#LCSM Transcript
Healthcare social media transcript of the #LCSM hashtag.
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See #LCSM Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | 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, 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, 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, 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 @InspireIsHealth 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 @InspireIsHealth 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, 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, 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, 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 @InspireIsHealth 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, 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 @InspireIsHealth 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@med-mastodon.com @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 @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 @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 |
| Henning Willers, MD @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 🙏 |