BC HEALTH
Saved by @Alex1Powell

Fun fact: the standard advice for if a dog, cat, or human bites your hand, is to feed the bite. Push your hand further into their mouth, forcing the jaw open.

Nurses, EMTs, veterinarians, etc are taught to respond this

 The advice for a human biting you is to jam your hand or arm deeper into their mouth, and rub the spot under their nose back and forth.
If you attempt to remove your hand, or forearm, the teeth do what they're supposed to and gouge out a chunk.

This vicious wolf attack illustrates proper technique.
So: every EMT and nurse who gets bitten by a human, is trained to jam their hand or forearm deeper into the mouth, feeding the bite so the jaw widens enough to remove the limb
Also, every redneck learns this along with the advice of "never run from an angry dog"
People whose life involves more bites than usual, are trained to do this. They get horror stories from coworkers who forgot to feed the bite.
A study of human bites: https://t.co/7sYwaiX8Xd
The study indicates that one of the worst bite wounds from a human, is a "fight bite," where someone punches their fist right into a person's mouth. This causes very deep puncture wounds, and greatly increases the chance of infection of tendons and joints.
What makes fight bites even more dangerous, is that extending the fingers afterwards acts to smear bacteria along tendons.

They have to be evaluated while keeping the fist closed.
The natural response to hand injuries is to flex the hand, extending the fingers to evaluate the extent of the injury.

This, if the bite punctured the MCP joints or tendon sheath, makes infection much more likely.
Who gets bitten most frequently?

Young, drunk men, while partying. And they get bitten mostly on the face.

https://t.co/XlUlMlDeiH
Human bite injuries account for 0.1% of ER visits.

https://t.co/O7C7WfAXeH
Here's a study of bite wounds, animal and human, in Germany https://t.co/59H58rhlrq
In this study, 77% of human bites were fight bites https://t.co/mvnu5wJXja
This study measured bite force in 770 humans

Incisor: 43.3kg
First Molar: 120.66kg https://t.co/EfRbZEZjsh
This study tested human bite force using a gnathodynamometer.

All subjects ceased applying pressure citing tooth pain, well before maximal pressure was exerted. https://t.co/IRGjQxoTi5
The highest recorded bite in this one was 124kg.

He also used a phagodynamometer to test crush pressures of various foods, with surprising results. He found that bread crusts can be incompressible enough to shatter tooth cusps.
The strongest recorded human bite was by Richard Hofmann, a floridaman, with 442kg of bite strength as measured by the gnathodynamometer.

For two seconds. https://t.co/Vk2TqyKUxc

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@pookleblinky
Here's an interesting ncbi article on rage:

One of the claims argued, is that frustration triggers rage.

Either frustration from behaviour not producing expected outcomes, or frustration from someone not doing what one asks.

And, you can experimentally trigger rage by frustrating people sufficiently.

Get someone to do something in order to get a reward. Suddenly stop rewarding them for that. Bam, frustration and then rage.


Alternatively, pair your test subjects, ask them to cooperate to accomplish a task, and have your inside guy not listen.

Bam, frustration and then rage.


The thwarting of expectations is the common theme. Thwart someone's expectations, violate their model of how things work, and you frustrate them.

Keep at it, and you enrage them.
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@pookleblinky
Consider that Late Registration came out in 2005.

A 15 year old would only know Kanye as a maga hat embarrassment.

The Selfish Gene came out in 1976. Anyone under 44 only knows dawkins in his bigot form.

The milkshake duck time horizon

Dawkins, for instance, has now been a bigot for much longer than he was a respected scientist.

Kanye has been an embarrassment for much longer than he was a talented rapper.

It's like how a 120-year old has spent half their life as an elderly person.

At some point, the milkshake duck has been one so long that no one remembers the milkshake anymore.

It's just the racist duck, or the terf duck, or the virulently islamophobic duck. Or all three, and for brevity simply called the asshole duck
HISTORY
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@pookleblinky
You know all those mysterious disappearances youtubers?

If I were a serial killer, it would be an irresistible temptation to get in on that action.

It'd be simple.

Capture a hiker. Immediately freeze their body.

Wait 5 years, 10 years.

Place their body 15km away in an inaccessible location.

Wait 5 years to make a video about it.

"search and rescue parties scoured the area for weeks, with no result. 5 years later, a troop of boy scouts discovered his body over 30 miles away, in a tree. Forensics indicate he'd only been dead less than a week."

Imagine publicly describing, with millions of views, the circumstances of one of your victims and *no one* having a clue.

5.6 million views where you describe exactly where and when that hiker disappeared, and how mysteriously they were found.

"Park rangers say the only way to get there is to climb down a 2,000 foot cliff using climbing equipment. It's not a straight fall. How did he get there?"
YOUTUBE
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@pookleblinky
The US immigration act of 1907 signed by Teddy Roosevelt: ableist as hell. https://t.co/ficeXOImo5


One theory for why the Spanish flu was so unusually lethal for young people:

They hadn't lived through the previous flu pandemic of 1889-1890 (https://t.co/OiDZYtdbWx) that killed about 1 million people. And thus had no carryover immunity.

It's suspected that the 1889 pandemic was not influenza, but a coronavirus.

The 1889 virus spread rapidly, killing mostly the elderly.

The 1889 virus was the first truly modern pandemic: people knew about germs, it spread via trains, it spread at the speed of modern transportation and commerce
POLITICS
Anosognosiogenesis
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@pookleblinky
"Only true patriots are willing to commit treason and attempt to secede. You're the one's committing treason and seceding, not us."

This is now turning into a mainstream GOP platform.

"you're the one committing sedition. We are upholding the constitution by violating it."

Given how every *single* GOP position is doublethink, I propose that all their positions be given in the form of both competing beliefs.

Reporting on a republican saying X? You have to report on him also vehemently rejecting X.

No separating these contradictions into separate articles.

"He said X. He also denied X."

"He said his opponent was doing Y. He also stated his willingness to do Y."

Make that contradictory clusterfuck of an ideology as plain as possible, every chance you get.

Do not help them give the illusion of having a coherent ideology or position.
PATRIOT

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Transduction is the process by which foreign DNA is introduced into a cell by a virus or viral vector.

Viral vectors are tools commonly used by molecular biologists to deliver genetic material into cells.

Viruses have evolved?

specialized molecular mechanisms

to efficiently

transport their genomes

inside the cells they infect.

Delivery of genes, or other genetic material, by a vector is termed transduction and the infected cells are described as transduced.

A transducer is a device that converts energy from one form to another. Usually a transducer converts a signal in one form of energy to a signal in another.
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“Should I give them more fluid?”

Extremely common question during AKI referrals from junior docs.

⛔️ Fluid management is tricky, often misunderstood, & can cause huge iatrogenic harm ⛔️

We try to convey important principles in THREAD 👇

#tipsfornewdocs #medtwitter #tweetorial

Currently too often patients with high creatinine are given too much IV fluid, driven by an AKI ➡️ fluid reflex

We’ve seen 7 litres be given in one shift.

Medics & surgeons, juniors & seniors, it seems everyone loves to reach for extra IV fluid (especially if urine output poor)

Why does huge volume IV fluid ‘resuscitation’ consistently occur?

Lots of reasons, including FALSE beliefs:
🛑 IV fluid always “treats AKI”
🛑 Hypotension = hypovolaemia
🛑 Lactate >2 means fluid deficiency
🛑 Septic patients are very hypovolaemic

The rule with IV fluids and AKI is to remember this 5 word phrase:

💥 💥 Aim for euvolaemia, then stop💥 💥

Fluid status is like Goldilocks - hypovolaemia is bad for the kidneys BUT excess volume is also harmful for renal function and will cause other complications too.

It is easy to say “target euvolaemia” - but we agree it is more difficult to do!

Fluid status assessment is certainly made harder by a belief that we must only rely on a snapshot assessment of examination features which are NOT specific / sensitive / reliable to elicit like.…
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Ted Petrou
Ted Petrou
@TedPetrou
I gave masks the benefit of the doubt in the spring/summer of 2020. I have since changed my mind and see no scenario where it makes sense to wear them in public.

Even if they provided 100% protection, I believe masks to be harmful. An explanation below 👇👇👇

Let's say masks provide 100% protection to both the wearer and others (perhaps non-masked individuals) in close proximity. This is perhaps the worst scenario.

The immune system requires a consistent influx of both microbes and viruses to remain trained.

Halting the exposure to microbes and viruses is extremely harmful in the long run and leaves you exposed to enormous risk in the future.

Without training, you will become susceptible to even weaker microbes that your immune system would have normally handled with ease.

This is no different than laying in bed for a prolonged period of time. Walking up stairs, an activity that normally would not be a challenge, would all of a sudden become difficult.

Your immune system would slowly degrade similarly not able to complete previous tasks.

This is particularly harmful to children who's immune systems do not have the training of adults and would leave them more vulnerable. Children have the most life to lose so it harms them the most.
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Anant Bhan
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@AnantBhan
Many of us who have been health activists have been crying hoarse for years about the need to strengthen our health system, focus on public health
Last summer brought policy and public focus to this dire need. One thought lessons were learnt.
Clearly not.

There is INCREDIBLE stress on the health system right now in many parts of the country. Health professionals over worked, burning out, turning positive with families in droves. And sometimes cannot find beds for themselves or their family in the hospitals they are working in.

I have never seen this kind of a situation before. Lots of people reaching out for help. To provide care, advice, help patients and those in medical need is what health providers are trained for. It is what this is unique about health as a profession.

Imagine not being able to help because there is no capacity, no bed, because there are multiple claimants for that one bed all with medical need. Where the only way a bed might be available is a patient discharge or sadly, a patient death

Ambulances lined up outside hospitals waiting to be able to transfer the patient to the facility, and at times to ferry out those who could not make it.
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\u2744\ufe0fI'm A Fuckin' Princess\u2744\ufe0f
❄️I'm A Fuckin' Prince...
@Just_ReneaR
I'm not pro-murdering babies.
I'm pro-Becky who found out at her 20 week anatomy scan that the infant she had been so excited to bring into this world had developed without life sustaining organs.
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Fire is, of course, one of the greatest discovery of mankind. Our control over the fire dramatically changed the entire human habits; earlier it was used to cook food, protection from animals and to stay warm.


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