1/
PICU rotation, 1998

I leaned over the sink with its rust-stained drain and ran cool water over my hands. Patting my fingertips over my face, I stared in the mirror. I’d been awake for >24 hours. It showed.

I tried to give myself a post-call pep talk.

Me: “C'mon, sis.”

2/
I was tired. But not just tired from the lack of sleep. It had been a cognitively hard night with sick-sick patients. While it had gone mostly fine, my brain was still steaming. Not to mention the sustained tachycardia I had every time I took call in the PICU.

It was rough.

3/
This was before duty hours reform. And it’s relevant here is because it explains why I had clinic that afternoon--even though I was post call.

I had just one wish:

To get through rounds in time to finish all my work and avoid having to return to the PICU after clinic.

4/
7:30AM.

Morning report was about to start, and rounds would be right after. I silently prayed that we could finish by 11:30 to afford me time I to tie up loose ends before clinic.

But deep down, I knew this wasn’t likely. Not with this attending it wasn’t.

Nope.

5/
This attending liked to teach. And teach and teach. His Socratic soliloquies were legendary. And mostly, he was considered a great teacher.

Yup.

But even the very best teaching needs the fertile ground of a teachable moment. In other words, timing matters.

It does.

Weird, right?

Jean-Louis Warnholz is Founding Principal and Managing Director of the BlackIvy Group. He worked in senior advisory positions for governments (UK, US), multilateral institutions (World Bank, UN) and private entities (Soros Economic Development Fund, S&P).

FOIA SOURCE

SOROS backed Clinton Staffer/Employee, Cheryl Mills and the Clintons recommended SMARTMATIC back in 2010 bc they held a "successful" election in the Philippines which was later discovered to be wrought with fraud and illegalities.

Five days before the elections, petitions were made to postpone the elections due to technical malfunctions with the electronic voting machines. The corrupt Supreme Court overrode these concerns.

Doolittle is weirder and worse than I expected. It pulls the Hunt for Red October language trick but for animal noises, and introduces the concept of the Doctor talking to animals three times in the first fifteen minutes, in case you forgot.

This movie is a higher budget FARCE OF THE PENGUINS.

Apparently it's Dolittle.

I was not prepared for just how bonkers that was.

At one point, Dolittle's boat blows up, so Antonio Banderas gives him a new one. And everyone is hanging out on it as they sail and they hear a voice say "company!"

#FarmersAgitation #FarmerPolitics #FarmersProtestHijacked Learn the truth.
Arhtiyas (commission agents) who have been the main link between farmers and procurement agencies in the two states of Punjab and Haryana, launched their campaign against the Centre’s agri-marketing

ordinances early as the three bills cleared by Parliament will adversely affect their business. There are over 30,000 registered Arhtiyas in Punjab and Haryana who are deeply entrenched in the system. They exercise a strong influence on agricultural activities and the politics of

both states. These 30,000 employ another 300,000 sub agents or sidekicks or people who would not have made it into doing anything anyplace were it not for the patronage network of these 30,000. But there are only 1500 farming villages in Punjab. 330,000 / 1500 is about 220 people

on average per village doing the work of middlemen.
Why is this the case?
We had a food shortage and a ship to mouth existence until the 1970’s. Norman Borlaug pioneered a variety of wheat which gave 10 X the yield but needed 3X the fertiliser. The Punjab was chosen as the

battleground against hunger. Enterprising Sikh farmers worked hard to Create what we know as the green revolution. Since there were huge shortages laws were made which didn’t allow for stockholding or selling at farm gates. Essential Commodities Act - APMC Act (farmers were

A physician colleague's insurance will not cover her anti-nausea medicine (Zofran/ondansetron) for her CHEMO. It is $280.40 cash for 30 pills at Walgreen's. I logged into a physician/hospital medical supply company and can buy 30 pills for $3.30. That's an 8500% markup. 1/

It is easy to be angry at the insurance company bc Zofran is a well-known therapy for chemo-induced nausea and it should absolutely be covered. However, I'm sure Walgreen's buys in bulk and gets it for even less than $3.30. Add in labor, plastic bottle and charge $25. 2/

Retail pharmacies make an absolute killing, especially on cash-pay patients. Some pharmacies will offer a cash discount. However, in some states, pharmacists are not allowed to tell patients if the cash price is lower than their insurance co-pay. This is absolutely criminal. 3/

Medicaid negotiates with drug companies. For example, if you had asthma prior to 2016, Medicaid would cover brand-name Xopenex inhalers but not generic albuterol. So, we would have to write prescriptions for an expensive drug the patient didn't need so it would be free. 4/

How are emergency room physicians supposed to remember what drugs are on Medicaid's formulary, let alone all of private insurance? But how frustrating to be a patient and take in a prescription your doctor thinks you need only to find out it isn't affordable. 5/

So okay, here's a thread on the category of finite sets and a way in which it controls algebraic structure in symmetric monoidal categories. I think it's some really pretty stuff.

First let's give some terminology and definitions. I'm going to let Γ denote the category whose objects are finite sets and morphisms are functions of finite sets. There are a whole lot of finite sets so to simplify thinking about this category, I'll work with a "skeleton."

What that means is that I'll just work with isomorphism classes of objects of Γ, i.e. if there is a bijection between two finite sets A and B, I'll think of them as the same set (this can be made categorically precise).

What I end up with then is a category whose objects are countable, namely the set {∅, {1}, {1,2}, {1,2,3},...} and whose morphisms are just functions between these sets. This will be enough to get at some cool algebraic structure.

At some point I might start writing 1 for {1} and 2 for {1,2}, and n for {1,2,3,...,n} but I'll try to let you know that I'm doing it, and hopefully it won't be too confusing of a notational switch.

There is evidence that will hopefully be shown that both GOP megadonors and politicians had an active role in the election fraud that occurred last month & is still ongoing.

Take a moment to realize just how insufferably stupid they have to be to make that choice.

By -

...doing so, they’re telling the world that they are perfectly happy helping to put a CCP puppet in the office of the POTUS.

These silly bastards think they’ll be oligarchs or allowed to stay in office.

Which proves they don’t know too much about modern leftists or the CCP...

...There is a lot of top-dollar real estate bought at very overpriced values in SoCal bc CCP party members & Chinese oligarchs will do anything to get any money they can out of China and into assets in the US that the CCP can’t take.

Why would they be willing to lose large-

...sums of money just to get their cash out of China?

Because just like Russia, even if you’re an oligarch you can fall from grace in an instant, get locked up for the rest of your life or executed and have every penny taken from you at the drop of a hat, merely for falling out-

...of favor.

Now think about the traitorous GOP politicians and domestic oligarchs who think they’re safe...

Do they really think the CCP puppet Dementia Beijing Biden’s handlers will allow someone to stay in power who’s already proven themselves to be a traitor? -

Your regular reminder that Brexit is going badly because the UK has still to decide what the purpose of leaving the EU is

1/

#EUref came about as piece of party mgt by Cameron, rather than as culmination of considered and structured debate about UK's place in the world

2/

Yes, we talked a lot (A LOT) about 'Europe' and the EU, but primarily as a function of lots of other things

A touchstone of dissent, if you will (h/t @PaulAdamTaggart)

3/

Referendum campaigns on both sides were simply about getting people to vote their way, not efforts to set out settled plans of What Comes Next

"Vote for us and everything will be dandy" is not a plan

4/

That might have been alright if post-vote there had been a national discussion on how to proceed in an inclusive manner, but instead the political logic pointed to trying to capture the meaning of it all to serve particular agendas

All very majoritarian, as per

5/

The 1918 -1919 pandemic originated most likely in Kansas, USA. Early March 1918 an outbreak of an unknown illness was recorded in fort Riley, Funston, Kansas. Remember the place and the time.

By late spring/ early summer the illness has spread but was generally mild and almost unnoticed by the public. The US had mobilized troops to join WWI in Europe and a lot of illness spread to a lot of places. For the USA the mortality curve looks something like this

It was the second peak in October that was much more deadly than the first one. An interesting theory is, this was caused by a drug from #Bayer. In 1918 it was heavily advertised and the US Surgeon General recommended a regime of aspirin on 9/15, repeated by the American medical

assocoation on 10/5, for a dosis that we now know is toxic. #Salicylate poisoning is well documented to lead to pulmonary edema and decreased O2 in the blood. The lungs become vulnerable to bacterial pneumonia. #Asperin sales more than doubled in 1918.

Let's jump to the study perfomed in 2008, where our well known Dr #Fauci (CDC,USA and formed head of Covid19 taskforce) was one of the co-authors.They examined autopsy reports, pathological and bacteriological data and concluded the vast

THREAD: Of course right now I am totally questioning what my role in this world is. I don’t even know me. I have spent my young adulthood into my 40’s being a mom. Still a mom...but I literally have no identity.

Can’t relate to ppl my age with kids.

Can’t relate to ppl my age because they’re in chill mode, having sewn their wild oats while I am trying to figure out who the fuck I am.

In the middle of a pandemic where my social life was abruptly cut off and everything I was experiencing stopped and is now gone.

For example, having come out in late jan...meeting new people...learning about my sexuality. My sexuality was stifled due to being brought up with religion. Learning what my kinks were, without sex! Meeting like minded people...

In less than a month it was gone.

I feel like I’m not even me. I feel like I’m an outsider looking in.

Questioning what the hell I am doing with my life.

Frustrated. Lonely. Unsure of a lot.

And now I am wanting to completely gut GlitteryFab on every social media platform despite a fast growing base, why???? Because I’m tired of people just focusing on my aesthetics. My facial beauty. Or because I’m “thicc”. And also because it just seems rather shallow.

A THREAD ON HOW BIDEN WON THE ELECTION: This is for all the people that don’t understand how Biden could possibly win and why Trump lost other than the fact that he just did so much wrong #WeirdoTrump

First, we have to realize that all of Trumps lawsuits aren’t actually claiming fraud. He’s trying overturn the elections in court through technicalities within mail-in voting because he knows that he lost the mail in votes by an extensive margin.

On election night, Trump tried to prematurely claim victory due to the fact that most states counted in person ballots first, then early and then mail in. Trump knew this and was trying to make it seem that the results on election night represented the country as a whole /2

when it really just represented those who voted in person on Election Day, which tends to favor republicans heavily. Trump knew this would happen and knew that his numbers would dwindle throughout the next few days when mail-in and early ballots would begin to be counted. /3

Nearly all counting, opening, and scanning rooms had cameras available to the public. His few claims of fraud are based on little video evidence but rather what people say. Which would be trustworthy, if they claimed fraud in court, which they don’t. He has used all of these /4

[thread]

As we approach "the last throw of the dice"

I would like to do something I haven’t done enough of

Congratulations to 37.4% of the electorate

On the 23rd June 2016 you won

Congratulations

No one can take that away from you

You

Indeed I would like to be the first one to congratulate Boris Johnson

Whatever happens in the next few days

Well done Boris

Whether he gets as a deal

Or indeed no deal

Congratulations on the "win"

You will desperately sell what you won was a "win"

If a deal then with a sale of a side measure of scapegoating narrative as to why it wasn't better

If no deal then the side sale will be the scapegoating as to why

As it will always be someone else's fault

Can I firstly apologise - its obviously because I didn't believe enough or talked the country down

I am not certain which will be sold more desperately

A really shitty deal

or no deal

Mr. President
Thank you for an amazing rally
It was great to see the First Lady as well
Please know your courage is lifting our Nation
We support you & will not back down from this travesty
We're praying for you & your family
God's Warriors stand with you
@realDonaldTrump @FLOTUS

America prayed mightily when u were sick
God answered our Prayers
Millions of us pray now for America
This war is for our children, our grandchildren & beyond
We see the evil, the theft & it cannot stand
God hates it & we hate it with a righteous anger
God Blessu @realDonaldTrump

Mr. President
Millions of us thank God for u
Please know the hate is from the pit of hell
We are all sinners, yet God uses us & is using you tremendously. Hold the line Sir. We have your back
We'll win this righteous battle. Americans are getting stronger daily @realDonaldTrump

Many of us know the evil you are battling behind the scenes. We pray for you & your team & that God keeps His Hand upon your missions to save the helpless & those without a voice. We pray this in JESUS name
Thank you President @realDonaldTrump

THREAD (long): Many fellow musicians posting their Spotify year-end numbers. I'll preface this by saying my numbers aren't that impressive, and it'd be easy to dismiss this thread as sour grapes. In fact, I *did* feel pretty badly about it, and that got me to thinking...

Why? I had a nice year professionally! A movie I scored was #1 on the Netflix Top Ten Movies List. I released two albums and my first vinyl LP. I scored an episodic series (yes, for Quibi, but still... I enjoyed it!) and composed cool music for some brilliant filmmakers.

As I reflected I realized that, of course, this is exactly what Spotify wants me to feel. It wants me to give in to the human urge to compare my success to others'. It wants me to blame myself for any perceived failings, and it wants me to redouble my efforts on their platform.

Posting our numbers promotes that cycle, and also serves to drive up traffic. Does it help us? Many pixels have been spilled on pathetic streaming royalites-- we know they are unlikely to help most of us achieve anything approaching a middle class lifestyle in a major city...

So what are independent artists really supporting by posting these wrap ups?