BC HEALTH
Saved by @CodyyyGardner

How did it come to this? A deeply misguided effort (@joyhataley) to silence @randyhillier, a MPP in the provincial legislature. This reflects poorly on the medical community. How could one do it differently in a thoughtful, educated manner. Lets consider. 1/

 First, Mr. Hillier and I don't share political perspective but we do share a respect for facts. Facts are the foundation of debate and for the development of sound policy. Ontario has no mechanism to robustly debate C19 facts as the legislature is basically shuttered. 2/
So Mr. Hillier has consequently decided to organize rallies and engage in civil disobedience. All rather normal behavior. He has an audience because leaders in the medical/political community haven't convinced the public that draconian actions are necessary. 3/
It may surprise many but the last time such draconian actions were taken were the middle ages. The plague killed half of europe. Lockdowns likely facilitated death, as after people panicked and killed their cats/dogs, rats florished and congregated indoors. 4/
Mr. Hillier tweets acknowledge the unprecedented draconian actions and expand upon concerns centered on civil liberties and the destruction of institutions that maintain the health and well being of Ontarians. Seems rather straightforward. 5/
Politicians have a rhetorical flourish but the smart ones ground themselves in facts. Mr. Hillary's tweets often highlight public health facts, such as hospitalization, death and all cause mortality. It isn't a pleasant discussion but it must be done to inform debate. 6/
Mr. Hillier displays reasonable understanding of those facts and is knowledgeable to question "cases" given the deeply flawed use of PCR. So then, let the debate begin. Question his interpretation and bring counter facts/data to the table. It isn't hard. 7/
Such a debate would be enlightening for all, especially those that support Mr. Hillier. A large number of his supporters are within the working class who have seen their livelihoods and communities dismantled over the last 10 months. 8/
Its important to present facts and context with previous years, as respiratory viruses have seasonal cycles. Data scientist do this routinely and many good examples can be found on twitter. 9/
I've provided an example from a data scientist who routinely works with these sorts of data sets. This Canada wide data is interesting as it highlights our early epidemic trend and also our questionable practices with the reporting of death. A debate for another time. 10/
Data, facts and debate are important and when placed within a common public health framework, it is highly informative. I have attached such a framework from Dr. Kulldorff, a Harvard epidemiologist. 11/

https://t.co/IJiFPL3FWX
He along with Sunetra Gupta (Oxford) and Jay Bhattacharya (Standford) authored the Great Barington Barington Declaration. Interesting read and it simply states that the ideas which guided public health prior to March 2020 should be used again. 12/

https://t.co/OHQc6gdldm
This scientifically grounded approach is what separates informative debate from propaganda. Propaganda is characterized by an absence of facts and is designed to exploit fear. It uses manipulative language/images to drive emotion and to destroy rationality. 13/
Many times, people can't visualize a propaganda campaign because they themselves are gripped by fear. As such, they actively contribute to it. This is an image from your own tweets presented without facts. 14/
It would be more appropriate to highlight the mountain of statistics surrounding the frail elderly. Respiratory virus are for many the last contributing element in a long chain of comorbities and events. It's an informative learning exercise. 15/
I encourage all to engage. As Dr. John Lee has stated from the beginning, C19 won't be remembered as a medical crisis, it will be remembered as a knowledge crisis. Excellent ground level clinicians who engage on this topic include @Origandclever and @JeanmarcBenoit. 16/
I think we can all appreciate that the Ontario gov't and our underperforming science table doesn't set a good example. Too often they engage in propaganda-like messaging. But perhaps, this is the time, the general public can set a better example. 17/
So go forth and debate with Mr. Hillier in a deep quantitative manner. He is an MPP, so he is used to it. It will be enlightening and engaging for all. End.

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shira has OCD and ADHD
shira has OCD and ADHD
@shiraisinspired
So many people don’t realize that they have OCD because actual obsessive compulsive disorder is rarely talked about openly. So here are the basics: 🧵(thread)

I think that a lot of people forget that OCD is a mental illness, emphasis on the MENTAL. When it’s portrayed on TV, it’s always shown as a very behavioral disorder. And while it’s true that overt behavioral compulsions are part of OCD, they don’t begin to tell the whole story

OCD stands for obsessive compulsive disorder. That’s obsessive thoughts and compulsive behaviors. The OCD cycle is the cycle of obsessions that lead to compulsions that lead to more obsessions that lead to more compulsions etc etc etc.

People with OCD experience intrusive thoughts (which become obsessions.) Intrusive thoughts are unwanted and invasive, and they’re generally REALLY disturbing. It’s a common misconception that people with OCD are exclusively concerned with tidiness and cleanliness. This is false

TW/ OCD subtypes

Intrusive thoughts can be about anything, but there are a few common “subtypes” of obsessions. These include harm OCD, self harm OCD, sexual OCD, pedophelia OCD, relationship OCD, contamination OCD, religious OCD, moral OCD, health OCD and “just right”
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Leandro Steinberg
Leandro Steinberg
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🧵 on Importance of correct indication of colonoscopic surveillance studies (English 🇺🇸🇬🇧)
@KM_Pawlak @KMonkemuller @drkeithsiau @JacquelineChuMD @PerelmansPearls @stevenbollipo @SWexner @DrBloodandGuts @ebtapper @DCharabaty @RashidLui @AdvaniRashmiMD @AtoosaRabiee @DrMohdZein

@GI_Guy @RodriguezParra_ @DrHarryThomas @TennysonMD @AustinChiangMD @KralJan @thomaskroner @alinkmd #GITwitter

1/ The implementation of screening and surveillance programs can reduce the incidence and mortality of

2 / But for these to be effective and to guarantee protection against CCR, they must meet a series of conditions. One of them is the correct indication for endoscopic studies for both screening and surveillance.

3 / According to a recent meta-analysis, the minority of patients who undergo colonoscopies have a correct indication, with less than 50% adherence to the surveillance intervals proposed by scientific
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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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Fr\xe9d\xe9ric Leroy
Frédéric Leroy
@fleroy1974
I applaud the #EUCancerPlan *BUT* caution: putting #meat 🥩 (a nourishing, evolutionary food) in the same box as 🚬 to solve a contemporary health challenge, would be basing policy on assumptions rather than robust data.

#FollowTheScience yes, but not just part of it!
THREAD👇


1/ Granted, some studies have pointed to ASSOCIATIONS of HIGH intake of red & processed meats with (slightly!) increased colorectal cancer incidence. Also, @WHO/IARC is often mentioned in support (usually hyperbolically so).

But, let’s have a closer look at all this! 🔍


2/ First, meat being “associated” with cancer is very different from stating that meat CAUSES cancer.

Unwarranted use of causal language is widespread in nutritional sciences, posing a systemic problem & undermining credibility.

3/ That’s because observational data are CONFOUNDED (even after statistical adjustment).

Healthy user bias is a major problem. Healthy middle classes are TOLD to eat less red meat (due to historical rather than rational reasons, cf link). So, they

4/ What’s captured here is sociology, not physiology.

Health-focused Westerners eat less red meat, whereas those who don’t adhere to dietary advice tend to have unhealthier lifestyles.

That tells us very little about meat AS SUCH being responsible for disease.
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Yohannes #Tigray First
Yohannes #Tigray First
@Yohannes_T_M
@MSF was allowed to enter #Mekelle on 16 Dec & here is their account 👇

"no basic supplies. The local hospital was running at 30 to 40 %, with very little medication"

This is why one of the reason why we demand unfetters #HumanitarianCorridor
#TigrayGenocide

#Adigrat "The situation was very tense & its hospital was in a terrible condition. Most of the health staff had left, there were hardly any medicines &there was no food, no water and no money"
#StopWarOnTigray
#TigrayGenocide
#HumanitarianCorridor
#EritreaOutOfTigray

After 1 month since @AbiyAhmedAli declared victory

"#Adwa & #Axum. There we found a similar situation: no electricity & no water. All the medicines had been stolen from #Adwa general hospital & the hospital furniture & equipment were broken"

#StopWarOnTigray
#TigrayGenocide


"Beyond the hospitals, around 80 or 90 per cent of the health centres that we visited between Mekele and Axum were not functional, either due to a lack of staff or because they had suffered robberies"

#StopWarOnTigray
#TigrayGenocide
#EritreaOutOfTigray
@UN @POTUS @StateDept


"1 woman had been in labour for 7 days without being able to give birth. Her life was saved because we were able to transport her to #Mekele"

It is really heartbreaking to imagine how many of our mothers & sister have lost their lives.

#StopWarOnTigray
#TigrayGenocide
@UN
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In Academia, people aren’t always supported when they need it. I want to share what @WesternU did when my husband died right after the pandemic shutdown. It should be shared with other uni’s as a model for empathy and proactive care when someone is in crisis.
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#AcademicChatter
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Corey Lynn \U0001f64f\U0001f1fa\U0001f1f8
Corey Lynn 🙏🇺🇸...
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1) OBSERVATION: The frequencies are changing. I would have to assess stats on the electromagnetic field to see its fluctuations. All I know is, I am highly sensitive to energy/frequencies, and they are changing, because…

2) 2 Weeks ago, my dog was effected by it as well. He is hearing things that aren’t technically audible. I can tell by his body language and sounds. One week ago I began feeling a pressure in my head and ears. It wasn’t painful at all, but it was intense for a bit.

3) It reminded me of taking off in an airplane a bit. I felt like I was in a vacuum. It went on and off for a couple of days. I’ve picked up on frequencies and high pitched sounds (not audible to most) for 30 years, and today my right ear began to ring for longer than usual.

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Jaya_Upadhyaya
Jaya_Upadhyaya
@Jayalko1
HORANADU ANNAPOORNESHWARI, CHIKMAGALUR (KAR)
#bharatmandir

Annapoorneshwari is the Devi of nutrition and food. The literal meaning of Annapoorneshwari is “Feeding one and all”. Anyone who comes here is offered meals and shelter within the premises.
@LostTemple7


Maharshi Agastya is believed to have done pratishtha here.

Once, Shiva and Parvati had an argument. Shiva declared everything in the world including food to be Maya or illusion. To prove him wrong, Devi Parvati disappeared resulting in entire Earth becoming still.


Taking pity, Devi appeared as Annapoorna and relieved everyone.
Another belief is that once Shiva beheaded Brahma and his skull got stuck in Shiva’s hand. He was cursed that till the skull is not full of food or grains, it will remain stuck to his hands.


Shiva went everywhere and asked for food but the skull was never full. He finally came here and Maa Annapoorna filled the skull with grains and reversed Shiva’s curse.

It is believed that who ever visits Devi Annapoorna here will never be without food in their lives.
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Zen Black
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1/ Thread: "A Silicon Valley Ponzi Scheme"

Thanks to @chamath for laying this out in Social Capital's 2018 annual letter.

I've always appreciated his outspokenness.

2/ The hardest thing for most startups today is the path to market: first finding product-market fit & a way to reach customers, then building a ruthless machine to acquire, monetize & retain them.

3/ Because of this, when the VC industry invests capital into fast growing startups today, the plurality (if not majority) of invested capital will go into user acquisition and ad spending, for better or worse— usually worse.

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Anu Satheesh \U0001f1ee\U0001f1f3
Anu Satheesh 🇮🇳...
@AnuSatheesh5
Srikanteshwara Temple,
#Nanjangud  #Karnatakatemples 🚩

Srikanteshwara Temple or
Nanjundeshwara Temple is a famous Shiva Temple located in Karnataka at the bank of river  Kapila. Temple is also called Varanasi of South. Nanjunda means one who has consumed poison.


Story is  related to the Samudra Mathanam when Paramashiva had to consume halahala.

Parashurama worshipped Mahadeva here to relieve himself from the curse of Mathru Hatya. While clearing the place to do poojas Parashurama's  axe hit the Shivalingam and it began bleeding, that


mark is still visible even today. Thus
it is also believed that Parashurama did Shiva Prathishta here

Sthala Puranam says that, once there was a demon named Keshi who disturbed the people in the area, after  getting blessing from Brahma Deva  and Mahavishnu. Mahadeva appeared


here and killed demon Keshi and blessed this place as Papa Vinashini. Whoever praying to Srikanteshwara or Nanjundeshwara, after bathing in the  Kabini River will be relieved from all sins.

Nanjundeshwaraya Namah
🙏🕉🙏
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