#LCSM Transcript

Healthcare social media transcript of the #LCSM hashtag.
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See #LCSM Influencers/Analytics.

ProfileTweet
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
I’m your moderator, Tim Allen (@timallenmdjd) Pulmonary pathologist. Professor and Chair of the Department of Pathology at the University of Mississippi Medical Center in Jackson, Mississippi #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: Welcome to #LCSM Chat! Our topic for May 7th: COVID-19 testing and lung cancer: Welcome to #LCSM Chat! Our topic for May 7th: COVID-19 testing and lung cancer: Where we stand today More info at https://t.co/e2ArAFJ9nd
Kristin Ito @KAdvocate_LCAM
Kristin Ito with IASLC in Denver, CO - grateful to join in! #lcsm
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: I’m your moderator, Tim Allen (@timallenmdjd) Pulmonary pathologist. Professor and Chair of the Department of Pathology at the University of Mississippi Medical Center in Jackson, Mississippi #LCSM
Bob Steele @steele_bob
RT @TimAllenMDJD: Welcome to #LCSM Chat! Our topic for May 7th: COVID-19 testing and lung cancer: Welcome to #LCSM Chat! Our topic for May 7th: COVID-19 testing and lung cancer: Where we stand today More info at https://t.co/e2ArAFJ9nd
MaryAnn Bradley @Dollybrad
Glad to be here with everyone #LCSM
Janet Freeman-Daily @JFreemanDaily
Hi @TimAllenMDJD! Thanks for tackling this subject for #LCSM Chat tonight.
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
We'll get started in a few minutes -- please take a moment to introduce yourselves. #LCSM
Dr. Amy C. Moore @acmoorephd
Join us as we talk about #Covid_19 testing and #lungcancer #lcsm
Israh (Khan)Akhtar @israhkhan
RT @TimAllenMDJD: Welcome to #LCSM Chat! Our topic for May 7th: COVID-19 testing and lung cancer: Welcome to #LCSM Chat! Our topic for May 7th: COVID-19 testing and lung cancer: Where we stand today More info at https://t.co/e2ArAFJ9nd
KC Dill @kasedill
Hello from Houston hope you are all doing well #lcsm
Aparna Hegde, MD @notahedge
Aparna Hegde, Assistant professor Thoracic onc at UAB #LCSM
Sarika Jain @drjainsp
RT @TimAllenMDJD: I’m your moderator, Tim Allen (@timallenmdjd) Pulmonary pathologist. Professor and Chair of the Department of Pathology at the University of Mississippi Medical Center in Jackson, Mississippi #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
My privilege, @JFreemanDaily #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
If you are new to Twitter chats and/or #LCSM Chat, you might find our primer on how to participate helpful https://t.co/shziI4sXdT
Adela @adelapoite
RT @ASCO_pubs: Targeting HER2 Alterations in Non--Small-Cell Lung Cancer: Targeting HER2 Alterations in Non--Small-Cell Lung Cancer: A Comprehensive Review https://t.co/1K3hszA2D5 #lcsm #JCOPO https://t.co/bdVUM019Bm
Janet Freeman-Daily @JFreemanDaily
Janet Freeman-Daily (writer, science geek, lung cancer patient activist) here in amazingly sunny Seattle area. #lcsm
#LCSM Chat @lcsmchat
Deana Hendrickson @LungCancerFaces here in sweltering Los Angeles. I’ll be manning (womaning?) the @lcsmchat account this evening. #lcsm
Sarika Jain @drjainsp
RT @TimAllenMDJD: Welcome to #LCSM Chat! Our topic for May 7th: COVID-19 testing and lung cancer: Welcome to #LCSM Chat! Our topic for May 7th: COVID-19 testing and lung cancer: Where we stand today More info at https://t.co/e2ArAFJ9nd
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: We'll get started in a few minutes -- please take a moment to introduce yourselves. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Please remember to use #LCSM in all your tweets so others participating in the chat can see them.
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: If you are new to Twitter chats and/or #LCSM Chat, you might find our primer on how to participate helpful https://t.co/shziI4sXdT
Bob Steele @steele_bob
Good evening folks. Bob here from Greensboro, NC. I have to admit, 2 months of homebound is wearing thin. :) #lcsm
Dr. Amy C. Moore @acmoorephd
@lcsmchat Amy Moore here, Director of Science & Research for @GO2Foundation, virologist/cancer researcher turned research advocate #lcsm
Janet Freeman-Daily @JFreemanDaily
Dear Deana @LungCancerFaces will be STAFFING @lcsmchat account. #lcsm
David Hill @maddog1066
David Hill, Pulmonary and Critical Care Physician #COVID19 Front liner and Social media truth spreader. I believe in science. #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: Please remember to use #LCSM in all your tweets so others participating in the chat can see them.
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
If you prefer just to listen, please tweet “#LCSM” so we know you’re in the audience (but I urge you ahead and join in! It’s a great #LCSM team!)
Janet Freeman-Daily @JFreemanDaily
My goodness Caleb--are you up late with the new baby? #lcsm
#LCSM Chat @lcsmchat
RT @JFreemanDaily: Dear Deana @LungCancerFaces will be STAFFING @lcsmchat account. #lcsm
David Woessner, PhD @cancrx
In Memphis, #LCSM.
Frank Ingram, MD @Chucktowndoc
Ingram here. Community pathologist in NC. #LCSM
Peggy Dennis @peggyddennis
#LCSM Peggy here. Hello from Denver.
kristen kimball @KimballKristen
Kris Kimball from Boston, where it’s spring for another few minutes. #LCSM
Kristin Ito @KAdvocate_LCAM
RT @TimAllenMDJD: If you prefer just to listen, please tweet “#LCSM” so we know you’re in the audience (but I urge you ahead and join in! It’s a great #LCSM team!)
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Please do not promote products or services on the #LCSM feed or during the chat. Feel free to share vetted online resources.
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: If you prefer just to listen, please tweet “#LCSM” so we know you’re in the audience (but I urge you ahead and join in! It’s a great #LCSM team!)
Move Against Cancer Africa @macafricaorg
@JFreemanDaily He just slept lol #lcsm
#LCSM Chat @lcsmchat
@maddog1066 We believe in science, too! #lcsm
Sinchita Roy MD PhD @Sinchita_Roy
Hi #LCSM Pathologist from @MDAndersonNews #Houston
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
If you change someone’s words when you retweet, please label it MT (modified tweet). #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: Please do not promote products or services on the #LCSM feed or during the chat. Feel free to share vetted online resources.
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: If you change someone’s words when you retweet, please label it MT (modified tweet). #LCSM
Sarika Jain @drjainsp
Hello everyone! Sarika Jain Molecular pathologist. Department of Pathology at the University of Mississippi Medical Center in Jackson, Mississippi #LCSM
Sinchita Roy MD PhD @Sinchita_Roy
RT @TimAllenMDJD: If you are new to Twitter chats and/or #LCSM Chat, you might find our primer on how to participate helpful https://t.co/shziI4sXdT
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Howdy, @Sinchita_Roy #LCSM
#LCSM Chat @lcsmchat
It’s great to see such a wonderful turnout! Welcome, everyone. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Note: Twitter allows tweets up to 280 characters, but some tweetchat apps (like https://t.co/9aLQySh2dV) will not display tweets longer than 140. #LCSM
Bob Steele @steele_bob
RT @lcsmchat: It’s great to see such a wonderful turnout! Welcome, everyone. #LCSM
Janet Freeman-Daily @JFreemanDaily
Great to see so many new handles as well as oldtimers. Welcome everyone! #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Glad to see familiar Twitter handles as well as new participants tonight! #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
I will announce FIVE topics (T1 T2 etc). Pls label your answers with T1, T2, etc to make transcript easier to follow. #LCSM
Narjust Florez (Duma), M.D. @NarjustFlorezMD
@JFreemanDaily Looking forward to seeing you soon Janet. #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: Note: Note: Twitter allows tweets up to 280 characters, but some tweetchat apps (like https://t.co/9aLQySh2dV) will not display tweets longer than 140. #LCSM
#LCSM Chat @lcsmchat
RT @JFreemanDaily: Great to see so many new handles as well as oldtimers. Welcome everyone! #lcsm
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: Glad to see familiar Twitter handles as well as new participants tonight! #LCSM
Israh (Khan)Akhtar @israhkhan
Hi everyone, excited to be in here today #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: I will announce FIVE topics (T1 T2 etc). Pls label your answers with T1, T2, etc to make transcript easier to follow. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
We’ll start with Topic T1 in a minute … #LCSM
Otis B Rickman, DO @OtisBRickman
@TimAllenMDJD Got it #lcsm
#LCSM Chat @lcsmchat
Looks like @TimAllenMDJD has the MS contingent well represented tonight. Welcome! #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
T1: What tests are used to determine if a patient currently has COVID-19? Are they all equally accurate? #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: We’ll start with Topic T1 in a minute … #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: T1: T1: What tests are used to determine if a patient currently has COVID-19? Are they all equally accurate? #LCSM
KC Dill @kasedill
@lcsmchat @TimAllenMDJD I noticed that!! Impressive Dr Allen!! #lcsm
Narjust Florez (Duma), M.D. @NarjustFlorezMD
@acmoorephd @lcsmchat @GO2Foundation Narjust Duma, MD Thoracic oncologist Focus women with lung cancer Lung cancer survivorship Social Justice Scientist #LCSM
Laura Greco @lgreco_ny
Laura here from upstate NY! #lcsm
Mudit Chowdhary, MD @DrChowdharyMD
Hi, I'm Mudit and I am the radiation oncology chief resident in Chicago. Participating in first #LCSM chat
Narjust Florez (Duma), M.D. @NarjustFlorezMD
@kasedill Hello lady #LCSM
Janet Freeman-Daily @JFreemanDaily
@TimAllenMDJD I assume all tests that check to see if someone has the virus NOW use the nasal swab, right? #lcsm
David Hill @maddog1066
T1 I am definitely letting the pathologists answer this one, but I will say that across all tests there is a significant false negative rate. #LCSM
Nancy Cohen @nsc5
Joining for my first time #LCSM
Christina Lizaso @btrfly12
RT @TimAllenMDJD: Welcome to #LCSM Chat! Our topic for May 7th: COVID-19 testing and lung cancer: Welcome to #LCSM Chat! Our topic for May 7th: COVID-19 testing and lung cancer: Where we stand today More info at https://t.co/e2ArAFJ9nd
Inspire @teaminspire
Hello to the #lcsm community, John Novack here from Inspire.
YovanaMaria Portillo @ASUXFIN
Yovana Maria Portillo Lung Cancer Survivor & Advocate from sunny Phoenix, Arizona! :) Excited to join in for the first time ever! #lcsm
#LCSM Chat @lcsmchat
RT @JFreemanDaily: @TimAllenMDJD I assume all tests that check to see if someone has the virus NOW use the nasal swab, right? #lcsm
#LCSM Chat @lcsmchat
RT @maddog1066: T1 I am definitely letting the pathologists answer this one, but I will say that across all tests there is a significant false negative rate. #LCSM
Janet Freeman-Daily @JFreemanDaily
Welcome to the first timers in #LCSM Chat! So many new faces--it's wonderful!
KC Dill @kasedill
@ASUXFIN Welcome aboard #lcsm.
David Hill @maddog1066
@JFreemanDaily @TimAllenMDJD There is a saliva test in development.#LCSM
Janet Freeman-Daily @JFreemanDaily
T1: Every COVID-19 test I hear about on the news seems to use PCR. What is that? #lcsm
Sarika Jain @drjainsp
T1: There are multiple RNA based tests and use reverse transcriptase real-time polymerase chain reaction available from manufacturers as kits for e. g., Abbott, Cepheid and many more. Laboratories also develop their own tests. University of Mississippi has one! #LCSM
#LCSM Chat @lcsmchat
RT @JFreemanDaily: Welcome to the first timers in #LCSM Chat! So many new faces--it's wonderful!
Move Against Cancer Africa @macafricaorg
RT @maddog1066: T1 I am definitely letting the pathologists answer this one, but I will say that across all tests there is a significant false negative rate. #LCSM
#LCSM Chat @lcsmchat
RT @maddog1066: @JFreemanDaily @TimAllenMDJD There is a saliva test in development.#LCSM
#LCSM Chat @lcsmchat
RT @JFreemanDaily: T1: T1: Every COVID-19 test I hear about on the news seems to use PCR. What is that? #lcsm
#LCSM Chat @lcsmchat
RT @drjainsp: T1: T1: There are multiple RNA based tests and use reverse transcriptase real-time polymerase chain reaction available from manufacturers as kits for e. g., Abbott, Cepheid and many more. Laboratories also develop their own tests. University of Mississippi has one! #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Nasopharyngeal swabs are used at my institution. Other institutions may use nasal swabs. Easier to obtain but I worry about missing infections. #LCSM
LUNGevity Foundation @LUNGevity
#LCSM T1: Does timing for the PCR test matter?
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: Nasopharyngeal swabs are used at my institution. Other institutions may use nasal swabs. Easier to obtain but I worry about missing infections. #LCSM
Mudit Chowdhary, MD @DrChowdharyMD
T1: The most common & reliable test for #COVID19 has been the RT-PCR test usually via nasopharyngeal swab. Other sites can be sampled though including throat or saliva Rapid point of care tests now exist as well #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Welcome to #LCSM!
Dr. Amy C. Moore @acmoorephd
T1: curious to know what's being used in urban academic medical centers vs rural community hospitals #lcsm
#LCSM Chat @lcsmchat
RT @LUNGevity: #LCSM T1: #LCSM T1: Does timing for the PCR test matter?
#LCSM Chat @lcsmchat
RT @DrChowdharyMD: T1: T1: The most common & reliable test for #COVID19 has been the RT-PCR test usually via nasopharyngeal swab. Other sites can be sampled though including throat or saliva Rapid point of care tests now exist as well #lcsm
Cori @coristarlit
Cori here from CA! Patient with NSCLC ALK+ #lcsm
Janet Freeman-Daily @JFreemanDaily
T1: Halooo, pathologists/virologists/testing experts? #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @drjainsp: T1: T1: There are multiple RNA based tests and use reverse transcriptase real-time polymerase chain reaction available from manufacturers as kits for e. g., Abbott, Cepheid and many more. Laboratories also develop their own tests. University of Mississippi has one! #LCSM
#LCSM Chat @lcsmchat
RT @acmoorephd: T1: T1: curious to know what's being used in urban academic medical centers vs rural community hospitals #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
A1: Molecular testing that examines the virus RNA is the current test for diagnosis of COVID-19 infection. #LCSM
Sarika Jain @drjainsp
T1: These tests utilize different viral antigens, the most common is Nucleocapsid protein.#LCSM https://t.co/JVlmM8YndH
Inspire @teaminspire
RT @TimAllenMDJD: T1: T1: What tests are used to determine if a patient currently has COVID-19? Are they all equally accurate? #LCSM
#LCSM Chat @lcsmchat
RT @JFreemanDaily: T1: T1: Halooo, pathologists/virologists/testing experts? #lcsm
Bob Steele @steele_bob
RT @drjainsp: T1: T1: These tests utilize different viral antigens, the most common is Nucleocapsid protein.#LCSM https://t.co/JVlmM8YndH
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: A1: A1: Molecular testing that examines the virus RNA is the current test for diagnosis of COVID-19 infection. #LCSM
#LCSM Chat @lcsmchat
RT @drjainsp: T1: T1: These tests utilize different viral antigens, the most common is Nucleocapsid protein.#LCSM https://t.co/JVlmM8YndH
A Breath of Hope @ABOHLung
Jenni - you are so strong. Thank you for sharing your story and thank you for reminding all of us that we are our own best advocates. #lcsm #facesoflungcancer #lungcancersucks https://t.co/1TAX0m6gWc
Move Against Cancer Africa @macafricaorg
RT @drjainsp: T1: T1: There are multiple RNA based tests and use reverse transcriptase real-time polymerase chain reaction available from manufacturers as kits for e. g., Abbott, Cepheid and many more. Laboratories also develop their own tests. University of Mississippi has one! #LCSM
Ian Pereira @IanJPereira
RT @lcsmchat: #LCSM Chat TODAY! Read more here & join us tonight: #LCSM Chat TODAY! Read more here & join us tonight: https://t.co/wQOh9COvV6 @ArpanAshokPatel @AbbieBegnaud @dennycee @coffeemommy @jmeberth @fortunajones @lgreco_ny @IanJPereira @kasedill @StephenVLiu @1111linno @OtisBRickman @VamsiVelcheti @LungCancerSux #Covid_19 #hcsm https://t.co/GKr0344c4e
Kristin Ito @KAdvocate_LCAM
T1: is there a test option that provides the quickest result? #lcsm
Janet Freeman-Daily @JFreemanDaily
@drjainsp The tests that check to see if someone CURRENTLY has the virus looks for antigens? I'm confused. #lcsm
Sinchita Roy MD PhD @Sinchita_Roy
RT @drjainsp: T1: T1: There are multiple RNA based tests and use reverse transcriptase real-time polymerase chain reaction available from manufacturers as kits for e. g., Abbott, Cepheid and many more. Laboratories also develop their own tests. University of Mississippi has one! #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @DrChowdharyMD: T1: T1: The most common & reliable test for #COVID19 has been the RT-PCR test usually via nasopharyngeal swab. Other sites can be sampled though including throat or saliva Rapid point of care tests now exist as well #lcsm
Move Against Cancer Africa @macafricaorg
RT @TimAllenMDJD: I’m your moderator, Tim Allen (@timallenmdjd) Pulmonary pathologist. Professor and Chair of the Department of Pathology at the University of Mississippi Medical Center in Jackson, Mississippi #LCSM
Sinchita Roy MD PhD @Sinchita_Roy
RT @TimAllenMDJD: Nasopharyngeal swabs are used at my institution. Other institutions may use nasal swabs. Easier to obtain but I worry about missing infections. #LCSM
Janet Freeman-Daily @JFreemanDaily
T2 will address antigen testing in just a few minutes #lcsm
Narjust Florez (Duma), M.D. @NarjustFlorezMD
@acmoorephd Interesting, would love to know too. #lcsm
Move Against Cancer Africa @macafricaorg
RT @LUNGevity: #LCSM T1: #LCSM T1: Does timing for the PCR test matter?
Sinchita Roy MD PhD @Sinchita_Roy
RT @DrChowdharyMD: T1: T1: The most common & reliable test for #COVID19 has been the RT-PCR test usually via nasopharyngeal swab. Other sites can be sampled though including throat or saliva Rapid point of care tests now exist as well #lcsm
Move Against Cancer Africa @macafricaorg
RT @JFreemanDaily: T1: T1: Every COVID-19 test I hear about on the news seems to use PCR. What is that? #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @drjainsp: T1: T1: These tests utilize different viral antigens, the most common is Nucleocapsid protein.#LCSM https://t.co/JVlmM8YndH
#LCSM Chat @lcsmchat
RT @KAdvocate_LCAM: T1: T1: is there a test option that provides the quickest result? #lcsm
Dr. Amy C. Moore @acmoorephd
T1: my friends in Atlanta have also done the drive-through testing where they have to swab themselves. I am very concerned about accuracy. Thoughts? #lcsm
David Hill @maddog1066
T1 Timing matters. If you test too soon after exposure you increase the chance of a false negative. It takes time to build up viral load. Probably at least 5 days. #LCSM
Sinchita Roy MD PhD @Sinchita_Roy
RT @drjainsp: T1: T1: These tests utilize different viral antigens, the most common is Nucleocapsid protein.#LCSM https://t.co/JVlmM8YndH
Laura Greco @lgreco_ny
RT @KAdvocate_LCAM: T1: T1: is there a test option that provides the quickest result? #lcsm
Move Against Cancer Africa @macafricaorg
RT @TimAllenMDJD: Nasopharyngeal swabs are used at my institution. Other institutions may use nasal swabs. Easier to obtain but I worry about missing infections. #LCSM
Charu Aggarwal, MD, MPH @CharuAggarwalMD
@TimAllenMDJD Hi, Medical Oncologist @PennCancer, joining in to discuss #COVID19 #LCSM
#LCSM Chat @lcsmchat
RT @acmoorephd: T1: T1: my friends in Atlanta have also done the drive-through testing where they have to swab themselves. I am very concerned about accuracy. Thoughts? #lcsm
#LCSM Chat @lcsmchat
RT @maddog1066: T1 Timing matters. If you test too soon after exposure you increase the chance of a false negative. It takes time to build up viral load. Probably at least 5 days. #LCSM
Mudit Chowdhary, MD @DrChowdharyMD
@KAdvocate_LCAM @lcsmchat At our institution, swabs have been returning typically in 24-48 hours Rapid point of care tests are even faster, though are less sensitive #lcsm
Lecia Sequist, MD, MPH @LeciaSequist
Lecia Sequist, thoracic oncologist @MGHThoracicOnc joining late. Great to see everyone! #LCSM
LUNGevity Foundation @LUNGevity
RT @maddog1066: T1 Timing matters. If you test too soon after exposure you increase the chance of a false negative. It takes time to build up viral load. Probably at least 5 days. #LCSM
Israh (Khan)Akhtar @israhkhan
@OtisBRickman @lcsmchat @TimAllenMDJD BAL of COVID patients, has increased lipid laden macrophages, positive for Oil Red O stain , however, is not diagnostic #LCSM
Move Against Cancer Africa @macafricaorg
RT @drjainsp: T1: T1: These tests utilize different viral antigens, the most common is Nucleocapsid protein.#LCSM https://t.co/JVlmM8YndH
David Hill @maddog1066
@acmoorephd T1--nasal swab requires good technique and although not torture, it shouldn't be comfortable. Would be concerned with self swab accuracy. #LCSM
Sara @sarascont
RT @DrChowdharyMD: T1: T1: The most common & reliable test for #COVID19 has been the RT-PCR test usually via nasopharyngeal swab. Other sites can be sampled though including throat or saliva Rapid point of care tests now exist as well #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
PCR testing identifies current infection with COVID-19. #LCSM
Move Against Cancer Africa @macafricaorg
RT @DrChowdharyMD: T1: T1: The most common & reliable test for #COVID19 has been the RT-PCR test usually via nasopharyngeal swab. Other sites can be sampled though including throat or saliva Rapid point of care tests now exist as well #lcsm
Sabin Motwani @sabinbmotwanimd
A1: There are many ways to test for COVID19 and most will involve swabbing the back of the nose. @RWJMS has developed a saliva test that the @US_FDA granted Emergency Use Authorization so it can test more people. https://t.co/EVWTj8Ig5B #LCSM #COVID19
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @maddog1066: T1 Timing matters. If you test too soon after exposure you increase the chance of a false negative. It takes time to build up viral load. Probably at least 5 days. #LCSM
Sarika Jain @drjainsp
@JFreemanDaily @lcsmchat T1: Polymerase chain reaction converts the RNA into DNA and then amplifies it so that it can be detected. #LCSM
Linnea Olson @1111linno
Lurking :) Linnea, lung cancer activist. #lcsm
kristen kimball @KimballKristen
@JFreemanDaily @drjainsp Antigens are part of the virus #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @drjainsp: @JFreemanDaily @lcsmchat T1: @JFreemanDaily @lcsmchat T1: Polymerase chain reaction converts the RNA into DNA and then amplifies it so that it can be detected. #LCSM
#LCSM Chat @lcsmchat
If you are just watching #LCSM Chat tonight, please send a blank tweet with the #LCSM hashtag so we know you’re out there. We’re a friendly bunch! Promise.
#LCSM Chat @lcsmchat
RT @DrChowdharyMD: @KAdvocate_LCAM @lcsmchat At our institution, swabs have been returning typically in 24-48 hours Rapid point of care tests are even faster, though are less sensitive #lcsm
Dr. Amy C. Moore @acmoorephd
@JFreemanDaily, PCR is polymerase chain reaction, a way of amplifying (copying) genetic material (DNA) rapidly. We have to use RT-PCR to take convert the viral RNA to DNA first and then use PCR to make more copies so we can detect it #lcsm
Janet Freeman-Daily @JFreemanDaily
T1: @tandon_ms So the test to determine if a patient currently has #COVID-19 tests mucus for a specific protein by analyzing DNA? #lcsm
#LCSM Chat @lcsmchat
RT @israhkhan: @OtisBRickman @lcsmchat @TimAllenMDJD BAL of COVID patients, has increased lipid laden macrophages, positive for Oil Red O stain , however, is not diagnostic #LCSM
#LCSM Chat @lcsmchat
RT @maddog1066: @acmoorephd T1--nasal swab requires good technique and although not torture, it shouldn't be comfortable. Would be concerned with self swab accuracy. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @israhkhan: @OtisBRickman @lcsmchat @TimAllenMDJD BAL of COVID patients, has increased lipid laden macrophages, positive for Oil Red O stain , however, is not diagnostic #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: PCR testing identifies current infection with COVID-19. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @maddog1066: @acmoorephd T1--nasal swab requires good technique and although not torture, it shouldn't be comfortable. Would be concerned with self swab accuracy. #LCSM
#LCSM Chat @lcsmchat
RT @sabinbmotwanimd: A1: A1: There are many ways to test for COVID19 and most will involve swabbing the back of the nose. @RWJMS has developed a saliva test that the @US_FDA granted Emergency Use Authorization so it can test more people. https://t.co/EVWTj8Ig5B #LCSM #COVID19
#LCSM Chat @lcsmchat
RT @drjainsp: @JFreemanDaily @lcsmchat T1: @JFreemanDaily @lcsmchat T1: Polymerase chain reaction converts the RNA into DNA and then amplifies it so that it can be detected. #LCSM
Sinchita Roy MD PhD @Sinchita_Roy
RT @maddog1066: T1 Timing matters. If you test too soon after exposure you increase the chance of a false negative. It takes time to build up viral load. Probably at least 5 days. #LCSM
Apeksha N. Agarwal, MD, FCAP @ApekshaNas
RT @TimAllenMDJD: Welcome to #LCSM Chat! Our topic for May 7th: COVID-19 testing and lung cancer: Welcome to #LCSM Chat! Our topic for May 7th: COVID-19 testing and lung cancer: Where we stand today More info at https://t.co/e2ArAFJ9nd
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Agree. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Topic T2 is coming up … #LCSM
KC Dill @kasedill
@1111linno Hello Linnea so happy to see you!! #lcsm
Move Against Cancer Africa @macafricaorg
RT @acmoorephd: T1: T1: curious to know what's being used in urban academic medical centers vs rural community hospitals #lcsm
#LCSM Chat @lcsmchat
RT @acmoorephd: @JFreemanDaily, PCR is polymerase chain reaction, a way of amplifying (copying) genetic material (DNA) rapidly. We have to use RT-PCR to take convert the viral RNA to DNA first and then use PCR to make more copies so we can detect it #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @lcsmchat: If you are just watching #LCSM Chat tonight, please send a blank tweet with the #LCSM hashtag so we know you’re out there. We’re a friendly bunch! Promise.
Move Against Cancer Africa @macafricaorg
RT @JFreemanDaily: T1: T1: Halooo, pathologists/virologists/testing experts? #lcsm
#LCSM Chat @lcsmchat
RT @JFreemanDaily: T1: T1: @tandon_ms So the test to determine if a patient currently has #COVID-19 tests mucus for a specific protein by analyzing DNA? #lcsm
Andy M. 🌊 @AndyMuddVA
@NarjustDumaMD But for regular out patients? #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
T2: What tests are used to determine if a patient has previously had COVID-19? Are they all equally accurate? #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: Topic T2 is coming up … #LCSM
Lecia Sequist, MD, MPH @LeciaSequist
@JFreemanDaily @TimAllenMDJD This is correct Janet. The nasal swab test, also referred to sometimes as PCR, tests to see if someone is actively shedding COVID = current infection and contagious #LCSM #COVID19nCancer
David Hill @maddog1066
@israhkhan @OtisBRickman @lcsmchat @TimAllenMDJD Some patients have tested positive with bronchoscopy that are negative with nasal swab. However, bronchoscopy is high risk for spreading the virus and should be avoided if possible. #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: T2: T2: What tests are used to determine if a patient has previously had COVID-19? Are they all equally accurate? #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @acmoorephd: @JFreemanDaily, PCR is polymerase chain reaction, a way of amplifying (copying) genetic material (DNA) rapidly. We have to use RT-PCR to take convert the viral RNA to DNA first and then use PCR to make more copies so we can detect it #lcsm
Sarika Jain @drjainsp
@KAdvocate_LCAM @lcsmchat Currently test from Cepheid is the fastest, can give results within an hour!#LCSM
KC Dill @kasedill
@NarjustDumaMD @KAdvocate_LCAM Wow #lcsm
#LCSM Chat @lcsmchat
RT @LeciaSequist: @JFreemanDaily @TimAllenMDJD This is correct Janet. The nasal swab test, also referred to sometimes as PCR, tests to see if someone is actively shedding COVID = current infection and contagious #LCSM #COVID19nCancer
Sinchita Roy MD PhD @Sinchita_Roy
RT @drjainsp: @JFreemanDaily @lcsmchat T1: @JFreemanDaily @lcsmchat T1: Polymerase chain reaction converts the RNA into DNA and then amplifies it so that it can be detected. #LCSM
Janet Freeman-Daily @JFreemanDaily
RT @LeciaSequist: @JFreemanDaily @TimAllenMDJD This is correct Janet. The nasal swab test, also referred to sometimes as PCR, tests to see if someone is actively shedding COVID = current infection and contagious #LCSM #COVID19nCancer
Bob Steele @steele_bob
RT @TimAllenMDJD: T2: T2: What tests are used to determine if a patient has previously had COVID-19? Are they all equally accurate? #LCSM
Bob Steele @steele_bob
RT @drjainsp: @KAdvocate_LCAM @lcsmchat Currently test from Cepheid is the fastest, can give results within an hour!#LCSM
Narjust Florez (Duma), M.D. @NarjustFlorezMD
@1111linno Lung cancer activist! - Love the term #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @LeciaSequist: @JFreemanDaily @TimAllenMDJD This is correct Janet. The nasal swab test, also referred to sometimes as PCR, tests to see if someone is actively shedding COVID = current infection and contagious #LCSM #COVID19nCancer
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @maddog1066: @israhkhan @OtisBRickman @lcsmchat @TimAllenMDJD Some patients have tested positive with bronchoscopy that are negative with nasal swab. However, bronchoscopy is high risk for spreading the virus and should be avoided if possible. #LCSM
#LCSM Chat @lcsmchat
RT @maddog1066: @israhkhan @OtisBRickman @lcsmchat @TimAllenMDJD Some patients have tested positive with bronchoscopy that are negative with nasal swab. However, bronchoscopy is high risk for spreading the virus and should be avoided if possible. #LCSM
LUNGevity Foundation @LUNGevity
RT @LeciaSequist: @JFreemanDaily @TimAllenMDJD This is correct Janet. The nasal swab test, also referred to sometimes as PCR, tests to see if someone is actively shedding COVID = current infection and contagious #LCSM #COVID19nCancer
#LCSM Chat @lcsmchat
RT @drjainsp: @KAdvocate_LCAM @lcsmchat Currently test from Cepheid is the fastest, can give results within an hour!#LCSM
Sinchita Roy MD PhD @Sinchita_Roy
@NarjustDumaMD @AndyMuddVA That’s the same here at @MDAndersonNews Testing prior to any procedure #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @drjainsp: @KAdvocate_LCAM @lcsmchat Currently test from Cepheid is the fastest, can give results within an hour!#LCSM
Janet Freeman-Daily @JFreemanDaily
@LeciaSequist @TimAllenMDJD So the nasal swab test is NOT testing for antigens on the virus, it's looking for virus RNA? It's all very confusion. #LCSM
Sabin Motwani @sabinbmotwanimd
A1. Also important to know some of the rapid tests, like the Abbott Laboratories test can only test one sample at a time. This can take 5-15 min depending on the results. Working in a hospital lab, while the test may not be rapid, it can test multiple people at once. #LCSM
Dr. Amy C. Moore @acmoorephd
@JFreemanDaily, the tests to confirm infection look for genetic material (in this case RNA). Antibodies are generated in response to viral antigens (proteins), which is the basis of antibody testing used to confirm a prior exposure, not active infection #lcsm
#LCSM Chat @lcsmchat
@nsc5 @maddog1066 @acmoorephd Remember to add #LCSM to your tweets so everyone can see them. You’re doing great! #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Viral RNA, yes. #LCSM
David Hill @maddog1066
T2: The best test to determine prior infection is a positive PCR and time. Antibody testing by blood work is less reliable. FDA allowed multiple tests to be marketed that were not specific and risk high false positive rates. #LCSM https://t.co/SEXx0haw64
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @sabinbmotwanimd: A1. Also important to know some of the rapid tests, like the Abbott Laboratories test can only test one sample at a time. This can take 5-15 min depending on the results. Working in a hospital lab, while the test may not be rapid, it can test multiple people at once. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @acmoorephd: @JFreemanDaily, the tests to confirm infection look for genetic material (in this case RNA). Antibodies are generated in response to viral antigens (proteins), which is the basis of antibody testing used to confirm a prior exposure, not active infection #lcsm
Linnea Olson @1111linno
Advocate isn't radical enough to describe me ;) @NarjustDumaMD @1111linno #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @lcsmchat: @nsc5 @maddog1066 @acmoorephd Remember to add #LCSM to your tweets so everyone can see them. You’re doing great! #lcsm
#LCSM Chat @lcsmchat
RT @Sinchita_Roy: @NarjustDumaMD @AndyMuddVA That’s the same here at @MDAndersonNews Testing prior to any procedure #lcsm
#LCSM Chat @lcsmchat
RT @sabinbmotwanimd: A1. Also important to know some of the rapid tests, like the Abbott Laboratories test can only test one sample at a time. This can take 5-15 min depending on the results. Working in a hospital lab, while the test may not be rapid, it can test multiple people at once. #LCSM
#LCSM Chat @lcsmchat
RT @acmoorephd: @JFreemanDaily, the tests to confirm infection look for genetic material (in this case RNA). Antibodies are generated in response to viral antigens (proteins), which is the basis of antibody testing used to confirm a prior exposure, not active infection #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
A2: Serologic testing (also called antibody testing) has no role in the diagnosis of COVID-19, but does detect antibodies that show a person has been infected with COVID-19 at some time in the past. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @maddog1066: T2: T2: The best test to determine prior infection is a positive PCR and time. Antibody testing by blood work is less reliable. FDA allowed multiple tests to be marketed that were not specific and risk high false positive rates. #LCSM https://t.co/SEXx0haw64
ann price @aepriceny
#LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: Viral RNA, yes. #LCSM
Dr. Amy C. Moore @acmoorephd
T2: CDC info on Ab testing https://t.co/sOpaOnaNHl #lcsm
Janet Freeman-Daily @JFreemanDaily
Here's @CDC website that talks about the two different kinds of #COVID19 testing: https://t.co/yQMPOLj0mQ #lcsm
#LCSM Chat @lcsmchat
RT @maddog1066: T2: T2: The best test to determine prior infection is a positive PCR and time. Antibody testing by blood work is less reliable. FDA allowed multiple tests to be marketed that were not specific and risk high false positive rates. #LCSM https://t.co/SEXx0haw64
Sarika Jain @drjainsp
@JFreemanDaily Yes, viral antigens. The most common is the nucleocapsid. #LCSM https://t.co/2QpGGwmcQl
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: A2: A2: Serologic testing (also called antibody testing) has no role in the diagnosis of COVID-19, but does detect antibodies that show a person has been infected with COVID-19 at some time in the past. #LCSM
Nyaribari Matunda C. @NyaribariCM
RT @acmoorephd: @JFreemanDaily, PCR is polymerase chain reaction, a way of amplifying (copying) genetic material (DNA) rapidly. We have to use RT-PCR to take convert the viral RNA to DNA first and then use PCR to make more copies so we can detect it #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
2d that, @1111linno! #LCSM
#LCSM Chat @lcsmchat
RT @JFreemanDaily: Here's @CDC website that talks about the two different kinds of #COVID19 testing: Here's @CDC website that talks about the two different kinds of #COVID19 testing: https://t.co/yQMPOLj0mQ #lcsm
Israh (Khan)Akhtar @israhkhan
@maddog1066 @OtisBRickman @lcsmchat @TimAllenMDJD Our bronchoscopic procedures were considerably decreased, until the curve was flattened, #LCSM
Bob Steele @steele_bob
RT @JFreemanDaily: Here's @CDC website that talks about the two different kinds of #COVID19 testing: Here's @CDC website that talks about the two different kinds of #COVID19 testing: https://t.co/yQMPOLj0mQ #lcsm
Apeksha N. Agarwal, MD, FCAP @ApekshaNas
Hi, this is Apeksha Agarwal, Pathology resident from @UTHealthSA #LCSM
Linnea Olson @1111linno
@TimAllenMDJD @1111linno :) #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @acmoorephd: T2: T2: CDC info on Ab testing https://t.co/sOpaOnaNHl #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @JFreemanDaily: Here's @CDC website that talks about the two different kinds of #COVID19 testing: Here's @CDC website that talks about the two different kinds of #COVID19 testing: https://t.co/yQMPOLj0mQ #lcsm
Dr. Amy C. Moore @acmoorephd
Getting my Ab test next Friday. #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @drjainsp: @JFreemanDaily Yes, viral antigens. The most common is the nucleocapsid. #LCSM https://t.co/2QpGGwmcQl
#LCSM Chat @lcsmchat
RT @drjainsp: @JFreemanDaily Yes, viral antigens. The most common is the nucleocapsid. #LCSM https://t.co/2QpGGwmcQl
Ian Pereira @IanJPereira
RT @sabinbmotwanimd: A1. Also important to know some of the rapid tests, like the Abbott Laboratories test can only test one sample at a time. This can take 5-15 min depending on the results. Working in a hospital lab, while the test may not be rapid, it can test multiple people at once. #LCSM
#LCSM Chat @lcsmchat
RT @israhkhan: @maddog1066 @OtisBRickman @lcsmchat @TimAllenMDJD Our bronchoscopic procedures were considerably decreased, until the curve was flattened, #LCSM
Narjust Florez (Duma), M.D. @NarjustFlorezMD
@1111linno I am ordering T-shirts with that definitionnfor all of you. It's necessary! @ivybelkins @JFreemanDaily @kasedill @jillfeldman4 @JillHW and many more! #lcsm
Sarika Jain @drjainsp
@acmoorephd @lcsmchat I would be extremely cautious with that as the swab really needs to go deep which I think is impossible if you are swab yourself. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @drjainsp: @acmoorephd @lcsmchat I would be extremely cautious with that as the swab really needs to go deep which I think is impossible if you are swab yourself. #LCSM
Nancy Cohen @nsc5
@TimAllenMDJD @lcsmchat Is there any certainty about a level of antibody that confers immunity (for those who might have been asymptomatic?) #lcsm
colleen ziegler @ZieglerColleen
Colleen joining late #lcsm
#LCSM Chat @lcsmchat
RT @drjainsp: @acmoorephd @lcsmchat I would be extremely cautious with that as the swab really needs to go deep which I think is impossible if you are swab yourself. #LCSM
Move Against Cancer Africa @macafricaorg
RT @JFreemanDaily: Here's @CDC website that talks about the two different kinds of #COVID19 testing: Here's @CDC website that talks about the two different kinds of #COVID19 testing: https://t.co/yQMPOLj0mQ #lcsm
Sarika Jain @drjainsp
RT @TimAllenMDJD: Agree. #LCSM
Linnea Olson @1111linno
Even the staff in the cancer center are not automatically tested--instead they answer a questionnaire every morning as to changes.. T2 #lcsm
#LCSM Chat @lcsmchat
RT @nsc5: @TimAllenMDJD @lcsmchat Is there any certainty about a level of antibody that confers immunity (for those who might have been asymptomatic?) #lcsm
KC Dill @kasedill
@nsc5 @TimAllenMDJD @lcsmchat Or have been treated with IO? #lcsm
Move Against Cancer Africa @macafricaorg
RT @acmoorephd: @JFreemanDaily, PCR is polymerase chain reaction, a way of amplifying (copying) genetic material (DNA) rapidly. We have to use RT-PCR to take convert the viral RNA to DNA first and then use PCR to make more copies so we can detect it #lcsm
#LCSM Chat @lcsmchat
RT @1111linno: Even the staff in the cancer center are not automatically tested--instead they answer a questionnaire every morning as to changes.. T2 #lcsm
Move Against Cancer Africa @macafricaorg
RT @JFreemanDaily: @TimAllenMDJD I assume all tests that check to see if someone has the virus NOW use the nasal swab, right? #lcsm
Bob Steele @steele_bob
RT @1111linno: Even the staff in the cancer center are not automatically tested--instead they answer a questionnaire every morning as to changes.. T2 #lcsm
David Hill @maddog1066
@israhkhan @OtisBRickman @lcsmchat @TimAllenMDJD Our bronchoscopies remain limited and pulmonary function testing remains near zero. This is a tremendous burden on my private practice, but how to do procedures safely for patients and staff remains a dilemma. #LCSM
Lecia Sequist, MD, MPH @LeciaSequist
@nsc5 @TimAllenMDJD @lcsmchat Good question - this is not yet known #LCSM
Move Against Cancer Africa @macafricaorg
RT @LeciaSequist: @JFreemanDaily @TimAllenMDJD This is correct Janet. The nasal swab test, also referred to sometimes as PCR, tests to see if someone is actively shedding COVID = current infection and contagious #LCSM #COVID19nCancer
Mudit Chowdhary, MD @DrChowdharyMD
T2: Serologic testing using antibodies is used to test for prior #COVID19 infection These tests check for IgM and IgG in patients, which develop at different times after infection #lcsm
#LCSM Chat @lcsmchat
RT @maddog1066: @israhkhan @OtisBRickman @lcsmchat @TimAllenMDJD Our bronchoscopies remain limited and pulmonary function testing remains near zero. This is a tremendous burden on my private practice, but how to do procedures safely for patients and staff remains a dilemma. #LCSM
David Woessner, PhD @cancrx
@OtisBRickman @maddog1066 @israhkhan @lcsmchat @TimAllenMDJD @jama Great article describing prolonged PCR positivity and immune response in a cohort from New York #LCSM https://t.co/fWMRktHywR
#LCSM Chat @lcsmchat
RT @DrChowdharyMD: T2: T2: Serologic testing using antibodies is used to test for prior #COVID19 infection These tests check for IgM and IgG in patients, which develop at different times after infection #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
We’ll shift to Topic T3 next … #LCSM
#LCSM Chat @lcsmchat
RT @cancrx: @OtisBRickman @maddog1066 @israhkhan @lcsmchat @TimAllenMDJD @jama Great article describing prolonged PCR positivity and immune response in a cohort from New York #LCSM https://t.co/fWMRktHywR
Dr. Amy C. Moore @acmoorephd
RT @TimAllenMDJD: A2: A2: Serologic testing (also called antibody testing) has no role in the diagnosis of COVID-19, but does detect antibodies that show a person has been infected with COVID-19 at some time in the past. #LCSM
Move Against Cancer Africa @macafricaorg
RT @sabinbmotwanimd: A1. Also important to know some of the rapid tests, like the Abbott Laboratories test can only test one sample at a time. This can take 5-15 min depending on the results. Working in a hospital lab, while the test may not be rapid, it can test multiple people at once. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
T3: Can an antibody test tell if a person is now immune to, and no longer infectious with, COVID-19? If not, why? #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: We’ll shift to Topic T3 next … #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: T3: T3: Can an antibody test tell if a person is now immune to, and no longer infectious with, COVID-19? If not, why? #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @maddog1066: @israhkhan @OtisBRickman @lcsmchat @TimAllenMDJD Our bronchoscopies remain limited and pulmonary function testing remains near zero. This is a tremendous burden on my private practice, but how to do procedures safely for patients and staff remains a dilemma. #LCSM
Wes Wilson @WesleyWilson
@LUNGevity @maddog1066 its actually pretty interesting, time is important, but the viral load on average is pretty high quickly if infected, it tends to drop down rapidly by day 4-5 of infection (or day 2-3 of symptoms) https://t.co/reFr3Xr8oZ #LCSM
Inspire @teaminspire
RT @TimAllenMDJD: T3: T3: Can an antibody test tell if a person is now immune to, and no longer infectious with, COVID-19? If not, why? #LCSM
Sarika Jain @drjainsp
T2: Antibody tests or serological tests are used to determine if a patient had COVID-19. Two types of antibodies are used for testing-IgM and IgG. IgM tells you that you had recent infection-which comes and goes. IgG persists and tells you whether you had past infection.#LCSM
Ian Pereira @IanJPereira
@sabinbmotwanimd Sensitivity, specificity, and speed. FIND is an independent org that publishes the first two. Curious about where to find data on the last. https://t.co/XZXvUUiv9t #lcsm T1 https://t.co/S7qSjkc1cy
LUNGevity Foundation @LUNGevity
T3: I don't think we know how long immunity lasts. The jury is still out. #lcsm https://t.co/DQ5WbxfhGE
Lorraine @Lorrain02859519
RT @_ShankarSiva: Dang thats a lot of SABR for pulmonary oligometastases... https://t.co/JoFCjajIZk - Japanese 🇯🇵 teams treat n=1172 patients, show that local control of irradiated site is critical to avoid pulmonary causes of death. Only 16% had chemo after SBRT, yet 3 yr OS=70% #radonc #LCSM https://t.co/yCQa6sqqb8
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @drjainsp: T2: T2: Antibody tests or serological tests are used to determine if a patient had COVID-19. Two types of antibodies are used for testing-IgM and IgG. IgM tells you that you had recent infection-which comes and goes. IgG persists and tells you whether you had past infection.#LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @IanJPereira: @sabinbmotwanimd Sensitivity, specificity, and speed. FIND is an independent org that publishes the first two. Curious about where to find data on the last. https://t.co/XZXvUUiv9t #lcsm T1 https://t.co/S7qSjkc1cy
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @WesleyWilson: @LUNGevity @maddog1066 its actually pretty interesting, time is important, but the viral load on average is pretty high quickly if infected, it tends to drop down rapidly by day 4-5 of infection (or day 2-3 of symptoms) https://t.co/reFr3Xr8oZ #LCSM
Charu Aggarwal, MD, MPH @CharuAggarwalMD
@TimAllenMDJD Depends on the type of Ab test- IgM will imply acute infection, and IgG will tell us about long term immune response #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @cancrx: @OtisBRickman @maddog1066 @israhkhan @lcsmchat @TimAllenMDJD @jama Great article describing prolonged PCR positivity and immune response in a cohort from New York #LCSM https://t.co/fWMRktHywR
Dr. Amy C. Moore @acmoorephd
T2: everybody?! I have seen conflicting data on this. https://t.co/1x5fv3iZFf #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @DrChowdharyMD: T2: T2: Serologic testing using antibodies is used to test for prior #COVID19 infection These tests check for IgM and IgG in patients, which develop at different times after infection #lcsm
Wes Wilson @WesleyWilson
@LUNGevity @maddog1066 that isn't to say there isn't plenty of virus there on day 9 and after to detect, there is (see graphs) its just a very early spike #LCSM
Bob Steele @steele_bob
RT @CharuAggarwalMD: @TimAllenMDJD Depends on the type of Ab test- IgM will imply acute infection, and IgG will tell us about long term immune response #LCSM
Ian Pereira @IanJPereira
@NarjustDumaMD @AndyMuddVA Does this include radiation treatment (or is this considered lowered risk)? Thanks! #lcsm T1
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @LUNGevity: T3: T3: I don't think we know how long immunity lasts. The jury is still out. #lcsm https://t.co/DQ5WbxfhGE
Bob Steele @steele_bob
RT @acmoorephd: T2: T2: everybody?! I have seen conflicting data on this. https://t.co/1x5fv3iZFf #lcsm
Mudit Chowdhary, MD @DrChowdharyMD
T3: Unfortunately no. Serologic testing just tells you if you’ve been exposed to #COVID19 and developed antibodies Having antibodies does not make you immune to reinfection :( #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @CharuAggarwalMD: @TimAllenMDJD Depends on the type of Ab test- IgM will imply acute infection, and IgG will tell us about long term immune response #LCSM
#LCSM Chat @lcsmchat
RT @WesleyWilson: @LUNGevity @maddog1066 its actually pretty interesting, time is important, but the viral load on average is pretty high quickly if infected, it tends to drop down rapidly by day 4-5 of infection (or day 2-3 of symptoms) https://t.co/reFr3Xr8oZ #LCSM
#LCSM Chat @lcsmchat
RT @IanJPereira: @sabinbmotwanimd Sensitivity, specificity, and speed. FIND is an independent org that publishes the first two. Curious about where to find data on the last. https://t.co/XZXvUUiv9t #lcsm T1 https://t.co/S7qSjkc1cy
#LCSM Chat @lcsmchat
RT @drjainsp: T2: T2: Antibody tests or serological tests are used to determine if a patient had COVID-19. Two types of antibodies are used for testing-IgM and IgG. IgM tells you that you had recent infection-which comes and goes. IgG persists and tells you whether you had past infection.#LCSM
#LCSM Chat @lcsmchat
RT @LUNGevity: T3: T3: I don't think we know how long immunity lasts. The jury is still out. #lcsm https://t.co/DQ5WbxfhGE
Dr. Amy C. Moore @acmoorephd
T3: per the CDC, all these tests can tell you currently is if you've had a prior exposure. We don't know IF or how long the Abs are protective #lcsm
David Hill @maddog1066
T3: This is currently an unknown. It depends upon what antibody is being tested for and whether that antibody confers immunity. The original SARS appeared to lead to lasting immunity. The coronaviruses which cause common cold do not appear to do so. #LCSM
#LCSM Chat @lcsmchat
RT @CharuAggarwalMD: @TimAllenMDJD Depends on the type of Ab test- IgM will imply acute infection, and IgG will tell us about long term immune response #LCSM
#LCSM Chat @lcsmchat
RT @acmoorephd: T2: T2: everybody?! I have seen conflicting data on this. https://t.co/1x5fv3iZFf #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
A3: Serology testing (antibody testing) cannot determine whether a person who has previously been infected with COVID-19 is or is not any longer infectious, or whether that person is "immune", that is, cannot again get infected with COVID-19. #LCSM
Sarika Jain @drjainsp
T2: Antibody test results should not be used to diagnose someone with an active COVID-19 infection. It may take 1 to 3 weeks after someone becomes infected with SARS-CoV-2 to make antibodies; some people may take longer to develop antibodies.#LCSM
#LCSM Chat @lcsmchat
RT @WesleyWilson: @LUNGevity @maddog1066 that isn't to say there isn't plenty of virus there on day 9 and after to detect, there is (see graphs) its just a very early spike #LCSM
#LCSM Chat @lcsmchat
RT @IanJPereira: @NarjustDumaMD @AndyMuddVA Does this include radiation treatment (or is this considered lowered risk)? Thanks! #lcsm T1
#LCSM Chat @lcsmchat
RT @DrChowdharyMD: T3: T3: Unfortunately no. Serologic testing just tells you if you’ve been exposed to #COVID19 and developed antibodies Having antibodies does not make you immune to reinfection :( #lcsm
#LCSM Chat @lcsmchat
RT @acmoorephd: T3: T3: per the CDC, all these tests can tell you currently is if you've had a prior exposure. We don't know IF or how long the Abs are protective #lcsm
#LCSM Chat @lcsmchat
RT @maddog1066: T3: T3: This is currently an unknown. It depends upon what antibody is being tested for and whether that antibody confers immunity. The original SARS appeared to lead to lasting immunity. The coronaviruses which cause common cold do not appear to do so. #LCSM
Minding Our Elders @mindingourelder
RT @jillfeldman4: Fantastic piece @EricBoodman on rethinking end of life decisions during #COVID19 I pulled my DNR, but while situations change, my wishes remain the same - I want to prolong my life, not my death. Day 1 my onc asked @ my wishes/goals. Ask ur patients #LCSM https://t.co/KcnsFEnpOQ
KC Dill @kasedill
@DrChowdharyMD Tricky virus #lcsm.
LUNGevity Foundation @LUNGevity
RT @WesleyWilson: @LUNGevity @maddog1066 that isn't to say there isn't plenty of virus there on day 9 and after to detect, there is (see graphs) its just a very early spike #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: A3: A3: Serology testing (antibody testing) cannot determine whether a person who has previously been infected with COVID-19 is or is not any longer infectious, or whether that person is "immune", that is, cannot again get infected with COVID-19. #LCSM
#LCSM Chat @lcsmchat
RT @drjainsp: T2: T2: Antibody test results should not be used to diagnose someone with an active COVID-19 infection. It may take 1 to 3 weeks after someone becomes infected with SARS-CoV-2 to make antibodies; some people may take longer to develop antibodies.#LCSM
KC Dill @kasedill
RT @maddog1066: T3: T3: This is currently an unknown. It depends upon what antibody is being tested for and whether that antibody confers immunity. The original SARS appeared to lead to lasting immunity. The coronaviruses which cause common cold do not appear to do so. #LCSM
Wes Wilson @WesleyWilson
@acmoorephd I haven't read ALL the antibody papers. but I guess the only thing to keep in mind is that not all antibodies are the same and developing antibodies doesn't necessarily grant protection (but we hope it does, and some data suggests at least some antibodies do!) #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Or mean one is or is not infectious. #LCSM
Dr. Amy C. Moore @acmoorephd
T3: on the basis of "we don't know," it would be irresponsible to issue "immunity certificates" #lcsm
Lecia Sequist, MD, MPH @LeciaSequist
@TimAllenMDJD @lcsmchat The antibody test (Ab) indicates prior infection. Nasal swab (PCR) indicates contagiousness. PCR wanes as Ab rises but the trends can differ for individ. Importantly, pos Ab test does not necessarily = can’t get reinfected. We hope, but don’t know this yet. #LCSM
Charu Aggarwal, MD, MPH @CharuAggarwalMD
@TimAllenMDJD Agree. We currently do not know the duration of immune response to Sars-CoV-2, and if these Abs are persistent #LCSM
Linnea Olson @1111linno
T3 This part is terrifying. The social isolation has been a true challenge---and it could go on for a very long time. #lcsm
Sarika Jain @drjainsp
T3: Detection of an IgG against Covid-19 will likely confer at least some protection however, we have no direct evidence at this time.#LCSM
Dr. Amy C. Moore @acmoorephd
RT @maddog1066: T3: T3: This is currently an unknown. It depends upon what antibody is being tested for and whether that antibody confers immunity. The original SARS appeared to lead to lasting immunity. The coronaviruses which cause common cold do not appear to do so. #LCSM
Bob Steele @steele_bob
RT @acmoorephd: T3: T3: on the basis of "we don't know," it would be irresponsible to issue "immunity certificates" #lcsm
LUNGevity Foundation @LUNGevity
RT @LeciaSequist: @TimAllenMDJD @lcsmchat The antibody test (Ab) indicates prior infection. Nasal swab (PCR) indicates contagiousness. PCR wanes as Ab rises but the trends can differ for individ. Importantly, pos Ab test does not necessarily = can’t get reinfected. We hope, but don’t know this yet. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
#ButTheNarrative #LCSM
Aparna Hegde, MD @notahedge
T3 how specific are these antibodies to #SARSCoV2? Could past infection with other coronaviruses lead to false positive results? #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @drjainsp: T2: T2: Antibody test results should not be used to diagnose someone with an active COVID-19 infection. It may take 1 to 3 weeks after someone becomes infected with SARS-CoV-2 to make antibodies; some people may take longer to develop antibodies.#LCSM
KC Dill @kasedill
RT @LeciaSequist: @TimAllenMDJD @lcsmchat The antibody test (Ab) indicates prior infection. Nasal swab (PCR) indicates contagiousness. PCR wanes as Ab rises but the trends can differ for individ. Importantly, pos Ab test does not necessarily = can’t get reinfected. We hope, but don’t know this yet. #LCSM
David Hill @maddog1066
T3 The difficulty with a new disease is that although it seems like years, the global experience with #COVID19 is less than 6 months. There are many unknowns because we need time. Flattening the curve helps gain time #StayHome #LCSM
Bob Steele @steele_bob
RT @drjainsp: T3: T3: Detection of an IgG against Covid-19 will likely confer at least some protection however, we have no direct evidence at this time.#LCSM
#LCSM Chat @lcsmchat
FYI, for our new participants, we will provide a transcript at the close of #LCSM Chat, so stay tuned. #LCSM
JT Badenov @cbinflux
Clear as mud.
Israh (Khan)Akhtar @israhkhan
@maddog1066 @OtisBRickman @lcsmchat @TimAllenMDJD We modified some of our procedures to decrease the possibility of getting infected by COVID #LCSM
Sarika Jain @drjainsp
T3:We don’t know a lot of things about antibody response for COVID-19 a. How much antibody is needed to confer protection or b. How long the antibody response remains #LCSM
#LCSM Chat @lcsmchat
RT @WesleyWilson: @acmoorephd I haven't read ALL the antibody papers. but I guess the only thing to keep in mind is that not all antibodies are the same and developing antibodies doesn't necessarily grant protection (but we hope it does, and some data suggests at least some antibodies do!) #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: Or mean one is or is not infectious. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @acmoorephd: T3: T3: on the basis of "we don't know," it would be irresponsible to issue "immunity certificates" #lcsm
#LCSM Chat @lcsmchat
RT @acmoorephd: T3: T3: on the basis of "we don't know," it would be irresponsible to issue "immunity certificates" #lcsm
#LCSM Chat @lcsmchat
RT @LeciaSequist: @TimAllenMDJD @lcsmchat The antibody test (Ab) indicates prior infection. Nasal swab (PCR) indicates contagiousness. PCR wanes as Ab rises but the trends can differ for individ. Importantly, pos Ab test does not necessarily = can’t get reinfected. We hope, but don’t know this yet. #LCSM
#LCSM Chat @lcsmchat
RT @CharuAggarwalMD: @TimAllenMDJD Agree. We currently do not know the duration of immune response to Sars-CoV-2, and if these Abs are persistent #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @LeciaSequist: @TimAllenMDJD @lcsmchat The antibody test (Ab) indicates prior infection. Nasal swab (PCR) indicates contagiousness. PCR wanes as Ab rises but the trends can differ for individ. Importantly, pos Ab test does not necessarily = can’t get reinfected. We hope, but don’t know this yet. #LCSM
#LCSM Chat @lcsmchat
RT @1111linno: T3 This part is terrifying. The social isolation has been a true challenge---and it could go on for a very long time. #lcsm
#LCSM Chat @lcsmchat
RT @drjainsp: T3: T3: Detection of an IgG against Covid-19 will likely confer at least some protection however, we have no direct evidence at this time.#LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @CharuAggarwalMD: @TimAllenMDJD Agree. We currently do not know the duration of immune response to Sars-CoV-2, and if these Abs are persistent #LCSM
Ian Pereira @IanJPereira
@JFreemanDaily @tandon_ms I believe it is viral gene sequences. Current sources in Ontario are here. Not sure about relative sensitivity & specificity. #lcsm T1 https://t.co/D38gpQQfyJ
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @1111linno: T3 This part is terrifying. The social isolation has been a true challenge---and it could go on for a very long time. #lcsm
#LCSM Chat @lcsmchat
RT @notahedge: T3 how specific are these antibodies to #SARSCoV2? Could past infection with other coronaviruses lead to false positive results? #LCSM
#LCSM Chat @lcsmchat
RT @maddog1066: T3 The difficulty with a new disease is that although it seems like years, the global experience with #COVID19 is less than 6 months. There are many unknowns because we need time. Flattening the curve helps gain time #StayHome #LCSM
KC Dill @kasedill
RT @maddog1066: T3 The difficulty with a new disease is that although it seems like years, the global experience with #COVID19 is less than 6 months. There are many unknowns because we need time. Flattening the curve helps gain time #StayHome #LCSM
#LCSM Chat @lcsmchat
RT @israhkhan: @maddog1066 @OtisBRickman @lcsmchat @TimAllenMDJD We modified some of our procedures to decrease the possibility of getting infected by COVID #LCSM
#LCSM Chat @lcsmchat
RT @drjainsp: T3:We don’t know a lot of things about antibody response for COVID-19 a. How much antibody is needed to confer protection or b. How long the antibody response remains #LCSM
#LCSM Chat @lcsmchat
RT @IanJPereira: @JFreemanDaily @tandon_ms I believe it is viral gene sequences. Current sources in Ontario are here. Not sure about relative sensitivity & specificity. #lcsm T1 https://t.co/D38gpQQfyJ
YovanaMaria Portillo @ASUXFIN
RT @maddog1066: T3 The difficulty with a new disease is that although it seems like years, the global experience with #COVID19 is less than 6 months. There are many unknowns because we need time. Flattening the curve helps gain time #StayHome #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
In some test kits I've seen, yes. #LCSM
KC Dill @kasedill
@tandon_ms @JFreemanDaily And much more pleasant #lcsm.
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
A3: As such serology tests (antibody tests) have little use as a diagnostic tool for individual assessment for COVID-19. It likely has utility as an epidemiologic tool. #LCSM
David Hill @maddog1066
@notahedge T3: Some of the problems with commercial antibody testing is due to antibodies to the 4 different coronaviruses which widely circulate and cause common cold symptoms. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @drjainsp: T3:We don’t know a lot of things about antibody response for COVID-19 a. How much antibody is needed to confer protection or b. How long the antibody response remains #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @lcsmchat: FYI, for our new participants, we will provide a transcript at the close of #LCSM Chat, so stay tuned. #LCSM
LUNGevity Foundation @LUNGevity
RT @maddog1066: @notahedge T3: @notahedge T3: Some of the problems with commercial antibody testing is due to antibodies to the 4 different coronaviruses which widely circulate and cause common cold symptoms. #LCSM
kristen kimball @KimballKristen
@TimAllenMDJD Is there any idea of how long the antibodies last yet? #LCSM
Linnea Olson @1111linno
T3 I am potentially at the end of my life and I always planned on flaming out. Not so possible in this restrictive environment. #lcsm
Ian Pereira @IanJPereira
@maddog1066 @acmoorephd Definitely not comfortable, but not torture in experienced hands, either. I would have trouble getting a swab that far back on myself. #lcsm T1 https://t.co/4awbmcqay8
Dr. Amy C. Moore @acmoorephd
RT @LeciaSequist: @TimAllenMDJD @lcsmchat The antibody test (Ab) indicates prior infection. Nasal swab (PCR) indicates contagiousness. PCR wanes as Ab rises but the trends can differ for individ. Importantly, pos Ab test does not necessarily = can’t get reinfected. We hope, but don’t know this yet. #LCSM
LUNGevity Foundation @LUNGevity
RT @TimAllenMDJD: A3: A3: As such serology tests (antibody tests) have little use as a diagnostic tool for individual assessment for COVID-19. It likely has utility as an epidemiologic tool. #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: In some test kits I've seen, yes. #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: A3: A3: As such serology tests (antibody tests) have little use as a diagnostic tool for individual assessment for COVID-19. It likely has utility as an epidemiologic tool. #LCSM
Janet Freeman-Daily @JFreemanDaily
Here's a cool electron microscope image of SARS-CoV-2 virus (which causes #COVID19) from https://t.co/wgFJRGHf5n #lcsm https://t.co/GfNWEqyr9f
#LCSM Chat @lcsmchat
RT @maddog1066: @notahedge T3: @notahedge T3: Some of the problems with commercial antibody testing is due to antibodies to the 4 different coronaviruses which widely circulate and cause common cold symptoms. #LCSM
#LCSM Chat @lcsmchat
RT @KimballKristen: @TimAllenMDJD Is there any idea of how long the antibodies last yet? #LCSM
#LCSM Chat @lcsmchat
RT @1111linno: T3 I am potentially at the end of my life and I always planned on flaming out. Not so possible in this restrictive environment. #lcsm
Narjust Florez (Duma), M.D. @NarjustFlorezMD
@lcsmchat Got paged, see you all later. Great chat everyone! #LCSM
#LCSM Chat @lcsmchat
RT @IanJPereira: @maddog1066 @acmoorephd Definitely not comfortable, but not torture in experienced hands, either. I would have trouble getting a swab that far back on myself. #lcsm T1 https://t.co/4awbmcqay8
Bob Steele @steele_bob
RT @1111linno: T3 I am potentially at the end of my life and I always planned on flaming out. Not so possible in this restrictive environment. #lcsm
#LCSM Chat @lcsmchat
RT @JFreemanDaily: Here's a cool electron microscope image of SARS-CoV-2 virus (which causes #COVID19) from https://t.co/wgFJRGHf5n #lcsm https://t.co/GfNWEqyr9f
David Hill @maddog1066
@1111linno The key is widespread rapid testing, quarantining, and contact tracing. This allows us to safely reduce, but not eliminate social distancing while hoping an effective vaccine is developed. #LCSM
Aparna Hegde, MD @notahedge
#COVID19AB
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @maddog1066: @notahedge T3: @notahedge T3: Some of the problems with commercial antibody testing is due to antibodies to the 4 different coronaviruses which widely circulate and cause common cold symptoms. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @IanJPereira: @maddog1066 @acmoorephd Definitely not comfortable, but not torture in experienced hands, either. I would have trouble getting a swab that far back on myself. #lcsm T1 https://t.co/4awbmcqay8
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @JFreemanDaily: Here's a cool electron microscope image of SARS-CoV-2 virus (which causes #COVID19) from https://t.co/wgFJRGHf5n #lcsm https://t.co/GfNWEqyr9f
Jill Feldman @jillfeldman4
Hi Everyone, joining late but wanted to say hi! #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @maddog1066: @1111linno The key is widespread rapid testing, quarantining, and contact tracing. This allows us to safely reduce, but not eliminate social distancing while hoping an effective vaccine is developed. #LCSM
Linnea Olson @1111linno
@AndyMuddVA should be. #lcsm
KC Dill @kasedill
RT @JFreemanDaily: Here's a cool electron microscope image of SARS-CoV-2 virus (which causes #COVID19) from https://t.co/wgFJRGHf5n #lcsm https://t.co/GfNWEqyr9f
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @1111linno: T3 I am potentially at the end of my life and I always planned on flaming out. Not so possible in this restrictive environment. #lcsm
LUNGevity Foundation @LUNGevity
RT @maddog1066: @1111linno The key is widespread rapid testing, quarantining, and contact tracing. This allows us to safely reduce, but not eliminate social distancing while hoping an effective vaccine is developed. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Topic T4 is coming up … #LCSM
Dave Bjork @bjork5
@1111linno Been thinking about you in this tough time Linnea ❤️ #lcsm
Lecia Sequist, MD, MPH @LeciaSequist
@AndyMuddVA Great question - In a perfect world w/ unlimited testing kits, I think you would be. Lots of our policies right now are b/c testing is still a limited resource 😢 #LCSM
Sarika Jain @drjainsp
@notahedge @lcsmchat T3:There are number of tests in the market right now and none of them are specific. They show significant cross-reactivity to other viruses.#LCSM
Linnea Olson @1111linno
@AndyMuddVA @1111linno I wish we had the luxury of an excess of tests.... #lcsm
Janet Freeman-Daily @JFreemanDaily
@jamesian @tandon_ms Thanks Sally! If you want to share the video in #LCSM Chat (happening now), be sure to include the hashtag in your tweet.
Mudit Chowdhary, MD @DrChowdharyMD
@AndyMuddVA At Rush in Chicago, we have started testing all cancer patients for #COVID19 before the start of their therapies. This includes patients receiving radiotherapy, systemic therapy, or surgery #lcsm
kristen kimball @KimballKristen
@TimAllenMDJD @lcsmchat I’ll ask again as a T3 question - do you have any idea how long IgG Abs persist yet? #LCSM
Linnea Olson @1111linno
@bjork5 @1111linno thank you friend <3 #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @LeciaSequist: @AndyMuddVA Great question - In a perfect world w/ unlimited testing kits, I think you would be. Lots of our policies right now are b/c testing is still a limited resource 😢 #LCSM
#LCSM Chat @lcsmchat
RT @maddog1066: @1111linno The key is widespread rapid testing, quarantining, and contact tracing. This allows us to safely reduce, but not eliminate social distancing while hoping an effective vaccine is developed. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @drjainsp: @notahedge @lcsmchat T3:There are number of tests in the market right now and none of them are specific. They show significant cross-reactivity to other viruses.#LCSM
Bob Steele @steele_bob
RT @bjork5: @1111linno Been thinking about you in this tough time Linnea ❤️ #lcsm
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: Topic T4 is coming up … #LCSM
David Woessner, PhD @cancrx
T3: Antibody prevalence in blood (seroprevalence) can also vary widely in the population of previously infected, with some having high antibodies and others low. #lcsm https://t.co/05cfF0NmH0 https://t.co/Dkwrka5fQr
Move Against Cancer Africa @macafricaorg
RT @KAdvocate_LCAM: T1: T1: is there a test option that provides the quickest result? #lcsm
#LCSM Chat @lcsmchat
RT @LeciaSequist: @AndyMuddVA Great question - In a perfect world w/ unlimited testing kits, I think you would be. Lots of our policies right now are b/c testing is still a limited resource 😢 #LCSM
#LCSM Chat @lcsmchat
RT @drjainsp: @notahedge @lcsmchat T3:There are number of tests in the market right now and none of them are specific. They show significant cross-reactivity to other viruses.#LCSM
Move Against Cancer Africa @macafricaorg
RT @TimAllenMDJD: A2: A2: Serologic testing (also called antibody testing) has no role in the diagnosis of COVID-19, but does detect antibodies that show a person has been infected with COVID-19 at some time in the past. #LCSM
#LCSM Chat @lcsmchat
RT @DrChowdharyMD: @AndyMuddVA At Rush in Chicago, we have started testing all cancer patients for #COVID19 before the start of their therapies. This includes patients receiving radiotherapy, systemic therapy, or surgery #lcsm
kristen kimball @KimballKristen
RT @LUNGevity: T3: T3: I don't think we know how long immunity lasts. The jury is still out. #lcsm https://t.co/DQ5WbxfhGE
#LCSM Chat @lcsmchat
RT @KimballKristen: @TimAllenMDJD @lcsmchat I’ll ask again as a T3 question - do you have any idea how long IgG Abs persist yet? #LCSM
#LCSM Chat @lcsmchat
RT @cancrx: T3: T3: Antibody prevalence in blood (seroprevalence) can also vary widely in the population of previously infected, with some having high antibodies and others low. #lcsm https://t.co/05cfF0NmH0 https://t.co/Dkwrka5fQr
Janet Freeman-Daily @JFreemanDaily
@IanJPereira @drjainsp Hi Ian. If you want your tweet to be seen in #LCSM Chat, be sure to include the hashtag. Viruses are RNA. An antigen is a protein created by DNA. (Someone pls correct me if I got that wrong).
Move Against Cancer Africa @macafricaorg
RT @maddog1066: T1 Timing matters. If you test too soon after exposure you increase the chance of a false negative. It takes time to build up viral load. Probably at least 5 days. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
So far, it has appeared to be quite variable. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
T4: Why might someone be unable to get a lung biopsy during the pandemic? #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @cancrx: T3: T3: Antibody prevalence in blood (seroprevalence) can also vary widely in the population of previously infected, with some having high antibodies and others low. #lcsm https://t.co/05cfF0NmH0 https://t.co/Dkwrka5fQr
Janet Freeman-Daily @JFreemanDaily
@acmoorephd Thanks Amy. That clears it up. #LCSM
#LCSM Chat @lcsmchat
RT @JFreemanDaily: @IanJPereira @drjainsp Hi Ian. If you want your tweet to be seen in #LCSM Chat, be sure to include the hashtag. Viruses are RNA. An antigen is a protein created by DNA. (Someone pls correct me if I got that wrong).
Sabin Motwani @sabinbmotwanimd
This was published today in @TheLancet Rheumatology about immune responses to COVID-19, the formation of COVID clots. #LCSM https://t.co/ZacZxcgRao
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: So far, it has appeared to be quite variable. #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: T4: T4: Why might someone be unable to get a lung biopsy during the pandemic? #LCSM
#LCSM Chat @lcsmchat
RT @sabinbmotwanimd: This was published today in @TheLancet Rheumatology about immune responses to COVID-19, the formation of COVID clots. #LCSM https://t.co/ZacZxcgRao
Sarika Jain @drjainsp
The most important step is the nasopharyngeal swab collection. #LCSM
Arpan Patel @ArpanAshokPatel
@notahedge #LCSM issues with AB testing - unsure how long immunity will last (ie varicella for 20 plus years, Lyme for 6m) — insure if immune (for dengue prior exposure leads to worse 2nd re exposure) - only current Method of protection is social distancing, cohorting patients
Wes Wilson @WesleyWilson
@NarjustDumaMD @IanJPereira @AndyMuddVA @DrChowdharyMD did a great interview last week talking about some of the radiotherapy risks for COVID https://t.co/WWqxrkn7q7 , worth a watch when you're done the chat #LCSM comes down to decreasing exposure risk & immunocompromised locations for rad
Dr. Amy C. Moore @acmoorephd
RT @DrChowdharyMD: @AndyMuddVA At Rush in Chicago, we have started testing all cancer patients for #COVID19 before the start of their therapies. This includes patients receiving radiotherapy, systemic therapy, or surgery #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Absolutely! #LCSM
Aparna Hegde, MD @notahedge
RT @ArpanAshokPatel: @notahedge #LCSM issues with AB testing - unsure how long immunity will last (ie varicella for 20 plus years, Lyme for 6m) — insure if immune (for dengue prior exposure leads to worse 2nd re exposure) - only current Method of protection is social distancing, cohorting patients
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @drjainsp: The most important step is the nasopharyngeal swab collection. #LCSM
Linnea Olson @1111linno
T4 I have had two lung biopsies since January but I think the last one was just before that sort of procedure became unlikely... #lcsm
Bob Steele @steele_bob
RT @ArpanAshokPatel: @notahedge #LCSM issues with AB testing - unsure how long immunity will last (ie varicella for 20 plus years, Lyme for 6m) — insure if immune (for dengue prior exposure leads to worse 2nd re exposure) - only current Method of protection is social distancing, cohorting patients
#LCSM Chat @lcsmchat
RT @drjainsp: The most important step is the nasopharyngeal swab collection. #LCSM
David Hill @maddog1066
T4: If the biopsy was felt to not be urgent, it might be deferred in areas with widespread #COVID19. This requires weighing risk of disease progression versus risk of being exposed to virus. It also depends on type of biopsy-bronchoscopic, radiologic, surgical. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @ArpanAshokPatel: @notahedge #LCSM issues with AB testing - unsure how long immunity will last (ie varicella for 20 plus years, Lyme for 6m) — insure if immune (for dengue prior exposure leads to worse 2nd re exposure) - only current Method of protection is social distancing, cohorting patients
#LCSM Chat @lcsmchat
RT @ArpanAshokPatel: @notahedge #LCSM issues with AB testing - unsure how long immunity will last (ie varicella for 20 plus years, Lyme for 6m) — insure if immune (for dengue prior exposure leads to worse 2nd re exposure) - only current Method of protection is social distancing, cohorting patients
Lecia Sequist, MD, MPH @LeciaSequist
@DrChowdharyMD @AndyMuddVA This is an interesting Q we will all have to think about soon. Trouble is - if a cancer pt is asymptom carrier, how will U alter therapy? I’m sure it varies per pt but my gut is that we shouldn’t test unless result will impact treatment. But still contemplating.... 🤔 #LCSM
Bob Steele @steele_bob
RT @drjainsp: The most important step is the nasopharyngeal swab collection. #LCSM
Charu Aggarwal, MD, MPH @CharuAggarwalMD
@TimAllenMDJD Diagnosis of lung cancer should be prioritized. At our center, we are testing patients for the viral antigen before biopsy or bronchoscopy is performed- so as to minimize risk to patient and staff #LCSM
Janet Freeman-Daily @JFreemanDaily
@OtisBRickman @TimAllenMDJD Thanks for sharing! If you want your tweet to be seen in #LCSM Chat (happening now), be sure to include the hashtag in your tweet.
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
A4: Some patients' biopsies might have been delayed as we have limited procedures during the "flatten the curve" period. #LCSM
Ian Pereira @IanJPereira
RT @TimAllenMDJD: A2: A2: Serologic testing (also called antibody testing) has no role in the diagnosis of COVID-19, but does detect antibodies that show a person has been infected with COVID-19 at some time in the past. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @maddog1066: T4: T4: If the biopsy was felt to not be urgent, it might be deferred in areas with widespread #COVID19. This requires weighing risk of disease progression versus risk of being exposed to virus. It also depends on type of biopsy-bronchoscopic, radiologic, surgical. #LCSM
#LCSM Chat @lcsmchat
RT @WesleyWilson: @NarjustDumaMD @IanJPereira @AndyMuddVA @DrChowdharyMD did a great interview last week talking about some of the radiotherapy risks for COVID https://t.co/WWqxrkn7q7 , worth a watch when you're done the chat #LCSM comes down to decreasing exposure risk & immunocompromised locations for rad
Janet Freeman-Daily @JFreemanDaily
#LCSM
#LCSM Chat @lcsmchat
RT @1111linno: T4 I have had two lung biopsies since January but I think the last one was just before that sort of procedure became unlikely... #lcsm
#LCSM Chat @lcsmchat
RT @maddog1066: T4: T4: If the biopsy was felt to not be urgent, it might be deferred in areas with widespread #COVID19. This requires weighing risk of disease progression versus risk of being exposed to virus. It also depends on type of biopsy-bronchoscopic, radiologic, surgical. #LCSM
#LCSM Chat @lcsmchat
RT @LeciaSequist: @DrChowdharyMD @AndyMuddVA This is an interesting Q we will all have to think about soon. Trouble is - if a cancer pt is asymptom carrier, how will U alter therapy? I’m sure it varies per pt but my gut is that we shouldn’t test unless result will impact treatment. But still contemplating.... 🤔 #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @LeciaSequist: @DrChowdharyMD @AndyMuddVA This is an interesting Q we will all have to think about soon. Trouble is - if a cancer pt is asymptom carrier, how will U alter therapy? I’m sure it varies per pt but my gut is that we shouldn’t test unless result will impact treatment. But still contemplating.... 🤔 #LCSM
#LCSM Chat @lcsmchat
RT @CharuAggarwalMD: @TimAllenMDJD Diagnosis of lung cancer should be prioritized. At our center, we are testing patients for the viral antigen before biopsy or bronchoscopy is performed- so as to minimize risk to patient and staff #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @CharuAggarwalMD: @TimAllenMDJD Diagnosis of lung cancer should be prioritized. At our center, we are testing patients for the viral antigen before biopsy or bronchoscopy is performed- so as to minimize risk to patient and staff #LCSM
Linnea Olson @1111linno
T4 And honestly--per both biopsy and infusion--the hospital feels like the riskiest environment to be in now. #lcsm
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: A4: A4: Some patients' biopsies might have been delayed as we have limited procedures during the "flatten the curve" period. #LCSM
Jill Feldman @jillfeldman4
T4 I've talked to patients who have said they had to wait or it was rescheduled per doctor. I do know a few patients who have chosen to wait. There doesn't seem to be a standard #LCSM
#LCSM Chat @lcsmchat
RT @JFreemanDaily: #LCSM
#LCSM Chat @lcsmchat
RT @jillfeldman4: T4 I've talked to patients who have said they had to wait or it was rescheduled per doctor. I do know a few patients who have chosen to wait. There doesn't seem to be a standard #LCSM
Sarika Jain @drjainsp
RT @maddog1066: @notahedge T3: @notahedge T3: Some of the problems with commercial antibody testing is due to antibodies to the 4 different coronaviruses which widely circulate and cause common cold symptoms. #LCSM
Charu Aggarwal, MD, MPH @CharuAggarwalMD
@LeciaSequist @DrChowdharyMD @AndyMuddVA We have not tested all patients, because a negative test today doesn't mean that the test can't be positive tomorrow #LCSM
Bob Steele @steele_bob
RT @1111linno: T4 And honestly--per both biopsy and infusion--the hospital feels like the riskiest environment to be in now. #lcsm
Linnea Olson @1111linno
@EdenLake @1111linno @lcsmchat thank you sweetheart.... #lcsm
Ian Pereira @IanJPereira
@TimAllenMDJD I imagine #lcsm will get to that concept of an "immunity passport" soon ;)
Israh (Khan)Akhtar @israhkhan
T4: some patients biopsies might have been delayed as we had limited procedures during the "flatten the curve" period #LCSM
#LCSM Chat @lcsmchat
RT @CharuAggarwalMD: @LeciaSequist @DrChowdharyMD @AndyMuddVA We have not tested all patients, because a negative test today doesn't mean that the test can't be positive tomorrow #LCSM
kristen kimball @KimballKristen
RT @acmoorephd: T3: T3: on the basis of "we don't know," it would be irresponsible to issue "immunity certificates" #lcsm
mimiprovenzano @MimiProvenzano
Celebrating my daughter’s 19th bday tonight. Sorry to miss it but I’m looking forward to reading the transcript. Hope eve is staying safe & well! #lcsm
#LCSM Chat @lcsmchat
RT @israhkhan: T4: T4: some patients biopsies might have been delayed as we had limited procedures during the "flatten the curve" period #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @1111linno: T4 And honestly--per both biopsy and infusion--the hospital feels like the riskiest environment to be in now. #lcsm
Aparna Hegde, MD @notahedge
T4: bronchoscopy w biopsy is an aerosolizung procedure with increased risk of viral transmission. Depends upon how emergent the biopsy is and if there are alternatives to biopsy #LCSM
Mudit Chowdhary, MD @DrChowdharyMD
T4: Our philosophy as oncologists is that cancer 💯 falls under essential care We try to schedule patients as quickly and safely as possible In some places around the US, pts have had to be delayed due to lack of available resources (ie OR, vent, even staff, etc) #lcsm
LUNGevity Foundation @LUNGevity
RT @TimAllenMDJD: A4: A4: Some patients' biopsies might have been delayed as we have limited procedures during the "flatten the curve" period. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @CharuAggarwalMD: @LeciaSequist @DrChowdharyMD @AndyMuddVA We have not tested all patients, because a negative test today doesn't mean that the test can't be positive tomorrow #LCSM
Stephen V Liu, MD @StephenVLiu
T3: There is quite a bit we don't know about seroconversion, but this small report caught my attention. In confirmed #COVID19 cases, 30% of patients with cancer had antibodies at 15d compared to 71% of healthcare workers. #LCSM https://t.co/DTkWGKQshy
LUNGevity Foundation @LUNGevity
RT @CharuAggarwalMD: @TimAllenMDJD Diagnosis of lung cancer should be prioritized. At our center, we are testing patients for the viral antigen before biopsy or bronchoscopy is performed- so as to minimize risk to patient and staff #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @jillfeldman4: T4 I've talked to patients who have said they had to wait or it was rescheduled per doctor. I do know a few patients who have chosen to wait. There doesn't seem to be a standard #LCSM
Charu Aggarwal, MD, MPH @CharuAggarwalMD
@LeciaSequist @DrChowdharyMD @AndyMuddVA But we are testing patients prior to surgery and invasive procedures such as bronchoscopy (high generation of aerosols) which can facilitate transmission #LCSM
Arpan Patel @ArpanAshokPatel
#LCSM agreed. We’re testing all procedures, high risk cancer(transplants car-t myeloablative) and proper isolation and PPE for neutropenic fever, and past exposure.
Dr. Amy C. Moore @acmoorephd
RT @maddog1066: T4: T4: If the biopsy was felt to not be urgent, it might be deferred in areas with widespread #COVID19. This requires weighing risk of disease progression versus risk of being exposed to virus. It also depends on type of biopsy-bronchoscopic, radiologic, surgical. #LCSM
LUNGevity Foundation @LUNGevity
RT @LeciaSequist: @DrChowdharyMD @AndyMuddVA This is an interesting Q we will all have to think about soon. Trouble is - if a cancer pt is asymptom carrier, how will U alter therapy? I’m sure it varies per pt but my gut is that we shouldn’t test unless result will impact treatment. But still contemplating.... 🤔 #LCSM
#LCSM Chat @lcsmchat
RT @DrChowdharyMD: T4: T4: Our philosophy as oncologists is that cancer 💯 falls under essential care We try to schedule patients as quickly and safely as possible In some places around the US, pts have had to be delayed due to lack of available resources (ie OR, vent, even staff, etc) #lcsm
#LCSM Chat @lcsmchat
RT @StephenVLiu: T3: T3: There is quite a bit we don't know about seroconversion, but this small report caught my attention. In confirmed #COVID19 cases, 30% of patients with cancer had antibodies at 15d compared to 71% of healthcare workers. #LCSM https://t.co/DTkWGKQshy
Jill Feldman @jillfeldman4
T4 I actually pushed my scans back 5 weeks because my thought was if I have progression & can't have a biopsy THAT would be more anxiety provoking than waiting. #LCSM
#LCSM Chat @lcsmchat
RT @CharuAggarwalMD: @LeciaSequist @DrChowdharyMD @AndyMuddVA But we are testing patients prior to surgery and invasive procedures such as bronchoscopy (high generation of aerosols) which can facilitate transmission #LCSM
#LCSM Chat @lcsmchat
RT @ArpanAshokPatel: #LCSM agreed. We’re testing all procedures, high risk cancer(transplants car-t myeloablative) and proper isolation and PPE for neutropenic fever, and past exposure.
Bob Steele @steele_bob
RT @ArpanAshokPatel: #LCSM agreed. We’re testing all procedures, high risk cancer(transplants car-t myeloablative) and proper isolation and PPE for neutropenic fever, and past exposure.
#LCSM Chat @lcsmchat
RT @jillfeldman4: T4 I actually pushed my scans back 5 weeks because my thought was if I have progression & can't have a biopsy THAT would be more anxiety provoking than waiting. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @notahedge: T4: T4: bronchoscopy w biopsy is an aerosolizung procedure with increased risk of viral transmission. Depends upon how emergent the biopsy is and if there are alternatives to biopsy #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @DrChowdharyMD: T4: T4: Our philosophy as oncologists is that cancer 💯 falls under essential care We try to schedule patients as quickly and safely as possible In some places around the US, pts have had to be delayed due to lack of available resources (ie OR, vent, even staff, etc) #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @StephenVLiu: T3: T3: There is quite a bit we don't know about seroconversion, but this small report caught my attention. In confirmed #COVID19 cases, 30% of patients with cancer had antibodies at 15d compared to 71% of healthcare workers. #LCSM https://t.co/DTkWGKQshy
Lecia Sequist, MD, MPH @LeciaSequist
@CharuAggarwalMD @TimAllenMDJD Agree re: new diagnoses. But resistance biopsies have been harder for me to justify. Was holding off on a few during local peak of COVID (luckily there are liquid options), but now feeling more comfortable scheduling these procedures w/ many safeguards in hospital policies #LCSM
Wes Wilson @WesleyWilson
@JFreemanDaily @IanJPereira @drjainsp this might be nit picky, but while viruses can be RNA or DNA , protein is translated from RNA (and RNA can be transcripted from DNA, or reverse transcripted to DNA) , antigens generally are proteins but can be carbs/fats #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @CharuAggarwalMD: @LeciaSequist @DrChowdharyMD @AndyMuddVA But we are testing patients prior to surgery and invasive procedures such as bronchoscopy (high generation of aerosols) which can facilitate transmission #LCSM
Aparna Hegde, MD @notahedge
T4: we are testing for #SARSCoV2 within a 72hr window before elective bronchoscopy and biopsy #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @ArpanAshokPatel: #LCSM agreed. We’re testing all procedures, high risk cancer(transplants car-t myeloablative) and proper isolation and PPE for neutropenic fever, and past exposure.
Janet Freeman-Daily @JFreemanDaily
If you're using https://t.co/A2M7gY7Hvl for #LCSM Chat, be sure to look at the #LCSM feed later on Twitter to see all the cool graphics you're missing!
Charu Aggarwal, MD, MPH @CharuAggarwalMD
@ArpanAshokPatel We are following similar recommendations #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @jillfeldman4: T4 I actually pushed my scans back 5 weeks because my thought was if I have progression & can't have a biopsy THAT would be more anxiety provoking than waiting. #LCSM
#LCSM Chat @lcsmchat
RT @JFreemanDaily: If you're using https://t.co/A2M7gY7Hvl for #LCSM Chat, be sure to look at the #LCSM feed later on Twitter to see all the cool graphics you're missing!
#LCSM Chat @lcsmchat
RT @LeciaSequist: @CharuAggarwalMD @TimAllenMDJD Agree re: @CharuAggarwalMD @TimAllenMDJD Agree re: new diagnoses. But resistance biopsies have been harder for me to justify. Was holding off on a few during local peak of COVID (luckily there are liquid options), but now feeling more comfortable scheduling these procedures w/ many safeguards in hospital policies #LCSM
kristen kimball @KimballKristen
RT @maddog1066: T3 The difficulty with a new disease is that although it seems like years, the global experience with #COVID19 is less than 6 months. There are many unknowns because we need time. Flattening the curve helps gain time #StayHome #LCSM
#LCSM Chat @lcsmchat
RT @WesleyWilson: @JFreemanDaily @IanJPereira @drjainsp this might be nit picky, but while viruses can be RNA or DNA , protein is translated from RNA (and RNA can be transcripted from DNA, or reverse transcripted to DNA) , antigens generally are proteins but can be carbs/fats #LCSM
Linnea Olson @1111linno
T4 I am in a phase I trial and previously received treatment at the Termeer Center at MGH--it is now a COVID19 unit. #lcsm
Inspire @teaminspire
RT @1111linno: T3 I am potentially at the end of my life and I always planned on flaming out. Not so possible in this restrictive environment. #lcsm
#LCSM Chat @lcsmchat
RT @notahedge: T4: T4: we are testing for #SARSCoV2 within a 72hr window before elective bronchoscopy and biopsy #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @notahedge: T4: T4: we are testing for #SARSCoV2 within a 72hr window before elective bronchoscopy and biopsy #LCSM
Bob Steele @steele_bob
RT @notahedge: T4: T4: we are testing for #SARSCoV2 within a 72hr window before elective bronchoscopy and biopsy #LCSM
LUNGevity Foundation @LUNGevity
RT @LeciaSequist: @CharuAggarwalMD @TimAllenMDJD Agree re: @CharuAggarwalMD @TimAllenMDJD Agree re: new diagnoses. But resistance biopsies have been harder for me to justify. Was holding off on a few during local peak of COVID (luckily there are liquid options), but now feeling more comfortable scheduling these procedures w/ many safeguards in hospital policies #LCSM
#LCSM Chat @lcsmchat
RT @1111linno: T4 I am in a phase I trial and previously received treatment at the Termeer Center at MGH--it is now a COVID19 unit. #lcsm
Nancy Cohen @nsc5
@jillfeldman4 @lcsmchat I had scan 3rd week in March and did have progression - but no biopsy needed. Began radiation. #lcsm
Bingle @TheBingle
Fascinating.
Janet Freeman-Daily @JFreemanDaily
#LCSM
Move Against Cancer Africa @macafricaorg
RT @maddog1066: T2: T2: The best test to determine prior infection is a positive PCR and time. Antibody testing by blood work is less reliable. FDA allowed multiple tests to be marketed that were not specific and risk high false positive rates. #LCSM https://t.co/SEXx0haw64
Lecia Sequist, MD, MPH @LeciaSequist
@CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA yes agree - procedures are different for sure. But not sure all chemo patients should be tested for #COVID19 unless you would hold treatment were it to be positive #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Last topic T5 is on the way … #LCSM
#LCSM Chat @lcsmchat
RT @JFreemanDaily: #LCSM
Jill Feldman @jillfeldman4
RT @nsc5: @jillfeldman4 @lcsmchat I had scan 3rd week in March and did have progression - but no biopsy needed. Began radiation. #lcsm
Charu Aggarwal, MD, MPH @CharuAggarwalMD
@LeciaSequist @TimAllenMDJD Agree with this, but we have been lucky in the Philadelphia region to have the #capacity to do them #LCSM
#LCSM Chat @lcsmchat
RT @LeciaSequist: @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA yes agree - procedures are different for sure. But not sure all chemo patients should be tested for #COVID19 unless you would hold treatment were it to be positive #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: Last topic T5 is on the way … #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @LeciaSequist: @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA yes agree - procedures are different for sure. But not sure all chemo patients should be tested for #COVID19 unless you would hold treatment were it to be positive #LCSM
#LCSM Chat @lcsmchat
RT @CharuAggarwalMD: @LeciaSequist @TimAllenMDJD Agree with this, but we have been lucky in the Philadelphia region to have the #capacity to do them #LCSM
Chris Carroll MD @ChrisCarrollMD
@JFreemanDaily @IanJPereira @drjainsp An antigen doesn’t have to be a protein. Just any substance that triggers your immune system to create antibodies against it! #LCSM https://t.co/1B6UleJzMa
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Chemotherapy might have a negative impact in lung cancer patient's outcome if they have COVID-19. #LCSM
KC Dill @kasedill
@1111linno I can’t like this, but hope you have another center for treatment options.#lcsm
Bingle @TheBingle
RT @drjainsp: T1: T1: These tests utilize different viral antigens, the most common is Nucleocapsid protein.#LCSM https://t.co/JVlmM8YndH
#LCSM Chat @lcsmchat
RT @ChrisCarrollMD: @JFreemanDaily @IanJPereira @drjainsp An antigen doesn’t have to be a protein. Just any substance that triggers your immune system to create antibodies against it! #LCSM https://t.co/1B6UleJzMa
Chris Carroll MD @ChrisCarrollMD
@WesleyWilson @JFreemanDaily @IanJPereira @drjainsp What Wes said! #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Factors such as age and comorbidities, as well as the number of hospital visits for treatment, can influence the risk for lung cancer patients who have COVID-19. #LCSM
Move Against Cancer Africa @macafricaorg
RT @drjainsp: T3: T3: Detection of an IgG against Covid-19 will likely confer at least some protection however, we have no direct evidence at this time.#LCSM
Move Against Cancer Africa @macafricaorg
RT @TimAllenMDJD: A3: A3: As such serology tests (antibody tests) have little use as a diagnostic tool for individual assessment for COVID-19. It likely has utility as an epidemiologic tool. #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: Chemotherapy might have a negative impact in lung cancer patient's outcome if they have COVID-19. #LCSM
KC Dill @kasedill
RT @ChrisCarrollMD: @JFreemanDaily @IanJPereira @drjainsp An antigen doesn’t have to be a protein. Just any substance that triggers your immune system to create antibodies against it! #LCSM https://t.co/1B6UleJzMa
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: Factors such as age and comorbidities, as well as the number of hospital visits for treatment, can influence the risk for lung cancer patients who have COVID-19. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @ChrisCarrollMD: @JFreemanDaily @IanJPereira @drjainsp An antigen doesn’t have to be a protein. Just any substance that triggers your immune system to create antibodies against it! #LCSM https://t.co/1B6UleJzMa
Eden Lake @EdenLake
RT @StephenVLiu: T3: T3: There is quite a bit we don't know about seroconversion, but this small report caught my attention. In confirmed #COVID19 cases, 30% of patients with cancer had antibodies at 15d compared to 71% of healthcare workers. #LCSM https://t.co/DTkWGKQshy
Move Against Cancer Africa @macafricaorg
RT @maddog1066: @1111linno The key is widespread rapid testing, quarantining, and contact tracing. This allows us to safely reduce, but not eliminate social distancing while hoping an effective vaccine is developed. #LCSM
LUNGevity Foundation @LUNGevity
RT @ArpanAshokPatel: #LCSM agreed. We’re testing all procedures, high risk cancer(transplants car-t myeloablative) and proper isolation and PPE for neutropenic fever, and past exposure.
Bingle @TheBingle
RT @JFreemanDaily: @IanJPereira @drjainsp Hi Ian. If you want your tweet to be seen in #LCSM Chat, be sure to include the hashtag. Viruses are RNA. An antigen is a protein created by DNA. (Someone pls correct me if I got that wrong).
Wes Wilson @WesleyWilson
RT @DrChowdharyMD: T4: T4: Our philosophy as oncologists is that cancer 💯 falls under essential care We try to schedule patients as quickly and safely as possible In some places around the US, pts have had to be delayed due to lack of available resources (ie OR, vent, even staff, etc) #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
T5: What tests might doctors use to diagnose lung cancer or assess cancer progression if a biopsy is not possible? #LCSM
Arpan Patel @ArpanAshokPatel
@TimAllenMDJD #lcsm my fear is a flux of undiagnosed patients, advanced stage that should have been early. Everything is a pendulum and now we are at a point we’re we can properly test and treat in a safe manner
Kristin Ito @KAdvocate_LCAM
RT @TimAllenMDJD: Factors such as age and comorbidities, as well as the number of hospital visits for treatment, can influence the risk for lung cancer patients who have COVID-19. #LCSM
Sabin Motwani @sabinbmotwanimd
Nice summary of testing (detection and Ab) in COVID19 patients in @JAMA_current https://t.co/B0wpFW0uYc #LCSM #COVID19
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @ArpanAshokPatel: @TimAllenMDJD #lcsm my fear is a flux of undiagnosed patients, advanced stage that should have been early. Everything is a pendulum and now we are at a point we’re we can properly test and treat in a safe manner
Linnea Olson @1111linno
@kasedill @1111linno We have been moved to the infusion center. I did feel safer in a space designated for phase I clinical trials. #lcsm
Bob Steele @steele_bob
RT @ArpanAshokPatel: @TimAllenMDJD #lcsm my fear is a flux of undiagnosed patients, advanced stage that should have been early. Everything is a pendulum and now we are at a point we’re we can properly test and treat in a safe manner
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @sabinbmotwanimd: Nice summary of testing (detection and Ab) in COVID19 patients in @JAMA_current https://t.co/B0wpFW0uYc #LCSM #COVID19
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: T5: T5: What tests might doctors use to diagnose lung cancer or assess cancer progression if a biopsy is not possible? #LCSM
#LCSM Chat @lcsmchat
RT @ArpanAshokPatel: @TimAllenMDJD #lcsm my fear is a flux of undiagnosed patients, advanced stage that should have been early. Everything is a pendulum and now we are at a point we’re we can properly test and treat in a safe manner
Arpan Patel @ArpanAshokPatel
RT @sabinbmotwanimd: Nice summary of testing (detection and Ab) in COVID19 patients in @JAMA_current https://t.co/B0wpFW0uYc #LCSM #COVID19
Bob Steele @steele_bob
RT @sabinbmotwanimd: Nice summary of testing (detection and Ab) in COVID19 patients in @JAMA_current https://t.co/B0wpFW0uYc #LCSM #COVID19
#LCSM Chat @lcsmchat
RT @sabinbmotwanimd: Nice summary of testing (detection and Ab) in COVID19 patients in @JAMA_current https://t.co/B0wpFW0uYc #LCSM #COVID19
Stephen V Liu, MD @StephenVLiu
@LeciaSequist @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA Not sure either, but I'm conflicted. If I knew a patient were positive, I think I would probably hold treatment, particularly if we were in maintenance. If I had unlimited access to a test with immediate results, would I test everyone before treatment (CBC, CMP, COVID)? #LCSM
#LCSM Chat @lcsmchat
RT @1111linno: @kasedill @1111linno We have been moved to the infusion center. I did feel safer in a space designated for phase I clinical trials. #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @StephenVLiu: @LeciaSequist @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA Not sure either, but I'm conflicted. If I knew a patient were positive, I think I would probably hold treatment, particularly if we were in maintenance. If I had unlimited access to a test with immediate results, would I test everyone before treatment (CBC, CMP, COVID)? #LCSM
LUNGevity Foundation @LUNGevity
RT @sabinbmotwanimd: Nice summary of testing (detection and Ab) in COVID19 patients in @JAMA_current https://t.co/B0wpFW0uYc #LCSM #COVID19
#LCSM Chat @lcsmchat
RT @StephenVLiu: @LeciaSequist @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA Not sure either, but I'm conflicted. If I knew a patient were positive, I think I would probably hold treatment, particularly if we were in maintenance. If I had unlimited access to a test with immediate results, would I test everyone before treatment (CBC, CMP, COVID)? #LCSM
sic @kimvie
RT @sabinbmotwanimd: Nice summary of testing (detection and Ab) in COVID19 patients in @JAMA_current https://t.co/B0wpFW0uYc #LCSM #COVID19
Lecia Sequist, MD, MPH @LeciaSequist
@TimAllenMDJD For all of our technology, there really is no substitute for a biopsy for a new cancer diagnosis. Histology is critical (adeno, squamous, SCLC, etc) and cannot be obtained via liq bx. Also other cancers can sometimes mimic lung cancer (lymphoma, mets from colon or breast). #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
A5: Liquid biopsy can be used to assess lung cancer patients when a biopsy is not possible; in fact it is already being used for the assessment of recurrence in lung cancer patients, for whom biopsy is difficult. #LCSM
Arpan Patel @ArpanAshokPatel
@TimAllenMDJD #LCSM plasma cDNA if metastatic / advanced disease. @GuardantHealth is helping us by going to patients homes for blood draws.
#LCSM Chat @lcsmchat
RT @LeciaSequist: @TimAllenMDJD For all of our technology, there really is no substitute for a biopsy for a new cancer diagnosis. Histology is critical (adeno, squamous, SCLC, etc) and cannot be obtained via liq bx. Also other cancers can sometimes mimic lung cancer (lymphoma, mets from colon or breast). #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: A5: A5: Liquid biopsy can be used to assess lung cancer patients when a biopsy is not possible; in fact it is already being used for the assessment of recurrence in lung cancer patients, for whom biopsy is difficult. #LCSM
Linnea Olson @1111linno
T5 My fear is that those with symptoms of lung cancer will now delay a check up out of fear-the death rate is likely to go up. #lcsm
Aparna Hegde, MD @notahedge
T5 Lung cancer diagnosis is essential. At progression, would be important in those with actionable driver mutations to identify resistance mechanisms. But this can be partially aided with liquid biopsy #LCSM
#LCSM Chat @lcsmchat
RT @ArpanAshokPatel: @TimAllenMDJD #LCSM plasma cDNA if metastatic / advanced disease. @GuardantHealth is helping us by going to patients homes for blood draws.
Charu Aggarwal, MD, MPH @CharuAggarwalMD
@StephenVLiu @LeciaSequist @TimAllenMDJD @DrChowdharyMD @AndyMuddVA I have been testing patients with symptoms, just for that reason, because I would HOLD therapy in case of positivity for sure #LCSM
David Hill @maddog1066
T5: In most cases biopsy should be possible if needed. There are imaging studies and blood diagnostics that may increase or decrease suspicion, but biopsy remains the gold standard. #LCSM
#LCSM Chat @lcsmchat
RT @1111linno: T5 My fear is that those with symptoms of lung cancer will now delay a check up out of fear-the death rate is likely to go up. #lcsm
Janet Freeman-Daily @JFreemanDaily
RT @LeciaSequist: @TimAllenMDJD For all of our technology, there really is no substitute for a biopsy for a new cancer diagnosis. Histology is critical (adeno, squamous, SCLC, etc) and cannot be obtained via liq bx. Also other cancers can sometimes mimic lung cancer (lymphoma, mets from colon or breast). #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Agree 💯, @LeciaSequist #LCSM
Israh (Khan)Akhtar @israhkhan
RT @TimAllenMDJD: A5: A5: Liquid biopsy can be used to assess lung cancer patients when a biopsy is not possible; in fact it is already being used for the assessment of recurrence in lung cancer patients, for whom biopsy is difficult. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @1111linno: T5 My fear is that those with symptoms of lung cancer will now delay a check up out of fear-the death rate is likely to go up. #lcsm
Janet Freeman-Daily @JFreemanDaily
RT @StephenVLiu: @LeciaSequist @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA Not sure either, but I'm conflicted. If I knew a patient were positive, I think I would probably hold treatment, particularly if we were in maintenance. If I had unlimited access to a test with immediate results, would I test everyone before treatment (CBC, CMP, COVID)? #LCSM
Linnea Olson @1111linno
@ArpanAshokPatel @TimAllenMDJD I share that concern. #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @notahedge: T5 Lung cancer diagnosis is essential. At progression, would be important in those with actionable driver mutations to identify resistance mechanisms. But this can be partially aided with liquid biopsy #LCSM
Janet Freeman-Daily @JFreemanDaily
RT @sabinbmotwanimd: Nice summary of testing (detection and Ab) in COVID19 patients in @JAMA_current https://t.co/B0wpFW0uYc #LCSM #COVID19
#LCSM Chat @lcsmchat
RT @notahedge: T5 Lung cancer diagnosis is essential. At progression, would be important in those with actionable driver mutations to identify resistance mechanisms. But this can be partially aided with liquid biopsy #LCSM
Laura Greco @lgreco_ny
@StephenVLiu @LeciaSequist @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA It sure would be nice to more accurately evaluate risk of serious complications. Cancer patients can't do that unless everyone is tested. #lcsm
#LCSM Chat @lcsmchat
RT @CharuAggarwalMD: @StephenVLiu @LeciaSequist @TimAllenMDJD @DrChowdharyMD @AndyMuddVA I have been testing patients with symptoms, just for that reason, because I would HOLD therapy in case of positivity for sure #LCSM
#LCSM Chat @lcsmchat
RT @maddog1066: T5: T5: In most cases biopsy should be possible if needed. There are imaging studies and blood diagnostics that may increase or decrease suspicion, but biopsy remains the gold standard. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @CharuAggarwalMD: @StephenVLiu @LeciaSequist @TimAllenMDJD @DrChowdharyMD @AndyMuddVA I have been testing patients with symptoms, just for that reason, because I would HOLD therapy in case of positivity for sure #LCSM
KC Dill @kasedill
RT @TimAllenMDJD: A5: A5: Liquid biopsy can be used to assess lung cancer patients when a biopsy is not possible; in fact it is already being used for the assessment of recurrence in lung cancer patients, for whom biopsy is difficult. #LCSM
Janet Freeman-Daily @JFreemanDaily
RT @ArpanAshokPatel: @TimAllenMDJD #lcsm my fear is a flux of undiagnosed patients, advanced stage that should have been early. Everything is a pendulum and now we are at a point we’re we can properly test and treat in a safe manner
Janet Freeman-Daily @JFreemanDaily
RT @TimAllenMDJD: T5: T5: What tests might doctors use to diagnose lung cancer or assess cancer progression if a biopsy is not possible? #LCSM
#LCSM Chat @lcsmchat
RT @lgreco_ny: @StephenVLiu @LeciaSequist @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA It sure would be nice to more accurately evaluate risk of serious complications. Cancer patients can't do that unless everyone is tested. #lcsm
Janet Freeman-Daily @JFreemanDaily
RT @TimAllenMDJD: Factors such as age and comorbidities, as well as the number of hospital visits for treatment, can influence the risk for lung cancer patients who have COVID-19. #LCSM
Janet Freeman-Daily @JFreemanDaily
RT @TimAllenMDJD: Chemotherapy might have a negative impact in lung cancer patient's outcome if they have COVID-19. #LCSM
Charu Aggarwal, MD, MPH @CharuAggarwalMD
@TimAllenMDJD Yes and no, there is limited information that can be obtained with plasma NGS, especially at the time of progression. I advocate for tissue, if feasible #LCSM
Kim Moran-MacIntosh 🇨🇦 🍀 @Kamacintosh
RT @1111linno: T5 My fear is that those with symptoms of lung cancer will now delay a check up out of fear-the death rate is likely to go up. #lcsm
Lecia Sequist, MD, MPH @LeciaSequist
@StephenVLiu @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA Yes, probably decision about holding or not if COVID + relies on where pt is in their course, how they are doing, what exact therapy they are on, co-morbidities, etc. Testing should probably be thoughtful, not reflex. #LCSM #COVIDnCancer
Janet Freeman-Daily @JFreemanDaily
RT @ChrisCarrollMD: @JFreemanDaily @IanJPereira @drjainsp An antigen doesn’t have to be a protein. Just any substance that triggers your immune system to create antibodies against it! #LCSM https://t.co/1B6UleJzMa
Stephen V Liu, MD @StephenVLiu
@CharuAggarwalMD @LeciaSequist @TimAllenMDJD @DrChowdharyMD @AndyMuddVA Absolutely. But I think I would also hold therapy if a patient was COVID+ without symptoms too. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
PET can play some role here if necessary. #LCSM
Kristin Ito @KAdvocate_LCAM
@TimAllenMDJD Doesn't it depend if the tumor is shedding? #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @lgreco_ny: @StephenVLiu @LeciaSequist @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA It sure would be nice to more accurately evaluate risk of serious complications. Cancer patients can't do that unless everyone is tested. #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @CharuAggarwalMD: @TimAllenMDJD Yes and no, there is limited information that can be obtained with plasma NGS, especially at the time of progression. I advocate for tissue, if feasible #LCSM
Ian Pereira @IanJPereira
@ChrisCarrollMD @WesleyWilson @JFreemanDaily @drjainsp And maybe a reference for the spectrum of antigens :) #lcsm https://t.co/V1lGhkOhyL https://t.co/SXN40jehSB
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @LeciaSequist: @StephenVLiu @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA Yes, probably decision about holding or not if COVID + relies on where pt is in their course, how they are doing, what exact therapy they are on, co-morbidities, etc. Testing should probably be thoughtful, not reflex. #LCSM #COVIDnCancer
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @StephenVLiu: @CharuAggarwalMD @LeciaSequist @TimAllenMDJD @DrChowdharyMD @AndyMuddVA Absolutely. But I think I would also hold therapy if a patient was COVID+ without symptoms too. #LCSM
David Hill @maddog1066
@1111linno Screening has also slowed due to decreased imaging and decrease in outpatient visits. Telehealth volume is lower than normal patient visits. The longer we need to lock down, the worse the downstream effects. #LCSM
#LCSM Chat @lcsmchat
RT @CharuAggarwalMD: @TimAllenMDJD Yes and no, there is limited information that can be obtained with plasma NGS, especially at the time of progression. I advocate for tissue, if feasible #LCSM
#LCSM Chat @lcsmchat
RT @LeciaSequist: @StephenVLiu @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA Yes, probably decision about holding or not if COVID + relies on where pt is in their course, how they are doing, what exact therapy they are on, co-morbidities, etc. Testing should probably be thoughtful, not reflex. #LCSM #COVIDnCancer
#LCSM Chat @lcsmchat
RT @StephenVLiu: @CharuAggarwalMD @LeciaSequist @TimAllenMDJD @DrChowdharyMD @AndyMuddVA Absolutely. But I think I would also hold therapy if a patient was COVID+ without symptoms too. #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: PET can play some role here if necessary. #LCSM
Jill Feldman @jillfeldman4
T5 Liquid biopsy is fine for progression but for newly diagnosed patient I would think it would have to be tissue, unless the pt has other morbidities that prevent it. PET could help, but not substitute. Struggle is real! #LCSM
Linnea Olson @1111linno
T5 This is not a good time to be a cancer patient but potentially worse yet to be a newly diagnosed cancer patient. #lcsm
Charu Aggarwal, MD, MPH @CharuAggarwalMD
@StephenVLiu @LeciaSequist @TimAllenMDJD @DrChowdharyMD @AndyMuddVA That would imply testing every time before every cycle, and I think we are limited in our ability to some extent to do so #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @maddog1066: @1111linno Screening has also slowed due to decreased imaging and decrease in outpatient visits. Telehealth volume is lower than normal patient visits. The longer we need to lock down, the worse the downstream effects. #LCSM
#LCSM Chat @lcsmchat
RT @IanJPereira: @ChrisCarrollMD @WesleyWilson @JFreemanDaily @drjainsp And maybe a reference for the spectrum of antigens :) #lcsm https://t.co/V1lGhkOhyL https://t.co/SXN40jehSB
#LCSM Chat @lcsmchat
RT @maddog1066: @1111linno Screening has also slowed due to decreased imaging and decrease in outpatient visits. Telehealth volume is lower than normal patient visits. The longer we need to lock down, the worse the downstream effects. #LCSM
KC Dill @kasedill
RT @maddog1066: @1111linno Screening has also slowed due to decreased imaging and decrease in outpatient visits. Telehealth volume is lower than normal patient visits. The longer we need to lock down, the worse the downstream effects. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @jillfeldman4: T5 Liquid biopsy is fine for progression but for newly diagnosed patient I would think it would have to be tissue, unless the pt has other morbidities that prevent it. PET could help, but not substitute. Struggle is real! #LCSM
#LCSM Chat @lcsmchat
RT @jillfeldman4: T5 Liquid biopsy is fine for progression but for newly diagnosed patient I would think it would have to be tissue, unless the pt has other morbidities that prevent it. PET could help, but not substitute. Struggle is real! #LCSM
#LCSM Chat @lcsmchat
RT @1111linno: T5 This is not a good time to be a cancer patient but potentially worse yet to be a newly diagnosed cancer patient. #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @1111linno: T5 This is not a good time to be a cancer patient but potentially worse yet to be a newly diagnosed cancer patient. #lcsm
#LCSM Chat @lcsmchat
RT @CharuAggarwalMD: @StephenVLiu @LeciaSequist @TimAllenMDJD @DrChowdharyMD @AndyMuddVA That would imply testing every time before every cycle, and I think we are limited in our ability to some extent to do so #LCSM
Aparna Hegde, MD @notahedge
@maddog1066 @1111linno I've had pts refusing to come in even when severely ill due to fear of contracting #SARSCOV2 #LCSM
Ian Pereira @IanJPereira
RT @sabinbmotwanimd: Nice summary of testing (detection and Ab) in COVID19 patients in @JAMA_current https://t.co/B0wpFW0uYc #LCSM #COVID19
Linnea Olson @1111linno
T5 it is important to bring up the # of clinical trials that are no longer enrolling--there are far fewer treatment options now. #lcsm
#LCSM Chat @lcsmchat
RT @notahedge: @maddog1066 @1111linno I've had pts refusing to come in even when severely ill due to fear of contracting #SARSCOV2 #LCSM
#LCSM Chat @lcsmchat
RT @1111linno: T5 it is important to bring up the # of clinical trials that are no longer enrolling--there are far fewer treatment options now. #lcsm
Israh (Khan)Akhtar @israhkhan
Despite the peak our multidisciplinary lung tumor board was regularly going on for our patient care. We used WEBEX to maintain social distancing. Every possible effort was taken in best interest of our patient population and safety of health care workers #LCSM
Linnea Olson @1111linno
@notahedge @maddog1066 @1111linno you cannot underestimate patient's fear of coronavirus. #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
We’re in our final minutes - closing thoughts? #LCSM
Arpan Patel @ArpanAshokPatel
@CharuAggarwalMD @StephenVLiu @LeciaSequist @TimAllenMDJD @DrChowdharyMD @AndyMuddVA #LCSM #COVID19 - we hold it symptoms, resume if 14 days without symptoms in isolation/PPE, suggest back to regular clinic after 30 days and 2 negative PCRs at least 24-48 hours apart
Wes Wilson @WesleyWilson
@LeciaSequist @TimAllenMDJD Lecia is right about useful diagnosis... there are tests that might be able to help you decrease/increase the suggestion that something is cancerous, but not necessarily in a meaningful way. However, in locations where specific diagnosis doesn't change treatment plan. maybe #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @israhkhan: Despite the peak our multidisciplinary lung tumor board was regularly going on for our patient care. We used WEBEX to maintain social distancing. Every possible effort was taken in best interest of our patient population and safety of health care workers #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @1111linno: T5 it is important to bring up the # of clinical trials that are no longer enrolling--there are far fewer treatment options now. #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @notahedge: @maddog1066 @1111linno I've had pts refusing to come in even when severely ill due to fear of contracting #SARSCOV2 #LCSM
#LCSM Chat @lcsmchat
RT @israhkhan: Despite the peak our multidisciplinary lung tumor board was regularly going on for our patient care. We used WEBEX to maintain social distancing. Every possible effort was taken in best interest of our patient population and safety of health care workers #LCSM
#LCSM Chat @lcsmchat
RT @1111linno: @notahedge @maddog1066 @1111linno you cannot underestimate patient's fear of coronavirus. #lcsm
Isaac Kohane @zakkohane
RT @1111linno: T5 it is important to bring up the # of clinical trials that are no longer enrolling--there are far fewer treatment options now. #lcsm
Aparna Hegde, MD @notahedge
@maddog1066 @1111linno Afraid there will be increased mortality not just from #Covid19 but also consequences of neglecting other illnesses #lcsm
#LCSM Chat @lcsmchat
RT @WesleyWilson: @LeciaSequist @TimAllenMDJD Lecia is right about useful diagnosis... there are tests that might be able to help you decrease/increase the suggestion that something is cancerous, but not necessarily in a meaningful way. However, in locations where specific diagnosis doesn't change treatment plan. maybe #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @WesleyWilson: @LeciaSequist @TimAllenMDJD Lecia is right about useful diagnosis... there are tests that might be able to help you decrease/increase the suggestion that something is cancerous, but not necessarily in a meaningful way. However, in locations where specific diagnosis doesn't change treatment plan. maybe #LCSM
#LCSM Chat @lcsmchat
RT @ArpanAshokPatel: @CharuAggarwalMD @StephenVLiu @LeciaSequist @TimAllenMDJD @DrChowdharyMD @AndyMuddVA #LCSM #COVID19 - we hold it symptoms, resume if 14 days without symptoms in isolation/PPE, suggest back to regular clinic after 30 days and 2 negative PCRs at least 24-48 hours apart
Jill Feldman @jillfeldman4
T5 We desperately need a universal, cost effective, non invasive diagnostic (for early detection too) - The Holy Grail! #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @ArpanAshokPatel: @CharuAggarwalMD @StephenVLiu @LeciaSequist @TimAllenMDJD @DrChowdharyMD @AndyMuddVA #LCSM #COVID19 - we hold it symptoms, resume if 14 days without symptoms in isolation/PPE, suggest back to regular clinic after 30 days and 2 negative PCRs at least 24-48 hours apart
Sarika Jain @drjainsp
RT @israhkhan: Despite the peak our multidisciplinary lung tumor board was regularly going on for our patient care. We used WEBEX to maintain social distancing. Every possible effort was taken in best interest of our patient population and safety of health care workers #LCSM
#LCSM Chat @lcsmchat
RT @TimAllenMDJD: We’re in our final minutes - closing thoughts? #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @notahedge: @maddog1066 @1111linno Afraid there will be increased mortality not just from #Covid19 but also consequences of neglecting other illnesses #lcsm
Lecia Sequist, MD, MPH @LeciaSequist
@lgreco_ny @StephenVLiu @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA This is a good point Laura - but one problem as @CharuAggarwalMD was noting is that negative testing on day 1 in clinic does not mean can’t contract COVID on day 2 at grocery store. But no doubt we need more data to understand risks w/ more clarity #LCSM
Laura Greco @lgreco_ny
@KAdvocate_LCAM @TimAllenMDJD And where the tumor growth is located. It's harder to pick something up in the brain. #lcsm
Bob Steele @steele_bob
RT @jillfeldman4: T5 We desperately need a universal, cost effective, non invasive diagnostic (for early detection too) - The Holy Grail! #LCSM
#LCSM Chat @lcsmchat
RT @notahedge: @maddog1066 @1111linno Afraid there will be increased mortality not just from #Covid19 but also consequences of neglecting other illnesses #lcsm
Arpan Patel @ArpanAshokPatel
@StephenVLiu @CharuAggarwalMD @LeciaSequist @TimAllenMDJD @DrChowdharyMD @AndyMuddVA Hard decision for sure - Difficult if disease burden risk outweighs asymptomatic covid19 risk #LCSM
#LCSM Chat @lcsmchat
RT @jillfeldman4: T5 We desperately need a universal, cost effective, non invasive diagnostic (for early detection too) - The Holy Grail! #LCSM
#LCSM Chat @lcsmchat
RT @LeciaSequist: @lgreco_ny @StephenVLiu @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA This is a good point Laura - but one problem as @CharuAggarwalMD was noting is that negative testing on day 1 in clinic does not mean can’t contract COVID on day 2 at grocery store. But no doubt we need more data to understand risks w/ more clarity #LCSM
Lucy Kalanithi @rocketgirlmd
RT @coffeemommy: Beautiful interview with @vivek_murthy by @rocketgirlmd going on now via the virtual Commonwealth Club. Topic is Fighting Loneliness. As they discuss the power of community I cannot help but think of my #advocate #bcsm #lcsm #hcldr #pinksocks communities. https://t.co/f9wgcLINwf
KC Dill @kasedill
@notahedge @maddog1066 @1111linno I stay home, curbside delivery. I’m a mean mom and teacher now, wash your hands! don’t touch your face, the fear is real!!#lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @LeciaSequist: @lgreco_ny @StephenVLiu @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA This is a good point Laura - but one problem as @CharuAggarwalMD was noting is that negative testing on day 1 in clinic does not mean can’t contract COVID on day 2 at grocery store. But no doubt we need more data to understand risks w/ more clarity #LCSM
#LCSM Chat @lcsmchat
RT @ArpanAshokPatel: @StephenVLiu @CharuAggarwalMD @LeciaSequist @TimAllenMDJD @DrChowdharyMD @AndyMuddVA Hard decision for sure - Difficult if disease burden risk outweighs asymptomatic covid19 risk #LCSM
David Hill @maddog1066
@notahedge @1111linno I have had patients with respiratory failure refuse to go to the ER. In NYC, large numbers of patients were found deceased at home. We need to convince patients that our offices, ERs, and hospitals are still safe places when they are ill. #LCSM
𝖉𝖆𝖛𝖊 𝖋𝖚𝖑𝖑𝖊𝖗 @cd_fuller
RT @_ShankarSiva: Dang thats a lot of SABR for pulmonary oligometastases... https://t.co/JoFCjajIZk - Japanese 🇯🇵 teams treat n=1172 patients, show that local control of irradiated site is critical to avoid pulmonary causes of death. Only 16% had chemo after SBRT, yet 3 yr OS=70% #radonc #LCSM https://t.co/yCQa6sqqb8
KC Dill @kasedill
@1111linno Sad #lcsm
Nancy Cohen @nsc5
@lcsmchat T5 - other issue is extent to which side effects - of radiation for example - mimic symptoms of Covid 19. That’s why I was tested - but side effects are getting worse - assuming not covid - but not getting retested...#lcsm
Arpan Patel @ArpanAshokPatel
@jillfeldman4 #lcsm #covid19 and a #vaccine !
Janet Freeman-Daily @JFreemanDaily
So, in summary, we have tests to diagnose #COVID19, and to check for antibodies, but we're don't know if they're accurate, and we're not sure what they tell us. Did I get that right? #LCSM ;)
Linnea Olson @1111linno
T5 Yes. Coronavirus is here but lung cancer isn't going anywhere in the meantime. We must advocate for resources, now more than ever. #lcsm
Kim Moran-MacIntosh 🇨🇦 🍀 @Kamacintosh
@LeciaSequist @lgreco_ny @StephenVLiu @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA complicated and contagious and difficult to track which means multiple testing / scheduled testing ? #LCSM
kristen kimball @KimballKristen
RT @LeciaSequist: @AndyMuddVA Great question - In a perfect world w/ unlimited testing kits, I think you would be. Lots of our policies right now are b/c testing is still a limited resource 😢 #LCSM
Sabin Motwani @sabinbmotwanimd
@ASTRO_org @ESTRO_RT made a consensus statement on how #radonc is managed during #Covid19. Stage I, Stage III, postop, palliative pts all described. #lcsm #radonc https://t.co/rTlrOUsovq
Henning Willers, MD (he/him/his) @HenningWillers
RT @maddog1066: @notahedge @1111linno I have had patients with respiratory failure refuse to go to the ER. In NYC, large numbers of patients were found deceased at home. We need to convince patients that our offices, ERs, and hospitals are still safe places when they are ill. #LCSM
Kristin Ito @KAdvocate_LCAM
Thank you @TimAllenMDJD & @lcsmchat for initiating this great discussion! My brain is buzzing and my heart is aching. Let's continue supporting one another! #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
And little guidance with this new COVID-19 situation. #LCSM
David Hill @maddog1066
@kasedill @notahedge @1111linno My wife and daughter have barely left my house and avoid me like the literal plague for weeks after my ICU rotations. Luckily I have confidence in my marriage. #LCSM
Aparna Hegde, MD @notahedge
Agree. Genomics cannot be used to diagnose lung cancer. We still need histological diagnosis first. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @maddog1066: @notahedge @1111linno I have had patients with respiratory failure refuse to go to the ER. In NYC, large numbers of patients were found deceased at home. We need to convince patients that our offices, ERs, and hospitals are still safe places when they are ill. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @nsc5: @lcsmchat T5 - other issue is extent to which side effects - of radiation for example - mimic symptoms of Covid 19. That’s why I was tested - but side effects are getting worse - assuming not covid - but not getting retested...#lcsm
Bob Steele @steele_bob
RT @notahedge: Agree. Genomics cannot be used to diagnose lung cancer. We still need histological diagnosis first. #LCSM
Henning Willers, MD (he/him/his) @HenningWillers
RT @1111linno: T5 Yes. Coronavirus is here but lung cancer isn't going anywhere in the meantime. We must advocate for resources, now more than ever. #lcsm
Lecia Sequist, MD, MPH @LeciaSequist
@TimAllenMDJD Liquid biopsies can be used for genotyping already today, but not really for “diagnosis” of cancer. Using emerging liq bx technologies to assess for recurrence is looking promising in research, but is not ready for prime time yet IMO #LCSM
Jill Feldman @jillfeldman4
Has anyone had a follow up with a patient who was asymptomatic but had ct scan with ggo and ended up being COVID19, not lung cancer? It seems they present the same #LCSM
Bob Steele @steele_bob
RT @TimAllenMDJD: And little guidance with this new COVID-19 situation. #LCSM
Radiotherapy UK @radiotherapy_uk
RT @DrChowdharyMD: @AndyMuddVA At Rush in Chicago, we have started testing all cancer patients for #COVID19 before the start of their therapies. This includes patients receiving radiotherapy, systemic therapy, or surgery #lcsm
Henning Willers, MD (he/him/his) @HenningWillers
RT @sabinbmotwanimd: @ASTRO_org @ESTRO_RT made a consensus statement on how #radonc is managed during #Covid19. Stage I, Stage III, postop, palliative pts all described. #lcsm #radonc https://t.co/rTlrOUsovq
Bob Steele @steele_bob
RT @1111linno: T5 Yes. Coronavirus is here but lung cancer isn't going anywhere in the meantime. We must advocate for resources, now more than ever. #lcsm
Kim Moran-MacIntosh 🇨🇦 🍀 @Kamacintosh
@1111linno delays or reverse process for treatments are not in the pt best interest. It will effect the OS/ PFS #LCSM
Kim Moran-MacIntosh 🇨🇦 🍀 @Kamacintosh
RT @1111linno: T5 Yes. Coronavirus is here but lung cancer isn't going anywhere in the meantime. We must advocate for resources, now more than ever. #lcsm
Aparna Hegde, MD @notahedge
RT @maddog1066: @notahedge @1111linno I have had patients with respiratory failure refuse to go to the ER. In NYC, large numbers of patients were found deceased at home. We need to convince patients that our offices, ERs, and hospitals are still safe places when they are ill. #LCSM
Bob Steele @steele_bob
RT @Kamacintosh: @1111linno delays or reverse process for treatments are not in the pt best interest. It will effect the OS/ PFS #LCSM
kristen kimball @KimballKristen
RT @1111linno: T3 This part is terrifying. The social isolation has been a true challenge---and it could go on for a very long time. #lcsm
Janet Freeman-Daily @JFreemanDaily
Thanks @TimAllenMDJD for moderating tonight's chat. It's a tough and confusing subject. Glad to see so many people joined in! Transcript will be up shortly. See you next month for #LCSM Chat.
Ian Pereira @IanJPereira
RT @LeciaSequist: @DrChowdharyMD @AndyMuddVA This is an interesting Q we will all have to think about soon. Trouble is - if a cancer pt is asymptom carrier, how will U alter therapy? I’m sure it varies per pt but my gut is that we shouldn’t test unless result will impact treatment. But still contemplating.... 🤔 #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
It has been a privilege to participate, and a great honor to moderate this #LCSM session.
KC Dill @kasedill
@TimAllenMDJD Stay home, stay informed, stay healthy. Encourage each other & reach out. Thank you to the front line fighters and researchers. Labs are hopping now, rest up and laugh. Thanks for a great chat, always a pleasure! #lcsm
Arpan Patel @ArpanAshokPatel
@sabinbmotwanimd @ASTRO_org @ESTRO_RT #LCSM #COVID19 excellent guidance via @NCCN https://t.co/elgO5t3waW
Jill Feldman @jillfeldman4
@notahedge Yes! I know there are some patients, like with COPD, who can't have biopsies, but once again getting the 'tissue is the issue' #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Pathologists can determine accuracy and make sure to provide testing kits for accurate tests. But swab sampling must be performed correctly. And all the antibody test shows is prior infection. #LCSM
Kim Moran-MacIntosh 🇨🇦 🍀 @Kamacintosh
@kasedill @TimAllenMDJD ty, #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
A transcript for tonight’s #LCSM Chat “COVID-19 testing and lung cancer: Where we stand today” will be available soon.
Sarika Jain @drjainsp
Very engaging discussion! Thank you @TimAllenMDJD Thank you #LCSM
Kristin Ito @KAdvocate_LCAM
RT @TimAllenMDJD: Pathologists can determine accuracy and make sure to provide testing kits for accurate tests. But swab sampling must be performed correctly. And all the antibody test shows is prior infection. #LCSM
Mudit Chowdhary, MD @DrChowdharyMD
@Kamacintosh @LeciaSequist @lgreco_ny @StephenVLiu @CharuAggarwalMD @TimAllenMDJD @AndyMuddVA Agree @CharuAggarwalMD 100% you could develop #COVID19 after a negative test Ideally, there would be enough tests in the US to test throughout patients tx courses Testing strategy very different based on burden in region and test availability #lcsm
Sarika Jain @drjainsp
RT @TimAllenMDJD: Pathologists can determine accuracy and make sure to provide testing kits for accurate tests. But swab sampling must be performed correctly. And all the antibody test shows is prior infection. #LCSM
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @1111linno: T5 Yes. Coronavirus is here but lung cancer isn't going anywhere in the meantime. We must advocate for resources, now more than ever. #lcsm
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
RT @sabinbmotwanimd: @ASTRO_org @ESTRO_RT made a consensus statement on how #radonc is managed during #Covid19. Stage I, Stage III, postop, palliative pts all described. #lcsm #radonc https://t.co/rTlrOUsovq
David Hill @maddog1066
@1111linno @notahedge Completely agree. As a nation we have failed to make people feel safe. That is the tragedy of #COVID19. #LCSM
Jill Feldman @jillfeldman4
@TimAllenMDJD Thank you @TimAllenMDJD #LCSM
Laura Greco @lgreco_ny
@LeciaSequist @StephenVLiu @CharuAggarwalMD @TimAllenMDJD @DrChowdharyMD @AndyMuddVA True, but it doesn't get better by failing to test. If only the sickest get tested, patients may conclude that mortality rate is MUCH higher than it really is. They may defer treatment and/or refuse to leave their home. It is already happening. #lcsm
Bob Steele @steele_bob
Great info shared tonight. Hope to see you all next month. Thanks for hosting Tim! Good night. #lcsm
Lecia Sequist, MD, MPH @LeciaSequist
@notahedge @maddog1066 @1111linno #LCSM - help us get the message out lung cancer pts that hospitals have implemented EXTENSIVE procedures to keep pts safe. Hospitals are safer than super markets by quite a lot at this point. Cancer care is necessary medical care. Any delays should be discussed w/ your MD 🙏
𝖉𝖆𝖛𝖊 𝖋𝖚𝖑𝖑𝖊𝖗 @cd_fuller
RT @sabinbmotwanimd: @ASTRO_org @ESTRO_RT made a consensus statement on how #radonc is managed during #Covid19. Stage I, Stage III, postop, palliative pts all described. #lcsm #radonc https://t.co/rTlrOUsovq
Wes Wilson @WesleyWilson
RT @LeciaSequist: @notahedge @maddog1066 @1111linno #LCSM - help us get the message out lung cancer pts that hospitals have implemented EXTENSIVE procedures to keep pts safe. Hospitals are safer than super markets by quite a lot at this point. Cancer care is necessary medical care. Any delays should be discussed w/ your MD 🙏
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
Thank you, @KAdvocate_LCAM #lcsm is a great, caring team!
Laura Greco @lgreco_ny
RT @1111linno: @notahedge @maddog1066 @1111linno you cannot underestimate patient's fear of coronavirus. #lcsm
Sabin Motwani @sabinbmotwanimd
@TimAllenMDJD Can you briefly talk about the reagent used for these tests and why it's critical to have enough of this to interpret results? #LCSM
Arpan Patel @ArpanAshokPatel
@JFreemanDaily If a test is negative and clinically they have covid, they have covid. the art of bedside medicine lives on (virtually or face to face with PPE) #LCSM
Jose Fernando Moura, MD, PhD @FernandoOnco
Is reinfection a threat? https://t.co/NYukFhxpTi
Bob Steele @steele_bob
RT @LeciaSequist: @notahedge @maddog1066 @1111linno #LCSM - help us get the message out lung cancer pts that hospitals have implemented EXTENSIVE procedures to keep pts safe. Hospitals are safer than super markets by quite a lot at this point. Cancer care is necessary medical care. Any delays should be discussed w/ your MD 🙏
Timothy Craig Allen, MD, JD, FCAP @TimAllenMDJD
👍 #LCSM
#LCSM Chat @lcsmchat
RT @maddog1066: @notahedge @1111linno I have had patients with respiratory failure refuse to go to the ER. In NYC, large numbers of patients were found deceased at home. We need to convince patients that our offices, ERs, and hospitals are still safe places when they are ill. #LCSM
#LCSM Chat @lcsmchat
RT @LeciaSequist: @TimAllenMDJD Liquid biopsies can be used for genotyping already today, but not really for “diagnosis” of cancer. Using emerging liq bx technologies to assess for recurrence is looking promising in research, but is not ready for prime time yet IMO #LCSM
#LCSM Chat @lcsmchat
RT @jillfeldman4: Has anyone had a follow up with a patient who was asymptomatic but had ct scan with ggo and ended up being COVID19, not lung cancer? It seems they present the same #LCSM
Bob Steele @steele_bob
RT @maddog1066: @1111linno @notahedge Completely agree. As a nation we have failed to make people feel safe. That is the tragedy of #COVID19. #LCSM
#LCSM Chat @lcsmchat
RT @Kamacintosh: @1111linno delays or reverse process for treatments are not in the pt best interest. It will effect the OS/ PFS #LCSM
#LCSM Chat @lcsmchat