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Saved by @jay_millerjay

I am done giving this doctor or team grace. I started with "We are tremendously grateful for all you are doing." He seemed irritated to speak to us. Literally I asked, "What is the likelihood our mom will die on current support, in the next 24 hours, so we can plan travel?"

 He hammered us with how severe this was and that was. Yes, that is why I am asking the question. "We are asking you to be a thought partner so we can make responsible decisions as the family." I had had pre-conversations with doctor friends to understand the numbers and prognosis
He said "It would be illegal for me to tell you that she won't die, then she dies." Yes, that is why I said LIKELIHOOD - critical care docs deal in likelihoods. It so frustrating to be on this side and not get a fraction of the standard that I have been held to and hold myself to
Then I made the error of saying, "I'm a pediatrician, I literally do this work on family-centered, compassionate care." to which the charge nurse answered, "It is not the work we do. We keep people alive." End of life care IS your job. Planning IS your job. It's not just numbers
Compassion is not only a pediatric thing while critical care/end of life can proudly lack it. I've had more end of life conversations than I want to remember. My mom is not numbers. She is a human being. I am modulating my voice, complimenting you, leveraging my network.
My sister in NJ and I are literally trying NOT to be another critical care patient in a car pile up. This is something an ICU doctor and team should respect. I'm not saying do aromatherapy or music therapy. https://t.co/Oeyyibw6kH
My mom was awake and alert last night. We asked to speak to her. No, she has no cell phone. There is a way. You can bring your spectralink in.

I know busy. I did 22 admissions one night while doing crosscover. I want to say "burnout" but this sounds like culture.
Thing is you can't win. In a hospital with the iPads and all the resources, there is a higher likelihood of racism/bias. I do NOT think there is any racism here. I think that places that are staffed by minoritized and see minoritized patients often lack resources and compassion.
He seemed to be having a different conversation. And threw in so many things like "if she had a cardiac arrest we should not resuscitate" then my sister asked, "so you would resuscitate?" He said, no she is full code we are legally required to. It was haphazard and hard to follow
I finally got the information that was needed. >50% or <50% chance of her dying in 24 hours. Do I need to rush to get on a flight today? No, she is not "crashing and burning" - uff, my mother is not a bombed aircraft. Tell me in those numbers you love. >/< 50%?
I'll get through this. When on the other side, I am going to follow up with this hospital. This is just not okay

This team is actually making their own jobs harder. All my doctor friend conversations result in a pragmatic realism, not anxiety. I am trying to make safe decisions
But you know how this could go. The average family, including doctor family, might be internally arguing, getting conflicting opinions, and then rather than us de-escalating the clinicians to communicate with us, they would be dealing with fights.
So, I'll get the data from nurses and then I'll keep interpreting it with my trusted doctor-friend-advisors. I am not going to go into that vortex of stress again by asking for information that is given in ways that are anti-communication.
Thing with critical care is numbers do tell the story. FiO2, PEEP, vent settings, P/F ratio, vitals, pressors, etc, etc. I am grateful I have these external resources. My family is able to manage ourselves despite uncertainty and align, share the work, manage.

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\U0001f1fa\U0001f1f8 Jules \U0001f1fa\U0001f1f8
🇺🇸 Jules 🇺🇸...
@mayweliveasONE
2021 Predictions‼️

Made by James Howard Kunstler

👇🏻👀

Kunstler is said to be one of the best thinkers and authors of our modern era. He’s well known as an expert in energy economics, among other topics.

He is NOT a fan of Trump which makes his predictions even more interesting.

1) The election is re-adjudicated, fraud subtracted from the tally, and President Trump is declared the winner.

2) The mail-in vote for the Georgia Senate seat runoff is disqualified as systematic fraud is revealed. Stacy Abrams is indicted for organizing the fraud.

3) A number of political celebrities, DC swamp rats, K-Street hustlers, media figures, and tech company executives are arrested and charged with serious crimes around election fraud.

4) The CIA is purged and reduced to a strictly analytical role for advising the executive.
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Billy Bostickson \U0001f3f4\U0001f441&\U0001f441 \U0001f193
Billy Bostickson 🏴👁&👁 ...
@BillyBostickson
1. A little DRASTIC Project you may be able to help with?
We want to collate all references to DRASTIC in academic papers & media articles
Here are a few:
medium article by @emmecola
thorough report by @netpoette
@ColinDavdButler 's Paper
Please add any links to this thread. Tks!


2. More References
Papers by @MonaRahalkar and @BahulikarRahul
Papers by @Rossana38510044 and @ydeigin
Medium articles & papers by
@gdemaneuf & @Rdemaistre
Papers by @flavinkins (Daoyu Zhang)
Papers by "Anon" & "interneperson"
French News - le Monde
Can anyone remember any more?

3. More References
Papers & Blog Posts by @Harvard2H (Sirotkin & Sirotkin)
260 Questions for WHO collated by @billybostickson
If you find mentions of our individual names or "DRASTIC" in Papers or News, please forward here to this thread as links or screenshots.

Histoire du COVID-19 – chapitre 6 - Partie 2 : Pourquoi le séquençage complet du virus RaTG13 n'a pas été communiqué par Shi Zheng Li avant février 2020 ? https://t.co/MYEZZSAzaE


SARS-CoV-2: lab-origin hypothesis gains traction
BY ANNETTE GARTLAND ON OCTOBER 12, 2020
https://t.co/sPs1y8Herg
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Not Chris Nandor
Not Chris Nandor
@pudge_nandor
From @jack:

Starting now, we are changing the way we do things at Twitter. Even though we have been following policies we created, that we thought were good and necessary, it just hasn’t had the desired effect of promoting good discourse. Effective immediately, we are changing.

The basic principle that now guides us is that instead of trying to manipulate discourse, we are opening it up, and making ourselves more transparent and accountable, and resisting attempts at censorship of us or our users.

Further, we have been fundamentally operating under the false premise that we, our our news and fact-checking partners, are smarter or better at understanding information than you, our users, are. This is a vain fiction, and we will drop this pretense.

We have long known that we are not just another social media site, but the place where citizens, governments, and organizations communicate with each other, for essential purposes. We have a great responsibility to the public to be open. So, we change to improve.

First: we will no longer proactively delete any content, except for: private information harming a person other than who posted it (e.g. doxxing, revenge porn, etc.), and any content we are legally required to remove.
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Daniel Finn
Daniel Finn
@DanFinn95
Some familiar figures are pushing the absurd and defamatory claim that Ken Loach supports Holocaust denial. The story of this bogus talking-point, which relies upon multiple layers of falsehood and guilt-by-association, makes for a revealing case-study. 1/

It dates back to the 2017 Labour conference. In a NYT op-ed, Howard Jacobson claimed that “a motion to question the truth of the Holocaust was proposed” from the conference floor—a crude fabrication, which the NYT sanctioned in its pages. 2/


If you follow the link supplied by Jacobson or his editors, you’ll see that he was wrong on 3 counts: it wasn’t a motion, it wasn’t at the conference, and it wasn’t in favour of Holocaust denial. Quite the hat-trick! 3/

At a fringe meeting, granted no official status by Labour, an Israeli-Jewish speaker, Miko Peled, had said that he didn’t think Holocaust denial should be a criminal offense (which it is in some European countries). 4/

This is a perfectly reasonable position to hold—that opinions, no matter how wrong-headed or morally objectionable, should not be a matter for the criminal law—and of course it does not mean that Peled himself questions the truth of the Holocaust. 5/
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Chris Jones
Chris Jones
@EnswellJones
Back when I went to Bishop’s University, I managed the student radio station, CJMQ. When I started, it was kind of a pirate station. We had an illegal antenna on a roof, and a couple of residences could get us through the radiators somehow. Nowhere to go but up.

Happily, it was 1993. Pump Up the Volume made it cool to be a DJ. Grunge and indie were huge. We went from, like, 12 DJs to 100 and started acting like a real radio station. God, it was awesome. It was like we were on a quest. It felt like a real crusade.

Eventually we decided to try to get an FM licence. This was no easy feat. The bureaucracy was maddening. It cost a lot. We needed to find a proper tower. Long story short, after two years of solid effort, everything came together: CJMQ was awarded 88.9 on your FM dial.

We were going to launch one blissful night in 1995. I planned a massive party and woke up the morning of, not quite believing we’d finally made it. I went to say good morning to my roommate, David, and… Not a single sound came out of my mouth. Not even a whisper.

I had completely and utterly lost my voice. OH GOD NO. I raced to the pharmacy and scribbled a note to the pharmacist: “I’ve lost my voice, and I really need my voice.” She nodded and retrieved two suppositories. They were each the size of large-caliber artillery shells.
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Act of 1871
This is Long but it will end with a BOOM

With no constitutional authority to do so, Congress created a separate form of government for the District of Columbia, a ten-mile square parcel of land (see, Acts of the Forty-first Congress,”

Section 34, Session III, chapters 61 and 62).
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and neck of America.
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foot in the door of the United States.
The Act of 1871 formed a corporation called THE UNITED STATES. The corporation, OWNED by foreign interests, moved in and shoved the original Constitution into a dustbin.

With the Act of 1871, the organic Constitution was defaced — in effect vandalized and sabotage — when the title was capitalized and the word “for” was changed to “of” in the title.
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Liz (Welsh) Beechinor \U0001f605
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My dad led an organization of over 300,000 employees.

When I took on my biggest marketing & events team to date (35 employees) I asked him how the *heck* he did it. Here's what he said and what helped me every day. 🧵

Remember you're leading all the employees under you, but you're not *managing* them all. You're managing your direct reports, which should be 5-7 individuals max. Focus on them.

When you interact with the employees you don't manage directly, get to know them as people first, that'll be the most valuable information in leading them. Remembering everything you learn about them is hard, but doing so will make you a superhero.

If you're not going to empower the managers under you, why do you have them? If you see room for improvement, let the manager know and let them make the change on their teams and come to you with questions/concerns. This will save you SO much time.

If you're the smartest person in any room - you're doing it wrong. As a leader, your job is bringing together the best people to get the job done - your skillset is identifying those people, not being one of them.
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So it's now October 10, 2018 and....Rod Rosenstein is STILL not fired.

He's STILL in charge of the Mueller investigation.

He's STILL refusing to hand over the McCabe memos.

He's STILL holding up the declassification of the #SpyGate documents & their release to the public.

I love a good cover story.......

The guy had a face-to-face with El Grande Trumpo himself on Air Force One just 2 days ago. Inside just about the most secure SCIF in the world.

And Trump came out of AF1 and gave ol' Rod a big thumbs up!

And so we're right back to 'that dirty rat Rosenstein!' 2 days later.

At this point it's clear some members of Congress are either in on this and helping the cover story or they haven't got a clue and are out in the cold.

Note the conflicting stories about 'Rosenstein cancelled meeting with Congress on Oct 11!"

First, rumors surfaced of a scheduled meeting on Oct. 11 between Rosenstein & members of Congress, and Rosenstein just cancelled it.
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Kevin Murphy
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Maybe they’re envious that you have a passion, maybe they think that their passion is cooler than yours, or maybe they’re just insecure, who knows. Doesn’t matter. /4

What matters is that if something gives you joy, and in the process doesn’t hurt others, then by all means follow it. It’s how we explore our secret hopes, our shadow sides, our inner character. /5
CULTURE