BC HEALTH
Saved by @WebbDarrrel

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
5. Facial movements and stretches. Part of stimming really, as its generally a comfort or stress release mechanism, but can be viewed derogatively as 'twitching' and often a source of mockery. But it's just a natural, harmless action. #autism
6. Meltdown. There's nothing abnormal about having a meltdown - all humans can. It's just #autistic stress levels are so high they tend to happen more frequently. But they're seen as a failing of us, rather than a failing of our surroundings, which is more accurate. #autism
7. Rigid routine. Many of us like this as it removes possible stressors from the day, keeping things nice and calm. But some people seem to view it as weird and bad, for some reason, even though its a perfectly sound way of managing our stress. #autism
8. Organising/lining up/collecting things. It's really only because autistic folk seem capable of being interested in collecting *anything* that there's an issue. As if it's normal to collect football shirts but somehow bizarre and evil to collect pink socks. #autism
9. Flat affect. Some autistic people show very little emotion on their faces, despite still feeling them internally. This is generally taken tremendously badly by neurotypical people around them, even though its a well documented and perfectly natural trait. #autism
10. Missing cues to speak in a conversation. A natural and very common part of what autism actually is and yet even folk who know autistic people can be highly offended when we mess up and interrupt or take too long to speak.
As you can see from this short list, when you're actively vilified for simply living out your existence, because your behaviours don't properly confirm, it can be so unpleasant and miserable. This is why we need to raise understanding that these behaviours are OK.
If we don't, autistic people will continue to feel aliens and unfairly condemned for things outside of their control. And as you can see, none of these things actually cause any harm. Live and let live, please. Is it too much to ask?
Leaving this here just in case you'd like to support... https://t.co/qonxXX3C91

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Pete Wharmby
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Things You Need to Know About Autism - a thread for sharing.

I try to raise awareness, understanding and acceptance of #autistic people. Have a read and hopefully it will help.

#thread #autism

1. Autism has always existed, as far as we can tell. Any increase in the number of autistic people is due to better diagnosis and growing population. There are historic figures who display many autistic traits, such as Isaac Newton. #autism

2. Autism is not an illness or disease. It cannot be caught, nor does it appear to spontaneously happen. You are born autistic and you will die autistic - it is not 'curable'. #autism

3. Autistic people do not lack empathy, nor are we emotionless robots. We often struggle to communicate emotion, and we can have alexithymia, making identification of emotions hard, though. #autism

4. Autism affects the entire demographic - doesn't matter your gender, sexuality, age, class, skin colour, culture. Autism is a human condition. #autism
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Pete Wharmby
Pete Wharmby
@commaficionado
Once again I'm reminded that every action has an equal and opposite reaction. The recent push by a large number of autistic people to 'own' their diagnosis and try to raise acceptance and dispel harmful myths has kicked up a minority of autistic people to fight against this.

This may seem bizarre - who fights against improved acceptance? - but actually has clear roots in the ongoing culture war the West seems engaged in. The identity positive autistic movement, of which I am a part, is viewed by some as another manifestation of 'wokeness'.

This is the right-wing definition of 'wokeness', of course - ie a modern equivalent of the pejorative take on political correctness, but it's definitely at the core of this 'neurorealist' movement - the idea the autistic community is being hijacked by 'woke lefties'.

They believe that the push for acceptance of neurodiversity and rejection of the medicalisation of autism is misguided and drawing attention away from those autistic people who, in their view, need more help and intervention.

The trouble is, this view is pretty much baseless. Firstly, there is little evidence that autistic advocates who push for acceptance are in any way harming autistic people who require more help and support. Second, the view effectively silences those of us who are able to share.
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Pete 'stay' Wharmby 'the fireplace'
Pete 'stay' Wharmby 't...
@commaficionado
Why do #autistic students get excluded so frequently from school?

Some thoughts, based on my own experiences. If we have an understanding of the 'why', it's easier to address the results.

Please read and share! /1

Autistic students often find themselves being punished more than average at school. Frequently this can escalate to temporary exclusion and similar 'punishments'. Are autistic students generally just more naughty? Of course not. So what's the deal? /2

Everything about the fundamentals of a school day is designed around neurotypical children. Most school day elements are also very old, and have been around since long before people became more 'autism aware'. /3

What we see as the core experience of doing subjects for around an hour, before moving to the next subject, between the ages of 5 and 18 dates back *decades*. So where do autistic students fit in? /4

Well, they don't. Students with an autistic or ADHD neurotype quite simply do not slot into this structure. The only way they can is by essentially squashing their own needs in order to fit in with the majority. If they can't do this? That's where the 'punishments' come in. /5
SCHOOL
Pete 'stay' Wharmby 'the fireplace'
Pete 'stay' Wharmby 't...
@commaficionado
How to help the #autistic people in your life get through Christmas - a practical thread of advice.

Please read and share!

(This is based on my own experiences of being autistic)

#autism #christmas

1. Give #autistic people an easy escape route they know they can take without judgement - knowing you can dash off to recharge without being questioned can help so much!

2. Don't play Christmas music really loudly around the house. No one needs that anyway but if you must, make it not too intrusive as it can be difficult for #autistic people to handle. Christmas music is *so* 'busy'!

3. Don't expect clear and unambiguous response to Christmas presents when opened. Many #autistic people struggle to show the appropriate emotional reaction, and are also terrified of making you feel bad. We show appreciation in our own way.

4. Don't forget #autistic friends and relatives may not be as excited about meeting up with family members as you are. There is likely a lot of anxiety there, especially this year. Be mindful of this and don't force it.
CULTURE
Pete Wharmby
Pete Wharmby
@commaficionado
Autism and meltdowns - what are they and how can you help?

A thread. Please read and share widely. As always, based on my own experiences.

#autism #autistic #Meltdown

Autistic people are stressed. *Very* stressed. Take it from me - our existence is generally peppered with moments of calm on a backdrop of continual tension and intense stress. The reasons for this are complex. /2

Our senses are often way too sensitive, meaning we live assaulted by intense sensory input - sound, vision, smell, touch and so forth. This means our base level stress is always much higher than most folks. /3

We are also usually struggling to make sense of social communication in a way neurotypical people don't need to worry about. Often we have to put actual brainwork into every interaction, as nothing seems to come naturally to us. Even with friends or loved ones. /4

So our glass of stress is very frequently filled to the absolute brim, and it doesn't take very much for us to spill over into a kind of 'post-stress' state, and I guess that's what we call meltdown. /5 #autistic
FOR LATER READ

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The #RELAx trial has been published today in @JAMA. It was coordinated by Anna Algera. This thread is to explain the rationale, what we did, the findings and the meaning.
The rationale of #RELAx is based on the following

First, there is NO adequate evidence on the level of PEEP in non-ARDS patients. Most of the studies are old, conducted in post-surgical patients (short-term ventilation), and were not powered to detect differences in patient-centered

Second, despite the absence of evidence, the levels of PEEP used in non-ARDS patients increased over years, from 5 to 7/8 cmH2O, probably as a reflection of studies and practice in ARDS

Third, one IPDM showed that higher levels of PEEP could benefit more severe ARDS patients. However, opposite trends (higher mortality and longer ventilation) were found in mild ARDS with higher PEEP (despite not powered to be statistically

Fourth, most of the weaning protocols include PEEP ≤ 5 cmH2O as a criterion for readiness to wean. Theoretically, a standardized liberal strategy of higher PEEP could delay weaning in some
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Ottawa Public Health
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@OttawaHealth
THIS IS A CATCHY & ATTENTION-GRABBING TITLE

Today, the Province will likely announce what zone of the reopening framework we'll shift into as of Tuesday. Whatever is announced, though, doesn't change what we need to do. Why?

Kindly read these 14 tweets & we'll tell you. (1/14)

Fun fact: COVID-19 does not follow us on Twitter. COVID doesn't know, or particularly care, if we're in the Red or Orange zone.

The behaviours of the virus do not depend on the current ‘zone’ of public health restrictions. And, to be perfectly candid, neither should ours. (2/14)

Once upon a time we used to say #WeAreInThisTogether in our messaging. Here's the thing: we are, but we aren't. Not everyone is experiencing this pandemic the same.

Nurses, doctors, paramedics & healthcare workers have experienced things much differently than most of us. (3/14)

Some people have been home & isolated for months, while others haven't been able to stop working.

Business owners & hospitality workers have been on a rollercoaster of openings & closures.

Students, parents, teachers & school staff have had to adapt to going from online (4/14)

to in-person learning (and back again) numerous times.
And this virus has disproportionately affected some groups more than others.

But there's the thing: while our experiences of this pandemic haven't been shared, we do have a shared goal.

And we can reach it together. (5/14)
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I am no psychiatrist or therapist, but I have been on the receiving end of verbal abuse, multiple times over decades, and managed to escape and recover from (most of) the trauma. I'm not sure that really "qualifies" me to say the following, in the academic sense, but...1/

I am seeing the press engaging in what I would call verbal abuse. When you invite a "guest" onto a program to present his or her POV, or to discuss their "expert" opinion on a subject, and then laugh at them, roll your eyes and talk over them, ask only rhetorical questions 2/

...and then accuse the guest of harming/doing disservice to the audience, you are behaving like an abuser. You are "informing" no one of anything other than your willingness to bully and abuse other human beings. Hosts with honest disagreements can and should ASK questions 3/

The hallmark of sincere disagreement is the listener who first checks for understanding of the speaker's POV, then asks why they say that. The host could challenge their arguments on the merits, with their evidence, then allow the guest to respond. This is how adults act. 4/

Immature, irrational, indoctrinated, and/or abusive, people talk OVER, mock, belittle, and accuse guests with different points of view of being "dangerous" or "harming" viewers/listeners. This is the behavior of deeply insecure people who know their ideas lack merit. 5/
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Steve Cuss
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@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/
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No-regret #hydrogen:
Charting early steps for H₂ infrastructure in Europe.

👉Summary of conclusions of a new study by @AgoraEW @AFRY_global @Ma_Deutsch @gnievchenko (1/17)
https://t.co/YA50FA57Em


The idea behind this study is that future hydrogen demand is highly uncertain and we don’t want to spend tens of billions of euros to repurpose a network which won’t be needed. For instance, hydrogen in ground transport is a hotly debated topic https://t.co/RlnqDYVzpr (2/17)

Similar things can be said about heat. 40% of today’s industrial natural gas use in the EU goes to heat below 100°C and therefore is within range of electric heat pumps – whose performance factors far exceed 100%. (3/17)


Even for higher temperatures, a range of power-to-heat (PtH) options can be more energy-efficient than hydrogen and should be considered first. Available PtH technologies can cover all temperature levels needed in industrial production (e.g. electric arc furnace: 3500°C). (4/17)


In our view, hydrogen use for feedstock and chemical reactions is the only inescapable source of industrial hydrogen demand in Europe that does not lend itself to electrification. Examples include ammonia, steel, and petrochemical industries. (5/17)
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अस्य श्री गायत्री ध्यान श्लोक:
(gAyatri dhyAna shlOka)
• This shloka to meditate personified form of वेदमाता गायत्री was given by Bhagwaan Brahma to Sage yAgnavalkya (याज्ञवल्क्य).

• 14th shloka of गायत्री कवचम् which is taken from वशिष्ठ संहिता, goes as follows..


• मुक्ता-विद्रुम-हेम-नील धवलच्छायैर्मुखस्त्रीक्षणै:।
muktA vidruma hEma nIla dhavalachhAyaiH mukhaistrlkShaNaiH.

• युक्तामिन्दुकला-निबद्धमुकुटां तत्वार्थवर्णात्मिकाम्॥
yuktAmindukalA nibaddha makutAm tatvArtha varNAtmikam.

• गायत्रीं वरदाभयाङ्कुश कशां शुभ्रं कपालं गदाम्।
gAyatrIm vardAbhayANkusha kashAm shubhram kapAlam gadAm.

• शंखं चक्रमथारविन्दयुगलं हस्तैर्वहन्ती भजै॥
shankham chakramathArvinda yugalam hastairvahantIm bhajE.

This shloka describes the form of वेदमाता गायत्री.

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• All these five faces shine with three eyes 'त्रिक्षणै:'.
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• Sell 1% away options from those
• Exit when levels breached


Position Sizing by @Mitesh_Engr Sir.

How to deploy your capital?

• First sell 20%
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• When to exit
• What to do when view goes wrong
• What to do with idle capital


Some important tweets of @Mitesh_Engr Sir

• What Data to look at
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• Gather knowledge and play directional
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Ok I was wrong about theHouse. 2 years of legislative gridlock = not fun. Few bills passing.

Control of the House is useless when it comes to keeping Trump from declassifying all the SpyGate docs. Or stopping an Inspector General from releasing a report.

Trump still gets control of judicial appointments so we can expect another 100 judges over the next two years. This time there’ll be no McCain or Flake playing the Maverick role with their swing vote.

That new margin in the Senate is huge if another Supreme Court seat comes open.

So from the responses I’m getting, people seem to think if Trump declassifies the Spygate stuff now, nothing happens.

Are you under the impression federal prosecutors have to wait until CONGRESS finishes an investigation and makes criminal referrals before the DOJ can act?

There’s a federal grand jury on McCabe right now. Did Congress ever finish it’s investigation and make a referral to the DOJ against him?

No.

BUT INSPECTOR GENERAL HOROWITZ DID. On finishing his McCabe leak report.

Funny how nobody remembers that.
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