Goggles. Masks. And ventilators. (sip)
(Malarkey)
(Dark) winter is coming.
You can’t live in a basement.
Empty chair fear mongering. God complex thinking he can control death.
We can’t close our country. We must open our country. Cure can’t be worse than the problem.
I feel like I’m on a psychiatric ward. Biden moments are a clinical entity.
We can’t get killed financially.
Anthony is a disaster. They are idiots. I fact checked that.
I know some like their politics boring. I like the escalating passion.
Will we be deploying Covid sniffer flies tonight?
Nothing like being friends against Russians.
I remember Ukraine was left high and dry during Russian invasion.
Pinocchio 2020 🤥
Not paying taxes is a positive in my book of “Have you been forced to do anything against your will?”
First debate wins. It was the most fun. Who said politics can’t be fun?
Hope not. Or we will keep #MeToobin on zoom out of sheer boredom in perpetual March.
Joe Biden is a Terminator
We are not worried about getting sick. We are worried about being “saved”.
Best case is people well enough and affluent enough to pay cash directly to doctors. It works great!
The moderator is good this time. Biden woke up.
I agree that we should pay more out of our personal pockets for what we value. It’s called market.
Under Obama administration children were separated from nursing mothers during immigration law enforcement. You just didn’t hear about it.
Biden is getting out of breath. Visibly rattled.
Have you ever tried saying African-American around American Blacks? You get slapped around so fast “Who’s African?” while your mumble some sorry ass explanation. Then you never say African unless talking about first gen Africans.
“Folks”, we are voting for entertaining liars and boring liars. Well, some of us already cast our votes.
Prison vs forced medical treatment. Don’t be fooled. Both are state enforced coercion to comply with state mandated norms.
Bestest. Cleanest. Clearest. If you want to learn rhetoric appealing to the lowest common denominator - Trump is doing great. Uses simplest of words that people want to hear. Positive - perennial appeal to every American.
You don’t start wars you can’t win when you depend on whom you are fighting from toilet paper to drugs.
I missed the killing birds reference. I wish both of them were yelling at each other. I had better luck with that communication style.
“A liar must have good memory”

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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
22 Oct
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
Read 10 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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