Discover and read the best of Twitter Threads about #medicine

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Niveles elevados de glucosa en sangre (hiperglucemia) en pacientes con #COVID19

Abro 🧵👇🏼


#SARSCoV2 #Diabetes #Glucose
Primero algunos (4) conceptos:

1️⃣ Insulina

Es una pequeña proteína producida por el páncreas. Le indica a nuestras células que deben absorber la glucosa que les llega a través del torrente sanguíneo


#Insulin #pancreas #metabolism

La adiponectina es una hormona producida por las células que almacenan la grasa (adipocitos), tiene dos funciones principales: hacer que las células sean más sensibles ante la insulina, y...


#FatTissue #Endocrinology #Hormones
Read 16 tweets
Daily Bookmarks to GAVNet 09/14/2021…
Scientists scramble to harvest ice cores as glaciers melt…

#IceCores #GlacierMelt #ClimateChange #GlobalWarming
Beware the ‘multi-demic:’ Masking this fall will fight more than COVID-19…

#masking #COVID19 #flu #PublicHealth
Read 8 tweets
#ChronicPain is the most prevalent health issue for Americans, yet, there is a lack of acknowledgment of the impact of pain on individuals QoL as well as access to quality options available. The last several years we have seen a proliferation of 1/
psychological strategies be touted as solutions for both #chronicpain & #acutepain. This has been fostered by the #CDC guidelines as well as various independent groups. As an individual who works in the area of mental health I am alarmed at the amount of #gaslighting that 2/
to those with #chronicpain & the belief by many physicians & professionals that psychological strategies will alleviate #chronicpain as a stand-alone strategy. I DO believe that psychological strategies CAN be of benefit addressing pain, but, how #pain is being #pathologized 3/
Read 11 tweets
Before we delve into the statistics in the paper, please note an R^2 of .03. It means more than 99% can be explained by randomness.
Please note that I have a technical blog, largely focused on uses and misuses of probability in #Medicine. But one can get some entertainments from psycholophasters.…
Basically, Mr Grant, can you explain to us who you are bullshitting ?
Where is the class of people who buy this crap?

cc:@marissa_sharif @cmogilner @HalHershfield
Read 5 tweets
5 September 1942 | An SS doctor made a selection among female prisoners in the women's camp hospital (barracks 27) in Auschwitz II-Birkenau. All sick Jewish women, some 800 in total, were chosen & murdered in a gas chamber on the same day. 1/3
Dr. Johann Paul Kremer who was present both at the selection & gassing: "Noon today at a special operation at the FKL. 'Muselmänner': the most ghastly of the ghastly. Obersturmführer Heinz Thilo was right when he told me that this is the 'anus mundi', anus of the world". 2/3
Participation in selections, both at the unloading platform during deportation of Jews & at the camp infirmaries, became one of the deadly duties of the SS physicians in #Auschwitz. Learn more about world of #medicine in the camp:… 3/3
Read 3 tweets
Thank you so much to @DrPraegers for having me to discuss the effects of plant-based diets on the #gut #microbiome! Here are my slides for all to see! 😃


#medicine #medtwitter #diet #nutrition #GITwitter #GI #guthealth #health
Just as we do things for heart health and brain health, our #microbiome is an organ of its own (the size of a 🥭), so we need to take care of it!
Read 30 tweets
This month marks a decade since I completed medical #internship. I thought then that I had achieved my goal, that I would find joy in my work. Little did I know where life would lead me. My #reminisces & #reflections - too long for a tweet & too short for a blog - hence, a 🧵
As the first & only #medical student in the extended family, I was in #unfamiliar waters. Moving to uncle's house in another city was a not-too-comfortable but not-wholly-unpleasant change. I'm privileged to be part of a family who did all they could to keep me happy
The pedagogy was #authoritative & #oppressive; seemed to be designed to #humiliate, not teach. I couldn't learn by rote, didn't know of any better ways (pre- ubiquitous smartphone era) Expected to address #seniors using honorifics, I felt they were as unapproachable as teachers
Read 10 tweets
This interview with @Yan_Liu_HistMed about his book, “Healing with Poisons: Potent Medicines in Medieval China,” is not to be missed! ☯️ #medicalhistory #chinesemedicine #toxicology #pharmacology #毒 #medicalhumanities #illness #poison #donottrythisathome…
“In this episode we talk to Yan Liu about the long history of the use of poisonous medicine in the Chinese medicine tradition, particularly in the medieval era.” #opensource #sideeffects #effects #cure #adverseeffects #healingprocess #toxin #medicine #drug…
“One of the things I want to highlight is breaking this misconceived dichotomy between Western and Chinese medicine,” says Liu. “It’s problematic. Chinese medicine used poisons just like Western medicine.” @Yan_Liu_HistMed
Read 5 tweets
The First tweet o’ the day I opened.
Is that Coincidence? Divine Providence? Luck?
Been Struggling with #Science and #Medicine Philosophy.
Do no harm. Follow the Facts. The Money, Ego Trail not so easy to find.
#Gadolinium of course on (in) my mind. Right to Self Determination.
Masks 😷 Necessary? Sort of? Vaccines with no @US_FDA approval Safe? I don’t know.
How do I know MRI contrast #Gadolinium is Safe?
FDA and Bayer say it is.
It’s OK to give IV Heavy Metal that may be retained for years on Brain, bone and vital organs?
Read 9 tweets
Buckle up! This 🧵 is a deep dive into the #physiology of defecation, the mechanics of pooping! 🧰 🚽 💩…

#medicine #MedEd #science #GITwitter #GI #gut #motility #constipation #IBS
Defecation requires
1. intact #GI tract
2. coordination of many systems: neural (enteric nervous system, modulated by the peripheral somatic, autonomic and the CNS); muscular (smooth and striated); hormonal (endocrine and paracrine); and cognitive (behavioural and psychosocial)
#Constipation is the3⃣rd most common #GI symptom

💰 Annual cost of fecal incontinence and constipation: $1,594 - $7,522
Read 31 tweets
I know there are people curious about TikTok but see it as inacessible for a variety of reasons: unfamiliarity, what's the point, their own self-view as being non-tech, security concerns...but are still curious. The content is really good for the soul imo. Quick guide:
1. Download the app and make an account. Enter as minimal information about yourself as possible. I keep a separate email account for online shopping (to reduce spam) and use that. Don't use real birth date. Then...
2. Down the bottom of the screen, you'll see a magnifying glass or the 'discover' tab. Go into it and type in a topic that interests you with a hash in front of it. Suggestions: #melbourne, #sydney, #medicine #dancechallenge, #indigenous
Read 9 tweets
How to facilitate Digital Services Economy transitions in next decades?
Together with @dseinnovations team and @setcoingroup we develop #ESG transformation framework and roadmap for governments, international organizations, corporations funds & LP’s
Check overview in thread👇
#humancentric Global Economy
Benefits of services economy to local countries & #gdp growth
People become main asset of digital services economy
Next 👇
Read 14 tweets
1/🧵🎥 This story has a GOOD ENDING!

Look how my patient’s right leg flails around. This is INVOLUNTARY. He’s trying to stop but his brain is doing this against his will. It is “hemiballismus” & was caused by a fungus deep inside his brain. Read🧵
2/ He was having these movements day & night. Unable to sleep. We admitted him to our ICU and realized the fungus Cryptococcus was causing a brain infection called meningitis. He had  no underlying immune diseases or other health problems.

Another 🎥, all shown w his permission
3/ His MRI showed 2 pockets of infection on both sides of his brain in a place called the basal ganglia, which controls movement. This area had to heal for him to rest and be at peace again.

Read 7 tweets

Many parents want their kids to become doctors in India. Many kids also have similar dreams.
This thread can help you choose with better information about medicine and healthcare.

Read on...
Most children aspiring to be doctor talk medicine as -
Saving lives
Fighting disease
Giving access to healthcare to all people
Finding pathbreaking ways of treatment
Impressing friends and relatives

All honest answers. True.
Real life medicine is simple -
Working with ONE person at a time. A few or a lot everyday. Everyday of the year. All your working life.
It is intimate and emotional work irrespective of your clinical speciality.
Read 10 tweets
*Father Of The Nation* they taught you. But the *True Fathers* Of the Indian Civilization never appeared in our syllabus #Thread 👇
1. Father of astronomy: Aryabhatta; work - Aryabhattiyam
2. Father of astrology: Varahamihira, works; Panchasiddhantika, Bruhat Hora Shastra 1. Father of astronomy: Aryabhatta; work - Aryabhattiyam 2. 1. Father of astronomy: Aryabhatta; work - Aryabhattiyam 2.
3. Fathers of #surgery : Charaka & Sushruta, works: Samhitas
4. Father of #anatomy : #Patanjali, work: #Yogasutra
5. Father of #yoga : #Patanjali, work: #Yogasutra
6. Father of #Economics: Chanakya, work: Arthashshtra
7. Father of #Atomictheory: Rishi Kanada, Work : Kanada sutras Fathers of #surgery : Charaka & Sushruta, works: SamhitasFather of #anatomy : #Patanjali, work: #YogasutraFather of #Economics: Chanakya, work: ArthashshtraFather of #Atomictheory: Rishi Kanada, Work : Kanada sutras
8. Father of #architecture : Vishwakarma
9. Father of #aerodynamics : Mayasura, work : Vastu Darpana
10. Father of #Medicine: Dhanvanthri, first propounded #Ayurveda
11. Father of #grammar : Panini, work: Vyakarana Deepika Father of #architecture : VishwakarmaFather of #Medicine: Dhanvanthri, first propounded #AyurvedaFather of #grammar : Panini, work: Vyakarana Deepika
Read 8 tweets
100 years ago, #insulin was discovered—today, it is inaccessible for millions.

The Lancet journals reflect on this life-saving treatment and the "golden opportunity to improve access to insulin and #diabetes care" the centenary represents: #Insulin100⬇️ Quote: 100 years after its discovery, insulin should be acce
The discovery of insulin ranks among the leading triumphs of medical research, with effects on #endocrinology, #medicine, and society that reverberate 100 years later.

Track "the birth of an idea" in @TheLancetEndo, by Robert Hegele and Grant Maltman:
Although insulin has changed the lives of countless people with #diabetes, writes David Beran et al, the time for celebration has not yet arrived due to the absence of concrete action on #insulin access.

Read the Comment in @TheLancetEndo: #Insulin100 Quote: We need to be blunt—urgent action is required to ad
Read 6 tweets
#MedTwitter - I need your help...

A friend of mine opened up to me in tears yesterday. He‘s starting med school in September and will honestly be the most amazing Doctor

But, (no thanks to the system), he‘s now in an awful position where his dream may no longer be possible...
We only met a few months ago when I was an #ICU patient. He was the HCW working there that day caring for me. When I, a final year med student, found out he was a soon-to-be med student, starting in September, we began talking lots about our passions for all things #Medicine...
He visits me between ICU shifts, to keep my spirits up. That, I’m eternally grateful for. But yesterday, he text to say he needed a listening ear, to get some things off of his chest

Something wasn’t right. So I told him to come up to my ward

He really wasn’t ok. He was a mess
Read 8 tweets
In a meeting I watched today, microglia priming was mentioned in #LongCovid and #ME/CFS. It’s important to clarify what “microglia priming” means. Microglial priming does not mean that after a trigger has “cleared” microglia remain perpetually activated
2/ Instead, microglia priming goes like this 👉 When microglia or other glial cells detect #infection, injury, or inflammatory mediators, they enter a state of activation in which they change morphology and release their own neuroexcitatory inflammatory mediators
3/ Then, after activating, they retain a “primed” functional state which causes an even more robust response to *subsequent* infectious/immune/#inflammatory challenges. And as cells, microglia live long lives (they are not replaced as often as many other cell types)
Read 13 tweets
1. Finally, I managed to spare 2 hours to do my own analysis. This thread is for anyone who, like me, is really curious about the containment of #COVID19 Death & Mortality over time, free from left/right political bias or conspiracy theories. It is unfortunate such an ..
2.. analysis is either unavailable or politicized. Here we go:
Y-axis: Absolute Difference in % All-cause Excess Mortality by age group for different states between Mid Dec. 2020 (Phase 1 of pandemic) & May 15, 2021, Phase II after shots & mandatory masks.
X-axis: % of resident..
3.. in each state who received at least one shot as of June 6, 2006. The confidence box at +/- 10% Excess mortality rate difference: Arbitrarily used as a level of insignificance caused by report delays or noise. Much of the data lies within this box.
Read 13 tweets
This gentle man is Sir William Osler.. He has frequently been described as the “Father of Modern Medicine” and one of the "greatest diagnosticians ever to wield a stethoscope". What did he hv to say about #India ? @sanjeevsanyal @vipintukur @naveenthacker @EricTopol @mvankerkhove Image
His fascination for #India, The land of #Vishnu had no bounds..!! At each & every intellectual commentary he mentions about his interest in the values #India was known for @ProfSomashekhar @iapindia @IndianMedicalAs @MoHFW_INDIA @VirusesImmunity Image
In one of his essays; “Of India, of "Vishnu-land," what can one say in a few minutes? To the Hindoos we owe a debt which we can at any rate acknowledge; and even in medicine, many of our traditions and practices may be traced to them”. @drharshvardhan @PMOIndia @BharadwajSpeaks Image
Read 11 tweets
"How does one honor and protect the sanctity of one’s own Blackness while also giving so much of oneself to a health care system that in many ways continues to dismiss, ignore, and mistreat Black people?"…
"It was a random day just like any other when I suddenly stopped being just a Black person in America. I looked around at the sea of white faces that seemed to fill every space I entered, and I realized for the first time that I was now a Black person in medicine."
"Until fairly recently, it was easier than one might think to minimize the effects of racism on my life. But the more I learned about the physiology of the human body, the more I was forced to confront the degradation of the Black body."
Read 10 tweets
Covid-19: Social Murder, they wrote—elected, unaccountable, and unrepentant

BMJ 2021; 372 doi:… (Published 04 February 2021)

Cite this as: BMJ 2021;372:n314

What went wrong in the global governance of #covid-19?
After two million deaths, we must have redress for mishandling the #pandemic
Murder is an emotive word. In law, it requires premeditation. Death must be deemed to be unlawful. How could “murder” apply to failures of a pandemic response?
Perhaps it can’t, and never will, but it is worth considering. When #politicians and #experts say that they are willing to allow tens of thousands of premature deaths for the sake of population immunity or in the hope of propping up the economy,
Read 45 tweets
Where’s Jordan? It has been a valid question from so many of you, and it has been difficult to hold back from responding. However, some things take time and here I am now. I do owe you an answer because you have graciously invited me into your home every morning for a decade 1/20
We have laughed together and cried together, and I recognize that I may hold a very special place in yours and your family’s hearts.
I came to Calgary on somewhat of a whim in 2011. An Opportunity! My amazingly supportive wife was 8 months pregnant with our second child. 2/20
On bed rest. But we picked up and left our beloved city of #Winnipeg to come west. And damn I love this city of #Calgary and this province of #Alberta. I have lived in many place and I have learned that people make a place an actual community and those of you that I have met 3/20
Read 20 tweets
Every speciality who is on (or wants to be) the ‘Mucor’ team- how many are willing to admit a patient with Mucor under their care and manage (even after surgical debridement). How many were admitting before and will admit after the pandemic? (1/n)#Mucormycosis #COVID19India
Some hypothetical consultations in the emergency before and after the pandemic:

#ENT : We will operate and transfer back

#Ophthalmology : Call us during the Surgey, we will coordinate with ENT in the OT, if needed

#Neurology : Continue Amphotericin (2/n)
#Endocrinology : Send us a consultation after admission under primary, we will control sugars

#Neurosurgery :No active neurosurgical intervention required

#Nephrology :We will do renal modification of Amphotericin

#Medicine/ #Infectiousdisease Admit under any of the above
Read 4 tweets

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