#LCSM Transcript
Healthcare social media transcript of the #LCSM hashtag.
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See #LCSM Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Brendon Stiles @BrendonStilesMD @ArpanAshokPatel @lcsmchat @WilmotCancer Thanks for joining! #lcsm |
 | OncLive SOSS @OncLiveSOSS In March, we asked experts to share how #COVID19 is impacting patients with cancer. Here's what Dr. Chad Cherington, of @IronwoodCancer, & Derek Thomas, MD, of Blanchard Valley Health System, had to say. Watch the full clip here: https://t.co/x6gxySx9TY #coronavirus #lcsm https://t.co/siflMkoVui |
 | Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD RT @JFreemanDaily: @BrendonStilesMD Looking forward to chatting with the #LCSM community about #COVID-19 in just a few minutes! https://t.co/JPs0sBlq9w |
 | Lung Cancer Sux @LungCancerSux Hi, Glorianne in CT.. hope everyone is staying safe #lcsm |
| Brendon Stiles @BrendonStilesMD Hi everyone! Critical topic tonight for our #lcsm community. #covid19 |
 | Jill Feldman @jillfeldman4 @BrendonStilesMD Any vodka there? #LCSM |
| Brendon Stiles @BrendonStilesMD More info at https://t.co/Lx9qF4hHtH #lcsm |
 | Janet Freeman-Daily @JFreemanDaily @BrendonStilesMD Does it go well with ice cream? #LCSM |
 | Lecia Sequist, MD, MPH @LeciaSequist Medical oncologist @MGHThoracicOnc here #LCSM |
 | Dave Bjork @bjork5 @BrendonStilesMD @ArpanAshokPatel @lcsmchat @WilmotCancer Dave here in Boston. Hey all! #LCSM |
| Brendon Stiles @BrendonStilesMD @LungCancerSux Hope you are well! #lcsm |
 | Christine Qiong Wu @wi_qiong @lgreco_ny Hello, Christine from Canada @lgreco_ny #LCSM |
| Brendon Stiles @BrendonStilesMD @jillfeldman4 For you, anything. #lcsm |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD Tim here. #LCSM |
 | #LCSM Chat @lcsmchat RT @BrendonStilesMD: More info at https://t.co/Lx9qF4hHtH #lcsm |
| Brendon Stiles @BrendonStilesMD To join, enter the URL “https://t.co/RK0CE0fFWF” in your browser and type in #lcsm or just follow along on regular twitter. #lcsm |
 | Nicole Karapanagiotis, Ph.D. @ProfessorNK Hi everyone, Nicole and Shantanu lurking from Philadelphia #lcsm |
 | Lynne Eldridge MD @AboutLungCancer Joining in from Mpls #lcsm |
| Brendon Stiles @BrendonStilesMD We'll get started in a few minutes -- please take a moment to introduce yourselves #lcsm |
 | kristen kimball @KimballKristen Hi, it’s Kris in Boston, multitasking from my permanent spot on the couch #LCSM |
| Brendon Stiles @BrendonStilesMD I’m your moderator Brendon Stiles, a thoracic surgeon here in the middle of the #COVID19 storm here in #NYC #lcsm |
 | Matthew Smeltzer @MattSmeltzer Hi everyone! #lcsm |
 | Laura Greco @lgreco_ny @JFreemanDaily @BrendonStilesMD What's ice cream? Apparently I forgot to buy in pre-zombie apocalypse. #LCSM |
 | Inspire @teaminspire RT @JFreemanDaily: @BrendonStilesMD Looking forward to chatting with the #LCSM community about #COVID-19 in just a few minutes! https://t.co/JPs0sBlq9w |
| Dave Bjork @bjork5 @LeciaSequist @MGHThoracicOnc Hey Lecia, my surgeon was Doug Mathisen ❤️ #MGH #LCSM |
| #LCSM Chat @lcsmchat Deana Hendrickson @LungCancerFaces tweeting from the @lcsmchat account tonight! #lcsm |
 | Charu Aggarwal, MD, MPH @CharuAggarwalMD @JFreemanDaily @BrendonStilesMD Hello everyone, Medical Oncologist @PennCancer @PennMedicine here #LCSM |
| Brendon Stiles @BrendonStilesMD The start of this #lcsm chat is always a joyous time for me to connect with #LungCancer friends. That is even more true tonight, despite the current challenge. |
 | Faces of Lung Cancer 🇺🇦 @LungCancerFaces RT @lcsmchat: Deana Hendrickson @LungCancerFaces tweeting from the @lcsmchat account tonight! #lcsm |
| Brendon Stiles @BrendonStilesMD @LeciaSequist @MGHThoracicOnc Thanks for joining! #lcsm |
| Brendon Stiles @BrendonStilesMD @TimAllenMDJD Pathology in the house. And well I hope. #lcsm |
| Inspire @teaminspire Hello to the #LCSM community, John Novack here from Inspire, wishing you well. |
 | Dr. Amy C. Moore @acmoorephd I am a virologist/cancer researcher/lung cancer research advocate. #COVID2019 is my worst nightmare come true. #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: The start of this #lcsm chat is always a joyous time for me to connect with #LungCancer friends. That is even more true tonight, despite the current challenge. |
| Christine Qiong Wu @wi_qiong @LeciaSequist @MGHThoracicOnc Hi, @LeciaSequist how are you. #LCSM |
| Brendon Stiles @BrendonStilesMD @bjork5 @ArpanAshokPatel @lcsmchat @WilmotCancer Always a pleasure to see you. #lcsm |
 | Heather Dyer, MD @HeatherDyer @BrendonStilesMD Physician from Dallas, TX. Looking forward to the discussion #LCSM |
 | Eric Bernicker @EricBernicker Greetings from Houston! I am a thoracic medical oncologist #LCSM |
| Brendon Stiles @BrendonStilesMD @acmoorephd Thanks for sharing your expertise. #lcsm |
| Brendon Stiles @BrendonStilesMD I hope that everyone here is safe and well. #lcsm |
 | Henning Willers, MD (he/him/his) @HenningWillers Henning Willers #lungcancer #radonc from @mghcancercenter - good evening all! #lcsm |
| Brendon Stiles @BrendonStilesMD @HeatherDyer Thanks for joining! #lcsm |
| Dave Bjork @bjork5 @CharuAggarwalMD @JFreemanDaily @BrendonStilesMD @PennCancer @PennMedicine Penn! ❤️ go Quakers #LCSM |
| #LCSM Chat @lcsmchat Great turnout tonight. Tough subject: #covid19. #LCSM |
 | Deborah Levesque, RDMS @dtanz25 #LCSM |
 | Sandra Turner @sandraturner49 Appearance of #COVIDー19 on CBCT #radonc #lcsm /2 |
| Janet Freeman-Daily @JFreemanDaily Janet from Seattle area (writer, science geek, lung cancer patient/activist) #lcsm |
| Charu Aggarwal, MD, MPH @CharuAggarwalMD @BrendonStilesMD We are, and hope you are too! Hanging in there I hope! #LCSM |
| Dr. Amy C. Moore @acmoorephd @BrendonStilesMD, thanks for sharing your insights and expertise while reporting from the front lines #lcsm |
| Brendon Stiles @BrendonStilesMD #COVID19 has left many patients out of touch with their physicians and understandably anxious. #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: #COVID19 has left many patients out of touch with their physicians and understandably anxious. #lcsm |
| Brendon Stiles @BrendonStilesMD In this time of #SocialDistancing, we have to rely on each other and on forums like this to connect. #lcsm |
 | LungCAN @LungCAN Kimberly here with Lung Cancer Action Network #lcsm |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD All is well, @BrendonStilesMD Hope you are staying safe. #LCSM |
| Brendon Stiles @BrendonStilesMD I miss you all and hope that you and your families are safe. We will get through #COVID19 and emerge stronger. #lcsm |
| Christine Qiong Wu @wi_qiong @acmoorephd Hi, @acmoorephd enjoy your FB. #LCSM |
| Brendon Stiles @BrendonStilesMD We will get started soon. First, a few reminders… #lcsm |
| Dr. Amy C. Moore @acmoorephd This is Amy representing @GO2Foundation, sheltering in place out here in the SF Bay Area #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: In this time of #SocialDistancing, we have to rely on each other and on forums like this to connect. #lcsm |
| Dave Bjork @bjork5 @HenningWillers @MGHCancerCenter Lots of #MGH connections tonight ❤️ #LCSM |
 | Stephen V Liu, MD @StephenVLiu Love the positivity @BrendonStilesMD! #LCSM |
| Brendon Stiles @BrendonStilesMD Please remember to include #LCSM in ALL your tweets so the other chat participants will see them during the chat #lcsm |
| Lynne Eldridge MD @AboutLungCancer RT @BrendonStilesMD: In this time of #SocialDistancing, we have to rely on each other and on forums like this to connect. #lcsm |
| Brendon Stiles @BrendonStilesMD If you prefer just to listen, please tweet “#LCSM” so we know you’re in the audience #lcsm |
 | lysa buonanno @lysabee Hi all! Lysa from Las Vegas #lcsm |
| Dave Bjork @bjork5 @JFreemanDaily Hi Janet! 🙌 #LCSM |
| Brendon Stiles @BrendonStilesMD @StephenVLiu We have each other! How can we not get through this? #lcsm |
| Dr. Amy C. Moore @acmoorephd Being a native Southerner, I am so deeply concerned for my family and friends back home and frustrated by the lack of leadership in GA, which I called home for 10 years #lcsm |
| Brendon Stiles @BrendonStilesMD I will announce FIVE topics (T1 T2 etc). Please label your responses with T1, T2, etc to make transcript easier to follow. #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: I’m your moderator Brendon Stiles, a thoracic surgeon here in the middle of the #COVID19 storm here in #NYC #lcsm |
| Christine Qiong Wu @wi_qiong @JFreemanDaily Hi @JFreemanDaily how are you. #lcsm |
| Brendon Stiles @BrendonStilesMD Thanks to everyone for joining. Tonight’s #COVID19 chat is important. Lung cancer patients are anxious. #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: To join, enter the URL “https://t.co/RK0CE0fFWF” in your browser and type in #lcsm or just follow along on regular twitter. #lcsm |
| Dave Bjork @bjork5 #lcsm #community 🙌 |
| Brendon Stiles @BrendonStilesMD We’ll start with Topic T1 in a minute. #lcsm |
 | Dr. David Tom Cooke @DavidCookeMD David Cooke your friendly neighborhood thoracic surgeon. #LCSM |
| Brendon Stiles @BrendonStilesMD RT @bjork5: #lcsm #community 🙌 |
 | Lisa Moran @plh4lisa hello from Colorado Springs! #LCSM |
| Brendon Stiles @BrendonStilesMD @lysabee Hope you are well! #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: I miss you all and hope that you and your families are safe. We will get through #COVID19 and emerge stronger. #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: We will get started soon. First, a few reminders… #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: Please remember to include #LCSM in ALL your tweets so the other chat participants will see them during the chat #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: If you prefer just to listen, please tweet “#LCSM” so we know you’re in the audience #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: I will announce FIVE topics (T1 T2 etc). Please label your responses with T1, T2, etc to make transcript easier to follow. #lcsm |
 | LiveLung @LiveLung1 Dusty Donaldson in NC joining #LCSM |
| Brendon Stiles @BrendonStilesMD I am already happier seeing all of #lcsm friends here. 😀😄😁🙃 |
 | mimiprovenzano @MimiProvenzano #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: Thanks to everyone for joining. Tonight’s #COVID19 chat is important. Lung cancer patients are anxious. #lcsm |
| Lisa Moran @plh4lisa @acmoorephd My jaw dropped when I saw the headline about the GA gov not knowing about communal spread. #lcsm |
| Eric Bernicker @EricBernicker As are their families. And as are many of the health care workers caring for them #LCSM |
 | Patty Watkins @Pattybeatslungc RT @BrendonStilesMD: Thanks to everyone for joining. Tonight’s #COVID19 chat is important. Lung cancer patients are anxious. #lcsm |
| Brendon Stiles @BrendonStilesMD T1: How is #COVID19 personally affecting your lung cancer care or care delivery? #lcsm |
 | Stacey Tinianov (she/her) MPH, BCPA @coffeemommy @JFreemanDaily Dropping by to say, "hello" and spread some virus free love to the #lcsm community. Love you guys always but especially sensitive to the additional stress with #COVID19 and the potential implications for the community. 💗 |
 | Peggy Dennis @peggyddennis #LCSM Peggy here checking in from Denver |
| Brendon Stiles @BrendonStilesMD @MimiProvenzano Love to you! #lcsm |
| Christine Qiong Wu @wi_qiong @lysabee Hi, @lysabee how are you. #lcsm |
| Brendon Stiles @BrendonStilesMD @EricBernicker Thanks for joining! #lcsm |
| #LCSM Chat @lcsmchat RT @EricBernicker: As are their families. And as are many of the health care workers caring for them #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1: T1: How is #COVID19 personally affecting your lung cancer care or care delivery? #lcsm |
| Brendon Stiles @BrendonStilesMD T1. I know that many patients must be worried. #lcsm |
| Brendon Stiles @BrendonStilesMD T1. Access to physicians, particularly to in-person visits, is very limited. #lcsm |
| Patty Watkins @Pattybeatslungc @BrendonStilesMD @lcsmchat #LCSM |
 | Paula Ashton @paulalv Hello, Paula from Las Vegas #lcsm |
| Brendon Stiles @BrendonStilesMD T1. This understandably leads to uncertainty and anxiety. #lcsm |
| Janet Freeman-Daily @JFreemanDaily T1: My oncologist appt 3/23 cancelled because I had respiratory symptoms (still no easy access toi testing in Seattle at that point) #lcsm |
| Laura Greco @lgreco_ny T1: I had my blood drawn for a clinical trial from the back of my SUV in my GP's parking lot this morning. #LCSM |
| Dave Bjork @bjork5 @coffeemommy @JFreemanDaily Hi Stacey ❤️🙌 #lcsm #COVID19 |
 | Jeff Gross @H20solutions Thrive #LCSM |
 | WCM Cardiothoracic Surgery @WCM_CTSurgery RT @BrendonStilesMD: In this time of #SocialDistancing, we have to rely on each other and on forums like this to connect. #lcsm |
| Brendon Stiles @BrendonStilesMD @NarjustDumaMD @UWCarbone Now we can start the party. Hope you are safe and well. #lcsm |
 | Devika Das, MD, MSHQS @DevikaDasMD @BrendonStilesMD @lcsmchat Quality and safety trained thoracic oncologist from Alabama here -mostly listening in today #LCSM |
| kristen kimball @KimballKristen @EricBernicker And their friends are anxious for them too #LCSM |
| Henning Willers, MD (he/him/his) @HenningWillers T1 Feeling real disconnect but patients appreciate regular phone calls to check in (only in 1x/week in person, may not cover clinic) #lcsm |
| #LCSM Chat @lcsmchat That’s terrible news. Everyone remember to use hashtag #LCSM during the chat. |
| WCM Cardiothoracic Surgery @WCM_CTSurgery RT @BrendonStilesMD: More info at https://t.co/Lx9qF4hHtH #lcsm |
| Charu Aggarwal, MD, MPH @CharuAggarwalMD @BrendonStilesMD T1. We are using a lot of caution to ensure that we minimize transmission. Telehealth, talking to patients, screening physicians, nurses, healthcare workers and patients. It is a challenging time for us all #LCSM |
| Brendon Stiles @BrendonStilesMD @JFreemanDaily Yikes. #lcsm |
| Stacey Tinianov (she/her) MPH, BCPA @coffeemommy @plh4lisa @acmoorephd My jaw dropped far enough to let out a stream of swear words. Unbelievable! My children have known about asymptomatic #COVID19 spread for a month and they don't get daily CDC briefings. #lcsm |
| Brendon Stiles @BrendonStilesMD T1. I have moved most of my visits to #TeleHealth #lcsm |
| Brendon Stiles @BrendonStilesMD @AndyMuddVA That does suck. I am sorry. #lcsm |
| Dr. David Tom Cooke @DavidCookeMD Unique! #LCSM |
| lysa buonanno @lysabee @plh4lisa @acmoorephd crazy right? Where's he been? #lcsm |
 | Arpan Patel @ArpanAshokPatel T1 – Trying to Reduce our patients #socialfootprint via #telehealth regiment awareness #LCSM |
| Laura Greco @lgreco_ny t1: My clinical trial visit and scans were also pushed back a month. Not a bad thing! #LCSM |
| Brendon Stiles @BrendonStilesMD T1. I try to call my more active patients frequently. #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. I know that many patients must be worried. #lcsm |
| Charu Aggarwal, MD, MPH @CharuAggarwalMD @AndyMuddVA This is so hard, but we will get through it. #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. Access to physicians, particularly to in-person visits, is very limited. #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. This understandably leads to uncertainty and anxiety. #lcsm |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: T1: T1: My oncologist appt 3/23 cancelled because I had respiratory symptoms (still no easy access toi testing in Seattle at that point) #lcsm |
| Dr. Amy C. Moore @acmoorephd We are hearing varying reports from around the country on how the #COVID19Pandemic is impacting patients in local communities #lcsm |
| #LCSM Chat @lcsmchat RT @lgreco_ny: T1: T1: I had my blood drawn for a clinical trial from the back of my SUV in my GP's parking lot this morning. #LCSM |
| Janet Freeman-Daily @JFreemanDaily TI June visit with ROS1 expert in another state will be via telehealth -- hope insurance will pay (interestate licensing issue) #lcsm |
| Dave Bjork @bjork5 @lgreco_ny Wow. #LCSM |
| Brendon Stiles @BrendonStilesMD T1. Undeniably, #COVID19 has slowed down my ability to get early stage lung cancer patients to the OR. #lcsm |
| #LCSM Chat @lcsmchat RT @HenningWillers: T1 Feeling real disconnect but patients appreciate regular phone calls to check in (only in 1x/week in person, may not cover clinic) #lcsm |
| Inspire @teaminspire RT @BrendonStilesMD: T1: T1: How is #COVID19 personally affecting your lung cancer care or care delivery? #lcsm |
 | Laronica Conway @louisianagirl91 RT @BrendonStilesMD: T1: T1: How is #COVID19 personally affecting your lung cancer care or care delivery? #lcsm |
| Laronica Conway @louisianagirl91 RT @CharuAggarwalMD: @BrendonStilesMD T1. We are using a lot of caution to ensure that we minimize transmission. Telehealth, talking to patients, screening physicians, nurses, healthcare workers and patients. It is a challenging time for us all #LCSM |
| #LCSM Chat @lcsmchat RT @CharuAggarwalMD: @BrendonStilesMD T1. We are using a lot of caution to ensure that we minimize transmission. Telehealth, talking to patients, screening physicians, nurses, healthcare workers and patients. It is a challenging time for us all #LCSM |
| Brendon Stiles @BrendonStilesMD @lgreco_ny Maybe that is good! #lcsm |
| Jill Feldman @jillfeldman4 T1 I'm in the process of trying to figure out my scans/appts next week. My onc thinks scans w/tele health visit. I want to wait bc if there is progression I certainly don't want to wait on biopsy or treatment #LCSM |
| Charu Aggarwal, MD, MPH @CharuAggarwalMD @lgreco_ny Glad to see you here, hope you are doing well, we are pushing visits back as much as safely feasible #LCSM |
| Brendon Stiles @BrendonStilesMD T1. This has led many to ask “why?” and to wonder if they are being forgotten? #lcsm |
| Dr. Amy C. Moore @acmoorephd @GO2Foundation is capturing data from our national network of Care Continuum Centers of Excellence and Screening Centers of Excellence to understand the reality for everyone #lcsm |
| Laronica Conway @louisianagirl91 RT @BrendonStilesMD: T1. Access to physicians, particularly to in-person visits, is very limited. #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. I have moved most of my visits to #TeleHealth #lcsm |
| mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: T1. Undeniably, #COVID19 has slowed down my ability to get early stage lung cancer patients to the OR. #lcsm |
 | Matthew Katz, MD 🇺🇸 💜 @subatomicdoc Good evening! Matt Katz here, radiation oncologist in MA/NH. Great to see you all at #lcsm 🙂 |
| Brendon Stiles @BrendonStilesMD T1. This came out on @onclive yesterday https://t.co/eWUNv1XqjK #lcsm |
| Lisa Moran @plh4lisa @BrendonStilesMD A1: I asked to postpone my 3 month scan to avoid going out in public. My onc is scheduling virtual office visits too. #lcsm |
| #LCSM Chat @lcsmchat RT @ArpanAshokPatel: T1 – Trying to Reduce our patients #socialfootprint via #telehealth regiment awareness #LCSM |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD #telepathology! #LCSM |
| LungCAN @LungCAN RT @BrendonStilesMD: T1. Undeniably, #COVID19 has slowed down my ability to get early stage lung cancer patients to the OR. #lcsm |
| Janet Freeman-Daily @JFreemanDaily RT @BrendonStilesMD: T1: T1: How is #COVID19 personally affecting your lung cancer care or care delivery? #lcsm |
| Laronica Conway @louisianagirl91 RT @BrendonStilesMD: T1. I have moved most of my visits to #TeleHealth #lcsm |
| #LCSM Chat @lcsmchat RT @lgreco_ny: t1: t1: My clinical trial visit and scans were also pushed back a month. Not a bad thing! #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. I try to call my more active patients frequently. #lcsm |
| Lynne Eldridge MD @AboutLungCancer T1, Concern from some has been lack of availability of clinical trial drugs on formulary if hospitalized. #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc RT @BrendonStilesMD: T1. Undeniably, #COVID19 has slowed down my ability to get early stage lung cancer patients to the OR. #lcsm |
| Heather Dyer, MD @HeatherDyer @BrendonStilesMD T1. Do you require patients to have video access for #TeleHealth visits? #lcsm |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: TI June visit with ROS1 expert in another state will be via telehealth -- hope insurance will pay (interestate licensing issue) #lcsm |
| Dr. David Tom Cooke @DavidCookeMD A1 Most of my visits are either #telemedicine or scheduled #telehealth phone call. I am seeing new patients via #telemedicine also. #LCSM |
| #LCSM Chat @lcsmchat RT @acmoorephd: We are hearing varying reports from around the country on how the #COVID19Pandemic is impacting patients in local communities #lcsm |
| Brendon Stiles @BrendonStilesMD T1. Here is a great interview from @marinagarassino from Italy https://t.co/bw64iTvezq #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. Undeniably, #COVID19 has slowed down my ability to get early stage lung cancer patients to the OR. #lcsm |
| mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: T1. Access to physicians, particularly to in-person visits, is very limited. #lcsm |
| Stacey Tinianov (she/her) MPH, BCPA @coffeemommy @BrendonStilesMD Curious about those on clinical trials... any changes? The larger cancer community, especially the metastatic community, is on edge around this. Wondering about first hand experience. #lcsm |
| Arpan Patel @ArpanAshokPatel T1 – #treatmentholidays if stable after careful risks/benefits discussion #LCSM @DevikaDasMD @NarjustDumaMD |
| Brendon Stiles @BrendonStilesMD @HeatherDyer I think better, but also happy to call. #lcsm |
| #LCSM Chat @lcsmchat RT @jillfeldman4: T1 I'm in the process of trying to figure out my scans/appts next week. My onc thinks scans w/tele health visit. I want to wait bc if there is progression I certainly don't want to wait on biopsy or treatment #LCSM |
| Henning Willers, MD (he/him/his) @HenningWillers T1 I have also started to give out my cell phone and email more often to my patients, helps overcome divide #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. This has led many to ask “why?” and to wonder if they are being forgotten? #lcsm |
| #LCSM Chat @lcsmchat RT @acmoorephd: @GO2Foundation is capturing data from our national network of Care Continuum Centers of Excellence and Screening Centers of Excellence to understand the reality for everyone #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. This came out on @onclive yesterday https://t.co/eWUNv1XqjK #lcsm |
| Brendon Stiles @BrendonStilesMD T1. And a great town hall last weekend led by DrRoyHerbstYale and @HosseinBorghaei https://t.co/fX6nJXXCSG #lcsm |
| Dr. Amy C. Moore @acmoorephd If anything, I have heard doctors voice increased urgency to protect the most vulnerable, including #lungcancer patients #lcsm |
| #LCSM Chat @lcsmchat RT @plh4lisa: @BrendonStilesMD A1: @BrendonStilesMD A1: I asked to postpone my 3 month scan to avoid going out in public. My onc is scheduling virtual office visits too. #lcsm |
| #LCSM Chat @lcsmchat RT @AboutLungCancer: T1, Concern from some has been lack of availability of clinical trial drugs on formulary if hospitalized. #lcsm |
 | Nathan A. Pennell MD, PhD, FASCO @n8pennell @BrendonStilesMD T1: Care is impacted less in #LCSM than most medical fields because the danger of delaying or stopping treatment is so real, so most pts on treatment must continue or new diagnosis must proceed with treatment. So changes minimize risk without stopping interventions. |
| #LCSM Chat @lcsmchat RT @HeatherDyer: @BrendonStilesMD T1. Do you require patients to have video access for #TeleHealth visits? #lcsm |
| Brendon Stiles @BrendonStilesMD @HenningWillers Totally agree. This is key. Access is incredibly challenging with admins out. #lcsm |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: A1 Most of my visits are either #telemedicine or scheduled #telehealth phone call. I am seeing new patients via #telemedicine also. #LCSM |
 | Ilianita DFernández. #StopRacism #Ucrania. @Ruthiliana46 RT @LeciaSequist: Here is a message of #Hope #Love during #COVID19 from @MGHCancerCenter music therapist @LorrieKubicek & her wife Kimberly Khare (MT @nextstepfund @BerkleeCollege). This is our family "theme song" @MGHThoracicOnc. Hope you love it as much as we do🙏💕#LCSM https://t.co/4MYkuuS8rG https://t.co/gwRUPSF9u2 |
| Arpan Patel @ArpanAshokPatel @coffeemommy @BrendonStilesMD limiting new enrollment, continuing current enrollment, enrolling if no other clinically beneficial options #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. Here is a great interview from @marinagarassino from Italy https://t.co/bw64iTvezq #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc RT @BrendonStilesMD: T1. This has led many to ask “why?” and to wonder if they are being forgotten? #lcsm |
| #LCSM Chat @lcsmchat RT @coffeemommy: @BrendonStilesMD Curious about those on clinical trials... any changes? The larger cancer community, especially the metastatic community, is on edge around this. Wondering about first hand experience. #lcsm |
 | colleen ziegler @ZieglerColleen #lcsm Colleen joining a bit late |
| #LCSM Chat @lcsmchat RT @ArpanAshokPatel: T1 – #treatmentholidays if stable after careful risks/benefits discussion #LCSM @DevikaDasMD @NarjustDumaMD |
| Henning Willers, MD (he/him/his) @HenningWillers @BrendonStilesMD #radonc is here for you #lcsm |
| Janet Freeman-Daily @JFreemanDaily T1 Family members can't go to appointments with #lungcancer patients--need to record it on phone to share later. #lcsm |
| Charu Aggarwal, MD, MPH @CharuAggarwalMD @BrendonStilesMD @marinagarassino @marinagarassino has been a great resource. So much to learn from the Italians, their courage, and tenacity in the face of adversity. #LCSM |
| #LCSM Chat @lcsmchat RT @HenningWillers: T1 I have also started to give out my cell phone and email more often to my patients, helps overcome divide #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc RT @BrendonStilesMD: @HenningWillers Totally agree. This is key. Access is incredibly challenging with admins out. #lcsm |
| Eric Bernicker @EricBernicker Do you think more surgeons will refer for SBRT rather than operate in the setting of this pandemic? #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. And a great town hall last weekend led by DrRoyHerbstYale and @HosseinBorghaei https://t.co/fX6nJXXCSG #lcsm |
| #LCSM Chat @lcsmchat RT @acmoorephd: If anything, I have heard doctors voice increased urgency to protect the most vulnerable, including #lungcancer patients #lcsm |
| #LCSM Chat @lcsmchat RT @n8pennell: @BrendonStilesMD T1: @BrendonStilesMD T1: Care is impacted less in #LCSM than most medical fields because the danger of delaying or stopping treatment is so real, so most pts on treatment must continue or new diagnosis must proceed with treatment. So changes minimize risk without stopping interventions. |
| Laronica Conway @louisianagirl91 RT @BrendonStilesMD: T1. Here is a great interview from @marinagarassino from Italy https://t.co/bw64iTvezq #lcsm |
| Dave Bjork @bjork5 @subatomicdoc Hey Matt! Sending you positive vibes #LCSM |
| LungCAN @LungCAN RT @JFreemanDaily: T1 Family members can't go to appointments with #lungcancer patients--need to record it on phone to share later. #lcsm |
| Lynne Eldridge MD @AboutLungCancer RT @JFreemanDaily: T1 Family members can't go to appointments with #lungcancer patients--need to record it on phone to share later. #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: @HenningWillers Totally agree. This is key. Access is incredibly challenging with admins out. #lcsm |
| #LCSM Chat @lcsmchat RT @ArpanAshokPatel: @coffeemommy @BrendonStilesMD limiting new enrollment, continuing current enrollment, enrolling if no other clinically beneficial options #LCSM |
| Heather Dyer, MD @HeatherDyer @BrendonStilesMD @HosseinBorghaei Yes! This was fantastic. Looking forward to this Saturday’s town hall #lcsm |
| Laronica Conway @louisianagirl91 RT @BrendonStilesMD: T1. Undeniably, #COVID19 has slowed down my ability to get early stage lung cancer patients to the OR. #lcsm |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: T1 Family members can't go to appointments with #lungcancer patients--need to record it on phone to share later. #lcsm |
| Brendon Stiles @BrendonStilesMD This was a great panel that addressed many concerns of our patients. #lcsm https://t.co/hljOxxaDLJ |
| Inspire @teaminspire RT @BrendonStilesMD: T1. Undeniably, #COVID19 has slowed down my ability to get early stage lung cancer patients to the OR. #lcsm |
| Dr. David Tom Cooke @DavidCookeMD A1 As @UCDavisHealth is still "Status Green" we are doing early stage #lungcancer #surgery, following @AmCollSurgeons /#ThORN guidelines for essential surgery: https://t.co/pS30Tt5cWE #LCSM #COVID19 |
| Dave Bjork @bjork5 #LCSM #COVID19 |
| lysa buonanno @lysabee @BrendonStilesMD that's scary #lcsm |
| Brendon Stiles @BrendonStilesMD @EricBernicker I sent three patients this week. #lcsm |
| Devika Das, MD, MSHQS @DevikaDasMD @BrendonStilesMD @lcsmchat T1: Lots of telemedicine for follow up visits, increased precautions in the infusion room to avoid overcrowding and nosocomial transmission of infection. #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc @bjork5 Hi Dave! Thanks, sending some positive vibes back 😃✌️ #lcsm |
| LungCAN @LungCAN @HenningWillers Thanks! #lcsm |
 | Denise Cutlip @dennycee T1-getting past entrance yo have port flushed was challenge But a welcom one #lcsm |
| Dr. David Tom Cooke @DavidCookeMD Yes. But have to be careful to not inundate our #RadOnc colleagues. especially if status yellow or red. Also potential for hybrid: #SBRT, followed by #surgery after inflection point. #LCSM #COVID19 |
| Laura Greco @lgreco_ny @AboutLungCancer It isn't just clinical trial drugs unavailable...if hospitalized, targeted therapy will also be unavailable unless you bring your own. #LCSM |
| Brendon Stiles @BrendonStilesMD @BrendonStilesMD @EricBernicker Don't tell all of my #RadOnc friends. Also interested in a pragmatic treat and resect down road trial. #lcsm |
| #LCSM Chat @lcsmchat T1: There is a Lung cancer patient in ICU with suspected Covid-19 whose husband can’t be with her. Very scary. #LCSM |
| Stacey Tinianov (she/her) MPH, BCPA @coffeemommy @ArpanAshokPatel @BrendonStilesMD TY. Is that across most sites or varying by #COVID19 impact? Any trial-related care delivery changes? #lcsm |
| Lecia Sequist, MD, MPH @LeciaSequist @n8pennell @BrendonStilesMD Agree @n8pennell, but finding as #COVID19 wave ramps up locally, we don't have the staff to treat our patients. Majority redeployed to inpatient. Very tough decisions result... #LCSM |
| #LCSM Chat @lcsmchat RT @CharuAggarwalMD: @BrendonStilesMD @marinagarassino @marinagarassino has been a great resource. So much to learn from the Italians, their courage, and tenacity in the face of adversity. #LCSM |
| #LCSM Chat @lcsmchat RT @EricBernicker: Do you think more surgeons will refer for SBRT rather than operate in the setting of this pandemic? #LCSM |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc RT @DavidCookeMD: Yes. But have to be careful to not inundate our #RadOnc colleagues. especially if status yellow or red. Also potential for hybrid: #SBRT, followed by #surgery after inflection point. #LCSM #COVID19 |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: This was a great panel that addressed many concerns of our patients. #lcsm https://t.co/hljOxxaDLJ |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: A1 As @UCDavisHealth is still "Status Green" we are doing early stage #lungcancer #surgery, following @AmCollSurgeons /#ThORN guidelines for essential surgery: https://t.co/pS30Tt5cWE #LCSM #COVID19 |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: @EricBernicker I sent three patients this week. #lcsm |
| Brendon Stiles @BrendonStilesMD T2 coming soon. #lcsm |
| Inspire @teaminspire RT @BrendonStilesMD: T1. This came out on @onclive yesterday https://t.co/eWUNv1XqjK #lcsm |
| #LCSM Chat @lcsmchat RT @DevikaDasMD: @BrendonStilesMD @lcsmchat T1: @BrendonStilesMD @lcsmchat T1: Lots of telemedicine for follow up visits, increased precautions in the infusion room to avoid overcrowding and nosocomial transmission of infection. #lcsm |
| Lung Cancer Sux @LungCancerSux Many hospitals are having informational webinars with phone option. Dial into those! #lcsm |
| #LCSM Chat @lcsmchat RT @dennycee: T1-getting past entrance yo have port flushed was challenge But a welcom one #lcsm |
| Henning Willers, MD (he/him/his) @HenningWillers @BrendonStilesMD @EricBernicker SBRT bridge to elective lobectomy is a really interesting concept, but we digress ... #lcsm |
| Brendon Stiles @BrendonStilesMD @lcsmchat This is perhaps hardest part. The separation of families. #lcsm |
| Dave Bjork @bjork5 That’s really sad. Support is so important #lcsm #lungcancer #COVID19 |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: Yes. But have to be careful to not inundate our #RadOnc colleagues. especially if status yellow or red. Also potential for hybrid: #SBRT, followed by #surgery after inflection point. #LCSM #COVID19 |
| Nathan A. Pennell MD, PhD, FASCO @n8pennell T1: We're allowing one person to accompany a pt in active treatment because it is so lonely and scary, but not for routine visits. Same for people at the end of life, can't be alone no matter how risky at a time so important. But in general visitors gone so it seem so empty #LCSM |
| #LCSM Chat @lcsmchat RT @lgreco_ny: @AboutLungCancer It isn't just clinical trial drugs unavailable...if hospitalized, targeted therapy will also be unavailable unless you bring your own. #LCSM |
 | virginia litle @vlitlemd A1: I don’t believe you can bill for new patient visits via #Telemedicine at least not here @BMCSurgery #lcsm |
 | Nina @ninadavis Family member did not have 4th and final adjuvant chemotherapy for Stage 2 NOMO LC. The only reason was COVID19. The reason for adjuvant therapy had not changed. We will we know the risk of LC reoccurring V Risk of COVID19 outcome in 5 years. #lcsm |
| Dr. David Tom Cooke @DavidCookeMD @biniamkidaneMD is affiliated with a canadian trial, looking for partners. #LCSM #TSSMN |
| mimiprovenzano @MimiProvenzano RT @lcsmchat: T1: T1: There is a Lung cancer patient in ICU with suspected Covid-19 whose husband can’t be with her. Very scary. #LCSM |
| Jill Feldman @jillfeldman4 T1 Tele med is great, but definitely not the same as in-person. Unintended consequence of COVID-19 is patients feel like we're on the back burner #LCSM |
| Lecia Sequist, MD, MPH @LeciaSequist @JFreemanDaily T1 helpful tip is having family join via phone or video DURING the visit #LCSM |
 | Brian Alexander @xelamb RT @1111linno: @B52Malmet I am a patient at MGH---sitting in the Termeer Center as I type. Please read this per a conversation with my attending nurse today: https://t.co/Yfd5NaCSqp #lcsm #COVID19Pandemic |
| LungCAN @LungCAN @lcsmchat So scary! #lcsm |
| Brendon Stiles @BrendonStilesMD T2: Are lung cancer patients more at risk for severe #COVID19 ?#lcsm |
| #LCSM Chat @lcsmchat RT @LeciaSequist: @n8pennell @BrendonStilesMD Agree @n8pennell, but finding as #COVID19 wave ramps up locally, we don't have the staff to treat our patients. Majority redeployed to inpatient. Very tough decisions result... #LCSM |
| Laura Greco @lgreco_ny @coffeemommy @BrendonStilesMD T1: Yes: my compassionate use clinical trial scans were delayed by a month but telephone appointment. Had to do blood test. #LCSM They are supposed to mail drugs. |
| Stacey Tinianov (she/her) MPH, BCPA @coffeemommy @JFreemanDaily All this "aloneness" during appointments, scans, treatments... super, super challenging. And those who are newly diagnosed during this time. Damn. Damn. Damn. #lcsm |
| Brendon Stiles @BrendonStilesMD RT @DavidCookeMD: @biniamkidaneMD is affiliated with a canadian trial, looking for partners. #LCSM #TSSMN |
| Laronica Conway @louisianagirl91 T1 Surprisingly, I have worked with many elderly patients on clinical trials who communicate more via text. Blurs the line a bit for staff, but it’s helpful for those getting treatment. #lcsm |
| #LCSM Chat @lcsmchat RT @LungCancerSux: Many hospitals are having informational webinars with phone option. Dial into those! #lcsm |
| #LCSM Chat @lcsmchat RT @HenningWillers: @BrendonStilesMD @EricBernicker SBRT bridge to elective lobectomy is a really interesting concept, but we digress ... #lcsm |
| Lisa Moran @plh4lisa RT @lcsmchat: T1: T1: There is a Lung cancer patient in ICU with suspected Covid-19 whose husband can’t be with her. Very scary. #LCSM |
| Brendon Stiles @BrendonStilesMD RT @LeciaSequist: @JFreemanDaily T1 helpful tip is having family join via phone or video DURING the visit #LCSM |
| #LCSM Chat @lcsmchat RT @n8pennell: T1: T1: We're allowing one person to accompany a pt in active treatment because it is so lonely and scary, but not for routine visits. Same for people at the end of life, can't be alone no matter how risky at a time so important. But in general visitors gone so it seem so empty #LCSM |
| Peggy Dennis @peggyddennis #lcsm T1 Caught between progression and clinical trial eligibility. 12 weeks from last treatment. |
| mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: T2: T2: Are lung cancer patients more at risk for severe #COVID19 ?#lcsm |
| #LCSM Chat @lcsmchat RT @vlitlemd: A1: A1: I don’t believe you can bill for new patient visits via #Telemedicine at least not here @BMCSurgery #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc @DavidCookeMD A large volume increase would be challenging but worth trying if helpful. Depending upon the case type, we can accelerate radiation or SBRT is pretty short. Some guidance on adapting to #COVID19 here - https://t.co/6LrA33l5RB #lcsm |
| Brendon Stiles @BrendonStilesMD T2. We don’t have enough #data yet. #lcsm |
| #LCSM Chat @lcsmchat RT @ninadavis: Family member did not have 4th and final adjuvant chemotherapy for Stage 2 NOMO LC. The only reason was COVID19. The reason for adjuvant therapy had not changed. We will we know the risk of LC reoccurring V Risk of COVID19 outcome in 5 years. #lcsm |
| Dr. David Tom Cooke @DavidCookeMD Temp approved by @CMSGov and most private payers. You can also bill for telephone encounters, if properly scheduled. #LCSM #TSSMN |
| Lynne Eldridge MD @AboutLungCancer RT @LeciaSequist: @JFreemanDaily T1 helpful tip is having family join via phone or video DURING the visit #LCSM |
| Brendon Stiles @BrendonStilesMD T2. Some lung cancer patients can be infected with #COVID19, but not symptomatic. From @JTOonline https://t.co/VYmqezmR3l #lcsm |
| Laura Greco @lgreco_ny @BrendonStilesMD @HosseinBorghaei I thought that really informative! #LCSM |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: @biniamkidaneMD is affiliated with a canadian trial, looking for partners. #LCSM #TSSMN |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD RT @coffeemommy: @JFreemanDaily All this "aloneness" during appointments, scans, treatments... super, super challenging. And those who are newly diagnosed during this time. Damn. Damn. Damn. #lcsm |
| #LCSM Chat @lcsmchat RT @jillfeldman4: T1 Tele med is great, but definitely not the same as in-person. Unintended consequence of COVID-19 is patients feel like we're on the back burner #LCSM |
| #LCSM Chat @lcsmchat RT @LeciaSequist: @JFreemanDaily T1 helpful tip is having family join via phone or video DURING the visit #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2: T2: Are lung cancer patients more at risk for severe #COVID19 ?#lcsm |
| #LCSM Chat @lcsmchat RT @lgreco_ny: @coffeemommy @BrendonStilesMD T1: Yes: @coffeemommy @BrendonStilesMD T1: Yes: my compassionate use clinical trial scans were delayed by a month but telephone appointment. Had to do blood test. #LCSM They are supposed to mail drugs. |
| Brendon Stiles @BrendonStilesMD T2. But an early study from Wuhan suggested that lung cancer patients had 2x risk of general population https://t.co/Yk8jiJYs0b #lcsm |
| Laronica Conway @louisianagirl91 RT @LeciaSequist: @JFreemanDaily T1 helpful tip is having family join via phone or video DURING the visit #LCSM |
| #LCSM Chat @lcsmchat RT @coffeemommy: @JFreemanDaily All this "aloneness" during appointments, scans, treatments... super, super challenging. And those who are newly diagnosed during this time. Damn. Damn. Damn. #lcsm |
| mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: T2. Some lung cancer patients can be infected with #COVID19, but not symptomatic. From @JTOonline https://t.co/VYmqezmR3l #lcsm |
| #LCSM Chat @lcsmchat RT @louisianagirl91: T1 Surprisingly, I have worked with many elderly patients on clinical trials who communicate more via text. Blurs the line a bit for staff, but it’s helpful for those getting treatment. #lcsm |
| #LCSM Chat @lcsmchat RT @peggyddennis: #lcsm T1 Caught between progression and clinical trial eligibility. 12 weeks from last treatment. |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. We don’t have enough #data yet. #lcsm |
| Dr. Amy C. Moore @acmoorephd I was asked to provide some feedback on the @JAMAOnc paper - I think we have limited data but the answer seems to be "yes" #lcsm |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: Temp approved by @CMSGov and most private payers. You can also bill for telephone encounters, if properly scheduled. #LCSM #TSSMN |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. Some lung cancer patients can be infected with #COVID19, but not symptomatic. From @JTOonline https://t.co/VYmqezmR3l #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc RT @BrendonStilesMD: T2. But an early study from Wuhan suggested that lung cancer patients had 2x risk of general population https://t.co/Yk8jiJYs0b #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. But an early study from Wuhan suggested that lung cancer patients had 2x risk of general population https://t.co/Yk8jiJYs0b #lcsm |
| LungCAN @LungCAN RT @BrendonStilesMD: T2: T2: Are lung cancer patients more at risk for severe #COVID19 ?#lcsm |
| Janet Freeman-Daily @JFreemanDaily @n8pennell T1: Esceptions to policies (of no accompanying family or visiting patients) seems to vary wildely across the country. #LCSM |
 | Narjust Florez (Duma), M.D. @NarjustFlorezMD @LeciaSequist @JFreemanDaily I agree. Via facetime or WhatsApp #LCSM |
| virginia litle @vlitlemd A1: or the patient w advanced cancer not allowed to have visitors. Trying to get them home for hospice. Very emotional on all levels #lcsm |
| Eric Bernicker @EricBernicker @BrendonStilesMD I don't think we have enough data just yet; the issue might be male smokers more than lung cancer patients #LCSM |
| Brendon Stiles @BrendonStilesMD T2. Here is the table of cancer patients from that study. #lcsm https://t.co/o2zsGlYxUS |
 | Israh (Khan)Akhtar @israhkhan #LCSM Pathological findings in lungsafflicted by COVID-19. https://t.co/z2vacLcKfJ |
| Nathan A. Pennell MD, PhD, FASCO @n8pennell @LeciaSequist @BrendonStilesMD Of course once you reach that level of crisis you have to just do the best you can and hope it doesn't last too long #LCSM |
 | Pascale Yola @pascaleyolahg RT @CancerResearch: #Biomarkers are needed to better inform which patients with small cell lung cancer are most likely to respond to checkpoint inhibitors says Dr. Jason Niu of @MDAndersonNews. #sclc #lcsm https://t.co/cl9gEtMZEf |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc RT @israhkhan: #LCSM Pathological findings in lungsafflicted by COVID-19. https://t.co/z2vacLcKfJ |
| LiveLung @LiveLung1 RT @BrendonStilesMD: T2. But an early study from Wuhan suggested that lung cancer patients had 2x risk of general population https://t.co/Yk8jiJYs0b #lcsm |
| Laura Greco @lgreco_ny RT @BrendonStilesMD: This was a great panel that addressed many concerns of our patients. #lcsm https://t.co/hljOxxaDLJ |
| Brendon Stiles @BrendonStilesMD T2. Biggest risk is probably transmission during doctor appointments or hospital visits. #lcsm |
| Henning Willers, MD (he/him/his) @HenningWillers @DavidCookeMD @lcsmchat @CMSGov i have heard we have gotten some pushback @MGHCancerCenter #lcsm |
| Brendon Stiles @BrendonStilesMD @EricBernicker Agree. #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc RT @n8pennell: @LeciaSequist @BrendonStilesMD Of course once you reach that level of crisis you have to just do the best you can and hope it doesn't last too long #LCSM |
| Dr. Amy C. Moore @acmoorephd T2: I noted that of the 2 patient deaths, one was in a male who was 2 years post Tx with no evidence of recurrence. Can't let our guard down #lcsm |
| #LCSM Chat @lcsmchat #lcsm |
| Arpan Patel @ArpanAshokPatel T2 – Yes - SARS-CoV-2 Transmission in Patients With Cancer https://t.co/E5vF4vPwCP #LCSM |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc RT @LeciaSequist: @n8pennell @BrendonStilesMD Agree @n8pennell, but finding as #COVID19 wave ramps up locally, we don't have the staff to treat our patients. Majority redeployed to inpatient. Very tough decisions result... #LCSM |
| Denise Cutlip @dennycee T2- some activities make my lungs work hard Radiation scarred much that cancer missed #lcsm |
| Jill Feldman @jillfeldman4 T2 I would think that unless immune compromised not nec at ^ risk for getting, but def at ^ risk for developing severe infection, especially if already poorer lung function & damage from radiation #LCSM |
| Lecia Sequist, MD, MPH @LeciaSequist @lgreco_ny @AboutLungCancer Just a note to clarify that clinical trial drugs are not on inpatient formularies even during regular times, nor are most oral #targetedtherapies. Agree it's necessary to bring home supply but often the reason for admission necessitates a hold for experimental therapies #LCSM |
| Arpan Patel @ArpanAshokPatel T2 - 58.3% patients had non–small cell lung carcinoma (NSCLC). 41.7% tx w/ either #chemotherapy w, w/o #immunotherapy #LCSM |
| Devika Das, MD, MSHQS @DevikaDasMD @coffeemommy @ArpanAshokPatel @BrendonStilesMD I believe we are still continuing accruals as much as possible with some exceptions. Though I do know some centers with larger COVID volumes have been effected. #lcsm |
| Brendon Stiles @BrendonStilesMD T2. May also be that some component of immune suppression contributes to higher risk. #lcsm |
| Israh (Khan)Akhtar @israhkhan #LCSM good article on COVID -19 https://t.co/C7a8HjseWh |
| Charu Aggarwal, MD, MPH @CharuAggarwalMD @BrendonStilesMD It is important to point out that most of those patients were not on active therapy, so the risk was more likely related to coming in contact with others, and visiting the hospital #LCSM |
| Dr. Amy C. Moore @acmoorephd T2: Clearly hospital and clinic visits increase risk #lcsm |
| #LCSM Chat @lcsmchat RT @vlitlemd: A1: A1: or the patient w advanced cancer not allowed to have visitors. Trying to get them home for hospice. Very emotional on all levels #lcsm |
| virginia litle @vlitlemd A2: aren’t we potentially infected in healthcare if we’re not tested #lcsm |
 | Renee Parker @Traveldoc33 RT @BrendonStilesMD: T2. But an early study from Wuhan suggested that lung cancer patients had 2x risk of general population https://t.co/Yk8jiJYs0b #lcsm |
| LungCAN @LungCAN RT @acmoorephd: T2: T2: Clearly hospital and clinic visits increase risk #lcsm |
| Brendon Stiles @BrendonStilesMD T2. @ArpanAshokPatel Very small study, but not surprisingly, older patients more at risk. #lcsm |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD Need studies. Hopefully no lung cancer patients will be at no greater risk than matched non-lung cancer folks. Have to wait and see. #LCSM |
| #LCSM Chat @lcsmchat Ugh. #lcsm |
| Dr. David Tom Cooke @DavidCookeMD In fairness, only 7 #Lungcancer patients? Hard to make head or tails. But definitely should be part of shared decision making as most of our patients are >60 and have impaired lung function. All known risk factors. #LCSM |
| lysa buonanno @lysabee RT @BrendonStilesMD: T2. But an early study from Wuhan suggested that lung cancer patients had 2x risk of general population https://t.co/Yk8jiJYs0b #lcsm |
| Narjust Florez (Duma), M.D. @NarjustFlorezMD @BrendonStilesMD T2: Patients in active chemotherapy and with home oxygen are probably at high risk for complications. I am having very honest conversations with them about if they get #COVID-19 and respiratory distress. #LCSM |
| Lisa Moran @plh4lisa @BrendonStilesMD T2: I say yes. My lungs are compromised. The media includes people with existing lung conditions in the high risk category.#lcsm |
| Brendon Stiles @BrendonStilesMD T2. And we do know #LungCancer patients are often older with underlying lung disease. They are likely at risk for more severe complications. #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc @n8pennell @LeciaSequist @BrendonStilesMD We do have these issues come up individually with people requiring treatment delays for health issues, goal is to minimize or adapt treatment. Most circumstances though it's non-communicable disease. Right now much more challenging for that reason #lcsm |
| Lynne Eldridge MD @AboutLungCancer RT @acmoorephd: T2: T2: Clearly hospital and clinic visits increase risk #lcsm |
| #LCSM Chat @lcsmchat Please remember to add the hashtag #lcsm to your tweets during the chat |
| Dr. Amy C. Moore @acmoorephd The two deaths in the small cohort displayed all the classic symptoms while the other 5 NSCLC who survived showed only some symptoms. #lcsm |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD Weak though. Need US studies.#LCSM |
| Brendon Stiles @BrendonStilesMD RT @DavidCookeMD: In fairness, only 7 #Lungcancer patients? Hard to make head or tails. But definitely should be part of shared decision making as most of our patients are >60 and have impaired lung function. All known risk factors. #LCSM |
| Brendon Stiles @BrendonStilesMD RT @TimAllenMDJD: Need studies. Hopefully no lung cancer patients will be at no greater risk than matched non-lung cancer folks. Have to wait and see. #LCSM |
| Laura Greco @lgreco_ny RT @BrendonStilesMD: T2. Some lung cancer patients can be infected with #COVID19, but not symptomatic. From @JTOonline https://t.co/VYmqezmR3l #lcsm |
| #LCSM Chat @lcsmchat RT @EricBernicker: @BrendonStilesMD I don't think we have enough data just yet; the issue might be male smokers more than lung cancer patients #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. Here is the table of cancer patients from that study. #lcsm https://t.co/o2zsGlYxUS |
| Brendon Stiles @BrendonStilesMD RT @CharuAggarwalMD: @BrendonStilesMD It is important to point out that most of those patients were not on active therapy, so the risk was more likely related to coming in contact with others, and visiting the hospital #LCSM |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: @n8pennell T1: @n8pennell T1: Esceptions to policies (of no accompanying family or visiting patients) seems to vary wildely across the country. #LCSM |
| Laura Greco @lgreco_ny RT @BrendonStilesMD: T2. But an early study from Wuhan suggested that lung cancer patients had 2x risk of general population https://t.co/Yk8jiJYs0b #lcsm |
| #LCSM Chat @lcsmchat RT @acmoorephd: I was asked to provide some feedback on the @JAMAOnc paper - I think we have limited data but the answer seems to be "yes" #lcsm |
| Lung Cancer Sux @LungCancerSux @BrendonStilesMD How does risk increase for survivors? #LCSM |
| Henning Willers, MD (he/him/his) @HenningWillers @BrendonStilesMD anybody has experience with #COVID19 positive #lungcancer patients? we have not had a single #radiotherapy pt positive (for all we know) #lcsm |
| #LCSM Chat @lcsmchat RT @israhkhan: #LCSM Pathological findings in lungsafflicted by COVID-19. https://t.co/z2vacLcKfJ |
| Brendon Stiles @BrendonStilesMD @n8pennell @LeciaSequist #Hope #hope #hope #hope #lcsm |
| #LCSM Chat @lcsmchat RT @n8pennell: @LeciaSequist @BrendonStilesMD Of course once you reach that level of crisis you have to just do the best you can and hope it doesn't last too long #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. Biggest risk is probably transmission during doctor appointments or hospital visits. #lcsm |
| Nathan A. Pennell MD, PhD, FASCO @n8pennell T2: I don't think we can say independent of advanced age, comorbidity like impaired lungs, and immunosuppression from chemo lung cancer pts specifically are at higher risk, but many pts have conglomerate of risk factors that together equate higher risk #LCSM |
| mimiprovenzano @MimiProvenzano RT @LungCancerSux: @BrendonStilesMD How does risk increase for survivors? #LCSM |
| #LCSM Chat @lcsmchat RT @acmoorephd: T2: T2: I noted that of the 2 patient deaths, one was in a male who was 2 years post Tx with no evidence of recurrence. Can't let our guard down #lcsm |
| Dr. David Tom Cooke @DavidCookeMD One thing that is being learned on #SoMe that surgeons already know: Pathologists are great educators and provide solid info. #LCSM |
| #LCSM Chat @lcsmchat RT @ArpanAshokPatel: T2 – Yes - SARS-CoV-2 Transmission in Patients With Cancer https://t.co/E5vF4vPwCP #LCSM |
| #LCSM Chat @lcsmchat RT @dennycee: T2- some activities make my lungs work hard Radiation scarred much that cancer missed #lcsm |
| #LCSM Chat @lcsmchat RT @jillfeldman4: T2 I would think that unless immune compromised not nec at ^ risk for getting, but def at ^ risk for developing severe infection, especially if already poorer lung function & damage from radiation #LCSM |
| Janet Freeman-Daily @JFreemanDaily @DavidCookeMD @CMSGov Telehealth doctor still needs to be licensed to practice in state where patient is. @CMS new policy covers Medicare, but not private health insurance. Interstate medical licensure requires waiver from individual states. https://t.co/CzthOJ8QSU #LCSM |
| #LCSM Chat @lcsmchat RT @LeciaSequist: @lgreco_ny @AboutLungCancer Just a note to clarify that clinical trial drugs are not on inpatient formularies even during regular times, nor are most oral #targetedtherapies. Agree it's necessary to bring home supply but often the reason for admission necessitates a hold for experimental therapies #LCSM |
| #LCSM Chat @lcsmchat RT @ArpanAshokPatel: T2 - 58.3% patients had non–small cell lung carcinoma (NSCLC). 41.7% tx w/ either #chemotherapy w, w/o #immunotherapy #LCSM |
| #LCSM Chat @lcsmchat RT @DevikaDasMD: @coffeemommy @ArpanAshokPatel @BrendonStilesMD I believe we are still continuing accruals as much as possible with some exceptions. Though I do know some centers with larger COVID volumes have been effected. #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. May also be that some component of immune suppression contributes to higher risk. #lcsm |
| #LCSM Chat @lcsmchat RT @israhkhan: #LCSM good article on COVID -19 https://t.co/C7a8HjseWh |
| virginia litle @vlitlemd A2: obese smokers and vapers. I worry if they have lung lesions. Delay care please #lcsm |
| #LCSM Chat @lcsmchat RT @CharuAggarwalMD: @BrendonStilesMD It is important to point out that most of those patients were not on active therapy, so the risk was more likely related to coming in contact with others, and visiting the hospital #LCSM |
| #LCSM Chat @lcsmchat RT @acmoorephd: T2: T2: Clearly hospital and clinic visits increase risk #lcsm |
| #LCSM Chat @lcsmchat RT @vlitlemd: A2: A2: aren’t we potentially infected in healthcare if we’re not tested #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc RT @JFreemanDaily: @DavidCookeMD @CMSGov Telehealth doctor still needs to be licensed to practice in state where patient is. @CMS new policy covers Medicare, but not private health insurance. Interstate medical licensure requires waiver from individual states. https://t.co/CzthOJ8QSU #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. @ArpanAshokPatel Very small study, but not surprisingly, older patients more at risk. #lcsm |
| #LCSM Chat @lcsmchat RT @TimAllenMDJD: Need studies. Hopefully no lung cancer patients will be at no greater risk than matched non-lung cancer folks. Have to wait and see. #LCSM |
| Jill Feldman @jillfeldman4 T2 Although the fact that we have lung cancer probably means our lungs are pretty vulnerable to begin with #LCSM |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: In fairness, only 7 #Lungcancer patients? Hard to make head or tails. But definitely should be part of shared decision making as most of our patients are >60 and have impaired lung function. All known risk factors. #LCSM |
| #LCSM Chat @lcsmchat RT @NarjustDumaMD: @BrendonStilesMD T2: @BrendonStilesMD T2: Patients in active chemotherapy and with home oxygen are probably at high risk for complications. I am having very honest conversations with them about if they get #COVID-19 and respiratory distress. #LCSM |
| Charu Aggarwal, MD, MPH @CharuAggarwalMD @DavidCookeMD Small numbers, but the point worth making here is that patients with #LungCancer are at higher risk for pneumonia and respiratory issues in general, and we should take every precaution to protect them, minimize spread and transmission #LCSM |
| Brendon Stiles @BrendonStilesMD @HenningWillers We have a sick one in our ICU from another hospital after lobectomy. Severely ill. #lcsm |
| Lung Cancer Sux @LungCancerSux RT @JFreemanDaily: @DavidCookeMD @CMSGov Telehealth doctor still needs to be licensed to practice in state where patient is. @CMS new policy covers Medicare, but not private health insurance. Interstate medical licensure requires waiver from individual states. https://t.co/CzthOJ8QSU #LCSM |
| #LCSM Chat @lcsmchat RT @plh4lisa: @BrendonStilesMD T2: @BrendonStilesMD T2: I say yes. My lungs are compromised. The media includes people with existing lung conditions in the high risk category.#lcsm |
 | Hossein Borghaei, DO @HosseinBorghaei RT @BrendonStilesMD: T1. And a great town hall last weekend led by DrRoyHerbstYale and @HosseinBorghaei https://t.co/fX6nJXXCSG #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. And we do know #LungCancer patients are often older with underlying lung disease. They are likely at risk for more severe complications. #lcsm |
| Devika Das, MD, MSHQS @DevikaDasMD @BrendonStilesMD @lcsmchat T2 Not enough data to comment , but I would be incredibly cautious in anyone with compromised lung function or immunity #lcsm |
| #LCSM Chat @lcsmchat RT @subatomicdoc: @n8pennell @LeciaSequist @BrendonStilesMD We do have these issues come up individually with people requiring treatment delays for health issues, goal is to minimize or adapt treatment. Most circumstances though it's non-communicable disease. Right now much more challenging for that reason #lcsm |
| Dr. David Tom Cooke @DavidCookeMD A2 I think based on the constellation of risk factors when it comes to #lungcancer, we should just say, all you need are lungs to be at great risk for #COVID19. #LCSM |
| #LCSM Chat @lcsmchat RT @acmoorephd: The two deaths in the small cohort displayed all the classic symptoms while the other 5 NSCLC who survived showed only some symptoms. #lcsm |
| Janet Freeman-Daily @JFreemanDaily RT @BrendonStilesMD: T2: T2: Are lung cancer patients more at risk for severe #COVID19 ?#lcsm |
| #LCSM Chat @lcsmchat RT @TimAllenMDJD: Weak though. Need US studies.#LCSM |
| Nathan A. Pennell MD, PhD, FASCO @n8pennell Remember Chinese pts are usually treated as INPATIENT in hospitals, while in US we treat in outpatient centers so I would think risk of transmission is less here. But reducing contacts regardless should be a goal #LCSM |
| #LCSM Chat @lcsmchat RT @HenningWillers: @BrendonStilesMD anybody has experience with #COVID19 positive #lungcancer patients? we have not had a single #radiotherapy pt positive (for all we know) #lcsm |
| #LCSM Chat @lcsmchat RT @n8pennell: T2: T2: I don't think we can say independent of advanced age, comorbidity like impaired lungs, and immunosuppression from chemo lung cancer pts specifically are at higher risk, but many pts have conglomerate of risk factors that together equate higher risk #LCSM |
| Eric Bernicker @EricBernicker @JFreemanDaily @DavidCookeMD @CMSGov @cms Redonkulous that I have a license to drive in any state but cannot practice medicine across state lines #LCSM |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: One thing that is being learned on #SoMe that surgeons already know: One thing that is being learned on #SoMe that surgeons already know: Pathologists are great educators and provide solid info. #LCSM |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: @DavidCookeMD @CMSGov Telehealth doctor still needs to be licensed to practice in state where patient is. @CMS new policy covers Medicare, but not private health insurance. Interstate medical licensure requires waiver from individual states. https://t.co/CzthOJ8QSU #LCSM |
| Henning Willers, MD (he/him/his) @HenningWillers RT @n8pennell: Remember Chinese pts are usually treated as INPATIENT in hospitals, while in US we treat in outpatient centers so I would think risk of transmission is less here. But reducing contacts regardless should be a goal #LCSM |
 | Kimberly Lester @kimberlydlester RT @CharuAggarwalMD: @DavidCookeMD Small numbers, but the point worth making here is that patients with #LungCancer are at higher risk for pneumonia and respiratory issues in general, and we should take every precaution to protect them, minimize spread and transmission #LCSM |
| Laura Greco @lgreco_ny RT @n8pennell: Remember Chinese pts are usually treated as INPATIENT in hospitals, while in US we treat in outpatient centers so I would think risk of transmission is less here. But reducing contacts regardless should be a goal #LCSM |
| #LCSM Chat @lcsmchat RT @vlitlemd: A2: A2: obese smokers and vapers. I worry if they have lung lesions. Delay care please #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc RT @n8pennell: Remember Chinese pts are usually treated as INPATIENT in hospitals, while in US we treat in outpatient centers so I would think risk of transmission is less here. But reducing contacts regardless should be a goal #LCSM |
| #LCSM Chat @lcsmchat RT @jillfeldman4: T2 Although the fact that we have lung cancer probably means our lungs are pretty vulnerable to begin with #LCSM |
| #LCSM Chat @lcsmchat RT @CharuAggarwalMD: @DavidCookeMD Small numbers, but the point worth making here is that patients with #LungCancer are at higher risk for pneumonia and respiratory issues in general, and we should take every precaution to protect them, minimize spread and transmission #LCSM |
| Dave Bjork @bjork5 T2: with so many thoracic surgeons in the house, I want to ask if I’m at any more risk from #COVID19 if I’ve had a lobectomy even if many years ago? #LCSM |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD Not necessarily. #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: @HenningWillers We have a sick one in our ICU from another hospital after lobectomy. Severely ill. #lcsm |
| #LCSM Chat @lcsmchat RT @DevikaDasMD: @BrendonStilesMD @lcsmchat T2 Not enough data to comment , but I would be incredibly cautious in anyone with compromised lung function or immunity #lcsm |
| Lung Cancer Sux @LungCancerSux RT @EricBernicker: @JFreemanDaily @DavidCookeMD @CMSGov @cms Redonkulous that I have a license to drive in any state but cannot practice medicine across state lines #LCSM |
| Brendon Stiles @BrendonStilesMD @HenningWillers Maybe radiation kills #COVID19? It works for masks, right? #lcsm 😉 |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: A2 I think based on the constellation of risk factors when it comes to #lungcancer, we should just say, all you need are lungs to be at great risk for #COVID19. #LCSM |
| #LCSM Chat @lcsmchat RT @n8pennell: Remember Chinese pts are usually treated as INPATIENT in hospitals, while in US we treat in outpatient centers so I would think risk of transmission is less here. But reducing contacts regardless should be a goal #LCSM |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc RT @jillfeldman4: T2 Although the fact that we have lung cancer probably means our lungs are pretty vulnerable to begin with #LCSM |
| #LCSM Chat @lcsmchat RT @EricBernicker: @JFreemanDaily @DavidCookeMD @CMSGov @cms Redonkulous that I have a license to drive in any state but cannot practice medicine across state lines #LCSM |
| Dr. Amy C. Moore @acmoorephd RT @n8pennell: Remember Chinese pts are usually treated as INPATIENT in hospitals, while in US we treat in outpatient centers so I would think risk of transmission is less here. But reducing contacts regardless should be a goal #LCSM |
| Charu Aggarwal, MD, MPH @CharuAggarwalMD @HenningWillers @BrendonStilesMD Maybe not tested yet? #LCSM |
| #LCSM Chat @lcsmchat RT @bjork5: T2: T2: with so many thoracic surgeons in the house, I want to ask if I’m at any more risk from #COVID19 if I’ve had a lobectomy even if many years ago? #LCSM |
| Dr. David Tom Cooke @DavidCookeMD From my understanding, @CMSGov has TEMPORARILY suspended state license requirement, if you are near a troubled state. Though that may be just for in person care. #SurgTwitter please correct me. #LCSM #COVID19 |
| Brendon Stiles @BrendonStilesMD T3 coming up. #lcsm |
| Lung Cancer Sux @LungCancerSux RT @bjork5: T2: T2: with so many thoracic surgeons in the house, I want to ask if I’m at any more risk from #COVID19 if I’ve had a lobectomy even if many years ago? #LCSM |
| Henning Willers, MD (he/him/his) @HenningWillers @BrendonStilesMD you JUST need 25,000 Gy !!!! #lcsm |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: From my understanding, @CMSGov has TEMPORARILY suspended state license requirement, if you are near a troubled state. Though that may be just for in person care. #SurgTwitter please correct me. #LCSM #COVID19 |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD Probably not, unless your lung function was severely compromised. #LCSM |
| Brendon Stiles @BrendonStilesMD Random thought in the middle of this about how much I would like to be together with this group, all hanging out and not #socialdistancing #lcsm I truly enjoy the group. |
| Brendon Stiles @BrendonStilesMD RT @HenningWillers: @BrendonStilesMD you JUST need 25,000 Gy !!!! #lcsm |
| Dr. Amy C. Moore @acmoorephd @NarjustDumaMD @lcsmchat @ArpanAshokPatel @DevikaDasMD Yes, and @CharuAggarwalMD, @StephenVLiu , @JackWestMD and @n8pennell addressed the acute needs of SCLC vs NSCLC in their @OncLive webinar last Friday #lcsm |
| #LCSM Chat @lcsmchat RT @TimAllenMDJD: Probably not, unless your lung function was severely compromised. #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: Random thought in the middle of this about how much I would like to be together with this group, all hanging out and not #socialdistancing #lcsm I truly enjoy the group. |
| Dr. David Tom Cooke @DavidCookeMD All of this is unknown of course. But I would say age (I'm making assumption here, don't @ me) and impaired lung function as defined by diminished spirometry. #LCSM #COVID19 |
| Henning Willers, MD (he/him/his) @HenningWillers @BrendonStilesMD #zoomhappyhour BYOB #lcsm |
| Brendon Stiles @BrendonStilesMD T3: What are the risks of delaying treatment of lung cancer? This is the one everyone wants to know. #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc @BrendonStilesMD @HenningWillers Doesn't work at practical doses we can use. Germicidal requires 40+ hours on a linear accelerator. Other better options for decontamination. @CDCgov now has guidance on safe mask re-use if pushed to that need https://t.co/0qFKJpWWS1 #lcsm |
| Dr. Amy C. Moore @acmoorephd I think @BrendonStilesMD just promised to buy us all drinks when this is over #lcsm |
| Inspire @teaminspire RT @JFreemanDaily: @DavidCookeMD @CMSGov Telehealth doctor still needs to be licensed to practice in state where patient is. @CMS new policy covers Medicare, but not private health insurance. Interstate medical licensure requires waiver from individual states. https://t.co/CzthOJ8QSU #LCSM |
| #LCSM Chat @lcsmchat We 💖 you, too! #lcsm |
| Laura Greco @lgreco_ny @BrendonStilesMD I am really fed up with self-isolation! Sounds wonderful! #lcsm |
| #LCSM Chat @lcsmchat RT @acmoorephd: @NarjustDumaMD @lcsmchat @ArpanAshokPatel @DevikaDasMD Yes, and @CharuAggarwalMD, @StephenVLiu , @JackWestMD and @n8pennell addressed the acute needs of SCLC vs NSCLC in their @OncLive webinar last Friday #lcsm |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: All of this is unknown of course. But I would say age (I'm making assumption here, don't @ me) and impaired lung function as defined by diminished spirometry. #LCSM #COVID19 |
 | Kim Moran-MacIntosh 🇨🇦 🍀 @Kamacintosh RT @DavidCookeMD: A2 I think based on the constellation of risk factors when it comes to #lungcancer, we should just say, all you need are lungs to be at great risk for #COVID19. #LCSM |
| LungCAN @LungCAN RT @CharuAggarwalMD: @DavidCookeMD Small numbers, but the point worth making here is that patients with #LungCancer are at higher risk for pneumonia and respiratory issues in general, and we should take every precaution to protect them, minimize spread and transmission #LCSM |
| Inspire @teaminspire RT @BrendonStilesMD: T3: T3: What are the risks of delaying treatment of lung cancer? This is the one everyone wants to know. #lcsm |
| Brendon Stiles @BrendonStilesMD T3. Infection with #COVID19 doesn’t necessarily mean that treatment should stop. Early case reports. https://t.co/JSchs9S6Cs #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3: T3: What are the risks of delaying treatment of lung cancer? This is the one everyone wants to know. #lcsm |
| Dave Bjork @bjork5 @n8pennell T2 is lobectomy considered impaired lungs or higher risk? #LCSM |
| #LCSM Chat @lcsmchat RT @subatomicdoc: @BrendonStilesMD @HenningWillers Doesn't work at practical doses we can use. Germicidal requires 40+ hours on a linear accelerator. Other better options for decontamination. @CDCgov now has guidance on safe mask re-use if pushed to that need https://t.co/0qFKJpWWS1 #lcsm |
| Brendon Stiles @BrendonStilesMD @acmoorephd I did. #lcsm |
| Kim Moran-MacIntosh 🇨🇦 🍀 @Kamacintosh RT @CharuAggarwalMD: @DavidCookeMD Small numbers, but the point worth making here is that patients with #LungCancer are at higher risk for pneumonia and respiratory issues in general, and we should take every precaution to protect them, minimize spread and transmission #LCSM |
| LungCAN @LungCAN RT @BrendonStilesMD: T3. Infection with #COVID19 doesn’t necessarily mean that treatment should stop. Early case reports. https://t.co/JSchs9S6Cs #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. Infection with #COVID19 doesn’t necessarily mean that treatment should stop. Early case reports. https://t.co/JSchs9S6Cs #lcsm |
| #LCSM Chat @lcsmchat RT @bjork5: @n8pennell T2 is lobectomy considered impaired lungs or higher risk? #LCSM |
| virginia litle @vlitlemd Need a “clear” decision tree or at least a draft #LCSM |
| Brendon Stiles @BrendonStilesMD @bjork5 @n8pennell I think so, though probably depends upon your current lung function. Yours is probably better than mine! #lcsm |
| Janet Freeman-Daily @JFreemanDaily RT @BrendonStilesMD: T3: T3: What are the risks of delaying treatment of lung cancer? This is the one everyone wants to know. #lcsm |
| Narjust Florez (Duma), M.D. @NarjustFlorezMD @subatomicdoc @lcsmchat @BrendonStilesMD @HenningWillers @CDCgov Nebraska has a protocol easily accessible. Have you seen it? #LCSM |
| mimiprovenzano @MimiProvenzano RT @bjork5: @n8pennell T2 is lobectomy considered impaired lungs or higher risk? #LCSM |
| LungCAN @LungCAN RT @BrendonStilesMD: T3: T3: What are the risks of delaying treatment of lung cancer? This is the one everyone wants to know. #lcsm |
| Brendon Stiles @BrendonStilesMD T3. There are certainly concerns that delay in surgery can lead to cancer progression. https://t.co/LC0pt7A6ry #lcsm |
| #LCSM Chat @lcsmchat RT @vlitlemd: Need a “clear” decision tree or at least a draft #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: @bjork5 @n8pennell I think so, though probably depends upon your current lung function. Yours is probably better than mine! #lcsm |
| Jill Feldman @jillfeldman4 T3 I think it is different patient to patient from no risk to great risk (for instance if a patient has small cell). Should be decided on individual basis #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. There are certainly concerns that delay in surgery can lead to cancer progression. https://t.co/LC0pt7A6ry #lcsm |
| Lynne Eldridge MD @AboutLungCancer RT @BrendonStilesMD: T3. There are certainly concerns that delay in surgery can lead to cancer progression. https://t.co/LC0pt7A6ry #lcsm |
| #LCSM Chat @lcsmchat RT @jillfeldman4: T3 I think it is different patient to patient from no risk to great risk (for instance if a patient has small cell). Should be decided on individual basis #LCSM |
| Brendon Stiles @BrendonStilesMD T3. BUT, important to step back and consider that most lung cancers have been there for many years. https://t.co/9wUbzsFUF9 #lcsm |
 | Gia Sonata @RedGia RT @HenningWillers: @BrendonStilesMD anybody has experience with #COVID19 positive #lungcancer patients? we have not had a single #radiotherapy pt positive (for all we know) #lcsm |
| Nathan A. Pennell MD, PhD, FASCO @n8pennell T3: There is a measurable decrease in long term survival for every week of delay in surgery for early stage NSCLC. Harder to show impact in later stages, would vary a lot case by case. #LCSM |
| Henning Willers, MD (he/him/his) @HenningWillers @BrendonStilesMD T3 I am not giving #radiotherapy to infected lungs. Radiation will kill immune cells. Probably best to break for a week if + diagnosis happens and reassess #LCSM |
| Brendon Stiles @BrendonStilesMD T3. In many cases it makes sense to be conservative and delay treatment for early stage disease. #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc @NarjustDumaMD @lcsmchat @BrendonStilesMD @HenningWillers @CDCgov Yes, they use UVGI - ultraviolet-c germicidal irradiation. Other options include heat, hydrogen peroxide vapor. Key to assessing best options is local discussion between clinicians and Infection Control/Facilities to see what options work best for each hospital. #lcsm |
| mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: @bjork5 @n8pennell I think so, though probably depends upon your current lung function. Yours is probably better than mine! #lcsm |
| Henning Willers, MD (he/him/his) @HenningWillers RT @subatomicdoc: @BrendonStilesMD @HenningWillers Doesn't work at practical doses we can use. Germicidal requires 40+ hours on a linear accelerator. Other better options for decontamination. @CDCgov now has guidance on safe mask re-use if pushed to that need https://t.co/0qFKJpWWS1 #lcsm |
| Lisa Moran @plh4lisa @BrendonStilesMD A3: I'm hoping any progression is slow and not too out of hand to stabilize because I'm choosing to move my scan by 4-6wks #lcsm |
| Inspire @teaminspire RT @BrendonStilesMD: T3. BUT, important to step back and consider that most lung cancers have been there for many years. https://t.co/9wUbzsFUF9 #lcsm |
| Dr. David Tom Cooke @DavidCookeMD Again, spit balling. But if you take out some lung tissue, whether by excision or exposure to destructive energy like radiation or ablation (local therapy) some lung function is impaired. It may not be clinically noticeable... #LCSM #Covid19 |
| Brendon Stiles @BrendonStilesMD T3. Some guidelines here regarding timing of cancer surgery. https://t.co/qQLMdNzcj9 #lcsm |
| Lung Cancer Sux @LungCancerSux We will be there! #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. BUT, important to step back and consider that most lung cancers have been there for many years. https://t.co/9wUbzsFUF9 #lcsm |
| #LCSM Chat @lcsmchat RT @n8pennell: T3: T3: There is a measurable decrease in long term survival for every week of delay in surgery for early stage NSCLC. Harder to show impact in later stages, would vary a lot case by case. #LCSM |
| #LCSM Chat @lcsmchat RT @HenningWillers: @BrendonStilesMD T3 I am not giving #radiotherapy to infected lungs. Radiation will kill immune cells. Probably best to break for a week if + diagnosis happens and reassess #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. In many cases it makes sense to be conservative and delay treatment for early stage disease. #lcsm |
| LungCAN @LungCAN RT @BrendonStilesMD: T3. There are certainly concerns that delay in surgery can lead to cancer progression. https://t.co/LC0pt7A6ry #lcsm |
| #LCSM Chat @lcsmchat RT @subatomicdoc: @NarjustDumaMD @lcsmchat @BrendonStilesMD @HenningWillers @CDCgov Yes, they use UVGI - ultraviolet-c germicidal irradiation. Other options include heat, hydrogen peroxide vapor. Key to assessing best options is local discussion between clinicians and Infection Control/Facilities to see what options work best for each hospital. #lcsm |
| Dr. David Tom Cooke @DavidCookeMD Interesting. #LCSM #COVID19 |
| Brendon Stiles @BrendonStilesMD T3. The actual published data on delay of surgery suggests only a small chance of spread by waiting until after 8 weeks. From our own @sampsonpp #tssmn https://t.co/K1Wx5RXdyi #lcsm |
| #LCSM Chat @lcsmchat RT @plh4lisa: @BrendonStilesMD A3: @BrendonStilesMD A3: I'm hoping any progression is slow and not too out of hand to stabilize because I'm choosing to move my scan by 4-6wks #lcsm |
| LungCAN @LungCAN RT @BrendonStilesMD: T3. Some guidelines here regarding timing of cancer surgery. https://t.co/qQLMdNzcj9 #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc @NarjustDumaMD @lcsmchat @BrendonStilesMD @HenningWillers @CDCgov Here is a curated look at mask decontamination if interested https://t.co/jFOgFet0xo #lcsm #PPENow |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD RT @BrendonStilesMD: T3. Infection with #COVID19 doesn’t necessarily mean that treatment should stop. Early case reports. https://t.co/JSchs9S6Cs #lcsm |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: Again, spit balling. But if you take out some lung tissue, whether by excision or exposure to destructive energy like radiation or ablation (local therapy) some lung function is impaired. It may not be clinically noticeable... #LCSM #Covid19 |
| Devika Das, MD, MSHQS @DevikaDasMD @BrendonStilesMD @lcsmchat T3 This is why we are "essential services" at our center, we are open and functioning with some adjustments. Some visits might be via phone but so far treatments are not compromised. We have streamlined it to minimize exposures #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. Some guidelines here regarding timing of cancer surgery. https://t.co/qQLMdNzcj9 #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc RT @BrendonStilesMD: T3. The actual published data on delay of surgery suggests only a small chance of spread by waiting until after 8 weeks. From our own @sampsonpp #tssmn https://t.co/K1Wx5RXdyi #lcsm |
| Inspire @teaminspire RT @BrendonStilesMD: T3. Some guidelines here regarding timing of cancer surgery. https://t.co/qQLMdNzcj9 #lcsm |
| Lecia Sequist, MD, MPH @LeciaSequist @BrendonStilesMD This report is about TKI. Seems to me chemotherapy would have a different risk:benefit equation but we need more data. Right now, I'll admit I would be hesitant to give chemo to someone known COVID + #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. The actual published data on delay of surgery suggests only a small chance of spread by waiting until after 8 weeks. From our own @sampsonpp #tssmn https://t.co/K1Wx5RXdyi #lcsm |
| Lynne Eldridge MD @AboutLungCancer RT @BrendonStilesMD: T3. Some guidelines here regarding timing of cancer surgery. https://t.co/qQLMdNzcj9 #lcsm |
| Brendon Stiles @BrendonStilesMD T3. That paper did show decreased survival in patients who waited longer. Although they attempted to match, impossible to know whether other causes of delay contributed to worse outcome. #lcsm https://t.co/i0E03fM6Ki |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD RT @BrendonStilesMD: T3. The actual published data on delay of surgery suggests only a small chance of spread by waiting until after 8 weeks. From our own @sampsonpp #tssmn https://t.co/K1Wx5RXdyi #lcsm |
| #LCSM Chat @lcsmchat RT @subatomicdoc: @NarjustDumaMD @lcsmchat @BrendonStilesMD @HenningWillers @CDCgov Here is a curated look at mask decontamination if interested https://t.co/jFOgFet0xo #lcsm #PPENow |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc RT @HenningWillers: @BrendonStilesMD T3 I am not giving #radiotherapy to infected lungs. Radiation will kill immune cells. Probably best to break for a week if + diagnosis happens and reassess #LCSM |
| Heather Dyer, MD @HeatherDyer @BrendonStilesMD T3. Are you testing newly diagnosed asymptomatic patients for #covid prior to treatment? #lcsm |
| #LCSM Chat @lcsmchat RT @DevikaDasMD: @BrendonStilesMD @lcsmchat T3 This is why we are "essential services" at our center, we are open and functioning with some adjustments. Some visits might be via phone but so far treatments are not compromised. We have streamlined it to minimize exposures #lcsm |
| #LCSM Chat @lcsmchat RT @LeciaSequist: @BrendonStilesMD This report is about TKI. Seems to me chemotherapy would have a different risk:benefit equation but we need more data. Right now, I'll admit I would be hesitant to give chemo to someone known COVID + #LCSM |
| Narjust Florez (Duma), M.D. @NarjustFlorezMD @BrendonStilesMD @lcsmchat T2: Probably patient specific. Our Italian colleagues recommend stopping all therapies, including targeted in cases of symptomatic #COVID19 #LCSM |
| Dr. Amy C. Moore @acmoorephd Thanks for sharing @BrendonStilesMD #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. That paper did show decreased survival in patients who waited longer. Although they attempted to match, impossible to know whether other causes of delay contributed to worse outcome. #lcsm https://t.co/i0E03fM6Ki |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD RT @BrendonStilesMD: T3. Some guidelines here regarding timing of cancer surgery. https://t.co/qQLMdNzcj9 #lcsm |
| #LCSM Chat @lcsmchat RT @HeatherDyer: @BrendonStilesMD T3. Are you testing newly diagnosed asymptomatic patients for #covid prior to treatment? #lcsm |
| Stacey Tinianov (she/her) MPH, BCPA @coffeemommy @NarjustDumaMD @ArpanAshokPatel @BrendonStilesMD @DevikaDasMD May I ask what the "limit" parameters are? For instance, a percentage enrollment reduction across the board (and still first come first served) or are you altering the qualifying criteria during this time to limit the enrollment? #lcsm |
| #LCSM Chat @lcsmchat RT @NarjustDumaMD: @BrendonStilesMD @lcsmchat T2: @BrendonStilesMD @lcsmchat T2: Probably patient specific. Our Italian colleagues recommend stopping all therapies, including targeted in cases of symptomatic #COVID19 #LCSM |
| Dr. David Tom Cooke @DavidCookeMD Yes, especially if your are Status Yellow or Status Red (NY). events "on the ground" are key to these decisions. #LCSM #COVID19 |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD RT @DavidCookeMD: Again, spit balling. But if you take out some lung tissue, whether by excision or exposure to destructive energy like radiation or ablation (local therapy) some lung function is impaired. It may not be clinically noticeable... #LCSM #Covid19 |
| #LCSM Chat @lcsmchat RT @coffeemommy: @NarjustDumaMD @ArpanAshokPatel @BrendonStilesMD @DevikaDasMD May I ask what the "limit" parameters are? For instance, a percentage enrollment reduction across the board (and still first come first served) or are you altering the qualifying criteria during this time to limit the enrollment? #lcsm |
| Janet Freeman-Daily @JFreemanDaily @HenningWillers @BrendonStilesMD Hope we get data on safety of radiation therapy for #lungcancer soon. Would love to see abscopal effect kick #COVID19 butt. Just wishful thinking at this point. #LCSM |
| Laura Greco @lgreco_ny @BrendonStilesMD Playing Devil's Advocate here, COVID could last for a really long time (as least for someone with growing cancer). #lcsm |
| Charu Aggarwal, MD, MPH @CharuAggarwalMD There are risks to delaying therapy, and then there are risks from therapy itself. We cannot generalize these decisions, and have to remember to personalize the risk benefit ratio for each patient individually. Not a one size fits all approach #LCSM |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc @HenningWillers @BrendonStilesMD I agree, lymphopenia is a risk factor for SARS pneumonia-related mortality - the original SARS. I'll hunt for the citation #lcsm |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: Yes, especially if your are Status Yellow or Status Red (NY). events "on the ground" are key to these decisions. #LCSM #COVID19 |
| Brendon Stiles @BrendonStilesMD RT @HenningWillers: @BrendonStilesMD #zoomhappyhour BYOB #lcsm |
| mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: T3. Some guidelines here regarding timing of cancer surgery. https://t.co/qQLMdNzcj9 #lcsm |
| Dave Bjork @bjork5 RT @acmoorephd: I think @BrendonStilesMD just promised to buy us all drinks when this is over #lcsm |
| Janet Freeman-Daily @JFreemanDaily RT @BrendonStilesMD: T3. In many cases it makes sense to be conservative and delay treatment for early stage disease. #lcsm |
| Henning Willers, MD (he/him/his) @HenningWillers RT @BrendonStilesMD: T3. The actual published data on delay of surgery suggests only a small chance of spread by waiting until after 8 weeks. From our own @sampsonpp #tssmn https://t.co/K1Wx5RXdyi #lcsm |
| Jill Feldman @jillfeldman4 T3 Have to weigh benefits vs risks of having treatment with the risk of COVID19. Progression is what patients fear so we need to understand & be educated to be a part of the decision making & have some control when the world is out of control #LCSM |
 | Jessica G.Y. Luc, MD @JessicaLuc1 RT @BrendonStilesMD: Random thought in the middle of this about how much I would like to be together with this group, all hanging out and not #socialdistancing #lcsm I truly enjoy the group. |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD RT @lcsmchat: T1: T1: There is a Lung cancer patient in ICU with suspected Covid-19 whose husband can’t be with her. Very scary. #LCSM |
| #LCSM Chat @lcsmchat Very good question. #lcsm |
| Brendon Stiles @BrendonStilesMD T3. Great podcast from @iaslc @jfreemanDaily @acmoorephd @leciaSequist and Upal Basu Roy https://t.co/SHuai7DsC5 #lcsm |
 | Matthew Steliga MD FACS @SteligaMD A3: One problem with delaying is increased worry and uncertainty. For that reason, anyone we delay, we reschedule and give a tentative date. It could change, but at least they have a plan in place and know that we have a plan. #LCSM |
| Lynne Eldridge MD @AboutLungCancer RT @lgreco_ny: @BrendonStilesMD Playing Devil's Advocate here, COVID could last for a really long time (as least for someone with growing cancer). #lcsm |
 | QueensRadOnc @QueensRadOnc @DrSpratticus @ASTRO_org @ESTRO_RT @alison_tree @subatomicdoc @BK_radiation @DrStish @AmarUKishan @aleberlin2 @ndesai2005 @jamesbyu @NicholasZaorsky @seanmmcbride I think #lcsm may be discussing this tonight, too. #RadOnc |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: @HenningWillers @BrendonStilesMD Hope we get data on safety of radiation therapy for #lungcancer soon. Would love to see abscopal effect kick #COVID19 butt. Just wishful thinking at this point. #LCSM |
| Janet Freeman-Daily @JFreemanDaily RT @BrendonStilesMD: T3. Some guidelines here regarding timing of cancer surgery. https://t.co/qQLMdNzcj9 #lcsm |
| #LCSM Chat @lcsmchat RT @lgreco_ny: @BrendonStilesMD Playing Devil's Advocate here, COVID could last for a really long time (as least for someone with growing cancer). #lcsm |
| virginia litle @vlitlemd A3: the burning question- more complex than recs @AmColSurgCancer @MassMedical #societysurgonc @ctsnetorg Try to evidence. Whoops there isn’t any #lcsm |
| #LCSM Chat @lcsmchat RT @subatomicdoc: @HenningWillers @BrendonStilesMD I agree, lymphopenia is a risk factor for SARS pneumonia-related mortality - the original SARS. I'll hunt for the citation #lcsm |
| #LCSM Chat @lcsmchat RT @CharuAggarwalMD: There are risks to delaying therapy, and then there are risks from therapy itself. We cannot generalize these decisions, and have to remember to personalize the risk benefit ratio for each patient individually. Not a one size fits all approach #LCSM |
| #LCSM Chat @lcsmchat RT @jillfeldman4: T3 Have to weigh benefits vs risks of having treatment with the risk of COVID19. Progression is what patients fear so we need to understand & be educated to be a part of the decision making & have some control when the world is out of control #LCSM |
| Brendon Stiles @BrendonStilesMD Great point. #lcsm |
| Dr. David Tom Cooke @DavidCookeMD A3 I've also seen psychological trauma. "I just want this #cancer out of my body." That has to be taken into consideration for shared decision making. #LCSM #COVID19 |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. Great podcast from @iaslc @jfreemanDaily @acmoorephd @leciaSequist and Upal Basu Roy https://t.co/SHuai7DsC5 #lcsm |
| #LCSM Chat @lcsmchat RT @SteligaMD: A3: A3: One problem with delaying is increased worry and uncertainty. For that reason, anyone we delay, we reschedule and give a tentative date. It could change, but at least they have a plan in place and know that we have a plan. #LCSM |
| mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: T3. Great podcast from @iaslc @jfreemanDaily @acmoorephd @leciaSequist and Upal Basu Roy https://t.co/SHuai7DsC5 #lcsm |
| Lecia Sequist, MD, MPH @LeciaSequist T3 #LCSM see this thread by @KartikSehgal_MD about data suggesting it could be safe to delay IO. this is reassuring given #COVID19 |
| virginia litle @vlitlemd Reality check #lcsm |
| Janet Freeman-Daily @JFreemanDaily RT @DevikaDasMD: @BrendonStilesMD @lcsmchat T3 This is why we are "essential services" at our center, we are open and functioning with some adjustments. Some visits might be via phone but so far treatments are not compromised. We have streamlined it to minimize exposures #lcsm |
| Matthew Smeltzer @MattSmeltzer RT @BrendonStilesMD: T3. Great podcast from @iaslc @jfreemanDaily @acmoorephd @leciaSequist and Upal Basu Roy https://t.co/SHuai7DsC5 #lcsm |
| Janet Freeman-Daily @JFreemanDaily RT @LeciaSequist: @BrendonStilesMD This report is about TKI. Seems to me chemotherapy would have a different risk:benefit equation but we need more data. Right now, I'll admit I would be hesitant to give chemo to someone known COVID + #LCSM |
 | Sheila🇺🇦🌻 🌊🌈🆘#Resist#EqualityAct#BLM @SheilaHowingto1 Very good info for cancer patients like my husband |
| Janet Freeman-Daily @JFreemanDaily RT @NarjustDumaMD: @BrendonStilesMD @lcsmchat T2: @BrendonStilesMD @lcsmchat T2: Probably patient specific. Our Italian colleagues recommend stopping all therapies, including targeted in cases of symptomatic #COVID19 #LCSM |
| Brendon Stiles @BrendonStilesMD @HinaSaeedMD @JFreemanDaily @HenningWillers I am ok with sneaking a little in. Should we then operate on operable patients 2-3 months from now if this slows down? #lcsm |
| Jill Feldman @jillfeldman4 T3 More importantly is that the risk will still be there for us when the general curve is flattened. #LCSM |
| #LCSM Chat @lcsmchat Join in now #radonc folks. #LCSM |
| Henning Willers, MD (he/him/his) @HenningWillers RT @LeciaSequist: T3 #LCSM see this thread by @KartikSehgal_MD about data suggesting it could be safe to delay IO. this is reassuring given #COVID19 |
| #LCSM Chat @lcsmchat RT @vlitlemd: A3: A3: the burning question- more complex than recs @AmColSurgCancer @MassMedical #societysurgonc @ctsnetorg Try to evidence. Whoops there isn’t any #lcsm |
 | Ian Pereira @IanJPereira @BrendonStilesMD Checking in late (sorry). Did they differentiate adenocarcinoma in situ (GGOs) & other NSCLC ? T3 #lcsm |
| Arpan Patel @ArpanAshokPatel #LCSM |
| Dr. David Tom Cooke @DavidCookeMD Again, this point is key. If you are status green, might be best to perform standard of care therapy before your site becomes status yellow. #LCSM #COVID19 |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: A3 I've also seen psychological trauma. "I just want this #cancer out of my body." That has to be taken into consideration for shared decision making. #LCSM #COVID19 |
| #LCSM Chat @lcsmchat RT @LeciaSequist: T3 #LCSM see this thread by @KartikSehgal_MD about data suggesting it could be safe to delay IO. this is reassuring given #COVID19 |
| Brendon Stiles @BrendonStilesMD That is an incredibly big part of the conversation that our non-oncology colleagues generally fail to grasp. #lcsm |
| Kim Moran-MacIntosh 🇨🇦 🍀 @Kamacintosh @lgreco_ny @lcsmchat @BrendonStilesMD And until there's a vaccine, basically we are likley to contract this at some point #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: @HinaSaeedMD @JFreemanDaily @HenningWillers I am ok with sneaking a little in. Should we then operate on operable patients 2-3 months from now if this slows down? #lcsm |
| #LCSM Chat @lcsmchat RT @jillfeldman4: T3 More importantly is that the risk will still be there for us when the general curve is flattened. #LCSM |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD Concerns I share as a pulmonary pathologist. Best to try to move forward with surgery if possible. #LCSM |
| Brendon Stiles @BrendonStilesMD T3. Wrapping up T3 and moving to T4. #lcsm |
| #LCSM Chat @lcsmchat RT @IanJPereira: @BrendonStilesMD Checking in late (sorry). Did they differentiate adenocarcinoma in situ (GGOs) & other NSCLC ? T3 #lcsm |
 | Andrew Chang @ACC001 @lgreco_ny @BrendonStilesMD #LCSM likely sars CoV2 is here to stay but if we can get past the surge and industries can catch up with PPE, vents and eventually vaccine or reliable screening, we can resume essential treatment such as resection/SABR/ctx |
| Lecia Sequist, MD, MPH @LeciaSequist @lgreco_ny @BrendonStilesMD This is THE key question when thinking about delaying therapy of any sort. Delay for short time almost always seems safe. Longer delays, not so much. The hard part is we aren't sure how long #COVID19 will disrupt hospital SOPs. #LCSM |
| Nathan A. Pennell MD, PhD, FASCO @n8pennell Yes this! If I can safely delay for 3 months I would do it. But delaying one month or 6 weeks? Might be much worse then than now. #LCSM |
| Lisa Moran @plh4lisa @lgreco_ny @BrendonStilesMD Will I be in social isolation until there's a vaccine? #lcsm |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: Again, this point is key. If you are status green, might be best to perform standard of care therapy before your site becomes status yellow. #LCSM #COVID19 |
| Janet Freeman-Daily @JFreemanDaily RT @CharuAggarwalMD: There are risks to delaying therapy, and then there are risks from therapy itself. We cannot generalize these decisions, and have to remember to personalize the risk benefit ratio for each patient individually. Not a one size fits all approach #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: That is an incredibly big part of the conversation that our non-oncology colleagues generally fail to grasp. #lcsm |
| Brendon Stiles @BrendonStilesMD T4: What are your greatest #COVID19 concerns as a member of the lung cancer community? #lcsm |
| #LCSM Chat @lcsmchat RT @Kamacintosh: @lgreco_ny @lcsmchat @BrendonStilesMD And until there's a vaccine, basically we are likley to contract this at some point #LCSM |
| Dr. Amy C. Moore @acmoorephd THIS @NarjustDumaMD #lcsm |
| #LCSM Chat @lcsmchat RT @TimAllenMDJD: Concerns I share as a pulmonary pathologist. Best to try to move forward with surgery if possible. #LCSM |
 | Deb Smith 🌻 @debsmithbeach Deb from NH, sorry I’m late. I had CT scans Monday and a PET scan today. Safety precautions noticeably stepped up since Mon. #LCSM |
| colleen ziegler @ZieglerColleen RT @plh4lisa: @lgreco_ny @BrendonStilesMD Will I be in social isolation until there's a vaccine? #lcsm |
| Brendon Stiles @BrendonStilesMD @IanJPereira I think fair to wait on part-solid < 50% or pure GGO certainly. #lcsm |
| mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: T4: T4: What are your greatest #COVID19 concerns as a member of the lung cancer community? #lcsm |
| #LCSM Chat @lcsmchat #lcsm |
| Brendon Stiles @BrendonStilesMD RT @ACC001: @lgreco_ny @BrendonStilesMD #LCSM likely sars CoV2 is here to stay but if we can get past the surge and industries can catch up with PPE, vents and eventually vaccine or reliable screening, we can resume essential treatment such as resection/SABR/ctx |
| Laura Greco @lgreco_ny @BrendonStilesMD We have anxiety ON TOP OF all the anxiety that everyone else has. #LCSM |
| Inspire @teaminspire RT @BrendonStilesMD: T4: T4: What are your greatest #COVID19 concerns as a member of the lung cancer community? #lcsm |
| virginia litle @vlitlemd @SteligaMD A3: okay time to add the language barriers and impact on shared decision making #lcsm #lostintranslation indeed @SurgicalEquity @BMCSurgery @The_BMC |
| Brendon Stiles @BrendonStilesMD T4. Because of overlapping symptoms, it can be challenging to diagnose #COVID19 #lcsm |
| Ian Pereira @IanJPereira @n8pennell I remember this from your first talk (which I mistook for your second talk while trying to log in!). Is there data on the prevalence of infection in the treatment hospitals from China? Same hospitals? Seems plausible. T2 #lcsm |
| mimiprovenzano @MimiProvenzano RT @plh4lisa: @lgreco_ny @BrendonStilesMD Will I be in social isolation until there's a vaccine? #lcsm |
| Jill Feldman @jillfeldman4 T3 Our emotional well being is just as important as the physical & that always has to be considered when making these decisions (please) #LCSM |
| #LCSM Chat @lcsmchat RT @ACC001: @lgreco_ny @BrendonStilesMD #LCSM likely sars CoV2 is here to stay but if we can get past the surge and industries can catch up with PPE, vents and eventually vaccine or reliable screening, we can resume essential treatment such as resection/SABR/ctx |
| colleen ziegler @ZieglerColleen RT @lgreco_ny: @BrendonStilesMD We have anxiety ON TOP OF all the anxiety that everyone else has. #LCSM |
| LungCAN @LungCAN RT @BrendonStilesMD: T4: T4: What are your greatest #COVID19 concerns as a member of the lung cancer community? #lcsm |
| #LCSM Chat @lcsmchat RT @LeciaSequist: @lgreco_ny @BrendonStilesMD This is THE key question when thinking about delaying therapy of any sort. Delay for short time almost always seems safe. Longer delays, not so much. The hard part is we aren't sure how long #COVID19 will disrupt hospital SOPs. #LCSM |
| Dr. Amy C. Moore @acmoorephd T4: As a virologist and cancer researcher turned research advocate, this is my worst fear come true - a virus that threatens the people I care about most #lcsm |
| mimiprovenzano @MimiProvenzano RT @lgreco_ny: @BrendonStilesMD We have anxiety ON TOP OF all the anxiety that everyone else has. #LCSM |
| Brendon Stiles @BrendonStilesMD T4. Many lung cancer patients are older, or have underlying lung disease, or decreased lung capacity. Certainly at risk to get sicker should they develop pulmonary complications of coronavirus. #lcsm |
| #LCSM Chat @lcsmchat RT @n8pennell: Yes this! If I can safely delay for 3 months I would do it. But delaying one month or 6 weeks? Might be much worse then than now. #LCSM |
| Lisa Moran @plh4lisa @SteligaMD When bi asked v if I could delay my scan, my onc asked what time frame I would feel comfortable with. #lcsm. |
| Nina @ninadavis RT @BrendonStilesMD: T3. That paper did show decreased survival in patients who waited longer. Although they attempted to match, impossible to know whether other causes of delay contributed to worse outcome. #lcsm https://t.co/i0E03fM6Ki |
| #LCSM Chat @lcsmchat RT @plh4lisa: @lgreco_ny @BrendonStilesMD Will I be in social isolation until there's a vaccine? #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T4: T4: What are your greatest #COVID19 concerns as a member of the lung cancer community? #lcsm |
| Dave Bjork @bjork5 @DavidCookeMD Thank you. ❤️ My wife is an ICU nurse in Boston and we worry if I may be at higher risk (My age 50’s and post lobectomy and her possible exposure at work). #lcsm @BrendonStilesMD #COVID19 |
| Charu Aggarwal, MD, MPH @CharuAggarwalMD For some patients, we are encouraging them to come in now, before we hit our peak, realizing that we may be in this for a longer time than we anticipated #LCSM #COVID19 |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: @IanJPereira I think fair to wait on part-solid < 50% or pure GGO certainly. #lcsm |
| Janet Freeman-Daily @JFreemanDaily RT @LeciaSequist: T3 #LCSM see this thread by @KartikSehgal_MD about data suggesting it could be safe to delay IO. this is reassuring given #COVID19 |
| Dr. David Tom Cooke @DavidCookeMD I rarely have the gut wrenching conversations that our #MedOnc colleagues have, but in regards to these #COVID19 conversations, they are difficult to have, and the patient's argument for lets get to the OR is compelling. We docs are empathetic by nature. #LCSM #COVID19 |
| #LCSM Chat @lcsmchat RT @lgreco_ny: @BrendonStilesMD We have anxiety ON TOP OF all the anxiety that everyone else has. #LCSM |
| #LCSM Chat @lcsmchat RT @vlitlemd: @SteligaMD A3: @SteligaMD A3: okay time to add the language barriers and impact on shared decision making #lcsm #lostintranslation indeed @SurgicalEquity @BMCSurgery @The_BMC |
| Brendon Stiles @BrendonStilesMD T4. I do worry that patients will panic and seek a suboptimal treatment just to feel like they are doing SOMETHING. #lcsm |
| Dr. Amy C. Moore @acmoorephd T4: I am concerned about the immediate threat to human life and the long-term impacts on #research when we were making so much progress #lcsm |
| Kim Moran-MacIntosh 🇨🇦 🍀 @Kamacintosh @TimAllenMDJD @lcsmchat In Canand heard discussion not to delay, go ahead before the worse comes #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T4. Because of overlapping symptoms, it can be challenging to diagnose #COVID19 #lcsm |
| #LCSM Chat @lcsmchat RT @IanJPereira: @n8pennell I remember this from your first talk (which I mistook for your second talk while trying to log in!). Is there data on the prevalence of infection in the treatment hospitals from China? Same hospitals? Seems plausible. T2 #lcsm |
| #LCSM Chat @lcsmchat RT @jillfeldman4: T3 Our emotional well being is just as important as the physical & that always has to be considered when making these decisions (please) #LCSM |
| #LCSM Chat @lcsmchat RT @acmoorephd: T4: T4: As a virologist and cancer researcher turned research advocate, this is my worst fear come true - a virus that threatens the people I care about most #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T4. Many lung cancer patients are older, or have underlying lung disease, or decreased lung capacity. Certainly at risk to get sicker should they develop pulmonary complications of coronavirus. #lcsm |
| #LCSM Chat @lcsmchat RT @plh4lisa: @SteligaMD When bi asked v if I could delay my scan, my onc asked what time frame I would feel comfortable with. #lcsm. |
| Henning Willers, MD (he/him/his) @HenningWillers T4 Biggest concern: reduction in care quality, resulting in more illness, eventual loss of lives #lcsm |
| Nathan A. Pennell MD, PhD, FASCO @n8pennell T4. That this will detract from research and enthusiasm to fund research for lung cancer (and cancer in general). Even after recovery I worry about long term financial consequences. #LCSM |
| #LCSM Chat @lcsmchat RT @CharuAggarwalMD: For some patients, we are encouraging them to come in now, before we hit our peak, realizing that we may be in this for a longer time than we anticipated #LCSM #COVID19 |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD Stay calm and strong. The #LCSM folks are with you! |
| Brendon Stiles @BrendonStilesMD T4. Just don't do the WRONG THING because of #COVID19 #lcsm |
| Denise Cutlip @dennycee t4.-as a st4 pt I fear denial of vent #lcsm |
| LungCAN @LungCAN @BrendonStilesMD Many folks are concerned about ventilator shortage and triage policies that will exclude those with 'terminal' cancer #lcsm |
| Brendon Stiles @BrendonStilesMD RT @HenningWillers: T4 Biggest concern: T4 Biggest concern: reduction in care quality, resulting in more illness, eventual loss of lives #lcsm |
| Lecia Sequist, MD, MPH @LeciaSequist @subatomicdoc @HenningWillers @BrendonStilesMD I've been more specifically paying attention to the absolute lymphocyte count on all my patients for the last few weeks. There is quite a bit of variation. Is anyone treating pts w/ low ALC differently? Could this be a reason to withhold chemo during peak #COVID19 times? #LCSM |
 | Sharon Brown @SharonB36977449 RT @TakedaOncology: Our study for patients who have not received previous treatment with locally advanced or metastatic non-small cell lung cancer harboring EGFR exon 20 insertion mutations is now enrolling. #NSCLC #lcsm |
| Brendon Stiles @BrendonStilesMD @TimAllenMDJD Key point. #lcsm |
| Laura Greco @lgreco_ny @BrendonStilesMD t4: Without question, that IF I get sick and require a ventilator, one will be denied to me because I'm stage IV. #lcsm |
| Janet Freeman-Daily @JFreemanDaily @DavidCookeMD I doubt most patients on the chat know what "status green" or "status red" mean ... I don't, anyway #LCSM |
| Dr. David Tom Cooke @DavidCookeMD Review @maraantonoff tweet stream. She has an excellent video on how to come home and not exposure your family after working in the hospital. Have your wife review. #LCSM #COVID19 #TSSMN |
| Dr. Amy C. Moore @acmoorephd We were literally just celebrating a drop in cancer deaths and now THIS #lcsm |
| mimiprovenzano @MimiProvenzano RT @dennycee: t4.-as a st4 pt I fear denial of vent #lcsm |
| colleen ziegler @ZieglerColleen #lcsm my fear is delaying my scans and having to deal with progression that went unchecked. My scans are moved out 3 months |
 | Gina @EAustin1969 RT @BrendonStilesMD: T3. Great podcast from @iaslc @jfreemanDaily @acmoorephd @leciaSequist and Upal Basu Roy https://t.co/SHuai7DsC5 #lcsm |
| Brendon Stiles @BrendonStilesMD @LungCAN This is a real concern. Has to be communication with treating doctors and not blanket nihilism. #lcsm |
 | Mara Antonoff, MD, FACS @maraantonoff RT @DavidCookeMD: Review @maraantonoff tweet stream. She has an excellent video on how to come home and not exposure your family after working in the hospital. Have your wife review. #LCSM #COVID19 #TSSMN |
| Janet Freeman-Daily @JFreemanDaily RT @TimAllenMDJD: Concerns I share as a pulmonary pathologist. Best to try to move forward with surgery if possible. #LCSM |
| Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD #word #LCSM |
| Lynne Eldridge MD @AboutLungCancer RT @acmoorephd: We were literally just celebrating a drop in cancer deaths and now THIS #lcsm |
| Charu Aggarwal, MD, MPH @CharuAggarwalMD @LeciaSequist @subatomicdoc @HenningWillers @BrendonStilesMD Good point, but so many of our patient live with low ALCs, it is hard to know what is new vs. baseline #LCSM |
| #LCSM Chat @lcsmchat Lots of talk in the Lung Cancer patient community about ending up at the bottom of the list when it comes to ventilators/ICU beds. Huge concern. #lcsm |
| Brendon Stiles @BrendonStilesMD T4. We need to focus on multidisciplinary care. Patients with #COVID19 should make sure their doctors are in touch with their lung cancer teams. From @JTOonline https://t.co/HzKyptn39T #lcsm |
| Kim Moran-MacIntosh 🇨🇦 🍀 @Kamacintosh @acmoorephd @lcsmchat crushing to know that this could take me out instead of Lung cancer #lcsm |
| LiveLung @LiveLung1 RT @acmoorephd: We were literally just celebrating a drop in cancer deaths and now THIS #lcsm |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: I rarely have the gut wrenching conversations that our #MedOnc colleagues have, but in regards to these #COVID19 conversations, they are difficult to have, and the patient's argument for lets get to the OR is compelling. We docs are empathetic by nature. #LCSM #COVID19 |
| LungCAN @LungCAN RT @BrendonStilesMD: @LungCAN This is a real concern. Has to be communication with treating doctors and not blanket nihilism. #lcsm |
| Nathan A. Pennell MD, PhD, FASCO @n8pennell T4. That this could last longer than anyone really understands and place unimaginable burdens on an already stressed system and workforce. #LCSM |
| #LCSM Chat @lcsmchat RT @HenningWillers: T4 Biggest concern: T4 Biggest concern: reduction in care quality, resulting in more illness, eventual loss of lives #lcsm |
| Janet Freeman-Daily @JFreemanDaily RT @LeciaSequist: @lgreco_ny @BrendonStilesMD This is THE key question when thinking about delaying therapy of any sort. Delay for short time almost always seems safe. Longer delays, not so much. The hard part is we aren't sure how long #COVID19 will disrupt hospital SOPs. #LCSM |
| Lung Cancer Sux @LungCancerSux RT @TimAllenMDJD: #word #LCSM |
| Devika Das, MD, MSHQS @DevikaDasMD @CharuAggarwalMD @lcsmchat Yup -based on estimated peaks in couple weeks, we are trying to do this too. Again hard to predict but like every one stated, this is really shared decision making on a case by case basis #LCSM |
| #LCSM Chat @lcsmchat RT @n8pennell: T4. That this will detract from research and enthusiasm to fund research for lung cancer (and cancer in general). Even after recovery I worry about long term financial consequences. #LCSM |
| virginia litle @vlitlemd RT @BrendonStilesMD: T3. In many cases it makes sense to be conservative and delay treatment for early stage disease. #lcsm |
| Brendon Stiles @BrendonStilesMD T4. Access to clinical trials is severely limited. Progress is being delayed. We have to consider pragmatic registries or exceptions to trials. #lcsm |
| Janet Freeman-Daily @JFreemanDaily RT @n8pennell: Yes this! If I can safely delay for 3 months I would do it. But delaying one month or 6 weeks? Might be much worse then than now. #LCSM |
| #LCSM Chat @lcsmchat RT @dennycee: t4.-as a st4 pt I fear denial of vent #lcsm |
| #LCSM Chat @lcsmchat RT @LungCAN: @BrendonStilesMD Many folks are concerned about ventilator shortage and triage policies that will exclude those with 'terminal' cancer #lcsm |
| #LCSM Chat @lcsmchat RT @LeciaSequist: @subatomicdoc @HenningWillers @BrendonStilesMD I've been more specifically paying attention to the absolute lymphocyte count on all my patients for the last few weeks. There is quite a bit of variation. Is anyone treating pts w/ low ALC differently? Could this be a reason to withhold chemo during peak #COVID19 times? #LCSM |
| Henning Willers, MD (he/him/his) @HenningWillers @LeciaSequist @subatomicdoc @BrendonStilesMD hard to know as treatment including radiation can also decrease lymphocyte counts #lcsm |
| Brendon Stiles @BrendonStilesMD RT @n8pennell: T4. That this could last longer than anyone really understands and place unimaginable burdens on an already stressed system and workforce. #LCSM |
| #LCSM Chat @lcsmchat RT @lgreco_ny: @BrendonStilesMD t4: @BrendonStilesMD t4: Without question, that IF I get sick and require a ventilator, one will be denied to me because I'm stage IV. #lcsm |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: @DavidCookeMD I doubt most patients on the chat know what "status green" or "status red" mean ... I don't, anyway #LCSM |
| Dr. David Tom Cooke @DavidCookeMD Status Green: Not many #COVID19 patients, hospital resource OK Status Yellow: More COVID19 patients, hospital resources under strain Status Red: #NewYorkTough #LCSM |
| LiveLung @LiveLung1 Triage means one thing to some and something different to others. It should be take care of the ones needing it most. Guess not. #LCSM |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: Review @maraantonoff tweet stream. She has an excellent video on how to come home and not exposure your family after working in the hospital. Have your wife review. #LCSM #COVID19 #TSSMN |
| #LCSM Chat @lcsmchat RT @acmoorephd: We were literally just celebrating a drop in cancer deaths and now THIS #lcsm |
| Jill Feldman @jillfeldman4 T4 I've been tweeting a lot about my biggest concern, which is that whether our lives are worth saving is determined by a diagnosis on paper #LCSM |
| #LCSM Chat @lcsmchat RT @ZieglerColleen: #lcsm my fear is delaying my scans and having to deal with progression that went unchecked. My scans are moved out 3 months |
| Deborah Levesque, RDMS @dtanz25 Honor your current perspective, it sucks. The alternative sucks too. And can affect many people. Please hang in there! |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: @LungCAN This is a real concern. Has to be communication with treating doctors and not blanket nihilism. #lcsm |
| LungCAN @LungCAN @dennycee <3 #lcsm |
| Henning Willers, MD (he/him/his) @HenningWillers RT @BrendonStilesMD: T4. We need to focus on multidisciplinary care. Patients with #COVID19 should make sure their doctors are in touch with their lung cancer teams. From @JTOonline https://t.co/HzKyptn39T #lcsm |
| #LCSM Chat @lcsmchat RT @TimAllenMDJD: #word #LCSM |
| #LCSM Chat @lcsmchat RT @CharuAggarwalMD: @LeciaSequist @subatomicdoc @HenningWillers @BrendonStilesMD Good point, but so many of our patient live with low ALCs, it is hard to know what is new vs. baseline #LCSM |
| Dr. Amy C. Moore @acmoorephd T4: personally? I am in CA. My parents (mid-70's) and brother are in SC. All have underlying health conditions. I don't know when, even if, I will see them again. #lcsm |
| LungCAN @LungCAN RT @LiveLung1: Triage means one thing to some and something different to others. It should be take care of the ones needing it most. Guess not. #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T4. We need to focus on multidisciplinary care. Patients with #COVID19 should make sure their doctors are in touch with their lung cancer teams. From @JTOonline https://t.co/HzKyptn39T #lcsm |
| Dr. David Tom Cooke @DavidCookeMD Interesting. Do you have an example of a well designed pragmatic registry? #LCSM #COVID19 |
| #LCSM Chat @lcsmchat RT @Kamacintosh: @acmoorephd @lcsmchat crushing to know that this could take me out instead of Lung cancer #lcsm |
| Janet Freeman-Daily @JFreemanDaily RT @lcsmchat: #lcsm |
| #LCSM Chat @lcsmchat RT @n8pennell: T4. That this could last longer than anyone really understands and place unimaginable burdens on an already stressed system and workforce. #LCSM |
| Brendon Stiles @BrendonStilesMD T4. I also worry that #COVID19 is going to set back research. Many labs are shut down. This has wide ranging implications. #lcsm |
| #LCSM Chat @lcsmchat RT @DevikaDasMD: @CharuAggarwalMD @lcsmchat Yup -based on estimated peaks in couple weeks, we are trying to do this too. Again hard to predict but like every one stated, this is really shared decision making on a case by case basis #LCSM |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T4. Access to clinical trials is severely limited. Progress is being delayed. We have to consider pragmatic registries or exceptions to trials. #lcsm |
| #LCSM Chat @lcsmchat RT @HenningWillers: @LeciaSequist @subatomicdoc @BrendonStilesMD hard to know as treatment including radiation can also decrease lymphocyte counts #lcsm |
| Kim Moran-MacIntosh 🇨🇦 🍀 @Kamacintosh @BrendonStilesMD Not a candidate for a ventilator , and most likely dying alone. #lcsm |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: Status Green: Status Green: Not many #COVID19 patients, hospital resource OK Status Yellow: More COVID19 patients, hospital resources under strain Status Red: #NewYorkTough #LCSM |
| #LCSM Chat @lcsmchat RT @LiveLung1: Triage means one thing to some and something different to others. It should be take care of the ones needing it most. Guess not. #LCSM |
| #LCSM Chat @lcsmchat RT @jillfeldman4: T4 I've been tweeting a lot about my biggest concern, which is that whether our lives are worth saving is determined by a diagnosis on paper #LCSM |
| #LCSM Chat @lcsmchat RT @acmoorephd: T4: T4: personally? I am in CA. My parents (mid-70's) and brother are in SC. All have underlying health conditions. I don't know when, even if, I will see them again. #lcsm |
| LiveLung @LiveLung1 RT @BrendonStilesMD: T4. I also worry that #COVID19 is going to set back research. Many labs are shut down. This has wide ranging implications. #lcsm |
| Lisa Moran @plh4lisa 1. Getting it 2. Getting it and needing a ventilator. 3. Getting it, needing a ventilator and there is a shortage and I'm triaged out due to life expectancy. #lcsm #terminalcancer |
| Brendon Stiles @BrendonStilesMD T4. Industry can step up to help support lung cancer specific research after all of this is over. Gov't funding will be focused on #COVID19 #lcsm |
| virginia litle @vlitlemd A3: without a crystal ball we don’t know #lcsm but try to apply science |
| colleen ziegler @ZieglerColleen RT @Kamacintosh: @BrendonStilesMD Not a candidate for a ventilator , and most likely dying alone. #lcsm |
| Lynne Eldridge MD @AboutLungCancer T4 - should lc patients carry medical history with them - so ER docs could see that st4 may have been controlled for long time? #lcsm |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: Interesting. Do you have an example of a well designed pragmatic registry? #LCSM #COVID19 |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T4. I also worry that #COVID19 is going to set back research. Many labs are shut down. This has wide ranging implications. #lcsm |
| Devika Das, MD, MSHQS @DevikaDasMD @BrendonStilesMD T4 Definitely "care rationing" is a big concern, loss of research momentum (already so little for #lcsm) and worsening urban/rural and socio economic disparities in cancer care delivery and access long term |
| #LCSM Chat @lcsmchat RT @Kamacintosh: @BrendonStilesMD Not a candidate for a ventilator , and most likely dying alone. #lcsm |
| LungCAN @LungCAN @Kamacintosh @BrendonStilesMD <3 #lcsm |
| Gina @EAustin1969 RT @DavidCookeMD: Review @maraantonoff tweet stream. She has an excellent video on how to come home and not exposure your family after working in the hospital. Have your wife review. #LCSM #COVID19 #TSSMN |
| #LCSM Chat @lcsmchat RT @plh4lisa: 1. Getting it 2. Getting it and needing a ventilator. 3. Getting it, needing a ventilator and there is a shortage and I'm triaged out due to life expectancy. #lcsm #terminalcancer |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T4. Industry can step up to help support lung cancer specific research after all of this is over. Gov't funding will be focused on #COVID19 #lcsm |
| Kimberly Lester @kimberlydlester RT @BrendonStilesMD: T4. I also worry that #COVID19 is going to set back research. Many labs are shut down. This has wide ranging implications. #lcsm |
| #LCSM Chat @lcsmchat RT @AboutLungCancer: T4 - should lc patients carry medical history with them - so ER docs could see that st4 may have been controlled for long time? #lcsm |
| Brendon Stiles @BrendonStilesMD RT @DevikaDasMD: @BrendonStilesMD T4 Definitely "care rationing" is a big concern, loss of research momentum (already so little for #lcsm) and worsening urban/rural and socio economic disparities in cancer care delivery and access long term |
| LungCAN @LungCAN RT @BrendonStilesMD: T4. I also worry that #COVID19 is going to set back research. Many labs are shut down. This has wide ranging implications. #lcsm |
| #LCSM Chat @lcsmchat RT @DevikaDasMD: @BrendonStilesMD T4 Definitely "care rationing" is a big concern, loss of research momentum (already so little for #lcsm) and worsening urban/rural and socio economic disparities in cancer care delivery and access long term |
| Jill Feldman @jillfeldman4 T4 I told my onc to take my DNR out of my file. I don't want heroic measure if I am actively dying of lung cancer, but I want the chance to live if I develop COVID19. I believe I have a lot of life to live still & deserve the chance #LCSM |
| Lynne Eldridge MD @AboutLungCancer RT @BrendonStilesMD: T4. I also worry that #COVID19 is going to set back research. Many labs are shut down. This has wide ranging implications. #lcsm |
| Brendon Stiles @BrendonStilesMD Last question, T5, on the way. #lcsm |
| Matthew Katz, MD 🇺🇸 💜 @subatomicdoc @LeciaSequist @HenningWillers @BrendonStilesMD @JAMA_current Here is another article, again neutrophils (not lymphocytes sorry), CRP, comorbidity and gender playing a role https://t.co/Fj04PSXgGk #lcsm |
| Deborah Levesque, RDMS @dtanz25 RT @Kamacintosh: @acmoorephd @lcsmchat crushing to know that this could take me out instead of Lung cancer #lcsm |
| Lecia Sequist, MD, MPH @LeciaSequist @BrendonStilesMD T4. Afraid for my patients. Worried that we won't be able to provide the level of care they deserve. Worried about the future of research and worried about my colleagues and their safety. At the same time - hopeful about the dedication and the innovation I see daily. #LCSM |
| Laura Greco @lgreco_ny @AboutLungCancer After having a lot of problems at local hospital recently, which almost killed me, I'd say YES! #LCSM |
| Brendon Stiles @BrendonStilesMD T5: What can advocates and medical professionals do to help the lung cancer community? #lcsm |
| LungCAN @LungCAN @AboutLungCancer That's an idea. I wonder if it would help? #lcsm |
| Lisa Moran @plh4lisa @ZieglerColleen I felt comfortable moving mine 4-6 weeks. 3 mos is out of my comfort zone. Labs has slight increase in CEA in Jan and Feb. #lcsm |
| Charu Aggarwal, MD, MPH @CharuAggarwalMD @BrendonStilesMD My greatest concern is that even though a large proportion of our patients will be affected, we don't know anything about long term effects- what does SARS-CoV2 do to lung function? I worry about sequelae, which are largely unknown at this time. #LCSM #COVID19 |
| #LCSM Chat @lcsmchat RT @jillfeldman4: T4 I told my onc to take my DNR out of my file. I don't want heroic measure if I am actively dying of lung cancer, but I want the chance to live if I develop COVID19. I believe I have a lot of life to live still & deserve the chance #LCSM |
| LungCAN @LungCAN RT @Kamacintosh: @acmoorephd @lcsmchat crushing to know that this could take me out instead of Lung cancer #lcsm |
| Brendon Stiles @BrendonStilesMD T5. The joint effort from @lcrf_org @Go2Foundation @lungevity @lcfamerica @lungCan has been inspiring. https://t.co/AnUkFXUty6 #lcsm |
| #LCSM Chat @lcsmchat RT @subatomicdoc: @LeciaSequist @HenningWillers @BrendonStilesMD @JAMA_current Here is another article, again neutrophils (not lymphocytes sorry), CRP, comorbidity and gender playing a role https://t.co/Fj04PSXgGk #lcsm |
| #LCSM Chat @lcsmchat RT @LeciaSequist: @BrendonStilesMD T4. Afraid for my patients. Worried that we won't be able to provide the level of care they deserve. Worried about the future of research and worried about my colleagues and their safety. At the same time - hopeful about the dedication and the innovation I see daily. #LCSM |
| Narjust Florez (Duma), M.D. @NarjustFlorezMD @LeciaSequist @lcsmchat @lgreco_ny @BrendonStilesMD That is what keeps me awake at night! Our surge is expected April 26th.. that is almost 7 weeks since we switched to telemedicine. #COVID19 #LCSM |
| Paula Ashton @paulalv @lcsmchat Exactly, this causes a lot of anxiety #lcsm |
| #LCSM Chat @lcsmchat RT @BrendonStilesMD: T5: T5: What can advocates and medical professionals do to help the lung cancer community? #lcsm |