So now we have a certified Serologic testing of Red Cross US blood donations to identify SARS-CoV-2-reactive antibodies, and that battery of testing shows widespread presence of SARS-CoV-2-reactive antibodies in donations made between December 2019-January 2020

This Flint MI rally for Biden is a joke. Barry begging somebody to honk for Joe and I didn’t hear one horn. Then he had to scream Joe three times to get him to come out of hiding. Then Biden starts out with 8 yrs under Barry and not one scandal! 😂 Not one but about ten at least

So let's look at some of @JoeBiden BS

Dr. Eric Feigl-Ding, claims to be a "leading Epidemiologist" oves to bash @realDonaldTrump in his Biden commercial. So who is this guy really.

Well he's a democrat hack of course. He's a failed candidate in the 2018 Democratic primary for PA's 10th congressional district. He's a Harvard Grad but actually Feigl-Ding's work focuses on nutrition, health economics. He thinks Vegan's are less susceptible to COVID-19

Dr Nancy Beth Barr claims to be the Medical Director or Family Health Center. USC Grad in Family Medicine. Her focus is:

Abdominal Cramps
Abdominal Migraine
Abdominal Pain
Abnormal Bowel Movement
Abnormal Stool

This is her before she got her makeover to be on Biden commercials and give her expert analysis on how badly Trump did with COVID-19

Dr Thomas Fishbein Claims he's a Surgeon and Executive Director of Transplant Institute.

He Treats

Abdominal Abscess
Abdominal Adhesions
Abdominal Wall Defect
Advanced Heart Failure
Arrhythmogenic Right Ventricular Dysplasia

Loves to Bash Trump's lack of contact tracing

Treasury, Commerce departments hacked. Pentagon, NASA is also compromised. This is an ongoing investigation, and will be updating. DHS once again asleep at the wheel. @realDonaldTrump needs to purge the department heads they are worthless.

The end around case has been put together by TX AG Ken Paxton suing GA, MI, WI, and PA at SCOTUS. Bringing this case across multiple jurisdictions gives it a straight lane to the SCOTUS.

This happened just before midnight tonight, will post documents soon

Question did @TuckerCarlson or @seanhannity or @IngrahamAngle even mention or dedicate a news block to what is quite possibly on of the largest hacks in US History?

“Should I give them more fluid?”

Extremely common question during AKI referrals from junior docs.

⛔️ Fluid management is tricky, often misunderstood, & can cause huge iatrogenic harm ⛔️

We try to convey important principles in THREAD 👇

#tipsfornewdocs #medtwitter #tweetorial

Currently too often patients with high creatinine are given too much IV fluid, driven by an AKI ➡️ fluid reflex

We’ve seen 7 litres be given in one shift.

Medics & surgeons, juniors & seniors, it seems everyone loves to reach for extra IV fluid (especially if urine output poor)

Why does huge volume IV fluid ‘resuscitation’ consistently occur?

Lots of reasons, including FALSE beliefs:
🛑 IV fluid always “treats AKI”
🛑 Hypotension = hypovolaemia
🛑 Lactate >2 means fluid deficiency
🛑 Septic patients are very hypovolaemic

The rule with IV fluids and AKI is to remember this 5 word phrase:

💥 💥 Aim for euvolaemia, then stop💥 💥

Fluid status is like Goldilocks - hypovolaemia is bad for the kidneys BUT excess volume is also harmful for renal function and will cause other complications too.

It is easy to say “target euvolaemia” - but we agree it is more difficult to do!

Fluid status assessment is certainly made harder by a belief that we must only rely on a snapshot assessment of examination features which are NOT specific / sensitive / reliable to elicit like.…

NEW—CDC was truly suffocated by Trump WH at every turn. Kyle McGowan, a former chief of staff at CDC, and his deputy, Amanda Campbell, witnessed WH dismissal of science, WH’s slow suffocation of CDC’s voice, meddling in messages & siphoning of CDC budget.
https://t.co/HeuNbUggiw

2) ““Everyone wants to describe the day that the light switch flipped—It didn’t happen that way—more of like a hand grasping something, and it slowly closes, closes, closes, closes until you realize that, middle of the summer, it has a complete grasp on everything at the CDC”

3) “Mr. McGowan and Ms. Campbell, both 34, say they tried to protect their colleagues against political meddling from WH and HHS but was largely stifled by the Trump administration.

4) “The White House insisted on reviewing — and often softening — the C.D.C.’s closely guarded coronavirus guidance documents, the most prominent public expression of its latest research and scientific consensus on the spread of the virus.”

5) “The documents were vetted not only by the White House’s coronavirus task force but by what felt to the agency’s employees like an endless loop of political appointees across Washington.
Mr. McGowan recalled a White House fixated on the economic implications of public health.

1/23 We haven't had a lot to celebrate during this pandemic. But achieving the milestone of offering vaccine to the over 70s, health and care workers and the most clinically vulnerable just before target date is a huge cause for celebration, given the scale of the achievement.

2/23 When Margaret Keenan got her first jab in Coventry on December 8th last year, who’d have thought that, by Valentine’s Day, we’d have vaccinated over fourteen million people across the UK in just ten short weeks? Amazing, extraordinary and truly, really, world class!

3/23 I’ve been struck by how much joy and relief has been brought to those doing the vaccinations and those receiving them. A GP told me yesterday that nothing had given him greater pleasure in his long career. And that the patient's relief was sometimes overwhelming.

4/23 It's vital to recognise the extraordinary contribution of the staff and volunteers who have made this happen. One of my close family had their jab yesterday and was in awe of the volunteer standing outside in the freezing cold for a four hour shift meeting and greeting.

5/23 What I wanted to share in this thread was the slightly untold story of some of the extraordinary challenges the NHS has had to overcome to deliver this target. Requiring superhuman effort from NHS leaders and staff, way beyond the call of duty. Five challenges set out below.

Our conscious experience exists. In fact, it's the only thing you can directly observe, as everything about reality and how we perceive it is filtered through how our brains process stimuli and information. You are the only one who can define who and what you are.

Don't get me wrong, I am a materialist who believes the universe exists in the absence of beings who can observe it from an intelligence standpoint, but we are all collections of atoms, our function governed by chemical processes, not perfectly replicated by the process of birth.

Our means of DNA replication is imprecise because of billions of years of random evolution. We are on one branch of many, and there is countless variation in how all living beings are formed, and how we classify traits of those creatures, including sex and reproduction methods.

It would be an error to say that people who are intersex and/or transgender are the results of mistakes or errors in reproduction, because it implies DNA is "trying" to create a binary model of people and sometimes gets it wrong. It doesn't "try" to do anything; DNA != conscious.

Rather, our biological blueprints are not precise, and this is true for all living things. We can crossbreed plants and animals because of that imprecise nature, it's responsible for what we perceive as the "races" of people, etc. We can observe variation everywhere.