#LCSM Transcript

Healthcare social media transcript of the #LCSM hashtag.
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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 @TimAllenMDJD
RT @JFreemanDaily: @BrendonStilesMD Looking forward to chatting with the #LCSM community about #COVID-19 in just a few minutes! https://t.c…
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 @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 @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.c…
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 tr…
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 @HenningWillers
Henning Willers #lungcancer #radonc from @mghcancercenter - good evening all! #lcsm
Andy M. 🌊 @AndyMuddVA
#lcsm Hello from Richmond VA, stop trying to navigate the page
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 @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 @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
Kimberly Lester @kimberlydlester
Kimberly in Virginia joining #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 twi…
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 🙌 https://t.co/Cqb22Vf5rb
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 #lc
#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 fol…
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 @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: 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 @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
Andy M. 🌊 @AndyMuddVA
#lcsm T1 personally, today was the 1st treatment I couldn't sit w my wife while she received infusion, so that sucked
Brendon Stiles @BrendonStilesMD
@JFreemanDaily Yikes. #lcsm
Stacey Tinianov @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
Kimberly Lester @kimberlydlester
RT @lcsmchat: That’s terrible news. Everyone remember to use hashtag #LCSM during the chat.
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: My oncologist appt 3/23 cancelled because I had respiratory symptoms (still no easy access toi testing in Seattle at…
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: 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
Dr. David Tom Cooke @DavidCookeMD
RT @AndyMuddVA: #lcsm T1 personally, today was the 1st treatment I couldn't sit w my wife while she received infusion, so that sucked
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…
Inspire @teaminspire
RT @BrendonStilesMD: T1: How is #COVID19 personally affecting your lung cancer care or care delivery? #lcsm
Laronica Conway @louisianagirl91
RT @BrendonStilesMD: 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 pat…
#LCSM Chat @lcsmchat
RT @CharuAggarwalMD: @BrendonStilesMD T1. We are using a lot of caution to ensure that we minimize transmission. Telehealth, talking to pat…
Brendon Stiles @BrendonStilesMD
@lgreco_ny Maybe that is good! #lcsm
#LCSM Chat @lcsmchat
RT @AndyMuddVA: #lcsm T1 personally, today was the 1st treatment I couldn't sit w my wife while she received infusion, so that sucked
Jill @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 @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: 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: 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…
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 communit…
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 @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 t…
Henning Willers, MD @HenningWillers
T1 I have also started to give out my cell phone and email more often to my patients, helps overcome divide #lcsm
Radhika Tandon @radhika_tandon2
#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…
#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: I asked to postpone my 3 month scan to avoid going out in public. My onc is scheduling virtual office v…
#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 #teleme
Iliana DFernández @RuthIliana46
RT @LeciaSequist: Here is a message of #Hope #Love during #COVID19 from @MGHCancerCenter music therapist @LorrieKubicek & her wife Kimberly…
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 metast…
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 @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 #l
#LCSM Chat @lcsmchat
RT @n8pennell: @BrendonStilesMD T1: Care is impacted less in #LCSM than most medical fields because the danger of delaying or stopping tre…
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…
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
Laronica Conway @louisianagirl91
RT @AndyMuddVA: #lcsm T1 personally, today was the 1st treatment I couldn't sit w my wife while she received infusion, so that sucked
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
Andy M. 🌊 @AndyMuddVA
@JFreemanDaily #lcsm That happened to us today, felt like I missed a lot
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 @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, thei…
#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…
#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 /#T
#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: Lots of telemedicine for follow up visits, increased precautions in the infusion room to av…
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 @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…
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…
virginia litle @vlitlemd
A1: I don’t believe you can bill for new patient visits via #Telemedicine at least not here @BMCSurgery #lcsm
Nina Davis @ Australian Teacher & Manufacturer @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: There is a Lung cancer patient in ICU with suspected Covid-19 whose husband can’t be with her. Very scary. #LCSM
Jill @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 atte…
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 t…
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 @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 https://t.co/Eq6pOJ7vAL
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 ... #…
Lisa Moran @plh4lisa
RT @lcsmchat: 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: We're allowing one person to accompany a pt in active treatment because it is so lonely and scary, but not for routine v…
Peggy Dennis @peggyddennis
#lcsm T1 Caught between progression and clinical trial eligibility. 12 weeks from last treatment.
mimiprovenzano @MimiProvenzano
RT @BrendonStilesMD: T2: Are lung cancer patients more at risk for severe #COVID19 ?#lcsm
#LCSM Chat @lcsmchat
RT @vlitlemd: 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…
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
Kimberly Lester @kimberlydlester
RT @BrendonStilesMD: @lcsmchat This is perhaps hardest part. The separation of families. #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 @TimAllenMDJD
RT @coffeemommy: @JFreemanDaily All this "aloneness" during appointments, scans, treatments... super, super challenging. And those who are…
#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…
#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: Are lung cancer patients more at risk for severe #COVID19 ?#lcsm
#LCSM Chat @lcsmchat
RT @lgreco_ny: @coffeemommy @BrendonStilesMD T1: Yes: my compassionate use clinical trial scans were delayed by a month but telephone appoi…
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…
mimiprovenzano @MimiProvenzano
RT @BrendonStilesMD: T2. Some lung cancer patients can be infected with #COVID19, but not symptomatic. From @JTOonline https://t.co/VYmqe…
#LCSM Chat @lcsmchat
RT @louisianagirl91: T1 Surprisingly, I have worked with many elderly patients on clinical trials who communicate more via text. Blurs the…
#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. #LC
#LCSM Chat @lcsmchat
RT @BrendonStilesMD: T2. Some lung cancer patients can be infected with #COVID19, but not symptomatic. From @JTOonline https://t.co/VYmqe…
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/…
#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/…
LungCAN @LungCAN
RT @BrendonStilesMD: 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 Duma, M.D. @NarjustDumaMD
@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 (K.)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
pascaleyola @pascaleyolahg
RT @CancerResearch: #Biomarkers are needed to better inform which patients with small cell lung cancer are most likely to respond to checkp…
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/…
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 @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 i…
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 t…
Denise Cutlip @dennycee
T2- some activities make my lungs work hard Radiation scarred much that cancer missed #lcsm
Jill @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 (K.)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: or the patient w advanced cancer not allowed to have visitors. Trying to get them home for hospice. Very emotional on all…
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/…
LungCAN @LungCAN
RT @acmoorephd: 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 @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/…
Narjust Duma, M.D. @NarjustDumaMD
@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: 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 @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…
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 wa…
Laura Greco @lgreco_ny
RT @BrendonStilesMD: T2. Some lung cancer patients can be infected with #COVID19, but not symptomatic. From @JTOonline https://t.co/VYmqe…
#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 patie…
#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…
#LCSM Chat @lcsmchat
RT @JFreemanDaily: @n8pennell T1: Esceptions to policies (of no accompanying family or visiting patients) seems to vary wildely across the…
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/…
#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"…
Lung Cancer Sux @LungCancerSux
@BrendonStilesMD How does risk increase for survivors? #LCSM
Henning Willers, MD @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 i…
#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
Kimberly Lester @kimberlydlester
RT @BrendonStilesMD: T2. But an early study from Wuhan suggested that lung cancer patients had 2x risk of general population https://t.co/…
#LCSM Chat @lcsmchat
RT @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 l…
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 in…
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…
#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 Chat @lcsmchat
RT @DevikaDasMD: @coffeemommy @ArpanAshokPatel @BrendonStilesMD I believe we are still continuing accruals as much as possible with some ex…
#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…
#LCSM Chat @lcsmchat
RT @acmoorephd: T2: Clearly hospital and clinic visits increase risk #lcsm
#LCSM Chat @lcsmchat
RT @vlitlemd: 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 polic…
#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 wa…
Jill @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…
#LCSM Chat @lcsmchat
RT @NarjustDumaMD: @BrendonStilesMD T2: Patients in active chemotherapy and with home oxygen are probably at high risk for complications. I…
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 polic…
#LCSM Chat @lcsmchat
RT @plh4lisa: @BrendonStilesMD T2: I say yes. My lungs are compromised. The media includes people with existing lung conditions in the high…
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 mo…
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 de…
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…
Janet Freeman-Daily @JFreemanDaily
RT @BrendonStilesMD: 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 #radiothe
#LCSM Chat @lcsmchat
RT @n8pennell: T2: I don't think we can say independent of advanced age, comorbidity like impaired lungs, and immunosuppression from chemo…
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: Pathologists are great educators and provide solid i…
#LCSM Chat @lcsmchat
RT @JFreemanDaily: @DavidCookeMD @CMSGov Telehealth doctor still needs to be licensed to practice in state where patient is. @CMS new polic…
Henning Willers, MD @HenningWillers
RT @n8pennell: Remember Chinese pts are usually treated as INPATIENT in hospitals, while in US we treat in outpatient centers so I would th…
Kimberly Lester @kimberlydlester
RT @CharuAggarwalMD: @DavidCookeMD Small numbers, but the point worth making here is that patients with #LungCancer are at higher risk for…
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 th…
#LCSM Chat @lcsmchat
RT @vlitlemd: 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 th…
#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…
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 @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 l…
Lung Cancer Sux @LungCancerSux
RT @EricBernicker: @JFreemanDaily @DavidCookeMD @CMSGov @cms Redonkulous that I have a license to drive in any state but cannot practice me…
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…
#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 th…
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 me…
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 th…
Charu Aggarwal, MD, MPH @CharuAggarwalMD
@HenningWillers @BrendonStilesMD Maybe not tested yet? #LCSM
#LCSM Chat @lcsmchat
RT @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 ev…
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: 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 ev…
Henning Willers, MD @HenningWillers
@BrendonStilesMD you JUST need 25,000 Gy !!!! #lcsm
Kimberly Lester @kimberlydlester
RT @EricBernicker: @JFreemanDaily @DavidCookeMD @CMSGov @cms Redonkulous that I have a license to drive in any state but cannot practice me…
Andy M. 🌊 @AndyMuddVA
@n8pennell #lcsm We're more afraid of the grocery store tbh
#LCSM Chat @lcsmchat
RT @DavidCookeMD: From my understanding, @CMSGov has TEMPORARILY suspended state license requirement, if you are near a troubled state. Th…
Timothy Craig Allen @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.
mimiprovenzano @MimiProvenzano
RT @AndyMuddVA: @n8pennell #lcsm We're more afraid of the grocery store tbh
Lung Cancer Sux @LungCancerSux
RT @AndyMuddVA: @n8pennell #lcsm We're more afraid of the grocery store tbh
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 n…
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 @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 polic…
#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
#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 functio…
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…
LungCAN @LungCAN
RT @CharuAggarwalMD: @DavidCookeMD Small numbers, but the point worth making here is that patients with #LungCancer are at higher risk for…
Inspire @teaminspire
RT @BrendonStilesMD: 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: 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 ac…
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…
LungCAN @LungCAN
RT @BrendonStilesMD: T3. Infection with #COVID19 doesn’t necessarily mean that treatment should stop. Early case reports. https://t.co/JS…
#LCSM Chat @lcsmchat
RT @BrendonStilesMD: T3. Infection with #COVID19 doesn’t necessarily mean that treatment should stop. Early case reports. https://t.co/JS…
#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: What are the risks of delaying treatment of lung cancer? This is the one everyone wants to know. #lcsm
Narjust Duma, M.D. @NarjustDumaMD
@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
Kimberly Lester @kimberlydlester
RT @BrendonStilesMD: T3: What are the risks of delaying treatment of lung cancer? This is the one everyone wants to know. #lcsm
LungCAN @LungCAN
RT @BrendonStilesMD: 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…
Patty Watkins @Pattybeatslungc
RT @BrendonStilesMD: T2. Biggest risk is probably transmission during doctor appointments or hospital visits. #lcsm
Jill @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). Shou…
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
Patty Watkins @Pattybeatslungc
RT @BrendonStilesMD: T2. But an early study from Wuhan suggested that lung cancer patients had 2x risk of general population https://t.co/…
Gia Sonata @RedGia
RT @HenningWillers: @BrendonStilesMD anybody has experience with #COVID19 positive #lungcancer patients? we have not had a single #radiothe
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
Kimberly Lester @kimberlydlester
RT @acmoorephd: I think @BrendonStilesMD just promised to buy us all drinks when this is over #lcsm
Henning Willers, MD @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…
Henning Willers, MD @HenningWillers
RT @subatomicdoc: @BrendonStilesMD @HenningWillers Doesn't work at practical doses we can use. Germicidal requires 40+ hours on a linear ac…
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/9wUb…
Kimberly Lester @kimberlydlester
RT @BrendonStilesMD: T3. There are certainly concerns that delay in surgery can lead to cancer progression. https://t.co/LC0pt7A6ry #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/9wUb…
#LCSM Chat @lcsmchat
RT @n8pennell: T3: There is a measurable decrease in long term survival for every week of delay in surgery for early stage NSCLC. Harder to…
#LCSM Chat @lcsmchat
RT @HenningWillers: @BrendonStilesMD T3 I am not giving #radiotherapy to infected lungs. Radiation will kill immune cells. Probably best to…
#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 irradiat…
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: I'm hoping any progression is slow and not too out of hand to stabilize because I'm choosing to move my…
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 @TimAllenMDJD
RT @BrendonStilesMD: T3. Infection with #COVID19 doesn’t necessarily mean that treatment should stop. Early case reports. https://t.co/JS…
#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 ra…
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 wee…
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 wee…
Lynne Eldridge MD @AboutLungCancer
RT @BrendonStilesMD: T3. Some guidelines here regarding timing of cancer surgery. https://t.co/qQLMdNzcj9 #lcsm
Kimberly Lester @kimberlydlester
RT @n8pennell: T3: There is a measurable decrease in long term survival for every week of delay in surgery for early stage NSCLC. Harder to…
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 @TimAllenMDJD
RT @BrendonStilesMD: T3. The actual published data on delay of surgery suggests only a small chance of spread by waiting until after 8 wee…
#LCSM Chat @lcsmchat
RT @subatomicdoc: @NarjustDumaMD @lcsmchat @BrendonStilesMD @HenningWillers @CDCgov Here is a curated look at mask decontamination if inter…
Matthew Katz, MD @subatomicdoc
RT @HenningWillers: @BrendonStilesMD T3 I am not giving #radiotherapy to infected lungs. Radiation will kill immune cells. Probably best to…
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…
#LCSM Chat @lcsmchat
RT @LeciaSequist: @BrendonStilesMD This report is about TKI. Seems to me chemotherapy would have a different risk:benefit equation but we n…
Narjust Duma, M.D. @NarjustDumaMD
@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, impossib…
Timothy Craig Allen @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 @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: Probably patient specific. Our Italian colleagues recommend stopping all therapies, inclu…
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 @TimAllenMDJD
RT @DavidCookeMD: Again, spit balling. But if you take out some lung tissue, whether by excision or exposure to destructive energy like ra…
#LCSM Chat @lcsmchat
RT @coffeemommy: @NarjustDumaMD @ArpanAshokPatel @BrendonStilesMD @DevikaDasMD May I ask what the "limit" parameters are? For instance, a p…
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
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 @HenningWillers
RT @BrendonStilesMD: T3. The actual published data on delay of surgery suggests only a small chance of spread by waiting until after 8 wee…
Jill @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 n…
Timothy Craig Allen @TimAllenMDJD
RT @lcsmchat: 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 @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 c…
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…
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 c…
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 origina…
#LCSM Chat @lcsmchat
RT @CharuAggarwalMD: There are risks to delaying therapy, and then there are risks from therapy itself. We cannot generalize these decision…
#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…
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: One problem with delaying is increased worry and uncertainty. For that reason, anyone we delay, we reschedule and give…
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…
Matthew Smeltzer @MattSmeltzer
RT @BrendonStilesMD: T3. Great podcast from @iaslc @jfreemanDaily @acmoorephd @leciaSequist and Upal Basu Roy https://t.co/SHuai7DsC5 #lcsm
Andy M. 🌊 @AndyMuddVA
#LCSM Not an expert here, but the breakdown of our normal routine activities seems worse than any disease. Sheer boredom and worry and nightly news takes its toll.
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 n…
Kimberly Lester @kimberlydlester
RT @BrendonStilesMD: Great point. #lcsm
Sheila🌊🇺🇸🆘#Resist#EqualityAct#Resisters🆘 @SheilaHowingto1
Very good info for cancer patients like my husband
Janet Freeman-Daily @JFreemanDaily
RT @NarjustDumaMD: @BrendonStilesMD @lcsmchat T2: Probably patient specific. Our Italian colleagues recommend stopping all therapies, inclu…
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 @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 @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…
#LCSM Chat @lcsmchat
RT @vlitlemd: A3: the burning question- more complex than recs @AmColSurgCancer @MassMedical #societysurgonc @ctsnetorg Try to evidence. W…
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 considerat…
#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…
Brendon Stiles @BrendonStilesMD
That is an incredibly big part of the conversation that our non-oncology colleagues generally fail to grasp. #lcsm
#LCSM Chat @lcsmchat
RT @AndyMuddVA: #LCSM Not an expert here, but the breakdown of our normal routine activities seems worse than any disease. Sheer boredom an…
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 pat…
#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 @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 be…
Janet Freeman-Daily @JFreemanDaily
RT @CharuAggarwalMD: There are risks to delaying therapy, and then there are risks from therapy itself. We cannot generalize these decision…
#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…
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: 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 u…
Laura Greco @lgreco_ny
@BrendonStilesMD We have anxiety ON TOP OF all the anxiety that everyone else has. #LCSM
Inspire @teaminspire
RT @BrendonStilesMD: 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 @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 u…
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: 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 ti…
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…
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 Davis @ Australian Teacher & Manufacturer @ninadavis
RT @BrendonStilesMD: T3. That paper did show decreased survival in patients who waited longer. Although they attempted to match, impossib…
#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: 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
Kimberly Lester @kimberlydlester
@BrendonStilesMD Triage #LCSM
#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…
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: okay time to add the language barriers and impact on shared decision making #lcsm #lostintranslation indeed @S
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…
#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 de…
#LCSM Chat @lcsmchat
RT @acmoorephd: T4: As a virologist and cancer researcher turned research advocate, this is my worst fear come true - a virus that threaten…
#LCSM Chat @lcsmchat
RT @BrendonStilesMD: T4. Many lung cancer patients are older, or have underlying lung disease, or decreased lung capacity. Certainly at r…
#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 @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 fo…
Timothy Craig Allen @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: 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…
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
Kimberly Lester @kimberlydlester
RT @LungCAN: @BrendonStilesMD Many folks are concerned about ventilator shortage and triage policies that will exclude those with 'terminal…
Andy M. 🌊 @AndyMuddVA
@LungCAN @BrendonStilesMD #lcsm Yes, any visit to the ER.
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 wor…
Janet Freeman-Daily @JFreemanDaily
RT @TimAllenMDJD: Concerns I share as a pulmonary pathologist. Best to try to move forward with surgery if possible. #LCSM https://t.co/Wco…
Timothy Craig Allen @TimAllenMDJD
#word #LCSM
Lynne Eldridge MD @AboutLungCancer
RT @acmoorephd: We were literally just celebrating a drop in cancer deaths and now THIS #lcsm https://t.co/TydlooN9zG
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 https://t.co/TydlooN9zG
#LCSM Chat @lcsmchat
RT @DavidCookeMD: I rarely have the gut wrenching conversations that our #MedOnc colleagues have, but in regards to these #COVID19 conversa…
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: 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 ti…
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…
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…
#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…
#LCSM Chat @lcsmchat
RT @LeciaSequist: @subatomicdoc @HenningWillers @BrendonStilesMD I've been more specifically paying attention to the absolute lymphocyte co…
Henning Willers, MD @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…
Kimberly Lester @kimberlydlester
RT @lgreco_ny: @BrendonStilesMD t4: Without question, that IF I get sick and require a ventilator, one will be denied to me because I'm sta…
#LCSM Chat @lcsmchat
RT @lgreco_ny: @BrendonStilesMD t4: Without question, that IF I get sick and require a ventilator, one will be denied to me because I'm sta…
#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 wor…
#LCSM Chat @lcsmchat
RT @acmoorephd: We were literally just celebrating a drop in cancer deaths and now THIS #lcsm
Jill @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 m…
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 @HenningWillers
RT @BrendonStilesMD: T4. We need to focus on multidisciplinary care. Patients with #COVID19 should make sure their doctors are in touch w…
#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…
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…
#LCSM Chat @lcsmchat
RT @BrendonStilesMD: T4. We need to focus on multidisciplinary care. Patients with #COVID19 should make sure their doctors are in touch w…
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 https://t.co/eu9laSmVV0
#LCSM Chat @lcsmchat
RT @n8pennell: T4. That this could last longer than anyone really understands and place unimaginable burdens on an already stressed system…
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 pred…
Kimberly Lester @kimberlydlester
RT @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…
#LCSM Chat @lcsmchat
RT @BrendonStilesMD: T4. Access to clinical trials is severely limited. Progress is being delayed. We have to consider pragmatic registr…
#LCSM Chat @lcsmchat
RT @HenningWillers: @LeciaSequist @subatomicdoc @BrendonStilesMD hard to know as treatment including radiation can also decrease lymphocyte…
Kim Moran-MacIntosh 🇨🇦 @Kamacintosh
@BrendonStilesMD Not a candidate for a ventilator , and most likely dying alone. #lcsm
#LCSM Chat @lcsmchat
RT @DavidCookeMD: Status Green: Not many #COVID19 patients, hospital resource OK Status Yellow: More COVID19 patients, hospital resources…
#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…
#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…
Kimberly Lester @kimberlydlester
This.
#LCSM Chat @lcsmchat
RT @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 kno…
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 implica…
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 implica…
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 wor…
#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 tri…
#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…
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 implica…
#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 l…
Brendon Stiles @BrendonStilesMD
RT @DevikaDasMD: @BrendonStilesMD T4 Definitely "care rationing" is a big concern, loss of research momentum (already so little for #lcsm)…
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 implica…
#LCSM Chat @lcsmchat
RT @DevikaDasMD: @BrendonStilesMD T4 Definitely "care rationing" is a big concern, loss of research momentum (already so little for #lcsm)…
Jill @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 implica…
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…
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…
#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. Wor…
Kimberly Lester @kimberlydlester
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…
Narjust Duma, M.D. @NarjustDumaMD
@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: What can advocates and medical professionals do to help the lung cancer community? #lcsm
Ian Pereira @IanJPereira
@DavidCookeMD More guidelines coming out weekly and local context (pt population, resources, etc.) is key. #lcsm T2
Dr. Amy C. Moore @acmoorephd
I am part of a two virologist household. My husband works on vaccines to respiratory viruses. Even though we knew this day could and would come, I never actually *thought* it would. Naive, I know. #lcsm
#LCSM Chat @lcsmchat
RT @CharuAggarwalMD: @BrendonStilesMD My greatest concern is that e