Can any MP ask the government why early treatment kits to stop viral replication & infection are not made available cheaply & prescription free in pharmacies as they are in India? Is it lives we want to save or is it Big Pharma profits? Because the two are mutually exclusive.

There could even be competing kits, & the decision which to take could be left to doctors & patients, as happens with most medicines. The problem is that there is not one of these kits available cheaply & prescription free anywhere in the West.

Doxycycline, Ivermectin, Azithromycin, Hydroxychloroquine, Zinc, Vitamin D, Vitamin C, omega-3s, all approved as safe drugs decades ago. This is clearly not an issue of safety. It should be left to a doctor's experience & judgement whether they are effective or not, not academia.

A GP could simply state on his website: of all the kits I recommend Kit Z, then Kit Y etc. No need to wait hours for consultations, as soon as the symptoms are clear the self administered treatment begins, and thousands of lives are saved, as well as hospitals remain underwhelmed

There is no need to go to ER or ICU if people can buy early treatment kits from pharmacies. There is no need for any hospital to be overwhelmed. This problem could be resolved in days. There is simply no political will to save lives as it means to go against Big Pharma profits.

New Cannabis Based Menu for Chao Phraya Hospital patients (service being rolled out to other hospitals too)
"This cannabis special menu is bringing different parts of the cannabis plant to use with leaves to cook as ingredients in food" #cannabis #Thailand

Whilst patients in the UK are still being denied with almost no progress with #NHS Amazing to see how much progress is being made with #cannabis as #medicine in #Thailand is the same 2 year period:

A Thread: 1/10 #Thailand allowed #cannabis #medicine in Jan 2019, 2 months after the UK.
NOW:
Is approved for 160+ conditions (everyone!)
Village doctors, clinics and hospitals can supply approved products or grow and produce their own, from nearly 100 approved formulas

2/10 - Average monthly prescription cost is £20-£30.
Educational programs started for the Medical Profession within 3 months, for many others at 6 months and school kids after a year. (Google Dr Ganja - see photo)

3/10 - Shortly they will launch a new policy for any individual or collectives to grow #cannabis for #medicine for themselves and any surplus material can be sold to the government for use in centralised production.

#Thread on Tantra

The word ’Tantra’ literally means ‘loom’ in Sanskrit. There are several differing explanations as to what this word means. According to one source, this name is supposed to be a pun, and in order to understand it, one has to first understand the word ‘sutra’.

The key texts of Hinduism are known as sutras, a word which also means ‘formula or thread’. Therefore, if a sutra is a single thread of thought, then Tantra would be the loom that produces these threads of thoughts into a whole system of thoughts.

As a comparison, another source suggests that Tantra is a combination of two words, ‘tattva’ and ‘mantra’, which mean the science of cosmic principles and the science of mystic sound and vibration respectively.

In other words, Tantra may be regarded to be “the application of cosmic sciences with a view to attain spiritual ascendancy.”

In the beginning of Satyuga, Lord Shiva appeared in the form of Swacchandanatha, with his five mukha(mouth), namely Ishana, Tatpurusha, Sadyojata,

Vamadeva & Aghor. These mukhas represent his 5 energies, namely, Consciousness, Bliss, Will, Knowledge & Action. He manifested Tantras through his 5 mukhas (energies), some given by each of his mouth while others recited by him through two or more than two mouths simultaneously.

I gave masks the benefit of the doubt in the spring/summer of 2020. I have since changed my mind and see no scenario where it makes sense to wear them in public.

Even if they provided 100% protection, I believe masks to be harmful. An explanation below 👇👇👇

Let's say masks provide 100% protection to both the wearer and others (perhaps non-masked individuals) in close proximity. This is perhaps the worst scenario.

The immune system requires a consistent influx of both microbes and viruses to remain trained.

Halting the exposure to microbes and viruses is extremely harmful in the long run and leaves you exposed to enormous risk in the future.

Without training, you will become susceptible to even weaker microbes that your immune system would have normally handled with ease.

This is no different than laying in bed for a prolonged period of time. Walking up stairs, an activity that normally would not be a challenge, would all of a sudden become difficult.

Your immune system would slowly degrade similarly not able to complete previous tasks.

This is particularly harmful to children who's immune systems do not have the training of adults and would leave them more vulnerable. Children have the most life to lose so it harms them the most.

So many people don’t realize that they have OCD because actual obsessive compulsive disorder is rarely talked about openly. So here are the basics: 🧵(thread)

I think that a lot of people forget that OCD is a mental illness, emphasis on the MENTAL. When it’s portrayed on TV, it’s always shown as a very behavioral disorder. And while it’s true that overt behavioral compulsions are part of OCD, they don’t begin to tell the whole story

OCD stands for obsessive compulsive disorder. That’s obsessive thoughts and compulsive behaviors. The OCD cycle is the cycle of obsessions that lead to compulsions that lead to more obsessions that lead to more compulsions etc etc etc.

People with OCD experience intrusive thoughts (which become obsessions.) Intrusive thoughts are unwanted and invasive, and they’re generally REALLY disturbing. It’s a common misconception that people with OCD are exclusively concerned with tidiness and cleanliness. This is false

TW/ OCD subtypes

Intrusive thoughts can be about anything, but there are a few common “subtypes” of obsessions. These include harm OCD, self harm OCD, sexual OCD, pedophelia OCD, relationship OCD, contamination OCD, religious OCD, moral OCD, health OCD and “just right”

I entered this conversation thinking that I already knew the story, in a way. Dr Wodarg had succeeded in preventing the WHO from creating a fake pandemic in 2009. He thought the world wasn't silly enough to be fooled twice, but he'd been wrong. 1/9

He'd previously had ready access to mainstream media and found this suddenly cut off when he opened his mouth to voice his concern about the hysterical mania of Covid. The comically corrupt whom he'd vanquished all those years ago had been waiting for him. 2/9

All sorts of web entries about his courageous and humane career in public health and politics had morphed into caricatures that painted him as a freak; a "denier", as the post-modern parlance goes, with no means of redress. 3/9

This much I knew before I even started asking questions. What I hadn't expected was to find political correspondence with him, & we found that all of a sudden towards the end of the interview. He calls himself a socialist, I call myself scale dependent, & stop there. But ... 4/9

... it turned out we'd kindled the same central concept—subsidiarity. Subsidiarity is a principle in social organisation holding that functions which are performed effectively by local organisations belong more properly to them than to a dominant central one. 5/9

“Should I give them more fluid?”

Extremely common question during AKI referrals from junior docs.

⛔️ Fluid management is tricky, often misunderstood, & can cause huge iatrogenic harm ⛔️

We try to convey important principles in THREAD 👇

#tipsfornewdocs #medtwitter #tweetorial

Currently too often patients with high creatinine are given too much IV fluid, driven by an AKI ➡️ fluid reflex

We’ve seen 7 litres be given in one shift.

Medics & surgeons, juniors & seniors, it seems everyone loves to reach for extra IV fluid (especially if urine output poor)

Why does huge volume IV fluid ‘resuscitation’ consistently occur?

Lots of reasons, including FALSE beliefs:
🛑 IV fluid always “treats AKI”
🛑 Hypotension = hypovolaemia
🛑 Lactate >2 means fluid deficiency
🛑 Septic patients are very hypovolaemic

The rule with IV fluids and AKI is to remember this 5 word phrase:

💥 💥 Aim for euvolaemia, then stop💥 💥

Fluid status is like Goldilocks - hypovolaemia is bad for the kidneys BUT excess volume is also harmful for renal function and will cause other complications too.

It is easy to say “target euvolaemia” - but we agree it is more difficult to do!

Fluid status assessment is certainly made harder by a belief that we must only rely on a snapshot assessment of examination features which are NOT specific / sensitive / reliable to elicit like.…

Mistakes natural lifters make

THREAD ⬇️

1) Bro Splits

Let's start off with the big one.

A natural lifter needs the actual training session to trigger the increase in anabolism that a steroid user will get 24/7.

After a workout, anabolism/protein synthesis is elevated for roughly 30-36 hours.

So training a muscle once a week is sub optimal as you're getting 30-36 hours of enhanced growth out of a 168 hour week.

Whereas if you train a muscle 2-3x per week this goes up to 60-72 hours or even 90-108 hours of enhanced anabolism, leading to faster growth.

Obviously there will be some individual differences here, but as a natural, if you only train a muscle once per week, you're leaving a good chunk of gains on the table.

It's optimal to spread your total weekly volume out across the week by increasing your frequency.

2) Not getting strong

If you get strong on the basic lifts and their variations such as the squat, deadlift, presses, rows and chins, I guarantee your physique will show it.

Take your squat from 225lbs x 10 up to 315 x 10 your legs will be bigger.

Stop fucking around!

I’m going to tag this as a little tutorial for @MichaelYeadon3 who keeps saying that there’s no problem from the suppliers of medical ‘gasses’

Most hospitals in the U.K. run their O2 supply from a Vacuum Insulated Evaporator (VIE)

https://t.co/Lu9ktGFSSm

1/n

This VIE is essentially a large thermos flask/ vacuum insulated cylinder at -180C
O2 is supplied from (typically) BOC in liquid form; when required, allowed to evaporate into gas, & supplied to hospital outlets.

Most hospitals have a VIE big enough to meet their needs

2/n

The problem is the pipes

Most ~12 bed ICUs have pipes that allow ~400L/min flow

This is Ok because most ventilators don’t use >20l/min; giving useful buffer capacity

Modern non invasive ventilation systems- CPAP, NIV, and High flow nasal Oxygen (HFNO), however, need more
3/n

A typical patient on HFNO will have 60-80Lmin flow. If they’re on 90% O2, that’s 60L O2 for 1 patient

6 of these patients will come very close to triggering the O2 flow alarm for this 12 bed unit.

4/n

Aside from breaking walls and re engineering the O2 supply for the whole hospital there’s no easy way of solving this problem
5/n

Syngene & CRAMS are synonymous in the Indian stock market today.

From Early Discovery to Commercial Supply

NMEs cater to

~Pharmaceutical
~Biotechnology,
~Nutrition
~Animal health
~Consumer goods
~Speciality chemical

In this thread, let’s deep dive into their FY20 AR

1/
Syngene works with clients from around the world to find solutions to their research, development, and manufacturing challenges for small and large molecules while improving productivity, speeding up time-to-market, and lowering the cost of innovation.

Syngene At a Glance

2/

Plans

~Capacity Addition
~Capacity Expansion
~Partnering for Success

Vision: “To be a world-class partner delivering innovative scientific solutions”

3/

Kiran Mazumdar Shaw, Chairperson’s Message

4/

Jonathan Hunt, MD & CEO’s message

On #Cis [Sic]

The neologisms 'cissexual' and 'cisgender' were coined by Volkmar Sigusch in the late 90's https://t.co/KkhxJrldmS
Prevalent usage of the term Cis/Cisgender has since grown to imply the existence of a metaphysical precondition: something called 'gender identity' 1/

and some kind of weighing up of the 'fit' between that thing ('gender identity') and one's sex. As the theory goes, everyone has a 'Gender Identity' which 'fits' or 'matches' the sex which - again *according to the theory* - one is 'assigned' [sic] at birth.

Problems so far:
2/

1. 'Assigned at birth' is a term appropriated by Gender Identity Ideologues / lobbyists from intersex / VSD Communities for whom it has a painful historical resonance. Pleas for it not to be appropriated fall on deaf ears. The term has zero rational basis for application in 3/

most human births.
2. The 'Gender Identity' thing requires acceptance of the notion that humans have a pre-cultural capacity for orienting ourselves to modes of 'gender expression' i.e. dress, mannerisms, habitus, demeanour & so on. This capacity / spirit ('Gender Identity') 4/

is the 'thing' which somehow interprets its correctness or otherwise against one's sex. To expand on this process: a human male or female cross-checks the mysterious contents & characteristics of his or her 'gender identity' against their bodies and concludes a 'match' ('Cis) 5/

Health officials should stop hiding behind the law to impose its unjustifiable increased contribution rates.

PhilHealth is allegedly forced to require higher payments from members as this is a provision of the Universal Health Care (UHC) Law.

Totoo ba ito? NO.
1/

True, increased PhilHealth rates are part of the UHC Law. In fact, it is one of the controversial provisions that oppositors wanted to remove or change.

But even if the increased rates are part of the law, is govt really forced to implement it? NO.

Are there precedents? YES.
2/

The Magna Carta of Public Health Workers (1992) states the benefits that govt healthcare workers are entitled to.

But to date, these benefits are not all given to HCWs in govt hospitals. Govt refuses to provide funds for these benefits.

So HCWs still have to fight for these.
3/

The Nursing Act of 2002 states that Salary Grade 15 is the minimum base pay for nurses in govt service.

However, from the outset, govt refused to implement this provision despite pleas and demands from nurses.

The Supreme Court finally decided in favor of the nurses in 2019.
4/

But what did govt do? It distorted the law and SC decision by insisting a wage increase ONLY for Nurse 1 nurses.

Worse, Nurse 2-6 nurses were demoted and the Nurse 7 level was removed, leading to outrage and demoralization.

Yes, govt has a history of NOT implementing laws.
5/