Ogechika "Oge" Alozie MD MPH retweeted
Golden rules by @BradSpellberg
1️⃣🌟There is nothing magical about IV antibiotics.
2️⃣🌟There's no magical infectious disease that requires IV antibiotic treatment.
3️⃣🌟There is NO minimum required IV lead-in duration.
#IDXposts #MedEd
Ogechika "Oge" Alozie MD MPH retweeted
Replying to @ABsteward @BradSpellberg
Honorable mentions:
4️⃣🌟 IV antibiotics will not magically drain, debride, or remove sources of infection.
5️⃣🌟 Poor perfusion is not an indication for IV; IV antibiotics do not have magical revascularization properties.
6️⃣🌟 The bug doesn’t know how the drug got there.
Ogechika "Oge" Alozie MD MPH retweeted
The CDC was so stupid it added covid19 vaccines to the childhood schedule. This is a useless vaccine for healthy kids to get. So naturally, parents would doubt them all. CDC is totally incompetent. I would fire all employees tbh.
The number of kids whose caregivers are opting them out of routine vaccines has reached an all-time high, the CDC says, potentially leaving hundreds of thousands of children unprotected against preventable diseases like measles and whooping cough. nbcnews.com/health/health-ne…
Ogechika "Oge" Alozie MD MPH retweeted
After propensity matching, Early Empiric Antibiotic use in patients hospitalized with COVID-19:
⬆️risk for in-hospital mortality
Prolonged mechanical ventilation
Late broad-spectrum antibiotic exposure
late Clostridium difficile infection
#IDTwitter
journals.lww.com/ccmjournal/…
Ogechika "Oge" Alozie MD MPH retweeted
Now you can talk to ChatGPT instead of text. Read all about OpenAI's new ChatGPT app: wired.trib.al/xpOJKCj
Ogechika "Oge" Alozie MD MPH retweeted
🔥🔥Just published 🔥🔥
@iwgdf / @IDSAInfo 2023
Guidelines on the diagnosis and treatment of foot infection in persons with diabetes
Check 🌟table 5🌟 similar to our OM @Wiki_Guidelines recomm #shorterisbetter theme is prevailing! #IDTwitter
iwgdfguidelines.org/infectio…
#IDTwitter
Ogechika "Oge" Alozie MD MPH retweeted
The b******* quality metric is fine for half day a week, but if you have to do it five full days a week, it's murder. These policy people almost never subject their ideas to randomize trials. So I guess they were perfectly poised for the pandemic
Ogechika "Oge" Alozie MD MPH retweeted
Primary care is already the most thankless field.
People forget, but a big reason it's abused is that these health policy pundits at Harvard & yale who run half day clinics go to Medicare and add all this bullshit quality metrics to primary care
Ogechika "Oge" Alozie MD MPH retweeted
KAISER IS CREATING A NATIONAL INTEGRATED CARE DELIVERY PLATFORM AND THIS IS THE FIRST STEP IN THAT DIRECTION EVERYONE.
An absolutely MASSIVE acquisition is happening between Kaiser Permanente and Geisinger Health, two vertically integrated health systems.
• Kaiser is forming a new health system, called Risant Health (sigh).
• Risant's goals are to "expand and accelerate the adoption of value-based care in diverse, multi-payer, multi-provider, community-based health system environments."
• Geisinger is join the Risant as its first 'platform-level' acquisition/affiliation
In 2022, Geisinger reported ~$7B in revenue.
Kaiser generated ~$95B in revenue in 2022.
• Then, an almost PE-like rollup play will unfold from there.
• Risant will continue to grow by gobbling up other community health systems who want to join the platform.
• These health systems continue to operate independently while benefiting from Risant's scale, KP's expertise, and I assume shared resources.
My take?
KP is providing scale and support for smaller, financially struggling health systems and created Risant opportunistically to help health systems struggling financially or who want to get more involved in risk.
It's like...physician enablement. But for literal health systems.
Risant is targeting health systems that are already moving toward value-based care models.
This is NOT a full-fledged, traditional merger between Kaiser and Geisinger.
Kaiser is fronting Risant with $5B in funding.
Side note - where the heck was my tip off here??? c'mon yall!!
Ogechika "Oge" Alozie MD MPH retweeted
“Free speech is the “dread of tyrants,” and sustaining that freedom — against left-wing protests and right-wing lawmakers — will preserve America’s democratic experiment.” Scholars of diverse viewpoints on numerous campuses are now responding to the threats.
“It’s important to emphasize that the fight over free speech on campus is not left versus right. Attempts to suppress ideas and stifle speech come from both ends of the political spectrum,” writes @DavidAFrench. nyti.ms/3A2TwI4
Ogechika "Oge" Alozie MD MPH retweeted
(1/2) Had a very positive & constructive conversation with @county_el about the #HEALTexansAct today. I received great feedback on how to make #SB1700 better for patients and look forward to working with my colleagues to improve options and access to quality healthcare. #txlege
Ogechika "Oge" Alozie MD MPH retweeted
HIV FROM CHAOS TO CURE: The progress has been amazing and yet we have so much farther to go with the major setbacks that occurred in HIV during COVID-19
youtu.be/V9bIoqz6M3Q via @YouTube
Ogechika "Oge" Alozie MD MPH retweeted
Cigna uses an automated system that allows “medical directors” (doctors employed by @Cigna) to deny a claim in 1.2 seconds without opening the patient’s file.
Please read this, share it, and help us (metaphorically) burn these companies to the ground.
Doctors at a major US insurance company deny tens of thousands of claims a month without even looking at patients’ files.
“We literally click & submit,” a former Cigna doctor told @ProPublica & @Capitol_Forum. “It takes all of 10 seconds to do 50 at a time.”
The inside story 🧵
Ogechika "Oge" Alozie MD MPH retweeted
In our new paper we found 25 basic data errors made by @CDCgov re COVID-19
Of 16 cases pertinent to kids alone 15 (94%) exaggerated risk
Not only are they making basic mistakes, but they tend to mislead in the same direction
w @KelleyKga @VPrasadMDMPH
papers.ssrn.com/sol3/papers.…
Ogechika "Oge" Alozie MD MPH retweeted
Today is #WorldTBDay and thus the @EmoryInfectDis seminar will be dedicated to TB vaccines. Should be terrific!
Ogechika "Oge" Alozie MD MPH retweeted
What links Viking and Greek myths? Why does Anubis have a dog head? Watch author @neilhimself get a little too weird about minotaurs and answer questions about #mythology.
Neil Gaiman Answers Mythology Questions From Twitter
Author Neil Gaiman takes to Twitter to answer the internet's burning questions about mythology.
Ogechika "Oge" Alozie MD MPH retweeted
EXCESS DEATHS: 2 articles here; likely neglected care & despair during pandemic. Work hard to revive care
1) Estimating Excess Mortality Due to Covid Pandemic. Lancet doi.org/10.1016/s0140-6736(2….
2) Direct &indirect mortality impacts of COVID pandemic in U.S. elifesciences.org/articles/7…





























