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3 Nov, 10 tweets, 2 min read
Display 2. Construction of deviance. JAMA is lit. /1
Display 1. /2
Historically several ways of dealing with undesirable behavior:

Ostracism
Law
Medicine (now dominant way to control behavior) /3
Deviance is created by people:

1. Proclaim what is the norm or what is desirable behavior

2. Proclaim everything outside of the norm is deviant behavior /4
Who can create deviance?

Anybody with power - majority, a ruler, a priest, a legislator, a doctor, an expert. /5
Any behavior can be proclaimed deviant for some reason. To further deal with it deviance will be called madness, illness, or a crime. Depending upon designation, jailers or doctors will take care of you. /6
An important premise in creation of deviance is TRUTH.

Who can claim the truth?
What is truth? /7
“The power of authoritative knowledge is not that it is correct but that it counts.” Brigitte Jordan /8
Suppression of deviance can be throwing you out of a tribe, burning at the stake, imprisoning you, or chemically castrating your brains in a psych facility. /9
Tangential popular culture representation of the power-truth interplay /10

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More from @Medical_Nemesis

Medical Nemesis Profile picture
4 Nov
A year ago in the summer a local church held a talk by a former governor on science. I know little of churches but science holds a special place in my heart. Enough for me to venture out to this Lutheran church founded by first settlers 150 years ago. I was not disappointed. /1
Villagers (without torches and pitchforks) dutifully gathered to listen to a PowerPoint presentation of what seemed to be proof of God’s existence. /2
A former chemistry professor at one of country’s best liberal colleges was showing us pictures of dinosaurs and DNA strands for nothing screams science more than dinosaurs and a DNA strand. /3
Read 10 tweets
Medical Nemesis Profile picture
4 Nov
Ispired by randomness and suddenness.

Cases of sudden afflictions and deaths in medicine abound. I always believe in them, terrified at the thought I can wake up to find my ears fell off.

Ears don’t fall off. /1
What brought you to the hospital?
I can barely make out words of a woman in her late 70’s. She is weak. Doesn’t eat. She has a leaking feeding tube in her stomach to make up for her lack of appetite.
I hear a story of a pancreatic cyst removal. The lady asserts she’s cured /2
Judging by the fact her pancreas and spleen were taken out, she is probably in denial. Not uncommon to misunderstand medical communication. Her story makes no sense but I shut up, tell her I will review her records and come back to tell her what happened. /3
Read 13 tweets
Medical Nemesis Profile picture
3 Nov
The most bizarre tweet I saw during COVID was from this doctor. She was upset her father died before a doctor could murder him.

Of note this person was all about saving lives, masking, etc. /1 cbc.ca/news/canada/ma…
This story shows how little doctors understand what they are doing to their loved ones and how much suffering the elderly suffer due to contradictory demands of confused relatives regardless of education. /2
It’s a story of a very old man who should have died quickly and at peace at home. Yet his fate was to be saved. Saved he was into endless suffering. /3
Read 12 tweets
Medical Nemesis Profile picture
3 Nov
Traditionally there were ways to circumvent compulsion by authority do something that goes against your convictions. /1
Dissent is never easy. Two broad possibilities in traditional cultures: voluntarily exit from a tribe (exile or becoming a hermit) or voluntary adoption/acceptance of madness/craziness. Both practices tied to Eastern religions. /2
Fools for Christ/Holy fools/Blessed fools were people who pretended to be insane to expose the sins of the world.

Hermits went into seclusion to find God.

Both practices are ascetic and derive from the conflict of what one may find true colliding with reality around. /3
Read 4 tweets
Medical Nemesis Profile picture
3 Nov
On daily bread.

Eating is passive. You don’t want to be passive. First step - figure out what food is. Once you know what food is, hopefully you will refuse to eat garbage.

In case of bread - flour, water, salt, yeast. /1
My (maternal) Grandmother ate bread with each meal, a small half piece of a slice. Upon seeing her eat bread with pasta my father would lament “Mom, you are eating bread with bread”. Grandmother remained unperturbed. /2
For Russians and Ukrainians bread is holy. You don’t throw it on the ground. Bread is the staff of life (Russian literal head of everything). /3
Read 9 tweets
Medical Nemesis Profile picture
1 Nov
This is part of a BRILLIANT thread.

The discrepancy is the following. Scientists quantify the importance of things. People have the power of their authority to decide what is important. /1
By looking around I can see that at some point some experts decided what is trivial and what is not. It doesn’t look good.

It is good for each to retain our own mental faculties to assign importance of disturbing what is a default and the strength of effect. /2
Modern medicine is mitigation of side effects from disturbing biological default states. It is an uncontrolled experiment on people influenced by delusion of grandeur and control. /3
Read 10 tweets

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