What Adam is Reading 3-16-21

March 16, 2021 Tuesday

Dinner at our house last night
Son #1: "Dad, when you retire, you should work for Southwest airlines. You could be funny with the announcements, and you could call on yourself for the medical emergencies."
Me: "I don't know if I could handle the drink cart or the uniforms. Kerchiefs are not my thing."

It is enlightening to learn my son has condensed 15 years of living with me into a core skill set of entertainment, healthcare urgencies, and beverage service.

-----Latest Data---
I follow an infectious disease physician who advocates using the average daily hospitalizations as the coronavirus monitoring benchmark. Given the vaccines, the case rates, and other factors, the argument is the 7-day average hospitalizations may be a more meaningful measure of current viral impact.
https://twitter.com/MonicaGandhi9/status/1371588437749366790

CDC National Hospitalization trend data
https://covid.cdc.gov/covid-data-tracker/#hospitalizations

Global-View:
https://www.ft.com/content/a2901ce8-5eb7-4633-b89c-cbdf5b386938

Nationally:
https://ig.ft.com/coronavirus-chart/?areas=usa&areas=gbr&areasRegional=usny&areasRegional=usca&areasRegional=usfl&areasRegional=ustx&areasRegional=usco&cumulative=0&logScale=0&perMillion=1&values=casesf

The U.S. Regionally - N.Y. Times:
https://www.nytimes.com/interactive/2020/us/coronavirus-us-cases.html

Vaccine Tracker
https://www.bloomberg.com/graphics/covid-vaccine-tracker-global-distribution/
-----
Themes for the day - the pandemic is changing, I think. We need some different ways to look at the impact and success (hospitalizations?) and prepare for further outbreaks (maybe regional?).

I found it comforting that the current administration is preparing for the possibility of a fourth wave of COVID - stockpiling and preparing to deploy higher volumes of vaccine and monoclonal antibody to identified hotspots, if necessary. Hope combined with realism seems rational.
https://www.cnn.com/2021/03/15/politics/covid-19-white-house-vaccine-plan/index.html

Eric Topol pulled together some updated vaccine projections based on our current pace. It is heartening.
https://twitter.com/EricTopol/status/1371614953363271682

Israel continues to demonstrate how mass vaccination helps the pandemic (thank you, loyal reader)
https://twitter.com/segal_eran/status/1371708932180299779?s=21

There is increasing benchtop data examining the efficacy of the antibodies from variously vaccinated and post-COVID infected patients. It is essential to keep in mind that "[D]rops in neutralization does not equal vaccine % efficacy drops directly." This data helps illustrate the concern I have about the variants' unknown impact and the need to vaccinate rapidly to minimize further mutation.
https://twitter.com/DrEricDing/status/1371209487491735553

Here is one more article from UCSF Infectious Disease doc Monica Gandhi - ways to think about the risk of activities in light of vaccination trends. Bottom line: we should still go outside and wear masks.
Paper:
https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30982-8/fulltext
Discussion:
https://twitter.com/monicagandhi9/status/1371184485367185411?s=10


Data-less Infographic of the day
https://twitter.com/ashtroid22/status/1371269328000184320/photo/1
Moderna art. Ha.

---Bonus Round: A collision of grammar and nephrology: Renal Word Wars

You may be aware of the nomenclature shifts for those of us who care for kidney disease. The word "renal" has fallen out of favor. The term "Neph-" has as well. The general idea has been simplifying and clarifying the terminology about what we do.

Over the weekend, I found the latest salvo in the kidney disease word wars. https://twitter.com/kamkalantar/status/1370925123692228608
In all seriousness, I love the comment, "Kidney is a noun, renal is an adjective."
https://twitter.com/NahidTabibzadeh/status/1371023334188666880

Here is some more background on the word wars:
https://academic.oup.com/ndt/article/35/7/1077/5880573

To be clear, while this mildly partisan strife amuses me (pro-Latin vs. anti-Latin word users?), I appreciate the importance of clear, patient-centered communication. Moreover, it is interesting to see the struggle and trade-offs between language precision and more broadly comprehensible communication.


clean hands and sharp minds, team

Adam

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