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Marilia Coutinho, Ph.D. , the #BaffledImmigrant
@mariliacout
, 8 tweets, 3 min read Read on Twitter
1/ The Opiate Crisis - victimizing patients and physicians for a crisis created by the lack of a Public Health System. SUICIDES.
This is just a collection of press articles. I tried peer-reviewed articles and interestingly enough, MDs feel disturbed.
statnews.com/2018/12/06/ove…
2/ From the JATH Educational Consortium:

medium.com/@ThomasKlineMD…
3/ About physicians being terrorized into not prescribing the pain medication needed by their patients:
painnewsnetwork.org/stories/2018/1…
4/ About physicians' reactions to this:
nytimes.com/2018/03/27/hea…
5/ About the anti-opioid crusade leading patients into the black market (which is the goal of Transnational Criminal Organizations controlling from production to supply):

reason.com/2019/03/07/exp…
6/ About how cutting patients off their opioid pain treatment may create its own suicide epidemic:

peoplespharmacy.com/articles/are-p…
7/ This mini-thread was unnecessary because the articles are all in the folder/compilation below. Going against my own self-enforced rule, I am responding to someone who had their own agenda and fallaciously argued against my point. It won't happen again.
wke.lt/w/s/rK9GSP
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More from @mariliacout see all

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Marilia Coutinho, Ph.D. , the #BaffledImmigrant
@mariliacout
1/ HAVING A QUINQUENNIAL AND DECENNIAL PLAN: I agree that @AndrewYang has a very small chance of increasing his numbers and is far from being a presidential nominee. He is the only one, however, to clearly present a long term economic development plan.
2/ None of the candidates is going beyond noble intentions and, as far as I can see, responding to the public priority list. "Medicar for all". Ok: how much do you know about organizing and managing a National Health System with an important publicly funded part?
3/ As I thought, not a lot. None of them do. You don't even have to go far to measure their ignorance and their powerlessness in respect to healthcare policy-making: they don't know why the American HC has become this economic abomination.
Read 5 tweets
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Marilia Coutinho, Ph.D. , the #BaffledImmigrant
@mariliacout
@psychdr100 1/ @psychdr100, I follow @duty2warn 's work for a long time and I appreciate how hard it is to perform "diagnosis in absentia". It is almost as hard as a "psychological autopsy" or even the profiling of an unknown subject, right/
@psychdr100 @duty2warn 2/ Psychopathy itself, as far as I went into the literature, is not as consensual as one might think. I think most specialists will agree that a minimum number of behaviors out of a standardized list will lead us to someone who has a high probability of sharing one or more...
@psychdr100 @duty2warn 3/ ... cluster B positive DXs and is possibly co-morbid with other pathologies. In trump's case, the blatant absence of empathy (selective or not, which could lead to some other DX) is the red flag. Then we have megalomania.
Read 15 tweets
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Marilia Coutinho, Ph.D. , the #BaffledImmigrant
@mariliacout
1/ The #KellyanneConway issue.
As everybody else, I read a version of this: "Office of Special Counsel => recommends removal => Kellyane Conway ("Counselor to the President")

politico.com/story/2019/06/…
2/ So, like a well-behaved #BaffledImmigrant, I decided to learn something about the #HatchAct . You know, it might come in handy during a civics test that we, aliens, must take. Here's what I found:
fas.org/sgp/crs/misc/R…
en.wikipedia.org/wiki/Hatch_Act…
3/ The #WhiteHouse responded in outrage, suggesting that the Counsel was out of line, dangerously risking the country's free speech and suggesting that the Special Counsel was the one actually infringing the Hatch Act. So let's see. Oh, yes, this is going to be a mess:
Read 10 tweets

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Values, believing, independent thinking, teamwork
@Bruno_Brunelli
India (Bhārat), aka Republic of India (Bhārat Gaṇarājya) constitutes a mosaic of paradoxes and contradictions starting with the existence of gigantic socio-economic disparities which are in sharp contrast with the spectacular technological development in most productive sectors.
Such contradictions reflect significant measurement discrepancies which, in India's case, could be on the order of hundreds of millions of people.
Furthermore, there is the problem of Islamic terrorists, who are trained abroad and find easy fuel in the contradictions within it.
Finally, there’s agriculture which, by some estimates, accounts for 90% of India’s water consumption. Farmers meet irrigation demands by indiscriminately extracting groundwater, which some say accounts for a quarter of the world’s groundwater usage.
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🌱Sin: Typo Bunyip🌱
@quollhorreur
So, I’m going to follow up on this with some of the peer reviewed evidence based research that Glinner apparently hasn’t seen.

You know, just to have it out there.
1. Cornell University did a systematic review of available literature 1991-2017 (59 studies), looking at the effect of transition on wellbeing.

whatweknow.inequality.cornell.edu/topics/lgbt-eq…
These are their major findings.

Just to note - NONE of the studies they reviewed concluded that transition causes overall harm btw.
Read 48 tweets
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Asher Wolf
@Asher_Wolf
I’ll be attending the 2nd Australasian Diagnostic Error in Medicine Conference today at the Grand Hyatt in Melbourne from 11am onwards. Follow the #AusDem19 hashtag improvediagnosis.org/ausdem2019/
The theme of #AusDem19 is “safer communication.” Read more about it here: insightplus.mja.com.au/2019/6/am-i-be…
Thank you to @SaferCareVic for supporting the attendance entry cost scholarships at #AusDem19 (including mine)
Read 85 tweets
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Mike Gibbs 🏳️‍🌈
@Mikeggibbs
I'm angry.

One of the perks of being a *former* press officer for Public Health Ontario, Ontario Ministry of Health, and a water utility, who is also LGBTQ🏳️‍🌈 and HIV positive:

I can offer perspective on #PublicHealthCuts based on experience few others have.

No one can stop me
Hopefully you understand where I'm coming from.

4 years ago I worked one on one with Ontario's public health leadership in a crisis. One was a SARS hero. Another an AIDS researcher.

I'm a queer person with HIV who walks in the shadow of my community's eternal pain & loss.
Here I was face to face with the guardians of public health. It wasn't just professional, it was a personal, spiritual privilege for me.

I am OUTRAGED the carefully structured public health system I learned about from the doctors & scientists who built it is gravely threatened
Read 22 tweets
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L' Homme Noir
@DrTJC
America has no problem running periodicals and endorsing theories of Black males as toxic, pathological and violent. Any disparity is interpreted as their lack and deficiency. CNN puts out a chart saying 13% of BM voted for Trump & now with no evidence BM are Trump supporters.
Despite Black males reporting higher rates of being "made to penetrate" numbers than rape over a 12 month period in CDC NISVS data, not ONE Black scholar has investigated this phenomena. Stories of Black boys being raped by Black women, caretakers, & men are all over youtube
Yet there is not one study besides mine and Utley's on this topic. But we support Black feminist public intellectuals appearing on MSNBC, & the Breakfast Club who spout these stereotypes with nothing more than blogs as evidence.
Read 19 tweets
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Subomi
@subomiplumptre
"God, I want my future back." Those were the words I whispered to God two weeks ago, while I was going through the greatest health scare of my life. #Thread #Health #Life
In the midst of the tests and various medical consultations, it occurred to me that my life had stopped. My symptoms limited my movements and where I could go. So, I couldn't plan and I couldn't project forward.
Things like traveling or dating went out of the window. I was stuck on finding a solution to my health challenge. My tests are still ongoing. I'm still seeing doctors, but we think we now know what's wrong. And so, I am hopeful.
Read 17 tweets

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