WheatNOil Profile picture
Dec 21, 2020 17 tweets 4 min read Read on X
To understand mutations, it helps to know how viruses work. First, viruses can’t make more of themselves on their own. Two coronaviruses can’t get together, go on a date, have too much to drink, and have a baby COVID.

They need someone else to make more of them.
COVID gets into our cells (using the asshole protein) & basically hijacks our cells. It’s got a gun to our cell and says “Look at me, I’m the captain now.” So our infected cells spend all day doing the virus’ bidding: copying thousands of viruses & making more of them.
But our cells don’t make more virus by loading up Word, pressing print & turning up the number of copies. It has to write out each virus RNA (it’s genetic code) by hand. Like Bart writing lines in the Simpsons opening credits. Over & over, thousands of times. With no spell check.
When you do that over and over, you’re going to make a mistake. THAT’s a mutation. A typo.

Most of the time, the typo makes no sense. Like this poor monkey’s work. Image
But sometimes the typo actually makes sense. Maybe the typo makes the virus more deadly, or less deadly, or spread faster or gives the virus a sweater-vest.

That typo is encoded in the new virus’ RNA. Every copy of the new virus, now has a sweater-vest.
Lots of times these new viruses die out. Sometimes they stick around & become a new strain. A sweater-vest strain.

Sometimes the new strain sticks around by fluke, sometimes it sticks around because it spreads better than the other strains.
It’s important to know that this happens ‘all the time’. Right now, there’s LOTS of different COVID strains around the world. Some that wear sunglasses, some wearing jean shorts, some that wear socks with sandals. Mostly it doesn’t matter. They’re all mostly equal assholes.
Right now there’s a sweater-vest asshole going through the UK. That ‘could’ be b/c it spreads faster. They think so but don’t know for sure. Could legit be random chance that most of the COVID in London are sweater-vest assholes.

But you don’t want to take a chance.
For the most part, small changes in the virus won’t change our immunity. If we have memory of the asshole protein & a different part of the virus changes, we don’t care. Even if the asshole protein changes a bit, our memory cells will recognize that bastard for what it is.
The sweater-vest guy in the UK does have some minor changes to the asshole protein. The expectation is that our immune system will still recognize an asshole protein when it sees one. Even if it’s got some small changes.
Also, your immune system doesn’t just come up with ‘one’ way to attack an asshole protein. It’ll have a few: uppercut, roundhouse kick, evil laugh. If one of those doesn’t work any more, it’s got a few more tricks up it’s sleeve. That’s why the vaccine should still work.
The asshole protein has to change so much that our body doesn’t recognize it BUT it still works against our cells. That’s a narrow window. Which is why the mRNA vaccines are brilliant. But nothing is foolproof.
So our best bet is to slow the virus spread, slow the typos, vaccinate when we’re able and give our bodies the best chance to beat the snot out of this virus before it can take over our cells and make more copies to create more typos.
Not necessarily. It’s warranted to be concerned and cautious. A more rapidly spreading strain of the coronavirus would be something to clamp down harder on to prevent spread. That’s appropriate. Especially while we get more info. There’s a cost to being too slow.
Damn. Early data suggests the sweater-vest asshole version of COVID spreads more quickly in children ‘compared to the regular strain’. It’s not more deadly, but it will spread faster through the population.

Best data to date suggests the vaccines should still work BUT...
It’s important to remember that there is no way we can vaccinate fast enough to stop the new sweater-vest strain in the short term. That’s an intermediate to long-term strategy. The new strain makes it more important to slow spread ‘now’.
Yes. Not more deadly for ‘each person’ infected but because it spreads faster, it will lead to more death total.

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More from @WheatNOil

Mar 24, 2023
I’m not in charge of much and maybe that’s for good reason.

But I tend to think if you’ve got extra money, like a surplus, you can’t go wrong investing in children’s education and primary healthcare.

If you’ve got the money & won’t, seems you don’t think it’s important.
This is problematic for several reasons.

For one, your future society is only as strong as your kids. Like this shouldn’t really be controversial. Kids doing better means better, more educated, happier, more productive adults in a few years.
The SK government has highlighted investments in kid’s mental health and as a child psychiatrist, I’m all for it. That’s great!

But if you take from kid’s education to give to kid’s mental health… it’s kind of like underfunding bridges to build more rescue boats.
Read 9 tweets
Mar 23, 2023
Separate issue but also a bit concerning is the large number of unmatched spots in Psychiatry which is further down that list.

This year, anyways, the most widespread unmatched residency positions in the first round in Canada are Family Medicine and Psychiatry.
For those unfamiliar with the match system most of those unfilled spots will get filled in a 2nd round of interviews.

However, it does suggest this year there were, broadly, more available spots for training in Family Med & Psychiatry than Canadian Medical Graduate interest.
The Family Medicine issue is a long-standing one and I think we have several reasons decently surrounded

Lack of compensation despite heavy workloads, a lack of support, insufficient team based care, inability to find coverage to take a day off, high & rising overhead costs, etc
Read 7 tweets
Mar 19, 2023
This is an important point.

A huge number of SK residents don’t have access to any primary care. Nurse Practitioners can help with that.

There are NPs ready & willing to work in this province but they can’t get jobs in the public system.

So they have to go private.
As we talk about funding healthcare, it’s important to remember it’s almost always more cost effective to prevent serious illness than to treat it after the fact.

Or deal with things when they’re minor than when they get worse.

That’s why primary care is so cost effective.
It is an easy political win to build, say, an urgent care center or a new tertiary care hospital. And don’t get me wrong, such centers will be used and be valuable. We need those.

But stopping things upstream will often get you more value for your public dollar.
Read 5 tweets
Mar 16, 2023
You can sort of see here how all these factors come together for a specific person.

Koekkoek describes having anxiety that makes it hard for him to eat. There’s lots of ways that can show itself. Some people just don’t feel hungry. Others feel nauseous at the sight of food…
Others unintentionally vomit or have a fear they will vomit. Some just can’t bring themselves to eat and just looking at the food gives them irrational fear.

Whatever it is, in Koekkoek’s case, it went along with his anxiety.

Now combine that specific symptom with pro sports…
Maybe Koekkoek would’ve really struggled no matter what he did. But maybe in a job that didn’t emphasize eating and weight so much, he might’ve scraped by.

But pro sports puts tons of emphasis on eating and weight. You can’t escape it.
Read 5 tweets
Mar 9, 2023
This is a fantastic read. Must read for any Oiler fan. But also for any one.

Life, sports, injury, depression, meaning, and change.

Aleš Hemský : The meaning of life bezfrazi.cz/stories/ales-h…
There are a lot of parts of this that would be great to expand upon but that transition to retirement has always fascinated me.

All big transition stages can be tough. Retirement is a big one for most people but there’s something different about it for pro athletes.
For one, most pro athletes have established their entire identity through their sport. That’s what they were not just good at, but REALLY good at. What everyone knew them as. They spent their days and nights doing it. So much of the feedback they got from others related to it.
Read 10 tweets
Mar 2, 2023
All considered, Bjugstad doesn’t really move the needle, but he ‘is’ a legitimate NHL forward that has some defensive ability, and a small touch of offence that overall is a small net positive in a bottom 6 role. He’s a safe depth addition.
Feel like they should’ve been able to get him without giving up Kesselring. That’s neither here nor there for this season but I think Kesselring is a pretty decent D prospect not far from the NHL. So they paid a pretty decent price for a depth guy, but it should help this playoff
This is a fair point. Via @PuckIQ , Bjugstad has played a higher percentage of his minutes against elite competition than any other Arizona forward (min 100 minutes). And he’s done relatively decently in those minutes.
Read 6 tweets

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