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Imagine your whole life you’ve been wearing goggles and noise-cancelling headphones. Now imagine you didn’t know it since they’ve been part of your day-to-day as far as you can remember. Now imagine for the first time you’re trying to feel these devices (1/7)
On your person, on your head, in your mind, in your heart, in your sensorium, in your entire subjective experience. Then imagine you can investigate the boundaries of the gear, the lenses and the drivers. And imagine how they color, flavor, even cause your hopes and fears. (2/7)
Finally, imagine being told all of this and feeling unwilling or unable to agree, to feel that to be true, to feel how dangerous that would be for you, your understanding of self, of your perception and perspective. Imagine I’m with the one telling you. (3/7)
Read 8 tweets
🧵 ⭐️ Response to the NIH ‘long Covid’ study⭐️ I hate to break it to LC minimisers but it’s not the most detailed, controlled, comprehensive investigation into LC. It would be akin to doing a lung cancer study with no chest X-ray and saying the symptoms were due to anxiety. 1/
2/ They used a very small group of ‘post Covid’ patients. This is not the same as long Covid. There were 189 patients, 55% of whom had no symptoms after Covid. That doesn’t leave many to study.
3/ they had an over reliance on Covid antibodies as proof of infection or not. We know not everyone makes antibodies. In this study below 36% of patients didn’t. This matters as the control group needs to be just that- a control group.…
Read 23 tweets
Hey #psychtwitter! I stumbled across this post and it struck me as too important not to share. A 🧵 + some thoughts on scientific integrity (by @luulapants on tumblr):
“In middle school biology, we did an experiment. We were given yams, which we would sprout in cups of water. We then had to make hypotheses about how the yams would grow, based on descriptions of yam plants in our books, and make notes of our observations as they grew.
what was supposed to happen: we were supposed to see that the actual growth of the plant did not resemble our hypotheses. We were then supposed to figure out that these were, in fact, sweet potatoes. What actually happened was that every single student in every single class lied
Read 12 tweets
🧵 on repeat infections, negative lateral flow & #PCR tests, and the use of #COVID19 antibody tests. An n=1 experience #OmicronVariant #LongCovid #MedTwitter #TeamGP #psychtwitter #LongCovidKids #COVIDisAirborne #CovidIsNotOver 1/n
I had acute #COViD19 in Nov 2020, PCR +ve. Developed #LongCovid a month after. Had one dose #Pfizer Feb ‘21 which gave me new symptoms. Out of interest I had my anti-spike antibodies done May ‘21- they were above the upper limit the assay could measure 2/n
With the passage of time my antibodies dwindled. I had them rechecked in Dec 2021- both nucleocapsid & spike antibodies were below the protective limit. Therefore I had no protective antibodies. 3/n
Read 18 tweets
Pleased to share ⁦@FarazFallahi⁩’s #MECFS video this time with English captions featuring some of my favourite German & Austrian names #LongCovid #MyalgicEncephalomyelitis #pwME #MedTwitter #MedEd #TeamGP #psychtwitter. A sobering watch.
Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a severe neuroimmunological disease that mainly occurs after infections (including COVID-19).

Please watch, like and share the video - help us to finally get attention!
Unfortunately, there are no therapies, hardly any research funds and no significant care structure. Due to COVID19 the number of sick people is increasing drastically.

Those affected demand:
Read 6 tweets
What I have learned since being unwell myself has destroyed any faith I had in my profession’s leaders. I used to think that deep down most senior clinicians acted because they had the best interests of the patient, their colleagues & society at heart. That illusion is gone. 1/n
Be it the treatment of those with #MECFS #LongCovid #Fibromyalgia #POTS #MCAS #EDS #HSD #PansPandas #Lyme #FQtoxicity #vaccineinjuries & other so-called invisible illnesses; 2/n
the refusal of senior medics to stand up & protect colleagues, the public & schoolchildren from airborne spread of #SARSCoV2 as they are too afraid to displease those in the ivory towers of infection control, @UKHSA & @NHSE management & @UKgovcomms; 3/n
Read 7 tweets
It has been an honour to walk alongside my friend & colleague of 21 years @BinitaKane & her daughter Jasmin on their courageous & inspiring journey. #LongCovid in adults children is real & serious. There are treatments available- sadly only for a fortunate few #TeamClots 1/n
(Everything I say is with the express permission of @BinitaKane). Jasmin is not the only child with #LongCovid who has been shown to have microclots & hyperactivated platelets. They are a consistent finding in kids & adults who have travelled for treatment to Germany & SA 2/n
Globally 100m are affected by this vile illness. In the U.K. alone this figure is estimated to be 1.8m, with 2/3rds reporting an adverse impact on their daily activities. 1% of primary & 2.7% of secondary school children fulfilled the criteria for #LongCovidKids 3/n
Read 17 tweets
Sometimes therapists, especially those new to the field, have a powerful wish to be good at their job. And, sometimes this wish clouds their view of their flaws and mistakes. The shame that comes from recognizing one has made a mistake that hurt a patient can be 1/3
2/3 overwhelming. And, it’s common to try to avoid that shame. But, it is important to stay open to the aspects of ourselves that we don’t like. Being aware of the kinds of mistakes and flaws we may have allows us to avoid defensiveness and validate the experience people
3/3 may have of us when we are not at our best. Patient’s often find it a relief when we acknowledge our mistakes and painful when we don’t. #psychoanalysis #psychotherapy #psychology #psychstudent #psychtwitter #therapistsconnect #TherapistTwitter
Read 3 tweets
I'm starting to prep a grad class on research ethics in psych research. I'm looking for great examples of gray areas -- not clear cut wrong/right. Do you have favorites for active discussion? Any cool examples presented in media (podcasts, tv shows, print media)?
Also, we are thinking about "research ethics" more broadly than some people do -- we are including sexual harassment, bullying, authorship, psych scientists' role in media, govt, and industry, etc.
#PsychTwitter for the win on this one! I can't believe how many amazing suggestions are rolling in. I'd love more that are relevant to #CogNeuro & computational approaches as that's a big contingent of students in my class!
Read 3 tweets
A 🧵
A fantasy sport is a type of game, often played using the Internet, where participants assemble imaginary or virtual teams composed of proxies of real players of a professional sport and the person whose team performs the best wins a cash prize.
● What is their legal status in India?

Online games that involve the use of skill, such as skill-based online gaming, are permitted, while games of chance are prohibited under the Public Gambling Act.
● Let's talk about some numbers-

The industry is growing at a CAGR of 32% and is expected to be worth $3.7 billion by 2024.
Dream 11, which is the biggest Indian fantasy sports company has over 110 million active users every day.
Read 18 tweets
A 🧵
Today is #HanumanJayanti.
Do let me know which is your favorite story of Lord Hanuman.
I will start with mine.

I was really fascinated to learn of this story of young Hanuman who used to harass the Rishis in his mischief and Rishis were so angry that they cursed that he would lose his ability to fly from then onwards. 2/n
Later, Anjana, mother of Lord Hanuman pleaded to Rishis to forgive him who modified the curse to say that Hanuman will not lose his divine power to fly but he will henceforth lose the knowledge about his powers till reminded about it at an appropriate time by some wise man.
Read 11 tweets
So as @warikoo says, if you don't ask, you don't get.
Here's me asking if anyone would want me to write mental health related blogs for their websites/print/magazines?
Looking for a side hustle and creating mental health awareness.
Shall be grateful if you retweet.🙂
Attaching some of my recent threads on #Mentalhealth
Read 10 tweets
Gender medicine does not have a monopoly on bad science. But if poor research were an Olympic event, it would arguably be a favorite to win the gold. SEGM researchers analyze a recent systematic review of puberty blockers, highlighting key problems./1…
Since individual studies can be unreliable, clinicians prefer to rely on systematic reviews (SR) of evidence. SRs scrutinize all the studies about a topic using rigorous and reproducible methods, separating the “signal” from the “noise.” However, a misleading SR can cause harm./2
A SR by Rew et al. of puberty blockers concluded, "the evidence to date supports the finding of few serious adverse outcomes and several potential positive outcomes." This contradicts the UK NICE SR, which found "little change with GnRH analogues from baseline to followup." /3
Read 10 tweets
Let’s talk about “complex #PTSD.” Have you learned about it but don’t understand it? That’s because it’s controversial! But a useful construct in my opinion. #medtwitter #psychtwitter 🧵
Classic PTSD can occur after one big life threatening event (think a car crash). Common symptoms include nightmares, flashbacks, startling more easily, and avoiding things that remind you of the trauma.
In 1992, Harvard psychiatrist Dr. Judith Herman proposed the concept of complex PTSD (CPTSD) as a distinct syndrome that can occur when people have repeated prolonged trauma (for example, chronic exposure to domestic violence or childhood abuse)
Read 11 tweets
Hey psych of religion and persuasion/social influence researchers of #AcademicTwitter & #PsychTwitter! Can you recommend some (good, evidence-based) further readings for a motivated community college student?

Topic/questions here & in next QT:
Additional topic foci (and one more below in thread):
Oh, and why I asked for “psych of religion” folks!
Read 4 tweets
Yesterday I (& many others) tweeted about a highly dubious proposal submitted to the Senate of the British Psychological Society, that the Soc support "an information campaign to promote a biopsychosocial approach to #LongCOVID" 1/9


In my view (and that of others) the bid represented yet another brazen professionally territorial attempt to "claim" #LongCOVID as a psychological illness, in defiance of fast-accumulating scientific evidence to the contrary 2/9…
Such efforts to "psychologise" physical illnesses not only stigmatise the ill & marginalised, they also promote a tolerance for bad research that reflects extremely poorly on psychological science & stifles its true potential 3/9
#LongCOVID #mecfs…
Read 9 tweets
Advanced #astrophotography!!

Within the Cygnus constellation lies the bright star Sadr, and surrounding it is the Gamma Cygni Nebula and the Crescent Nebula (NGC 6888). By making a mosaic (3 images stitched), I was able to capture them all!

_ /1 A mosaic image in the HaRGB palette of the Sadr region of sp
As it's a mosaic, the image is HUGE (10,000 pixels by 6,000 pixels), so I can show individual regions. This is the Crescent Nebula. A central star is in its last stages of life, so it is blowing out winds of up to 5.4mil km/hr. It looks a lot like a brain :) #psychtwitter

_ /2
The Gamma Cygni Nebula (also called the Sadr Region). The large star Sadr is about 2000 LY away and is about 150 times larger than our sun. The nebula surrounding it is about 3000 LY behind Sadr.

_ /3
Read 5 tweets
Quick #meded / #psychtwitter teaching

"We need to listen to our patients," right? But *HOW* we listen matters! Many annoyingly *parrot*, which makes the person feel UNHEARD.

This is called "reflecting" and it is ANNOYING AF.
"I feel angry."
"It sounds like you feel angry."

"My wife left me."
"So you're telling me your wife left you."

It's really really really annoying.

There are good and easy modifications that REQUIRE THOUGHT AND EFFORT but both demonstrate to the patient that you've heard them, but also advance the conversation and allow the patient to think/reframe what they are saying.

Let's look at the statement.

/3 "Will you please just leave me alone? Nobody can help m
Read 9 tweets
Please don’t call me a medication provider- A 🧵 and discussion

Psychiatrists and other physicians are being referred by many as “medication providers.” I do prescribe medications but that is only a VERY small part of what I do ... /1
#medtwitter #psychtwitter
and labeling me as a “medication provider” or “medication doctor” reduces me to that, confuses patients, and propagates misconceptions about #mentahealth and #psychiatry. In general, people are already confused about the different professions within the #mentalhealth system /2
Mental healthcare is a complex and sometimes confusing system. However, because of its complexity, we need to work hard on education rather than reducing the roles to one tool the person uses (e.g. medication provider).
Read 11 tweets
Child psychiatrists take a lot of flak due to poor public stigma. It may surprise many that one of my commonly "prescribed" things from the Emergency Dept are:

a) schools to give academic grace to kids struggling with health (spare block, homework forgiveness, accommodations)
b) parents to give adolescents privacy, improve their autonomy, and offer open-ended help without dictating how that help should occur
c) schools, parents, and systems to accommodate disabilities and neuro-atypicality rather than trying to "fix" the kid
Read 4 tweets
1/ Forget COVID for a sec! Come read about 🌟𝘱𝘭𝘢𝘤𝘦𝘣𝘰𝘴🌟 instead.

Is placebo effect as powerful as some suggest?
Not really.
But it's surprisingly consistent, & that has important implications in medicine.

I dug up an old student presentation on them.
Let’s dive in🧵 Quote from Emile Coue "...
2/ The term was 1st used in medicine in the 1800s: Treatment "adapted more to please than to benefit".

Even then, the importance of suggestion/placebos/bedside manner/whatever you call it was known to be tremendously important.
3/ A famous early Placebo-controlled trial (i.e. comparing the "treatment" to an identical sham) used wooden rods in place of Perkins Tractors, which were metal rods made of supposedly "special alloys".
It showed they were no more effective in managing the advertised disorders Front cover of early study ...
Read 16 tweets
“QAnon is ...a self-sustaining environment of #disinformation & #misinformation...

.. QAnon hijacks the architecture of social media..

..By controlling acceptable forms of information, QAnon traps its members in a downward spiral of radicalization.”…
“As P.W. Singer and Emerson Brooking describe in.. book Likewar: The Weaponization of #SocialMedia, this phenomenon of “junk” or “fake news” is not new. In 2016, a similar, but related, conspiracy known as “Pizzagate” resulted in a shooting at a DC area pizza parlor.” #SoMe
Above is not limited to academic articles

There has been an increase in #antiAsianhate crimes
targeting of #GOTV by minorities
including this attempt to intimidate me for my GOTV, by armed right wing

There was the #Nashvillebombing (with QAnon beliefs)
Read 19 tweets
#MedTwitter showed me the dark side of this, of all times, during a #pandemic. Turns out some who are employed in supposed #SciComm actually stalk patients on behalf of doctors & administrators. Sadly, #bullying patients has gone from "just" in hospitals to dark web.
There is a type of doctor, not all, who believes self a "victim" of patients.. "I am a victim" is used to do mental gymnastics to "justify" #bullying patients who seek answers, report error or harm, initiate lawsuits.

Yes, there is too much litigation. But this is America.
#Tweetiatrician training is for #advocacy on #vaccines #VaccinesWork #VaccinesSaveLives

This has been our lane for well over a decade. As long as I've been a pediatrician we've been using every form of #communication and #SciComm, the sillier the better…
Read 9 tweets
The field of #psychology has MANY problems. SO many levels of wrong:

1-clinicians designing torture
2-a strategy to exploit the lack of ethics by APA leadership to gain scope of practice
3-monetizing harm
4-validating minority distrust of #mentalhealth…
The details are damning. It was clearly about expanding turf/scope of practice with a “deal with the devil” to bypass civilian regulations & go after DoD💰💰💰

There was not any commitment to human rights but manipulating words to craft unethical policy…
There have been reputation repair attempts, to distance self from torture, however professional societies tend to fixate on gaining or protecting turf & scope of practice. They use patients for “stories” but in reality show little care about patients.…
Read 11 tweets

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