Craig Spencer MD

From his twitter today. He’s the Director of Global Health in Emergency Medicine at Columbia Medical Centre in NYC. He’s also survived Ebola – he caught it in the field, helping people. This guy knows his shit about infectious disease.

When your shift ends, you sign out to the oncoming team. It’s all #COVIDー19. Over the past week, we’ve all learned the signs – low oxygen, lymphopenia, elevated D-dimer. You share concerns of friends throughout the city without PPE. Hospitals running out of ventilators.

Elevated D-dimer is a new clinical symptom, to me, but it’s a really gross & telling one one. It shows up in venous thromboembolism, ARDS and cancer. You have to be genuinely sick like you’ll die without intervention for D-dimer to be high.

 

Flatten the Curve song