6/ 38,000 male health care professionals free of heart dz were studied over 12 yrs & 1,418 heart attacks. The type of beverage didn’t matter – beer, white, red, or liquor. A 12.5g ⬆️ in daily alcohol consumption reduced heart attacks by 22% over 4 yrs.
7/ In an Extension of the Physicians Health Study of 89,000 men (N=14,125 with a Hx of HTN), it was shown that as compared to NON-drinkers, monthly, weekly & daily alcohol use cut risk of cardiovascular death by up to 50%.
8/ A study of the psychological effects of drinking showed that beer drinkers had lower IQs, more neuroticism and psychoticism, higher levels of lying, and more overt abuse.
9/ The same study showed that WINE drinkers had higher parental education, socioeconomic status, less alcohol abuse, and optimal functioning on personality tests, psychiatric symptoms, and health-related behavior.
10/ The #nurse health study of N=12,480 nurses showed that 1 drink per day of beer or wine had 25% ⬇️ cognitive decline (note risk is lower - on LEFT👇) and there was no increase even up to 2 drinks per day. This is very encouraging for brain health!
13/ CONCLUSIONS:
Wine or combinations of alcohol in these studies were STRONGLY associated w reduced morbidity & mortality from all-causes, heart, cancer, and stroke risk.
The J-shaped curve has been consistently proven.
That means =
Everything in moderation = Happier life!
14/fin
REFERENCES
Ann Int Med 2000;133:411-9
Arch Int Med 2001;161:1844-8
Arch Int Med 2003;163:1189-3
Ann Int Med 2002;136:181-91
NEJM 2003;348:109-8
NEJM 2003;348:163-4
JAMA 2003;289:579-88
Arch Int Med 2004;164:623-8
NEJM 2005;352:245-53
Ann Int Med 2015;163:569-79
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1/🧵🎥 Politicians & Media are sending messages to take down #COVID protections.
In US it’s premature. Why?
📍>50% adults are NOT protected w #Booster
📍>75% of kids 5-11 are NOT fully #Vaccinated
📍Feb 8th >3,000 died
📍>17,000 dead in past week
📍>60,000 💀 January
Thoughts?
2/ Last week I had moments where I thought, “It really is sad that society has to keep masking up & those poor kids in school haven’t seen people smile in so long.”
THEN…I thought about how dangerous it is for #CovidKids who get #longCovid to have to live that way.
1/🧵ICU Burn-Out Prevention in #COVID: a few thoughts
Early on as an ICU Doc, I carried a lot of shame because I realized that even though I sufficed as a technician and possessed the right knowledge, I was NOT doing a good job as a “person” with “people.”
2/ Which is to say, I was only “good” doctor on paper. NOT in real life.
I kept myself at too much of a distance, and I thought my job was to do procedures well and provide the right medicines.
Now I know that was not enough, not by a LONG SHOT.
3/ 📚 I wrote: “That shot of adrenaline from saving a life dissipated once the ventilator was in place…as if we handed over care of our patients to machines while we went off & intubated, sedated & paralyzed the next person...
2/ Brains of COVID-19 patients had some of the same pathological changes seen in Alzheimer's disease, which may explain the memory problems people with long COVID experience....
3/ The study...linked the inflammatory response found in SARS-CoV-2 infection with pathways causing tau hyperphosphorylation typically associated with #Alzheimers. The data also indicated a role for leaky ryanodine receptor 2 (RyR2) in the pathophysiology of SARS-CoV-2 infection.
Would you be upset if you found out that a medical student had done a FULL PELVIC EXAM (or PROSTATE EXAM) under general anesthesia without explicitly telling you beforehand or even afterward?
Is this a violation of your privacy?
Read on…
2/ Would you consider it A FORM OF ASSAULT if you found out that a medical student had done a FULL PELVICE EXAM (or PROSTATE EXAM) under general anesthesia without explicitly telling you beforehand or even afterward?
3/ Apparently, some medical schools are still doing this as a way to teach budding doctors how to examine the human body. Many types of injustice in medicine have occurred over the years, and this represents one of them.
2/ These #LongCOVID pts had NORMAL CT scans but when asked to inhale Xenon, an inert gas, the MRI showed their lungs transferred gases (think oxygen) into the bloodstream abnormally. This is alarming evidence of another weird form of organ damage from COVID not visible on CXR/CT.
3/ Oxford Prof Dr. Gleeson says these patients, who were never in hospital & didn’t have acute severe illness w their COVID19, have been experiencing symptoms for a year after contracting the infection.
2/ This successful trend is especially important given AI/AN communities have been disproportionately affected by Covid-19 and by ongoing discrimination throughout the health care system.
AI/AN communities have worked to protect the health and well-being of their members by…
3/ …adapting community mitigation & vaccination strategies to their diverse cultures.
There are 574 federally recognized tribes located in 35 states. AI/AN lands, which are sovereign territories, extend over 100 million acres, including 44 million acres in Alaska.