19:21:42","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1/2 Absent major technological breakthrough before fall (effective drugs) American life won’t normalize, economic activity won’t snap back. Which makes it frustrating why policy makers seem oddly unfocused about getting the kinds of therapeutics that should be obtainable.","mentions":[],"urls":[],"photos":[],"replies_count":292,"retweets_count":2664,"likes_count":9639,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246518325926080513","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246161072593293300,"conversation_id":"1246160171249917952","created_at":1585942926000,"date":"2020-04-03","time":"19:42:06","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"But healthcare needs will continue to increase even after new cases start to slow as there is a lag to hospitalization and admission to ICU. And New York models still show the state's healthcare needs vastly exceeding its capacity.","mentions":[],"urls":[],"photos":[],"replies_count":27,"retweets_count":103,"likes_count":354,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246161072593293317","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1245839097337221000,"conversation_id":"1245838887135481857","created_at":1585866162000,"date":"2020-04-02","time":"22:22:42","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Graphic represents tests conducted as a percent of total population.","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":10,"likes_count":68,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1245839097337221121","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1245700904889856000,"conversation_id":"1245700326914772993","created_at":1585833214000,"date":"2020-04-02","time":"13:13:34","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"In it, we write: \"Monitoring community adherence to physical distancing and stay-at-home advisories, adjusting risk messaging as appropriate, and identifying alternative incentives for compliance if needed.\" Note it says nothing about phones or GPS or tracking any individual 5/6","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":22,"likes_count":144,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1245700904889856000","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1245700649448345600,"conversation_id":"1245700326914772993","created_at":1585833153000,"date":"2020-04-02","time":"13:12:33","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"All public health officials are very familiar with these tools and use them globally. In our report, we specifically talk about using them for home isolation in people with confirmed #COVID19 diagnosis.  We limit our proposal to people who are already ordered to stay home. 3/6","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":21,"likes_count":146,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1245700649448345601","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1245700469747482600,"conversation_id":"1245700326914772993","created_at":1585833110000,"date":"2020-04-02","time":"13:11:50","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The idea is to use phone apps tied to cell phones to help enforce isolation in people with known disease. South Korea, Israel already do this – with success. This is a key element of case-based interventions aimed at isolating individuals with disease to reduce spread. 2/6","mentions":[],"urls":[],"photos":[],"replies_count":22,"retweets_count":35,"likes_count":228,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1245700469747482627","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1245700326914773000,"conversation_id":"1245700326914772993","created_at":1585833076000,"date":"2020-04-02","time":"13:11:16","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: There’s confusion about a proposal in our plan to reopen. Some observers refer to “GPS tracking” of individuals in describing one idea in the report. That's not in our report. Instead we talk about using technology to help oversee case-based containment strategies. 1/6","mentions":[],"urls":[],"photos":[],"replies_count":53,"retweets_count":206,"likes_count":646,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1245700326914772993","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1244753135622590500,"conversation_id":"1244753135622590464","created_at":1585607248000,"date":"2020-03-30","time":"22:27:28","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"#COVID19 won't go away. It'll infect the southern hemisphere as they winter and will want to come back to U.S. in fall. But we'll have a massive surveillance system by then, and I believe more than one drug to both prevent and treat infection. Our tool box will be very different.","mentions":[],"urls":[],"photos":[],"replies_count":718,"retweets_count":3553,"likes_count":19537,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1244753135622590464","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1244680859556462600,"conversation_id":"1244676842432475142","created_at":1585590016000,"date":"2020-03-30","time":"17:40:16","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Use what time you have wisely to prepare. Some states and cities are fortunate with head start. We'll get through this together as the virus runs its course and can see through to a summer where we turn the corner. We'll develop the tools to make sure this never happens again.🇺🇸","mentions":[],"urls":[],"photos":[],"replies_count":28,"retweets_count":112,"likes_count":689,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1244680859556462592","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1244680326523355100,"conversation_id":"1244676842432475142","created_at":1585589889000,"date":"2020-03-30","time":"17:38:09","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We have tough month to contend with as epidemic runs its course. Goal everywhere should be to mitigate spread, contain where we can, support providers, preserve life, protect vulnerable financially, medically. State leaders need to sacrifice what they must to achieve these goals.","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":110,"likes_count":456,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1244680326523355137","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1244679791699255300,"conversation_id":"1244676842432475142","created_at":1585589762000,"date":"2020-03-30","time":"17:36:02","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"April will be hard everywhere. We'll have multiple epicenters of spread that severely strain our system. But we have best providers in world, and resilient system. Many cities had a had start to prepare and implement mitigation. Use it. Note to Florida, Texas, Louisiana, others.","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":139,"likes_count":533,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1244679791699255296","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1244679081108660200,"conversation_id":"1244676842432475142","created_at":1585589592000,"date":"2020-03-30","time":"17:33:12","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Hope for best. Prepare for worst. That should be policy in every community. There are many nursing homes across country that have multiple infections.  We'll see a spike in cases, and tragically deaths, over next few weeks. Some communities have a head start. They must use it.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":147,"likes_count":627,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1244679081108660224","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1244678533638754300,"conversation_id":"1244676842432475142","created_at":1585589462000,"date":"2020-03-30","time":"17:31:02","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Germ theory will prevail. The virus will be a national epidemic. While we hope some communities will be spared, we should expect urban centers to all be engulfed. Because the virus hasn't reached every city yet; every urban center should prepare as if it will. Many still aren't.","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":227,"likes_count":801,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1244678533638754306","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1244678041709625300,"conversation_id":"1244676842432475142","created_at":1585589344000,"date":"2020-03-30","time":"17:29:04","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Low census hospitals are still doing elective cases, and consuming supplies. That must end. States must focus resources on urban hospitals and take reasonable steps to reduce activity in community; move available supplies and capacity freed up at community level to urban setting","mentions":[],"urls":[],"photos":[],"replies_count":15,"retweets_count":111,"likes_count":591,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1244678041709625344","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1244676842432475100,"conversation_id":"1244676842432475142","created_at":1585589058000,"date":"2020-03-30","time":"17:24:18","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: The cities that face a growing risk of large epidemics are going to be pressed as many federal resources have been forward deployed to New York, and the federal ability to backstop multiple cities is going to be limited. There are things every city should be doing now.","mentions":[],"urls":[],"photos":[],"replies_count":57,"retweets_count":623,"likes_count":1678,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1244676842432475142","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1244391130051076000,"conversation_id":"1244388103869075457","created_at":1585520939000,"date":"2020-03-29","time":"22:28:59","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"April will be a hard month. This is a historic moment. We'll all know where we were, and what we did, to support each other. This will show the best of America as we pull together to thwart this pathogen, preserve life, and build the technology to end the threat of #COVID19. 🇺🇸🇺🇸","mentions":[],"urls":[],"photos":[],"replies_count":27,"retweets_count":193,"likes_count":609,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1244391130051076099","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1244389908879376400,"conversation_id":"1244388103869075457","created_at":1585520648000,"date":"2020-03-29","time":"22:24:08","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We need to remember all the people who are hurt most by the measures we must take: the elderly, lower income Americans, the gig economy, those in services and hospitality sectors, and many others. And most of all, our front line providers who are risking everything to save us.","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":96,"likes_count":433,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1244389908879376386","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1244336848194941000,"conversation_id":"1244335110163439617","created_at":1585507997000,"date":"2020-03-29","time":"18:53:17","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"States that don't yet have evidence of epidemic spread should heed this experience. Without widespread sentinel surveillance screening we're never sure where there may be transmission until case counts build to high levels. It's prudent to use this time to get ahead of outbreaks.","mentions":[],"urls":[],"photos":[],"replies_count":33,"retweets_count":198,"likes_count":734,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1244336848194940936","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1244016645082878000,"conversation_id":"1243955987352096769","created_at":1585431655000,"date":"2020-03-28","time":"21:40:55","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"April will be hard month but we'll get through it. This will end. We need to stick with current strategies. We can look toward May as month when we carefully transition to new posture. For now focus must be on supporting healthcare systems, preserving life, ending epidemic spread","mentions":[],"urls":[],"photos":[],"replies_count":96,"retweets_count":474,"likes_count":1481,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1244016645082877952","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1244015970638798800,"conversation_id":"1243955987352096769","created_at":1585431494000,"date":"2020-03-28","time":"21:38:14","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Staying at home is what we need to be doing now. But as we get through April, and chains of epidemic transmission are hopefully broken through our current mitigation steps, we can start to transition to different approaches that gradually rely more on case based interventions.","mentions":[],"urls":[],"photos":[],"replies_count":25,"retweets_count":193,"likes_count":762,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1244015970638798849","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1243992446423441400,"conversation_id":"1243990554700103680","created_at":1585425886000,"date":"2020-03-28","time":"20:04:46","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Take it slow. Spend time with family. Protect the vulnerable. The CARES Act will help offset some the huge economic burdens. It's a very hard time. We'll get through it. It'll end. We must end it decisively and put in place tools and technology to make sure this doesn't return.","mentions":[],"urls":[],"photos":[],"replies_count":53,"retweets_count":333,"likes_count":1818,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1243992446423441411","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1243991828568977400,"conversation_id":"1243990554700103680","created_at":1585425738000,"date":"2020-03-28","time":"20:02:18","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"That means 1. Massive surveillance system and point of care tests 2. Therapeutics to prevent infection or treat those sick or exposed 3. Eventually a vaccine. Look to therapeutic antibodies as obtainable, near term promise. Technology will turn #Coronavirus into manageable threat","mentions":[],"urls":[],"photos":[],"replies_count":47,"retweets_count":349,"likes_count":1598,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1243991828568977409","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1243991275042472000,"conversation_id":"1243990554700103680","created_at":1585425606000,"date":"2020-03-28","time":"20:00:06","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We can end the national epidemic with tough measures in April, and gradually restart our activity in May and June. As we do, we must focus on getting technology and tools to make sure we can end the current spread more quickly, save lives, and keep it from ever happening again.","mentions":[],"urls":[],"photos":[],"replies_count":74,"retweets_count":657,"likes_count":2418,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1243991275042471937","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1243702741022716000,"conversation_id":"1243696001958981632","created_at":1585356814000,"date":"2020-03-28","time":"00:53:34","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"It’s very likely that we’ll see additional approvals of POC diagnostics behind this one, extending testing to doctor offices across the U.S.","mentions":[],"urls":[],"photos":[],"replies_count":83,"retweets_count":840,"likes_count":5226,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1243702741022715913","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1243696001958981600,"conversation_id":"1243696001958981632","created_at":1585355208000,"date":"2020-03-28","time":"00:26:48","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"This is GAME CHANGER. Abbott to market, starting next week, a fast point-of-care #coronavirus test, delivering positive results in 5min and negative results in 13min. Will deliver 50K tests/day to start. Kudos to Abbott and FDA’s Jeff Shuren and team at CDRH who are in the fight.","mentions":[],"urls":[],"photos":[],"replies_count":1702,"retweets_count":30471,"likes_count":112967,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1243696001958981632","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1243339405479329800,"conversation_id":"1243333347012751361","created_at":1585270189000,"date":"2020-03-27","time":"00:49:49","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"As we get control of the current epidemic, we can transition away from the onerous population based mitigation and toward more fine tuned interventions; and ultimately use our exquisite technology to make sure that #coronavirus is never able to threaten us in the same way again.","mentions":[],"urls":[],"photos":[],"replies_count":60,"retweets_count":163,"likes_count":1002,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1243339405479329792","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1243338968705519600,"conversation_id":"1243333347012751361","created_at":1585270084000,"date":"2020-03-27","time":"00:48:04","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"If we can couple massive surveillance to identify sparks of transmission early, before they become fires; and couple that with a therapeutic to prevent infection in those at highest risk or treat early those who may get into trouble, we can turn COVID-19 in a a manageable threat.","mentions":[],"urls":[],"photos":[],"replies_count":16,"retweets_count":151,"likes_count":796,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1243338968705519617","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1243338649649008600,"conversation_id":"1243333347012751361","created_at":1585270008000,"date":"2020-03-27","time":"00:46:48","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We may also have by summer or fall an anti-viral drug that acts directly against the virus. Remdesivir by Gilead is one of many agents showing preliminary activity. Such a drug can be used as both treatment and potentially post exposure prophylaxis if side effect profile is good","mentions":[],"urls":[],"photos":[],"replies_count":16,"retweets_count":150,"likes_count":771,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1243338649649008640","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1243336893993029600,"conversation_id":"1243333347012751361","created_at":1585269590000,"date":"2020-03-27","time":"00:39:50","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2. Next, we need a therapeutic. We should be able to develop a recombinant antibody by summer that directly targets the virus. This can be both a prophylaxis and a treatment. Regeneron is one group developing this. They successfully made such a drug against MERS and Ebola.","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":172,"likes_count":902,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1243336893993029636","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1243335838668329000,"conversation_id":"1243333347012751361","created_at":1585269338000,"date":"2020-03-27","time":"00:35:38","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"What is that toolbox? 1. We need a massive sentinel surveillance system that identifies outbreaks early, serology testing to understand background risk and patterns of spread, and point of care diagnostics with liberal use by providers and tools for rapid reporting of results.","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":187,"likes_count":870,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1243335838668328960","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1243334209365778400,"conversation_id":"1243333347012751361","created_at":1585268950000,"date":"2020-03-27","time":"00:29:10","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Then what’s next? We’ll be able to transition away from population based tactics aimed at keeping people at home, to more case based interventions that target people with disease. But we’ll need new public health tools, technology, and tactics to make this transition work.","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":177,"likes_count":948,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1243334209365778432","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1243333347012751400,"conversation_id":"1243333347012751361","created_at":1585268744000,"date":"2020-03-27","time":"00:25:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: Our path to safety rests on massive support for our healthcare system to care for sick, and forceful steps by local leaders to break chains of transmission and quell epidemic spread. If we’re smart and aggressive across nation, cases nationally could peak by late April.","mentions":[],"urls":[],"photos":[],"replies_count":138,"retweets_count":2001,"likes_count":4956,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1243333347012751361","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1242564705127993300,"conversation_id":"1242564234304765957","created_at":1585085486000,"date":"2020-03-24","time":"21:31:26","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Cuomo's projection would comport with the experience in other nations between the time of identification of community spread, implementation of population wide mitigation, and peak of epidemic. We know when this started. We can get a good estimate on when it will end.","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":54,"likes_count":284,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1242564705127993344","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1242283613061865500,"conversation_id":"1242282560106958854","created_at":1585018468000,"date":"2020-03-24","time":"02:54:28","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"There's no easy return. We must accept a sober truth. This pathogen has altered history and changed our world. But it caught us at a time when we have the public health tools, technology, and know how to defeat it quickly and vanquish it for good. We must stay on the battlefield.","mentions":[],"urls":[],"photos":[],"replies_count":275,"retweets_count":2892,"likes_count":14369,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1242283613061865472","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1242283440860430300,"conversation_id":"1242282560106958854","created_at":1585018427000,"date":"2020-03-24","time":"02:53:47","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"This pathogen brought China to a standstill, with perhaps greater lethality than Spanish Flu. Many middle-aged people are suffering long stays in ICU and survive only after weeks of critical care. Make no mistake about it, this pathogen spares nobody, except thankfully the young.","mentions":[],"urls":[],"photos":[],"replies_count":164,"retweets_count":1612,"likes_count":8484,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1242283440860430336","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1242282954283499500,"conversation_id":"1242282560106958854","created_at":1585018311000,"date":"2020-03-24","time":"02:51:51","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"But there's no functioning healthcare with hospitals overwhelmed, no return to work with people terrified of a virus raging uncontrolled. There are two ways to end this. Let a vast swath of people catch covid which is unthinkable, or break the epidemic. We must choose the latter","mentions":[],"urls":[],"photos":[],"replies_count":92,"retweets_count":2541,"likes_count":11573,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1242282954283499521","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1242282839686754300,"conversation_id":"1242282560106958854","created_at":1585018284000,"date":"2020-03-24","time":"02:51:24","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The only way to return to a stable economy and restore our liberty, is to end epidemic spread of covid-19. We need a massive effort to offset the hardship of these efforts, and the public health costs they impose, as there are more than economic costs to the measures we're taking","mentions":[],"urls":[],"photos":[],"replies_count":57,"retweets_count":2624,"likes_count":11899,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1242282839686754306","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1242282680403845000,"conversation_id":"1242282560106958854","created_at":1585018246000,"date":"2020-03-24","time":"02:50:46","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"So long as covid-19 spreads uncontrolled, older people will die in historic numbers, middle aged folks doomed to prolonged ICU stays to fight for their lives, hospitals will be overwhelmed, and most Americans terrified to leave homes, eat out, take the subway, or go to the park.","mentions":[],"urls":[],"photos":[],"replies_count":172,"retweets_count":2682,"likes_count":12041,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1242282680403845129","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1242282560106958800,"conversation_id":"1242282560106958854","created_at":1585018217000,"date":"2020-03-24","time":"02:50:17","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: There’s a strong and understandable desire to return to better times and a functioning economy. But it should not be lost on anyone that there's no such thing as a functioning economy and society so long as covid-19 continues to spread uncontrolled in our biggest cities.","mentions":[],"urls":[],"photos":[],"replies_count":1286,"retweets_count":22702,"likes_count":76378,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1242282560106958854","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1242167806667436000,"conversation_id":"1242166920431927305","created_at":1584990858000,"date":"2020-03-23","time":"19:14:18","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"This is time for coming together to save lives. Every day counts. Every hour counts. This virus continues to rage. We need to implement these measures, and get assistance flowing to states and hospitals as soon as possible. The American people are counting on our great Congress.","mentions":[],"urls":[],"photos":[],"replies_count":40,"retweets_count":107,"likes_count":438,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1242167806667436032","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1242166920431927300,"conversation_id":"1242166920431927305","created_at":1584990646000,"date":"2020-03-23","time":"19:10:46","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"On #COVID19 bill working its way through Congress: The bill would push tens of billions of dollars to hospitals and healthcare providers at critical moment, and get more masks in the hands of doctors and nurses as soon as possible. That's in addition to key economic assistance.","mentions":[],"urls":[],"photos":[],"replies_count":69,"retweets_count":212,"likes_count":747,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1242166920431927305","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1242139514228875300,"conversation_id":"1242136388209967105","created_at":1584984112000,"date":"2020-03-23","time":"17:21:52","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Younger people are able to survive prolonged critical care at higher rate than older individuals. But many younger people will suffer long term sequelae for those prolonged admissions and interventions required. #COVID19 is not sparing any age, except thankfully the very young.","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":104,"likes_count":255,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1242139514228875266","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1242138781647540200,"conversation_id":"1242136388209967105","created_at":1584983938000,"date":"2020-03-23","time":"17:18:58","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"This data doesn't prove any thesis but is worth considering in view of statements that #COVID19 is just affecting older patients, as tragic as such an outcome would be. There are many younger people suffering prolonged ICU stays.","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":42,"likes_count":156,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1242138781647540224","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241865287659593700,"conversation_id":"1241864843008892934","created_at":1584918731000,"date":"2020-03-22","time":"23:12:11","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The 10% positivity rate of current testing is a very high number and puts us significantly higher than the U.K., South Korea, and China. Until we see the positivity rate decline significantly we are still not screening enough.","mentions":[],"urls":[],"photos":[],"replies_count":102,"retweets_count":872,"likes_count":2425,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241865287659593728","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241864843008893000,"conversation_id":"1241864843008892934","created_at":1584918625000,"date":"2020-03-22","time":"23:10:25","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"In order to contain epidemic we need broad screening. People are much more likely to self isolate with a positive result. Asking people to presume they're positive is not sufficient. Limiting testing to inpatient settings only is indication we still don't have sufficient capacity","mentions":[],"urls":[],"photos":[],"replies_count":205,"retweets_count":2540,"likes_count":7679,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241864843008892934","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241818113928319000,"conversation_id":"1241816258967986179","created_at":1584907484000,"date":"2020-03-22","time":"20:04:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Including all drugs meeting a certain designation for potential benefit in one large, standard compassionate use program can: Reduce burden, facilitate timely access, give manufacturers one door to go through to offer availability, and promote access for patients without options.","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":21,"likes_count":110,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241818113928318977","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241817105860886500,"conversation_id":"1241816258967986179","created_at":1584907244000,"date":"2020-03-22","time":"20:00:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We could make limited data collection as efficient as possible, leveraging the compassionate use to help inform (where possible) questions of safety/benefit. It can use hospitals’ existing patient record system; streamline information into a standard informed consent document 5/n","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":16,"likes_count":118,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241817105860886528","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241816807876505600,"conversation_id":"1241816258967986179","created_at":1584907173000,"date":"2020-03-22","time":"19:59:33","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"This would eliminate the need for individual compassionate use requests and approvals, which is burdensome in the setting of a major public health crisis. It would help our overburdened doctors access potential treatments. 4/n","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":24,"likes_count":119,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241816807876505600","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241816563289927700,"conversation_id":"1241816258967986179","created_at":1584907115000,"date":"2020-03-22","time":"19:58:35","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"A national IND for compassionate use could specify the available drugs, how to access them, general inclusion criteria, and guidance for limited  key data collection.  3/n","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":19,"likes_count":108,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241816563289927682","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241816480737398800,"conversation_id":"1241816258967986179","created_at":1584907095000,"date":"2020-03-22","time":"19:58:15","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"FDA can work with manufacturers to develop a large scale #COVID19 expanded access program. An IND could cover multiple hospitals and patients admitted to that hospital. 2/n","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":30,"likes_count":111,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241816480737398784","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241816258967986200,"conversation_id":"1241816258967986179","created_at":1584907042000,"date":"2020-03-22","time":"19:57:22","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: To facilitate access to promising but experimental drugs for #COVID19 under compassionate use FDA can implement a standardized protocol that designated drugs fall under. It would expand patient access, reduce provider burdens. One protocol for multiple promising therapies","mentions":[],"urls":[],"photos":[],"replies_count":20,"retweets_count":234,"likes_count":610,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241816258967986179","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241809600942391300,"conversation_id":"1241809600942391299","created_at":1584905455000,"date":"2020-03-22","time":"19:30:55","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"To put the emerging tragedy in New York into perspective, New York State (with 15,783 #coronavirus cases) is now the country with the 6th most #COVID19 patients in the world behind only China, Italy, Spain, Germany and Iran. But yes, New York is just one of our 50 states.","mentions":[],"urls":[],"photos":[],"replies_count":166,"retweets_count":1715,"likes_count":3966,"hashtags":["#coronavirus","#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241809600942391299","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241420225817522200,"conversation_id":"1241418451123613696","created_at":1584812620000,"date":"2020-03-21","time":"17:43:40","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We must adapt and innovate. We didn’t prepare in January for March. We must prepare in March for May. We have hard months ahead but must lay groundwork for a better future where coronavirus is less fearsome foe. Develop and deploy tools for viral battle. This is how we win 13/n","mentions":[],"urls":[],"photos":[],"replies_count":67,"retweets_count":439,"likes_count":1925,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241420225817522177","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241419830651207700,"conversation_id":"1241418451123613696","created_at":1584812526000,"date":"2020-03-21","time":"17:42:06","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Life Science Marshal Plan: We must advance promising drugs in master protocol to speed testing. An antibody drug may be best promise for therapy by summer. We should manufacture in bulk in parallel so if something works we have doses to mass treat immediately 11/n","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":179,"likes_count":816,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241419830651207682","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241419745607536600,"conversation_id":"1241418451123613696","created_at":1584812506000,"date":"2020-03-21","time":"17:41:46","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"South Korea used mass testing (tested 1/200 people) and technology to implement mass case containment strategy. We must have tools to identify and isolate small outbreaks so we can lean less heavily on population-based mitigation. We don’t have those tools now. We need them 10/n","mentions":[],"urls":[],"photos":[],"replies_count":17,"retweets_count":209,"likes_count":819,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241419745607536641","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241419593014485000,"conversation_id":"1241418451123613696","created_at":1584812470000,"date":"2020-03-21","time":"17:41:10","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Testing, Testing, Testing: We must widely test our population, diagnose mild and even asymptomatic cases. Requires point of care diagnostics in doctor's office. We must advance these immediately to market. It means serology to know who was exposed and developed immunity. 9/n","mentions":[],"urls":[],"photos":[],"replies_count":29,"retweets_count":430,"likes_count":1478,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241419593014484993","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241419266026586000,"conversation_id":"1241418451123613696","created_at":1584812392000,"date":"2020-03-21","time":"17:39:52","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"As we slowly take our foot off the break of mitigation we’ll have to gradually rely on case containment strategies to keep sparks of infection from turning into brush fires, and brush fires turning into wildfires now raging in cities like New York, Seattle, and New Orleans. 8/n","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":161,"likes_count":795,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241419266026586112","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241419170056679400,"conversation_id":"1241418451123613696","created_at":1584812369000,"date":"2020-03-21","time":"17:39:29","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"If we’re successful at community mitigation we may return to a place where we can do more with case based interventions. But we need the tools to do that. We need the planning. We need a vision for the future. 7/n","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":132,"likes_count":711,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241419170056679424","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241419065232588800,"conversation_id":"1241418451123613696","created_at":1584812344000,"date":"2020-03-21","time":"17:39:04","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"It’s not a one or the other strategy. We’re past containment in some areas, not others. It some places, case containment should still be a bigger part of our toolbox 6/n","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":132,"likes_count":812,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241419065232588800","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241418602265395200,"conversation_id":"1241418451123613696","created_at":1584812233000,"date":"2020-03-21","time":"17:37:13","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Mitigation and Containment: We must use population wide mitigation where we have to (school closure, telework, shelter in place) and case-based interventions where we can. To better leverage case-based interventions as a suitable alternative then we need better tools 3/n","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":159,"likes_count":869,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241418602265395204","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241418520908517400,"conversation_id":"1241418451123613696","created_at":1584812214000,"date":"2020-03-21","time":"17:36:54","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"It’s not just a question of ending but adapting. Certain things will change. There isn’t an on/off switch that’ll flip one day. We'll unwind some measures and adopt others. We'll secure a better toolbox to deal with this threat. We won’t be caught flatfooted again. How? 2/n","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":180,"likes_count":1105,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241418520908517376","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241418451123613700,"conversation_id":"1241418451123613696","created_at":1584812197000,"date":"2020-03-21","time":"17:36:37","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: People want to understand when current lockdowns and restrictions will lift, and normal life starts to return. When will we begin to defeat #COVID19. There's an end to this. We need to define it. Define the stages of return to better times and how we’ll get there. 1/n","mentions":[],"urls":[],"photos":[],"replies_count":226,"retweets_count":2290,"likes_count":7003,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241418451123613696","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241394220633600000,"conversation_id":"1241393568553537547","created_at":1584806420000,"date":"2020-03-21","time":"16:00:20","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We also need a serology test to understand who has been exposed to #COVID19 and how much of the population has developed some immunity. This is critical to informing our mitigation strategies, public health decision making.","mentions":[],"urls":[],"photos":[],"replies_count":40,"retweets_count":236,"likes_count":783,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241394220633600000","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241164490881851400,"conversation_id":"1241163488950697986","created_at":1584751649000,"date":"2020-03-21","time":"00:47:29","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The U.S. results are based on a limited data set published by the CDC of the early experience. The results are influenced by a limited amount of testing of mild cases and a tragic and early concentration of cases in a nursing facility where there were a high number of fatalities.","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":25,"likes_count":142,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241164490881851392","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241078772419436500,"conversation_id":"1241073938836439041","created_at":1584731212000,"date":"2020-03-20","time":"19:06:52","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"If we find out a drug or antibody prophylaxis works, we don't want to have to wait months and months to have a population level supply. The idea is to manufacture that supply in parallel. It's a modest investment relative to  public health needs and gravity of our current crisis.","mentions":[],"urls":[],"photos":[],"replies_count":15,"retweets_count":109,"likes_count":475,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241078772419436545","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241078605372850200,"conversation_id":"1241073938836439041","created_at":1584731172000,"date":"2020-03-20","time":"19:06:12","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"It's smart policy. We should secure manufacturing and scale up now for products NIAID, BARDA, FDA deem promising enough to make it into the government administered trials. So, if one works we can provide on mass scale immediately, not have to wait months to scale manufacturing.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":66,"likes_count":312,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241078605372850176","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241074028535861200,"conversation_id":"1241073938836439041","created_at":1584730081000,"date":"2020-03-20","time":"18:48:01","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Focus must be on vaccines but also drugs and antibody prophylaxis that can be available much sooner. Antibody prophylaxis can protect front line providers and those at greatest risk and could be available at scale by summer in a best case. We've done it before. We can do it again","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":126,"likes_count":489,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241074028535861248","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241073938836439000,"conversation_id":"1241073938836439041","created_at":1584730059000,"date":"2020-03-20","time":"18:47:39","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: We must advance therapeutics fast. That requires proper clinical trials, through master protocol where patients in need are randomized to therapy that's already shown indication of effectiveness in earlier studies, but a crash program to scale up manufacturing in parallel","mentions":[],"urls":[],"photos":[],"replies_count":51,"retweets_count":469,"likes_count":1304,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241073938836439041","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1241038035287974000,"conversation_id":"1241038035287973890","created_at":1584721499000,"date":"2020-03-20","time":"16:24:59","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"WSJ on #COVID19: \"With the onslaught has come a surprise for many health-care workers: Far more young people than they expected are falling very ill. According to data by..New York City...56% of confirmed cases of coronavirus in the city...involved patients under the age of 50.\"","mentions":[],"urls":[],"photos":[],"replies_count":66,"retweets_count":786,"likes_count":1265,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1241038035287973890","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240788785178333200,"conversation_id":"1240785908141604867","created_at":1584662073000,"date":"2020-03-19","time":"23:54:33","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Ultimately, we need to invest very heavily in a crash effort to get point of care diagnostics and technologies like antivirals and an antibody prophylaxis that can make coronavirus a less fearsome foe. We failed to fully plan in January for March; we must plan in March for May.","mentions":[],"urls":[],"photos":[],"replies_count":53,"retweets_count":339,"likes_count":1049,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240788785178333186","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240787568876232700,"conversation_id":"1240785908141604867","created_at":1584661783000,"date":"2020-03-19","time":"23:49:43","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We should look at South Korea model. They were able to quell epidemic effectively, and at perhaps less relative cost, by implementing massive screening, information sharing, and containment strategies -- on top of broad mitigation steps that allowed key activities to continue.","mentions":[],"urls":[],"photos":[],"replies_count":59,"retweets_count":469,"likes_count":1475,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240787568876232704","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240786521264984000,"conversation_id":"1240785908141604867","created_at":1584661534000,"date":"2020-03-19","time":"23:45:34","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Rate limiting factors in broader screening are the testing supply chain like viral media, swabs, reagents, and the protective equipment used by providers. These were predictable challenges in the setting of an epidemic. Solving these shortages will give us more policy latitude.","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":74,"likes_count":266,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240786521264984065","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240660862119051300,"conversation_id":"1240660079063568384","created_at":1584631574000,"date":"2020-03-19","time":"15:26:14","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"New York is finally able to ramp testing after significant delays in being able to get its academic labs into the crisis. Now they are running a high positivity rate as they test suspected cases and catch up. New York reports 22,000 people tested to date, 7,000 tested yesterday.","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":54,"likes_count":229,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240660862119051264","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240657191851475000,"conversation_id":"1240653894772031490","created_at":1584630699000,"date":"2020-03-19","time":"15:11:39","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"These steps are, in part, how we win. We use technology to vanquish this threat or make it a pathogen we can live with. We must also support each other through this difficult moment. It will pass. We will solve this with our compassion, perseverance, and our great technology.","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":63,"likes_count":311,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240657191851474948","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240657024746225700,"conversation_id":"1240653894772031490","created_at":1584630659000,"date":"2020-03-19","time":"15:10:59","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We must continue the mitigation steps to reduce death and disease until we have broader access to a truly effective drug. The number of cases will start to rise a lot now. We must keep the cases low enough so our front line providers can do what they do so well: preserve life.","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":56,"likes_count":253,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240657024746225664","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240655930938871800,"conversation_id":"1240653894772031490","created_at":1584630398000,"date":"2020-03-19","time":"15:06:38","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"For therapeutics, we should invest in securing manufacturing now for promising drugs, so if one works, we can produce it at massive scale immediately. We should not do these thinks in a linear way. We must do it all at once. Ramp up manufacturing now for the experimental drugs.","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":116,"likes_count":403,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240655930938871808","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240655559474458600,"conversation_id":"1240653894772031490","created_at":1584630310000,"date":"2020-03-19","time":"15:05:10","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"3. We'll have broad screening capability after initial epidemic passes. We must repurpose these tools into a massive sentinel surveillance system nationwide, that will hunt for cases of coronavirus among those presenting with flu symptoms, so we can detect outbreaks immediately.","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":69,"likes_count":314,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240655559474458626","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240655133266059300,"conversation_id":"1240653894772031490","created_at":1584630208000,"date":"2020-03-19","time":"15:03:28","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2. We need to develop a point of care diagnostic like the Cepheid GenXpert or a swab that produces a readable result in doctors office to screen much more broadly and detect cases early, contain spread. Case-based strategies can work when properly resourced, done at massive scale","mentions":[],"urls":[],"photos":[],"replies_count":16,"retweets_count":70,"likes_count":297,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240655133266059264","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240654667341869000,"conversation_id":"1240653894772031490","created_at":1584630097000,"date":"2020-03-19","time":"15:01:37","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We need dedicated focus on developing drugs, antibody prophylaxis and vaccines. A large treatment protocol, where patients are randomized to receive therapies that meet initial threshold for safety, effectiveness, can allow broad access while continuing to evaluate drugs.","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":62,"likes_count":276,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240654667341869058","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240654135936114700,"conversation_id":"1240653894772031490","created_at":1584629970000,"date":"2020-03-19","time":"14:59:30","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1. We need to launch two task forces dedicated to development of therapeutics and vaccines inside FDA. We can implement a master protocol that allows broad access to promising therapies for patients in need while continuing to collect rigorous data on safety and effectiveness.","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":114,"likes_count":349,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240654135936114689","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240522904443502600,"conversation_id":"1240521475217596416","created_at":1584598682000,"date":"2020-03-19","time":"06:18:02","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We must develop tools for this fight: 1.  Point of care diagnostics for rapid identification 2. Antibody that could be prophylaxis for healthcare workers, those at greatest risk 3. Massive sentinel surveillance program 4. Direct acting antiviral drug for treating advanced disease","mentions":[],"urls":[],"photos":[],"replies_count":33,"retweets_count":261,"likes_count":696,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240522904443502592","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240322017091629000,"conversation_id":"1240322017091629058","created_at":1584550787000,"date":"2020-03-18","time":"16:59:47","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The number of confirmed cases in New York has risen 1,008 in one day to a total of 2,382. The City is hitting the steeper part of its epidemic curve and case counts will rise more quickly as screening is widely deployed.","mentions":[],"urls":[],"photos":[],"replies_count":136,"retweets_count":1102,"likes_count":2712,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240322017091629058","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240250165799329800,"conversation_id":"1240240377052958720","created_at":1584533656000,"date":"2020-03-18","time":"12:14:16","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Remember, prior guidance in U.S. discouraged a mask but it was a time when there were probably hundreds and maybe low thousands of cases (and officials maintained there was no community spread). Now there are clear hot spots and sustained transmission so risk has grown a lot","mentions":[],"urls":[],"photos":[],"replies_count":101,"retweets_count":247,"likes_count":983,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240250165799329795","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240243485195853800,"conversation_id":"1240240377052958720","created_at":1584532064000,"date":"2020-03-18","time":"11:47:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"People who stockpiled N95 mass should donate them to their local hospital. When they do, they can be given a replacement stock of procedure masks. 6/n","mentions":[],"urls":[],"photos":[],"replies_count":28,"retweets_count":298,"likes_count":1260,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240243485195853827","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240242238053142500,"conversation_id":"1240240377052958720","created_at":1584531766000,"date":"2020-03-18","time":"11:42:46","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"People should still be required to stay home if sick, but that's hard to enforce. Requiring a procedure mask for those who go out in areas of sustained spread (like some big cities) would be a second layer of protection when people are asymptomatic or defiant 4/n","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":158,"likes_count":903,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240242238053142528","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240241233248825300,"conversation_id":"1240240377052958720","created_at":1584531527000,"date":"2020-03-18","time":"11:38:47","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Any ordinance would have to specify procedure masks and not N95 masks which are in short supply and needed by healthcare workers. There does not appear to be any shortage of procedure masks, and these masks are still very helpful in preventing spread through droplets. 3/n","mentions":[],"urls":[],"photos":[],"replies_count":50,"retweets_count":205,"likes_count":987,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240241233248825344","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240240821959622700,"conversation_id":"1240240377052958720","created_at":1584531429000,"date":"2020-03-18","time":"11:37:09","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"If we're at the point of locking down entire cities, we must consider other ways to break off transmission that don't take away peoples' liberty. CDC's current position is that people should only wear a mask when you're sick. But we know this is spread by Asymptomatic people 2/n","mentions":[],"urls":[],"photos":[],"replies_count":65,"retweets_count":330,"likes_count":1540,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240240821959622659","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1240240377052958700,"conversation_id":"1240240377052958720","created_at":1584531323000,"date":"2020-03-18","time":"11:35:23","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: If the concern is that asymptomatic or mildly symptomatic younger Americans (millennials) are continuing to spread #Coronavirus because they don't heed warnings, you could require anyone between certain ages to wear a procedure mask when they go out. 1/n","mentions":[],"urls":[],"photos":[],"replies_count":299,"retweets_count":1271,"likes_count":3095,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1240240377052958720","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1239888770029191200,"conversation_id":"1239887963858677761","created_at":1584447493000,"date":"2020-03-17","time":"12:18:13","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We can do this. An antiviral drug or antibody-based prophylaxis to protect the vulnerable is achievable. We must launch a Manhattan Style project to obtain these technologies. We can vanquish virus or sharply reduce its threat with technology. We can have something soon.","mentions":[],"urls":[],"photos":[],"replies_count":42,"retweets_count":231,"likes_count":743,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1239888770029191170","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1239760902427213800,"conversation_id":"1239758440416804864","created_at":1584417007000,"date":"2020-03-17","time":"03:50:07","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The high throughput platforms to dramatically scale testing for #COVID19 are now available after recent FDA approvals. They'll be rolled out this week. Key to using screening as a tool to blunt epidemic spread is the delivery systems, and supplies, to allow widespread testing.","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":53,"likes_count":225,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1239760902427213824","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1239759298751758300,"conversation_id":"1239758440416804864","created_at":1584416625000,"date":"2020-03-17","time":"03:43:45","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"To keep up with testing demand, industry and regulators need to work together to identify alternate supplies and efficiently validate their use across the many different testing systems we’re now standing up for #COVID19.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":40,"likes_count":145,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1239759298751758338","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1239758964637806600,"conversation_id":"1239758440416804864","created_at":1584416545000,"date":"2020-03-17","time":"03:42:25","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The weak link in supply chains are often low margin products, where there's consolidated suppliers and relative under-investment -- precisely because the products are lower margin and therefore don't attract investment capital. Swabs could be a weak link in broadening testing.","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":53,"likes_count":187,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1239758964637806596","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1239570157380472800,"conversation_id":"1239568413292404736","created_at":1584371530000,"date":"2020-03-16","time":"15:12:10","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We’re a week into hard transition that nation must make to confront a once in generation pathogen. We’ll remember spring of 2020 as a very hard time. It’ll change the way we do things, but it will end either by nature or at hand of our technology. We'll get through this together.","mentions":[],"urls":[],"photos":[],"replies_count":44,"retweets_count":268,"likes_count":1249,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1239570157380472832","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1239569785484124200,"conversation_id":"1239568413292404736","created_at":1584371441000,"date":"2020-03-16","time":"15:10:41","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We have hard days ahead. We can’t become complacent. But the collective action of states and businesses to mitigate spread will have a tangible impact on spread. We need to continue these actions, and protect vulnerable Americans from the impact of these necessary actions.","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":134,"likes_count":653,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1239569785484124162","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1239569689963106300,"conversation_id":"1239568413292404736","created_at":1584371418000,"date":"2020-03-16","time":"15:10:18","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We won’t be out of woods once this epidemic passes. Transmission may fall away in the summer, but be back in the fall. We need to work on the toolbox needed to address fall outbreaks. That means getting a drug, prophylaxis, and point of care diagnostic to identify cases quickly.","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":225,"likes_count":924,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1239569689963106306","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1239569563165110300,"conversation_id":"1239568413292404736","created_at":1584371388000,"date":"2020-03-16","time":"15:09:48","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We must focus on hospital capacity. We must unburden hospitals wherever possible, and quickly expand hospital capacity to care for a potential surge in the number of very sick patients in cities like New York and Seattle. We need to expand beds capable of delivering critical care","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":195,"likes_count":862,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1239569563165110272","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
