A troll is someone (or a bot) whose purpose is to derail a tweet or tweeter.
Wiki: “…a troll is a person who posts inflammatory, insincere, digressive, extraneous, or off-topic messages…”
They want to distract, usually from uncomfortable truths.
There are a number of reasons for doing so:
“This is typically for the troll's amusement, or to achieve a specific result such as disrupting a rival's online activities or manipulating a political process”
Leaving aside the pathetic folk who enjoy upsetting others, we should all be concerned about the huge efforts put into trolling to “manipulate” serious public issues and invade our ‘free’ social space.
As they succeed, the space becomes more disingenuous and less reliable.
But it does tell us just how important a space Twitter is. The collective narrative on Twitter can likely heavily influence political elections or, as we have seen these last two years, can encourage or prevent people from accessing life-saving treatments.
The huge efforts put into trolling also tell us that trolling works. Trolls can affect the impact of a tweet or the reach of a particular public sentiment.
Trolling works...but only if we let it!
For example, we may be enraged with gun violence, but if a small minority deploy trolls to over-represent a minority's interests, then the space becomes less representative of public opinion. The deception is that there are more people who are pro-guns than there actually are.
The effects are not only a seeming overrepresentation of, for example, pro-gun supporters. It goes deeper. We end up fighting ghosts. The narrative changes from how an 18 yr old can get an automatic weapon to ‘video games’ and ‘toothaches’ - the trolls changing the narrative!
We can even end up posting new tweets arguing against the distractions put there by the trolls - the trolls are now winning!
Instead, we should be focusing on the main issues and amplifying the shared public sentiment.
Sadly, the effects can go even further. Harassment, slurs, defamation, threats, employer intimidation,… and this can spill over to your followers and those you follow too.
Prominent and influential people get harassed until they have to close their comments and DMs and mass block…and slowly these prominent people’s reach diminishes, until they are essentially being forced to talk in smaller and smaller circles - the trolls win again!
There are even more subtle tactics such as trolls following and setting up notifications but not engaging…to affect engagement numbers and therefore the traction of a tweet, so-called “fake followers”.
The key advice is “don’t feed the trolls”. That is, do not engage them at all.
We often do…“because they [we] misapprehend a troll’s true motives, which are usually to attract attention, exercise control, and manipulate others.”
Instead, if you detect a troll tweet you should dismiss it immediately and either block or mute. Don’t get sucked in, and by whatever means necessary do not engage. They don’t know you, their opinions do not mean anything at all…especially if you remember the likely motives.
Just as you wouldn’t allow a random person to butt into your conversations with rude comments, or allow hecklers during a presentation, nor should we permit it in our virtual social spaces.
We are in a battle against disinformation. And, I’m afraid, we are more often than not losing just now.
We need to stay on point, find trusted sources, amplify the shared sentiment, and not let the few control the space of the many.
Do. Not. Feed. The. Trolls.
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We found that the Government’s decision to choose private providers versus primary care (GPs) to provide community triage led to patients not receiving any clinical assessment at the point of diagnosis with Covid.
We also found the decision to not expand healthcare capacity not only likely led to more death and disability, but actually likely led to a more overwhelmed system.
It’s a fair question just now.
- unmanageable demands
- real world pay cut
- more abuse
- falling standards and moral injury
- better overseas opportunities…
But many of us want to stay…why?
1/12
Universal access is a monumental human development. Healthcare most consider as a human right. In many places access to healthcare is limited and dependent on your wealth or position. In this way medicine becomes more opaque and complicated.
In the NHS, we really don’t care what connections or wealth you have. All we see is the individual and the disease. It is morally and intellectually much clearer. It is a purer way to practice medicine.
It makes for grim reading...but knowledge is power! And if we have learned anything these last two years, it's that burying your head in the sand won't help
Small changes matter...if Big Business see us change they will respond to that consumer demand
The UN Report talks of 9 planetary boundaries,, relating to chemical pollution, climate change, freshwater use, air pollution, etc...
..if we breach too many...
"the increasing probability of civilisational collapse"
"without radical change, that’s where the world is heading."
"The paper’s worst-case global collapse scenario is described as the result of multiple planetary boundaries being breached,...that set in motion a sequence of economic and political breakdowns, which further drive ecological collapse processes."
Sometimes it’s difficult for experts to admit they were wrong.
Covid wasn’t a mild infection, and “taking it on the chin” led to a lot of death and disability.
SARS2 is a very high impact virus. We should have acted sooner and should be doing more, but…
We’re kind of stuck
🧵
There are of course just bad scientists and crooked advisers. Those who tell the boss whatever they want to hear. They find the arguments to support the bosses position.
IME, they are actually rare.
As much as we may like to believe in “evil” scientists, most believe in truth.
Most corruption of expert opinion is more subtle and creeping. And in advisory positions, it gets tied to the job and career.
It’s where you draw the line that defines your scientific integrity.
We have received our national update on Monkeypox.
The risk to the General population from Monkeypox remains low.
But the risk for frontline workers is not insignificant.
Frontline staff are more likely to encounter it pre-diagnosis, so I will be taking some precautions…
National recommendation is to manage patients with possible, probable or confirmed Monkeypox in negative pressure rooms. And use HCID (High Consequence Infectious Disease) level PPE.
Direct or close prolonged contact most risky.
We are being told mortality in Africa of this form of Monkeypox is 3.6%.
Progression is:
Fever, feeling washed out, and often headache.
Swollen generalised enlargement of lymph glands often comes next, accompanied by a rash evolving like this: