on friday, governor wanda "lockdown" vazquez announced a tightening of puerto rico's restrictions and a whole set of "BEHAVE OR WE'LL MAKE IT WORSE!" threats.

among them:

• The National Guard has been activated to enforce EO compliance.

photo from VSJ promenade this morning:
let's hope this is just an unfortunate coincidence, but when you hear this kind of absolutist talk that puts systems over people, well, it's not hard to imagine the sound of jackboots

“We will not under any circumstance allow our health system to be placed at risk,” she said
“If during this new order that ends on December 11, we do not see a response from citizens and businesses in compliance, we would have to take more severe measures. I trust that those who are not complying will reconsider ” , Vázquez warned.

("cackled gleefully" is more like it)
"if you kids don't knock it off, i'm gonna turn this car around! i mean it!"

has anyone else had an absolute belly full of this endlessly patronizing, high handed interference in our lives?

government is supposed to serve us not subjugate us for technocratic score keeping.
they seek to "reduce cases" and "keep hospital census low" like it's some kind of video game and the people affected by it have nothing else that matters to them.

it's monomaniacal sociopathy.

how did the whole world forget the idea of "cost/benefit"?

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More from @boriquagato

17 Nov
it staggers me that we're still having this argument.

the truth is utterly simple and perfectly clear:

anyone who still speaks of "cases" as "proven" by a positive PCR test at 40Ct (or even 30) is either virologically illiterate or seeking to mislead you

these are not cases.
these PCR tests are NOT suited to purpose

they are a preposterously over sensitive assay. w/ a sensitive enough detector, i can find traces of bacon in your kitchen from breakfast 2 yrs ago

this does not mean you have bacon contamination

it means you're using a stupid measure
this is why NONE of the vaccine trials accept this definition of "covid case." all require symptomatic conformation as well.

mass testing is NOT the cure to an epidemic. it's the progenitor of a fake one.

we've made this mistake before

Read 10 tweets
16 Nov
the great reset is not new in any way, shape, or form. it's just a critical race theory rehash of the club of rome policies with a better powerpoint deck.

mussolini cold have easily written it if someone had taught him the word "stakeholder".

it's classic fascism.
wilson would have recognized and applauded it instantly.

you get government, media, and big business all aligned to shape the economic, social, and moral spheres of the society from the top down "for its own good."

(pro tip: this never works out for "we the people")
this sort of dictatorial control is the seductive trap that smart people fall for.

"i'm smart so everyone would be better off if they all just did what i said" is some seriously powerful kool-aid to get drunk on.

always has been.
Read 11 tweets
15 Nov
this study looks important:

it was controlled, prospective study. it's showing a stunning 71% mortality benefit in moderate to severe covid-19 cases even in the very old.

remdesivir shows no morality benefit.

baricitinib is a widely available RA drug available in pill form. Image
601 patients in the trial at university of pisa and albacete hospital.

83 treated with baricitinib. 83 controls established at same time using propensity score matching.

patients also received standard of care medication. Image
this led to dramatic differences in outcomes.

composite endpoint of death or mechanical ventilation was 29 in control group (34.9%) vs 14 in active arm (16.9%). 52% reduction. p<0.001.

effects were rapid and sustained.

curve separation was almost instant. Image
Read 14 tweets
14 Nov
this is literal nonsense and propaganda.

it's also very possibly medical malpractice.

the idea that a patient healthy enough to tell you this needs to be intubated is ridiculous.

this "vent early, vent hard" strategy was a massive killer of patients.

it's disastrously wrong.
i do not know who this nurse is, but she's a liar or a fool. probably both. the move from early, aggressive venting to proning and O2 has saved an enormous number of lives.

was just talking about this the other day.

but this is NOT new news.

certain internet felines (and a great many of the smart physicians) had figured this out back in april.

this is not a perfect measure, but it's close enough and bolstered by reports from many physicians to whom i've spoken.

Read 8 tweets
13 Nov
@elonmusk you cannot quite think about it that way.

you need to consider specificity of the test (what % of true neg will test pos) but that will not give you false pos without knowing prevalence.

98% specificity at 2% prevalence = 50% of positives are false.

@4%, only 1.3 are false
@elonmusk @4 this then runs into further complexity when you consider PCR artifacts.

we run the US as 40 Ct. anything over about 30 is non-clinical. so out test is 1000x too sensitive.

so false + rises (clinically) as there is a bigger tail of recovered.

@elonmusk @4 this makes for a total mess of cross variables.

add in the rapid tests which are antigen, not pathogen and can catch disease from even back i march, and the + rate really gets out of hand.

it's not a coincidence that %+ is spiking since that test rolled out.
Read 5 tweets
13 Nov
as part of the new exec order once more cranking down on puerto rico is this little gem:

not only must every restaurant post its capacity (at 30% of normal) but the poster must have the number to dial to report non-compliance.

fascism works best when you do the work for them.
this is the sort of "karen-oia" that gets used to divide a people and make them fearful of one another as well as the state

it's an old trick from authoritarian communist/fascist regimes

then, of course, the obligatory threats:

the beatings will continue until morale improves!
as ever, there is zero science to it, just nonsense.

we were at 50% open, then 55% (yes, really), now 30%

but hey, now we can't go to the beach anymore (again) except for "individual sports"

no fresh air for you! stay inside where covid spreads better

what. utter. muppets.
Read 4 tweets

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