How mRNA vaccines work: A short tutorial.

1. The mRNA is injected into your arm.
2. Your cells pick it up and are all like “Wut dis?” 1/
3. Inside your cells, the mRNA builds a tiny typewriter and types “All work and no play makes Bill Gates a dull boy” 85,000 times. 2/
4. Then the spike protein breaks through the door with an axe and says, “Here’s Johnny!” 3/
5. Then you become far less likely to die of coronavirus.

The End.

4/4

PS Steps 2-4 are what we in medical education like to call hand waving.
Here’s how it really works.

Fascinating but without any references to The Shining.

cdc.gov/coronavirus/20…
Here’s more details. It’s harder than it looks!!

the-scientist.com/news-opinion/t…

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More from @medicalaxioms

7 Nov
I recently had a house staff teaching team and as an experiment we added a “problem” onto the end of each patient’s problem list called:

Bias.

[A thread]
With humility, I admit I Didn’t think this project would bear as much fruit as it did.
After all the problems of ACUTE HYPOXEMIC RESPIRATORY INSUFFICIENCY and SIRS, I would ask the team to consider how the patient’s race, gender, orientation, nationality, ethnicity, language, socioeconomic status, addiction, etc. was affecting their care past or present.
Read 12 tweets
1 Oct
I thought Texans were supposed be tough, independent and rebellious?

Instead they are letting their governor shut down their ballot drop stations? What a bunch of weaklings and pushovers.
“Don’t mess with Texas.”
😂😂😂
What a flimsy bunch of fake cowboys. Y’all need to sprout some ovaries.
Read 4 tweets
1 Oct
There’s this weird magical thinking that if you hang around with people who think different than you it will run off on you.

Or you’ll catch it. Get infected with some opinions you disagree with. 1/
Don’t be so afraid of people with different opinions than you. There’s no virus you might catch.

Guys back in the oldem days like Jesus and Buddha said this is actually good for you. 2/
Even criminals and your enemies. You won’t even catch the cooties from them.

Expand your little provincial life. Stop imagining how people think. 3/
Read 13 tweets
30 Sep
Are you more or less open, friendly, and welcoming to people who look, talk, pray, eat and live differently than you were 10 years ago?
Are you more or less open, friendly, and welcoming to people who think, vote, and source their news differently than you were 10 years ago?
We all engage in selective intolerance and acceptance.

Some welcome those who superficially look different, as long as they believe the same.

Others don’t care about ideas and opinions as long as the other person looks familiar.

And many other combinations.
Read 4 tweets
30 Sep
Opinionism: A form of prejudice whereby you assume you know everything about a person based on a single opinion they hold.
While other prejudices and -isms have lost acceptability in polite society, opinionism has gained support and is considered a totally reasonable form of bias.
People of all ages, backgrounds, and political stripes enjoy making snap judgments about people based on a single opinion.

(See @Twitter)
Read 9 tweets
29 Sep
Teaching physicians at academic hospitals love super-capable residents because they make us look good with a minimum of effort and worry.

That part seems kinda easy and obvious. 1/
Now the hard part. 2/
When you start out teaching residents, the opposite is true:

“Less capable residents make us look bad despite a lot of hard work and worry.”
3/
Read 11 tweets

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