Discover and read the best of Twitter Threads about #PCP

Most recents (24)

#BoJo branded '#provenliar' as Met Police issue fines over Downing Street parties -2 hrs ago
- #ScotlandYard statement confirming twenty fixed penalty notices will be issued for breaches of Covid-19 rules following lockdown-busting parties in #SesameStreet
#SesameStreet's Awards, The Worst Actor Winner.
The #UK health secretary, #Hancock #CrocodileTears | Dec 09, 2020
- “It’s been such a tough year for so many people and there’s William #Shakespeare putting it simply for everybody...
Read 25 tweets
Quando ouvires:
"Antigamente Portugal era um país respeitado"
Em 1949 Portugal adere à NATO. Os EUA ocupam a Base das Lajes, a República Federal Alemã ocupa a Base de Beja e França ocupa a Base dos Flores.

O fascismo existiu.
Quando ouvires:
"Antigamente o Estado respeitava as pessoas"
Apenas 25% dos trabalhadores eram mulheres e apenas 19% trabalhavam fora de casa. As mulheres não tinham acesso às seguintes carreiras: magistratura, diplomática, militar e polícia.

o fascismo existiu
Quando ouvires:
"Depois do 25 de Abril, a economia ficou refé do Estado"
No fascismo 6 grandes grupos económicos concentravam sectores-chaves da economia: Mellos, Champalimaud, Espírito Santo, Borges e Irmão, Banco Português do Atlântico, Banco Nacional Ultramarino. +
Read 4 tweets
We survey known results regarding locally testable codes and locally testable proofs (known as PCPs), with emphasis on the length of these constructs. Local testability refers to approximately testing large objects based on a very small
>number of probes, each retrieving a single bit in the representation of the object.
This yields super-fast approximate #testing of the corresponding property (ie., be a codeword or a valid proof).
We also review the related concept of local decodable [recte 'locally decodable'
The survey consists of two independent (i.e., self-contained) parts that cover the same material at different levels of rigor and detail. Still, in spite of the repetitions, there may be a benefit in reading both parts.

Read 4 tweets
Dear @OptumRx & @SanfordHealth you are NOT his #physician. You know nothing of his #health hx. Two years ago #Sanford #Bismarck #pain clinic pulled all #patients off #opioid #pain medications. This was not #patientcentered care, but care deemed appropriate BY administrators 1
Now @OptumRx & @SanfordHealth #insurance sending out letters re #opioid #pain #medications. My son had to move from a #Sanford clinic to another clinic due to #abandonment. Yep, abandonment. Plain & simple what you did was harmful & not based on #patients needs. You need 2
to look at research, that shows the harms of what u r doing. @SanfordHealth administration in Bismarck informed me 2 years ago when all #patients pulled off #opioids that it was the ‘national standard’ of care established by @CDCInjury @CDCDirector. The guidelines are NOT 3/
Read 9 tweets
Images of Infectious Diseases
58M. NYC. No PMH.

1 mo ago: high dose prednisone, rituximab, plasma exchange for presumed paraneoplastic autoimmune polyneuropathy.

Now: PET-CT. Biopsy (shown)

ROS: fever, cough, chest pain
What is the DDx? Case details #MayoIDQ to follow… Image
No travel. No farm exposure. No pets.
Work up:
CXR RML opacity
WBC 13.7. 94%N.
HIV neg.
Galactomannan negative
Histoplasma serology negative
BDG >500
What is the most likely pathogen? #MayoIDQ
Case diagnosis: #Pneumocystis jirovecii pneumonia presenting as solitary granulomatous inflammatory nodule

BAL PJP smear / PCR negative
Biopsy: PJP

Repeated PCR of stored BALF: low +
Read 6 tweets
🧵🧵¿Sabían que muchas de las #drogas que existen provienen de #plantas, #hongos y sus derivados? En este hilo, les dejamos algunos de los tipos de drogas #reguladas y sus efectos en quienes las consumen #DrugsWheel
#Opioides: derivados de la Amapola (Papaver somniferum). Efectos: euforia, analgesia, sedación y depresión respiratoria. Uso prolongado: adaptaciones en las respuestas de recompensa, aprendizaje y estrés. Nombres: morfina, heroína, fentanilo y oxicodona.
#Canabinoides: derivados de Cannabis sativa. Efectos: relajación, aumento de conciencia sensorial, disminución de memoria a corto plazo, descoordinación, analgesia, antiepilépticos. Uso prolongado:efectos cognitivos, exacerbación de enfermedad mental. Nombres: Marihuana y Hashish
Read 10 tweets
#PCP "#CCPapologists(🐍), #CCPcollaborators(🤑) and #CCPusefulIdiots(🤡), must unitedly oppose the Pompeo-Blinken US-China policy, which has bipartisan support and 75% (?) public approval"
2/chus #US-#China contest has 2 elements: A traditional great power contest and an ideological struggle, between a free market, open democratic system and Socialist-market economy, society, polity run on the principles of "Scientific Socialism"(Marx-Lenin-Stalin-Mao-Deng-Xi)!..3/
3/chus It differs in two important ways from the US-Soviet contest. 1) China's #socialist #market #economy is much more efficient,productive & profitable than Soviet planned, loss making, economy, (2) China is far more integrated with Global economy(incl US, EU) than USSR was..4/
Read 4 tweets
#USA is a free democracy, #India is a "partly free" democracy
#FOE Japan is a free democracy, India is a partly free democracy: Compare the ratio of critical/unfavorable articles, to favorable articles, in the top 3 news sources in Japan & India respectively, to find which press is freer! #SciMe 1st data, 2nd Analysis, 3rd Policy/views!🧐🤔
3/demo #Majoritarianism & freedom: Compare treatment of minorities in USA(non-christian), Japan(Korean etc) & India (Muslims): In particular plot over 70yrs th % of minority pop on same graph & compare decadal changes[summarizes it's discrimination(in cntry) & opportunities(ROW)]
Read 93 tweets
Britanniassa skandaali puuttuvasta #CovidVaccine haittavaikutus -datasta. Arviolta kuolleisuus on 377 jokaista 100K rokotettua kohden.
- Datan keräämisestä on luistettu alusta alkaen, syynä että 'määrä on liian suuri ja sopivaa AI -sovellusta etsitään.'…
@THLorg #Perustuslakivaliokunta #hallitus
Private Criminal Prosecution Papers Laid Alleging #Pandemic Fraud Against #Hancock, #Whitty, #Vallance & #Ferguson | Mar 22
- a case is being brought against the four key players of the Covid scam in the #UK…
At 16:23 pm Friday, March 19, 2021, one year after the Advisory Committee on Dangerous Pathogens’ decision to reclassify #COVID-19 as no longer being considered a High Consequence Infectious Disease was published by Public Health #England…
Read 16 tweets
#Migraine is a neurological disorder, not a terrible, disabling #headache," expert @DavidDodick explains. #Pain is "just 1 clinical manifestation deriving from a sensory processing disturbance affecting the nervous system" (Morgan, Lancet 2020). /Thread…
Billie lost her insurance when #migraine disabled her: “There are days I don't see anything except for shapes." Visual warnings are the most commonly recognized auras, but these symptoms are highly variable, both in different patients & on different days for the same patient. 2/
Difficulty speaking or speaking clearly is another common #migraine symptom, either preceding or during an attack.

Poor St. Husband. He watched this clip & said, "Yup, that's you." I spent a lotta years in school to talk like this. 3/
Read 7 tweets
António Costa (e bem) evocou Lei n.º 44/86 (Regime Estado de Sítio e de Emergência) para justificar a não proibição do congresso do PCP.
Diz a lei [na alínea e) do n.º 2]: #Thread 1/3
#PCP #OrdemAdvogados #EstadoEmergência #Governo
"As reuniões dos órgãos estatutários dos partidos políticos, sindicatos e associações profissionais não serão em caso algum proibidas, dissolvidas ou submetidas a autorização prévia". #Thread 2/3
#PCP #OrdemAdvogados #EstadoEmergência #Governo
Pergunta: Porque é que a #DGS emitiu um parecer desfavorável à realização de uma Assembleia Geral da Ordem dos Advogados?
#Thread 3/3
#PCP #OrdemAdvogados #EstadoEmergência #Governo
Read 3 tweets
.@headsUPmigraine spoke w/ a rural #PCP hounded out of the profession by relentless pressure to stop rxing #opioids. She was the only PCP in +100 miles willing to accept patients on opioid therapy. Most were over 70. 2018 #AMA statement shows many share her frustration. >thread
In 2018, #AMA passed a resolution against “misapplication” of the CDC Guideline by “pharmacists, health insurers, pharmacy benefit managers, legislatures, & governmental & private regulatory bodies in ways that prevent or limit patients’ medical access to #opioid analgesia.” 2/
#AMA: "physicians should not be subject to professional discipline, loss of board certification, loss of clinical privileges, criminal prosecution, civil liability, or other penalties or practice limitations solely for prescribing #opioids" above CDC's recommended dose. 3/
Read 13 tweets
Med Schools offer almost no instruction in the world's #1 cause of working-age disability. It'd be like Dental Schools not covering cavities.

7 words diagnose most #migraine: Recurrent #pain w/ hypersensitivity &/or nausea. 60% of patients go undiagnosed. #MedicalTwitter #PCP
#Migraine is PROGRESSIVE. A 40% diagnostic rate condemns some to lifelong #disability: Late diagnosis & ineffective treatment of acute #migraine are leading risks for continuous migraine. #PCP #MedicalTwitter…
🔴HOW DOES THIS CHILD GO 8 YEARS WITHOUT A DIAGNOSIS? She has textbook ICHD-3 #migraine! 1>sudden hypersensitivity (smell) 2>throbbing #pain 3>nausea 4>need for bedrest

She might've avoided #disability w/ early diagnosis & treatment. #PCP…
Read 10 tweets
Risk of OD to prescribed #opioids is 0.13% (Kaiser, Jnl of Pain 2019), while risk of death by OD increases more than 300% with dose variability of ≥30% (JAMA 2019).

VHA study: discontinuation increases the risk of death by #OD or #suicide up to 6.8 times (BMJ 2020). / thread
0.13% = risk of OD to prescribed #opioids (Kaiser 2019). Dose reduction is "inconsistent" in lowering OD risk. Research found "no support for RSM [risk stratification & monitoring] as a means of decreasing overdose.”

Jnl of Pain 2019;20(1)…
0.1% to 0.23% = risk of OD to prescribed #opioids, per Canada's 2017 Guideline.

0.1% for <20 MED, 0.14% for 20–49, 0.18% for 50–99 MED, 0.23% for ≥100 MED.

Discontinuation carries a significantly higher risk of death.
#PCP #MedicalTwitter…
Read 10 tweets
Hoje vai a votos a proposta do PCP de aumento do Salário Mínimo Nacional.

Depois de desfazermos o mito da correlação entre aumento do salário mínimo e aumento de desemprego, agora desfazemos outro: "as empresas não aguentam!". +
Se para as grandes empresas o que está em causa é a manutenção dos seus lucros de centenas de milhões de euros, para centenas de milhares de micro, pequenos e médios empresários, o aumento dos salários é condição essencial para a manutenção da sua actividade. +
Aumentar salários torna evidente a escolha que temos pela frente: defender condições dignas de vida e a actividade de milhões de homens e mulheres que vivem do seu trabalho, ou defender os mega-lucros de um punhado de grandes empresa.

Daqui a pouco definem-se os lados. +
Read 4 tweets
Jerónimo de Sousa no debate com o Primeiro-Ministro, as perguntas que importam:

Conhece a intervenção completa ➡️
1️⃣ Vai o governo promover a valorização dos salários e direitos dos trabalhadores ou vai acompanhar os que apostam na crise e quando se fala de salários só encontram a medida do zero ou do poucochinho?
2️⃣ Como vai recuperar os atrasos e normalizar o funcionamento dos cuidados de saúde primários e recuperar as dezenas de milhares de cirurgias em atraso? Vai recrutar os médicos e enfermeiros de família em falta?
Read 4 tweets
2/xi The purge is extending to HIS own class of princelings. Are they having impure thoughts 😎about the dictator? 🧐🤔
3/xi "The Emperor's New Clothes" (It's the Communist Emperor of the Middle Kingdom with a mandate from Heaven)
Read 3 tweets
#LIMPs = #Left #Intellectual #Media & #Politicians (#PCP: "We don't believe that equal rights for all Indian citizens, is the foundation of & embedded in, the fundamental structure of the Indian constitution")
3/limp #Beware of #Oxbridge #GLIMP #sophistory. Equal rights for all #citizens does Not mean criminals are equal to victims , it does NOT mean foreigners have equal rights to citizens, it does NOT mean foreign enemies of India must have same rights as foreign friends of India! 🧐
Read 4 tweets
2017 Review: “Expert guidelines recommend reducing or discontinuing long-term #opioid therapy when risks outweigh benefits, but evidence on the effect of dose reduction on patient outcomes has not been systematically reviewed.” / #cpp thread.
🟠 How can guidelines be "expert" recommendations if researchers haven't carefully investigated how patients will react when their rx #opiod med is stopped or reduced?

Are we going to feel better or worse? Are we going to live or die?
In 2017, #VA-funded researchers identified 67 studies about #opioid dosage reduction or discontinuation.

Study quality was deemed “poor” in 76% of the 67, the lowest rating.
Read 21 tweets
What have false assumptions about rx #opioids cost people in #pain? Damn near everything.

@Brian_Goldstone's report ought to be required reading for every #PCP & every legislator who wants to play doctor. #MedicalTwitter…
For 4 yrs, an rx #opioid let Austin Sell escape the cage of pain, care for his kids, study to become a physician asst to help others w/ #ChronicPain. Then lawmakers in DC imposed a limit on what his clinic could prescribe. "And that was it. The app'ment lasted about 10 minutes."
Dr @StefanKertesz told @Harpers: “In a time of incredible tragedy, there’s a desire for something simple to latch onto as a way of explaining it. A story that has a clear-cut villain, with doctors as dupes and patients as innocent victims, is about as easy to sell as any story.”
Read 25 tweets
Professor🤡Phd (#PCP) : " We ❤️#CCP, China's Chairmen is our chairman" 😍🥰 Image
3/ccp #CCPPLA #CCPmafia did, "PLA threaten to throw them (10 prisoners) off a hill to inflict massive casualties"?
Read 3 tweets

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