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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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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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Sarang Sood
Sarang Sood
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THREAD ON IRONFLY

These days the most preferred strategy for option sellers due to improved margins is IRONFLY. It's essentially a short straddle with long strangle. Long strangle acting as 'WINGS', which help in capping the unlimited risk associated with a short straddle.(1/n)

You can also view the position as a combination of Cal & Put credit spreads, if that makes it more easy for you.

There are 3 important things to understand while trading this strategy:

1) Initial size of the Wings
2) Risk Management
3) Adjustments

(2/n)

Since we are selling an ATM straddle, the 1st question is how far our wings should be? Ideally i sell .50 delta straddle & buy .20 or .10 OTM strangle, depending on my view on volatility. So the distance of wings depends on the IV setup. Higher the IVs, greater the distance.(3/n)

If you don't understand greeks, then ideally with 30 days to expiry (dte), wings should be around 300pts either side. If your trading in weekly then it should be not more than 200pts. Higher the premiums, higher the distance as we have more cushion of theta. (4/n)

It is important to understand that we need to reduce the distance of wings with time so as to manage our RISK in gap openings or sudden volatile move. So for eg. if you started with 300pt wings with 30dte, the wings wouldn't give the same protection when there is 7dte. (5/n)
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Rosemarie Maughan
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I was asked to do a tweet on how to be a good Minceir Ally. So here are my thoughts ... Other Minceiri are welcome to add.
Allies can do the actions you can.

Learn about Traveller Culture, history and issues affecting us from us not others. You can do this by checking Traveller org websites, chat with us, invite us to give inputs in your place of work.

Educate others and challenge Anti Traveller racism when you see it.

Get to know Travellers locally and local issues. Support the work of local and national Traveller orgs.

Get to know Travellers locally becoming friends. Invite Traveller children to your parties/playdates. Let your children go to Traveller children parties,playdates in their home.
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JesseJenkins
JesseJenkins
@JesseJenkins
Morning. The #TexasFreeze continues & grid operator ERCOT is still reporting >31,000 MW of thermal generation capacity out as of 9AM CT. Down slightly from a peak of 34,000 MW reported yesterday afternoon (https://t.co/jNMR4ibyY0) but still >40% of thermal capacity in state!


Wind power is currently producing about 4,000 MW, or 2/3 of the ~6,000 MW that ERCOT was counting on wind to contribute during winter peaking events. Solar is coming online now and helping during daytime, exceeding the <300 MW it is counted on for in system planning.


Main story continues to be the failure of thermal power plants -- natural gas, coal, and nuclear plants -- which ERCOT counts on to be there when needed. They've failed. Of about 70,000 MW of thermal plants in ERCOT, ~25-30,000 MW have been out since Sunday night. Huge problem.

ERCOT started directing electric utilities (like Oncor or Austin Electic) to start rolling blackouts or involuntary emergency load shedding at 1:25am on Monday morning, with 10,500 MW shed during that late morning. That's ~2 million homes worth of load

Throughout Monday, many thermal power plants remained offline, as freeze-offs + fuel shortages in gas pipelines forced large numbers of natural gas plants offline. Many coal plants likely struggled as well w/frozen coal piles, but breakdown of thermal outages by fuel type unclear
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MALUME ZANO
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The Misrepresentation of the Levites

[A Bonus Smallanyana Thread]

Disclaimer:

This thread is not part of the Angelology Threads we are focusing on this month of February but it is a response to what uNkulunkulu laid on my heart when I was finishing up Part 3 of the main threads.

This thread is also not an attack but a personal observation.

Let's Begin 📖

The Levites or the Tribe of Levi was/ is one of the original 12 tribes of Israel. Descended from Levi the son of Jacob. Descendants of Aaron, the first high priest of Israel. The Levites were designated as the priestly class, also known as the Kohanim.

Principal roles:

Singing Psalms during temple services
Teachers of the Word
Judges (Politics)
Construction and Maintenance of the Temple
Serving as Guards

The Levites were known to stand for truth, at all cost. Some considered them an army set apart by and for uNkulunkulu.

Numbers 18:6

And behold, I have taken your brothers the Levites from among the people of Israel. They are a gift to you, given to the Lord, to do the service of the tent of meeting.
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The Astro Sapien\u2728
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Here is my Thread on 'Ketu (South Node) Through Nakshatras' The 27 Constellations 🙏❣.

Do check your “Past life Mastery” which KETU Represents🤞🏻.


1. Ketu in Ashwini Nakshatra:

Here native is Great at Financial Planning, Face reading, understanding other’s mind and intention, Driving Fast they don’t like but they are wayyy smooth over driving Fast. This is also great position which can make native Great Surgeon,

Neurologist, Psychologist.
These natives are Selfless and Sacrifice self for others. They gets Fame and Success but they just don’t care.

2. Ketu in Bharani Nakshatra:

They are good at Flirting, Attracting opposite sex, studing ancient subjects. They are also Great at Creativity and Artistic activities. The are lazy but they are really open minded who handles situations really well.

In Past life they have handles many things which is now helping them to make things easier in this life. They are great Leaders too.

They are really good at Hard work and Smart work both. And yes just as Ashwini they don’t much care about Fame and Success!
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Ferruccio Balestreri \U0001f308
Ferruccio Balestreri 🌈...
@0xferruccio
🕵️‍♂️ How Google's PageRank algorithm works

The PageRank algorithm gives each page a rating of its
importance, which is a recursively defined measure of importance, based on if important pages link to it.
It's recursive because the importance of a page refers back to the importance of other pages that link to it

Here's how it works in practice:
1⃣ We start with some pages and crawl them for links


2⃣ Each page has 1/N points (where N as the total number of pages)


3⃣ Add points to each page for the amount of links to it, divided by the number
of links emanating from the sources of these links
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Raman Shalupau
Raman Shalupau
@ksaitor
Maker movement is doing to startups what startups did to corporations.

Here is why 👇

Startups fixed the problem of innovation, that corporations lack.

In big, slow corporations, innovation is a RISK and distraction from the core $$$ profitable business.

Agile startups could launch, iterate fast and eventually stumble upon new growing market opportunities.

However,

When a startup reaches product-market-fit, it has to 🚀 "grow at all costs" and reach market dominance before some giant corporation can replicate their new product and distribute it to their existing giant customer base.

Startup's "growth at all costs" often means growth at the expense of charging customers $$$ money.

Hence, to be sustainable, startups have to constantly chase investor money.

Startup teams spend more time finding and pleasing investors, than finding and pleasing customers.

95% of startups die because they run out of (investor) money + no business model + crazy investor expectations.

Same way corporations die, when unable to adjust to new technology and market shifts.
MAKERS
Brian Armstrong
Brian Armstrong
@brian_armstrong
1/ Productivity tip: when I keep procrastinating on something I often trick myself by saying, "ok just work on it for the next 20 minutes" or some short period of time, "and then you can chill/relax guilt free" and give myself some treat (sugar, netflix, etc)

2/ Usually at the 20 minute mark (sometimes I set a timer) I'm so engrossed in what I'm doing that I don't want want to stop and end up working on it for the next hour or two. But getting started seems to be the hardest part.

3/ Key to this: you have to actually be ok with stopping after 20 minutes and being guilt free if that's how you feel. So it's not a trick, i have the option every time, I just often don't want to use it once i'm in the zone.
PRODUCTIVITY
Jijo Sunny
Jijo Sunny
@JijoSunny
1/ 👋 Excited to share what we’ve been building at https://t.co/GOQJ7LjQ2t + we are going to tweetstorm our progress every week!

Week 1 highlights: getting shortlisted for YC W2019🤞, acquiring a premium domain💰, meeting Substack's @hamishmckenzie and Stripe CEO @patrickc 🤩

2/ So what is Brew?

brew / bru : / to make (beer, coffee etc.) / verb: begin to develop 🌱

A place for you to enjoy premium content while supporting your favorite creators. Sort of like a ‘Consumer-facing Patreon’ cc @jackconte

(we’re still working on the pitch)

3/ So, why be so transparent? Two words: launch strategy.

jk 😅 a) I loooove doing something consistently for a long period of time b) limited downside and infinite upside (feedback, accountability, reach).
cc @altimor, @pmarca


4/ https://t.co/GOQJ7LjQ2t domain 🍻

It started with a cold email. Guess what? He was using BuyMeACoffee on his blog, and was excited to hear about what we're building next. Within 2w, we signed the deal at @Escrowcom's SF office. You’re a pleasure to work with @MichaelCyger!

5/ @ycombinator's invite for the in-person interview arrived that evening. Quite a day!

Thanks @patio11 for the thoughtful feedback on our YC application, and @gabhubert for your directions on positioning the product — set the tone for our pitch!
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