BC HEALTH
Saved by @Mollyycolllinss

I think @SamAdlerBell in his quest to be the contrarian on Fauci gets several things wrong here. 1/

 First, the failure last year actually was driven by the White House, the #Trump inner circle. Watch what's happening now, the US' scientific and public health infrastructure is creaking back to life. 2/
I think Sam underestimates the decimation of many of our health agencies over the past four years and the establishment of ideological control over them during the pandemic. 3/
I also am puzzled why Tony gets the blame for not speaking up, etc. Robert Redfield, Brett Giroir, Deb Birx, Jerome Adams, Alex Azar all could have done the same. 4/
Several of these people Bob Redfield, Brett Giroir, Alex Azar were led by craven ambition, Jerome Adams by cowardice, but I do think Deb Birx and Tony tried as institutionalists, insiders to make a difference. 5/
I wrote to them privately and spoke publicly about the need to do more, but Sam misunderstands how long-time civil servants operate. The entire CDC staff could have resigned in protest, other agencies could have had everyone fall on their swords in protest as well. 6/
This isn't to excuse their behavior. It's just to say expecting people who have devoted their careers to places like CDC or NIH to resign in protest, speak out and get fired, is unrealistic. 7/
Lots can be said about the institutional failures--outside of Trump's influence--that happened last year. The testing debacle, the failure to real screen for new compounds against SARSCOV2 instead of just putting everything in the vaccine basket...8/
We were slow on masks. Yes. I agree. But there were also shortages of supplies even for healthcare settings in March. Remember the bandanas and panty-shields being worn by some on the wards, recycling N-95s? There was some worry about run on PPE by general public. 9/
Not an excuse, but context. The statement on herd immunity that Tony made. Dumb. Yeah. I get it. 10/
And Trump's obsession with loyalty twisted some of them to the breaking point. Redfield collapsed almost reflexively at the beginning. Birx thought she could control the situation. Tony though he could thread the needle, keep silent mostly, try to squeeze in some facts. 11/
No one came out of last year looking good and even if Fauci got accolades from some, those in public health saw what was happening. Shit was flying everywhere, everyone got soiled. 12/
But the biggest problem about @SamAdlerBell piece is not that it's slightly obsessive on Fauci (and I won't even start on the ACT UP sections, since I was there for many of these events), but gets the politics wrong in a big way. How so? 13/
At the end of the article Sam suggests that Tony should have resigned to lead the resistance. I mean, please. And then a bureaucrat arose to lead us. Really? The director of NIAID was going to be at the barricades? 14/
The big political question was NOT where was Dr. Fauci last year, but where were WE? Why didn't those not in government service rise up when the stakes were so much lower for resistance for us? Why didn't all the major non-governmental institutions mobilize on the pandemic? 15/
Many of us in public health were writing furiously about the failures of what was happening, as were others, but no one was doing the mobilization work to tip the scales from op-eds to direct action. 16/
Yes, those in government service do have to answer for their silence last year, but so do we. I am not holding up Fauci as a hero, but flipping him into the anti-hero of the story doesn't work either. 17/
I just posted a report from Brazil, about how Bolsanaro's policies drove the pandemic in Brazil. A fish rots from the head down. Trump and his circle hold the vast majority of blame for 2020 and our predicament today. It's just true. 18/
Bolsanaro's health ministers resigned and he just got other ones. This was also Trump's MO for 4 years, anyone who left, got replaced with people increasingly more loyal. The late arrival of Scott Atlas is a case in point here. 19/
So as a political history this piece fails. That's my main point. I've said terrible things about Fauci in the past in the press during the height of the AIDS epidemic, trashed Obama on global health/HIV in the 2000s. "Heroes" shouldn't be immune from criticism. 20/
Would it have been great if one by one federal scientists got to the mic and denounced Trump in 2020? Yeah, sure. And I want to be 35 again. Not gonna happen. 21/
The most startling thing to me and which no one has written about yet is why the rest of us were frozen like deer-in-the-headlights? 400,000 dead and "the resistance" to it all from outside the Administration was mostly in strongly worded op-eds. 22/
The press played the both sides game early on--kept saying "experts disagree" when Trump's policies were patently insane. This is the @NYTimes political desk's lingering shame, which they will never admit. 23/
Members of Congress sat on their hands. Mayors, governors just tried to keep their own cities and states from going under, but many aided and abetted the President. 24/
But political advocacy organizations, non-governmental actors could have mobilized. We did for the Women's March, after the Parkland shootings, for the March for Science. Yeah. big in-person events were a no-no, still are, but big not-in-person-events didn't happen either. 25/
In the aftermath of all of this, this is what's worry. Tony will retire soon. Take him off the playing field. Now what? We have to rebuild public health, not because of its failures last year, but because it was in shambles before 2020. 26/
We made our beds long before Trump. No national healthcare, a weak social safety net, a desperately under-funded and under-resourced public health infrastructure coast to coast under Republicans and Democrats. 27/
If Tony had spoken out all these structural issues would remain and frankly, it's the structures that outlast us, pave the way for crises out years into the future. 28/
And what are we going to do about that? end/

More from Gregg Gonsalves

Gregg Gonsalves
Gregg Gonsalves
@gregggonsalves
OK. I may get slaughtered here, but there is a kind of pundit who doesn't know what he doesn't know. I'm not talking about ordinary people on @Twitter who shoot the shit on a variety of topics, but people with millions of followers, readers. 1/

These are usually men, who will assume expertise because they've always been told they were the smartest in the room, were given a platform because of who they are, and feel no sense of humility when they decide to ramble off and take down others. 2/

Here I am talking about @NateSilver538 @mattyglesias and @DouthatNYT who have decided they are the arbiters of truth in science and public health. 3/

It started with the #ACIP recommendations on the next phase of #COVID19 vaccination (which as far as I know is still pending). All three of them are suggesting that #ACIP doesn't know what it's doing because there are discussions happening about how to manage trade-offs. 3/

All three believe age-based allocation is the only way to triage vaccine delivery and they've been scornful of the deliberation of #ACIP for talking about things like equity, essential workers, etc. 4/
TWITTER
Gregg Gonsalves
Gregg Gonsalves
@gregggonsalves
Important tweet from @jaketapper. One amendment: mainstream media will try to change the subject too. It's not a new criticism, the deferential spirit among the political press corps has been noted since Didion wrote about it in the 1990s.


"Those who talk to Mr. Woodward, in other words, can be confident that he will be civil (“I too was growing tired, and it seemed time to stand up and thank him”), that he will not feel impelled to make connections between..." 1/

"what he is told and what is already known that he will treat even the most patently self-serving account as if untainted by hindsight..." 2/

"In this business of running the story, in fact in the business of news itself, certain conventions are seen as beyond debate. “Opinion” will be so labeled, and confined to the op-ed page or the Sunday-morning shows." 3/

"'News analysis' will be so labeled, and will appear in a subordinate position to the 'news' story it accompanies. In the rest of the paper as on the evening news, the story will be reported “'impartially,' the story will be 'even-handed,' the story will be 'fair.'” 4/
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Gregg Gonsalves
Gregg Gonsalves
@gregggonsalves
Eight years ago, Spencer Cox died of #AIDS. He had access to #antiretroviral therapy, but in his own struggles with #depression and substance use, he stopped taking them. 1/

Spencer left college, dropped out like me in the 80s, and we both found ourselves in @actupny where we joined the Treatment and Data Committee, doing battle with drug companies, the @US_FDA, the @NIH on a quest to save ourselves and our friends from near-certain death. 2/

Now everyone knows what those dark days before the advent of antiretroviral therapy were like. Waves upon waves of dying friends. A government who couldn't care less for the sick and dying. 3/

All this has happened before, and all this will happen again. AIDS. #COVID19. The next pandemic. The fire next time. 4/

And it changes you. Seeing so much death so young. Seeing those in power turn away from the catastrophe, even joke about it (find, listen to the tape of Larry Speakes in Oval Office w Reagan laughing about AIDS). 5/
HEALTH
Gregg Gonsalves
Gregg Gonsalves
@gregggonsalves
And this pathetic move by @JDVance1 isn't what is so odious about him. He's just a phony, all ambition, no real interest in public service. He made a big show out of moving back to #Ohio to start a group to work on the #opioid epidemic. 1/


I work on the opioids, on research on the epidemic, its relationship with HIV/HCV, overdose. I work with data from Ohio, so care deeply about what is going on there. I was excited. Until I started digging. There's no there there. 2/

More here. 3/

You can even read their IRS-990-N filing. Sure looks like @JDVance1 tried real hard on combatting the opioid epidemic in his state. Um. Not. 4/

Now he's moved on to venture capital. Money is more interesting than the suffering of the people of #Ohio I guess. 5/
ALL
Gregg Gonsalves
Gregg Gonsalves
@gregggonsalves
Here @playbookplus goes again: ‘HOW MUCH IS BIPARTISANSHIP WORTH?’ I don't know @politico, how many more months would you like the pandemic to drag on for? How many more dead? How many more people, businesses ruined economically? I'm sorry but this is garbage framing in a crisis.

Oh but this is what powerful people are talking about in DC! Might that point itself be examined with more seriousness than taking this BS at face value? Don't you understand, we just reflect back what people are saying? We are mirrors on the world, we offer no commentary.

If "very serious people" are talking about what "nice number" would be $1.3T, 1.2T and not what we need to get out of this mess, might it be worth saying, perhaps, this conversation w/o reference to epidemiologic or economic reality is just a failure of leadership, governance?
ECONOMY

More from Health

Douglas Ross MP
Douglas Ross MP
@Douglas4Moray
A thread on the latest Sturgeon-Salmond revelations. 👇
1/13

Evidence has emerged of a deliberate cover-up.

A crucial detail was apparently hidden from the public.

According to Sky, the official knew it would potentially end their career if it came to light.

This is important because it may undermine Nicola Sturgeon’s story. 2/13

Throughout the Alex Salmond affair, the First Minister has dodged questions at every turn.

She has tried to hide behind legalities, false narratives, straw men.

Every tactic in the book has been rolled out to stop the truth reaching the public. 3/13

To her utmost shame, the First Minister uses the women who were so badly let down by her government as a shield.

She argues they are being attacked, when nothing could be further from the truth.

We all want to get to the bottom of what happened here - for those women. 4/13

Instead of justice, those women have been caught in this uncivil war - that they never wanted to be part of.

They’ve been failed by basic, unforgivable errors from Nicola Sturgeon’s government.

And failed ever since by the SNP’s obstruction over what went on. 5/13
HEALTH
AAdhira \U0001f319\U0001f1ee\U0001f1f3
AAdhira 🌙🇮🇳...
@Aadhiraspeaks
I never wanted to write a Prof thread here since I wanted this to be break.
But some comments regarding Dentistry is pushing me to be writing this, making me do what I have been trying to explain to people for a long time.
#Thread
#Dentistry
1)

Oral health has been the least concern of people in India. A Dentist is only sought after in case of emergency or when a certificate is needed. Making it a 2nd tier speciality.
However it can't be further from the truth.
This is about Dentistry & it's relation to Gen health
2

Heart:
Since someone commented teeth can't stop heart!
Well! It can
Sub acute endocarditis
Species of Streptococci that live on the teeth, gums& related structures, get mobilized into blood stream when the load of infection increases
If a patient has a valve defect or
3

Previous surgery, these bacteria colonize & cause blockage that is slow & fatal.
Also untreated dental infection can cause the failure of any Cardiac procedure performed.
Hence it's advised to get teeth treated before a cardiac surgery.

Brain:
Teeth have lymph drainage
4

Into a Sinus called Cavernous sinus. That's also connected to brain.
Untreated dental infection can lead to abscess in brain, causing epilepsy like seizures & de@th if not treated.
Seen a 6 yr old boy losing life bcoz of it since Doctor could not trace the source of infection
5
HEALTH
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Robin Monotti
Robin Monotti
@robinmonotti
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.
HEALTH
Nyx
Nyx
@Nix_468
Ashtangha Yoga or the eight limbs of Yoga-


Many people think Yoga is just an Indian physical exercise but that's wrong. Yoga is a way to connect with the Supreme in Hinduism and attain Moksha(liberation).
The proper yoga as described in Hindu scriptures consists of 8 limbs:

1) Yamas- They are the 5 ethical rules of Hinduism. The 5 Yamas are:
i) Ahimsa: Nonviolence (this also includes not eating meat)
ii) Satya: truthfulness
iii) Asteya: non-stealing
iv) Brahmacharya: chastity, sexual restraint
v) Aparigraha: non-avarice, non-possessiveness

2) Niyamas- They are the 5 "do's". The five Niyamas are:
i) Shaucha: purity of mind, speech and body
ii) Santosha: contentment
iii) Tapas: austerity, self-discipline
iv) Svadhyaya: study of Vedas(Holy books of Hindus)
v) Ishvarapranidhana: contemplation of the Ishvara (God)

3) Aasana or the physical yoga-
Asana is a posture that one can hold for a period of time, staying relaxed, steady, comfortable and motionless. The aasana postures are believed to have been given by Mahadeva (Hindu God) himself. Hatha Yoga Pradipika mentions 84 aasanas.
HEALTH
Steve Cuss
Steve Cuss
@stevecusswords
Anxiety resides in 4 spaces:

1. The space inside you
2. The space between you and another
3. The space between others
4. The space inside another.

A powerful de escalation tools is to first locate the anxiety. Where is it?

Often the answer is 'all 4.' Yikes!

1/

Anxiety is contagious, we spread it and escalate it unless we know how to manage it.

This was perhaps my biggest lesson as a trauma chaplain - the very hard work of not catching someone's anxiety.

2/

When I caught it, I was no good to them. I no longer saw what was going on, I was now 'infected' by my own triggers, assumptions, the story I tell myself. I was all wrapped up in myself.

But when I managed my anxiety, I was able to be calm, aware and fully present to them.

3/

Even in the very worst moment of their lives, even if they had me by the shoulders screaming, 'how could God allow this to happen?'

4/

Incidentally, early in chaplaincy, I thought this was an actual question. Because I was anxious, I was more infected by my need to answer than I was to simply be calm and present with them in their pain.

5/
HEALTH

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...and physically hunted me down."


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Could they stop me once I was inside?

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During most of the first morning, I completed onboarding, made introductions, and completed menial tasks.

But I had to act quick. I only had a week onsite. I had to hack their network while not raising suspicion.

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Anu Satheesh \U0001f1ee\U0001f1f3
Anu Satheesh 🇮🇳...
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Neyyattinkara Krishna Kshetram
#Thiruvananthapuram
#KeralaTemples 🚩

Neyyattinkara Krishna Kshetram is considered as the Guruvayur of Trivandrum. Thrikkayyil Venna (butter) is main offering to Neyyattinkara Unnikannan. Kshetram is supposed to be built by Marthanda Varma.


Sthala Puranam says that, Anizham Thirunal Marthanda Varma was surrounded by his enemies, Ettuveettil Pillamar, while he was near the place where Temple is situated now. The king prayed to Padmanabhaswamy to protect him.  At that time, a small boy was seen there and he


advised the king to hide himself inside the hollow trunk of a jack fruit tree. The king was surprised to find a small boy in the forest, but agreed to the advice
Thus he was saved from the attack. When the enemies left, king tried to know about the boy, but he couldn't.


He believed that it was krishna himself who saved his life. A temple was built here, which is the present Neyyattinkara Krishna Kshetram. The jack fruit tree where  the king hid himself is now known as Ammachi Plavu. Ashtami Rohini, Vishu are very famous here

Hare Krishna
🙏🕉🙏
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Michael Grunwald
Michael Grunwald
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My dad’s first memory is hiding under a table 80 years ago tonight, when Nazis took his dad to Dachau on #Kristallnacht.

His parents, my Omi and Opi, always considered themselves more German than Jewish, so they didn’t think they’d get swept up in the madness.

Opi was taken to city hall with other Jews and lined up against a wall. He thought he was going to be shot.

He always remembered when they got to Dachau there were pajamas with Jewish stars waiting on their cots. Obviously not a spontaneous thing.

He was very lucky. His family got him a fake Uruguayan visa and he was out of Dachau six weeks later. “Before Christmas,” my dad recalls.
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Ever notice how the top niches are centered around health, wealth, and relationships?

There's a deep-rooted psychological (and biological) reason why.

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*Now, this thread is going to be long and in depth. Make sure to favorite the top tweet now so you can come back to it later.

So. Down to the very core of every living being (humans, dolphins, bacteria, aliens), there are only two drivers:
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2. To reproduce

Right off the bat, we know that sex is a primary driver to human behavior.

This would also mean that each gender has its own insecurities regarding sex.

Men have a subconscious fear that their woman will leave them for someone more successful

Women have a fear that their man will leave them for someone younger & better-looking

We can conclude that men are attracted to looks, and women are attracted to status.

This is human nature down to its very core.

Crazy, blue-haired feminists will try to argue and say otherwise.

But, 50 years of feminism DOES NOT OVERRIDE millions of years of evolutionary biology.

Here's a quick visualization exercise so you can see how true all this is...
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