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/
FOR LATER READ
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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
Gregg Gonsalves
Gregg Gonsalves
@gregggonsalves
One thing I will never understand. In 2020, we let ~340,000 Americans die, sometimes in the thousands per day. And we watched. There were no protests, no daily banner headlines befitting a national tragedy on this scale. It's as if we watched 9/11 in a loop for 300+ days. 1/

It was the non-chalance of all of it, the sangfroid. Yes, of course, there were stories in the media, some great ones, but we were shoving bodies into makeshift morgues in America in 2020, and it all became background noise. 2/

And no one rose up. Punctuated outrage from some. But no one on the streets in any substantial numbers asking for, demanding answers, action. 3/

If it weren't for the #BlackLivesMatter protests you'd think most of America was already dead. 4/

You don't have to ask what would I have done if I was present at one of history's great tragedies where people made choices to let barbarism flourish. We've done it now. 5/
SOCIETY

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Leandro Steinberg
Leandro Steinberg
@lean_stein
🧵 on Importance of correct indication of colonoscopic surveillance studies (English 🇺🇸🇬🇧)
@KM_Pawlak @KMonkemuller @drkeithsiau @JacquelineChuMD @PerelmansPearls @stevenbollipo @SWexner @DrBloodandGuts @ebtapper @DCharabaty @RashidLui @AdvaniRashmiMD @AtoosaRabiee @DrMohdZein

@GI_Guy @RodriguezParra_ @DrHarryThomas @TennysonMD @AustinChiangMD @KralJan @thomaskroner @alinkmd #GITwitter

1/ The implementation of screening and surveillance programs can reduce the incidence and mortality of

2 / But for these to be effective and to guarantee protection against CCR, they must meet a series of conditions. One of them is the correct indication for endoscopic studies for both screening and surveillance.

3 / According to a recent meta-analysis, the minority of patients who undergo colonoscopies have a correct indication, with less than 50% adherence to the surveillance intervals proposed by scientific
HEALTH
Gadi Schwartz
Gadi Schwartz
@GadiNBC
ADHD, a thread (1)
If you have #ADHD & are struggling please know you’re not alone. This week on @Overview, we're talking about living w/ ADHD & Anxiety during the pandemic & many the stigmas & misconceptions that making things worse.

I was diagnosed w/ ADHD when I was 7. And in so many ways it’s been a blessing. I love my energy, the hyper-focus, the calm I feel in chaos, the ability to & feel emotions so intensely. It’s allowed me to to see the world differently be in a constant state of wonder.(2)

But realizing all that has been a long, difficult journey so figured I’d share some of my own struggles as well as the resources from @HowtoADHD because Jessica's channel has been a game-changer for me.(3)

First off, #ADHD Attention Deficit Hyperactivity Disorder is a dumb description. It implies a deficit in attention & always hyper people. ADHD is a spectrum, & what we all have in common isn’t that we can’t pay attention. It’s that we have trouble controlling our attention.(4)

There are amazing analogies out there, like trying to watch 6 TV’s at once when someone else controls the remote. Or like driving a race car on city streets and spinning out whenever you try to turn.
HEALTH
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Marina Amaral
Marina Amaral
@marinamaral2
[Thread]: Old school "medicine" ads obviously created by aliens.

Let's begin with cocaine toothache drops, for only 15 cents.


Dr. Batty’s asthma cigarettes were not recommended for "children under 6.”


Best prescription for malaria, chills and fever: Grove's tasteless Chill Tonic, obviously.

"It is simply iron and Quinine in a tasteless form".


The cheapest specific for the relief of cough: heroin.


There's also Dr Williams' Pink Pills for Pale People.
HEALTH
ConquerMindsetMoney | Self Mastery
ConquerMindsetMoney | ...
@TheConquerMM
8 superfoods that will 10x your body mass:


1. Red Meat

Red meat is an excellent source of protein that aids in weight gain and muscular development.

It has leucine and creatine, which are substances important for increasing muscle building.

Protein and fat found in steak and other red meats contribute to weight gain.


2. Starchy Foods

Potatoes, sweet potatoes, corn, whole grain bread, oatmeal, whole wheat pasta, and brown rice are high-carbohydrate foods.

Carbohydrates, which have a protein-sparing effect, are essential for muscle growth along with proteins.


3. Eggs

Eggs are a powerhouse of protein, zinc, vitamins A, D, B 12, phosphorus, and folate.

Egg protein has a high biological value, which makes it the ideal post-workout snack.

There are 90 calories, 6.7 grams of fat, and 6.1 grams of protein in one large scrambled egg.


4. Fatty Fish

Essential fatty acids and proteins are abundant in fatty fish like salmon.

They aid in weight gain and immune boosting.

The finest source of omega-3 which is important for weight gain is found in these fish.
HEALTH
Pete Wharmby
Pete Wharmby
@commaficionado
Autistic behaviours that are generally discriminated against, despite being harmless and just how we are.

A thread🧵

1. Stimming - repetitive physical movement to help regulate our stress levels. They feel nice and are really helpful but people seem to hate to see it. #autism

2. No eye contact. We generally find this too intimate and intense, and will avoid. It can even cause pain if forced. But people don't trust us even though we inform them we're autistic. #autism

3. Sitting in 'odd' positions. We're often very bendable - remember Ehlers-Danlos syndrome is a common comorbidity - and loads of feel more comfortable in slightly contorted positions. People always comment 'you can't be comfy like that'.

Yes. Yes I can. #autism

4. Stammering when excited. We can get so passionate about some subjects that we struggle to get the words out as they all get caught in the annoying bottleneck of actually having to leave our mouths. But it irritates people, makes them assume we're somehow lesser. #autism
HEALTH

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Billy Bostickson \U0001f3f4\U0001f441&\U0001f441 \U0001f193
Billy Bostickson 🏴👁&👁 ...
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1/x Fort Detrick History
Mr. Patrick, one of the chief scientists at the Army Biological Warfare Laboratories at Fort Detrick in Frederick, Md., held five classified US patents for the process of weaponizing anthrax.

2/x
Under Mr. Patrick’s direction, scientists at Fort Detrick developed a tularemia agent that, if disseminated by airplane, could cause casualties & sickness over 1000s mi². In a 10,000 mi² range, it had 90% casualty rate & 50% fatality rate


3/x His team explored Q fever, plague, & Venezuelan equine encephalitis, testing more than 20 anthrax strains to discern most lethal variety. Fort Detrick scientists used aerosol spray systems inside fountain pens, walking sticks, light bulbs, & even in 1953 Mercury exhaust pipes


4/x After retiring in 1986, Mr. Patrick remained one of the world’s foremost specialists on biological warfare & was a consultant to the CIA, FBI, & US military. He debriefed Soviet defector Ken Alibek, the deputy chief of the Soviet biowarfare program
https://t.co/sHqSaTSqtB


5/x Back in Time
In 1949 the Army created a small team of chemists at "Camp Detrick" called Special Operations Division. Its assignment was to find military uses for toxic bacteria. The coercive use of toxins was a new field, which fascinated Allen Dulles, later head of the CIA
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AAdhira \U0001f319\U0001f1ee\U0001f1f3
AAdhira 🌙🇮🇳...
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Shri Hanuman had boon to be immortal. And be present where ever there is Ram stuti.
I came across this beautiful story that I would like to share
#threadstories
#Hanuman ji is believed to live in the foothills of Himalayas. But once he spent a lot of time in Sri Lanka
1/9


Where Ravan's brother ruled for many years..
On his way back he came across tribal people from community called #Mathanga
He gave Darshan to them. The chief of the tribe asked him to keep coming back to guide their generations
Hanuman ji said that whoever recites this mantra
2/9


I will give them Darshan. But there are two conditions
1st he/she must know his relationship with me
2nd there must not be anyone around him in 950 mts radius. If present, that person must also know about my relationship with him /her.

He promised to come after every 41 yrs
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The Mathangs also maintain a ‘logbook’ where they record all the words spoken and ‘leelas’ performed by Lord Hanuman.
They call him their Guru
Who teaches them how to live their lives.
A Sri Lankan organization called Setuu is studying this ‘logbook’ and also conduct
4/9

programmes for Hanuman devotees who can do ‘Sadhna‘ under the guidance of Setuu masters. Devotees who qualify all the criteria will be eligible for Hanuman’s ‘sakshaat darshan‘
The Setuu has certain conditions that need to be kept in mind which includes devoting one complete
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RELIGION
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foone
foone
@Foone
I got a Toshiba T1200, which has a bad screen, and a dead CMOS battery, and I thought the hard drive was broken too...


but I rebooted it and heard a KTHUNK and a really loud spin-up noise and holy shit, the hard drive works!


and it still has files on it. the newest date is January 1994.


It's a 21mb hard drive, with ~37k of bad sectors.

This fucker is never going to spin up again, so I better go find some serial cables and copy shit off now.


The backlight is fucked so I'm shining a flashlight on it.
without it, it looks like this.
TECH
Anumah, Abdulraheem Okehi \U0001f468\u200d\U0001f52c\U0001f1f3\U0001f1ec \U0001f1eb\U0001f1f7 \U0001f1f5\U0001f1f9 \U0001f1ea\U0001f1f8
Anumah, Abdulraheem Ok...
@AnumahABD
Department List of UCAS-China PROFESSORs for ANSO, CSC and UCAS (fully or partial) Scholarship Acceptance
1) UCAS School of physical sciences Professor
https://t.co/9X8OheIvRw
2) UCAS School of mathematical sciences Professor

3) UCAS School of nuclear sciences and technology
https://t.co/nQH8JnewcJ
4) UCAS School of astronomy and space sciences
https://t.co/7Ikc6CuKHZ
5) UCAS School of engineering

6) Geotechnical Engineering Teaching and Research Office
https://t.co/jBCJW7UKlQ
7) Multi-scale Mechanics Teaching and Research Section
https://t.co/eqfQnX1LEQ
😎 Microgravity Science Teaching and Research

9) High temperature gas dynamics teaching and research section
https://t.co/tVIdKgTPl3
10) Department of Biomechanics and Medical Engineering
https://t.co/ubW4xhZY2R
11) Ocean Engineering Teaching and Research

12) Department of Dynamics and Advanced Manufacturing
https://t.co/42BKXEugGv
13) Refrigeration and Cryogenic Engineering Teaching and Research Office
https://t.co/pZdUXFTvw3
14) Power Machinery and Engineering Teaching and Research
EDUCATION
Patrick Chovanec
Patrick Chovanec
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I'm going to do two history threads on Ethiopia, one on its ancient history, one on its modern story (1800 to today). 🇪🇹

I'll begin with the ancient history ... and it goes way back. Because modern humans - and before that, the ancestors of humans - almost certainly originated in Ethiopia. 🇪🇹 (sub-thread):


The first likely historical reference to Ethiopia is ancient Egyptian records of trade expeditions to the "Land of Punt" in search of gold, ebony, ivory, incense, and wild animals, starting in c 2500 BC 🇪🇹


Ethiopians themselves believe that the Queen of Sheba, who visited Israel's King Solomon in the Bible (c 950 BC), came from Ethiopia (not Yemen, as others believe). Here she is meeting Solomon in a stain-glassed window in Addis Ababa's Holy Trinity Church. 🇪🇹


References to the Queen of Sheba are everywhere in Ethiopia. The national airline's frequent flier miles are even called "ShebaMiles". 🇪🇹
CULTURE