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Eric Widera, MD Profile
Eric Widera, MD

@EWidera

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Professor of Medicine @UCSF . Focused on Geriatrics, Hospice, Palliative care, and medical education. Podcasts at

San Francisco
Joined July 2009
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@EWidera
Eric Widera, MD
1 year
While attempting to finalize a death certificate, I was told they don’t take abbreviations so I’d have to spell out what the “C” is in Hepatitis C.
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@EWidera
Eric Widera, MD
2 years
A tale of 8 states with varying approaches to mask mandates (in and out of school) during the Omicron surge. It's hard not to question state based mask mandates looking at the data.
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Eric Widera, MD
1 year
@ytk_lau I actually had a moment of imposter syndrome where I thought I was supposed to know what C stood for. Then I remembered about A and B
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@EWidera
Eric Widera, MD
2 years
Me: feels safe wearing an N95 to see COVID positive patients in the hospital for the last two years Twitter: there is no possible way that one can protect oneself on a plane anymore without universal cloth based masking that allows for the exception when eating and drinking
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@EWidera
Eric Widera, MD
1 year
@dmrind Reminds me of the joke: “why can’t a pirate finish the alphabet? They spend forever at c”
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@EWidera
Eric Widera, MD
2 years
I really don’t get those who have moral outrage about dropping school mask mandates but don’t have the same outrage that no one wore masks in bars and restaurants, or when taking pictures with celebrities. (Let alone that cloth masks are at best marginally effective)
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@EWidera
Eric Widera, MD
1 year
As a New Year’s resolution I hope Twitter and @elonmusk removes the topic of “COVID-19 health experts” as it’s a mess of misinformation and pedophobia (irrational fear of children). Kids are not the prime vector, they are just our prime target of interventions
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@EWidera
Eric Widera, MD
5 years
OMG. This is the most amazing thing I have ever seen in @JAMA_current . Geriatrician Elana Shpall created this mosaic from the pills that she #deprescribed from frail older adults. #geriatrics . Check it out here:
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@EWidera
Eric Widera, MD
2 years
Every study of mask mandates should have this as their last line of the conclusion (looking at you NEJM): “Observational studies of interventions are prone to multiple biases and provide insufficient evidence for recommending mask mandates.”
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@EWidera
Eric Widera, MD
2 years
You can disagree with @DrLeanaWen on her stances on opening schools or mask mandates, but connecting her to eugenics in an effort to get her cancelled from the @PublicHealth annual meeting is morally reprehensible. I cant believe people signed this.
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@EWidera
Eric Widera, MD
2 years
At what point do we acknowledge that the only people benefiting from pre-departure supervised COVID testing are the COVID testing companies?
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@EWidera
Eric Widera, MD
1 year
@JLBConnect This reminds of when I was a wee lad. I took a test where I had to spell the word “brother”. I spelt it “bros” because I remembered seeing it written that way & got it wrong. On the way home from school I got so mad at my teacher when I passed my local grocery store - Stater Bros
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@EWidera
Eric Widera, MD
5 months
UCSF is requiring all employees get updated COVID boosters or decline it. In the declination form it lists two options to decline the booster. Can we add a third of “waiting for clinical trial results to show that yearly winter boosters targeting the summer variant is helpful?”
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@EWidera
Eric Widera, MD
2 years
Our reaction to the COVID pandemic has caused an epidemic of paedophobia — an irrational and obsessive fear of children, particularly of those who are not yours.
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@EWidera
Eric Widera, MD
2 years
San Francisco gets a lot of hate. Yes we have had a lot of self-inflicted wounds of late, but it’s still one of the best cities in the world. Why? Well after reading this NY Times article on SF I decide to take a photo 🧵 on why during my day off
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@EWidera
Eric Widera, MD
2 years
Two other suggestion for @nytimes : 1) stop unjustly stigmatizing kids as the primary vector for COVID transmission as it results in obvious negative consequences. 2) acknowledge that prolonged school closures were a colossal mistake
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@EWidera
Eric Widera, MD
4 years
Today I learned that I was living a lie, blissfully adding two spaces after a period when apparently humanity has moved on to one space.
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@EWidera
Eric Widera, MD
1 year
@VPrasadMDMPH Of course, the new emperor of all maladies, the new king of terrors.
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@EWidera
Eric Widera, MD
1 year
@benryanwriter There was one balloon yesterday. Two today. Given the exponential growth by next week we will have 7.8 billion balloons in the sky. We must close schools now
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@EWidera
Eric Widera, MD
1 year
US District Court takes great umbrage at AB2098, California’s COVID misinformation law, saying the definition of misinformation in the law (“contradicted by contemporary scientific consensus contrary to the standard of care”) is “grammatically incoherent”
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Eric Widera, MD
2 years
We learned about the the Simpson’s paradox after a recent @DLeonhardt post gained Twitter fame, but what’s the paradox called when the CDC posts data comparing cumulative covid deaths over more than 2 years to annualized rates of other causes?
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Eric Widera, MD
4 years
Can we stop using the term "palliative care" as a euphemism for care that does not allow for life sustaining treatments? Palliative care services are seeing patients who are getting maximal treatments including vents in the ICU. #HAPC #bioethics
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@EWidera
Eric Widera, MD
4 months
CDC is considering spring boosters. At what point do we demand Moderna and Pfizer produce evidence for twice yearly COVID boosters (or once yearly for that matter?)
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Eric Widera, MD
2 years
@DrPanMD @MedBoardOfCA Im not sure what part of this tweet is so decisive that it needs to be hidden by @DrPanMD but sure, knock yourself out. Should make everyone feel safe about your censorship bill
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Eric Widera, MD
2 years
@gregggonsalves Sage advice that also applies well to COVID for all populations
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@EWidera
Eric Widera, MD
2 years
@VPrasadMDMPH If you read the CDCs most recent abstract you’d think cloth masks work, but you’d need a pretty good eye to find that asterisk and realize it was not statistically significant
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@EWidera
Eric Widera, MD
1 year
Nothing breaks a geriatricians heart more than suggesting that when people get sick with COVID that they should “lay in the dark and pretend you are a rock as much as possible.” We have to stop ignoring decades of science around functional decline after illness. Bed rest is bad
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@EWidera
Eric Widera, MD
6 months
“You can get palliative care while still getting potentially curative treatments”
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@EWidera
Eric Widera, MD
2 years
@VPrasadMDMPH If public health professionals can’t interact with someone who is on the pretty left side of the political spectrum, how on earth will they have any hope with the other half of the population? The echo chamber is now an echo canyon.
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Eric Widera, MD
3 months
I read this headline and wondered why Rosé was being singled out. Took me a second to realize my error
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Eric Widera, MD
2 years
So thanks San Francisco for a great Saturday. You never stop amazing me
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Eric Widera, MD
2 years
@kdlaw @MedBoardOfCA @DrLeanaWen Let’s discuss. When I tell my patient that cloth masks don’t work, who decides if that is misinformation or current state of the science? If a doctor says that schools are unsafe because of COVID and you should keep your kid at home, will that also be considered misinformation?
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Eric Widera, MD
1 year
The prevalence of frailty in older adults increased steadily during the COVID pandemic in Japan. Of note, there were few COVID cases during this time arguing that infection control measures are not benign and have significant tradeoffs for older adults.
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Eric Widera, MD
2 years
By wildly overstating the benefits of universal masking, we not only breed mistrust in health professionals, we give the public a false sense of security. So it should come at no surprise that some view their poorly fitted masks as more effective than vaccines.
@CNBC
CNBC
2 years
Most Americans don't plan to get a flu shot this season — lots of them say they'll mask to avoid germs instead (via @CNBCMakeIt )
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Eric Widera, MD
2 years
A brutal portrayal of what zeroCOVID life looks like in a nursing home by @doc_gero : “While we pat ourselves on the back for keeping them sealed away from the vicissitudes of COVID, their spirits decompose, and the remaining time they have ticks away.”
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Eric Widera, MD
2 years
Gonna upset all of COVID Twitter by showing a picture of me celebrating getting my bivalent COVID booster + flu vaccine without a mask at an indoor restaurant.
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Eric Widera, MD
2 years
@VPrasadMDMPH Saw these folks coming off a flight at the airport yesterday
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@EWidera
Eric Widera, MD
6 years
I was encouraged at #ADS2018 to make a #delirium meme. Here you go.
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@EWidera
Eric Widera, MD
1 year
"Social isolation and loneliness are rarely listed on death certificates, yet they may have contributed to the excess deaths from all causes observed during the pandemic."
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Eric Widera, MD
2 years
@AnilMakam @FutureDocs I’m deeply worried about the misuse of the “misinformation” label to take advantage of patients & the health care system by silencing critics.  You only have to look as far as the Aducanumab fiasco to see that Biogen called those against there drug as spreading “misinformation”
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Eric Widera, MD
6 months
“Paxlovid doesn’t reduce risk of long COVID, UCSF study finds”. At what point do we say observational studies aren’t gonna answer this question (and in the meantime we should stop saying Paxlovid may reduce long COVID until we have a RCT proving it)
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Eric Widera, MD
4 years
The case fatality data coming out of #Italy for #COVID19 in the elderly is highlights who is being hit the hardest with this outbreak - the elderly. #geriatrics #medtwitter via @JAMA_current
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Eric Widera, MD
2 years
It reminds me of this tweet linking opening of schools in 2021 to genocide.
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Eric Widera, MD
2 months
Dementia is littered with interventions like thickened liquids & PEG tubes that became standard of practice on theoretical benefits without clinical evidence. My editorial in @JAMAInternalMed gives 3 recs to consider if thinking about thickened liquids
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Eric Widera, MD
2 years
Just a reminder that Biogen still doesn’t believe enough in its drug Aducanumab (Aduhelm) to publish the results of their study in a medical journal three years after the studies were stopped for futility. Don’t let people gaslight you, this is not normal
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Eric Widera, MD
2 years
Under pending CA law AB2098 the doc that recommended to VP Harris to take Paxlovid as a healthy asymptomatic adult is a doc that disseminated misinformation. AB2098 would require the medical board to take action if a complaint was made. A thread 🧵
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Eric Widera, MD
3 years
Not surprised @US_FDA approved aducanumab, a drug that so far has failed to show benefit in Alzheimer’s disease. Shows that evidence doesn’t really matter. We should go back to all failed phase III trials, pick a random time-point, find a positive signal, and seek approval.
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Eric Widera, MD
2 years
Twitter is done. I’ll now be posting my thoughts in CPRS and adding you as additional co-signers
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Eric Widera, MD
5 years
It’s time to celebrate! GeriPal just published its 100th #podcast . Thanks to everyone for your support! #geriatrics #HAPC #palliative #HCSM
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Eric Widera, MD
1 year
Biogen was hoping to make history with Aduhelm as one of the "the top pharmaceutical launches of all time. It didnt. It was possibly one of the worst launches of all time. The Aduhelm files tells us a lot though about how drug prices are set and some of them may surprise you. 🧵
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Eric Widera, MD
3 years
I guess I’m confused with everyone saying that wearing a mask indoors is not a big deal. I agree wearing one is no big deal, but if you really believe in an indoor mask mandate, you need to close indoor dining at restaurants. That is a big deal.
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Eric Widera, MD
1 year
Who benefits from “COVID health experts” from widely exaggerating COVID risks. For this article to be true one in two Americans would have disabling disability due to COVID. And we wonder why trust is at a rock bottom because folks aren’t stupid. @Laurie_Garrett
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Eric Widera, MD
2 years
@walidgellad I’d argue that you shouldn’t feel safer if that person next to you is wearing a cloth mask, or if they only wear it when not eating or drinking next to you.
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Eric Widera, MD
2 years
Well I’ll be darned. Someone created an emoji-based Visual Analog Scale and published it in JAMA.
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@EWidera
Eric Widera, MD
1 year
University of California system moved to require annual COVID vaccines with an option to opt out. Did I miss the memo that we are now recommending annual COVID shots for young healthy adults? (Last I saw there was still a big question mark)
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Eric Widera, MD
6 years
The person who does your hair and nails requires more training than the person who cares for your grandmother. Think about that for a second. #geriatrics #gerionc #ucsfgerionc
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Eric Widera, MD
2 years
My family started off the day by getting some croissants at Arsicault, eating them on a walk down the always vibrant Clement street scene
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@EWidera
Eric Widera, MD
6 years
How cool is this: GeriPal podcasts have been listened to over 100,000 times. And we are growing with about 10,000 listens/month over the last couple months). #geriatrics #palliative #HPM
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Eric Widera, MD
3 years
Side effect of #COVID19 lock-downs in nursing homes: increased prescriptions for psychotropic drugs. It's time we open them up to loved ones and other caregivers. #geriatrics
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Eric Widera, MD
11 months
Changing language of serious illness: Replace “Your mother NEEDS to be intubated” with “Your mother’s breathing is getting worse. Can we talk about what this means and what to do next?”. via @jackykruser Justin Clapp and @rabob
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Eric Widera, MD
10 months
Why is Pfizer allowed to promote "misinformation" that 3 out of 4 adults are at high risk for severe COVID when their own study, EPIC-SR, calls the majority of these individuals "standard-risk adults" (unvaccinated w/o risk factors or vaccinated adults with 1 or more risk factors
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Eric Widera, MD
1 year
Birthday lunch in Montréal
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Eric Widera, MD
2 years
“If you have an epidemiologist who says, "eh, if you get infected with SARSCoV2 it's definitely gonna be a big deal" get a new epidemiologist.
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Eric Widera, MD
3 years
I’ve been talking lately with a lot of physicians from a lot of institutions across the US. One thing is clear, the next big wave we will see is not a big #COVID19 wave but a wave of doctors leaving their current jobs in search for a different life.
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Eric Widera, MD
2 years
@davidzweig I would also add that omicron taught us that cloth masks are like taping pieces of fabric together in order to make a seatbelt. Will it get you out of a ticket, maybe. Will it protect you from an impact, probably not.
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Eric Widera, MD
3 years
@DrGeropsych As @DavidJuurlink said tramadol is what would happen if “codeine and Prozac had a baby, and that baby grew into a sullen, unpredictable teenager who wore only black and sometimes kicked puppies and set fires”
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Eric Widera, MD
1 year
The prelim injunction is a scathing rebuke against AB2098, rightfully questioning ill defined phrases like “scientific consensus”. While the whole document is worth a read, this one paragraph on scientific consensus is on 🔥
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Eric Widera, MD
2 years
@tnicholsmd @kdlaw @MedBoardOfCA @DrLeanaWen The first response being an ad hominem attack seems very on brand with Twitter
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Eric Widera, MD
3 years
Here is a palliative care #TipsForNewDocs : check out open access @NEJM video & article on leading "family meetings". It's 10 minutes long so can be watched right before a meeting for just in time learning (and not behind a paywall). #medtwitter #HAPC
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Eric Widera, MD
2 years
My take of the NEJM school mask study. Schools that remove masks 1 week or 3 weeks after a statewide mandate is rescinded, do magically better 2 months later with COVID infections than schools that removed them at 2 weeks or not at all. So time it right (screw confounders!).
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Eric Widera, MD
4 years
Ageism is an interesting bias as it is a "bias against your future self" via @LouiseAronson at @UCSF grand rounds with @Bob_Wachter
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Eric Widera, MD
2 years
@MemoryDoc @alzassociation @CMSGov Here's the data: Biogen and Eisai are top donors to the @alzassociation in FY21.
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Eric Widera, MD
2 years
@DrPanMD @MedBoardOfCA As the author of the bill I’m guessing you do know that #AB2098 specifically does not mention intent under the definition for misinformation. Is intent something that you think the board will consider in the complaint process outside of the wording of this bill?
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Eric Widera, MD
1 year
I think I missed the memo when we all agreed to forget that EPIC-SR ever existed (Paxlovid for vaccinated adults without risk factors and vaccinated adults who have a risk factor that was halted by Pfizer due to negative results).
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Eric Widera, MD
2 years
Then we meandered to Hayes Street to listen to a Santa band, grab some espresso beans at Ritual, and pizza slices to go at Gioia.
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Eric Widera, MD
10 months
@DrEricDing @mehdirhasan @MehdiHasanShow Then again not everyone has the resources to move to Austria so their kids can attend private in-person school...
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Eric Widera, MD
2 years
Took the N Judah to Union Square to pick something up at a store while also enjoying a little winter wonderland (minus the snow)
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@EWidera
Eric Widera, MD
2 years
I have formally submitted a request to the NEJM to change the title of our manuscript and accompanying video on family meetings to reflect current best practices in shared decision making. #medtwitter
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@EWidera
Eric Widera, MD
4 years
Today is a good day and great day to take back the flag.
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Eric Widera, MD
5 months
There is a largely untold story about a push to redefine #Alzheimers so amyloid drugs can be given to millions of healthy adults: “The initial label wasn’t an editing error. Instead, it was a premature rollout of a redefinition of Alzheimer’s disease.”
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Eric Widera, MD
2 years
Headed to Valencia. Grabbed some hot chocolate at Four Barrel to warm up as we took a stroll while listening to street bands play
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Eric Widera, MD
10 months
@kidney_boy Just a reminder that EPIC-SR failed to show benefit of Paxlovid for vaccinated adults (despite Pfizer’s very successful attempts to bury the study)
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Eric Widera, MD
2 years
I am one of these super-dodgers. Here are my secrets: 1. I wear a mask (n95) only when seeing patients in the hospital 2. I hug 3. I enjoy outdoor dining but still eat indoors without a mask 4. I recognize social isolation is dangerous Meet the anecdotal super-dogers:
@kavitapmd
Kavita Patel M.D.
2 years
I am one of these super-dodgers. Here are my secrets: 1. I wear a mask - a good one 2. I don’t shake hands or even fist bump bc I am not as cool as ⁦ @BarackObama ⁩ 3. Attention to ventilation 4. No social life Meet the covid super-dodgers
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Eric Widera, MD
2 years
@davidzweig Imagine if we did the same thing with seatbelts as we did with masks. Mandate them but you can make your own out of cloth and you can take them off when eating/drinking while driving (or selfies with celeb’s). People would quickly figure out that a mandate was mostly for show
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Eric Widera, MD
2 years
Elderspeak (“Is our tummy hungry for some foodie?") increases the likelihood of challenging behaviors such as resistance to care in individuals with dementia. A 10% decrease in elderspeak was associated with a 77% decrease in odds of rejection of care.
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Eric Widera, MD
3 years
Look what I found today. Now if I can just find that power cord for the PalmPilot…
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Eric Widera, MD
2 years
Had a pizza picnic at Duboce Park enjoying the sun and the dogs playing
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Eric Widera, MD
5 months
Public health messaging and FDA actions have led to overuse of Paxlovid for COVID in the worried well and under-utilization in those who may benefit (like nursing home patients). It’s time we get back to recognizing tradeoffs and the need for evidence to support practice patterns
@JAMAHealthForum
JAMA Health Forum
5 months
Outpatient COVID-19 treatment was disproportionately utilized by beneficiaries at lower risk of severe infection, undermining its potential public health benefit, according to this cross-sectional study. @ml_barnett
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Eric Widera, MD
10 months
@VPrasadMDMPH @carlheneghan I liked how they de-identified you by quoting you as a "hematology-oncology" physician
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Eric Widera, MD
2 years
Ended the night at one of the best restaurants I’ve been to in a long while - Ancora. I’d show you a picture of the main courses but we ate it too fast. Here is a pic of dessert
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Eric Widera, MD
10 months
Despite COVID summer and winter vacation upticks every year in the pandemic, and quick drops come the resumption of school, some can’t stop blaming school for everything bad in the world.
@EpiEllie
Dr Ellie Murray, ScD
10 months
“Is covid back?” is such a ridiculous framing. It never went away, and we have seen an increase at exactly this time of year for the past 3 years. Might as well say: “Is school back? Despite a quiet summer, classrooms across the country are increasingly full of children”
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Eric Widera, MD
1 year
I got a bar cart for Christmas, now I need to fill it up with pretty stuff. What’s your best looking bottle that tastes good too?
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Eric Widera, MD
5 years
Alternative headline for @JAMA_current article: Amyloid PET scans lead to large increases of inappropriate prescribing of FDA non-approved drugs that have not been shown to benefit those with Mild Cognitive Impairment (MCI). #geriatrics #dementia #Alz
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Eric Widera, MD
1 year
A new framework of advance care planning (ACP) that focuses on preparation for communication and medical decision-making and conceptualizes ACP as part of the continuum of care planning. #HaPC #geriatrics #palliativecare
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Eric Widera, MD
2 years
@lilbrownmd @tnicholsmd @kdlaw @MedBoardOfCA @DrLeanaWen In my mind there are clear examples of misinformation (vaccines inject microchips from Bill Gates) but that’s not the question. The question is who gets to decide and how do they decide what’s misnformation. Shaming someone for even asking this question only worries me more.
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Eric Widera, MD
3 years
Wow. @alzassociation doing a full on biogen ad campaign for aducanumab called #moretime . Ad missing important info like the trials stopped early as it wasn’t working (& only showed small benefit in post hoc analysis of 1/2 trials). More here
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Eric Widera, MD
5 years
Whose got an ⁦ @AGSJournal ⁩ tie? This guy. #AGS19 #geriatrics
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