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You might not have heard, but the northeastern U.S. is in a COVlD surge.
We use wastewater levels to derive estimates of the proportion of people actively infectious in each state (prevalence), e.g., 1 in 24 people in Connecticut.
Let me walk you through it...
🧵1/8
We use wastewater levels to derive estimates of the proportion of people actively infectious in each state (prevalence), e.g., 1 in 24 people in Connecticut.
Let me walk you through it...
🧵1/8
Notice that #Connecticut has excellent SARS-CoV-2 wastewater surveillance. It's "Very High" across much of the state, per CDC.
Based on wastewater levels, we estimate 1 in 24 residents are actively infectious w/COVlD. That's a 66% exposure risk in a room of 25 people.
🧵2/8
Based on wastewater levels, we estimate 1 in 24 residents are actively infectious w/COVlD. That's a 66% exposure risk in a room of 25 people.
🧵2/8
The CDC reports "Very High" levels in #Massachusetts.
The surveillance is less robust, but we estimate 1 in 26 residents are actively infectious, similar to our estimate in CT where coverage is better.
In a room of 25 people, that's a 62% chance of an exposure.
🧵3/8
The surveillance is less robust, but we estimate 1 in 26 residents are actively infectious, similar to our estimate in CT where coverage is better.
In a room of 25 people, that's a 62% chance of an exposure.
🧵3/8
Welcome to the 8th post of #scanuary.
It's a month-long marathon of daily tweetorials about #POCUS & its uses
I hope you found yesterday's post about small bowel #POCUS useful
Today we're going to discuss large bowel PoCUS
If you find the post useful, please like & retweet
It's a month-long marathon of daily tweetorials about #POCUS & its uses
I hope you found yesterday's post about small bowel #POCUS useful
Today we're going to discuss large bowel PoCUS
If you find the post useful, please like & retweet
🌟Let's start with a case again
An 80-yr old nursing home resident has presented with some abdominal pain.
Known to suffer with multi-factorial constipation
PMH of Parkinsons disease, chronic pain
Examination reveals just distended abdomen with generalised tenderness
The differentials are broad however, limiting to large bowel causes only
1. Diverticulitis
2. Ileus due to chronic constipation
3. Faecal impaction
4. Obstruction
This patient may need a CT abdomen to confirm the diagnosis but PoCUS can help give an idea about the underlying disease and expedite the confirmatory test
An 80-yr old nursing home resident has presented with some abdominal pain.
Known to suffer with multi-factorial constipation
PMH of Parkinsons disease, chronic pain
Examination reveals just distended abdomen with generalised tenderness
The differentials are broad however, limiting to large bowel causes only
1. Diverticulitis
2. Ileus due to chronic constipation
3. Faecal impaction
4. Obstruction
This patient may need a CT abdomen to confirm the diagnosis but PoCUS can help give an idea about the underlying disease and expedite the confirmatory test
How to scan for bowel PoCUS ?
This has been discussed in yesterday's post
This has been discussed in yesterday's post
The new U.S. dietary guidelines represent a sharp break from decades of nutrition policy.
This thread examines what changed, what didn’t — and where evidence ends and ideology begins. 🧵
This thread examines what changed, what didn’t — and where evidence ends and ideology begins. 🧵
1/ This isn’t a routine update.
The new dietary guidelines represent an ideological reset — not the slow accumulation of new consensus evidence.
The new dietary guidelines represent an ideological reset — not the slow accumulation of new consensus evidence.
2/ Then: MyPlate emphasized balance, grains, and population-level cardiovascular risk.
Now: An inverted pyramid elevates protein and fats — without new large randomized trials to justify the reversal.
Now: An inverted pyramid elevates protein and fats — without new large randomized trials to justify the reversal.
🧵EXCLUSIVE: HOW WASHINGTON STATE LEFT ITSELF OPEN TO FRAUD
The Dept of Community & Human Services (DCHS) awarded over $1.5 billion in grants in 2023 & 2024, up from $22 million in 2019 & 2020, but didn't apply controls, resulting in improper payments, including potential fraud, across multiple programs
The Dept of Community & Human Services (DCHS) awarded over $1.5 billion in grants in 2023 & 2024, up from $22 million in 2019 & 2020, but didn't apply controls, resulting in improper payments, including potential fraud, across multiple programs
According to the King County Auditor, DCHS took on greater financial risk as a strategy to reduce barriers to contracting among organizations with limited government experience & didn't manage its financial risk. Gaps were found in enforcement of contract terms, validation of invoices & communication of expectations to staff & grantees.
The report stated, "during the COVID-19 pandemic, the need to distribute emergency funds quickly, as well as the County’s declaration of racism as a public health crisis, informed DCHS practices more broadly. This led to a focus on speed over the need to prevent fraud."
No one says the BJP is perfect or without faults. Yes, there are weaknesses and mistakes, like any other patriotic party.
🔥However, instead of only highlighting faults, we must first acknowledge what the BJP has achieved under Modi ji—achievements
🧵
🔥However, instead of only highlighting faults, we must first acknowledge what the BJP has achieved under Modi ji—achievements
🧵
no previous govt has delivered at this scale.
🔥Before pointing fingers at the BJP, critics shld present a better & credible alternative. Criticism helping anti nationals is self destructive
🔥The BJP’s core intention is clear: to make 🇮🇳 strong, self-reliant & sovereign,
2/
🔥Before pointing fingers at the BJP, critics shld present a better & credible alternative. Criticism helping anti nationals is self destructive
🔥The BJP’s core intention is clear: to make 🇮🇳 strong, self-reliant & sovereign,
2/
and to ensure Hindus get their rightful voice and respect.
🔥Many people publicly claim to support the BJP but constantly criticise it to appear “neutral” or to gain attention from opposition circles.
🔥Yes, there can be debates on how things were done or
3/
🔥Many people publicly claim to support the BJP but constantly criticise it to appear “neutral” or to gain attention from opposition circles.
🔥Yes, there can be debates on how things were done or
3/
🧵🧵 Who is behind the protests in MN tonight. Let’s do a deep dive.
Minnesota’s latest wave of anti‑ICE unrest did not appear out of thin air. It’s the result of a revolutionary ecosystem bankrolled and shaped by foreign‑aligned actors like Neville Roy Singham and their U.S. NGO partners. The Party for Socialism and Liberation (PSL), Refuse Fascism’s orbit, the National Alliance Against Racist and Political Repression (NAARPR), the Palestinian Youth Movement (PYM), and local ICE‑watch networks all snapped into motion tonight each playing a distinct role in turning one shooting into a coordinated campaign against ICE.
But as we know with communists the thing is never about the thing. It’s about the revolution.
Minnesota’s latest wave of anti‑ICE unrest did not appear out of thin air. It’s the result of a revolutionary ecosystem bankrolled and shaped by foreign‑aligned actors like Neville Roy Singham and their U.S. NGO partners. The Party for Socialism and Liberation (PSL), Refuse Fascism’s orbit, the National Alliance Against Racist and Political Repression (NAARPR), the Palestinian Youth Movement (PYM), and local ICE‑watch networks all snapped into motion tonight each playing a distinct role in turning one shooting into a coordinated campaign against ICE.
But as we know with communists the thing is never about the thing. It’s about the revolution.
Long before Renee Good was killed, Minnesota had already become a laboratory for organized resistance to federal immigration enforcement.
Reporting from the Star Tribune describes a dense ecosystem of “ICE watch” networks: residents driving Lake Street for hours, phones mounted on dashboards, constantly feeding information into encrypted chats where a single message—“ICE at the grocery store” or “unmarked vans on 27th” which can draw dozens of people to a scene.
headsupnews.org/p/federal-agen…
Reporting from the Star Tribune describes a dense ecosystem of “ICE watch” networks: residents driving Lake Street for hours, phones mounted on dashboards, constantly feeding information into encrypted chats where a single message—“ICE at the grocery store” or “unmarked vans on 27th” which can draw dozens of people to a scene.
headsupnews.org/p/federal-agen…
Behind these neighborhood patrols are professionalized NGOs.
COPAL (Comunidades Organizando el Poder y la Acción Latina), for instance, built a rapid‑response immigrant defense program seeded by a one‑million‑dollar grant from the Bush Foundation, training more than 10,000 people to recognize ICE, know their “rights,” and mobilize.
Legal nonprofits like the Immigrant Law Center of Minnesota, churches, food shelves, and allied groups provide legal aid, transportation, food, and media support, transforming informal networks into a durable operational backbone.
When ICE ramped up its Minnesota operation, these ICE‑watch structures supplied the eyes, ears, and bodies on the ground. They knew where agents were operating, which hotels federal officials were using, and how to move people quickly so when national radical organizations signaled “go,” the local machine was ready.
m.arcamax.com/currentnews/ne…
COPAL (Comunidades Organizando el Poder y la Acción Latina), for instance, built a rapid‑response immigrant defense program seeded by a one‑million‑dollar grant from the Bush Foundation, training more than 10,000 people to recognize ICE, know their “rights,” and mobilize.
Legal nonprofits like the Immigrant Law Center of Minnesota, churches, food shelves, and allied groups provide legal aid, transportation, food, and media support, transforming informal networks into a durable operational backbone.
When ICE ramped up its Minnesota operation, these ICE‑watch structures supplied the eyes, ears, and bodies on the ground. They knew where agents were operating, which hotels federal officials were using, and how to move people quickly so when national radical organizations signaled “go,” the local machine was ready.
m.arcamax.com/currentnews/ne…
Another thread on a new artillery formation Russia is (re)establishing:
the 34th Artillery Division, part of the Moscow Military District.
This formation is headquartered in Mulino and includes the 273rd & 303rd artillery brigades. 1/
the 34th Artillery Division, part of the Moscow Military District.
This formation is headquartered in Mulino and includes the 273rd & 303rd artillery brigades. 1/
The first public info about plans to recreate 34th AD (which 🇷🇺 had disbanded in 2009) surfaced back in Jan 2024 courtesy of 🇺🇦 expert Konstantin Mashovets.
But its formation appears to have been greatly delayed, as with other new 🇷🇺 formations. 2/
But its formation appears to have been greatly delayed, as with other new 🇷🇺 formations. 2/
Screenshot from a Nov 2024 media article (left) saying 34th AD’s commander is Colonel Ilya Krasilnikov.
According to Ukrainian intelligence (right), Krasilnikov, 47, was chief of staff/first deputy commander of 1st Tank Army's 288th Artillery Brigade as of 2022. 3/
According to Ukrainian intelligence (right), Krasilnikov, 47, was chief of staff/first deputy commander of 1st Tank Army's 288th Artillery Brigade as of 2022. 3/
Oh Drew, I’m thrilled you asked.
If any of my followers want to explain this to him directly, please jump in. I’ve officially run out of crayons.
Otherwise, I’m happy to walk through exactly how ya’ll at WaPo engineer hit pieces🧵
If any of my followers want to explain this to him directly, please jump in. I’ve officially run out of crayons.
Otherwise, I’m happy to walk through exactly how ya’ll at WaPo engineer hit pieces🧵
Foe those unfamiliar here’s the hir piece Drew Wrote about me, a licenses ship captain and MARITIME journalist , who was invited to go with @SecWar on a shipyard tour
washingtonpost.com/business/2026/…
washingtonpost.com/business/2026/…
First let’s define “hit piece” so we are all clear
I’ll even give you the biased Wikipedia version
I’ll even give you the biased Wikipedia version
🚨 Breaking — Antifa and leftist protesters are on the march in Seattle, chanting “Death to ICE!”
This is the direct action I am covering for @TPostMillennial. It’s in solidarity with the ICE self-defense shooting of an agitator in Minneapolis.
@TPostMillennial An American flag has been torched outside the federal building in Seattle. Antifa militants are blocking up on the side.
Minneapolis (Jan. 7) — I have identified the leftist radical instructing her comrades to physically obstruct a federal courthouse. She is a lawyer (ID 0397165) named Brenna O'Connor (née Rahmlow) who works in the Hennepin County Public Defender's office.
Brenna Snow Rahmlow, the Minnesota lawyer who tried to organize rioters to surround and obstruct the federal courthouse on Jan. 7, 2026, was arrested in 2019 in Ramsey County, Minn. on accusation of driving under the influence.
In November 2021, Brenna Snow Rahmlow, the Minnesota lawyer who tried to organize rioters to surround and obstruct a Minneapolis federal courthouse, was suspended from the practice of law after she ignored an order to appear at the New Hampshire Supreme Court.
Today I learned I don't just have a mTBI. Apparently when you have a concussion that causes permanent anhidrosis- (the inability to sweat), it makes it a TBI. 😥
"A concussion causing permanent anhidrosis (inability to sweat) is a Traumatic Brain Injury (TBI), ...
"A concussion causing permanent anhidrosis (inability to sweat) is a Traumatic Brain Injury (TBI), ...
...specifically often classified as a mild TBI (mTBI) initially, but the permanent deficit makes it a significant, long-term neurological issue that can be coded as a sequela of TBI. While concussions are the most common TBIs, the lasting symptom of anhidrosis, potentially...
... involving the hypothalamus or sympathetic nervous system, indicates brain dysfunction beyond typical resolution, moving it into the TBI category with long-term consequences. 😥
Diosdado Cabello tonight on @ConElMazoDando
100 killed and a “similar number” of wounded in the barbaric U.S. attack on Venezuela, among them, civilians who were in their homes, killed “by the impact of the very powerful bombs launched against our country”.
“Caracas has been the scene of some demonstrations by the communes. Yesterday it was the women. All of Venezuela is in the streets, speaking to the world about what is happening in Venezuela. Because in these situations of war, of battles, of attacks, the first casualty is the truth, because then come the manipulations, the campaigns to disinform and to make people believe things that are not happening and never happened.” @dcabellor
100 killed and a “similar number” of wounded in the barbaric U.S. attack on Venezuela, among them, civilians who were in their homes, killed “by the impact of the very powerful bombs launched against our country”.
“Caracas has been the scene of some demonstrations by the communes. Yesterday it was the women. All of Venezuela is in the streets, speaking to the world about what is happening in Venezuela. Because in these situations of war, of battles, of attacks, the first casualty is the truth, because then come the manipulations, the campaigns to disinform and to make people believe things that are not happening and never happened.” @dcabellor
“Today's program has a primary purpose: to pay tribute to our people, who are such a noble and courageous people. That’s first.
Second, a tribute to the fallen martyrs and heroes. Comrades of the Armed Forces. Cuban brothers who are here in Venezuela. Police personnel. Comrades who were asleep in their homes when suddenly the gunfire reached them and they were killed. This program is dedicated to them.”
Second, a tribute to the fallen martyrs and heroes. Comrades of the Armed Forces. Cuban brothers who are here in Venezuela. Police personnel. Comrades who were asleep in their homes when suddenly the gunfire reached them and they were killed. This program is dedicated to them.”
Diosdado dedicates this program also to President Nicolás Maduro, for his heroism, his strength, his dedication, and to Cilia Flores.
“Cilia Flores and Nicolás share a true love story.”
During President Maduro’s abduction, the imperialists weren’t going to take Cilia until she insisted that if they took Nicolas they had to take her as well.
“Today a comrade said it's likely that this saved Nicolás’ life.”
“Cilia Flores and Nicolás share a true love story.”
During President Maduro’s abduction, the imperialists weren’t going to take Cilia until she insisted that if they took Nicolas they had to take her as well.
“Today a comrade said it's likely that this saved Nicolás’ life.”
