@ClevelandClinic ENT resident | Formerly @PennMedicine | Recovering architect and product manager
Joined March 2018
- Tweets 90
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Pinned Tweet
8 Apr 2022
Great work by the team assessing the value of pulse oximetry in Covid patients isolating at home. Turns out pulse ox monitoring doesn't improve clinical outcomes when compared to a simpler text message check-in program.
6 Apr 2022
Pulse oximeters are widely used to monitor for low oxygen levels among #Covid19 patients at home.
But does pulse oximetry improve outcomes over monitoring for symptoms of shortness of breath?
Our team provides some answers today in @NEJM 🧵👇
nejm.org/doi/full/10.1056/NE… #SGIM22
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Doreen Lam retweeted
11 Jan 2022
From #BestofAnnals 2021 collection: A @PennMedicine algorithmic text system saved 2 lives a week during 1st wave of #COVID19. Patients enrolled in the system were also 68% percent less likely to die than those not using it ow.ly/Mjyr50GQ8un.
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Doreen Lam retweeted
8 Apr 2022
One more time for the people in the back...
We have shown:
Symptom based monitoring program > no monitoring (Annals of IM 2021)
Monitoring program pulse ox not better than monitoring program alone (NEJM 2022)
We didn't study self-monitoring with pulse ox vs. no monitoring
6 Apr 2022
..Important caveat. We did not compare handing out pulse oximeters to no monitoring in this trial. So for patients that don’t have access to on-call clinicians or a remote monitoring program, using a pulse oximeter may be reasonable. But so is monitoring for shortness of breath..
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8 Apr 2022
Great work by the team assessing the value of pulse oximetry in Covid patients isolating at home. Turns out pulse ox monitoring doesn't improve clinical outcomes when compared to a simpler text message check-in program.
6 Apr 2022
Pulse oximeters are widely used to monitor for low oxygen levels among #Covid19 patients at home.
But does pulse oximetry improve outcomes over monitoring for symptoms of shortness of breath?
Our team provides some answers today in @NEJM 🧵👇
nejm.org/doi/full/10.1056/NE… #SGIM22
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8 Apr 2022
Note, patients were enrolled in winter 2020/2021, a year before Omicron. Patients in the pulse ox cohort also showed increased utilisation of healthcare resources without improved outcomes (primary measure was days out of hospital within 30 days).
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8 Apr 2022
Valuable learnings for the future when designing interventions that optimise healthcare resource utilisation for patient outcomes. More tech/monitoring/data is not always the answer. See our last paper on the survival benefit conveyed by COVID Watch: acpjournals.org/doi/10.7326/…
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Doreen Lam retweeted
22 Mar 2022
Kudos to our @PennMedicine colleagues, including med student and CHCI innovation fellow @dor_lam, on their initiatives to assess improve tracheostomy care. Their report is published in @PAPATIENTSAFETY patientsafetyj.com/index.php…
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Doreen Lam retweeted
16 Nov 2021
Nearly 20,000 pts have been enrolled in COVID Watch to date, and this latest study found that it was equally accessible and effective for everyone - with all major racial and ethnic groups benefitting.
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Doreen Lam retweeted
16 Nov 2021
Team including: the amazing nursing team who have supported this program 24/7 for 18 months, @PENNWaytoHealth @katleemd @khchaiyachati @mohan2020 @dor_lam @neda_khan_ and so many, many others!
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Doreen Lam retweeted
16 Nov 2021
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Doreen Lam retweeted
16 Nov 2021
We've been in the digital era for years, but just now discovering in medicine that simple text messaging can help substantially reduce Covid deaths
acpjournals.org/doi/10.7326/…
@AnnalsofIM @kit_delgadoMD @PennMedicine @PCORI
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Doreen Lam retweeted
16 Nov 2021
1/ For the >80,000 people in the U.S who will test positive for #Covid19 today, what can we offer to support access to care but help them safely remain at home?
Our team is excited to finally share important, new findings out today in @AnnalsofIM
👉acpjournals.org/doi/pdf/10.7…
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Doreen Lam retweeted
16 Nov 2021
Very excited to share our findings today in @AnnalsofIM
Patients who received COVID Watch were 68% less likely to die — that comes out to one life saved every 2-3 days during the height of the pandemic.
It took an amazing team!
16 Nov 2021
1/ For the >80,000 people in the U.S who will test positive for #Covid19 today, what can we offer to support access to care but help them safely remain at home?
Our team is excited to finally share important, new findings out today in @AnnalsofIM
👉acpjournals.org/doi/pdf/10.7…
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Doreen Lam retweeted
28 May 2021
Lessons from development of PennOpen Pass—an early warning system to detect Covid-19 symptoms and exposures—will advance health care innovation long after the pandemic: catalyst.nejm.org/doi/full/1… @kmahraj @khchaiyachati @dor_lam @judithgmckenzie @rrosin @kevin_volpp @PM_Innovation
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Doreen Lam retweeted
23 Apr 2021
T-Rex is here at @AMNH to tell people extinction sucks, get the vaccine.
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Doreen Lam retweeted
29 Jan 2021
Congrats to @CAMBUpenn MD/PhD student @DanielAkuma5 and all the members of the @UPenn team that developed the SANIPACK N95 portable UV-C sterilizing device to extend life of N95 masks! Check it out on pp. 71-73 of @AmerMedicalAssn Impact Challenge: ama-assn.org/system/files/20…
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Doreen Lam retweeted
6 Jan 2021
Today is a reminder of all the work that still needs to be done. Happy to share this AMAZING article with FANTASTIC recommendations on how to appropriately use race in medicine by @ChristinaAmutah @mrmunyikwa and co-authors!
nejm.org/doi/full/10.1056/NE…
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Doreen Lam retweeted
15 Dec 2020
We are honored to have two of our commentaries highlighted in @nejmcatalyst’s Editors’ Picks for 2020 bit.ly/3mjVBWE!
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21 Oct 2020
A deeper dive into how the #COVIDWatch team and @PM_Innovation used technology to quickly build valuable data-driven tools and resources for patients & clinicians in response to the pandemic 👇
21 Oct 2020
It was a pleasure speaking with @Penn_Today about #COVID Watch. The infrastructure @PennMedicine helped us leverage technology quickly to respond to the pandemic. penntoday.upenn.edu/news/eco… (h/t @PM_Innovation, @mohan2020, @dor_lam)
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