@scottorandojin What if the false diagnosis rate was 90%?
Don’t misunderstand me. I’m a thorough believer in the existence of this virus.

To exemplify: the NHS is under severe winter pressure. Many staff are unavailable, largely due to forced isolation from testing. Also, I’m told the adaptations to the conditions make normal work almost impossible. Trying to keep apart patients in different categories must be...

...incredibly stressful. I doubt I could ever have coped. Add to this the real stream of sick people & it’s a complete nightmare. My sympathies won’t be accepted but I offer them anyway. As to “the deaths”, do you mean the reported count of “covid19 deaths”? Everyone is doing...

...their very best. But as to that count: it’s nothing to do with clinical judgement. A covid19 death is a death from any cause within 28d of a positive test. So once a person is labelled by a positive test, if they then die, they’re a covid19 death. Back to my substantive...

...question: how reliable is that labelling? It’s not a clinical diagnosis. We’re not used to this idea. Never before in medical history has someone had a disease (let alone cause of death) been defined by the result of a single year alone. Yet that’s where we are. I think that..

The events of the week have shaken us all. Murray Bowen described 'societal regression.' Anxiety is contagious in any group and a society is one giant interconnected group, so over time, societies become more and more anxious unless the anxiety is displaced.

1/

Displacement requires calm, non reactive leadership at every level and we have lacked that at a federal level, hence the massive escalation of anxiety on the 'system' of our society.

2/

Bowen predicted that as we regress we would no longer be able to listen to each other, we'd become highly reactive, continuing the vicious cycle of catching each others' anxiety and reactivity.

We are there.

3/

But we are not doomed. Especially knowing we have a God who cares.

But it requires calm, aware leadership at every level.

4/

Systems theory often measures anxiety and action through the lens of responsibility and control.

I frame it through the notion of spaces

1. The space inside me

2. The space between us

3. The space between me and God.

5/

Watermelon: Eat Me?
Me: Gladly😋🤤😂

BENEFITS OF WATERMELON
1.Good eye sight
2.Prevent Kidney Disoder
3.Prevents heart problem
4.Helps prevent cancer
5.Heart care
6.Improves sexual life
7.Great for hair and skin

Share this!

1.Good eye sight

Don’t worry about eye health if you eat plenty of watermelon, because, between the beta-carotene, vitamin-C, lutein, and zeaxanthin, your eyes are well protected.

These antioxidants will ensure the protection of your eyes from age-related degeneration

2.Prevent Kidney disorders

Watermelon contains a lot of potassium, which is helpful in cleaning or washing out the toxic depositions in the kidney

It aids in reducing the concentration of uric acid in the blood, thereby limiting the risk of kidney damage

3.Prevents heart problem

The presence of potassium and magnesium in watermelon helps to bring down blood pressure.

Potassium is helps releases the tension of blood vessels and arteries, thereby stimulating increased blood flow and reducing stress on the cardiovascular system

4.Helps prevent cancer

Watermelon has an impressive level of lycopene, a carotenoid phytonutrient compound that is increasingly being linked to cancer prevention

Many people meditating have felt this pulse, and it has brought instantaneous emotional and spiritual, and sometimes even physical healing to some people.

Some thought about DVT prophylaxis in ICU.
Part of my presentation on the same topic.

Question 1: What is the incidence of DVT and PE in current era of widespread thrombo-prophylaxis?
#FOAMed

Question 2: How do you diagnose DVT in ICU?
▶️I think, the best evidence is available for CUS with limited scope for Venography.
And no role of D-Dimer.
#FOAMed

Question 3: Is there any evidence supporting Heparin thrombo-prophylaxis in ICU?
#FOAMed

Yes.
1⃣Number needed to prophylax to prevent 1 DVT - 20
2⃣Number needed to prophylax to prevent 1 PE - 52
3⃣Overall no major bleeding. But bleeding risk need to be individualised.

Question 4: Is there any evidence of LMWH over UFH in VTE Prophylaxis?
#FOAMeYes.
1⃣LMWH decreases DVT. But no difference in Proximal DVT.
2⃣No difference in PE.
3⃣No difference in major bleeding.
4⃣Lower incidence of HIT in LMWH (PROTECT Trial).
5⃣Overall advantage LMWH.

Question 5: Is there any role of Mechanical Thromboprophylaxis?
#FOAMed

half of this website believes that all of your problems can be solved by going to therapy

another half thinks that the entire psychological profession is fake and after some vaguely construed revolution mental health will be solved

what's funny about this is that nothing about it new

I wish this wasn't paywalled because the books Lasch reviewed (in 1976!) sound very familiar. The same kind of dumb debates on this subject that occur constantly here are inherited from boomers

the point Lasch makes towards the end is that all of these books are grasping towards something that neither therapy or politics fully covers, even if both are obviously relevant.

but first, he does a tour through the books. he encounters people who believe all character traits are a product of "propaganda" and "conditioning" that can be fixed with therapy or therapy-like processes, and people who think therapy is a distraction from politics

1. Last NYE was a quiet one for @AmyMcLellan2 & I, after a busy year writing and helping @DavidHHeadley and @LizzieCurle organise @CapitalCrime1

Someone I follow on Twitter shared this story, and we jokingly said we hoped it wouldn’t be another SARS.

2. A few days later, after watching social media footage coming out of Wuhan, I went for a meeting to plan Capital Crime 2021, and said it was likely we’d have to cancel the festival because of the emerging pandemic. My partners in crime looked at me as though I was unhinged.

3. As the situation worsened, I reconnected with people I knew from my previous life working as a consultant to the medical industry, and it became clear we were witnessing the start of a pandemic.

4. Knowing something about the history of pandemics, I was aware that early intervention, and quick and decisive action were essential. I was asked to write a report for Matt Hancock on the risks of reinfection and long-term ill health caused by coronaviruses.

5. Knowing the public health and economic costs of a pandemic, I joined people like @DrEricDing trying to raise the alarm in February, calling for decisive government action. In the report sent to Hancock, I recommended a 4-week precautionary border closure and lockdown...

I think that, in the face of an ongoing global health emergency and a pressing need to reopen safely, some form of health pass is a reasonable option to consider. But debate is a good thing, so here are some brief thoughts on various concerns I've heard about them... [thread]

"A health pass discriminates against people who have refused the vaccine." No. A health pass should also support proof of test result for people who haven't been vaccinated, and exemptions for people who cannot be vaccinated (get vaccinated if you can though, for heaven's sake).

"A health pass is an invasion of privacy." No. A health pass should be privacy preserving, allowing you to prove your status to third parties without giving away personal data or letting them track you without your permission.

"A health pass is unfair to people without smartphones." No. A health pass should accommodate people without a smartphone, e.g. with a printable option as a fall-back (though for most of us, carrying a digital pass on our phone will be much more convenient).

"A health pass will become obsolete as the virus mutates." No. A health pass should actually give us more insight and flexibility to adjust our response as our knowledge of the virus, and the ways we test / treat / vaccinate for it, increases.

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/)

I previously did a wellness check on @SaRaAshcraft that resulted in her becoming very angry at me. She isn’t posting on Twitter. I am hoping that she is under Federal protection right now.

It wasn’t the wellness check that she was angry about - she thanked me for it - it was the fact that I characterized her as needing medical help.

This was based on her Tweets.

A true friend cares about others but also knows when to back off.

There is not a day that goes by that I do not reflect on Sarah, who is an amazing human being I was privileged to meet over Twitter.

The police officer who did the wellness check on Sarah told me his impression that she is highly intelligent, reported being a trauma victim, and only needed help to be OK.

I understand why the help he offered, eg to go to hospital, might not have been what she wanted.

THREAD 4

#ALEPH2020:

#ALEPH2020: humans are physiologically adapted to animal source

#ALEPH2020: Nutrients are not always easily obtained from plants

#ALEPH2020: special needs of vulnerable populations are met with animal source

#ALEPH2020: restricting animal source foods may put the young at

Waist Trainers are useless.
It’s a scam, a fraud and a deceit.

They use ladies who already have slim waists and flat tummies to advertise it.

If you wear it for “fashion”, that’s ok.
If you wear it for flat tummy, you are fooling yourself and wasting your money.

Happy weekend.

Waist trainers can harm you
Waist trainers can harm you.

Can cause skin irritation,
Can cause organ damage,
Can worsen heartburn,
Can cause breathing problems,
Cannot cause weight loss,
Cannot give flat tummy,

Sorry to break your heart
But actually, waist trainers can harm you.

Waist trainers cannot give you any curves that you never had naturally.

If you have the curve already,
A waist trainer may help it show.
If you never had any curves,
A waist trainer can never give you one.

If the hourglass was never there,
A waist trainer won’t give you one.

Waist trainers can’t cause flat tummy.
And it surely canNOT give you “curves”.

You take soft drinks, eat junk food, and swallow Eba at 2am like a hired killer;

If you like wear waist trainer,
Once you remove it, your tummy will fall down on your thighs like the wall of Jericho.

What a waist trainer does is to give you an ILLUSION of a flat tummy or a curvy appearance.But it is a temporary illusion.

A waist trainer NEVER changes your body on the long term, never gives you a flat tummy and it can NEVER make you curvy. Except you already had it naturally.

BURNING STUBBORN BELLY FAT

(A Thread)

Stubborn belly fat can be 'stubborn' for a variety of reasons.

- Your genetics
- Your calories aren't low enough
- Your hormones suck
- Your metabolism has dropped too much

A calorie deficit WILL eliminate this eventually, but often it's not realistic.

Let's get into this...

1. Your Calories

You may just be eating too much food.

If you're 160 pounds, yet you're averaging 2500 calories on most days while not doing any cardio, then it's just too much food.

There's nothing wrong with you, you just need to eat nutrient-dense, calorie-sparse foods.

2. Your Hormones

If you've got low T, you may reach a point in the diet where a calorie deficit just leads to further muscle loss, rather than fat loss.

To combat this:

+ OBVIOUSLY train hard with weights
+ Make sure you're sleeping properly

TBC...

+ Get your vitamin D
+ Get on TRT if the above doesn't work
+ Take 1-2 months at maintenance, if all the above doesn't work

Stress/cortisol is directly linked to low T and lack of sleep.

SO the solutions are the same for high cortisol.