Just got off the phone with a client who hasn’t been able to call because the jail has been taking his money for his meds.

In jail pretrial, they won’t continue you on any medicine you were on previously. You are abruptly taken off because you aren’t allowed to take your meds.

No regard for what abrupt discontinuation of meds will do (from what I’ve seen can range from delusions, delirium, psychosis, suicidal thoughts to actual suicide.) You stay like this while waiting to see medical which can take 20 days- month(s). Longest I’ve seen was 3 months.

After seeing medical, your scripts are often changed to different brands, doses reduced, and only administered once a week. So if you were prescribed something for bipolar— you’d get your one (smaller different brand) dose once a week.

You are then billed for that visit to medical + that medicine that’s administered once a week which is deducted from any money you have in your commissary. Then whatever remains is an open bill which will be taken should your family put more money on your books.

Your commissary is the only money you can access in jail— not only is this how you call home, how you video visit during a pandemic (because in person isn’t allowed), how you get utensils, paper, etc. to write home, but also how you buy necessities that the jail doesn’t provide

Watermelon: Eat Me?
Me: Gladly😋🤤😂

BENEFITS OF WATERMELON
1.Good eye sight
2.Prevent Kidney Disoder
3.Prevents heart problem
4.Helps prevent cancer
5.Heart care
6.Improves sexual life
7.Great for hair and skin

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1.Good eye sight

Don’t worry about eye health if you eat plenty of watermelon, because, between the beta-carotene, vitamin-C, lutein, and zeaxanthin, your eyes are well protected.

These antioxidants will ensure the protection of your eyes from age-related degeneration

2.Prevent Kidney disorders

Watermelon contains a lot of potassium, which is helpful in cleaning or washing out the toxic depositions in the kidney

It aids in reducing the concentration of uric acid in the blood, thereby limiting the risk of kidney damage

3.Prevents heart problem

The presence of potassium and magnesium in watermelon helps to bring down blood pressure.

Potassium is helps releases the tension of blood vessels and arteries, thereby stimulating increased blood flow and reducing stress on the cardiovascular system

4.Helps prevent cancer

Watermelon has an impressive level of lycopene, a carotenoid phytonutrient compound that is increasingly being linked to cancer prevention

I am not full sure people appreciate the impact of B117 strain on the course of the pandemic. TL;DR B117 is "a pandemic inside a pandemic" and demands both monitoring and preparation for when it arrives in a location. Vaccination is even more of a priority due to B117.

Context: I am an expert on human genetics and computational biology. I know experts in viral evolution, testing, infectious epidemiology, clinical trials. I have COIs in that I am long established consultant to @nanopore and I am on the Ox/AZ vaccine trial.

B117 clearly transmits faster. This has been clear in a UK context now for over a month, with particularly insightful backtracking of growth of B117 from low levels through October/November; it is true in Denmark; it is true in Ireland.

(Shout out the fast responding science of @CovidGenomicsUK, of the analysis of @jcbarret and @arambaut, of clever genomics-epi models of @MoritzGerstung and @harald_voeh and on it testing / spidey sense of @The_Soup_Dragon)

(In Denmark their excellent genomic surveillance, similar to UK's allows Denmark to know about the growth of B117 from low level in the context of other strains - props to @MadsAlbertsen85 and colleagues; In Ireland it is becoming one of the dominant variants)

🔥The unexpected consequence of too much sitting 🔥

The negatives of a sedentary lifestyle are widely known❗️

One issue that doesn't get mentioned enough is GLUTEAL AMNESIA, also known as the "dead butt syndrome".

Thread - Read more 👇

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GLUTEAL AMNESIA, also known as the "dead butt syndrome" simply means:

➡️ Your gluteal muscles have been "unused" for so long that they now fail to activate whenever your body needs them to

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Role of the Glutes:

➡️ Play a major role in the way our body moves

➡️ Not just there for aesthetics

➡️ Crucial for keeping our torsos upright, moving/rotating of the thighs & walking/running

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GLUTEAL AMNESIA ⁉️

➡️ Glutes get so weak that they forget to activate

➡️ Consequence: Other muscles need to compensate - such as your lower back muscles or hip flexors

➡️ This can cause all sorts of problems such as lower back pain, knee pain & poor posture

Thread (4/9)

How do you know if you suffer from the "dead butt syndrome"?

➡️Glute amnesia can vary in severity

Here's a simple test:

➡️ Do 10 glute bridges (video 👇)

🛑If you feel them more in your quads or hammies than in your glutes, you know you have some work to do.

These are two remarkable virologists: Pyotr (on the left) and Konstantin Chumakov. They are brothers, Pyotr us one year older. Their parents were famous Soviet virologists Mikhail Chumakov and Marina Voroshilova.

Today Konstantin Chumakov is an associate director of vaccine research at the FDA and a US citizen. Pyotr Chumakov used to be the director of an laboratory in Cleveland but returned to Russia after accepting a “mega grant” and becoming the head of

the Laboratory of Cell Proliferation at the Engelhardt Institute of Molecular Biology in Moscow. Both brothers were educated at the Moscow State University.

Konstantin Chumakov started his scientific work in molecular biology and eventually moved to medical applications. Pyotr studied medicine and although he become famous because of an important discovery in biology, he has always treated patients.

According to Konstantin Chumakov the two of them are in constant contact by Skype and are very close.

good morning! while we wait for @AusPublicHealth to begin their weekly update, here are some things you might've

APH Director Stephanie Hayden starts out talking about the new portal system that pre-registers people for the vaccine, tho the site was down earlier. Not sure if that's still the case.

She stress that vaccine supply is still very limited at the moment.

Says there is not enough vaccine for the entire community yet simply "because we don't have it."

.@MeaEscott says we can't vaccinate ourselves out of the current surge, and we can still take measures to protect ourselves.

Says "we're all frustrated by the number of vaccines available" but protective measures will have to continue until that supply grows.

First Q is about positivity rates in school-age children.

Escott: I'm concerned about positive rates in young people. The situation is different from earlier: Positivity rate is 4x as high as fall and now we have a new variant.

Says it "will be a struggle" to control outbreaks

1/Part 2 on #diabetes #prevention based on the @TheLancet diabetes commission report.

Individual level prevention of type 2 diabetes (T2D) gets a lot of attention. Part 2 reflect this - but don’t worry, there will be more on the other levels in part 3..

Let’s get going..

2/Several large randomized controlled trials (RCT) have shown that lifestyle interventions (diet, exercise, metformin) can prevent/delay onset of T2D as well as prevent later complications like cardiovascular disease and eye disease.

3/This has led to the implementation of diabetes prevention programmes for people at high risk of T2D in some high-income countries (HIC) like Germany, Finland, USA, UK, Poland and Singapore.

4/Evaluation of such real-world interventions is important as they may not provide similar benefits as in the RCTs that included volunteers that were very closely supervised. Evaluation of the US DPP has observed favorable weight loss at 1 year. Similar efforts are underway in UK

5/Although the individual level interventions overall work when there is adherence, it is often only a small proportion of the population that can adhere over time. Hence...

🚨New paper on "Psychology as a historical science" w/ @JoHenrich & @slingerland20 in Annual Review of Psychology. Catalyzing the field of "historical psychology" by reviewing work on: origins of psychology and institutions today, psychology of the past (data from dead minds) 1/

Our psychology is shaped by our societies, and our societies are shaped by their histories. We can do better than butterfly collecting--just measuring cross-cultural diffs. For psychology to develop a full theory of human behavior, we need historical psychology. 2/

Psychology is shaped by millions of years of genetic evolution, thousands of years of cultural evolution, & a short lifetime of experience; yet, much of the field has focused on that short lifetime of experience. The WEIRD People Problem is not only about geography but history 3/

Past societies can be as culturally distant as distant societies. Cohort effects are a sliver of the cross-temporal variation we would expect in a culturally evolving species. History serves as a kind of psychological fossil record, a source of "data from dead minds". 4/

We (1) review work in historical psychology; (2) introduce methods including causal inference & how to extract data from dead minds; (3) explore the role of theory in mapping history to psychology; and (4) provide some conclusions concerning the future of this field. 5/

Infant Esoterica:

CONSENSUAL BIRTH PLAN: We did homebirths for both. No meds, no interventions. They went great, wouldn't have changed a thing. Hospital ten minutes away in case we needed it. The important factor is that we CHOSE how we'd give birth. It was fully consensual.

Lack of meds, synthetic oxytocin, pain meds—all that stuff mattered too and if you can skip 'em, it's ideal, but the main thing is engineering a harmonious, celebratory entrance for the kid. That could be in the hospital. That could be at your home.

Figure your plan out.

I won't go into breastfeeding. Obviously you want to do that. To explain fully why would take an entire thread. Maybe later.

Skin-skin contact with both parents is essential. Chest to chest. Doing as as early and often as you can --> lasting connections.

DEAD HANGS: From day one, a baby can hold his own weight dangling from a bar. Many ways to test.

Lay them on their back on bed or soft surface, get them to grab your thumbs and start lifting up. They'll come off the ground and relinquish grip when tired. Repeat.

Your baby will just hang fully from your thumbs and drop when done. Do this over a bed, somewhere soft they can safely drop. Expect laughter.

If you do this from day 1 and never stop, you build powerful grip strength. ie normal grip strength, the grip they're meant to have.

Government deputy chief medical officer Dr Jenny Harries and DfE chief scientific adviser Osama Rahman are among witnesses giving evidence to @CommonsEd shortly on the science of school closures. Stay tuned for live

First question to the scientists is about school reopenings.

Harries says ambition "should always be that schools should be open where that is appropriate", but there's a caveat around "current epidemiology" and "very high rates" seen recently.

#edselctte

Rahman says government will be "looking at what the balance of risks are" and doing continued monitoring.

Asked if there could be a regional or phased system of reopening, Harries says it's "highly likely" there will not be consistent patterns of infections

#edselctte

"It may well be possible that we need to have some differential application, but as Osama has said, clearly schools will be right at the top of the priority" - Harries

#edselctte

Harries adds it's "likely that we will have some regional separation of interventions"

Rahman says DfE's contingency framework is aligned to the tier system "so it may be that that is appropriate"

#edselctte

📦 FREE SCHOOL MEAL PARCELS EXPLAINED

🍏 I’ve had a number of questions today about the parcels that have been going out for those who receive free school meals and aren’t able to take up this entitlement in school at the moment.

🌽You may have seen photographs circulating on the internet showing a box of food that had been distributed by a contractor. It was claimed this had food in it that was meant to last ten days.

🧀 The food in the picture was actually only intended for 5 days, not 10, and cost £10.50 not £30 as has been suggested by some. The company responsible have however acknowledged that it could have been better.

🥕 The food is supposed to be a substitute for the lunch children would be missing in school - it’s not intended to be food for the whole day and it is not intended to feed the rest of the family either.

There are however other schemes available for struggling families who need this as part of the Covid Winter Plan.

🧵.@ama_media GPs will soon be able to access new telehealth Medicare items for smoking cessation consults where they can write scripts for nicotine e-cigarettes.

From October, a doctor’s prescription will be required before a person can legally import nicotine e-cigarettes and

liquid nicotine.

The move is designed to curtail use of e-cigarettes, particularly among the young.

But it will also mean more GPs will be able to prescribe them to patients as a smoking cessation product of last resort, and potentially without having to go through the TGA’s

special access scheme.

To support the change new telehealth MBS items will be rolled out from March — although as yet there are few details on which patients will be eligible, what the consults will involve or the rebates.

The AMA says it fears they could be used by a small

group of doctors happy to prescribe e-cigarettes long-term to individual patients.

It has called on the Federal Government to prevent patients claiming the item without an existing face-to-face relationship to their usual GP or their practice.

“We are very concerned about the

idea of a specific item number that would be purely there to facilitate vaping to people with no intention to quit,” @amapresident president @omarkhorshid82 Dr Omar Khorshid said.

“The normal telehealth item numbers are linked to a patient’s usual GP and we wouldn’t want this

JUST IN

"Our healthcare system is at a breaking point."

@MuhyiddinYassin

JUST IN

The government has decided to implement a Movement Control Order (MCO) for 14 days from 12.01am, 13 January 2021.

@MuhyiddinYassin @MKNJPM @KKMPutrajaya

The states under MCO are Penang, Selangor, Melaka, Johor, Sabah and the Federal Territories (KL, Putrajaya, Labuan)

"Social activities that involve large gatherings are not allowed."

@MuhyiddinYassin

"Interstate travel is not allowed nationwide."

@MuhyiddinYassin