#OTD 1901, Queen Victoria's funeral took place. Here's a little medical history THREAD (1/9) about one of Britain's longest reigning monarchs. 👇

"Queen Victorian on her death bed" by Emil Fuchs.

(2/9) On 7 April 1853, Queen Victoria became the first monarch to use chloroform to ease the pains of childbirth. Prince Leopold was born within 53 minutes of administration of the drug, which Victoria described as "delightful beyond measure.”
(3/9) The anaesthetic powers of chloroform was first discovered in 1847 by the Scottish physician James Young Simpson. He and his two friends experimented with it on the evening of November 4th. At first, they felt very cheerful and talkative. After a short time, they passed out.
(4/9) Impressed with the drug’s potency, Simpson began using chloroform as an anaesthetic. In December 1847, he delivered the first baby using it. Simpson nicknamed the girl “Saint Anaesthesia.” Her real name was Wilhelmina Carstairs, pictured here.
(5/9) During this time, Queen Victorian was pregnant with her sixth child. She heard of Simpson’s discovery and was keen to benefit from it, but royal doctors cautioned against it, claiming that painful contractions during labour were ordained by God.
(6/9) When the Queen became pregnant again in 1850 her doctors – Sir James Clark and Charles Locock – consulted the leading London anaesthetist, John Snow, later famous for his work on cholera. But prudence again won out and the Queen was denied chloroform.
(7/9) By 1852—when Victoria became pregnant with Prince Leopold—attitudes towards the drug were beginning to change. Most importantly, the Queen’s husband, Prince Albert, had become an advocate of its usage. On 7 April 1853, John Snow administered the drug to Victoria.
(8/9) Not everyone was pleased with the outcome, however. Some protested on religious grounds; others for medical reasons. The Lancet questioned the veracity behind claims that the Queen had even used the drug in her last delivery.
(9/9) Doubts aside, Queen Victoria’s use of chloroform led to a public outcry for painless childbirth. The editor of the Association Medical Journal called it "an event of unquestionable medical importance.” Women everywhere were requesting chloroform to ease their labour pains.
Sigh. I got to the end of the thread and just realized there is a spelling error in the first tweet! When will Twitter allow us to edit tweets? 😂😭

More from Health

1/16
Why do B12 and folate deficiencies lead to HUGE red blood cells?

And, if the issue is DNA synthesis, why are red blood cells (which don't have DNA) the key cell line affected?

For answers, we'll have to go back a few billion years.


2/
RNA came first. Then, ~3-4 billion years ago, DNA emerged.

Among their differences:
🔹RNA contains uracil
🔹DNA contains thymine

But why does DNA contains thymine (T) instead of uracil (U)?

https://t.co/XlxT6cLLXg


3/
🔑Cytosine (C) can undergo spontaneous deamination to uracil (U).

In the RNA world, this meant that U could appear intensionally or unintentionally. This is clearly problematic. How can you repair RNA when you can't tell if something is an error?

https://t.co/bIZGviHBUc


4/
DNA's use of T instead of U means that spontaneous C → U deamination can be corrected without worry that an intentional U is being removed.

DNA requires greater stability than RNA so the transition to a thymine-based structure was beneficial.

https://t.co/bIZGviHBUc


5/
Let's return to megaloblastic anemia secondary to B12 or folate deficiency.

When either is severely deficient deoxythymidine monophosphate (dTMP*) production is hindered. With less dTMP, DNA synthesis is abnormal.

[*Note: thymine is the base in dTMP]

https://t.co/AnDUtKkbZh
Before we get too far into 2021, I thought I’d write a thread recapping some of the research that came out of my lab in 2020. Most of this work was led by my talented team of graduate students, Kerrianne Morrison, @kmdebrabander, and @DesiRJones.

Back in January, a news story was published about Kerrianne’s study showing improved social interaction outcomes for autistic adults when paired with another autistic partner.

A detailed thread about the study and a link to the paper can be found here (feel free to DM me your email address if you’d like a copy of the full paper for this study or any of our studies):


Another paper published early in 2020 (it appeared a few months earlier online) showed that traditional standalone tasks of social cognition are less predictive of functional and social skills among autistic adults than commonly assumed in autism research.


Next, @kmdebrabander led and published an innovative study about how well autistic and non-autistic adults can predict their own cognitive and social cognitive performance.

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Why is this the most powerful question you can ask when attempting to reach an agreement with another human being or organization?

A thread, co-written by @deanmbrody:


2/ First, “X” could be lots of things. Examples: What would need to be true for you to

- “Feel it's in our best interest for me to be CMO"
- “Feel that we’re in a good place as a company”
- “Feel that we’re on the same page”
- “Feel that we both got what we wanted from this deal

3/ Normally, we aren’t that direct. Example from startup/VC land:

Founders leave VC meetings thinking that every VC will invest, but they rarely do.

Worse over, the founders don’t know what they need to do in order to be fundable.

4/ So why should you ask the magic Q?

To get clarity.

You want to know where you stand, and what it takes to get what you want in a way that also gets them what they want.

It also holds them (mentally) accountable once the thing they need becomes true.

5/ Staying in the context of soliciting investors, the question is “what would need to be true for you to want to invest (or partner with us on this journey, etc)?”

Multiple responses to this question are likely to deliver a positive result.