What Adam is Reading - 4-20-2020

Monday, April 20, 2020

Mentors are on my mind. Some of my mentors are not doing well, both chronically and acutely (in the setting of COVID). In reflecting on them yesterday, I was pondering the best ways to honor their contributions to my life. No perfect answers, but I am a firm believer in the notion of making the most of what you have learned and passing it on. Perhaps this is obvious and over-simplified. It was where I ended up (mentally) on a Sunday afternoon.

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FT data (No change in the presentation)
https://www.ft.com/coronavirus-latest
Death vs. Cases in the US.
https://ourworldindata.org/grapher/daily-covid-cases-deaths?country=USA
remember the reasons for variable daily reporting, look for the trends.

The New Yorker offers some details about evolution and viruses.
https://www.newyorker.com/science/lab-notes/what-viral-evolution-can-teach-us-about-the-coronavirus-pandemic

A lot is happening in this Atlantic article, making a case for a slow, deliberate re-opening, including warning of the possible setbacks. This is a 20-30 minute read, but worth it.
https://www.theatlantic.com/health/archive/2020/04/pandemic-summer-coronavirus-reopening-back-normal/609940/

Here is the Centers for Medicare and Medicaid Services (CMS) press release on the re-opening subject - "CMS Issues Recommendations to Re-Open Health Care Systems in Areas with Low Incidence of COVID-19." (Received in my inbox this morning.)
https://www.cms.gov/files/document/covid-flexibility-reopen-essential-non-covid-services.pdf

Here are one doctor's thoughts on the re-opening question.
https://twitter.com/yejnes/status/1251982398268604419?s=12

Dr. Das, our international CMO, pointed me to this blog on the HCQ craze and learning from previous healthcare events that have only sparse amounts of data supporting them. THIS POST IS AN EXCELLENT READ.
https://medium.com/@jamesheathers/hurry-dont-rush-e1aee626e733


Here are some articles from various AMA journals worthy of reading. (These are peer-reviewed and more likely to meet medical publication editorial standards.)

Finding ways to reduce coronavirus exposure during dialysis
https://jamanetwork.com/journals/jama/fullarticle/2764821

An overview of the pharmacologic treatments for COVID.
https://jamanetwork.com/journals/jama/fullarticle/2764727

An overview of initial COVID symptoms in healthcare workers from Washington state. The question addressed is whether the typical healthcare organizations' initial screening methodology is sensitive and specific enough.
https://jamanetwork.com/journals/jama/fullarticle/2764953

Some first-hand accounts of taking care of COVID patients.
https://twitter.com/iarnavagarwal/status/1251568130268303369?s=12

My favorite tweet from yesterday:
https://twitter.com/kidney_boy/status/1251902598833221634

Dr. Roer comes through with the Sunday rabbit hole post. This time it is the work of Dahir Semenov, a Russian engineer living in Turkey who makes some elegant renderings of his ideas.
https://en.wikipedia.org/wiki/Dahir_Insaat
https://www.youtube.com/user/dahirsem/videos?pbjreload=10

----------Bonus Round - Mentors and Inspirers edition

Paolo Sarpi was a fascinating Venetian friar, statesman, and scientist. He lived in the complicated world of balancing Catholic orthodoxy, emerging ideas in science, Venetian patriotism and the Reformation. He was attacked (literally an assassination attempt) for his views by representatives of the Pope (which he survived). He seems to have been a nexus of ideas and intellectual development in the northern Italy of the late 1500s and early 1600s, in communication with numerous other enlightenment thinkers. Also, he was a benefactor and friend to Galileo.
Background: https://en.m.wikipedia.org/wiki/Paolo_Sarpi
http://galileo.rice.edu/gal/sarpi.html
Look into his eyes! https://library.si.edu/image-gallery/72880

Over the weekend, I found a WSJ article on Dr. Fauci and his gratitude towards his mentor Sheldon Wolff, MD. What I think is more interesting is seeing the comments about HOW Dr. Wolff and others helped Dr. Fauci understand the world he was entering (physician-researcher) and how he used the ideas and experiences to "make it his own." In 2007 Dr. Fauci put some of these thoughts to words in an acceptance speech for the Kober Medal. Here is a transcript:
https://www.jci.org/articles/view/33691
WSJ article: https://www.wsj.com/articles/the-mentor-who-made-dr-anthony-fauci-11587040520



Clean hands and sharp minds

-AW

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