You what now

Are they disrupting my menstrual cycle because my body does that just fine I do not DO NOT need a startup for that

“You’ve been doing your period all wrong: an LA company smashes menstrual taboos.”

Okay first off I have kids. One does not survive toddlers if they’re squicked out by bodily fluids.

Second off what are they selling, I’ve only read the headline but they’re selling something

Wait they want me to do more chores

With two kids and unwashed dishes and a laundry mountain I’m supposed to buy new underwear that’s hand wash

This is...a product for a very specific kind of person who bleeds and that person is not me

God imagine being that ad exec “okay so we need to make women think they need this. It’ll make everything a bit harder and they’ll be doing more chores and also we need to tell them that they’re not attuned enough to their bodies. We’ll need that by the end of product Dev.”

I... WHO DOES NOT KNOW THAT THEY ARE FLOWING

Like what am I to learn from that excepting that I shouldn’t wear white pants SPECIFICALLY SO I DON’T HAVE TO SPEND AN HOUR SCRUBBING BLOOD OUT OF MY CLOTHES

NOW I HAVE TO ADD RITUALS TO AN ALREADY ANNOYING WEEK OF MY LIFE

Dear #MedTwitter please, please, if you are a licensed medical professional and/or in school to be, do NOT delete your tweets or comply with anyone telling you to do so. It will harm you far more than leaving them up and explaining. Nothing is ever deleted. Can be used in court.

When I was at Harvard Med School and at an esteemed children's hospital, a case against an esteemed professor, that NO lawyer would touch cuz this was someone who had WRITTEN the textbooks and trained every expert, was won ..based on "a document was deleted" - creating suspicion

"Sunlight is the best disinfectant" you will hear me say OVER and OVER - wins & losses *should* be on data/standards but unfortunately wins & losses are in the court of public opinion. So be reliable, credible, and trustworthy. Transparency is one way to achieve that reputation.

The tweets I delete typically have a typo or the link did not populate the image as I wanted and I *immediately* repost THE SAME tweet, corrected. That way if anyone with "dark web" capacity were to try to "find dirt", ain't none. What you see is what you get.

I have been around the block enuf times, been a public servant w/ strict COI & scrutiny of my every word, & have been "in the room" when we have been deciding billions of dollars of state funding in Medicaid

You can decide whether you trust my

It's been 13 months since my craniocervical fusion surgery and 7 months since my tethered cord surgery. My diagnoses were craniocervical instability, tethered cord, ME/CFS, MCAS, POTS, and mold illness (which may or may be fully explained by MCAS). 1/n

Before my first surgery, I couldn't sleep inside a house b/c of mold illness/MCAS. I got paralyzed, unable to speak, and barely able to breathe, sometimes 8 or more times a day. This could result from tilting my head back, speaking too much, a loud sound, a tap on the head. 2/n

Traction (pulling my head away from my body) brought me back from these episodes. I couldn't ever be left alone. I wasn't bedbound, but I could do essentially nothing for myself. 3/n

By that point, my symptoms were extreme even for CCI, and they were quite unusual for ME/CFS. But I started out with classic ME/CFS -- PEM, POTS, unrefreshing sleep, cognitive impairment, low NK-cell function, wacky cytokines, sky-high IGGs for a bunch of viruses. 4/n

The last year has been HARD. These surgeries are brutal and hard to recover from. Needing a second surgery when I hadn't yet fully recovered from the first was emotionally and physically rough. 5/n

📦 FREE SCHOOL MEAL PARCELS EXPLAINED

🍏 I’ve had a number of questions today about the parcels that have been going out for those who receive free school meals and aren’t able to take up this entitlement in school at the moment.

🌽You may have seen photographs circulating on the internet showing a box of food that had been distributed by a contractor. It was claimed this had food in it that was meant to last ten days.

🧀 The food in the picture was actually only intended for 5 days, not 10, and cost £10.50 not £30 as has been suggested by some. The company responsible have however acknowledged that it could have been better.

🥕 The food is supposed to be a substitute for the lunch children would be missing in school - it’s not intended to be food for the whole day and it is not intended to feed the rest of the family either.

There are however other schemes available for struggling families who need this as part of the Covid Winter Plan.

If you want to get in the best shape of your life by 2023 read this:

1. Get 80-90% of your calories from single ingredient nutrient dense foods.

2. Avoid processed foods as much as possible because they're addictive, devoid of nutrients & leave you feeling empty.

3. Eating similar meals every day is an underrated way to get lean.

4. Lift weights 2-4x a week. Use progressive overload to build muscle.

5. Progressive overload is simply doing more through reps, weight or frequency,

6. Eat .8 to 1 gram of protein per pound of body weight. This helps you build & retain muscle. Eat protein with every meal.

7. Avoid trying to lose weight. Focus on creating good habits. The first is focused on an outcome the latter is focused on your lifestyle.

8. Your aim is to become the type of person who stays in shape. In order to change your body your identity must come along for the journey.

9. Eat your meals on a schedule. This will help train your hunger & circadian rhythms.

10. Replace snacking with water & drink it before meals. You usually want to snack because you're bored or dehydrated. Water also helps you feel full & increases energy.

Just got off the phone with a client who hasn’t been able to call because the jail has been taking his money for his meds.

In jail pretrial, they won’t continue you on any medicine you were on previously. You are abruptly taken off because you aren’t allowed to take your meds.

No regard for what abrupt discontinuation of meds will do (from what I’ve seen can range from delusions, delirium, psychosis, suicidal thoughts to actual suicide.) You stay like this while waiting to see medical which can take 20 days- month(s). Longest I’ve seen was 3 months.

After seeing medical, your scripts are often changed to different brands, doses reduced, and only administered once a week. So if you were prescribed something for bipolar— you’d get your one (smaller different brand) dose once a week.

You are then billed for that visit to medical + that medicine that’s administered once a week which is deducted from any money you have in your commissary. Then whatever remains is an open bill which will be taken should your family put more money on your books.

Your commissary is the only money you can access in jail— not only is this how you call home, how you video visit during a pandemic (because in person isn’t allowed), how you get utensils, paper, etc. to write home, but also how you buy necessities that the jail doesn’t provide

Illusion: Thread
1/ Have you ever asked yourself
"Who advises WHO to make decisions on our behalf?"

Have any of you ever asked
"Who decided wearing masks & lock down is beneficial for our health?"

Have any of you ever wondered
"Who is ORDERING WHO to inoculate you?"

I know...

Lord Sumption to a lady with stage 4 cancer:

'I didn't say your life was not valuable, I said it was less valuable.'

Let's really break this down and realise just how awful a statement it is and the repercussions it may

Firstly, it's more than worth saying it was an abhorrent and thoughtless comment devoid of empathy. No matter what utilitarian argument you may field, it cannot be made on a 1:1 basis, or on the inherent value of life. That is beyond any of us.

The secondary issue here, the primary being how this person now feels and will feel, is the impact it will have on those in similar positions and how the public may perceive this overall and in groups. This may be complicated.

A large public outcry built of empathy is inevitable, and I am doing the same here. It is callous and cruel. But the complexity of balancing resources is one where decisions made on population levels will inevitably leave deserving people left behind. I hate that.

Balancing a pandemic with urgent services was always going to be tricky. Both are urgent, both require resources, and the NHS has adapted as it can. The most urgent of non-covid cases are being dealt with as rapidly as possible, but we cannot say that everything will be caught.

Exactly 5 years ago today, Dafna Meir, a 38 year old nurse, wife, and mother of 4, was brutally murdered at her home in front of 2 of her children, by a 15 year old Palestinian.

Two days later, the murderer was arrested by Israeli security forces.

Here is his testimony >>

“She struggled”, the 15 year old murderer told the investigators.
“I stabbed her until I couldn’t pull the knife out of her body” >>

“Why did you kill her?”
he was asked by the investigators.

“Israel is killing our youths. That’s why. I decided to do the same as other young Palestinians do...I realized I might get hurt but I had faith in god” >>

“I was hiding and watching a settler lady with two small kids. She had that Jewish head scarf. She was speaking on her cellphone...I waited until she stepped outside so I can murder her” >>

“She stepped outside, I ran 5 meters towards her and stabbed her in the stomach...she began screaming...her children saw me stabbing her and began screaming”

A physician colleague's insurance will not cover her anti-nausea medicine (Zofran/ondansetron) for her CHEMO. It is $280.40 cash for 30 pills at Walgreen's. I logged into a physician/hospital medical supply company and can buy 30 pills for $3.30. That's an 8500% markup. 1/

It is easy to be angry at the insurance company bc Zofran is a well-known therapy for chemo-induced nausea and it should absolutely be covered. However, I'm sure Walgreen's buys in bulk and gets it for even less than $3.30. Add in labor, plastic bottle and charge $25. 2/

Retail pharmacies make an absolute killing, especially on cash-pay patients. Some pharmacies will offer a cash discount. However, in some states, pharmacists are not allowed to tell patients if the cash price is lower than their insurance co-pay. This is absolutely criminal. 3/

Medicaid negotiates with drug companies. For example, if you had asthma prior to 2016, Medicaid would cover brand-name Xopenex inhalers but not generic albuterol. So, we would have to write prescriptions for an expensive drug the patient didn't need so it would be free. 4/

How are emergency room physicians supposed to remember what drugs are on Medicaid's formulary, let alone all of private insurance? But how frustrating to be a patient and take in a prescription your doctor thinks you need only to find out it isn't affordable. 5/

LONG TWEET. The WGN report by Rich McHugh set off a firestorm. The American Association of Nurse Practitioners(AANP) is on the defensive, claiming it disparaged NPs. Doesn't matter that WGN's anchorman clearly stated it was about transparency in health care, which all HCPs should

2)support. Nope, they had to resort to the predictable victimhood role and gaslighting to which we all have become accustomed. No comment about the parents and the fact that they were lied to, didn't even register on their radar. What became apparent after that story is that Full

3)Practice Authority(FPA) aka: "independent" practice aka: practicing medicine w/o a medical license should never have been an option in the U.S., because it represents two-tiered care. Now the AANP has set out to prove they are being discredited because physicians had the

4)unmitigated gall to question their "evidence". Something lazy a** legislators should have done but didn't. There is no "alarmist" agenda or conspiracy by "organized medicine". There is simply presentation of facts and disputation of alleged "facts". The high quality care the

5)AANP claims they provide is indeed disputable(https://t.co/ik0LfLYHAI). NP education USED to be of high quality. Not anymore. Why? Because the nursing educational system chose not to maintain their former excellent standards. When one devalues their own education, the

ON FAITH PART 8: HEALTH AND WEALTH

Begins now 👇

#Illuminare

1. The Bible says to visit the house of mourning if you want cogitative wisdom. Ecclesiastes 7:2-4. The house of mourning is not necessarily a funeral parlor. A hospital qualifies as house of mourning. #Illuminare

2. You become sober when you visit a hospital. It’s the opposite of a house of mirth – a night club or beer parlor. What is alarming is the continual supply of patients. The flow just never stops. #Illuminare

3. There is a political dimension to disease. Disease has an ideological posture. By nature, it is an oppressor. The oppression is so powerful there’s collegiate resignation by the afflicted. They simply bow powerless. Sickness is hell bent on subjugating the human soul.

4. The affliction of a disease like cancer induces unimaginable terror. The Bible acknowledges the political ideology of disease. It also identifies the personage behind the oppression. We’re told Jesus went about doing good and healing all that were OPPRESSED - #Illuminare

"Dependency" and "personality disorder" in mental health services: a thread.

I'm thinking today about Courtney Porter who died earlier this year, just three days after being discharged from inpatient care against her wishes. 1/

She was 20 years old. At her inquest, @CNWLNHS defended their decision to discharge Courtney by stating that people with a diagnosis of EUPD could not stay indefinitely due to the "risk of developing a dependence on the service." 2/

"Risk of dependency" is a phrase used very commonly to deny or withdraw support and care from certain mental health patients - most often those bearing a personality disorder label. But why? Why are this huge heterogeneous group of people, labelled with PD, 3/

supposedly all at risk of developing dependency, more so than anyone else, and what is so terrible about dependency that it's actually preferable for people to die than to be dependent..? 4/

Mental health services in the UK reflect the western culture of viewing autonomy and independence as key to personal development and success. Since the rise of individualism and self-care in the NHS moved us away
5/

[THREAD] In our last thread, we talked about the physical symptoms of mental health. Let's focus this one on the psychological symptoms, mainly intrusive and racing thoughts. Why do they happen? What are the solutions for them?

While physical symptoms can be very hard to deal with, psychological ones are not easy. Intrusive thoughts are some of the most troubling to deal with. It is important to note that every single person on this planet gets intrusive thoughts. No exceptions!

Why do they seem to impact some more than others? That's because in someone who does not have anxiety, they will simply overlook these thoughts. They know they are thoughts that they won't act on. However, in someone who is suffering from anxiety, those thoughts will stick.

That's because the intrusive thought(s) will induce a lot of anxiety, and the more emotion we attach to a thought, the more likely it is to be saved in our memory and come back often. Therefore, a thought that should have left right away stays for a long time.

The reason why intrusive thoughts are scary to begin with is because they are often of sexual, violent, and dark thoughts. Therefore, we get scared that we may lose control and act on these thoughts or turn into a bad person. However, the fact that they are scary means a lot.