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It's a very different perspective when we realize that our bodies consist of an entire ecology of bacteria and viruses that are also passed to our ancestors. Mammals rear their young and as a consequence transfer the microbiome and virome to their offspring.


What does it mean to treat our individuality as ecologies? We are all ecologies existing in other ecologies. Nature is constantly performing a balancing act across multiple scales of existence.

There are bacteria and viruses that are unique to your ancestry as that of your own DNA. They have lived in symbiosis with your ancestor and will do so for your descendants.

It is an empirical fact that the microbiome in our stomach can influence not only our own moods but also our metabolism and thus our weight and health.

It is also intriguing to know that brains evolved out of stomachs and that our stomachs contain hundreds of millions of neurons. Humans can literally think with their gut.
I have now re-examined this document:


It clearly does indicate both the risks of bacterial infection & to prescribe broad spectrum antibiotics as part of treatment:
"Collect blood cultures for bacteria that cause pneumonia and sepsis, ideally before antimicrobial therapy. DO NOT
delay antimicrobial therapy"

"6. Management of severe COVID-19: treatment of co-infections
Give empiric antimicrobials [broad spectrum antibiotics] to treat all likely pathogens causing SARI and sepsis as soon as possible, within 1 hour
of initial assessment for patients with sepsis."

"Empiric antibiotic treatment should be based on the clinical diagnosis (community-acquired
pneumonia, health care-associated pneumonia [if infection was acquired in health care setting] or sepsis), local epidemiology &
susceptibility data, and national treatment guidelines"

"When there is ongoing local circulation of seasonal influenza, empiric therapy with a neuraminidase inhibitor [anti-viral influenza drugs] should
be considered for the treatment for patients with influenza or at risk for severe disease."
THREAD - Doctors want to fix “surprise bills” more accurately called unpaid insurer bills but today’s “agreement” is NOT the right fix for patients

It’s just a big boost to insurer profits & will shutter independent physician practices & rural hospitals!

1/x


The Independent Dispute Resolution (IDR) in this compromise directs arbiter to consider “in network median rates” when settling disputes which is a sham arbitration & tantamount to benchmarking aka rate setting

Who dictates in network rates?

Insurers!

2/x

This bill prohibits use of charge data (aka usual & customary) which is another way of saying doctors must accept whatever poor contract terms or low balled payment offers insurers are jamming down their throats

This is just giving more power to profitable insurers

3/x


The reason why arbitration works in states like NY, TX is that it levels playing field, directs arbiters to consider independent price database like @FAIRHealth that can’t be manipulated by either side

Insurers have total control over “median in network” rates w their monopolies


When insurers have control over terms of arbitration, they will do everything in their power to do what any respectable publicly traded corporation will do: tilt the terms in their favor to increase
I disagree with you, Alastair. I believe @PanData19 is filling in the gaps that governments have failed to fill. I encourage you to have an open mind and listen intently to what we have to say. 1/n


Here’s how @PanData19 is approaching this crisis differently from governments:
We believe that "health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity."- @WHO 2/n

To tackle the problem holistically, we have formed a multidisciplinary team made up of immunologist, microbiologist, geneticists, data scientists, physicians, economist, psychologists, educators, public health professionals and business owners. 3/n

We have also backed ourselves with a scientific advisory board made up of prominent experts in their fields.
@MartinKulldorff
@SunetraGupta
@MLevitt_NP2013
@MichaelYeadon3
#JayBhattacharya
#SucharitBhakdi
They are supporting us every step of the way. 4/n

We believe that "the right to health is one of a set of internationally agreed human rights standards, and is inseparable or ‘indivisible’ from these other rights.” @WHO 5/n
I came across this tweet from "Caroline Mansfield" about my local hospital being "empty".

So let's take a look:

First up, some warning signs:
1) A generic username, and another real Twitter account (I've emailed)
2) No registration with GCRN
3) Only recently joined Twitter


On to the Issues.

Issue No. 1: Barnet Hospital isn't actually IN Hertfordshire. It's in Barnet, with an Enfield postcode.

Which is confusing, but wouldn't be counted in Hertfordshire's hospital admission data.


Issue No. 2

Barnet is actually VERY busy with COVID cases, with 22% of our ENTIRE pandemic caseload in the LAST 7 DAYS ALONE

Source:
https://t.co/IECfMo8FAK


Issue No. 3:

Barnet Hospital is seeing incredible pressures, the trust (The Royal Free Trust) has cancelled most non-urgent and routine work,

and as of 23rd Dec had admitted 244 patients with COVID, roughly half the peak of March, and climbing v. fast.


Issue No. 4
Even busier is Intensive Care - the whole trust only has 57 beds (23 - Barnet & 34 at the Royal Free Hospital).

As of 23rd Dec, 40 of them were occupied by COVID patients. That's 70% of the ENTIRE CAPACITY used up by COVID ALONE.

Source: https://t.co/zGmMSuoywN