Saugar Maripuri @saugarmaripuri Twitter profile

Last Seen Profiles

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@jenn_chleb

@JSVollrath

@morningKall

Saugar Maripuri

@saugarmaripuri

3 years

I had a dialysis patient called in for a kidney transplant and tested positive on surveillance swab. Transplant cancelled and organ went to someone else. Yet another consequence of unimpeded spread of SARS2.

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Saugar Maripuri

@saugarmaripuri

4 years

After 106 days (26 of those days on ECMO and 80 in the ICU), our friend, colleague, and star Nephrology fellow @NyanPyae6 walked out of the hospital after surviving Covid-19. He is by far the strongest person I have ever known. 🤩 💪

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Saugar Maripuri

@saugarmaripuri

4 months

@trevorshowvan @TableBoston Wild that they would respond to a customer like this, even wilder that they can’t accommodate any dietary substitutions. At all.

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Saugar Maripuri

@saugarmaripuri

2 years

We are now over two years into this and they still can’t figure out how to improve the air during boarding. When the mask mandate goes away, I’ll still be wearing an N95.

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Saugar Maripuri

@saugarmaripuri

2 years

It’s okay, ⁦ @Delta ⁩ says Covid is an “ordinary seasonal virus”, which can literally infect you now in every season.

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Saugar Maripuri

@saugarmaripuri

10 months

@MartinKulldorff @HRaleighspeaks I would have thought it was burning bodies in parking lots in India.

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Saugar Maripuri

@saugarmaripuri

11 months

@FastestPitStop I find it amazing that drivers think they’re smarter than their race engineer, who is literally looking at all the data in real time.

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Saugar Maripuri

@saugarmaripuri

7 months

@ostarali @simonharris_mbd Clearly you don’t know the many women who struggle with milk supply. If it wasn’t for formula, my kid would have starved.

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Saugar Maripuri

@saugarmaripuri

1 year

@DeTheBrat @laralogan If kids ask and they’re not old enough to be told the truth, just say they are massagers for adults. They could easily ask about the lube and condoms too. I don’t see how this is controversial and why people are so mortified about sex.

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Saugar Maripuri

@saugarmaripuri

4 years

Many of you know @NyanPyae6 and how he survived a 100+ day ICU stay for severe Covid-19, requiring ECMO and CRRT. I’m ecstatic that he resumed his Nephrology fellowship this Monday and received his Covid-19 vaccine today. He is why we come to work everyday to fight this pandemic.

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Saugar Maripuri

@saugarmaripuri

1 year

@DrJenGunter @cvspharmacy I would report this pharmacist to the state licensing board, if you can get their name.

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Saugar Maripuri

@saugarmaripuri

3 years

Paxlovid has to be given within 3-5 days of Covid symptoms. PCRs take 3-5 days to schedule and get results. Yeah, that’s going to be a problem.

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Saugar Maripuri

@saugarmaripuri

3 months

@MAXPAULFRANKLIN Next time, please call 911. That’s what EMS is for.

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Saugar Maripuri

@saugarmaripuri

1 year

@NoelFritsch @FirstHealth You chose to put him in the cold, all to make a “point” that had nothing to do with the health of your child. I no longer require patients to wear masks in exam rooms if it makes them uncomfortable, however when in common areas, you follow the rules.

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Saugar Maripuri

@saugarmaripuri

4 months

@tatereeves Mississippi has the highest infant mortality rate in the nation. Expansion of Medicaid is essential to fixing this.

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Saugar Maripuri

@saugarmaripuri

8 months

@autosport Easy—no qualifying for sprints, just reverse championship order.

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Saugar Maripuri

@saugarmaripuri

3 months

@iamjasonlevin @Uber This is a situation where PIN verification could be useful. I suggest everyone check their safety settings in Uber.

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Saugar Maripuri

@saugarmaripuri

1 year

@sweatystartup @VicVijayakumar You must be the life of the party

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Saugar Maripuri

@saugarmaripuri

2 years

@ShireenNHeidari @eyorrickd @Airbnb I’m astonished that AirBnb doesn’t require proof of ownership to list properties on their platform!

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Saugar Maripuri

@saugarmaripuri

3 years

@KhouryMD I just don’t think it’s worth the risk to find out. This patient is clearly high on the list and hopefully will get another offer soon after they clear their isolation period (they are vaxxed and boosted). But it just stinks to get called in and turned back.

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Saugar Maripuri

@saugarmaripuri

2 years

My 9 yo kid might get his 3rd shot of Pfizer before a single under 5-year old gets their first. That’s truly sad.

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Saugar Maripuri

@saugarmaripuri

1 year

@kevinnbass Perhaps it was so traumatizing that he doesn’t want to talk about it? Have some empathy.

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Saugar Maripuri

@saugarmaripuri

3 months

@Ingrid_Jacques Minneapolis does not have an airport. MSP is located in an unincorporated area of Fort Snelling. In addition, nearly every McDonalds has moved to kiosks or app based ordering. Humans cook the food in the back and serve you. McDonald��s even offers table side service now. You are

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Saugar Maripuri

@saugarmaripuri

2 years

@melissajonesTO I’m a nephrologist. The vast majority of dialysis patients who tested positive during the January wave recovered without hospitalization. In fact, hospitalizations for Covid among our vaccinated and boosted dialysis patients were so rare, I don’t even remember a single one.

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Saugar Maripuri

@saugarmaripuri

4 years

I feel bad for the people who live in Bismark right now. Because those hospitals are on the verge of being overwhelmed. And this all started a few weeks after Sturgis, like a slowly accelerating runaway freight train.

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Saugar Maripuri

@saugarmaripuri

11 months

@blah_blablather Here’s an idea—keep your hurtful and disrespectful comments to yourself. Clinics can discharge any patient that violates standards of conduct and makes staff uncomfortable. This decision doesn’t impact your access to your surgeon, oncologist, or transplant doc. Switching to a

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Saugar Maripuri

@saugarmaripuri

11 months

@redbulletin The broken one should be in a racing museum, if Max doesn’t want it anymore.

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Saugar Maripuri

@saugarmaripuri

1 year

@atrupar There should be a mandatory retirement age for all politicians (including the President) and judges.

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Saugar Maripuri

@saugarmaripuri

8 months

@NEJM I’m not sure how her hypertension history is relevant.

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Saugar Maripuri

@saugarmaripuri

2 years

We’re number 1!

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Saugar Maripuri

@saugarmaripuri

3 years

We are 21 months into this pandemic and the CDC still thinks “hand washing” and “physical distancing” is more important than high quality masks

Mandy K. Cohen, MD, MPH

@CDCDirector

3 years

In light of #OmicronVariant , you should: -Get vaccinated, if you are not yet vaccinated against #COVID19 . -Get boosted, if you are vaccinated. -Continue hand washing, physical distancing etc. -Know that @CDCgov is monitoring AND prepared for variants.

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Saugar Maripuri

@saugarmaripuri

2 years

It’s important to wear a high quality mask during the boarding and disembarking process, especially to prevent transmission of respiratory viruses in winter. But if you need to pull your mask down to eat while in flight, the risk is much lower.

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Saugar Maripuri

@saugarmaripuri

4 months

@BecklesCake92 @trevorshowvan @TableBoston I can understand vegan/dairy being a challenge for a set menu so dependent on cheese, but Italian fare is nearly always vegetarian friendly.

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Saugar Maripuri

@saugarmaripuri

8 months

@chelicheesefry @UTexasLaw How about get permission to post these lists in an approved location? This is gotcha social media at its best — stage a conflict with the intent to record it.

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Saugar Maripuri

@saugarmaripuri

4 years

@JenniferMarguli Yes — it’s worth it because the young are the major vectors for infecting the vulnerable. Most who are distancing are not scared of getting sick. We are scared of infecting and killing someone we love.

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Saugar Maripuri

@saugarmaripuri

8 months

@ChrisJBakke Some things are timeless. Gray wood floors are not.

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Saugar Maripuri

@saugarmaripuri

2 years

Just to finish out this thread, since it’s caught the attention of so many. Once the plane pushed back and engines were on, CO2 levels dropped to around 1500. Combined with HEPA filtration, this makes the cabin air acceptable. But boarding is definitely the high risk time.

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Saugar Maripuri

@saugarmaripuri

2 years

80 degrees and we broke 4000. Ugh. 🤮

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Saugar Maripuri

@saugarmaripuri

10 months

@unbridledmd @MountainMaestro Wow, and I thought my LDL was high (it’s not anymore because I take a daily pill of poison)

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Saugar Maripuri

@saugarmaripuri

11 months

Nephrology fellowship applications are down 20% nationwide. We are now over 10 years into this crisis and nothing we as nephrologists have done has worked.

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Saugar Maripuri

@saugarmaripuri

11 months

@Carlossainz55 @EG00 @ScuderiaFerrari Full of excuses dude.

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Saugar Maripuri

@saugarmaripuri

11 months

@carlitosrojasq We can call it Dialyze To Survive

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Saugar Maripuri

@saugarmaripuri

9 months

@MercedesAMGF1 @GeorgeRussell63 @LewisHamilton I know this is recorded for PR, but Lewis has consistently shown the ability to take responsibility and be humble. It’s what I love about him.

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Saugar Maripuri

@saugarmaripuri

2 years

@oltmannd This is entirely from rebreathing other peoples air, but thanks. I watched the level increase from 1500 to >5000 in just the 15 minutes of boarding.

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Saugar Maripuri

@saugarmaripuri

2 years

@Griffith17431 @Delta for the win. Seriously they need to work on the air exchanges during boarding. It’s settled out at 1500 once the engines and ventilation was turned on.

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Saugar Maripuri

@saugarmaripuri

1 year

My son who is finishing 4th grade researched and wrote a book about the science behind SARS2 mRNA vaccines and their amazing development. My ❤️ is full. Note: Anyone who trolls this tweet get an automatic block and public shaming. As it should be.

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Saugar Maripuri

@saugarmaripuri

8 months

@visegrad24 Is it really cold in London or are these people just scared to showed their faces because … gasp … they condone terrorism?

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Saugar Maripuri

@saugarmaripuri

10 months

@Theycallmefer @f1trollofficial Are you sure? I thought it was the guy that drove himself into a wall in the final lap.

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Saugar Maripuri

@saugarmaripuri

3 years

The US had an opportunity to crush disease transmission and squandered it. Boosting does reduce infection rates and prevents breakthrough infections. That evidence is quite clear. By adopting a focus on hospitalizations, we are ensuring an endemic future forever.

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Saugar Maripuri

@saugarmaripuri

2 years

Remember CO2 just refers to lack of fresh air return. This can be mitigated by advanced filtration to compensate for the lack of ventilation, but this was not happening on this flight (and I doubt it happens on any flights when they are parked at the gate).

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Saugar Maripuri

@saugarmaripuri

2 years

When the President gets Covid, community spread is high. Wear a mask, folks.

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Saugar Maripuri

@saugarmaripuri

6 months

@MKBHD Sign the inside of the frunk and hand deliver it — instantly worth 2X market.

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Saugar Maripuri

@saugarmaripuri

1 year

Look at the replies to generate your block list of gross white men patronizing an immensely successful woman on how she should care for her child.

Ashley Winter MD || Urologist

@AshleyGWinter

1 year

My brave little baby just got her first COVID vaccine!

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Saugar Maripuri

@saugarmaripuri

1 year

@GRDecter She’s cooler than 100% of US politicians.

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Saugar Maripuri

@saugarmaripuri

4 years

@AllisonRBond @DrSinhaEsq I’m with you. I got off Facebook because I was so frustrated by all the vacations, sports tournaments, indoor dining, and otherwise risky behavior while we are all battling this pandemic. If we were soldiers, the community would treat us (and their own behaviors) differently.

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Saugar Maripuri

@saugarmaripuri

1 year

@denverbitcoin @sweatystartup It amazes me how true this is. We have no HOA. People tend to their homes and yards how they choose, within the bounds of city ordinances. Everyone knows each other, is respectful of each others property, and even help out shoveling snow from the sidewalks. How it should be.

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Saugar Maripuri

@saugarmaripuri

3 years

Since we know @GovTimWalz won’t act, it’s time for @melvincarter3 and @MayorFrey to coordinate on a mask mandate in both Saint Paul and Minneapolis. Our hospitals are at a breaking point. It’s time to lead.

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Saugar Maripuri

@saugarmaripuri

1 year

@Redbeard878 @FOX9 The state is asking drivers to use both lanes to the merge and take turns. This has been the case for 10 years and I don’t understand why MN drivers don’t understand the concept of zippering.

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Saugar Maripuri

@saugarmaripuri

4 years

If you live upper Midwest, it is imperative that you do as much as you can to stop the spread of Covid-19 now. If we wait until hospitals are overwhelmed, it’ll be too late.

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Saugar Maripuri

@saugarmaripuri

9 months

@sabarizvimd This is a terrible take. PharmD’s in retail have a lot of responsibilities and sometimes your call isn’t the priority. Sometimes there a line 20 deep at the register and the techs need help. Sometimes they’re calling insurance to resolve a problem for a patient. If you have a

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Saugar Maripuri

@saugarmaripuri

3 years

@RyanMarino It still amazes me that all these characters say it’s just the flu and then shoot up with monoclonal antibodies, steroids, HCQ, and horse dewormer the minute they feel sick. That’s one hell of a flu.

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Saugar Maripuri

@saugarmaripuri

3 years

This is a 6-year old, folks. Are the adults listening?

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Saugar Maripuri

@saugarmaripuri

3 years

When we are buried in Omicron hospitalizations in a month or two, I will remember every last “public health expert” who claimed SARS2 is “mild”.

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Saugar Maripuri

@saugarmaripuri

2 years

Nearly 1/3 kids admitted with Covid during the Omicron surge required ICU level care. While hospitalizations are rare in kids, they are traumatizing when they happen. Vaccination reduced the risk by at least 50%. Vaccinate your kids, folks.

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Saugar Maripuri

@saugarmaripuri

3 years

@oni_blackstock I find it fascinating how many doctors (including some in PCCM) still view SARS2 as a pulmonary/ARDS virus. It attacks endothelial cells in vascular beds throughout the body. Think infectious vasculitis.

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Saugar Maripuri

@saugarmaripuri

8 months

@ScuderiaFerrari @Carlossainz55 @Charles_Leclerc Is it Charles hydraulics?

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Saugar Maripuri

@saugarmaripuri

1 year

@ironsights308 @DeTheBrat @laralogan If you are so scared to talk to your kids about normal sexual behavior, then avoid that aisle. More likely than not, they won’t even notice or ask.

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Saugar Maripuri

@saugarmaripuri

4 years

I’ve hesitated talking about this publicly but with the blessing of both Nyan and his family, here we go — Nyan is a fellow in our program (on right) and unfortunately contracted Covid-19 in late May. His symptoms were severe and required hospitalization. He rapidly worsened.

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Saugar Maripuri

@saugarmaripuri

3 years

Just received an email from my son’s school about back-to-school Covid protocols. An astonishing 90% of students grades 7-12 are fully vaccinated. Masks will be mandatory for everyone, regardless of vaccine status. This is how you make school as safe as possible.

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Saugar Maripuri

@saugarmaripuri

4 years

@ColleenHuberNMD As a nephrologist, I find this tweet offensive. Not because of your anti-mask bias, but because you think you can diagnose hypercapnia with just a urine pH. First year medical students are laughing at you.

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Saugar Maripuri

@saugarmaripuri

1 year

@kevinnbass A med student saying we “overreacted”. Doesn’t 1.2 million dead people justify a strong reaction?

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Saugar Maripuri

@saugarmaripuri

4 months

@tatereeves Democrats should run on expanded Medicaid as the main issue. Mississippi has the highest infant mortality rate and lowest adult life expectancy in the nation.

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Saugar Maripuri

@saugarmaripuri

3 years

This is not a “pandemic of the unvaccinated”. It’s a pandemic of never ending viral spread across populations caused by VOCs. Until we do more to stop VOCs, this pandemic will last forever.

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Saugar Maripuri

@saugarmaripuri

2 years

@melissajonesTO I think your parents will be okay. Make sure they have a low threshold to seek care if they feel unwell. Ask about availability of Paxlovid. But most importantly, stay positive. Our dialysis population fared very well through Omicron BA.1 when treatments were unavailable.

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Saugar Maripuri

@saugarmaripuri

11 months

“I missed the pedal…” Great show @edsheeran !

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Saugar Maripuri

@saugarmaripuri

10 months

@MCCH2021 @19joho @MartinKulldorff @HRaleighspeaks Of course not

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Saugar Maripuri

@saugarmaripuri

1 year

@CountryOverPa16 @washingtonpost @philnurenberg I’m so sorry for your loss. I’m not sure that this will meaningfully change wait times for deceased donor kidneys. I wish there were less barriers to living donation.

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Saugar Maripuri

@saugarmaripuri

7 months

@PHortonF1 Maybe this tradition needs to end

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Saugar Maripuri

@saugarmaripuri

3 years

@TheRealRhllor I’ve seen quite a few patients survive ECMO. It’s a long haul, but I’m happy to hear that she’s at least a candidate and they have the capacity. Hang in there!

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Saugar Maripuri

@saugarmaripuri

7 months

@HODLaser @JPMorinChase If you order a mocha at any coffee shop, chocolate syrup is pumped into the espresso cup first. Everything he did here is actually correct for barista quality espresso drinks. If you visit any quality coffee shop, they will follow every step, including weighing everything.

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Saugar Maripuri

@saugarmaripuri

2 years

@wsbgnl @NKinNewEng Not requiring urgent boosting of the entire adult population in the fall was a huge mistake. None of the blue check docs who downplayed the need for boosters in Sept/Oct will ever admit to their complicity in these deaths.

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Saugar Maripuri

@saugarmaripuri

2 years

If you had a mild or asymptomatic infection with Omicron, you do not have durable immunity. Without precautions, you can be reinfected within 30 days of the primary infection. This highlights the urgency to develop Omicron boosters and nasal vaccines to bridge the gap.

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Saugar Maripuri

@saugarmaripuri

1 year

@DrSuneelDhand Good luck with active TB

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Saugar Maripuri

@saugarmaripuri

7 months

@stclairashley @hasanthehun That’s a pretty good bet.

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Saugar Maripuri

@saugarmaripuri

3 years

There, I fixed it @SarahJaneguru

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Saugar Maripuri

@saugarmaripuri

3 years

Officially Gigavaxxed. Those ribosomes are dancing again 💪🏾

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Saugar Maripuri

@saugarmaripuri

10 months

@MercedesAMGF1 @GeorgeRussell63 @PET_Motorsports @amgmotorsport You’re being very kind to your driver who drove himself into a wall and out of major points.

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Saugar Maripuri

@saugarmaripuri

3 years

Name me one speciality that knows fluid and electrolytes (ie, volume status) better than a nephrologist. If you say a cardiologist, it’s an auto-block.

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Saugar Maripuri

@saugarmaripuri

2 years

We are still looking for any 3rd year IM resident or hospitalist interested in training in Nephrology who would be open to moving to Minneapolis. There are excellent job opportunities locally starting at $300K with potential to $500K. We value work life balance at HCMC/VA.

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Saugar Maripuri

@saugarmaripuri

2 years

@nickdamian0 Ventilation was not on. There was minimal air flow from overhead vents, so I doubt there were any HEPA air exchanges during this time. It only got better when the engines were turned on.

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Saugar Maripuri

@saugarmaripuri

1 year

@Mochievous Pickups or drop offs. It’s really a show of how much you care for someone.

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Saugar Maripuri

@saugarmaripuri

3 months

@subdivisionguy Get high deductible health insurance through the ACA, open an HSA and fund it with pretax dollars that are invested for long term growth.

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Saugar Maripuri

@saugarmaripuri

11 months

@blah_blablather This took me 5 minutes. Pick an internal medicine or woman’s health clinic. You have a lot of different options for primary care in the same health system.

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Saugar Maripuri

@saugarmaripuri

1 year

@choo_ek I don’t think it’s the responsibility of theme parks to provide masks at this point in the pandemic. However, the fact that Walgreens and CVS don’t carry N95s or KN95s in stores is really problematic. Best bet is to Uber to closest Home Depot and buy a pack of Auras.

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Saugar Maripuri

@saugarmaripuri

2 years

@DrLeanaWen @denise_dewald I love how you ignore the fact that under 5s don’t have access to vaccine, indoor air quality has been largely ignored, and we still have many patients who are vulnerable that don’t have access to Paxlovid or effective monoclonals. But by all means, Dr. Wen throw away masks.

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Saugar Maripuri

@saugarmaripuri

4 months

@dremilyportermd A screening colonoscopy is preventative care and should not be included in a deductible (it should be free).

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Saugar Maripuri

@saugarmaripuri

4 years

@londyloo @umnmedschool I think I can speak for the entire HCMC faculty that he is not welcome here anymore.

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Saugar Maripuri

@saugarmaripuri

5 months

@MattP1Gallagher I guarantee that some rich people have faster cars in their garages.

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Saugar Maripuri

@saugarmaripuri

4 months

@JeromeAdamsMD I wonder if this had more to with being out of network than being on a high deductible plan. ER visits are a flat copay for me, but only when in network.

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Saugar Maripuri

@saugarmaripuri

9 months

@VivekGRamaswamy Did he just illegally enter Canada? Asking for a friend.

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