#jhmchat Transcript
Healthcare social media transcript of the #jhmchat hashtag.
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| Profile | Tweet |
|---|---|
 | Guilherme Barcellos @brhospitalist RT @SocietyHospMed: Surprise, Twitter! 📚 We’re back with a #JHMChat Special: “Addressing #COVID19 in #HospitalMedicine - Crowdsourcing Expe… |
 | Society to Improve Diagnosis in Medicine @ImproveDX RT @SocietyHospMed: Surprise, Twitter! 📚 We’re back with a #JHMChat Special: “Addressing #COVID19 in #HospitalMedicine - Crowdsourcing Expe… |
 | Vinny Arora MD MAPP @FutureDocs #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHospMed @JHospMedicine @WrayCharles & me. Any links/tools to be reviewed for SHM #COVID19 resource room https://t.co/esE29hWxdE All specialties welcome! |
 | Zackary Berger @DrZackaryBerger RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
 | J Hospital Medicine @JHospMedicine RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
 | Susan Lopez, MD @SusanLopezMD RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
 | Kamran Mirza MD PhD | كامران مرزا @KMirza RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
 | Clara Reyes MSN APRN PCNP-BC @PedPrac12 #JHMChat #COVID19 2100 tonight |
 | Helen Burstin, MD, MPH @HelenBurstin Thanks @FutureDocs and @SocietyHospMed for your leadership |
 | Lonika #wearyourmask Sood @sood_lonika RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
 | John P Erwin III MD FACC @HeartOTXHeartMD RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
 | Rebecca Jaffe, MD @RJmdphilly RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
 | Avital O'Glasser, MD FACP FHM @aoglasser RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
 | Ria Dancel, MD @ria_dancel RT @SocietyHospMed: Surprise, Twitter! 📚 We’re back with a #JHMChat Special: “Addressing #COVID19 in #HospitalMedicine - Crowdsourcing Expe… |
 | Society of Hospital Medicine @SocietyHospMed RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
 | Delia Takagi @dltkgi RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
 | Leonor Fernandez @lfernandezi RT @SocietyHospMed: Surprise, Twitter! 📚 We’re back with a #JHMChat Special: “Addressing #COVID19 in #HospitalMedicine - Crowdsourcing Expe… |
 | aimeezIMDukePD @AimeeZaas @IMResidencyDuke e learning! |
 | Ali Khan, MD, MPP @alikhan28 RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
| Society of Hospital Medicine @SocietyHospMed Tonight is the night! 🙌 Don't miss out on tonight's #JHMChat Special at 9 PM, ET: Addressing #COVID19 in #HospitalMedicine: Crowdsourcing Experiences, Insights and Resources We look forward to learning from you! 💙 https://t.co/4D530gkyp1 @JHospMedicine @FutureDocs @ETSshow |
 | Areeba Kara @areeba_kara RT @SocietyHospMed: Tonight is the night! 🙌 Don't miss out on tonight's #JHMChat Special at 9 PM, ET: Addressing #COVID19 in #HospitalMedic… |
 | Liam Howley @lhowleymd I'll be listening in to this chat tonight at 9pm! |
 | Abey Thomas @abeythomas RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
 | Dr.Onye @Dr_Onye4Kids RT @JHospMedicine: Our next #JHMChat is this upcoming Monday, March 2 at 9pm EST. Looking forward to discussing “Letter to a Young Teaching… |
 | Shikha (#AmericaMaskUp) Jain MD, FACP @ShikhaJainMD RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
 | Susan Hingle @SusanHingle RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
| Vinny Arora MD MAPP @FutureDocs @karynbaum @choo_ek @WrayCharles @JOylerMD Join #JHMChat |
 | UChicago Hospital Medicine @UChicagoHospMed RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
 | Alfred R Quezada, MD @AlfredQuezadaMD RT @SocietyHospMed: Tonight is the night! 🙌 Don't miss out on tonight's #JHMChat Special at 9 PM, ET: Addressing #COVID19 in #HospitalMedic… |
 | Charlie M. Wray, DO, MS @WrayCharles 5 hours until our #JHMChat on #COVID19. Join the conversation if you have questions, ideas, input, protocols, resources, or whatever. Lots to discuss and would love to hear your voices! @FutureDocs @ETSshow @tony_breu @arghavan_salles @aoglasser @mike_natter @michellebr00ks |
| Avital O'Glasser, MD FACP FHM @aoglasser RT @WrayCharles: 5 hours until our #JHMChat on #COVID19. Join the conversation if you have questions, ideas, input, protocols, resources, o… |
 | Mark Shapiro, MD @ETSshow RT @WrayCharles: 5 hours until our #JHMChat on #COVID19. Join the conversation if you have questions, ideas, input, protocols, resources, o… |
 | Arghavan Salles, MD, PhD @arghavan_salles RT @WrayCharles: 5 hours until our #JHMChat on #COVID19. Join the conversation if you have questions, ideas, input, protocols, resources, o… |
| Vinny Arora MD MAPP @FutureDocs RT @WrayCharles: 5 hours until our #JHMChat on #COVID19. Join the conversation if you have questions, ideas, input, protocols, resources, o… |
| Society of Hospital Medicine @SocietyHospMed RT @WrayCharles: 5 hours until our #JHMChat on #COVID19. Join the conversation if you have questions, ideas, input, protocols, resources, o… |
 | Benjamin 😷 Geisler @ben_geisler RT @WrayCharles: 5 hours until our #JHMChat on #COVID19. Join the conversation if you have questions, ideas, input, protocols, resources, o… |
 | Lee Amaya @SouLeePharmD RT @SocietyHospMed: Surprise, Twitter! 📚 We’re back with a #JHMChat Special: “Addressing #COVID19 in #HospitalMedicine - Crowdsourcing Expe… |
 | Pediatric Research in Inpatient Settings Network @PRISNetwork RT @SocietyHospMed: Surprise, Twitter! 📚 We’re back with a #JHMChat Special: “Addressing #COVID19 in #HospitalMedicine - Crowdsourcing Expe… |
 | Mike Tchou @TchouMd RT @SocietyHospMed: Surprise, Twitter! 📚 We’re back with a #JHMChat Special: “Addressing #COVID19 in #HospitalMedicine - Crowdsourcing Expe… |
 | Jason Lunt @JasonLunt Preparing for this in our hospitals around St Louis. Looking forward to insight and wisdom from those already caring for these patients. #COVID19 #StLouis @drmerando @DrBuckholdSLU @PaulKunnath @ZarirAhmedDO @ElieGhoulam @fernandbteich |
 | Alexis L. Rossi @AlexisLRossi1 RT @WrayCharles: 5 hours until our #JHMChat on #COVID19. Join the conversation if you have questions, ideas, input, protocols, resources, o… |
 | Doctivist @jbcowartmd This will be good... #medtwitter |
| J Hospital Medicine @JHospMedicine RT @WrayCharles: 5 hours until our #JHMChat on #COVID19. Join the conversation if you have questions, ideas, input, protocols, resources, o… |
 | Anika Kumar, MD @freckledpedidoc RT @WrayCharles: 5 hours until our #JHMChat on #COVID19. Join the conversation if you have questions, ideas, input, protocols, resources, o… |
 | UMN Med Residency @umnmedresidency RT @WrayCharles: 5 hours until our #JHMChat on #COVID19. Join the conversation if you have questions, ideas, input, protocols, resources, o… |
| Vinny Arora MD MAPP @FutureDocs RT @SocietyHospMed: Tonight is the night! 🙌 Don't miss out on tonight's #JHMChat Special at 9 PM, ET: Addressing #COVID19 in #HospitalMedic… |
| J Hospital Medicine @JHospMedicine RT @SocietyHospMed: Tonight is the night! 🙌 Don't miss out on tonight's #JHMChat Special at 9 PM, ET: Addressing #COVID19 in #HospitalMedic… |
 | Adrienne @adriennelj RT @SocietyHospMed: Tonight is the night! 🙌 Don't miss out on tonight's #JHMChat Special at 9 PM, ET: Addressing #COVID19 in #HospitalMedic… |
 | Trushar M. Dungarani @DrT_Dungarani RT @FutureDocs: Join me and @WrayCharles this Monday 9p EST to share tools resources & ?s re how Hospitalists are responding to #COVID19 #j… |
| UMN Med Residency @umnmedresidency RT @FutureDocs: #medtwitter Mark your calendars 9p ET TONIGHT! Special #jhmchat-Hospital Medicine #COVID19 response/insights w @SocietyHo… |
| Society of Hospital Medicine @SocietyHospMed T - 15 minutes until our #JHMchat Special with @JHospMedicine and @FutureDocs ⏰ We can’t wait to chat with you all and to learn more about your experiences! #Coronavirus #COVID19 #MedTwitter |
 | Beverly A. Zavaleta MD @BZavaletaMD Hi! New to this #JHMchat |
| Beverly A. Zavaleta MD @BZavaletaMD RT @SocietyHospMed: Surprise, Twitter! 📚 We’re back with a #JHMChat Special: “Addressing #COVID19 in #HospitalMedicine - Crowdsourcing Expe… |
| Beverly A. Zavaleta MD @BZavaletaMD RT @FutureDocs: Join me and @WrayCharles this Monday 9p EST to share tools resources & ?s re how Hospitalists are responding to #COVID19 #j… |
| Society of Hospital Medicine @SocietyHospMed And we're off! Welcome to tonight's #JHMChat Special: Addressing #COVID19 in Hospital Medicine - Crowdsourcing Experiences, Insights and Resources with @JHospMedicine & @FutureDocs We're thrilled you've joined us tonight! 💙 #MedTwitter #Coronavirus #SoMeDocs #MedStudents |
 | Andaleeb Ahmed @fixheart Tic tok tic tok #jhmchat |
| Society of Hospital Medicine @SocietyHospMed We'd love to find out who is tuned in tonight - Let's take a few moments to introduce ourselves! I'm Caitlin, a member of the SHM team based in Philadelphia. I'll be moderating tonight's #JHMchat along with @JHospMedicine and @FutureDocs. It's great to be here with you all! |
 | Annie Massart @Annie_Massart_ Hi all! I'm Annie, an academic hospitalist in Atlanta. Looking forward to learning from how y'all are approaching #COVID19! #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @SocietyHospMed: We'd love to find out who is tuned in tonight - Let's take a few moments to introduce ourselves! I'm Caitlin, a member… |
| Anika Kumar, MD @freckledpedidoc @SocietyHospMed @JHospMedicine @FutureDocs Hi. Anika, Pediatric Hospitalist here from Cleveland #JHMChat |
| Charlie M. Wray, DO, MS @WrayCharles @SocietyHospMed @JHospMedicine @FutureDocs Charlie Wray from SF checking in to tonight's #JHMChat |
 | Jordan Messler @MesslerJordan RT @SocietyHospMed: Surprise, Twitter! 📚 We’re back with a #JHMChat Special: “Addressing #COVID19 in #HospitalMedicine - Crowdsourcing Expe… |
 | Brian McGillen, MD @BMcGillenMD @SocietyHospMed @JHospMedicine @FutureDocs Hi @JHospMedicine and @FutureDocs . Brian here from Penn State in Hershey PA. #JHMChat |
 | Daniel Wolfson @WolfsonD #jhmchat Here from Philly @ABIMFoundation co-sponsor |
 | Tom Heston MD @tomhestonmd #JHMChat as a first step towards mass testing, perhaps 1st all SNF residents & workers should be tested, then maybe all patients admitted to the hospital with a temperature? |
| Beverly A. Zavaleta MD @BZavaletaMD Hospitalist in Brownsville TX, community hospital in low resource area, border town w México 🇲🇽 #JHMchat |
 | Gopi Astik @gopiastik @SocietyHospMed @JHospMedicine @FutureDocs I'm Gopi and I'm an academic hospitalist in Chicago. Ready to chat with everyone. #JHMChat |
 | Jen Readlynn, MD, FHM (she/her) @jenreadlynn @SocietyHospMed @JHospMedicine @FutureDocs I'm Jen, an academic hospitalist in Rochester, NY trying to balance being on service and figuring out an alternative curriculum for sub-Is who've been pulled from rotations 🤪 #JHMChat |
 | Grace Farris MD @gracefarris @SocietyHospMed @JHospMedicine @FutureDocs Joining from NYC where I have taken care of 3 hospitalized pts w #covid19 #JHMChat https://t.co/U6My7EEPNG |
 | nick meo @nmeo @SocietyHospMed @JHospMedicine @FutureDocs Hi everyone - Nick in Seattle here #JHMChat |
 | Jason Stein MD SFHM @1JasonStein Jason Stein from Atlanta here #JHMChat |
| Society of Hospital Medicine @SocietyHospMed Each of the discussion points are titled as a "Resource," as we hope that this #JHMchat will serve as a way for #hospitalists to obtain more information on #COVID19 & tools to take with them beyond this power-hour chat. #MedTwitter #SoMeDocs #FlattenTheCurve #Coronavirus |
| Vinny Arora MD MAPP @FutureDocs Vineet Arora, hospitalist @UChicagoHospMed and @JHospMedicine #SoMe Editor/co-moderator for #JHMChat. been practicing social distancing so look fwd to interaction tonight and sharing resources to help each other during these extraordinary times. #covid19 |
| Trushar M. Dungarani @DrT_Dungarani Community hospitalist @HopkinsMedicine @HopkinsHowardC #jhmchat |
 | Jon Lim, MD 🏳️🌈 @JonLimMD @SocietyHospMed @JHospMedicine @FutureDocs Jon, checking in from Houston. Looking forward to reading and learning. Grateful in this field of Hospital Medicine, combating this pandemic. Wishing everyone safe and well. #JHMChat |
 | Daniel Ricotta, MD, FHM @DanielRicottaMD Hi all! Dan Ricotta here - academic hospitalist @BIDMChealth @bidhospitalists looking forward to the conversation #JHMChat |
| Avital O'Glasser, MD FACP FHM @aoglasser @SocietyHospMed @JHospMedicine @FutureDocs #JHMchat Avi O’G hospitalist in Portland OR at @OHSU_DHM, preoperative medicine clinic |
 | J Byron Lu @JByronLuMD @SocietyHospMed @JHospMedicine @FutureDocs Hi! Byron Lu, here. From the eerily quiet Philly area! Work at Cooper University Hospital in Camden, NJ. Excited for my 2nd ever #JHMChat |
| Mark Shapiro, MD @ETSshow @SocietyHospMed @JHospMedicine @FutureDocs Good evening Hospitalist friends & colleagues around the world. Great to virtually be together tonight. Mark Shapiro here. Hospitalist in Santa Rosa, CA & host of Explore The Space Podcast. Thanks @FutureDocs & @WrayCharles for bringing us all together #JHMChat |
| Daniel Ricotta, MD, FHM @DanielRicottaMD RT @gracefarris: @SocietyHospMed @JHospMedicine @FutureDocs Joining from NYC where I have taken care of 3 hospitalized pts w #covid19 #JHMC… |
| Beverly A. Zavaleta MD @BZavaletaMD I would love all SNF residents & staff to be tested but #Texas is following strict guidelines. Only severe pna and travel hx or high-risk status can be tested. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @karynbaum @JHospMedicine @FutureDocs Welcome, Karyn! #JHMchat |
| Society of Hospital Medicine @SocietyHospMed We're going to give everyone another moment to jump into the #JHMchat discussion with us tonight... Topic 1 will be coming up in just a minute! #FlattenTheCurve #COVID19 #HowWeHospitalist |
 | Melissa Plesac @MelissaPlesacMD @SocietyHospMed @JHospMedicine @FutureDocs Hi! Melissa Plesac, academic hospitalist in Minnesota and MS3 IM clerkship site director trying to create new curriculum, take care of patients, and protect my loved ones. Happy to learn from you all #jhmchat |
 | The SilentSonicHedgehog🧢⚕️ @LynnGarner Lynn Garner, community nocturnist midcoast Maine #JHMchat |
 | V. G. (#6ftApartNotUnder) Press @vgpress13 @SocietyHospMed @JHospMedicine @FutureDocs Hi, Valerie Press med-Peds doc at @UChicagoMed #JHMChat |
| Beverly A. Zavaleta MD @BZavaletaMD @DrT_Dungarani @HopkinsMedicine @HopkinsHowardC Hey partner! #JHMchat |
| Jordan Messler @MesslerJordan Looking forward to tonight's #JHMChat #coronavirus #Hospitalist |
 | Poonam Sharma @PoonamSS @SocietyHospMed @JHospMedicine @FutureDocs Poonam from N.C.! Excited to lurk in #JHMchat |
| Society of Hospital Medicine @SocietyHospMed Here we go! Resource #1 for tonight's #JHMchat Special: #COVID19 What role are hospitalists playing in the response to COVID19? How have your staffing models adjusted to this response? #MedTwitter #SoMeDocs #Coronavirus #HospitalMedicine https://t.co/fwNQys11xZ |
| Vinny Arora MD MAPP @FutureDocs Just a reminder for everyone tonight to use #JHMChat so we can index your tweets and find your resources for @SocietyHospMed #covid19 resource room https://t.co/esE29hWxdE thanks!! |
| Mark Shapiro, MD @ETSshow RT @SocietyHospMed: Here we go! Resource #1 for tonight's #JHMchat Special: #COVID19 What role are hospitalists playing in the response to… |
| Vinny Arora MD MAPP @FutureDocs RT @SocietyHospMed: Here we go! Resource #1 for tonight's #JHMchat Special: #COVID19 What role are hospitalists playing in the response to… |
 | Sass Thee Wicked Ass Pumpkin 🎃 💀🕸 @premedbabygroot RT @FutureDocs: Just a reminder for everyone tonight to use #JHMChat so we can index your tweets and find your resources for @SocietyHospMe… |
| Society of Hospital Medicine @SocietyHospMed Don't forget everyone 🙌 Use the hashtag: #JHMchat to follow the conversation and join in at any time! @FutureDocs @JHospMedicine |
| Rebecca Jaffe, MD @RJmdphilly #JHMChat Rebecca Jaffe in Philly So excited to learn from you all. This is an amazing gathering and we are so lucky to have each other! |
| Beverly A. Zavaleta MD @BZavaletaMD @LynnGarner Hey there! Love Maine! ❤️ #JHMchat |
| Megan Brooks MD MPH @MegBrooks82 Megan Brooks, hospitalist in Durham and med director of our designated respiratory ward. Looking forward to lurking and learning #JHMchat |
| Tom Heston MD @tomhestonmd @BZavaletaMD Guidelines hindering me as well, because I would say we are very poor right now at identifying high risk. Need more data #JHMChat |
 | Benji Mathews, MD @MDbenji @karynbaum @SocietyHospMed @JHospMedicine @FutureDocs @_HealthPartners Hello Karyn! Hope you all are hanging in there! #JHMChat |
 | Joshua Allen-Dicker MD MPH @DrJoshuaAD @SocietyHospMed @JHospMedicine @FutureDocs Hi all - looking forward to learning from others, hoping to identify some best practices to bring back to my institution #JHMchat |
| Brian McGillen, MD @BMcGillenMD @SocietyHospMed A1. Have added one team to triage undifferentiated resp failure. Have model that will allow up to 8 such teams. Trying to minimize people who may come into contact with #COVID19 We are leading in our institution. #jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @FutureDocs: Just a reminder for everyone tonight to use #JHMChat so we can index your tweets and find your resources for @SocietyHospMe… |
| Rebecca Jaffe, MD @RJmdphilly RT @SocietyHospMed: Here we go! Resource #1 for tonight's #JHMchat Special: #COVID19 What role are hospitalists playing in the response to… |
 | Weijen Chang @wwchang RT @SocietyHospMed: We'd love to find out who is tuned in tonight - Let's take a few moments to introduce ourselves! I'm Caitlin, a member… |
| Vinny Arora MD MAPP @FutureDocs R1 our hospitalists @uchicagohospmed are front and center of this. in terms of staffing, adding another layer of jeopardy so there will be a 4th jeopardy in anticipation of getting sick. #jhmchat #covid19 |
 | Gordon Johnson @pdxfutebol @SocietyHospMed I am contacting some docs who have recently retired and set up emergency privileging so we have some extra help if we need it. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @DrJoshuaAD @JHospMedicine @FutureDocs Welcome to the chat, Joshua! Don't forget to follow along with #JHMchat :) |
| Society of Hospital Medicine @SocietyHospMed @marishaburden @JHospMedicine @FutureDocs Welcome, Marisha! #JHMchat |
| Charlie M. Wray, DO, MS @WrayCharles @SocietyHospMed The answer to this question has evolved at my institution. Initially, given our jack-of-all-trades we were seen to help in lots of areas (ED, Telephone triage, HM, etc) - but given expected surge, we have been advised to focus just on HM aspects #JHMChat |
 | MDEdge @MDEdgeTweets @SocietyHospMed Hi everyone - We are glad to be a part of such an important conversation. #JHMChat |
| Annie Massart @Annie_Massart_ @SocietyHospMed R1. We've done what we can. We've created a new jeopardy system that everyone is expected to participate in to ensure a supply of backup physicians. We're using our geographic units to cohort patients and try to ensure those doctors have a lower census. #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @SocietyHospMed A1: 2 dedicated units & 2 hospitalists dedicated to our COVID r/o patients (still w/ long interval for testing) and 1 to help with our confirmed patients when they come. We're trying to limit contact among rest. Residents are furloughed from electives to help later. #JHMChat |
| Anika Kumar, MD @freckledpedidoc @SocietyHospMed Thanks. Trying to learn what to do so I can take care of 25 year olds with #COVID19... #JHMChat https://t.co/wuERCc4Kjk |
| Society of Hospital Medicine @SocietyHospMed @jbcowartmd @JHospMedicine @FutureDocs Welcome to #JHMchat, Jennifer! |
 | Karyn "It should feel like over-reacting" Baum MD @karynbaum @SocietyHospMed 1. Members of Incident Command 2. Systems redesign teams--not just for HM. 3. Front line providers 4. Completely reworking our entire staffing--backup model (2-3 deep backup), redistributing across sites, adjusting to no students 5. Reseach as well #JHMChat |
 | Surafel Tsega @drtsega Hi Surafel is joining! Today I thought I had a fever and chills and it turns out I just needed to put on socks. So I’m very much looking forward to this “distraction.” #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @ASK_HM17 @JHospMedicine @FutureDocs Amith! A pleasure to see you here tonight! #JHMchat |
| J Hospital Medicine @JHospMedicine RT @SocietyHospMed: We'd love to find out who is tuned in tonight - Let's take a few moments to introduce ourselves! I'm Caitlin, a member… |
| Society of Hospital Medicine @SocietyHospMed @AlfredQuezadaMD @JHospMedicine @FutureDocs Hi there, Alfred! Don't forget to use #JHMchat tonight! |
| Beverly A. Zavaleta MD @BZavaletaMD @FutureDocs @UChicagoHospMed We don’t have any surge staffing. Reality. #JHMChat |
 | Isha Puri @ishahosp We are preparing for disaster mode couple isolation units #jhmchat |
| Tom Heston MD @tomhestonmd #JHMChat 1. Only have so many hospitalists. Asking for fast credentialing of primary care docs in case we need more help |
| Society of Hospital Medicine @SocietyHospMed RT @MDEdgeTweets: @SocietyHospMed Hi everyone - We are glad to be a part of such an important conversation. #JHMChat |
| Avital O'Glasser, MD FACP FHM @aoglasser @SocietyHospMed #JHMchat hospitalists (like critical care and ER) are very much frontlines (and depending on where you work, hospitalists might have ICU privileges) actively working on surge plan and backup system |
| Annie Massart @Annie_Massart_ @SocietyHospMed Like many, we were already a bit understaffed pre-Covid so there aren't many solutions available if you can't get outside help. Our particular hospital doesn't allow for outside locum MDs to come aboard. #JHMChat |
| J Hospital Medicine @JHospMedicine RT @SocietyHospMed: Here we go! Resource #1 for tonight's #JHMchat Special: #COVID19 What role are hospitalists playing in the response to… |
| J Hospital Medicine @JHospMedicine RT @FutureDocs: Just a reminder for everyone tonight to use #JHMChat so we can index your tweets and find your resources for @SocietyHospMe… |
| Society of Hospital Medicine @SocietyHospMed RT @DrJoshuaAD: @SocietyHospMed @JHospMedicine @FutureDocs Hi all - looking forward to learning from others, hoping to identify some best p… |
| Mark Shapiro, MD @ETSshow A1: getting jeopardy schedule together. Working on whether or not to push for a dedicated hospital floor/unit so curious to see what you all are doing/seeing #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly @WrayCharles @SocietyHospMed We are doing same. Working to get our house in order. Large network of hospitals trying to do enterprise level work. We are trying to be nimble and make local things in our control work better #jhmchat |
| J Byron Lu @JByronLuMD @SocietyHospMed A1. My division has a relatively large geographic footprint, and I wonder if, as is predicted, there might be SPACE shortages, whether we might be able to use our presence in community hospitals / post-acute care settings etc to help triage most appropriately. #jhmchat |
 | Tresa Muir McNeal @TresaMcNealMD #jhmchat |
 | Michael S. Sinha MD, JD, MPH @DrSinhaEsq Hi all ー checking in late to #JHMChat from Boston! A lot to discuss about #COVIDー19 #COVID19 I've been writing about public health law and policy aspects of epidemics and #COVID2019 but following clinical/health systems issues as well. |
 | Sri Lekha Tummalapalli, MD, MBA @LTummalapalli Sri Lekha Tummalapalli, UCSF nephrology fellow. Hospitalists have been and will continue to be great leaders through this - thanks for all that you do. #jhmchat |
 | Jess Dreicer, MD @jessdreicer @SocietyHospMed #JHMChat |
| Avital O'Glasser, MD FACP FHM @aoglasser @SocietyHospMed #JHMchat also brainstorming about redeployment (been part of these discussions beyond my institution this weekend)--ex. the hospitalists in preop clinic can do inpatient, can APPs in preop clinic staff primary care.urgent care tele-visits? |
| Isha Puri @ishahosp Likely all hospitalists will be asked to come work in disaster mode #jhmchat |
| Beverly A. Zavaleta MD @BZavaletaMD @SocietyHospMed I had more days added to my schedule this month, but otherwise we have no surge staffing. Small hospital, small group. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @jessdreicer Welcome, Jess! Glad to see you've joined us for tonight's #JHMchat :) |
| Brian McGillen, MD @BMcGillenMD @1JasonStein @SocietyHospMed COVID patients will go into resp isolation rooms in our SAICU for now. If surge happens, we have a unit that can become all negative pressure in our hospital. Tough going though with ventilation requirements #jhmchat |
 | Amith Skandhan MD SFHM FACP @ASK_HM17 #JHMChat Hospitalsists sharing stories, successes, concerns and criticism during #COVID19 Join the conversation @SocietyHospMed |
| Vinny Arora MD MAPP @FutureDocs @BZavaletaMD @UChicagoHospMed Have you thought about other specialties to back you up? #JHMChat surgeons /anesthesia who manage CT surgery for vents example |
| Beverly A. Zavaleta MD @BZavaletaMD @karynbaum @SocietyHospMed This sounds like heaven to me. 2-3 deep? Is that a unicorn??? #JHMChat |
| Benji Mathews, MD @MDbenji @SocietyHospMed A1: Broadly, as hospitalists have expanded roles in local health systems, they are extremely key frontline workers and leaders in this pandemic #JHMChat |
| Mark Shapiro, MD @ETSshow A1 cont: refreshing myself on vent management. Preliminary discussions around how Hospitalists might support ICU if they’re overwhelmed #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @ETSshow: @SocietyHospMed @JHospMedicine @FutureDocs Good evening Hospitalist friends & colleagues around the world. Great to virtually… |
| Rebecca Jaffe, MD @RJmdphilly @jenreadlynn @SocietyHospMed Sounds similar but we don’t have a unit. We are going where the neg air pressure rooms are - scattered which is not ideal. Long turn around time is a problem as we are seeing a lot of negatives still. #JHMChat |
 | Chicago Covid Rebellion A.K.A. Jessi the Asthmatic @CovidChicago #ChicagoCovidRebellion |
| Brian McGillen, MD @BMcGillenMD @SocietyHospMed Maximum props for our surge staffing plan to Divisional leadership (currently Dr. Ami Dewaters and Dr. Fahad Khalid) #jhmchat |
| Anika Kumar, MD @freckledpedidoc @SocietyHospMed R1. We are staying healthy on Peds so we can help care for the young adults (18-25 yrs) if necessary #JHMChat |
 | Stefan Tigges @StefanTigges RT @gracefarris: @SocietyHospMed @JHospMedicine @FutureDocs Joining from NYC where I have taken care of 3 hospitalized pts w #covid19 #JHMC… |
| Charlie M. Wray, DO, MS @WrayCharles @RJmdphilly @SocietyHospMed I think you're hitting on something key here - which is also allowing your front line providers help keep control of the things they do well and understand well. This will be incredibly important in the coming week #JHMChat what do you think @ETSshow? |
| Beverly A. Zavaleta MD @BZavaletaMD @jenreadlynn @SocietyHospMed We have not dedicated units yet. #JHMChat |
| Avital O'Glasser, MD FACP FHM @aoglasser @SocietyHospMed @JHospMedicine @FutureDocs @OHSU_DHM #JHMChat ps going to try to participate in the chat from the elliptical because I'm trying to make frequent exercise and reaching daily goal step count a top priority goal, esp when I start working from home as much as possible |
| Trushar M. Dungarani @DrT_Dungarani We call the patients on their room phone or cell phone and talk with them to get a complete history first, then go into the room to exam only and leave and call them back to answer follow ups on the plan. #jhmchat |
| Brian McGillen, MD @BMcGillenMD @ETSshow Saw your tweets on this earlier, Mark. So thankful you asked the question about vents. We might have to go there... #jhmchat |
| Tom Heston MD @tomhestonmd @RJmdphilly @jenreadlynn @SocietyHospMed #JHMChat you plan to require neg pressure rooms, or just prefer? |
| Rebecca Jaffe, MD @RJmdphilly @drtsega Haha did the same. Turned out 3pm was too late for lunch. Food cured my suspected viral illness #jhmchat |
| Society of Hospital Medicine @SocietyHospMed @ziakmcite @JHospMedicine @FutureDocs Welcome, Zia! If you're new to #JHMchat -- don't forget to follow along with the hashtag and use it throughout so that others can see what you share :) |
 | Carrie Sims, MD PhD @carriesims20 RT @RJmdphilly: #JHMChat Rebecca Jaffe in Philly So excited to learn from you all. This is an amazing gathering and we are so lucky to hav… |
| The SilentSonicHedgehog🧢⚕️ @LynnGarner RT @DrT_Dungarani: We call the patients on their room phone or cell phone and talk with them to get a complete history first, then go into… |
| Vinny Arora MD MAPP @FutureDocs @sanjaysaint Now I have that crazy theme song in my head! #JHMChat “we ain’t afraid of no covid” https://t.co/StPbU0ZORf |
| Society of Hospital Medicine @SocietyHospMed @dmm460 @JHospMedicine @FutureDocs Great question, Debbie! Follow along (and use) the hashtag: #JHMchat. You'll find a complete thread as the tweets come in! |
| Chicago Covid Rebellion A.K.A. Jessi the Asthmatic @CovidChicago Our country has a long history of muzzling doctors. Let's not do that now, @GovPritzker @IDPH #ChicagoCovidRebellion |
| Vinny Arora MD MAPP @FutureDocs RT @SocietyHospMed: @dmm460 @JHospMedicine @FutureDocs Great question, Debbie! Follow along (and use) the hashtag: #JHMchat. You'll find a… |
| Gordon Johnson @pdxfutebol @SocietyHospMed Should we stop admiring patients for specialty services They will have more availability with no elective cases We can switch to consulting in those who actually need medicine. #JHMChat |
| Jon Lim, MD 🏳️🌈 @JonLimMD A1: our direct care team to take on COVID patients, but will also eventually also be on resident teams. Planning and processes very dynamic. Great to have #JHMChat to share ideas and practices. |
 | Tyler Jones 🇨🇦🤠 @Drtylerjones @SocietyHospMed It is just starting to arrive in OKC. We are kind of day by day with what is needed and what the plan is. We are trying to set up dedicated #Covid-19 hospitalists. #JHMChat |
| mkl @mkl71963488 Peds hospitalist here...just got word that one of our hospitals no longer has the swabs to perform COVID testing...what’s the work-around for this massive screwup #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @gracefarris: @SocietyHospMed @JHospMedicine @FutureDocs Joining from NYC where I have taken care of 3 hospitalized pts w #covid19 #JHMC… |
| Mark Shapiro, MD @ETSshow @WrayCharles @RJmdphilly @SocietyHospMed Empowering teams at local level to solve problems based on their knowledge of specific context while being clear about overall goal is clear. Put another way: here’s what needs to be done, execute in the way you see fit & ask for help if needed #JHMChat |
| Amith Skandhan MD SFHM FACP @ASK_HM17 RT @gracefarris: @SocietyHospMed @JHospMedicine @FutureDocs Joining from NYC where I have taken care of 3 hospitalized pts w #covid19 #JHMC… |
| Beverly A. Zavaleta MD @BZavaletaMD @Annie_Massart_ @SocietyHospMed I feel you. Also no surge plan. #JHMChat |
 | WOMENSHealthAlliance @WomensAlly RT @gracefarris: @SocietyHospMed @JHospMedicine @FutureDocs Joining from NYC where I have taken care of 3 hospitalized pts w #covid19 #JHMC… |
| nick meo @nmeo @SocietyHospMed R1. Opened dedicated unit, Hospitalists involved in incident command, systems redesign, occ health, PPE training. Initially had dedicated team but now with numbers increasing have opened up admissions to housestaff after dedicated PPE training #JHMChat |
 | Vignesh Doraiswamy MD @DoctorVig @SocietyHospMed A1 part 2. We have always had a 2-deep risk backup system at baseline but this will likely expand to 4 #JHMchat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @RJmdphilly @SocietyHospMed Our confirmed will go in negative pressure but our rule outs are just isolation with droplet, contact, and eye protection. Also anyone with aerosolizing needs (nebs, Bipap, etc) is neg pressure. #JHMChat |
| Benji Mathews, MD @MDbenji @SocietyHospMed The likelihood of a successful response to patient surges will depend on the local health systems' ability to prepare well in advance and hospitalists are critical in that role. This pandemic has & will require all levels of the system to work together & coordinate! #JHMChat |
| Avital O'Glasser, MD FACP FHM @aoglasser @nmeo @SocietyHospMed @JHospMedicine @FutureDocs #JHMchat thinking about our neighbors to the north up I5!! how are you all doing? |
 | Alan J. Card @AlanJCard RT @DrT_Dungarani: We call the patients on their room phone or cell phone and talk with them to get a complete history first, then go into… |
 | Vida Lynum @VidaLynum RT @FutureDocs: Just a reminder for everyone tonight to use #JHMChat so we can index your tweets and find your resources for @SocietyHospMe… |
| Vida Lynum @VidaLynum RT @FutureDocs: R1 our hospitalists @uchicagohospmed are front and center of this. in terms of staffing, adding another layer of jeopardy s… |
| Ria Dancel, MD @ria_dancel @SocietyHospMed A1) hospitalists staff floor/step down level PUI / COVID and work closely with MICU. We have room to pull hospitalists off consult services and have backup 3 people deep. Very proud of our team #JHMCHAT |
| J Byron Lu @JByronLuMD @tomhestonmd @RJmdphilly @jenreadlynn @SocietyHospMed I feel like if every new COVID19 ruleout was actually properly in a negative pressure room we'd end up practicing in the vacuum of space :P #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @JByronLuMD @SocietyHospMed Post acute care is key. We heard (rumor? Truth?) that rehabs were starting to say they wound’t take ANYONE without a negative test. That’s a terrifying position if true. #jhmchat |
 | Rupesh Prasad @rupeshp011 @ETSshow We are in discussions about a dedicated unit as well #JHMChat |
| Tom Heston MD @tomhestonmd #JHMChat H&P very insensitive so a poor screening tool. Mass testing now would help in the early identification of #covid19 clusters, facilitating smart isolation. mass testing with rigorous data collection probably most cost-effective early in the course of the pandemic |
| Beverly A. Zavaleta MD @BZavaletaMD @tomhestonmd That’s a great idea I will suggest to C-suite! #JHMChat |
| Beverly A. Zavaleta MD @BZavaletaMD RT @tomhestonmd: #JHMChat 1. Only have so many hospitalists. Asking for fast credentialing of primary care docs in case we need more help |
| Isha Puri @ishahosp Not clear on turn around times for testing, it seems to be taking long #jhmchat |
| Tom Heston MD @tomhestonmd @DrT_Dungarani All pts get single occupancy rooms? Or how do you decide? #JHMChat |
| Avital O'Glasser, MD FACP FHM @aoglasser @FutureDocs @UChicagoHospMed @JHospMedicine #jhmchat agree--the virtual & #medtwitter based connections have been invaluable in the last few days already. more to come... |
 | Shanu Gupta @shanumeister @DrT_Dungarani For all patients, or just the COVID-19 positive/ pending testing? #JHMChat |
| Benji Mathews, MD @MDbenji @ASK_HM17 @SocietyHospMed @JHospMedicine @FutureDocs @_HealthPartners Same here! Hope you are doing ok down south! Let’s continue to learn and share ideas! Your article was a great early read! #JHMChat |
 | Carolyn Giordano, PhD @CarolynGi0rdano @WrayCharles @RJmdphilly @SocietyHospMed @ETSshow #JHMChat first time caller, long time listener from Philly. I’m worried about the 3& 4yr students being pulled off of clinical rotations. Thoughts on this and educating during this time to make sure they are ready? |
 | Duke GIM @Duke_GIM RT @SocietyHospMed: And we're off! Welcome to tonight's #JHMChat Special: Addressing #COVID19 in Hospital Medicine - Crowdsourcing Experien… |
| Rebecca Jaffe, MD @RJmdphilly @DrSinhaEsq Any links to share? #jhmchat |
| Mark Shapiro, MD @ETSshow @bmcgillen26 Reposting here! Great resources in replies @JHospMedicine @SocietyHospMed @WrayCharles @FutureDocs #JHMChat https://t.co/VSDaNPiaIj |
| Poonam Sharma @PoonamSS @SocietyHospMed A1. Rapid cycle quality improvement. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs This clinical crisis coupled a complete educational upheaval requiring a remote curriculum overnight is a major stress for many of us at academic centers who are clinicians & educators #JHMChat #Covid_19 #meded |
| Beverly A. Zavaleta MD @BZavaletaMD @DrT_Dungarani Also a great idea - phone call for history. Might look into implementing. #JHMChat |
| Beverly A. Zavaleta MD @BZavaletaMD RT @DrT_Dungarani: We call the patients on their room phone or cell phone and talk with them to get a complete history first, then go into… |
| Brian McGillen, MD @BMcGillenMD @RJmdphilly @JByronLuMD @SocietyHospMed We are partnering with our Geriatrics/Post-Acute Division to build bridges for this scenario. #jhmchat Can't expose an unexposed facility...but have to move people who can move. |
| Areeba Kara @areeba_kara @SocietyHospMed In addition to staffing, we are looking into other ways to decrease both the indirect care and the direct care burden. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @Renaltubules @JHospMedicine @FutureDocs Welcome!! If you're new to #JHMchat -- keep an eye on our hashtag and include it whenever you'd like to chime in! |
| Anika Kumar, MD @freckledpedidoc @mkl71963488 Welcome! Now there are 2.3 Peds Hospitalists (@DoctorVig does 30% Peds) #jhmchat. |
| Vinny Arora MD MAPP @FutureDocs RT @areeba_kara: @SocietyHospMed In addition to staffing, we are looking into other ways to decrease both the indirect care and the direct… |
| Vinny Arora MD MAPP @FutureDocs RT @bmcgillen26: @RJmdphilly @JByronLuMD @SocietyHospMed We are partnering with our Geriatrics/Post-Acute Division to build bridges for thi… |
| Rebecca Jaffe, MD @RJmdphilly @aoglasser @SocietyHospMed Absolutely!! We are really trying to think where we can borrow from. This is a great idea. #JHMChat |
 | MedEdBot @MedEdBot RT @FutureDocs: This clinical crisis coupled a complete educational upheaval requiring a remote curriculum overnight is a major stress for… |
| Alan J. Card @AlanJCard RT @mkl71963488: Peds hospitalist here...just got word that one of our hospitals no longer has the swabs to perform COVID testing...what’s… |
| Vinny Arora MD MAPP @FutureDocs RT @JByronLuMD: @SocietyHospMed A1. My division has a relatively large geographic footprint, and I wonder if, as is predicted, there might… |
| Vinny Arora MD MAPP @FutureDocs RT @RJmdphilly: @JByronLuMD @SocietyHospMed Post acute care is key. We heard (rumor? Truth?) that rehabs were starting to say they wound’t… |
| Charlie M. Wray, DO, MS @WrayCharles @FutureDocs @BZavaletaMD @UChicagoHospMed Having back up pieces is good, knowing where they best fit is maybe more important? Our group has been talking with GIM - as they are the most logical clinical stand-in should we start to loose attendings to quarantine/childcare while they are on wards. #JHMChat |
| Beverly A. Zavaleta MD @BZavaletaMD @ishahosp We are at 48 hours for testing turn around. #JHMChat |
| Doctivist @jbcowartmd @SocietyHospMed A1: hospitalists are seeing floor #COVID2019 patients as well as usual pts. We are cohorting on dedicated team in day. No real change to night/admitter staffing yet. How are people changing night staffing? #jhmchat #medtwitter |
| The SilentSonicHedgehog🧢⚕️ @LynnGarner We are going to have our hospitalists home on quarantine cover routine floor pages from home. #JHMchat |
| Avital O'Glasser, MD FACP FHM @aoglasser @RJmdphilly @JByronLuMD @SocietyHospMed #JHMchat similar concern here... how will we discharge once DC criteria met. with severity of illness in hospitalized patients, I anticipate deconditioning and SNF needs, right? |
| Society of Hospital Medicine @SocietyHospMed @SusanLopezMD Hi there, Susan! Welcome to #JHMchat :) Thrilled you can join us tonight to discuss COVID19 with us. Don't forget to use our hashtag! |
| Vinny Arora MD MAPP @FutureDocs RT @WrayCharles: @FutureDocs @BZavaletaMD @UChicagoHospMed Having back up pieces is good, knowing where they best fit is maybe more importa… |
| MDEdge @MDEdgeTweets @SocietyHospMed A1: In times of public health crises, pregnant women have unique and pressing concerns about their personal health and the health of their unborn children, and OB hospitalists play a critical role in providing for this vulnerable population. #JHMchat https://t.co/FTfnskNasO |
| Beverly A. Zavaleta MD @BZavaletaMD @tomhestonmd Agree! #JHMChat |
 | David Goldberg @GoldbergDaDr RT @SocietyHospMed: Here we go! Resource #1 for tonight's #JHMchat Special: #COVID19 What role are hospitalists playing in the response to… |
| Beverly A. Zavaleta MD @BZavaletaMD RT @tomhestonmd: #JHMChat H&P very insensitive so a poor screening tool. Mass testing now would help in the early identification of #covid1… |
| Rebecca Jaffe, MD @RJmdphilly @bmcgillen26 @1JasonStein @SocietyHospMed Heard this mentioned at hospital today. Still not sure what that looks like or how it’s done. Glad to hear it might be an option. #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @SocietyHospMed: @Renaltubules @JHospMedicine @FutureDocs Welcome!! If you're new to #JHMchat -- keep an eye on our hashtag and include… |
 | Rachel Truair @RachelTruair So proud of my sister who is working on the frontlines of #COVID19 in NYC while not losing her sense of humor or ability to create art. Hang in there Dr. Gracie! 😷💙 |
| Annie Massart @Annie_Massart_ @LynnGarner Interesting! Could you share more about that model? Will all pages go to them and they filter? #JHMChat |
| Society of Hospital Medicine @SocietyHospMed Loving all of this discussion so far! 🙌 Resource #2 will be coming up in a moment... #JHMchat #COVID19 #MedTwitter |
 | Dr. Deidra Crews @DrDeidraCrews Nephrologist @hopkinsneph Appreciative of my hospitalist colleagues @Hopkins_GIM #JHMChat |
| Beverly A. Zavaleta MD @BZavaletaMD RT @ETSshow: @bmcgillen26 Reposting here! Great resources in replies @JHospMedicine @SocietyHospMed @WrayCharles @FutureDocs #JHMChat http… |
| Grace Farris MD @gracefarris @BZavaletaMD @ishahosp That’s amazing! #JHMChat out labcorp ones are 3-4 days. Multiple bottlenecks in the reporting processes |
 | Arash Velayati @ArashVelayati Happy to be here brainstorming with you all during this crisis. #JHMchat |
| J Byron Lu @JByronLuMD @RJmdphilly @SocietyHospMed We are similarly concerned with the shelter situation--someone comes with suspected COVID--I'm betting shelters are not going to readmit. Instant hospital sclerosis. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @CarolynGi0rdano @WrayCharles @RJmdphilly @ETSshow Hi there, Carolyn! A Fellow Philadelphian - we love that! Welcome to #JHMchat :) Keep an eye on the hashtag and use it whenever you'd like to chime in! |
| Amith Skandhan MD SFHM FACP @ASK_HM17 @SocietyHospMed @JHospMedicine @FutureDocs I recently got active on Twitter after the Coronavirus outbreak hit us. This is my first time on #JHMChat and it gives me so much happiness and joy to see a Hospitalsist community together discussing a pressing issue. #Grateful #Blessing #InThisTogether #Howwehospitalist |
 | Samir S. Shah @SamirShahMD @SocietyHospMed R1. @cincyphm we have 3 person available for back up most nights. Dedicated #COVID19 unit staffed by our division just opened. #JHMChat |
| Mark Shapiro, MD @ETSshow @LynnGarner That is really smart! Definitely filing that away, thank you! #JHMChat @SocietyHospMed @WrayCharles @FutureDocs |
| Anika Kumar, MD @freckledpedidoc @jenreadlynn @RJmdphilly @SocietyHospMed We have been planning for this on Peds Units. Unfortunately we don’t have enough NP rooms so we plan to cohort those who test positive to 2 units. #JHMChat |
| Mark Shapiro, MD @ETSshow RT @LynnGarner: We are going to have our hospitalists home on quarantine cover routine floor pages from home. #JHMchat |
| Brian McGillen, MD @BMcGillenMD @aoglasser @RJmdphilly @JByronLuMD @SocietyHospMed Plus the reported backslide that patients seem to do when cardiomyopathy develops (1-2 days after clinical improvement noted). #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @FutureDocs @BZavaletaMD @UChicagoHospMed We have been talking about primary care, preop, family med, anesthesia, surgery #jhmchat Other suggestions? |
| Avital O'Glasser, MD FACP FHM @aoglasser @freckledpedidoc @SocietyHospMed #JHMchat not the first time today I've heard about peds hospitalists offering to help on the "adult side" of the hospital! thank you thank you |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @BZavaletaMD @DrT_Dungarani We've had physicians do this. Especially if just a quick update or question for patient. Instead of going through PPE, they call the patient in their room. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @ETSshow: @bmcgillen26 Reposting here! Great resources in replies @JHospMedicine @SocietyHospMed @WrayCharles @FutureDocs #JHMChat http… |
| Grace Farris MD @gracefarris @sanjaysaint @UMich @VAAnnArbor This is our process as well #JHMChat |
 | Heather Lander, PhD @PathogenScribe RT @mkl71963488: Peds hospitalist here...just got word that one of our hospitals no longer has the swabs to perform COVID testing...what’s… |
| Vinny Arora MD MAPP @FutureDocs Special welcome to any international colleagues and new participants tonight on #JHMChat #COVID2019 with @SocietyHospMed @JHospMedicine @WrayCharles - we look forward to your experiences |
| Alan J. Card @AlanJCard RT @FutureDocs: This clinical crisis coupled a complete educational upheaval requiring a remote curriculum overnight is a major stress for… |
 | Marisha Burden @marishaburden @SocietyHospMed Dedicated teams, crowd sourced #teamwork, and innovation; massive efforts to ensure we can manage increased capacity; building amazing partnerships across many different teams #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @LynnGarner: We are going to have our hospitalists home on quarantine cover routine floor pages from home. #JHMchat |
| Rebecca Jaffe, MD @RJmdphilly @bmcgillen26 @aoglasser @JByronLuMD @SocietyHospMed Gonna have to wait that one out inpatient I think. #JHMChat |
| Shanu Gupta @shanumeister @LynnGarner Great idea! #JHMChat |
| Tom Heston MD @tomhestonmd @mkl71963488 Push back, hard. We are the patient’s top advocate. Other than that, what a massive screwup. #JHMChat |
 | Romil Chadha @romilchadha @SocietyHospMed #JHMChat #COVID2019 @UKHospitalists can absorb 20-30% volumes with our current staffing model and backup systems. More than that it will become problem. |
| Beverly A. Zavaleta MD @BZavaletaMD @LynnGarner Great idea #JHMChat |
| Beverly A. Zavaleta MD @BZavaletaMD RT @LynnGarner: We are going to have our hospitalists home on quarantine cover routine floor pages from home. #JHMchat |
| Vinny Arora MD MAPP @FutureDocs RT @ASK_HM17: @SocietyHospMed @JHospMedicine @FutureDocs I recently got active on Twitter after the Coronavirus outbreak hit us. This is my… |
| Mark Shapiro, MD @ETSshow @JByronLuMD @RJmdphilly @SocietyHospMed This is a huge loco-regional concern #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @bmcgillen26 @RJmdphilly @JByronLuMD @SocietyHospMed We're definitely in a "get everyone out ASAP" mode right now. Some patients want to stay because they feel "safe". I'm sure some are going to feel like we're kicking them out but it's for their own good! #JHMChat |
| Brian McGillen, MD @BMcGillenMD @RJmdphilly @1JasonStein @SocietyHospMed Ha. Yeah...same here. This is all "news to me" territory at HMC. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed Resource #2 for tonight's #JHMchat Special: How can hospitalists practice #socialdistancing during clinical care and adapt to the high use of PPE? #MedTwitter #COVID19 #FlattenTheCurve https://t.co/DB8qxS02N6 |
| Society of Hospital Medicine @SocietyHospMed @SamirShahMD @CincyPHM Samir! Welcome :) Thanks for staying up tonight for this #JHMchat! 💤 |
| J Hospital Medicine @JHospMedicine RT @ASK_HM17: @SocietyHospMed @JHospMedicine @FutureDocs I recently got active on Twitter after the Coronavirus outbreak hit us. This is my… |
| Andaleeb Ahmed @fixheart Andaleeb Ahmed Cardiac Anesthesiologist from Boston joining #jhmchat |
| Mark Shapiro, MD @ETSshow @ASK_HM17 @SocietyHospMed @JHospMedicine @FutureDocs Welcome! #JHMChat |
 | Matthew Sparks, MD, FASN, FAHA @Nephro_Sparks Matt Sparks Nephrologist working on guidance RE ACEi and ARBs in face of COVID19 big fan of hospitalists COI- significant other is a hospitalist #JHMChat |
| J Byron Lu @JByronLuMD @bmcgillen26 @aoglasser @RJmdphilly @SocietyHospMed Oh man, the cardiomyopathy. Let's talk about THAT. (Am I secretly a speculative physiology nerd?) #jhmchat |
| Areeba Kara @areeba_kara @SocietyHospMed looking into delaying delinquency of discharge summaries/billing, limiting calls from UM and documentation improvement. While important, may be distracting in a crisis #JHMChat |
| J Hospital Medicine @JHospMedicine RT @DrJoshuaAD: @SocietyHospMed @JHospMedicine @FutureDocs Hi all - looking forward to learning from others, hoping to identify some best p… |
| J Hospital Medicine @JHospMedicine RT @SocietyHospMed: @Renaltubules @JHospMedicine @FutureDocs Welcome!! If you're new to #JHMchat -- keep an eye on our hashtag and include… |
| J Hospital Medicine @JHospMedicine RT @FutureDocs: Special welcome to any international colleagues and new participants tonight on #JHMChat #COVID2019 with @SocietyHospMed @J… |
| Charlie M. Wray, DO, MS @WrayCharles @sanjaysaint @UMich @VAAnnArbor Similar @SFVAMC. All admitted pts go to direct hospitalist service, but if they become PUI on a teaching service they will stay there until confirmed (then transferred to direct). Problem we'll run into is maxing that service out...as these patients are time-consuming #JHMChat |
| J Hospital Medicine @JHospMedicine RT @ETSshow: @bmcgillen26 Reposting here! Great resources in replies @JHospMedicine @SocietyHospMed @WrayCharles @FutureDocs #JHMChat http… |
| Avital O'Glasser, MD FACP FHM @aoglasser @FutureDocs @BZavaletaMD @UChicagoHospMed #JHMchat this conversation seems to be happening, at least on #medtwitter anesthesiologists? vents, pressors, critical care-check trauma surgery? vents, ECMO, ICU level care-check |
| Rebecca Jaffe, MD @RJmdphilly @JByronLuMD @SocietyHospMed Yeah - a lot of our admits so far have been mild disease rule outs - undomiciled and no way to isolate while awaiting a test. Need a non-hospital solution for this. #philly #jhmchat |
| Anika Kumar, MD @freckledpedidoc @gracefarris @BZavaletaMD @ishahosp Ours is 8 hours, but we are telling patients 24 hours #JHMChat |
| Karyn "It should feel like over-reacting" Baum MD @karynbaum @areeba_kara @SocietyHospMed We will be using medical students from a distance to help with things like prepping discharge summaries (if they sign up for the rotation!) #JHMChat |
| Jon Lim, MD 🏳️🌈 @JonLimMD @jenreadlynn @bmcgillen26 @RJmdphilly @JByronLuMD @SocietyHospMed Since our elective procedures have stopped, I think our surgical floors will expand capacity for medicine patients, obviously to a limit... #JHMChat |
| Chicago Covid Rebellion A.K.A. Jessi the Asthmatic @CovidChicago RT @FutureDocs: This clinical crisis coupled a complete educational upheaval requiring a remote curriculum overnight is a major stress for… |
| Vignesh Doraiswamy MD @DoctorVig @1JasonStein @SocietyHospMed There's been talk and hearsay about tents. We have 1200+ beds and are often operating close to capacity but it's still early in Ohio and there's been a perceived slowing of ER patients as I think only people who are really sick are venturing out. #jhmchat |
| Tom Heston MD @tomhestonmd @jenreadlynn @RJmdphilly @SocietyHospMed Ditto. #JHMChat |
| Mark Shapiro, MD @ETSshow @SamirShahMD @SocietyHospMed @CincyPHM How many dedicated beds may I ask? Or better yet, what % of total adult acute care beds? #JHMChat |
| Brian McGillen, MD @BMcGillenMD @FutureDocs @BZavaletaMD @UChicagoHospMed DGIM will staff teaching services if DHM has to staff more teams Family/Community has volunteered to help. Subspecialties have also volunteered. Truly a facility-wide effort to prepare #JHMChat |
| J Byron Lu @JByronLuMD @Nephro_Sparks Hi Matt! Was just talking to @jordy_bc about your NephJC post! It was INSPIRING. Like, actually. I made a cartoon. #jhmchat |
| Grace Farris MD @gracefarris @Nephro_Sparks Definitely some AKI in pts w COVID19 #JHMChat |
| Charlie M. Wray, DO, MS @WrayCharles @FutureDocs @SocietyHospMed @JHospMedicine This is awesome! Welcome aboard, @Renaltubules #JHMChat |
| Poonam Sharma @PoonamSS @RJmdphilly @bmcgillen26 @aoglasser @JByronLuMD @SocietyHospMed Do those patients need telemetry? #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @bmcgillen26: @FutureDocs @BZavaletaMD @UChicagoHospMed DGIM will staff teaching services if DHM has to staff more teams Family/Communi… |
| Surafel Tsega @drtsega A2: Instead of going back to a patient’s room to answer questions or follow up on plan of care, call their room from your office! #JHMchat |
| Romil Chadha @romilchadha @SocietyHospMed #JHMChat #COVID2019 #Hospitalists would become the #BottleNeck of the system as once the number of patients increase |
| Mark Shapiro, MD @ETSshow @bmcgillen26 @aoglasser @RJmdphilly @JByronLuMD @SocietyHospMed Those are very concerning anecdotes #JHMChat |
| Areeba Kara @areeba_kara @karynbaum @SocietyHospMed Love it! They are hungry to help #JHMChat |
| Beverly A. Zavaleta MD @BZavaletaMD @FutureDocs @UChicagoHospMed I’ll suggest that #JHMChat |
| Annie Massart @Annie_Massart_ @jenreadlynn @bmcgillen26 @RJmdphilly @JByronLuMD @SocietyHospMed I've definitely seen that before with flu, but COVID seems to have everyone spooked. Every patient I saw today was eager to get out ASAP. #JHMChat |
| Grace Farris MD @gracefarris @WrayCharles @sanjaysaint @UMich @VAAnnArbor @SFVAMC This is the process we’ve developed. You can burn thru a lot of ppe if more than an attending is involved #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @DoctorVig: @SocietyHospMed A1 part 2. We have always had a 2-deep risk backup system at baseline but this will likely expand to 4 #JHMc… |
 | Electrolyte Doc @DocElectrolyte @JByronLuMD @RJmdphilly @SocietyHospMed same with patients coming from prisons #JHMChat |
| Doctivist @jbcowartmd RT @SocietyHospMed: Here we go! Resource #1 for tonight's #JHMchat Special: #COVID19 What role are hospitalists playing in the response to… |
| Matthew Sparks, MD, FASN, FAHA @Nephro_Sparks @JByronLuMD @jordy_bc would love to see it #JHMChat |
| Alfred R Quezada, MD @AlfredQuezadaMD @SocietyHospMed So glad I joined, awesome input from everyone, thanks!! #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @aoglasser: @SocietyHospMed #JHMchat also brainstorming about redeployment (been part of these discussions beyond my institution this we… |
| Society of Hospital Medicine @SocietyHospMed @PoonamSS @RJmdphilly @bmcgillen26 @aoglasser @JByronLuMD Welcome to #JHMchat, Poonam! Thrilled to have you here! |
| Anika Kumar, MD @freckledpedidoc @SamirShahMD @SocietyHospMed @CincyPHM Hi Samir, Are you guys seeing pediatric cases in Cincinnati? #JHMChat |
| Mark Shapiro, MD @ETSshow @RJmdphilly @FutureDocs @BZavaletaMD @UChicagoHospMed Anyone with a medical license, if it comes to that #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @DrT_Dungarani We just put together a workflow for this today, and how residents and NPs might help with a collaborative admit process incl donning and doffing support role. #jhmchat |
| Brian McGillen, MD @BMcGillenMD @SocietyHospMed A2: Very important to spread out office spaces. Wherever/however. Finding new space is tough, but have to move people away from each other. #6feet #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @tomhestonmd: #JHMChat 1. Only have so many hospitalists. Asking for fast credentialing of primary care docs in case we need more help |
| Charlie M. Wray, DO, MS @WrayCharles I imagine direct hospitalist service patient caps may have to be adjusted to accommodate the time spent on these patients. What do others think? #JHMChat |
 | Shreya P. Trivedi MD @ShreyaTrivediMD @Annie_Massart_ @jenreadlynn @bmcgillen26 @RJmdphilly @JByronLuMD @SocietyHospMed lol discharge before noon rates at their best! #JHMChat |
 | Omi @Omi_082 RT @bmcgillen26: @FutureDocs @BZavaletaMD @UChicagoHospMed DGIM will staff teaching services if DHM has to staff more teams Family/Communi… |
 | Steve Whichard @refinish69 RT @gracefarris: @SocietyHospMed @JHospMedicine @FutureDocs Joining from NYC where I have taken care of 3 hospitalized pts w #covid19 #JHMC… |
| Vinny Arora MD MAPP @FutureDocs RT @pdxfutebol: @SocietyHospMed I am contacting some docs who have recently retired and set up emergency privileging so we have some extra… |
| Shanu Gupta @shanumeister @karynbaum @areeba_kara @SocietyHospMed Great idea! #JHMChat I might borrow this one... 😉 |
| Tom Heston MD @tomhestonmd #JHMChat Why aren’t we addressing health risk factors more? If everyone stopped smoking today, the case fatality rate would significantly decrease, right? Shouldn’t “stop smoking and stop vaping” be a core message? |
| Tom Heston MD @tomhestonmd @RJmdphilly @JByronLuMD @SocietyHospMed Why is this terrifying? A liberal testing model seems appropriate. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @ishahosp Welcome to #JHMChat, Isha! Is this your first chat with us? |
| Vinny Arora MD MAPP @FutureDocs RT @WrayCharles: @SocietyHospMed The answer to this question has evolved at my institution. Initially, given our jack-of-all-trades we were… |
| Vinny Arora MD MAPP @FutureDocs RT @WrayCharles: @RJmdphilly @SocietyHospMed I think you're hitting on something key here - which is also allowing your front line provider… |
| Grace Farris MD @gracefarris @WrayCharles Yes absolutely #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @areeba_kara @SocietyHospMed We're also working on verbal consent for things like admitting paperwork and UM paperwork. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @WrayCharles: @RJmdphilly @SocietyHospMed I think you're hitting on something key here - which is also allowing your front line provider… |
| Vignesh Doraiswamy MD @DoctorVig @SocietyHospMed A2. Does everyone have a phone in the patients' room to minimize actually having to go in to talk to them? Of course some will need to be examined at times and human interaction will be good for our patients too. #JHMchat |
| Grace Farris MD @gracefarris @ishahosp @freckledpedidoc @BZavaletaMD No #JHMChat |
| Mark Shapiro, MD @ETSshow @gracefarris @WrayCharles @sanjaysaint @UMich @VAAnnArbor @SFVAMC How long does the designated attending keep one set of PPE on? Cc @sanjaysaint #JHMChat |
| Michael S. Sinha MD, JD, MPH @DrSinhaEsq #JHMChat Curious how many of you are using PAPRs instead of N95s. I always fail the fit test, even when clean shaven... |
| Annie Massart @Annie_Massart_ @SocietyHospMed We can distance ourselves by avoiding high traffic areas for documentation, phone calls, and the other mundane work that can take hours and risk lots of exposures. Avoid congregating in the main office as much as possible. #JHMChat |
| Samir S. Shah @SamirShahMD @ETSshow @SocietyHospMed @CincyPHM 9 bed unit out of 725+ total bed (free standing cchildren’s Hospital) #JHMChat |
| J Byron Lu @JByronLuMD @Nephro_Sparks @jordy_bc Samples. #JHMChat https://t.co/1NWko2Kjd3 |
| Vinny Arora MD MAPP @FutureDocs @WrayCharles @RJmdphilly @SocietyHospMed @ETSshow Just occurred to me that What we are seeing is acknowledgement that hospital medicine is a specialty with special skill set! #JHMChat #COVID2019 |
| Charlie M. Wray, DO, MS @WrayCharles @DoctorVig @SocietyHospMed Don't forget about the patient's own cell phone! #JHMChat |
 | Andrew Michael South, MD, MS @asouth_neph RT @JByronLuMD: @Nephro_Sparks Hi Matt! Was just talking to @jordy_bc about your NephJC post! It was INSPIRING. Like, actually. I made a ca… |
| Society of Hospital Medicine @SocietyHospMed RT @DoctorVig: @SocietyHospMed A2. Does everyone have a phone in the patients' room to minimize actually having to go in to talk to them? O… |
| Avital O'Glasser, MD FACP FHM @aoglasser @SocietyHospMed #JHMChat A2--hospitalist in preop clinic here but actively working on thinning out number of staff in the team room, as we actively more to as many tele-visits as possible. trying to get people home--staff and patients |
 | P Mimi Poinsett MD @yayayarndiva RT @FutureDocs: Special welcome to any international colleagues and new participants tonight on #JHMChat #COVID2019 with @SocietyHospMed @J… |
 | Chris “The Chiu Man" Chiu, MD @cjchiu @SocietyHospMed @JHospMedicine @FutureDocs Hey hey, this is Chris Chiu from The Ohio State. Here to lurk as I'm still putting the kids to bed. #JHMchat |
 | Saima Chaudhry, MD @DrSaimaChaudhry @RJmdphilly @FutureDocs @BZavaletaMD @UChicagoHospMed #JHMChat I’ve heard talk about all of the above |
| Mark Shapiro, MD @ETSshow @SamirShahMD @SocietyHospMed @CincyPHM Thank you for sharing that #JHMChat |
 | Candice Mateja, DO FACP @c_niceness @SocietyHospMed #JHMChat Are hospitals with lounges closing them to encourage social distancing? |
| Karyn "It should feel like over-reacting" Baum MD @karynbaum @SocietyHospMed We are working to get iPads for some of the neg airflow rooms so we can communicate with patients about updates etc without going in there.h Need to think about our small, cramped workroom though..... #JHMChat #FlattenTheCurve |
| Anika Kumar, MD @freckledpedidoc @drtsega This is the advice that the Seattle Children’s Hospitalists are giving to ration PPE #JHMChat |
| Mark Shapiro, MD @ETSshow Evergreen tweet #JHMChat |
| Matthew Sparks, MD, FASN, FAHA @Nephro_Sparks RT @JByronLuMD: @Nephro_Sparks @jordy_bc Samples. #JHMChat https://t.co/1NWko2Kjd3 |
| Grace Farris MD @gracefarris @ETSshow @WrayCharles @sanjaysaint @UMich @VAAnnArbor @SFVAMC Per patient. If we were cohorting them to a shared room this would be better #JHMChat |
| Avital O'Glasser, MD FACP FHM @aoglasser RT @ETSshow: Evergreen tweet #JHMChat https://t.co/D8n6gGNQbK |
| Brian McGillen, MD @BMcGillenMD @WrayCharles YES! Took 1 doc 45 minutes to see 1 COVID suspected patient ONCE over the weekend. Forms, PPE, etc., infection protocol. Madness #JHMChat |
| MDEdge @MDEdgeTweets @SocietyHospMed @DrPoorman shared her experience with us on this very question from the #COVID19 frontlines near Seattle. "Half of my patients had coughs. Our team insisted that they wear masks. One woman refused, and I refused to see her until she did." https://t.co/9JPi9TNYaC #JHMchat |
| Rebecca Jaffe, MD @RJmdphilly @JonLimMD Interested in how you are managing messaging on this. We are having some culture issues........ #jhmchat |
| Samir S. Shah @SamirShahMD @ETSshow @SocietyHospMed @CincyPHM With plans to expand if #COVID19 causes more disease in kids than anticipated. We also have a large at risk immunocompromised population #JHMChat |
| Beverly A. Zavaleta MD @BZavaletaMD RT @karynbaum: @SocietyHospMed 1. Members of Incident Command 2. Systems redesign teams--not just for HM. 3. Front line providers 4. Comple… |
| Tom Heston MD @tomhestonmd @CarolynGi0rdano @WrayCharles @RJmdphilly @SocietyHospMed @ETSshow This is no way to train doctors, IMO. We need to all pull together. They are missing out on critical training. Yes, medicine is risky sometimes, but so are lots of jobs. Don’t treat them like snowflakes. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed Great question, @c_niceness: #JHMchat #SocialDistancing #COVID2019 |
| Chicago Covid Rebellion A.K.A. Jessi the Asthmatic @CovidChicago When you leave the house for anything other than necessity you are further weakening our reserve of doctors. They don't come from a doctor factory, you guys. They are humans. #ChicagoCovidRebellion #Chicago #DontBeASpreader |
| Romil Chadha @romilchadha @ishahosp @SocietyHospMed #JHMChat yes specialists become generalists in the moment of need |
| Brian McGillen, MD @BMcGillenMD @DoctorVig @SocietyHospMed Just asked for this over the weekend. 15 pairs of phones/ipads for facetime allowance. #JHMChat |
| Annie Massart @Annie_Massart_ @SocietyHospMed I think cohorting patients can help w/ PPE demands. We've thus far been able to ensure COVID teams have lower censuses which helps balance the extra time on acuity as well as extra time don/doffing. Also,cohorting helps us ensure those units are first up for stocking. #JHMChat |
| Isha Puri @ishahosp We are told no N95 masks unless high risk procedure/intubation or sputum induction is done #jhmchat |
| Jess Dreicer, MD @jessdreicer @SocietyHospMed A2. Deploying telemedicine whenever safe and feasible. #JHMChat |
| Charlie M. Wray, DO, MS @WrayCharles @FutureDocs @RJmdphilly @SocietyHospMed @ETSshow A colleague of mine shared on a phone call today about how much her systems knowledge as a hospitalist helped her care for our PUI patients. You can't just transfer this knowledge to someone when they step onto the wards #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @CalBear5 |
| Shreya P. Trivedi MD @ShreyaTrivediMD @Nephro_Sparks Just had a 70 yo patient ask if he should taking taking valsartan! also NSAIDs too. Looking forward to learning #JHMchat |
| Brian McGillen, MD @BMcGillenMD RT @FutureDocs: @WrayCharles @RJmdphilly @SocietyHospMed @ETSshow Just occurred to me that What we are seeing is acknowledgement that hospi… |
| Areeba Kara @areeba_kara @SocietyHospMed This is hard. Distancing from a patient's family is easier (but our hospital system is now not allowing visitors unless there are extenuating circumstances) #JHMChat |
| Mark Shapiro, MD @ETSshow @gracefarris @WrayCharles This is really helpful insight, thank you. What would you suggest? CC @bmcgillen26 #JHMChat |
| Romil Chadha @romilchadha RT @LynnGarner: We are going to have our hospitalists home on quarantine cover routine floor pages from home. #JHMchat |
| Vinny Arora MD MAPP @FutureDocs I have thought about how to use #facetime as well. some of our earlier studies show it is not uncommon for our residents to phone patients for additional info after they go home- so why not #facetime if you're just getting additional history or communicating plan. #COVID2019 |
| Society of Hospital Medicine @SocietyHospMed @DrT_Dungarani @JonLimMD @jenreadlynn @bmcgillen26 @RJmdphilly @JByronLuMD Welcome, Trushar! So happy that you've joined us tonight. Don't forget to follow & use the hashtag: #JHMchat! |
| Gopi Astik @gopiastik @SocietyHospMed A2: This is hard because workspace is limited but try to space out. Ensure the room phone is near the pt when rounding and tell them you will call with updates. Lastly, check in with nursing staff to see if you can help with any of their tasks while in the room is nice. #JHMChat |
| Avital O'Glasser, MD FACP FHM @aoglasser @SocietyHospMed #JHMChat we are doing daily Division huddle (HT @ETSshow prior disaster management advice) with virtual participation (zoom meeting) strongly encouraged v one physical location all meetings actively moving to virtual meetings, too |
 | Dan Duzan @danduzan @SocietyHospMed #jhmchat wanting to cohort to fewest providers possible, any thoughts on how to distribute the non COVID patients? Small team - asking Covid caregiver to only see a small number may not be well received if others are seeing 20+ each |
| Rupesh Prasad @rupeshp011 @SocietyHospMed Limit patient care teams to those essential 2-3 members, most discussions over the phone. #JHMChat #COVIDー19 |
| Vinny Arora MD MAPP @FutureDocs RT @WrayCharles: @FutureDocs @RJmdphilly @SocietyHospMed @ETSshow A colleague of mine shared on a phone call today about how much her syste… |
 | Sanjay Saint @sanjaysaint I prefer the term #PhysicalDistancing as humans are ‘social animals’ & therefore, not surprisingly, like to be social. We can still be social from 6 feet away (or more). Perhaps advising physical distancing will be better accepted by the public. #covid19 #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @sanjaysaint: I prefer the term #PhysicalDistancing as humans are ‘social animals’ & therefore, not surprisingly, like to be social. We… |
 | Melissa Bregger, MD @MelBreggs @SocietyHospMed #JHMChat A2: we have a large common work room. To decrease exposure risk, we have instituted strict hand hygiene policies upon entering the room, mandatory pre- and -post sanitizing of work stations, using post-it’s to claim stations for 1-2 people only to minimize spread. |
| Beverly A. Zavaleta MD @BZavaletaMD Gotta go guys! Thanks so much! #JHMchat |
| Benji Mathews, MD @MDbenji @SocietyHospMed A2: 1. No White Coats, limit fomite spread. Recommend leaving pair of shoes at work. 2. With community #COVIDー19 spread confirmed only washable clothes & should leave without the same clothes. Showers available on site. #JHMChat #covid4mds |
| Rebecca Jaffe, MD @RJmdphilly @jenreadlynn @SocietyHospMed Jen we aren’t there yet but may need to move in that direction. Remind me where you are? Good to have some examples. #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @DrT_Dungarani: We call the patients on their room phone or cell phone and talk with them to get a complete history first, then go into… |
| Society of Hospital Medicine @SocietyHospMed @DocElectrolyte @JHospMedicine @FutureDocs Welcome, Fabrizio! Thrilled to have you here #JHMchat |
| Charlie M. Wray, DO, MS @WrayCharles @sanjaysaint Don't miss this great take @FutureDocs #JHMChat |
| Matthew Sparks, MD, FASN, FAHA @Nephro_Sparks @ShreyaTrivediMD at this point.. no data to start ARB (or hold). unless indication to hold patient to patient. RCT is underway. NCT number given and should be on clinical trials . gov in a few days. #jhmchat will have inpatient and outpatient arms (losartan) |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @bmcgillen26 @SocietyHospMed We started this today as well. It's a pain and I miss my office mates but all #flattenthecurve. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @MDbenji: @SocietyHospMed A2: 1. No White Coats, limit fomite spread. Recommend leaving pair of shoes at work. 2. With community #CO… |
| Brian McGillen, MD @BMcGillenMD @ETSshow @gracefarris @WrayCharles We are transferring any PUI onto our undifferentiated respiratory failure team. 1 attending only. Even if they originated from teaching services. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @MelBreggs: @SocietyHospMed #JHMChat A2: we have a large common work room. To decrease exposure risk, we have instituted strict hand hyg… |
| Society of Hospital Medicine @SocietyHospMed @pharmphreshMD @JHospMedicine @FutureDocs Hi Roopa! Welcome to #JHMchat -- keep an eye on our tag and use it whenever you'd like to chime in :) |
| J Byron Lu @JByronLuMD @LuminePhotos @RJmdphilly @FutureDocs @SocietyHospMed Me too, friend. #JHMChat |
| Ria Dancel, MD @ria_dancel @SocietyHospMed A2) we have an open office so this is difficult. Also we genuinely like each other. Trying to spread out and use satellite work stations #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @nmeo @SocietyHospMed Nick - curious how that transition from attendings only to residents was messaged and received. This is a hot spot for us right now. #jhmchat |
| Mark Shapiro, MD @ETSshow @WrayCharles @FutureDocs @RJmdphilly @SocietyHospMed Essential insight, hard co-sign! #JHMChat |
 | Jordy Cohen, MD, MSCE @jordy_bc RT @JByronLuMD: @Nephro_Sparks Hi Matt! Was just talking to @jordy_bc about your NephJC post! It was INSPIRING. Like, actually. I made a ca… |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @WrayCharles Yes. We're keeping COVID attendings out of our normal admitting lineup (since we're directing COVID rule outs there anyway). They start with lower numbers. Suspect we're going to need more on rule out team soon if rapid testing not available. #JHMChat |
| Jordy Cohen, MD, MSCE @jordy_bc RT @JByronLuMD: @Nephro_Sparks @jordy_bc Samples. #JHMChat https://t.co/1NWko2Kjd3 |
| Melissa Bregger, MD @MelBreggs @SocietyHospMed #JHMChat: calling patients using their room phone for quick updates and to clarify questions has been key. |
| Avital O'Glasser, MD FACP FHM @aoglasser @c_niceness @SocietyHospMed #JHMChat I've seen chairs rearranged in waiting rooms, ex now more back to back rather than facing each other |
| Karyn "It should feel like over-reacting" Baum MD @karynbaum @FutureDocs @SocietyHospMed New model released from UPenn to model hospital impact: https://t.co/kxJUVNWU14 Incredibly useful to predict your curve. #JHMChat |
| Matthew Sparks, MD, FASN, FAHA @Nephro_Sparks @RoopaliCPS the data around ARB/ACEi increasing ACE2 is no clearly established. If you go to https://t.co/QVjPXlZczC this is outlined. we have alot more information to learn. data is changing daily #jhmchat |
| Vinny Arora MD MAPP @FutureDocs @WrayCharles @sanjaysaint i love this. also #socialdistancing not #socialisolation #jhmchat |
| Romil Chadha @romilchadha RT @MDbenji: @SocietyHospMed A2: 1. No White Coats, limit fomite spread. Recommend leaving pair of shoes at work. 2. With community #CO… |
| Doctivist @jbcowartmd @SocietyHospMed R2: We are working on limiting rounds to qday, update by phone or video unless clinical change; advising to view all interactions as valuable human resources so limit labs, meds, consults, etc. as much as possible. Tele/pulse ox for remote monitoring. #jhmchat #COVID2019 |
| Alan J. Card @AlanJCard RT @WrayCharles: I imagine direct hospitalist service patient caps may have to be adjusted to accommodate the time spent on these patients.… |
 | Kimberly D. Manning, MD @gradydoctor RT @sanjaysaint: I prefer the term #PhysicalDistancing as humans are ‘social animals’ & therefore, not surprisingly, like to be social. We… |
| Anika Kumar, MD @freckledpedidoc @SocietyHospMed R2. Calling into patient rooms. Our teaching service is minimizing entrance into respiratory rooms with just attending and 1 learner. #JHMChat |
 | Michelle Starr MD MPH @mcstarr1 RT @Nephro_Sparks: @ShreyaTrivediMD at this point.. no data to start ARB (or hold). unless indication to hold patient to patient. RCT is un… |
| Benji Mathews, MD @MDbenji @SocietyHospMed A2: Spreading out work in office, 6 feet spacing. No more than 10 in any enclosed room per most recent CDC recommendations. All nonessential meetings cancelled. Virtual meetings otherwise. #JHMChat #COVIDー19 #covid4mds |
| Society of Hospital Medicine @SocietyHospMed @DrEmilyMallin @marishaburden @JHospMedicine @FutureDocs Welcome, Emily! Thrilled that you've joined us tonight :) Don't forget to follow/use #JHMchat for a complete thread and conversation! |
| Sanjay Saint @sanjaysaint @JonLimMD @WrayCharles @UMich @VAAnnArbor @SFVAMC 1 but we may have to expand depending on what happens. #JHMChat |
| Mark Shapiro, MD @ETSshow @SocietyHospMed All meetings & gatherings like our daily multidisciplinary huddles are now remote. That’s the biggest one #JHMChat |
| Weijen Chang @wwchang RT @MDbenji: @SocietyHospMed A2: 1. No White Coats, limit fomite spread. Recommend leaving pair of shoes at work. 2. With community #CO… |
| Doctivist @jbcowartmd @MDbenji @SocietyHospMed We are also recommending use of hospital scrubs, change in/out at work, shower upon arrival at home. I am building a decon station in my garage for shoes. I go back Saturday so getting prepped. #jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @MDbenji: @SocietyHospMed A2: 1. No White Coats, limit fomite spread. Recommend leaving pair of shoes at work. 2. With community #CO… |
 | Jared Avery Eckman @JaredAEckman RT @sanjaysaint: I prefer the term #PhysicalDistancing as humans are ‘social animals’ & therefore, not surprisingly, like to be social. We… |
| Jon Lim, MD 🏳️🌈 @JonLimMD @jbcowartmd @SocietyHospMed Just hit me how teaching rounds even with whatever number of residents are present may and even should change given needs for social distancing. #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @nmeo @FutureDocs @JByronLuMD @SocietyHospMed Any local solutions nick? You guys are a bit ahead and encountering problems we haven’t considered yet. #jhmchat |
| Charlie M. Wray, DO, MS @WrayCharles @SocietyHospMed Some in our group are helping our nursing colleagues by actually administering meds when they go into the room with their PPE - helping minimize contact #JHMChat |
| Trushar M. Dungarani @DrT_Dungarani Please have a buddy(mine was our amazing nursing team help prep my gear in and out of the room. Essential. Don’t do this yourself. #JHMchat |
| Matthew Sparks, MD, FASN, FAHA @Nephro_Sparks @ShreyaTrivediMD several letter/perspectives/correspondence to journal are submitted and we are awaiting word for publication to detail these issues. go to 👇👇 for up to date info on this topic #JHMChat https://t.co/QVjPXlZczC |
 | Samira Farouk, MD, MS, FASN @ssfarouk Samira Farouk, transplant nephrologist @ISMMSKidney #JHMchat |
| Weijen Chang @wwchang RT @MelBreggs: @SocietyHospMed #JHMChat A2: we have a large common work room. To decrease exposure risk, we have instituted strict hand hyg… |
 | Gerry O'Meara @macbubbins RT @sanjaysaint: I prefer the term #PhysicalDistancing as humans are ‘social animals’ & therefore, not surprisingly, like to be social. We… |
| Daniel Wolfson @WolfsonD How can #choosingwisely help? Today a speciality society contacted us wanting us to spread word on appropriate blood transfusions- concern about blood shortage. |
| J Byron Lu @JByronLuMD @SocietyHospMed @LuminePhotos @RJmdphilly @FutureDocs #jhmchat https://t.co/xeApZHYj56 |
| Society of Hospital Medicine @SocietyHospMed RT @MelBreggs: @SocietyHospMed #JHMChat A2: we have a large common work room. To decrease exposure risk, we have instituted strict hand hyg… |
| Rebecca Jaffe, MD @RJmdphilly @tomhestonmd Been mentioning this, but I’ve heard “we have so many doctors.” PEOPLE WE HAVE 3 NOCTURNISTS #jhmchat |
| nick meo @nmeo @RJmdphilly @SocietyHospMed The residents wanted to help - this was after great communication between chiefs and residency program. Robust PPE training was key. Our housestaff are a constant source of inspiration. #jhmchat |
| Samira Farouk, MD, MS, FASN @ssfarouk RT @Nephro_Sparks: @ShreyaTrivediMD several letter/perspectives/correspondence to journal are submitted and we are awaiting word for public… |
| Tom Heston MD @tomhestonmd Excellent |
| Rebecca Jaffe, MD @RJmdphilly @RichWebsterTJUH |
| Avital O'Glasser, MD FACP FHM @aoglasser @WrayCharles @SocietyHospMed #JHMchat teamwork!! |
| Kimberly D. Manning, MD @gradydoctor @SocietyHospMed #JHMchat R2. With patients, I had been sitting my chair across the room and starting a conversation about the reasons--they appreciated it. Admittedly, it wasn't until a day or two ago that I realized that my teaching rounds were noncompliant to this. Trying to do better. |
| Brian McGillen, MD @BMcGillenMD @SocietyHospMed We have also instituted a daily 8am zoom "huddle" to go over clinical operations and preparedness...and we haven't had a #COVID19 patient as of now (4 cases 10 miles from us though). Keeps us all on the same page. My group DOES have awesome people @freckledpedidoc #JHMChat |
| Susan Lopez, MD @SusanLopezMD @SocietyHospMed We have been staying at the same station in the workroom and wipe down at the start of shift, during, after night shift comes in. Only one provider in the room w/ the patient and one outside to assist w/ crossover #JHMchat |
| Samir S. Shah @SamirShahMD @freckledpedidoc @SocietyHospMed @CincyPHM A few under investigation. They end up in our #COVID19 unit and if ruled out will transfer to another ward #JHMChat |
| Karyn "It should feel like over-reacting" Baum MD @karynbaum Love the "washable clothes" comment |
| Shanu Gupta @shanumeister @JByronLuMD @SocietyHospMed @LuminePhotos @RJmdphilly @FutureDocs According to CDC now there can be only less than 50 people in a room... #JHMChat |
| Society of Hospital Medicine @SocietyHospMed Let's keep these conversations going! Resource #3 for tonight's #JHMchat will be coming up shortly... #MedTwitter #SoMeDocs #COVID19 #MedEd |
| Isha Puri @ishahosp Is everyone using N95 mask or simple facemask? #jhmchat |
| Melissa Plesac @MelissaPlesacMD RT @bmcgillen26: @SocietyHospMed We have also instituted a daily 8am zoom "huddle" to go over clinical operations and preparedness...and we… |
 | Renee Dversdal @DRsonosRD RT @ETSshow: Evergreen tweet #JHMChat |
| Romil Chadha @romilchadha @SocietyHospMed #JHMChat #COVID2019 1. Huddles in Video conferencing 2. Pharmacy and SW can call 3. Shoes would be big culprit in transmission 4. At one point healthcare personnel would all be exposed, so not much role of #SocialDistancing within healthcare after some time |
| Tom Heston MD @tomhestonmd Excellent |
| Society of Hospital Medicine @SocietyHospMed RT @bmcgillen26: @SocietyHospMed We have also instituted a daily 8am zoom "huddle" to go over clinical operations and preparedness...and we… |
| Doctivist @jbcowartmd RT @sanjaysaint: I prefer the term #PhysicalDistancing as humans are ‘social animals’ & therefore, not surprisingly, like to be social. We… |
 | Swapnil Hiremath, MD, MPH @hswapnil RT @Nephro_Sparks: @ShreyaTrivediMD at this point.. no data to start ARB (or hold). unless indication to hold patient to patient. RCT is un… |
| Matthew Sparks, MD, FASN, FAHA @Nephro_Sparks @ShreyaTrivediMD here is a list of all of the societies/groups that have position statements that we know of. if you know of more.. let us know @jordy_bc #JHMchat it is an evolving topic and we are neutral in our stance. If evidence points either way.. we will tell all our opinion https://t.co/OZFsWMzAMd |
| Tom Heston MD @tomhestonmd #JHMChat when I don’t know what is going on, then I don’t know the best course of action. We are still facing huge unknowns. Mass screening for #covid19 will give us vital data, especially early in the course of the pandemic. A liberal testing policy seems best. |
| J Byron Lu @JByronLuMD @shanumeister @SocietyHospMed @LuminePhotos @RJmdphilly @FutureDocs YAS. I LOL'D. I NEVER LOL. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse D Meltzer of @CCPProgram , M Chivu & many others). we shared w our GME programs too #JHMChat https://t.co/bINqLyCDYO |
| The SilentSonicHedgehog🧢⚕️ @LynnGarner RT @bmcgillen26: @SocietyHospMed We have also instituted a daily 8am zoom "huddle" to go over clinical operations and preparedness...and we… |
| Poonam Sharma @PoonamSS @JonLimMD @jbcowartmd @SocietyHospMed Cool idea. How would you operationalize? Students on IPads remotely? #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @gradydoctor Hi there, Kimberly! Thanks for chiming in tonight. It's great to have you on the chat! Keep an eye on/use our hashtag: #JHMchat for a complete thread :) |
| Swapnil Hiremath, MD, MPH @hswapnil Swapnil Hiremath #NephJC cofounder sorry late to #JHMChat Will be mostly lurking to learn from others |
| Melissa Plesac @MelissaPlesacMD RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| Ali Khan, MD, MPP @alikhan28 RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| Charlie M. Wray, DO, MS @WrayCharles @gradydoctor @SocietyHospMed There's a question in about 10 min on teaching services - so hold you breath @gradydoctor - would love to hear how you're navigating this #JHMChat |
| Tom Heston MD @tomhestonmd @jessdreicer @SocietyHospMed We are all getting Tele-Med trained / certified #JHMChat |
 | Dan Morgan @dr_dmorgan Makes me think of Bernard Lown "do as much as possible for the patient while doing as little as possible to the patient" We need to not lose touch or abandon people during this hard period. |
 | EEE Moin 🦟 MD, MBE @eemoin RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| Mark Shapiro, MD @ETSshow RT @karynbaum: @FutureDocs @SocietyHospMed New model released from UPenn to model hospital impact: https://t.co/kxJUVNWU14 Incredibly usef… |
| Avital O'Glasser, MD FACP FHM @aoglasser RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| Jon Lim, MD 🏳️🌈 @JonLimMD RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
 | Elizabeth Henry @HenryLeerhenry RT @sanjaysaint: I prefer the term #PhysicalDistancing as humans are ‘social animals’ & therefore, not surprisingly, like to be social. We… |
| Annie Massart @Annie_Massart_ @ishahosp Simple face masks for floor patients unless getting procedures that can aerosolize. #JHMChat |
| Charlie M. Wray, DO, MS @WrayCharles RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| Society of Hospital Medicine @SocietyHospMed Resource #3 for tonight's #COVID19 #JHMchat: What training resources have been provided to you that you've found to be helpful? If possible, please share links! #MedTwitter #SoMeDocs #MedEd https://t.co/PwCgrOXeQc |
| Shanu Gupta @shanumeister RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| Jordy Cohen, MD, MSCE @jordy_bc RT @Nephro_Sparks: @ShreyaTrivediMD here is a list of all of the societies/groups that have position statements that we know of. if you kno… |
| Samir S. Shah @SamirShahMD @freckledpedidoc @SocietyHospMed We’re also using this approach. Seems ok in short term but I wonder whether this will adversely affect learners in the long run #JHMChat |
| Saima Chaudhry, MD @DrSaimaChaudhry @ishahosp #JHMChat from today’s annals https://t.co/y0165UM51f |
| Anika Kumar, MD @freckledpedidoc @SamirShahMD @SocietyHospMed @CincyPHM We have PUIs too and haven’t had any pediatric positives. #JHMChat |
 | Dr Maria Artunduaga @DrArtunduaga RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| Society of Hospital Medicine @SocietyHospMed RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| Michael S. Sinha MD, JD, MPH @DrSinhaEsq RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| Mark Shapiro, MD @ETSshow @jbcowartmd @SocietyHospMed This is music to my ears! #JHMChat CC @bmcgillen26 @gracefarris @sanjaysaint what you all think? |
| Society of Hospital Medicine @SocietyHospMed @DrSunilKSahai @JHospMedicine @FutureDocs Welcome back, Sunil! #JHMchat |
| Rebecca Jaffe, MD @RJmdphilly @gracefarris @sanjaysaint @UMich @VAAnnArbor I’m curious if this is a sustainable position to take. I also don’t think it reinforces aspects of professional duty, but I think this is a really tough issue. #jhmchat |
| Samira Farouk, MD, MS, FASN @ssfarouk @FutureDocs @UChicagoHospMed @CCPProgram @WrayCharles @JHospMedicine @vineet_chopra @ETSshow @alikhan28 @ShikhaJainMD @nvhstewart @freckledpedidoc @SocietyHospMed .@zoom_us has been great - esp breakout groups, polling, nonverbal feedback, chat, and whiteboard features #JHMChat |
| Sanjay Saint @sanjaysaint R2. We met with all the Ward Attendings starting today at @VAAnnArbor to update them on our #COVID19 plans. The key to being an attending is to be at least 5 minutes faster than your team. 😉 #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @freckledpedidoc: @SocietyHospMed R2. Calling into patient rooms. Our teaching service is minimizing entrance into respiratory rooms wit… |
| Brian McGillen, MD @BMcGillenMD @SocietyHospMed The University of Washington has a massive outward-facing list of protocols and care plans that have been invaluable for our team as care plans have been put together. #jhmchat IF there are UW people on here...THANK YOU. And we are thinking of you. |
| Rupesh Prasad @rupeshp011 @FutureDocs @UChicagoHospMed @CCPProgram @WrayCharles @JHospMedicine @vineet_chopra @ETSshow @alikhan28 @ShikhaJainMD @nvhstewart @freckledpedidoc @SocietyHospMed Thanks for sharing #JHMChat |
 | Bronwyn #CloseTheCamps @DrBBaz RT @SocietyHospMed: Here we go! Resource #1 for tonight's #JHMchat Special: #COVID19 What role are hospitalists playing in the response to… |
 | BethCallahan @bethcallahan @SocietyHospMed #JHMChat does the test we use for covid19 tell the difference between an active case and prior exposure? |
| Annie Massart @Annie_Massart_ @SocietyHospMed R3. Not as much as I'd like. Looking forward to checking out others' responses. #JHMChat https://t.co/hm9eg16xHR |
| Surafel Tsega @drtsega A3: The one-pager from the physician in Washington has been really helpful. In a group chat with friends, we’ve also shared algorithms from our various institutions. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs Major worry for what life looks like after for our learners #JHMChat #meded #COVID2019 |
| Tom Heston MD @tomhestonmd RT @romilchadha: @SocietyHospMed #JHMChat #COVID2019 1. Huddles in Video conferencing 2. Pharmacy and SW can call 3. Shoes would be big cu… |
| Doctivist @jbcowartmd RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| Charlie M. Wray, DO, MS @WrayCharles Whether you call it #SocialDistancing or #PhysicalDistancing it's an important feature even when in the hospital. Great resource here from @UChicagoHospMed via @FutureDocs on tonights #JHMChat on #COVID19 |
| Daniel Wolfson @WolfsonD .#JHMChat How can #choosingwisely help? Received a call from a speciality society wanting us to spread the word on blood transfusions worried about blood shortage - increase demand & less donors |
| Tom Heston MD @tomhestonmd Excellent |
| J Byron Lu @JByronLuMD A3: Can I say that Twitter has been amazing? Like I didn't understand until recently how quickly solid ideas can be communicated (as opposed to just digital yelling, which is what I'd thought this was). #jhmchat |
| Avital O'Glasser, MD FACP FHM @aoglasser @bmcgillen26 @SocietyHospMed @nmeo is on! #JHMchat |
| Anika Kumar, MD @freckledpedidoc @bmcgillen26 @SocietyHospMed I agree with Brian, they have them for pediatrics too. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @gracefarris: @SocietyHospMed @JHospMedicine @FutureDocs Joining from NYC where I have taken care of 3 hospitalized pts w #covid19 #JHMC… |
 | Med Peds Hospitalist @medpedshosp @SocietyHospMed @JHospMedicine @FutureDocs Sorry for the late join. This is Moises Auron, Med Peds Hospitalist at @ClevelandClinic in Cleveland, OH. #JHMChat |
| Med Peds Hospitalist @medpedshosp RT @SocietyHospMed: We'd love to find out who is tuned in tonight - Let's take a few moments to introduce ourselves! I'm Caitlin, a member… |
 | Raman Palabindala @RamanMDMBA RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| Mark Shapiro, MD @ETSshow @WrayCharles @SocietyHospMed Brilliant! No one should enter room in PPE without seeing what they can do or take care of for others while they’re in there! #JHMChat |
| Raman Palabindala @RamanMDMBA RT @sanjaysaint: I prefer the term #PhysicalDistancing as humans are ‘social animals’ & therefore, not surprisingly, like to be social. We… |
| Gopi Astik @gopiastik @SocietyHospMed A3: we've had daily emails with resources from the CDC and updates pertinent to our health Care system. We have a separate site for issues/questions to/from physicians which is nice. #JHMChat |
| Brian McGillen, MD @BMcGillenMD @ETSshow @jbcowartmd @SocietyHospMed @gracefarris @sanjaysaint Sounds like our approach. Limit in person interactions for PUI. That's the beauty of facetime...can still have contact with patient without being at the bedside. #JHMChat |
| Shikha (#AmericaMaskUp) Jain MD, FACP @ShikhaJainMD RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| J Byron Lu @JByronLuMD @bmcgillen26 @SocietyHospMed Yes! This is how I think most people in my division read about the lymphopenia, the time course, and the cardiomyopathy. #jhmchat |
| Samira Farouk, MD, MS, FASN @ssfarouk @drtsega https://t.co/to9rGRMZit #JHMChat |
| Doctivist @jbcowartmd RT @bmcgillen26: @SocietyHospMed The University of Washington has a massive outward-facing list of protocols and care plans that have been… |
| WeArAmAsK @Wearit4oThers You know what I prefer? #PaidSickLeave #SickPayForAll |
 | Heather @HeatherMD86 Oh man - cannot fathom this flying in the ED ... we’re constantly all up in each other’s space ...not to mention, our computers are all of 6 inches from each other ... |
 | Amy Cohn @ProfAmyCohn Yep #PhysicalDistancing #SocialConnecting |
| Tom Heston MD @tomhestonmd Excellent |
| Vignesh Doraiswamy MD @DoctorVig @SocietyHospMed A3. We made our own document that has liberally borrowed from UCSF, UW and @nickmmark 's one pager among others. We discuss general principles, PPE, diagnosis and how to get tests ordered, management and a whole bunch of other stuff! #JHMchat |
| Society of Hospital Medicine @SocietyHospMed @TresaMcNealMD @bswhealth_Templ Hi there, Tresa! So glad you could join us! #JHMchat |
| Shanu Gupta @shanumeister @FutureDocs I've had a 4th year student email me asking to be taught appropriate preparedness as they head into residency in a few months #JHMchat #meded #COVID19 Great example of resilience and preparedness in our future doctors! |
| Mark Shapiro, MD @ETSshow @nmeo @bmcgillen26 @SocietyHospMed @JohnLynchID @UWMedicine You all are so appreciated! Thanks to everyone single one of you #JHMChat |
| Avital O'Glasser, MD FACP FHM @aoglasser @JByronLuMD #JHMchat agree while you still need to make sure you are checking sources, I'm finding better information (esp for clinicians) on #medtwitter than most major media sights |
| Society of Hospital Medicine @SocietyHospMed @medpedshosp @JHospMedicine @FutureDocs @ClevelandClinic 👋 No problem at all! Welcome :) #JHMchat |
| Annie Massart @Annie_Massart_ @JByronLuMD Agreed! It's been so helpful to learn more about the variety of presentations out there. #JHMChat |
| Doctivist @jbcowartmd @bmcgillen26 @SocietyHospMed Second this. Amazing transparency, bringing everyone up with their experience #jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @bmcgillen26: @SocietyHospMed The University of Washington has a massive outward-facing list of protocols and care plans that have been… |
| Vinny Arora MD MAPP @FutureDocs @HeatherMD86 It’s not feasible in a lot of our areas - more of suggestions when possible #JHMChat try to limit unnecessary contact |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @SocietyHospMed R3: We had in-person and online PPE training. We have daily Zoom meetings as a group for updates. Prior to it really hitting, we had a grand rounds and a special update with hospitalists and ID on planning. Can't keep up with all the emails. #JHMChat |
| Jon Lim, MD 🏳️🌈 @JonLimMD R3 Some online trainings, emails, and grand rounds. Most helpful was bidirectional conversation I had where I could ask many what if's -how to manage rapid response as residents come? -call attending when calling ICU? -verbally closing loop on protocol decisions -etc #JHMChat |
 | RR Baliga, MD, MBA @RRBaligaMD RT @sanjaysaint: I prefer the term #PhysicalDistancing as humans are ‘social animals’ & therefore, not surprisingly, like to be social. We… |
| Michael S. Sinha MD, JD, MPH @DrSinhaEsq RT @gracefarris: @SocietyHospMed @JHospMedicine @FutureDocs Joining from NYC where I have taken care of 3 hospitalized pts w #covid19 #JHMC… |
| Karyn "It should feel like over-reacting" Baum MD @karynbaum @SocietyHospMed Hospital impact model from UPenn: https://t.co/kxJUVNWU14 #JHMChat |
| Anika Kumar, MD @freckledpedidoc @SamirShahMD @SocietyHospMed The PHMEducators listserv has been discussing this. There was recently an article shared on the listserv about how SARS changed #MedEd #JHMChat |
| Chicago Covid Rebellion A.K.A. Jessi the Asthmatic @CovidChicago Every person who follows me should get their popcorn and follow along right now. Listen to the healthcare providers. #ChicagoScanner #Chicago #IllinoisPrimary #CoronaVirusUpdates and a hashtag to for others who aren't medical news junkies.... #TheWalkingDead |
| Raman Palabindala @RamanMDMBA RT @ASK_HM17: #JHMChat Hospitalsists sharing stories, successes, concerns and criticism during #COVID19 Join the conversation @SocietyHospM… |
| Vinny Arora MD MAPP @FutureDocs I predict a great future ahead for @zoom_us - it’s been interesting to learn new features like editing docs on someone else’s screen 📺 #JHMChat |
| Charlie M. Wray, DO, MS @WrayCharles @RJmdphilly @gracefarris @sanjaysaint @UMich @VAAnnArbor Good point, Rebecca. This may be an area where learners should be more involved and not isolated from care. My guess is that where we're starting on all of this is not where we'll end #JHMChat |
| Trushar M. Dungarani @DrT_Dungarani @maternova #JHMChat we aren’t there yet. |
| Med Peds Hospitalist @medpedshosp RT @SocietyHospMed: Here we go! Resource #1 for tonight's #JHMchat Special: #COVID19 What role are hospitalists playing in the response to… |
| Doctivist @jbcowartmd @SocietyHospMed A3: daily statewide hospital association calls with Florida Surgeon General with information sharing from state and facilities. Enlightening so far. #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly @JByronLuMD @Nephro_Sparks @jordy_bc Ooh please link here! #jhmchat |
 | Matt Sakumoto @MattSakumoto RT @bmcgillen26: @SocietyHospMed The University of Washington has a massive outward-facing list of protocols and care plans that have been… |
| J Hospital Medicine @JHospMedicine RT @gracefarris: @SocietyHospMed @JHospMedicine @FutureDocs Joining from NYC where I have taken care of 3 hospitalized pts w #covid19 #JHMC… |
| Ria Dancel, MD @ria_dancel @SocietyHospMed @nickmmark Sorry #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @FutureDocs I have a lot of EM-bound sub-Is right now and I'm worried what they're going to be walking into come July. Same for IM. #JHMChat |
| Brian McGillen, MD @BMcGillenMD @SocietyHospMed We have also pulled info from WHO, CDC, and other IM organizations into a google doc that was just shared with the group tonight. #JHMChat ID Pharmacists partnered with myself and 3 other colleagues (including the at-home-with-flu @Jed_Gonzalo15 ) |
| Surafel Tsega @drtsega RT @ssfarouk: @drtsega https://t.co/to9rGRMZit #JHMChat |
| J Hospital Medicine @JHospMedicine RT @WrayCharles: Whether you call it #SocialDistancing or #PhysicalDistancing it's an important feature even when in the hospital. Great re… |
| Raman Palabindala @RamanMDMBA @bmcgillen26 @SocietyHospMed @JHospMedicine @FutureDocs Raman UMMC, Jackson, MS #JHMChat |
 | Andrew Campbell @robandcam RT @gracefarris: @SocietyHospMed @JHospMedicine @FutureDocs Joining from NYC where I have taken care of 3 hospitalized pts w #covid19 #JHMC… |
| Swapnil Hiremath, MD, MPH @hswapnil @RJmdphilly @JByronLuMD @Nephro_Sparks @jordy_bc https://t.co/vwnT0YMkQw will keep updating in real time as long as we can #JHMChat |
| Doctivist @jbcowartmd @SocietyHospMed A3: is anyone doing daily huddle calls with your hospitalist team? #jhmchat |
 | Mrs. Rose @MrsRose93191112 RT @sanjaysaint: I prefer the term #PhysicalDistancing as humans are ‘social animals’ & therefore, not surprisingly, like to be social. We… |
| Tom Heston MD @tomhestonmd @bethcallahan @SocietyHospMed No current antibody test far as I know #jhmchat |
| Alfred R Quezada, MD @AlfredQuezadaMD RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
 | Ravi Singh @rav7ks @WrayCharles @gradydoctor @SocietyHospMed Have all institutions excluded residents from taking care of PUI’s to limit exposure ? #JHMchat |
| Brian McGillen, MD @BMcGillenMD @jbcowartmd @SocietyHospMed Yes. Zoom call. 8am #JHMChat |
| Alfred R Quezada, MD @AlfredQuezadaMD RT @MDbenji: @SocietyHospMed A2: 1. No White Coats, limit fomite spread. Recommend leaving pair of shoes at work. 2. With community #CO… |
| Society of Hospital Medicine @SocietyHospMed RT @bmcgillen26: @SocietyHospMed We have also pulled info from WHO, CDC, and other IM organizations into a google doc that was just shared… |
| Areeba Kara @areeba_kara @SocietyHospMed R3 many emails as the situation is so fluid. Critical care team has put together guidance with references explaining the need to limit nebs and positive pressure that was amazing. Will try to link but it is a pdf #JHMChat |
| Mark Shapiro, MD @ETSshow @SocietyHospMed A3: I put out a request for ventilator refreshers. Great stuff in the replies to tweet below #JHMChat https://t.co/VSDaNPiaIj |
 | Nancy #MaskUpAmerica Stewart DO, MS @nvhstewart RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| Samira Farouk, MD, MS, FASN @ssfarouk RT @JByronLuMD: @Nephro_Sparks Hi Matt! Was just talking to @jordy_bc about your NephJC post! It was INSPIRING. Like, actually. I made a ca… |
| Tom Heston MD @tomhestonmd #JHMChat we should push our labs to the limit, then push some more. If testing capability still remains less than demand, maybe test anyone with a fever; everyone over 70; everyone in an institution; everyone w cough/fever; or something very liberal. Will save lives and $$$. |
| Andrew Campbell @robandcam RT @MDbenji: @SocietyHospMed A2: 1. No White Coats, limit fomite spread. Recommend leaving pair of shoes at work. 2. With community #CO… |
| Tresa Muir McNeal @TresaMcNealMD A silver lining for sure...lots of collaboration. Give docs and medical teams a challenge —> great creativity ensues! #jhmchat #medtwitter #COVID19 |
| Sanjay Saint @sanjaysaint R3. Here is an algorithm that @vineet_chopra just sent to hospitalists at @UMich & @VAAnnArbor to help decide who to test for #COVID19. Fever is 100.4 or higher. https://t.co/6W4m2tdomj |
| Brian McGillen, MD @BMcGillenMD Speaking of resources, what (if anything) are people doing to open up PPE supply chains? #JHMChat |
| Avital O'Glasser, MD FACP FHM @aoglasser @tomhestonmd @bethcallahan @SocietyHospMed #JHMchat this was shared with me by @inquisitiveGyn a few nights ago https://t.co/0YiCbclu1Q |
| Vinny Arora MD MAPP @FutureDocs RT @SocietyHospMed: Resource #3 for tonight's #COVID19 #JHMchat: What training resources have been provided to you that you've found to b… |
| Avital O'Glasser, MD FACP FHM @aoglasser @jbcowartmd @SocietyHospMed #JHMchat yes! |
| Mark Shapiro, MD @ETSshow @hswapnil @RJmdphilly @JByronLuMD @Nephro_Sparks @jordy_bc Thank you! #JHMChat |
| Avital O'Glasser, MD FACP FHM @aoglasser @jbcowartmd @SocietyHospMed #JHMChat @JC_Wellness_MD |
| Romil Chadha @romilchadha @SocietyHospMed #JHMChat #COVID2019 latest @WHO #Guidelines are a good source https://t.co/5xrEG5IPU8 |
| Society of Hospital Medicine @SocietyHospMed Wow! We're already gearing up for our last Resource of the night (#4). Stay tuned! #JHMchat #COVID19 #MedTwitter #MedEd |
 | hmpocus-nyc @hmpocus #jhmchat at cornell residents are taking care of pts |
| Anika Kumar, MD @freckledpedidoc @rav7ks @WrayCharles @gradydoctor @SocietyHospMed I can’t speak for medicine at my institution, but on Peds we haven’t. Primarily because the disease is mild-moderate in Peds. Maybe @medpedshosp has info about medicine #JHMChat |
| Med Peds Hospitalist @medpedshosp @SocietyHospMed A1 We are at the frontline of #COViD19 care - proper PPE use and 100% availability to cover in case of surge situation 24/7. The hospitalists are focused in the hospital w close communication w the ER. #JHMChat |
 | Corrie Chumpitazi MD MS FAAP FACEP @Pedisedationdoc RT @SocietyHospMed: Resource #3 for tonight's #COVID19 #JHMchat: What training resources have been provided to you that you've found to b… |
| Melissa Plesac @MelissaPlesacMD RT @ssfarouk: @FutureDocs @UChicagoHospMed @CCPProgram @WrayCharles @JHospMedicine @vineet_chopra @ETSshow @alikhan28 @ShikhaJainMD @nvhste… |
| Anika Kumar, MD @freckledpedidoc @ishahosp @gracefarris @BZavaletaMD Yes #JHMChat |
| David Goldberg @GoldbergDaDr RT @SocietyHospMed: Resource #3 for tonight's #COVID19 #JHMchat: What training resources have been provided to you that you've found to b… |
| Med Peds Hospitalist @medpedshosp RT @ETSshow: @WrayCharles @RJmdphilly @SocietyHospMed Empowering teams at local level to solve problems based on their knowledge of specifi… |
| Rebecca Jaffe, MD @RJmdphilly @tomhestonmd @CarolynGi0rdano @WrayCharles @SocietyHospMed @ETSshow I agree but I keep thinking about the military. Key would be large scale proper training. You don’t send someone into battle unprepared. #jhmchat |
| Trushar M. Dungarani @DrT_Dungarani @jbcowartmd @SocietyHospMed We send out daily email updates with number of PUIs, equipment inventory issues, any new updates from the health system. #JHMChat |
| Med Peds Hospitalist @medpedshosp RT @MDEdgeTweets: @SocietyHospMed A1: In times of public health crises, pregnant women have unique and pressing concerns about their person… |
| Mark Shapiro, MD @ETSshow @FutureDocs @UChicagoHospMed @CCPProgram @WrayCharles @JHospMedicine @vineet_chopra @alikhan28 @ShikhaJainMD @nvhstewart @freckledpedidoc @SocietyHospMed Gold Appreciated! #JHMChat |
| Med Peds Hospitalist @medpedshosp RT @ASK_HM17: @SocietyHospMed @JHospMedicine @FutureDocs I recently got active on Twitter after the Coronavirus outbreak hit us. This is my… |
| Med Peds Hospitalist @medpedshosp RT @marishaburden: @SocietyHospMed Dedicated teams, crowd sourced #teamwork, and innovation; massive efforts to ensure we can manage increa… |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @rav7ks @WrayCharles @gradydoctor @SocietyHospMed We have for now but recognize the numbers are likely to grow and they will be needed. We still have other patients that the residents are caring for. #JHMChat |
| Med Peds Hospitalist @medpedshosp RT @SocietyHospMed: Resource #2 for tonight's #JHMchat Special: How can hospitalists practice #socialdistancing during clinical care and a… |
| Tom Heston MD @tomhestonmd #JHMChat This idea might turn out useful, apparently was used in Las Vegas after shooting tragedy overwhelmed ICUs https://t.co/eGcPAptger |
| Society of Hospital Medicine @SocietyHospMed Resource #4 for tonight's #JHMchat: How is COVID-19 affecting your inpatient teaching services? #COVID19 #MedTwitter #MedEd #SomeMeDocs https://t.co/cb7EpNbA9I |
| Med Peds Hospitalist @medpedshosp RT @MelBreggs: @SocietyHospMed #JHMChat A2: we have a large common work room. To decrease exposure risk, we have instituted strict hand hyg… |
| Sri Lekha Tummalapalli, MD, MBA @LTummalapalli @jbcowartmd @bethcallahan @SocietyHospMed Yes current PCR tests are for active disease. NP swab remains positive for median 20 days (IQR 17-24) - data from China - https://t.co/NuqTEb0Rlp Could be infectious for this period of time. #JHMchat |
| Rebecca Jaffe, MD @RJmdphilly @jenreadlynn @ishahosp This is a huge problem and we are seeing it too. #jhmchat |
| nick meo @nmeo Awesome |
| Doctivist @jbcowartmd Helpful @pmorenofranco @MichaelJManiaci @pkguru10 |
 | Women In Neonatology @WomenNeo RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| Vinny Arora MD MAPP @FutureDocs R3 given how fast literature evolves, we are working w/ our medical librarians & ID fellow to launch Covid Educational Support Service for rapid lit search w/open website here inc how to search #PubMed #jhmchat #covid19 #medlibs @CrerarLibrary https://t.co/82gyFFV8vz |
| Doctivist @jbcowartmd RT @DrT_Dungarani: @jbcowartmd @SocietyHospMed We send out daily email updates with number of PUIs, equipment inventory issues, any new upd… |
| hmpocus-nyc @hmpocus #JHMChat cornell stopped all elective procedures |
| J Byron Lu @JByronLuMD @RJmdphilly @SocietyHospMed I'm staffing an addiction unit off-site in DEEP 'OLE NJ this week that isn't super protocol'd for this. Had to transfer someone with, I'd say, mod-risk who was there for EtOH detox. It felt...suboptimal. #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @SocietyHospMed: Resource #4 for tonight's #JHMchat: How is COVID-19 affecting your inpatient teaching services? #COVID19 #MedTwitter #… |
| Gordon Johnson @pdxfutebol @karynbaum @SocietyHospMed Good point. Although I am in my 50s and feel like since I have grown children, I should be the one to take covid patients. If one of my older partners wants to opt out, I would support it but may be difficult #JHMChat |
 | Abby Spencer, MD, MS, FACP @abbyCCim RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
 | Sola Librarian @openpeonie RT @FutureDocs: R3 given how fast literature evolves, we are working w/ our medical librarians & ID fellow to launch Covid Educational Supp… |
 | Alison Fox-Robichaud, MD @drfoxrob RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| hmpocus-nyc @hmpocus #jhmchat nurses are not doing swabs correctly |
| Avital O'Glasser, MD FACP FHM @aoglasser @jbcowartmd @SocietyHospMed #JHMchat @JC_Wellness_MD leads and seems to have a script --how are the team census (resident & non resident services) --any ward level concerns? --many news from the institution --wellness check in |
| Andaleeb Ahmed @fixheart Any thoughts on high flow nasal O2 for #coronavirus . It’s quite aerosol generating, any policies on avoiding it? #JHMChat |
| Doctivist @jbcowartmd @ishahosp Same #jhmchat |
| Samira Farouk, MD, MS, FASN @ssfarouk @FutureDocs @zoom_us Edit doc on someone else’s screen?! #JHMChat https://t.co/a6Gjp0wJyk |
| hmpocus-nyc @hmpocus @pdxfutebol @karynbaum @SocietyHospMed Right on! I keep telling people I am an evolutionary dead end at this point. #jhmchat |
| Tresa Muir McNeal @TresaMcNealMD We are having some of the same and we don’t even have any Covid pts yet. Any ideas out there? We are working to communicate on these issues as a larger system regarding these post acute issues. #JHMChat #medtwitter |
| Society of Hospital Medicine @SocietyHospMed RT @FutureDocs: R3 given how fast literature evolves, we are working w/ our medical librarians & ID fellow to launch Covid Educational Supp… |
| Rebecca Jaffe, MD @RJmdphilly @ETSshow do you have your disaster management lecture recorded somewhere? #jhmchat |
| Med Peds Hospitalist @medpedshosp @SocietyHospMed For example, we didn’t use the signout room today. We rounded outside of each patient’s room. Also avoided touching public shared WOW (Workspace on wheels) without previously cleaning w Chlorine towels.#COVID19 #JHMChat |
 | Zia Durrani M.D @ziakmcite @rav7ks @WrayCharles @gradydoctor @SocietyHospMed Its depends on the available work force for each program/ Hospital; and also the patient burden which is likely to grow #JHMChat |
| Annie Massart @Annie_Massart_ @SocietyHospMed R4. Medical students don't go into any droplet ppx room, even if we know it's not COVID. There are multiple trainees at my site out sick and being screened for COVID. I suspect residencies will also struggle, as we are, with staffing issues in the coming weeks. #JHMChat |
| Med Peds Hospitalist @medpedshosp RT @FutureDocs: @WrayCharles @RJmdphilly @SocietyHospMed @ETSshow Just occurred to me that What we are seeing is acknowledgement that hospi… |
| Jon Lim, MD 🏳️🌈 @JonLimMD @pdxfutebol @karynbaum @SocietyHospMed I do really really worry about our older colleagues--really friends and medical family--whether they are hospitalists or on our consult services. #JHMChat |
| Brian McGillen, MD @BMcGillenMD @SocietyHospMed @zoom_us @FutureDocs @WrayCharles Residents are not triaging patients with undifferentiated respiratory failure (they will still admit CHF and pneumonia with "more typical"...gah...features). #JHMChat |
| Doctivist @jbcowartmd @SocietyHospMed A4: We are pulling as many outpt docs to cover inpatient teaching service as possible as hospitalist MDs can staff nonteaching and covid services. Also, all our inperson conferences currently canceled. Trying to figure out how to balance. #jhmchat |
| Med Peds Hospitalist @medpedshosp RT @WrayCharles: @DoctorVig @SocietyHospMed Don't forget about the patient's own cell phone! #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly RT @MelBreggs: @SocietyHospMed #JHMChat A2: we have a large common work room. To decrease exposure risk, we have instituted strict hand hyg… |
| Doctivist @jbcowartmd RT @Annie_Massart_: @SocietyHospMed R4. Medical students don't go into any droplet ppx room, even if we know it's not COVID. There are mult… |
| Med Peds Hospitalist @medpedshosp RT @MDEdgeTweets: @SocietyHospMed @DrPoorman shared her experience with us on this very question from the #COVID19 frontlines near Seattle.… |
| Avital O'Glasser, MD FACP FHM @aoglasser @SocietyHospMed #JHMchat students completely off rotations I'm not sure about rounds (I haven't been on the inpatient service recently--currently outpatient) |
 | Arturo Aleman @ElArturoAleman RT @FutureDocs: R2 Some recs for #SocialDistancing in the hospital setting adapted from leadership of @UChicagoHospMed (includes my spouse… |
| Samira Farouk, MD, MS, FASN @ssfarouk RT @FutureDocs: R3 given how fast literature evolves, we are working w/ our medical librarians & ID fellow to launch Covid Educational Supp… |
| Doctivist @jbcowartmd RT @aoglasser: @jbcowartmd @SocietyHospMed #JHMchat @JC_Wellness_MD leads and seems to have a script --how are the team census (resident &… |
| Tom Heston MD @tomhestonmd #JHMChat R4. All Med students here were pulled out of clinical rotations per an email I received today. |
| Vinny Arora MD MAPP @FutureDocs Want to add a lot of these ideas influenced by hearing from our hospital epi team @emilymicheleL @JenCPisano @AllisonBartlet1 about what social distancing is https://t.co/uPPUCTOI8f #JHMChat @UChicagoMed |
| Med Peds Hospitalist @medpedshosp RT @sanjaysaint: I prefer the term #PhysicalDistancing as humans are ‘social animals’ & therefore, not surprisingly, like to be social. We… |
 | Mani Berenji MD MPH @mberenjiMD Must read! |
| Mark Shapiro, MD @ETSshow @RJmdphilly Yes. Thank you for asking I will post to Explore The Space website and let you know. #JHMChat |
| Med Peds Hospitalist @medpedshosp RT @Nephro_Sparks: @ShreyaTrivediMD here is a list of all of the societies/groups that have position statements that we know of. if you kno… |
| Med Peds Hospitalist @medpedshosp RT @SocietyHospMed: Resource #3 for tonight's #COVID19 #JHMchat: What training resources have been provided to you that you've found to b… |
 | Kristen Cain, MD @DrKCain RT @MDEdgeTweets: @SocietyHospMed @DrPoorman shared her experience with us on this very question from the #COVID19 frontlines near Seattle.… |
| Annie Massart @Annie_Massart_ @SocietyHospMed Also, canceling all conferences to allow for as much social distancing as possible. #JHMChat |
| Charlie M. Wray, DO, MS @WrayCharles @RJmdphilly @JByronLuMD @SocietyHospMed This is going to be a huge issue. As i like to say "faucet is on while the drain is plugged" #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @SocietyHospMed R4: No students in hospital. It's really pushing my creativity to come up w/alternatives for students. Thanks to @CPSolvers for morning report, schemas, & clinical unknowns, @AquiferOrg for cases, @COREIMpodcast, zoom noon conf, and virtually following patients. #JHMChat |
| Saima Chaudhry, MD @DrSaimaChaudhry @FutureDocs @WrayCharles @RJmdphilly @SocietyHospMed @ETSshow #JHMChat would add that it took a pandemic for the world to realize that what primary care docs do such as diagnosing & treating cold and flu like symptoms is not easy. #coronavirus #covid2019 |
| Samira Farouk, MD, MS, FASN @ssfarouk RT @FutureDocs: Want to add a lot of these ideas influenced by hearing from our hospital epi team @emilymicheleL @JenCPisano @AllisonBartle… |
| Vinny Arora MD MAPP @FutureDocs RT @DrSaimaChaudhry: @FutureDocs @WrayCharles @RJmdphilly @SocietyHospMed @ETSshow #JHMChat would add that it took a pandemic for the world… |
| Avital O'Glasser, MD FACP FHM @aoglasser @ETSshow @RJmdphilly #JHMchat I got it! #TheresAnEpForThat https://t.co/MDJ7dR1i4n |
| Melissa Plesac @MelissaPlesacMD RT @jenreadlynn: @SocietyHospMed R4: No students in hospital. It's really pushing my creativity to come up w/alternatives for students. Tha… |
| Society of Hospital Medicine @SocietyHospMed RT @DrSaimaChaudhry: @FutureDocs @WrayCharles @RJmdphilly @SocietyHospMed @ETSshow #JHMChat would add that it took a pandemic for the world… |
| Gopi Astik @gopiastik @SocietyHospMed A4: We're limiting the whole team from entering pt rooms both to limit exposures and preserve PPE. What surprised me was the resilience of the students and residents. They WANT to be there even if we want to protect them. #JHMChat |
 | Lydia Christina @prettypvalue RT @mkl71963488: Peds hospitalist here...just got word that one of our hospitals no longer has the swabs to perform COVID testing...what’s… |
| Lydia Christina @prettypvalue RT @FutureDocs: This clinical crisis coupled a complete educational upheaval requiring a remote curriculum overnight is a major stress for… |
| Lydia Christina @prettypvalue RT @jenreadlynn: @SocietyHospMed @JHospMedicine @FutureDocs I'm Jen, an academic hospitalist in Rochester, NY trying to balance being on se… |
| Sanjay Saint @sanjaysaint R4. We have paused all non-essential procedures/surgeries. Morning Report/noon conference now live streamed so people watch on their own & not in large group in conf room. We are actively working on getting lunches to the learners. @nate_houchens calls this SantaClausing meals... |
| Annie Massart @Annie_Massart_ RT @gopiastik: @SocietyHospMed A4: We're limiting the whole team from entering pt rooms both to limit exposures and preserve PPE. What surp… |
| Anika Kumar, MD @freckledpedidoc @SocietyHospMed R4. No Med Students on rotations. Minimal bedside pre-rounding. FCRs outside the pt’s room. Donning & Doffing PPE has really slowed the pace of rounds down. Additionally resident conferences have been cancelled so trying to ⬆️ teaching on rounds #JHMChat |
| J Byron Lu @JByronLuMD A4: The MSIVs are getting their Match Day cancelled and getting results remotely on Friday online. Like it's a standardized test result--so that's something to mourn. #jhmchat |
 | Margaret “Meg” Chisolm, MD @whole_patients RT @FutureDocs: This clinical crisis coupled a complete educational upheaval requiring a remote curriculum overnight is a major stress for… |
 | B @BaruchEM RT @Nephro_Sparks: @ShreyaTrivediMD here is a list of all of the societies/groups that have position statements that we know of. if you kno… |
| Vinny Arora MD MAPP @FutureDocs RT @karynbaum: @FutureDocs @SocietyHospMed New model released from UPenn to model hospital impact: https://t.co/kxJUVNWU14 Incredibly usef… |
| B @BaruchEM Avoid unproven myths |
| Raman Palabindala @RamanMDMBA @FutureDocs @emilymicheleL @JenCPisano @AllisonBartlet1 @UChicagoMed Attendings only rounding on suspected and confirmed cases. Planning to create Dirty team and Clean teams to prevent cross-contamination. Anyone else following this similar concept? #JHMChat #COVID19updates #MedTwitter |
| Charlie M. Wray, DO, MS @WrayCharles @bmcgillen26 @SocietyHospMed @zoom_us @FutureDocs It's a skill Brian, a skill...:) #JHMChat Kuddos to you to creating these alternative outlets and information sources. I'm sure it was much appreciated |
| Andrew Michael South, MD, MS @asouth_neph RT @Nephro_Sparks: @ShreyaTrivediMD here is a list of all of the societies/groups that have position statements that we know of. if you kno… |
| Amith Skandhan MD SFHM FACP @ASK_HM17 This is great! @adahlin281 @ArashVelayati @RamanMDMBA good ideas coming out of #JHMChat @SocietyHospMed |
| Tom Heston MD @tomhestonmd #JHMChat if anyone is still out there, I’d love to hear if you plan to ramp up testing? Or continue to limit based upon travel UX & knoen exposure? |
| Avital O'Glasser, MD FACP FHM @aoglasser @JByronLuMD #JHMchat let's get ready for a #MedTwitterMatchDay (I can't take credit for the hashtag) in this virtual social connecting space! |
| Mark Shapiro, MD @ETSshow @jenreadlynn @SocietyHospMed @CPSolvers @AquiferOrg @COREIMpodcast Also use #MedThreads/#Tweetorials from @tony_breu @AvrahamCooperMD @DrStevenTChen and many others. Also @AndreMansoor has great resources, would love to see him go on a heat-check on Twitter! #JHMChat |
| Rupesh Prasad @rupeshp011 @SocietyHospMed Medical and other students not on care teams caring for patients under evaluation #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @karynbaum: @FutureDocs @SocietyHospMed New model released from UPenn to model hospital impact: https://t.co/kxJUVNWU14 Incredibly usef… |
 | Medicina de Impacto @MD_Impacto RT @Nephro_Sparks: @ShreyaTrivediMD here is a list of all of the societies/groups that have position statements that we know of. if you kno… |
| MDEdge @MDEdgeTweets @SocietyHospMed COVID-19 resource articles for hospitalists and clinicians. https://t.co/DABx5UYuU6 #JHMchat #medtwitter #socmedocs #MedEd |
| Samira Farouk, MD, MS, FASN @ssfarouk @jenreadlynn @SocietyHospMed @CPSolvers @AquiferOrg @COREIMpodcast We are working on setting up a @zoom_us virtual #nephrology report using @Neph_SIM cases for MS, residents and fellows #JHMChat |
| Electrolyte Doc @DocElectrolyte @fixheart Airborne precautions + N95 for HFNO, NIV and nebulizer therapy. Important to remember try to avoid nebulizer therapy, MDI instead #JHMChat |
| Brian McGillen, MD @BMcGillenMD @WrayCharles @SocietyHospMed @zoom_us @FutureDocs Old dog, new trick :) #JHMChat |
| Susan Lopez, MD @SusanLopezMD @SocietyHospMed A4) All learners (med and nursing students) are no longer on rotations. We're limiting resident exposure I assume to pull them in when the hospitalists are going to get sick, but just my assumption as to why for now #JHMchat |
| Ravi Singh @rav7ks @SocietyHospMed Is it still taking 3-4 days for the turnaround for Covid testing for most here ? It’s holding up getting pts out of PUI status #JHMchat |
 | aMcD @a_donna RT @karynbaum: @FutureDocs @SocietyHospMed New model released from UPenn to model hospital impact: https://t.co/kxJUVNWU14 Incredibly usef… |
| Med Peds Hospitalist @medpedshosp @SocietyHospMed All the @AnnalsofIM @ACPinternists @JAMA_current @NEJM @CDCgov and @SCCM resources online, #medtwitter resources like @nickmmark table, @CPSolvers table and podcast, @MD_Impacto podcast, @CarlosdelRio7 and @doctormacias posts. And the hospital has daily updated info. #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly #JHMchat OMG I COULD NOT KEEP UP TONIGHT! Going to have to spend the next 2 hours going back and reading all this. It’s gold. You guys are all amazing and I’m lucky to be a part of this community. |
| Charlie M. Wray, DO, MS @WrayCharles @DrSaimaChaudhry @FutureDocs @RJmdphilly @SocietyHospMed @ETSshow I have so much respect for my #PrimaryCare and #ED colleagues out there who are the literal "front line" of this thing #JHMChat |
 | PublicHealthHQ @PublicHealthHQ RT @medpedshosp: @SocietyHospMed All the @AnnalsofIM @ACPinternists @JAMA_current @NEJM @CDCgov and @SCCM resources online, #medtwitter res… |
| Mark Shapiro, MD @ETSshow @aoglasser @RJmdphilly Thanks! I was thinking of @OHSU_DHM version. This is from @SocietyHospMed 2019 #JHMChat |
| Mark Shapiro, MD @ETSshow RT @aoglasser: @ETSshow @RJmdphilly #JHMchat I got it! #TheresAnEpForThat https://t.co/MDJ7dR1i4n |
| Avital O'Glasser, MD FACP FHM @aoglasser @ETSshow @RJmdphilly #JHMchat (has to switch from tweet deck on my laptop to my phone to get the GIF) https://t.co/tkWZm0NeX9 |
| Vinny Arora MD MAPP @FutureDocs I am v. worried about morale MS4s- they completed training but get none of the celebration of match, travel, and then will get thrown in aftermath of burnout, mental and physical toll of current docs as interns #jhmchat #covid19 need to celebrate their success as much as we can. |
| Vignesh Doraiswamy MD @DoctorVig @SocietyHospMed A4 part 2. I would be remiss to not give a shout out to the General Internal Medicine (non-hospitalist) faculty who run a few of the teaching services 365 days a year even before all this started. #JHMChat |
| Shanu Gupta @shanumeister @aoglasser @JByronLuMD Love that! #JHMChat |
| Ravi Singh @rav7ks @jenreadlynn @SocietyHospMed @CPSolvers @AquiferOrg @COREIMpodcast Same here Miss having students as they bring so much to our teaching teams #JHMchat |
| Vinny Arora MD MAPP @FutureDocs RT @WrayCharles: @DrSaimaChaudhry @FutureDocs @RJmdphilly @SocietyHospMed @ETSshow I have so much respect for my #PrimaryCare and |