Michael Daignault, MD @MichaelDaignau3 Twitter profile | Pikagi

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Michael Daignault, MD

@MichaelDaignau3

2,595

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ER doctor in Los Angeles | Medical Contributor @foxLA

Los Angeles, CA

https://t.co/XJ2YxNQhJj

Joined March 2021

Don't wanna be here? Send us removal request.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 months

Launching our coverage of #H5N1 #birdflu @FOXLA last night. - Likely single crossover event from migrating mallard ducks to dairy cows late 2023/early 2024 - H5N1 is not killing dairy cattle but HIGH quantity of virus in udders; USDA investigating "mechanical spread" across

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

1 year

@Tweet_Dec Thanks for this reminder! Love how the little one rolled in second

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

ER doc here: this is false. Reinfections are NOT hospitalizing and killing people. In fact, reinfections are rare, and when happen, cause less severe illness than the first. Take it from someone who actually works clinically-we are NOT seeing Covid infections or hospitalizations.

@fitterhappierAJ

AJ Leonardi, MBBS, PhD

@fitterhappierAJ

2 years

People postulated we would have herd immunity by infection to SARS Cov 2 Reinfections are still hospitalizing and killing people, and rapid evolution created more frequent reinfection That is not "herd immunity" 3/6

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

Commotio cordis is well-known to us in the ER. Here’s some facts: ⁣ - 50% cases occur in baseball players ⁣ - 20% of deaths in car accidents are from CC⁣ - Early cpr and defibrillation are key ⁣ - Survival is as low as 3% if cpr delayed

@espn

ESPN

2 years

Bills safety Damar Hamlin was taken off the field in an ambulance after receiving treatment for over 10 minutes. CPR was administered to Hamlin after he collapsed early in the game. He appeared to be receiving oxygen as he was placed in the ambulance.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

#COVID19 UPDATE from the ER in Los Angeles:⁣ ⁣ I worked 3 shifts over the weekend.⁣ ⁣ Saw 60+ patients.⁣ ⁣ Covid + tests: 0⁣ ⁣ Covid patients: 0

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

I’ve worked in the ER most of the last 2 weeks. Even with official case numbers rising - and surely an undercount - I am not seeing sick, hypoxic Covid patients needing admission. Almost all test positive incidentally, with Covid, not for Covid.

Tweet card media

Another bummer coronavirus summer for California? Cases keep rising along with concerns

Another bummer coronavirus summer for California? With cases on the rise, the state finds itself in a familiar, if frustrating, position.

www.latimes.com

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@BillFOXLA @lapublichealth Ferrer should consult us doctors working on the front lines for once. Yes, ⬆️ of patients testing + for Covid but: 1) expected when all hospitals continue to do pre-admit test 2) none of these patients have severe Covid 3) all + are incidental, not related to hospitalization

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@drdrew It’s commotio cordis. Blunt trauma to chest causes cardiac stunning and cardiac arrest.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

After seeing how XBB.1.5 didn’t amount to anything of clinical significance for us in the ER/hospital, I’m really done with these fear-mongerers. They don’t work clinically; they’ve never treated a Covid patient. So why are people listening to this still?

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

From a Covid hospitalization perspective there is no reason for LA County to reinstate a mask mandate. Yes we are busy but we are able to safely manage Covid patients along with other emergencies.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

1 year

@DGlaucomflecken Accurate on so many levels. Particular the vascular surgeon mad he got called at night and the PMD sending their patient to the ER on Friday afternoon.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

Grateful for an ER shift in LA County where 76% have had 1+ shot. This is what we mean by living with Covid at an endemic level. Stroke, SBO, type A dissection, subungal hematoma, sepsis... and 1 Covid hypoxic patient.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

@ashishkjha 100% agree. We need it enacted before the holiday travel season. The barrier, I’m sure, is the airline industry. I would hope we would do the right thing and spare our hospitals another post-holiday winter surge.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

Covid is trending down; RSV has been on downslope since mid-November; and an early flu season also peaked early. It’s important to acknowledge facts on the ground to rebuild public trust in media and public health.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@hamill_law @KTLA @KTLA_Sandra @LACountyParents All us ER and ICU docs on the ground in LA do not see any merit to the mask mandate.

@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

It doesn’t make sense to me to mask mandate LA County as a punitive response to ⬆️ Covid hospitalizations when the majority are incidental. Doesn’t that mean vaccines worked? ⁣ ⁣ @ladph should instead focus on ⬆️ 2nd boosters for the 66% of those 50+ who are not up to date.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

China's Covid surge will NOT send the world back to “square one” as this article attests. ~95% of the world has “seen” the virus and billions have been vaxxed. Our T-cells can recognize multiple sections of any variant and protect us from severe disease.

China's Covid chaos could trigger doomsday variant, experts warn

The head of the World Health Organization said China's dire situation shows the pandemic is not over. Expert fear the fresh outbreak could have global ramifications - including for Britain.

www.dailymail.co.uk

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

I’m happy to see people appreciate this front-line info. It’s just sad to me that reporting this is considered fringe. I’ve been reporting on Covid in print op-eds and tv since March 2020. But not once did @lapublichealth reach out to me or any ER doc to get our perspective.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

It blows my mind that my ER patients prefer a monoclonal treatment to a polyclonal vaccine. I swear if the vaccine was a pill or nasal spray America would be done with the pandemic yesterday.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

The emergency stage of the #covid19 pandemic - its threat to hospitals - ended months ago with the advent of Omicron and its subvariants. I don’t know how to emphasize this any stronger but I’ve not seen a patient with severe Covid in the ER in over a year.

@nytimes

The New York Times

2 years

Breaking News: The White House plans to let the coronavirus public health emergency end in May, signaling a new chapter in the government’s pandemic response.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

Previous Covid waves had a consistently proportional ICU/hospitalization ratio. With BA.5, we see for the first time a significant decoupling (or defanging) with ICU resources not being overwhelmed d/t broad population-level immunity. @nytimes data

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

@PeterHotez Agreed Peter! I had about a minute to answer this booster question last night on Hawaii News Now’s “Covid Consult.” But at least got my point in to change our language from “booster” to “3-dose regimen.”

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

LA County Covid hospitalizations continue to fall from peak of 1,329. The current BA.5 wave has impacted our hospitals even less than BA.1 over the Winter. We have more than enough capacity and resources to handle this wave and the usual ER patients.

@knxnews

KNX News 97.1 FM

2 years

The number of coronavirus patients in Los Angeles County hospitals dropped significantly for the second consecutive day, falling by 47 people to an even 1,200, according to the latest state figures.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

@EricTopol C/w Kaiser study @ScottGottliebMD cited yesterday @FaceTheNation that average omicron hospital length stay down from 4 to 1.6 days. And c/w what I saw over weekend on my ER shifts in LA.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

This Winter was a clear example of how a variant’s neutralizing antibody evasion on paper doesn’t translate to much up against high population-level immunity. And it shouldn’t be a “surprise.” It’s immunology 101 and many of us expected this.

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This winter's U.S. COVID surge is fading fast, likely thanks to a 'wall' of immunity

The main reason the surge is ebbing now, pandemic experts suspect, is the significant immunity many people in the U.S. have acquired from prior infections and COVID vaccinations many received.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

1 year

@amyfaithho 100% on all of this. Primary care docs could really help us out if they just talked to the patient instead of defaulting to “go to the ER.” The other big offender is Urgent Care; they see many patients with med problems outside their purview, collect copay, and send to ER.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

11 months

@Elex_Michaelson @GavinNewsom @RonDeSantis Wait so is debate happening?

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

@meganranney Such a difference! I haven’t had a sick Covid patient in months in LA. And never had to admit a vaccinated patient with a breakthru infection …

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

U.S. policymakers failure to recognize the strength ⁣of immunity from infection was perhaps the biggest missed opportunity during the #COVID19 pandemic.⁣ ⁣ NEW STUDY @TheLancet shows immunity from infection as strong as TWO doses of mRNA vaccine. ⁣ ⁣ As early as Spring 2021,

@NBCNews

NBC News

2 years

The immunity generated from an infection was found to be “at least as high, if not higher” than that provided by two doses of an mRNA vaccine, according to a new study.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

Good to see @CBSLA accurately reporting on Covid hospitalization data and challenging merit of a mask mandate by @lapublichealth when our ERs and ICUs are NOT being overrun by patients with severe Covid illness.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

Second weekend in a row of multiple ER shifts in LA. Zero Covid admissions. Only ONE Covid+ patient; 2-dose vax, mild symptoms and discharged.

@knxnews

KNX News 97.1 FM

2 years

The number of COVID-positive hospital patients in Los Angeles County has fallen by 28 people to 213, according to the latest state figures.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

1 year

Do better, @ABC7 . A more accurate title: “Infections are higher than officially reported because most people are managing their symptoms at home. ER visits are up but most patients are discharged home. There is not an increase in disease severity.”

@ABC7

ABC7 Eyewitness News

1 year

It seems like everyone has COVID. Here's why this wave may be worse than official data suggests

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

@j_g_allen @ADarcyMahoney 100% agree. When high case numbers are uncoupled from hospitalization all they are useful for is media fear-mongering and anxiety provoking. Tracking vax % and hospitalizations only is the future.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

1 year

As an ER doctor I’m shocked that Senator McConnell’s staff witnessed this freezing episode and did not immediately take him for medical attention. The list of possible neurological causes is long and the serious ones - stroke or seizure - require urgent evaluation.

@statnews

STAT

1 year

Mitch McConnell appeared to freeze while taking questions today for the second time in weeks. Here's what public health experts previously told STAT about such episodes.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

Even IF omicron escapes neutralizing antibodies to some degree:⁣ 1) T-cell response likely remains intact and provides protection against severe illness⁣ 2) Reduction in nAb doesn’t correlate 1:1 with reduction in clinical efficacy⁣ 3) Immunity can be trained up by a booster

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

In the face of Omicron or any variant, @MonicaGandhi9 and I explain how memory B cells and T-cells, particularly those vaccine-induced, provide robust protection against severe illness and hospitalization.

Perspective | Immune cells mean omicron won’t swamp hospitals in vaccinated areas

In highly vaccinated L.A. County, we don't expect a repeat of last year.

www.washingtonpost.com

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@DrCasteelEM Legal or not it’s a lame move on the part of the patient.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

Its mind-blowing to me how many patients I’m seeing who are fully vaxxed against Covid BUT did not get the flu shot this year? What’s the reason? Sick of shots? Unsure of effectiveness?

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

Consistent with what I’ve seen in the ER in LA in the last week. No one is testing positive for Covid or flu and certainly no patients being admitted for severe Covid. Definitely the easiest of the 3 pandemic winters for us so far.

@FenitN

Fenit Nirappil

2 years

I've covered three pandemic winters now, and hospitals are raising far fewer alarms about this one. There was no massive post-holidays surge in admissions. Covid is declining. No more "tripledemic" threat because flu, RSV & covid peaked early Dec

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@benryanwriter It’s mind blowing to see tweets like this from an MD/MPH. It’s hard for me to believe she actually believes this.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

1 year

@henrykleeKTVU @Walgreens @oaklandpoliceca And no one does anything?

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

Update from the ER in LA Over the weekend, I saw about 40 patients. - 0 RSV - 0 Flu - 1 elderly patient tested + for covid. Covid likely caused an acute exacerbation of her chronic atrial fibrillation and she required hospitalization. Let's break this case down. Thread 1/4

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

It doesn’t make sense to me to mask mandate LA County as a punitive response to ⬆️ Covid hospitalizations when the majority are incidental. Doesn’t that mean vaccines worked? ⁣ ⁣ @ladph should instead focus on ⬆️ 2nd boosters for the 66% of those 50+ who are not up to date.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

This is great news! Hoping we soon see the same in LA. As a hearing-impaired ER doctor who relies on lip reading and other non-verbal facial cues to communicate with my patients, the pandemic era masking requirement has been difficult.

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New York to drop masking requirements in hospitals, health care facilities

State officials will allow an emergency Covid rule requiring masks in health care facilities to lapse on Feb. 12.

www.politico.com

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

1 year

In the ER, I rarely see patients with #COVID19 anymore. But every shift, I have multiple patients who overdosed on fentanyl. These patients are as resource- and staff-intensive as a hypoxic Covid pneumonia patient. We need a covid-type response to the fentanyl epidemic in this

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

Agree with @Tuliodna . Omicron subvariant convergent mutations favor contagiousness and ability to infect upper airway. And whether it’s population immunity or intrinsically less severe, bottom line is we dont see severe Covid in the ER anymore.

@Tuliodna

Tulio de Oliveira

2 years

Great meeting with German Minister of Health @Karl_Lauterbach about COVID-19 evolution. We are cautiously optimistic that the virus is hitting an evolution celling and that the worst of the pandemic is behind us.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@MarlaTellez @kathrynbarger @lapublichealth @Elex_Michaelson It’s mind-blowing to me that in LAC we had longest gym closures in the country, a period of closed beaches and parks, and an end to outdoor dining at one point. We urgently need to revamp how we think about public health in LA and build back the public’s trust.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

There has been a ⬆️ in patients testing + for Covid on pre-admission testing over the last week of my ER shifts in Los Angeles. ⁣ Two points:⁣ - Predominantly in patients 65+⁣ - None have severe Covid illness; no viral pneumonia or hypoxia

@LACovid19Bot

LA COVID-19 Bot

2 years

COVID-19+ Hospitalizations 11/30/2022 Patients: 1164 (+ 78 suspected) 7d avg: 1013, ⬆38.2%* ICU Patients: 121 (+ 15 suspected) 7d avg: 113, ⬆31.4%* Avail ICU Beds: 502 7d avg: 560, ⬇3.9%* * since 11/23

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

Cases of RSV, Flu, and Covid are trending down so media resorts to fear-mongering tweet of barren shelves. All this will do is increase hoarding. Do better @ABC7

@ABC7

ABC7 Eyewitness News

2 years

"Tripledemic" threat: Empty shelves prompt retailers to limit cold & flu medicine sales. New rules as demand soars - now on ABC7

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

@Nurse_Cat_MSN My answer to all these JACHO complaints is where were they during the pandemic? Where were they when we were forced to reuse N95 masks for weeks? Where were they when we didn’t have enough PPE? And now this? Must’ve been nice to watch the pandemic from home.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

1 year

@CultureCrave This is ridiculous. Flash was a great movie; one of DC’s best. I’m not sure why people didn’t see it. I don’t buy the argument that it was mostly because of Ezra’s controversy.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@TRyanGregory I know it’s hard for people who don’t actually work clinically or treat Covid patients to understand but whether it’s kraken or whatever comes next, it hasn’t amounted to anything in the ER or hospital. The front-line has evolved with Omicron towards less severe disease.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

1 year

@atrupar I have contact high from watching this.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

Tracking virus spread by ER visits is a fantastic and accurate metric. ⁣ Two clear trends:⁣ - RSV, flu, and Covid have already peaked this Winter⁣ - The “scariest variant yet” XBB.1.5 hasn’t taken off given high level of vaccine/infection-induced population immunity

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@cyrusshahpar46

Dr. Cyrus Shahpar

@cyrusshahpar46

2 years

Today CDC launched two new dashboards to track respiratory virus (COVID-19, Influenza, RSV) trends in the US - Respiratory Virus Hospitalization Surveillance Network (RESP-NET) - Emergency Department Visits

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@sailorrooscout The recent uptick in UK hospitalizations also appears to be reassuringly due to incidental Covid+ testing as well.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@shishiqiushi If by “media career” you mean volunteering all my free time outside of the ER to speaking publicly about what we are seeing in the ER throughout the pandemic then, yes. And you’re welcome.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

1 year

LA County #COVID19 hospitalizations: <500 and dropping by ~10%/week.⁣ ⁣ Only 2 patients at my hospital admitted w/ Covid+ test. ⁣ On our weekly “Medical Roundup” @FOXLA last night, I discussed why the virus did us a favor when it shifted to Omicron and it’s multiple

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@ScottGottliebMD Cases are leveling off in LA and Seattle. The big question is whether ba.4/5 will follow. Seems unlikely as countries with ba.2 waves had some cross protection.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

1 year

As I’ve said before, there needs to be a distinction between an epidemiological wave based on wastewater for example VS. a wave causing clinical disease, hospitalizations and death. I’ve seen no evidence in the ER that this will be a wave like alpha or delta.

@EricTopol

Eric Topol

1 year

Take note: JP's model based on US wastewater indicates the current wave for infections is approaching the level of the ancestral, Alpha and Delta waves

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@EricTopol @LukeMMoney @ronlin I work in a Los Angeles ER at a large regional hospital. Our Covid census is ZERO. County-wide hospitalizations increased from 219 to 249 in the last week. A far cry from 4,000 peak in winter. We are in a good place! I respectfully disagree with the grim analysis of this article.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

It’s mind-blowing to me how ignorant Ferrer and LA County DPH are. Total lack of context on their part to not understand that none of these hospitalizations are for actual Covid illness.

@BillMelugin_

Bill Melugin

2 years

BREAKING: @lapublichealth Director Barbara Ferrer says L.A. County would return to an indoor mask mandate if we move into the CDC’s “high” transmission & hospitalization categories. At medium now. Ferrer says we could move into “high” as soon as next week at the current pace.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

1 year

VERY good news. Not seeing any covid illness at all in the ER. At national level, it looks like multiple Omicron family XBB variants competing. 1) This is likely the fittest/evolved version of covid that will be around for a while and 2) I expect FDA/CDC to recommended tailoring

@melroseaction

Melrose Action

1 year

GOOD NEWS:: This post by @JPWeiland says it all. Key word LOWEST… Is #COVID ’s worst behind us? Looking good atm that’s for sure. Here in L A the numbers in hospital census are negligible. Ronald Reagan UCLA last reported 5 positive patients (WITH COVID+ TEST) and ZERO ICU

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

@megtirrell The fact that she got care in the ER and released means she did not have severe illness. As an ER doc, I can tell you she did not have viral pneumonia or hypoxia if she was sent home. Perhaps just monoclonals.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@oldfshndanne I challenge you to read anything Ive written @TIME or @medpagetoday in the last 2 years and tell me I don’t care about Covid patients. Ive been Working on the front lines of this for the last three years. Show some respect.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

Refreshing to see accurate reporting on Covid hospitalizations @CNN in new article:

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@choo_ek @NPR for 2 years. And I don’t know how many more years I’ll have with them. So maybe you come from a fantasy world with unlimited time but that’s not reality. We have to assess our own risk and live with the choices as best we can.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

@celinegounder @jeremyfaust I’m a bit offended by my academic-based colleagues saying HCWs want boosters to “feel better.” Most ER docs are community-based indep contractors without sick pay or other benefits. Its a huge burden when just one of my colleagues gets sick and needs 10 days of shift coverage.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@K_G_Andersen Wait. What? You’re predicting a wave in ~2 months that will require masking and large-scale testing?

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

LA County Covid hospitalizations:⁣ - ⬇️ to pre-Thanksgiving levels⁣ - Significant decoupling between highly transmissible variant cases and hospitalizations for severe disease over 2022-23

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

I was in NYC this weekend. They got it down. In gyms, for example, vax are required. But masks are not. This is how we ought to incentivize vaccination-return to your fav activities safely!

@MonicaGandhi9

Monica Gandhi MD, MPH

3 years

Good article from @j_g_allen on why the CDC metrics probably not best criteria though...

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@JLimHospMD I’ve noticed the fear-mongering to be prominent among epidemiologists who don’t work in the hospital. Unfortunately Epi’s are also the only sources for main-stream media long pieces on the state of Covid too; they need more of a balance between epi and front-line docs.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

1 year

@ImMeme0 @KateSullivanDC Who doesn’t?

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@Saikmedi This is egregious. Here in LA we are not seeing ANY Covid. If anything maybe some walk-ins with URI symptoms. But certainly no Covid hypoxic pneumonia patients.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@JReinerMD That tweet did not age well.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

@MollyJongFast @Acosta @joerogan Why isn’t @SpotifyUSA @Spotify policing misinformation like @joerogan on their platform? I’m sick of ER patients citing something they heard in his podcast as “evidence.”

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

I expect more from ⁦ @washingtonpost ⁩ . Not one line in this article or quote from a front-line doctor to point out how little (if any) of these Covid “hospitalizations” are for actual Covid disease.

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Covid hospitalizations rising post-Thanksgiving after an autumn lull

Public health authorities are concerned the increase in covid patients will exacerbate the strain on hospitals already reeling from RSV and influenza cases.

www.washingtonpost.com

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@sailorrooscout I think we all need to get comfortable with not having a knee-jerk reaction to fluctuating Covid daily case numbers. Acknowledge them, yes, but focus on other key metrics as well. ICU data, including vent vs unvented, is equally if not more important.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

🇨🇦 NACI nails immunology reccs for updated bivalent #covid19 booster:⁣⁣ ⁣⁣ 1) 6-month interval between prior booster or infection and new booster⁣⁣ 2) “…a longer time between doses allows time for immune response to mature in breadth and strength.”

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@anti_putin_bot I’m skeptical of the death data bc I’m not seeing patients coming into the ER with severe Covid. So how are they dying from it? Maybe different at other ERs in LA but I’m not seeing it, nor is @BradSpellberg at County.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

Great joining @SullyCNBC this morning to discuss the important issue of accurate accounting of Covid-19 hospitalizations. @MonicaGandhi9

@CNBCWEX

Worldwide Exchange

3 years

"The United States has always been weakest on data compared to other countries. And this is certainly an area right now where we need to figure out what's going on with hospitalizations." @MichaelDaignau3 on the state of Covid hospitalization data going forward:

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Michael Daignault, MD

@MichaelDaignau3

3 years

Happy to see CDC accepted our recommendation for 8-week extended interval dosing for low-risk 12-39 year olds.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@choo_ek @NPR I don’t think this is a fair criticism. She says she expects people to be vaccinated/boosted and for places to have good ventilation. What else do you expect vaccinated and responsible people to do? Not see their relatives? I have elderly parents and I’ve already sacrificed a lot

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@ananavarro So disrespectful

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

There was no “tripledemic.” Visits for “flu-like illness” fell for 6th straight week. Resource-wise, we managed quite well in the ER in this third pandemic Winter. Nowhere near as difficult as previous two winters.

@AP

The Associated Press

2 years

New U.S. government data suggests holiday gatherings didn't spark surges in respiratory diseases.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@AlexBerenson @BallouxFrancois What happened? Yeah all the people who didn’t get vaccinated died of Covid and drove down average life expectancy in the U.S. And I’m pretty sure I have more front-line experience in the ER seeing that than you ever will.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@DGlaucomflecken Hmmm I think we taught ourselves to do it bc in most community hospitals where we work, we don’t have an Optham call panel and it’s impossible to ever get one of you all to come in and help. So just trying to do the best we can.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

#COVID19 Case fatality is at its lowest level.⁣ ⁣ CFR is likely closer to 0.1% w/studies showing actual # cases 8-30X higher. ⁣ ⁣ @CDCgov has a great opportunity to build on this by officially recommending a 6-month interval between boosters/infection.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

It is inappropriate to tweet data on hospitalizations like this without providing context:⁣ - less ICU requirement⁣ - rare viral pneumonia/hypoxia/vent usage⁣ - ⬇️ days in hospital ⁣ - ⬆️ incidental + tests bc hospitals use PCR instead of rapid antigen

@EricTopol

Eric Topol

2 years

Ascending US Covid hospitalizations and deaths "But they're low compared with prior waves"

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

This is the type of patient detail we need from @lapublichealth . It's easily accessible. It would give us comprehensive info on covid hospitalizations and what new Omicron subvariants are actually doing at the clinical level. And help us target vaccine efforts. Thread 4/4

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Michael Daignault, MD

@MichaelDaignau3

2 years

I joined @FOXLA and @MarlaTellez last night to advocate for a change to our outdated model of tracking Covid hospitalizations in LA and California. The virus has changed - we are in a new stage of the pandemic - and we should evolve as well.

@MarlaTellez

MarlaTellez

2 years

“We have likely entered a new phase” @lapublichealth Dir Barbara Ferrer tells me she’s relieved #covid #’s are dropping- noting no post holiday surge Is it time to track hospitalizations differently? Ferrer says that’s up to @CAPublicHealth Dr @MichaelDaignau3 makes the case

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Michael Daignault, MD

@MichaelDaignau3

3 years

@EricTopol We really ought to STOP comparing or expecting a heterogeneous country like the US to have a similar experience to UK or Israel. Can’t lump Northeast states or like LA county in with Florida and Louisiana in an overall trends graph for the country.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

3 years

@MonicaGandhi9 We definitely need to offer pediatricians latitude in spacing out Pfizer vax 1st and 2nd doses for 5-11yo once approved. That would go a long way to convince a large % of hesitant parents!

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Michael Daignault, MD

@MichaelDaignau3

3 years

@EricTopol The Israel booster data showed 11x reduction in “infections”, or positive test results. The UK data showed sustained Pfizer effectiveness for 65+ against hospitalization at 5 months. I agree for boosters for 65+ with medical problems but I don’t see the rationale for more.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@JReinerMD Why even bother amplifying these anti-vax clowns by retweeting her garbage? They are beyond reason and science. I’m done fighting them. Let them reap what they sow.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@KashPrime Every single study thru Omicron has shown that reinfections are rare. The exception not the rule

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Michael Daignault, MD

@MichaelDaignau3

1 year

@atrupar Lol what route did he take from DCA? Lol

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@maddie_kovach Not necessarily. Football is a collision sport and if you factor in speed and force of hit it makes sense.

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Michael Daignault, MD

@MichaelDaignau3

2 years

Reassuring Covid milestone reached at my hospital: we now have ZERO admitted Covid patients. First time since March 2020.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

There’s no excuse that 2+ years into pandemic we do not have nation-wide accurate covid hospitalization data like LAC+USC with breakdown for/with Covid and % ICU level of care. A great surrogate metric to track severe illness Covid admits is decadron steroid use; MA state does it

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

After a weekend of ER shifts in LA, lots of Covid and lots of Flu A (H3N2).⁣ ⁣ One clear trend in those 65+:⁣ + Flu A: admitted to hospital⁣ + Covid: discharge home w/Paxlovid⁣ ⁣ Flu A looking more virulent than current BQ.1/BQ.1.1 Covid variants

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@MarlaTellez @lapublichealth @FOXLA I know @lapublichealth ’s heart is in the right place but logically they can’t tie a mask mandate to ⬆️ hospitalizations when they don’t publicly provide accurate Covid hospitalization accounting data.

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@MichaelDaignau3

Michael Daignault, MD

@MichaelDaignau3

2 years

@Tuliodna @rjlessells Key point…

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