Doreen Lam (@dor_lam) header
Doreen Lam (@dor_lam) profile picture

Doreen Lam

@dor_lam

@ClevelandClinic ENT resident | Formerly @PennMedicine | Recovering architect and product manager

Joined March 2018
  • Tweets90
  • Following1.2K
  • Followers252
1Media
Photo by Doreen Lam (@dor_lam)
Great work by the team assessing the value of pulse oximetry in Covid patients isolating at home. Turns out pulse ox monitoring doesn't improve clinical outcomes when compared to a simpler text message check-in program.
M. Kit Delgado, MD, MS (@kit_delgadoMD) profile pictureM. Kit Delgado, MD, MS@kit_delgadoMD6 Apr 2022
Pulse oximeters are widely used to monitor for low oxygen levels among #Covid19 patients at home. But does pulse oximetry improve outcomes over monitoring for symptoms of shortness of breath? Our team provides some answers today in @NEJM 🧵👇 nejm.org/doi/full/10.1056/NE… #SGIM22
Image from M. Kit Delgado, MD, MS (@kit_delgadoMD)
1
5
Doreen Lam retweeted
Eric Topol (@EricTopol) profile picture
Eric Topol
@EricTopol12 May 2022
This week @TheLancet's cover
Image from Eric Topol (@EricTopol)
165
3,396
283
9,474
From #BestofAnnals 2021 collection: A @PennMedicine algorithmic text system saved 2 lives a week during 1st wave of #COVID19. Patients enrolled in the system were also 68% percent less likely to die than those not using it ow.ly/Mjyr50GQ8un.
Image from Annals of Int Med (@AnnalsofIM)
9
5
19
One more time for the people in the back... We have shown: Symptom based monitoring program > no monitoring (Annals of IM 2021) Monitoring program + pulse ox not better than monitoring program alone (NEJM 2022) We didn't study self-monitoring with pulse ox vs. no monitoring
M. Kit Delgado, MD, MS (@kit_delgadoMD) profile pictureM. Kit Delgado, MD, MS@kit_delgadoMD6 Apr 2022
Replying to @kit_delgadoMD
..Important caveat. We did not compare handing out pulse oximeters to no monitoring in this trial. So for patients that don’t have access to on-call clinicians or a remote monitoring program, using a pulse oximeter may be reasonable. But so is monitoring for shortness of breath..
2
4
3
23
Note, patients were enrolled in winter 2020/2021, a year before Omicron. Patients in the pulse ox cohort also showed increased utilisation of healthcare resources without improved outcomes (primary measure was days out of hospital within 30 days).
1
2
Valuable learnings for the future when designing interventions that optimise healthcare resource utilisation for patient outcomes. More tech/monitoring/data is not always the answer. See our last paper on the survival benefit conveyed by COVID Watch: acpjournals.org/doi/10.7326/…
Comparative Effectiveness of an Automated Text Messaging Service for Monitoring COVID-19 at Home |...

Comparative Effectiveness of an Automated Text Messaging Service for Monitoring COVID-19 at Home |...

Background: Although most patients with SARS-CoV-2 infection can be safely managed at home, the need for hospitalization can arise suddenly. Objective: To determine whether enrollment in an automated...

acpjournals.org
1
2
Kudos to our @PennMedicine colleagues, including med student and CHCI innovation fellow @dor_lam, on their initiatives to assess improve tracheostomy care. Their report is published in @PAPATIENTSAFETY patientsafetyj.com/index.php…
2
8
Nearly 20,000 pts have been enrolled in COVID Watch to date, and this latest study found that it was equally accessible and effective for everyone - with all major racial and ethnic groups benefitting.
1
1
3
Team including: the amazing nursing team who have supported this program 24/7 for 18 months, @PENNWaytoHealth @katleemd @khchaiyachati @mohan2020 @dor_lam @neda_khan_ and so many, many others!
1
3
6
Doreen Lam retweeted
Eric Topol (@EricTopol) profile picture
Eric Topol
@EricTopol16 Nov 2021
"In short, the system saved lives." acpjournals.org/doi/10.7326/… by @faro_jamie and @slcmd
Image from Eric Topol (@EricTopol)
Image from Eric Topol (@EricTopol)
16
1
64
Doreen Lam retweeted
Eric Topol (@EricTopol) profile picture
Eric Topol
@EricTopol16 Nov 2021
We've been in the digital era for years, but just now discovering in medicine that simple text messaging can help substantially reduce Covid deaths acpjournals.org/doi/10.7326/… @AnnalsofIM @kit_delgadoMD @PennMedicine @PCORI
Image from Eric Topol (@EricTopol)
8
84
15
252
1/ For the >80,000 people in the U.S who will test positive for #Covid19 today, what can we offer to support access to care but help them safely remain at home? Our team is excited to finally share important, new findings out today in @AnnalsofIM 👉acpjournals.org/doi/pdf/10.7…
Image from M. Kit Delgado, MD, MS (@kit_delgadoMD)
11
45
23
154
Very excited to share our findings today in @AnnalsofIM Patients who received COVID Watch were 68% less likely to die — that comes out to one life saved every 2-3 days during the height of the pandemic. It took an amazing team!
M. Kit Delgado, MD, MS (@kit_delgadoMD) profile pictureM. Kit Delgado, MD, MS@kit_delgadoMD16 Nov 2021
1/ For the >80,000 people in the U.S who will test positive for #Covid19 today, what can we offer to support access to care but help them safely remain at home? Our team is excited to finally share important, new findings out today in @AnnalsofIM 👉acpjournals.org/doi/pdf/10.7…
Image from M. Kit Delgado, MD, MS (@kit_delgadoMD)
2
6
19
Lessons from development of PennOpen Pass—an early warning system to detect Covid-19 symptoms and exposures—will advance health care innovation long after the pandemic: catalyst.nejm.org/doi/full/1… @kmahraj @khchaiyachati @dor_lam @judithgmckenzie @rrosin @kevin_volpp @PM_Innovation

4
1
9
T-Rex is here at @AMNH to tell people extinction sucks, get the vaccine.
16
91
34
359
Congrats to @CAMBUpenn MD/PhD student @DanielAkuma5 and all the members of the @UPenn team that developed the SANIPACK N95 portable UV-C sterilizing device to extend life of N95 masks! Check it out on pp. 71-73 of @AmerMedicalAssn Impact Challenge: ama-assn.org/system/files/20…
1
7
2
48
Today is a reminder of all the work that still needs to be done. Happy to share this AMAZING article with FANTASTIC recommendations on how to appropriately use race in medicine by @ChristinaAmutah @mrmunyikwa and co-authors! nejm.org/doi/full/10.1056/NE…
Misrepresenting Race — The Role of Medical Schools in Propagating Physician Bias | NEJM

Misrepresenting Race — The Role of Medical Schools in Propagating Physician Bias | NEJM

Medical education and practice have not evolved to reflect advances in understanding of the relationships among race, racism, and health. Instead, race remains one of the most entrenched and polari...

nejm.org
6
1
11
We are honored to have two of our commentaries highlighted in @nejmcatalyst’s Editors’ Picks for 2020 bit.ly/3mjVBWE!
1
5
9
A deeper dive into how the #COVIDWatch team and @PM_Innovation used technology to quickly build valuable data-driven tools and resources for patients & clinicians in response to the pandemic 👇
Anna U. Morgan, MD, MSc, MSHP (@AnnaUma) profile pictureAnna U. Morgan, MD, MSc, MSHP@AnnaUma21 Oct 2020
It was a pleasure speaking with @Penn_Today about #COVID Watch. The infrastructure @PennMedicine helped us leverage technology quickly to respond to the pandemic. penntoday.upenn.edu/news/eco… (h/t @PM_Innovation, @mohan2020, @dor_lam)
An ecosystem of innovation fosters tech-based solutions to COVID-19 challenges | Penn Today

An ecosystem of innovation fosters tech-based solutions to COVID-19 challenges | Penn Today

Clinicians, engineers, and IT specialists work together at Penn on innovations that help doctors provide the best care for patients amid continued social distancing and coronavirus restrictions.

penntoday.upenn.edu
4
Load more