In all historical periods people tend to adapt to diseases and causes of death that were familiar and unchanging part of everyone’s experience and with which they grew up. /1
Only sudden crises in mortality, especially if they bear a foreign label (French pox, Asiatic cholera, Spanish flu) inspire terror. /2

#IrvingLoudon a medical historian
to learn from
One of the pillars that belief in Medicine rests on is imaginary control of childbirth. We collectively believe that women died in birth right and left. Importantly that women themselves were terrified of childbirth. /3
Yet women’s PERCEPTION of death was not ruled by abstract maternal mortality rates (MMR) but rather by the number of women dying in childbirth locally as known by word of mouth couple with perception of death WITHIN THE CONTEXT of the numbers of women dying of other causes. /4
While we are led to believe women were mortified to die on birth, women back in the day didn’t think of it as an inherently lethal event. Just as you aren’t mortified to get into a car, they weren’t scared to birth, despite knowing women who died during childbirth. /5
Thinking about deaths in context. Untangling numbers (stats risk) vs perceptions (danger). /6
Thinking of Covid, public perception of danger was high despite statistical risk of death was low overall and relatively low to other more common and lethal diseases. Individual perception of danger or risk varied. /7
Based on prior knowledge how medicine presents history, likely, Covid pandemic will be used in mainstream medical literature to reinforce magical powers of Medicine to harness death. /8
When you are driven by ideological agenda, facts don’t matter. “Science” doesn’t matter. What matters is propaganda. You can lie your way till the lie becomes some semblance of truth.

When you discover one big lie, rest assured it’s not the only one. /9
You can manufacture crisis, then use technology and expertise to fix it, giving you perception that you were in danger but Medicine saved you to reinforce your faith. Knowledge will be suppressed to prevent you from questioning belief in Medicine (science, technology, state). /10

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More from @Medical_Nemesis

23 Oct
If you think there is an objective way to describe reality, health or illness, listen to these 3 part series to see that all of our reality is constructed with ideas wrapped in words. They change over time and space. /1
While listening think who has the ability or power to define what health or illness is. Who constructs knowledge? Whose knowledge matters?

Recently I moved from using the word health in my tweets because the word got corrupted. I opt for well(ness). /2
Important underpinnings of the scientific method as it emerged in the 17th century had to do with Judeo-Christian idea of one god thus one truth existed; reality is objective and logical; people have ability to accurately perceive reality; all reality can be explained. /3
Read 19 tweets
23 Oct
Goggles. Masks. And ventilators. (sip)
(Malarkey)
(Dark) winter is coming.
Read 36 tweets
21 Oct
52F vs 11C is the same temperature. When I see these numbers I react differently because I experienced them in different contexts - pedestrian in a large city vs a driver in the rural US. 52F is warmer and I dress for early fall than 11C which calls for light winter clothes. /1
I am working on understanding where Ivan Illich was coming from. It’s tediously slow and fraught with knowledge gaps due to my personal limitations and lack of recorded knowledge from certain times and places. /2
Simple biographical facts lay rich foundation that form personality and worldview. Catholic Dalmatian father. Converted into Lutheranism then Catholicism educated and functionally literate Jewish (ethnicity are this point) mother. /3
Read 9 tweets
5 Oct
The notion of risk dwells within the theory of probability. It asserts that an event may take place based on objective data not subjective circumstances.

In 19th century how long a person would live was thought of on subjective basis. /1
It means that I looked at you here and now and considered your circumstances and wellness or sickness, perhaps comparing you to people who live next door and imagined how long you have left. /2
In 21st century I decide how long you have left based on actuary tables. These tables pool the aggregate of all people somewhere sometime and come up with chance of you living till x, y, z. /3
Read 27 tweets
3 Oct
How do you treat a viral respiratory disease with a fever such as flu or Covid if it presents symptomatically as flu? In old school conservative approach you don’t. It runs its course. You run the fever 2-5 days. You suffer body aches. By the end of first week you feel better. /1
Better but far from well. Residual symptoms and importantly fatigue remains for three weeks or so. It means rest and sleep. You eat a modest restricted diet. Don’t pop pills. Medically in the older people you would watch for secondary bacterial infection.
Important part is to start getting you up and out of bed, at first to go eat, then to take short walks outside. Air the room where the sick person is by opening a window several times during the day. /3
Read 8 tweets
3 Oct
Can you speculate anything based on the President’s look before going to the hospital or the treatment he received.

No. He can be very sick and medicated to appear on a video to make him presentable. He may be lightly ill and that’s it. /1
Can you speculate about President’s condition based on the treatment he received.

No. What happens in medicine is often random and defies logic. The presentation is often misleading. Desire to fix things just in case often leads to do something outright harmful. /2
As far as the list of meds the President is on, most likely an abridged version. A typical American man of his age and look with regular access to a doctor, most likely is on meds to reduce cholesterol and blood pressure, maybe control heart rate/rhythm. /3
Read 5 tweets

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