BC HEALTH
Saved by @Alex1Powell

@janethooton_ @ErinInTheMorn @fifi_EY 1/ The 🏴󠁧󠁢󠁥󠁮󠁧󠁿 government decided pediatric gender care in England would be a monopoly contract (a Labour minister, in 2008), despite all other NHS patients officially being entitled to a choice of providers, & second opinions on diagnoses & treatment, & gave it to GIDS, which has…

 @73inlancs @janethooton_ @ErinInTheMorn @fifi_EY 2/…always advocated that trans minors & their families must have no alternative source of care, & subsequent Tory ministers have personally put their signature on renewals of it, and even personally rejected proposals for improvement that have been put forward by NHS England…
@73inlancs @janethooton_ @ErinInTheMorn @fifi_EY 3/…as a result of wider & public consultation. They & their civil servants listen only to GIDS on trans minors - it was GIDS advised against <18s being allowed #GenderRecognition in 2004, & since, on the basis that no one under 18 can be certain of their gender identity, just…
@73inlancs @janethooton_ @ErinInTheMorn @fifi_EY 4/…as many other staff at their trust wrote⬇️ to the press in 2002 (when the first instigator of this case, psychoanalyst Susan Evans was on staff too) that no trans people should be allowed that recognition but needed therapy…
https://t.co/JFD5efyEoq
@73inlancs @janethooton_ @ErinInTheMorn @fifi_EY 5/…to "cure" us instead. Yet GIDS proved incapable of defending its super-conservative protocol in court - no doubt because GIDS has always expected challenges to be from patients seeking care more like that elsewhere, arrogantly ignoring that services in countries where the…
@73inlancs @janethooton_ @ErinInTheMorn @fifi_EY 6/…challengers in this case have been operating in the past knew that only their approach was defensible from that direction, & worked with their patients rather than attempting conversion therapy by delay & frustration & ignoring #UNCRC, children's rights, not least to…
@73inlancs @janethooton_ @ErinInTheMorn @fifi_EY 7/…bodily autonomy. It is also on the English government that NHS England, despite being a co-defendant, wasn't in court, leaving no one there to speak for other vital services that rely upon the Gillick principles (which GIDS misuse since they deny parents the right to…
@73inlancs @janethooton_ @ErinInTheMorn @fifi_EY 8/…consent whereas Gillick is only supposed to be used when an <16yo refuses to involve their parents or parents disagree with the patient) in order to care for some of their patients. Could they not see the potential threat despite the lawyer acting for the claimants having…
@73inlancs @janethooton_ @ErinInTheMorn @fifi_EY 9/…a long history of anti-abortion & birth control cases & those backing his cases trying very publicly to use trans minors' care as a wedge issue in the US & elsewhere, or is the current English government - whose ideological backing largely comes from US think-tanks that…
@73inlancs @janethooton_ @ErinInTheMorn @fifi_EY 10/…are strongly anti-LGBT, anti-abortion, anti-birth control, anti-women's bodily autonomy generally, anti-NHS & anti-EU - secretly intending to travel in that direction too, after trans minors' care has been used as a wedge issue to open the way.

And was it down to 🏴󠁧󠁢󠁥󠁮󠁧󠁿…
@73inlancs @janethooton_ @ErinInTheMorn @fifi_EY 11/…government pressure that the 🏴󠁧󠁢󠁥󠁮󠁧󠁿 Children's Commissioner, legally responsible for protecting UNCRC rights, wasn't in court to speak up? Why does that government-appointed official choose to never speak up on the rights of trans minors under that UN convention, & under…
@73inlancs @janethooton_ @ErinInTheMorn @fifi_EY 12/… EA2010, even when a threat to them is a clear threat to other minors too, & the UN oversight committee for that convention has been specific that trans minors are included in its protections, if anyone ever had any doubt?

Yes, the 🏴󠁧󠁢󠁥󠁮󠁧󠁿 government is very much guilty on this.
@73inlancs @janethooton_ @ErinInTheMorn @fifi_EY 13/ And of course this ruling is oddly identical to the threat made by the Equalities Minister shortly after she'd met with The Heritage Foundation, whose ex-staffer serving in the Trump Dept HHS was attempting in court to have all protection for US trans healthcare removed 🤔
@73inlancs @janethooton_ @ErinInTheMorn @fifi_EY cc @threadreaderapp unroll SVP

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Dinesh S. Thakur
Dinesh S. Thakur
@d_s_thakur
This is a limited point about availability of efficacy data for vaccines under development in the context of the approval for CovidShield and Covaxin in India.

There have been many so-called experts on the idiotbox opining about apparent availability of P III data which 1/n

2/n apparently the SEC had access to based on which it "supposedly" approved Covaxin. Another argument that is prevalent is other regulators (US FDA and MHRA) also approved vaccines based on P II data alone. Let me give you a few facts so that you can make your own decision.

3/n The protocols for both mRNA vaccines are publicly available. You can check. Both protocols *define* when the interim analysis will be done. This is not subjective. They clearly define how many infections need to be documented before the Data Safety Monitoring Board meets.

4/n Find the protocols for the bridging study for CovidShield and Covaxin and look for a similar milestone.

Here is one set of efficacy data post the interim analysis of a mRNA vaccine.

Source: https://t.co/BAPnP3PxEb


5/n This data was analyzed post the interim analysis where the blind was broken by the DSMB. Now ask yourself this question:
How does the SEC, or the sponsor of these studies, or the experts who are offering their opinion liberally on the idiotbox know what the efficacy is
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Santiago
Santiago
@svpino
You gotta think about this one carefully!

Imagine you go to the doctor and get tested for a rare disease (only 1 in 10,000 people get it.)

The test is 99% effective in detecting both sick and healthy people.

Your test comes back positive.

Are you really sick? Explain below 👇

The most complete answer from every reply so far is from Dr. Lena. Thanks for taking the time and going through


You can get the answer using Bayes' theorem, but let's try to come up with it in a different —maybe more intuitive— way.

👇


Here is what we know:

- Out of 10,000 people, 1 is sick
- Out of 100 sick people, 99 test positive
- Out of 100 healthy people, 99 test negative

Assuming 1 million people take the test (including you):

- 100 of them are sick
- 999,900 of them are healthy

👇

Let's now test both groups, starting with the 100 people sick:

▫️ 99 of them will be diagnosed (correctly) as sick (99%)

▫️ 1 of them is going to be diagnosed (incorrectly) as healthy (1%)

👇
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First Doctor
First Doctor
@firstdoctorr
ECTOPIC PREGNANCY

A woman just lost her life due to ectopic pregnancy!

It's a pregnancy in which the embryo attaches outside the womb. It can be life-threatening.

But we can save lives by helping educate women on our Timelines with this.

THREAD 🧵


In the human body, a fertilized egg hardly survives outside the womb. If allowed to grow, it may damage nearby organs & cause severe blood loss.

The bulk of ectopic pregnancies occur in/along the Fallopian tubes.

Some in the ovaries, cervix or a random location in the abdomen.


The usual symptoms of ectopic pregnancy a woman may experience esp. in early pregnancy are;

* Abdominal pain
* Vaginal bleeding, &
* Amenorrhea (missing your period)

Other pregnancy symptoms like breast fullness & occasional nausea may be there too.

But the common DANGER SIGNS of ectopic pregnancy that may signify rupture are;

🔴 Rigid abdomen

🔴 Severe abdominal pain

🔴 Shoulder tip pain, &

🔴 Signs of shock such as cold hands & feet.

With these signs, immediate medical attention is needed to save the woman's life!

Your chances of having an ectopic pregnancy are higher if you have;

1. Previous ectopic pregnancy

2. STI's like gonorrhea

3. Fertility treatments like IVF*

4. Fallopian tube surgeries

5. Pregnancy while using an Intrauterine Contraceptive Device

6. Smoking history! 🚭
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Hugh Alderwick
Hugh Alderwick
@hughalderwick
New NHS reforms announced today. Seems to be a story of two parts, plus a missing character. Quick thoughts (1/):

Part 1 of the story is a set of technical fixes wanted by NHS leaders to encourage collaboration in the health system. The direction here makes sense—and fits with what the NHS has been doing for ages. Competition is (mostly) out; collaboration is in: good (2/)

And the need for legal changes to tidy the mess left by Lansley’s 2012 Act has long been recognized. But... (3/)

The benefits of integration are often way overstated, and the risk of reorganizations underplayed. In its first 30 years, the NHS’s structure was relatively stable. But over the past 30, the NHS in England has been on an almost constant treadmill of reform and reorganization (4/)

Overall, evidence suggests that previous reorganizations have delivered little measurable benefit. They can also distract and disrupt, depending on how they’re done. The list of other things for the NHS to be doing during and after the pandemic is very long. So be cautious (5/)
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Steve Cuss
Steve Cuss
@stevecusswords
Anxiety resides in 4 spaces:

1. The space inside you
2. The space between you and another
3. The space between others
4. The space inside another.

A powerful de escalation tools is to first locate the anxiety. Where is it?

Often the answer is 'all 4.' Yikes!

1/

Anxiety is contagious, we spread it and escalate it unless we know how to manage it.

This was perhaps my biggest lesson as a trauma chaplain - the very hard work of not catching someone's anxiety.

2/

When I caught it, I was no good to them. I no longer saw what was going on, I was now 'infected' by my own triggers, assumptions, the story I tell myself. I was all wrapped up in myself.

But when I managed my anxiety, I was able to be calm, aware and fully present to them.

3/

Even in the very worst moment of their lives, even if they had me by the shoulders screaming, 'how could God allow this to happen?'

4/

Incidentally, early in chaplaincy, I thought this was an actual question. Because I was anxious, I was more infected by my need to answer than I was to simply be calm and present with them in their pain.

5/
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THE LAST STAND OF PAVAN KHIND - THE 300 BATTLE OF INDIA

A long🧵that u must read

In desperate times, great men come forth. Those men who are ready to sacrifice all of their lives work for a single cause.

Baji Prabhu Deshpande is one such man.

1/25


Battle was between the Maratha Warrior Baji Prabhu Deshpande and Sidi Masoud of Adil Shahi Sultanate.

In 1660, the Maratha King Shri Chhatrapati Shivaji was trapped in the fort of Panhala, under siege and vastly outnumbered by an Adilshahis army led by Sidi Masoud.

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And while everyone is thinking that finally the Maratha king will be subdued, Shivaji planned to escape to the fort of Vishalgadh. It was administered by a Maratha chieftain named Range Narayan Orpe under Shivaji.

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For months the siege warfare continued as Shivaji made sure that the food source of the Besieging army drops down, due to which they will initiate a general assault on the castle.

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Shivaji, Baji Prabhu, and around 600 of their best troops, hardened mountaineers of the Maval region, would dash through the Adilshahis force at night.

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THE BATTLE OF SARAIGHAT (1671)

Lachit Borphukan's humiliation of Aurangzeb.

The battle of Saraighat was a naval engagement fought on the Brahmaputra river near Saraighat between the M0ghul empire and Ahom kingdom in 1671.

Guts, resolve and glory!

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Times changed when the ruler of the Koch kingdom, Nara Narayana passed away in 1587 resulting in Koch being divided into 2. Western Koch was ruled by his son Lakshmi Narayan and the eastern Koch by his nephew, Raghudev.(2)

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1. Now that Stan Lee is being eulogized far and wide, it's important to remember how marginal Stan Lee and his collaborators (Jack Kirby and Steve Ditko) were in the 1950s and 1960s.

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Rio de Janeiro, 1920. 🇧🇷


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