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Dec 11 • 8 tweets • 3 min read
Médecins sans frontières is being slammed here. High income nation create own healthcare burden and choose to impose inequality to their own people!

A remote hospital won’t have 75% overhead consisting of managers and therefore 75% less bullshit, red tape and politics!
Why are some doctors abandoning their rich nations?

Because those rich nations already abandoned their own people and HCW have a bullshit threshold!
Some provincial political leader from a small northern nation I won’t name, last week announced that doctors “needed to step up” to deal with the burden of crisis in children’s hospitals.

The week before they declared financial Wage War against doctors AND nurses!!!
These doctors and nurses have sprinted a three year marathon! Many have suffered personal negative health impacted from being denied N95 grade PPE!

Right now, today, two years after airborne transmission was recognized, the US, UK & EU still denying HCWs use of N95s!
These rich nations have literally shit all over HCW for last three years and then opened the floodgates to pillage HCW from poor nations (reducing employer wage pressure).

Don’t be surprised if the “step out” instead of “step up”.
The horrifying direction of the CDC to deny N95 grade PPE to HCWs is every justification for doctors to practice their Swahili instead of swallowing bullshit.
Last week in Ontario, doctors guttural wailing of bloody murder in unison with grieving parents of a toddler who died on the floors - were pointed a finger of blame and told to “step up”.
Those doctors who don’t move out of rich nations will eventually get wise and realize the outcomes are the same if they simply organize #GeneralStrikes and tuck stethoscope in pockets.

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More from @RealCheckMarker

Reality Check Marker Profile picture
Nov 30
@NjbBari3 @farid__jalali All three of you are partially correct. I find it fascinating everyone here is batting around theories of autoimmune disorder when political forces have opened up a population level experiment but nobody is collecting data.
@NjbBari3 @farid__jalali Prior to this SARS outbreak the most common infection that lead to lymphopenia was HIV. Now we are seeing varying degrees of autoimmune disease but nobody is applying the simple AIDS tests of t-cell depletion!
@NjbBari3 @farid__jalali The trigger for cytokine response and cause of lymphopenia are more likely a result of prion creation of persistent viral infection which damages all systems including immunity.
Read 5 tweets
Reality Check Marker Profile picture
Nov 29
I won't sugarcoat this fearmongering.

Candida auris typically infects patients with weakened immune systems. C. auris causes invasive candidiasis (fungemia) in the bloodstream impacting the CNS & multiple organs.
C. auris has attracted attention b/c of its drug resistance, earning the cool name "superbug". But, it's not supposed to infect 600 "weakened immunity" non-patients:
2018-329
2019-466
2020-753
2021-1,765
2022-4,616 (not including this recent outbreak)

cdc.gov/fungal/candida…
A gentle reminder the US/CDC abandoned the WHO's #PrecautionaryPrinciple in 2020. This is the IPC/CDC page for C. auris today, lot's of handwashing, zero isolation of vulnerable patients: Image
Read 13 tweets
Reality Check Marker Profile picture
Nov 19
@EvanBlake17 These are interesting development but you seem to be using a oversimplification of ZeroCovid policy and are apparently unaware of medical diagnosis and treatment options recently developed by China.
@EvanBlake17 First, China’s ZeroCovid policy is mostly focused at international travellers and international points of entry. The “Managed Isolation” used by Australia, New Zealand, Hong Kong, Japan & Canada’s Northern Territories are the integral part of ZeroSARS.

who.int/health-topics/…
@EvanBlake17 I have breaking news; Chinese leadership was draconian before pandemic. But PH measures for pandemic was not draconian. Field hospital for infected is best example, often deemed “draconian”. However, US, UK & EU infected patients in ER next to “not-yet” infected is not draconian?
Read 13 tweets
Reality Check Marker Profile picture
Nov 18
Variant soup addition of CH.1.1. Appears to be a cousin of XBB and sister of BQ.1.1 with key G446X mutation present in spike protein.

What does this mean for transmission and severity of infection?
IFF CH.1.1 continues growth, means it’s a “cousin” mutation where previous antibodies from previous infection or vaccine immunity are being successfully evaded. CH.1.1 will likely outcompete BQ.1.1 (sister) and have concurrent community spread with XBB (or upcoming XBB mutation).
However, the bivalent mRNA vaccine and Novavax vaccine would continue to prevent severe infection, as long as the vaccine activated t-cell are still active. As long as those HCoV t-cells are ACTIVE, there’s active cross-immunity (only prevent death) for all possible SARS variant.
Read 9 tweets
Reality Check Marker Profile picture
Oct 18
@1goodtern There’s no “wrong” in any of what you said. Risk Management is complex, the doctors and nurses hate the Infection Prevention team when there’s no active threat. Hate them more when exist active threat. Still your summary is right.
@1goodtern HCW stands for Heroes Who Care. It’s scientifically proven that people choose the profession of nursing have “hero complex”. That’s usually never a bad thing.

I cringe when you call this a war, suck my tongue when you say “we need to battle” - because you are right.
@1goodtern This war was meant to be fought on the tarmac with isolation of international travellers, not battles waged in our hospitals, outrage pouring through our schools, billions of individuals pushed to the front lines.

I weep openly to the chaos required to remove the corruption.
Read 4 tweets
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Aug 29
Etiology of lung disease during & after acute phase is sequela from SARS–induced ARDS, not direct injury from SARS virus. Predictor & diagnose of ARDS need to include high inflammatory markers (MIS C/A). This why treatment anti-inflammatory & antifibrotic prevent lung fibrosis.
Undiagnosed/untreated Long-SARS patient show same mitochondreal dysfunction as ME/CFS patient; low metabolism, increased weight, blood pressure & high fasting blood glucose, insulin and cholesterol level. However, antifibrotic treatment significantly alleviate these symptoms.
Long-SARS is basically chronic inflammatory disease with t-cell defiency loss.

Is possible same-day HIV test for t-cell depletion detect Long-SARS (for most Long-SARS patient).

Follow up testing for a wide array of inflammatory markers, such as MCP-1, TNF-α, IFN-γ, and IL-6.
Read 7 tweets

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