BC HEALTH
Saved by @Mollyycolllinss

Just got off the phone with a client who hasn’t been able to call because the jail has been taking his money for his meds.

In jail pretrial, they won’t continue you on any medicine you were on previously. You are abruptly taken off because you aren’t allowed to take your meds.

 No regard for what abrupt discontinuation of meds will do (from what I’ve seen can range from delusions, delirium, psychosis, suicidal thoughts to actual suicide.) You stay like this while waiting to see medical which can take 20 days- month(s). Longest I’ve seen was 3 months.
After seeing medical, your scripts are often changed to different brands, doses reduced, and only administered once a week. So if you were prescribed something for bipolar— you’d get your one (smaller different brand) dose once a week.
You are then billed for that visit to medical + that medicine that’s administered once a week which is deducted from any money you have in your commissary. Then whatever remains is an open bill which will be taken should your family put more money on your books.
Your commissary is the only money you can access in jail— not only is this how you call home, how you video visit during a pandemic (because in person isn’t allowed), how you get utensils, paper, etc. to write home, but also how you buy necessities that the jail doesn’t provide
Like— soap, yes you have to buy your own soap in jail. They do not provide you soap. Soap, toilet paper, shampoo, tampons, conditioner, deodorant, shower shoes (in that nasty ass shower), etc. You won’t be able to bathe or wipe your ass without your family putting in money
It’s truly messed up that someone can be detained pretrial, have their own meds that were provided by a doctor according to their needs and paid for, but because they are in jail, they have to see a medic that they have to pay for to get new meds that they have to pay for
Money aside, the horrors I have seen with this — with switch people’s meds, not giving them the needed dose, and only giving a “top off” dose once a week or once every two weeks. You see people who are TRULY mentally disabled having mental episodes because of this
I’ve had clients that by months of this abuse In court they couldn’t speak, were curled in a ball on the ground, didn’t know their name, shaking and crying, seeing things, where even the bailiffs and guards were begging me to get them out because it was so bad for them inside.
There are so many issues with this but this is also why you don’t call the police when you see someone having a mental episode. They will not be helped in jail. In fact that is absolutely one of the places that they will be made worse.
Dont expect humanity from a system that has none to give. Don’t send your mentally ill or your addicted there.
Every client I’ve had that died by suicide while incarcerated was having severe DTs due without any medical treatment whatsoever(it takes at least 20-30 to see medical)
No one should be in jail but specifically no one mentally ill should be in jail. Prison exacerbates mental illness symptoms. What I see at the beginning compared to what I see in a months time in court is shocking and heartbreaking what this system does to our mentally ill.
And anyone who knows anything about mental illness, medicine regulation, and how hard it is to achieve that... should be horrified that the system is treating people with diagnosed mental illnesses this way, people who come in with medicine or have families that drop off medicine
Only to be ignored by the jail, ignored, and medicated once every 2 weeks maybe with a different dosage — it’s the bare minimum to be able to say they are providing mental health care when ruled in before the judge at our request.
Another issue I’ve run into after clients were abruptly taken off their meds and thrown into shock is often they are not fit (physically, mentally, or psychologically) to take a plea or make any decisions in their case. More often than not, they were at initial meeting with me
But after the shock of discontinuing their meds, they aren’t any longer. Then decisions have to be made but any of these decisions all involve more time in jail, even when a credit for time served plea is on the table because they aren’t fit to take it. All due to the jail. Bs
An example of this was a client that was taking a CFTS plea, during the plea colloquy was seeing things (he told me he was) and he was obviously getting nervous, nervously looking around in horror. The judge asked him why he did what he did- he said he saw the devil
Then to explain what he meant said I see things right now you have horns. The judge convinced he was just acting up despite my objections and insistence he wasn’t, sent him back to the jail and reset for 3 months later.
When I insisted to the judge that the jail took him off his meds and this was the result, he demanded I file a sanity which at minimum takes 6 months. All this Despite having a credit for time served plea on the table where this client gets out. All this because the jail.
Either way the client was now forced to be in jail at least 3 months-6 months despite being able to leave that very day.

No one could extend him even an ounce of humanity, a crumb of empathy, nothing.
When I referenced “sanity” above I was referencing a tool used to determine whether a defendant is competent to proceed and has the capacity to understand the proceedings against him or to assist in his defense.
When these clients are taken off their meds and come into court wanting to take a plea, even with a plea on the table, the court can choose to not take the plea, and order a “sanity commission” be formed to determine whether they are competent to take the plea.
At which the court won’t accept their plea (won’t allow them to plea) and has ordered the sanity so they have to go back to jail for the 6 months (at minimum) for a sanity to be completed.
After the determination is made by the sanity, if he’s determined to be competent he can then take his plea. But by this point he’s been in jail for an extra 6 months on top of the previous 3-5 he already had. This is done so clients plea can’t be overturned later.
It’s all terribly sad. Client comes in competent, jail takes off meds and renders him less competent, longer he waits the worse it gets, gets to court after 3-4 months, judge refuses get out of jail plea because maybe incompetent, gets 6 month test, finds competent, pleas to same
Endorsement by fellow public defender: https://t.co/VMIDjr3BKA

More from Health

Cam Patterson
Cam Patterson
@drcampatterson
UAMS has taken the extraordinary step of asking leadership across our health system to refrain from traveling over the coming holidays and report to work or be available if needed. Other hospitals in our state are considering similar measures.

(1)

Although the health care system in the state of Arkansas is stressed right now, it is holding up, and additional surge capacity exists. But that capacity is not infinite.  Every day, we become more and more concerned about our ability to manage what lies ahead.

(2)

As health professionals, we are doing all we can. However, one thing is certain. We can’t meet this challenge unless you are with us. As Secretary Jose Romero of the AR Dept. of Health has said, we are in the midst of a “surge within a surge” in this COVID-19 pandemic.

(3)

Right now, the @UAMS_COPH COVID-19 forecasts, which have been strikingly accurate so far, indicate that the density of COVID-19 infections exceeds each of our abilities—yours & mine -- to avoid contact with actively infected individuals in our state...

(4)

...whenever we venture outside our homes. They predict an exponential increase in coronavirus deaths in the next two weeks, more than we saw in the first four months of the pandemic. We may soon exceed the number of beds, ventilators, & most importantly...

(5)
HEALTH
el gato malo
el gato malo
@boriquagato
this simple, counter narrative fact keeps cropping up all over the world.

hospital and ICU utilization has been and remains low this year.

it's terribly curious that so few of these monitoring tools provide historical baselines.

getting them is like pulling teeth.


we might think of this as an oversight until you see stuff like this:

this woman was arrested for filming and sharing the fact that their are empty hospitals in the UK.

that's full blown soviet. what possible honest purpose does that

this is the action of a police state and a propaganda ministry, not a well intentioned government and a public heath agency.

"we cannot let people see the truth for fear they might base their actions on real facts" is not much of a mantra for just governance.


90% full ICU sounds scary until you realize that 90-100% full is normal in flu season.

staffed ICU beds are expensive to leave empty. it's like flying with 15% of the plane empty. hospitals don't do that.

and all US hospitals are mandated to be able to flex to 120% ICU.

the US is currently at historically low ICU utilization for this time of year.

61% is "you're all going to go out of business" territory as is 66% full hospital use.

can you blame them for mining CARES act money? they'll die without it.
HEALTH
Advertisement
First Doctor
First Doctor
@firstdoctorr
ECTOPIC PREGNANCY

A woman just lost her life due to ectopic pregnancy!

It's a pregnancy in which the embryo attaches outside the womb. It can be life-threatening.

But we can save lives by helping educate women on our Timelines with this.

THREAD 🧵


In the human body, a fertilized egg hardly survives outside the womb. If allowed to grow, it may damage nearby organs & cause severe blood loss.

The bulk of ectopic pregnancies occur in/along the Fallopian tubes.

Some in the ovaries, cervix or a random location in the abdomen.


The usual symptoms of ectopic pregnancy a woman may experience esp. in early pregnancy are;

* Abdominal pain
* Vaginal bleeding, &
* Amenorrhea (missing your period)

Other pregnancy symptoms like breast fullness & occasional nausea may be there too.

But the common DANGER SIGNS of ectopic pregnancy that may signify rupture are;

🔴 Rigid abdomen

🔴 Severe abdominal pain

🔴 Shoulder tip pain, &

🔴 Signs of shock such as cold hands & feet.

With these signs, immediate medical attention is needed to save the woman's life!

Your chances of having an ectopic pregnancy are higher if you have;

1. Previous ectopic pregnancy

2. STI's like gonorrhea

3. Fertility treatments like IVF*

4. Fallopian tube surgeries

5. Pregnancy while using an Intrauterine Contraceptive Device

6. Smoking history! 🚭
HEALTH
Starks\u262a\ufe0f\U0001f1f9\U0001f1e9
Starks☪️🇹🇩...
@MegaIntelIect
Thread on how atheism leads to mental retardation (backed with medical citations🧵💉)

To start with, atheism is an unnatural self-contradicting doctrine.

Medical terminology proves that human beings are naturally pre-disposed to believe in God. Oxford scientists assert that people are "born believers".

https://t.co/kE0Fi588yn
https://t.co/OqyXcGIMJn


It should be known that atheism could never produce an intelligently-functioning society and neither ever will.

Contrastingly, Islam produced several intellectuals & polymaths, was on the forefront of scientific development, boasting 100% literacy


It is also scientifically proven that atheism led to lesser scientific curiosity and scientific frauds, which is also why atheists incline to pseudo-science.

Whereas, religion in general and Islam in particular boosted education.

https://t.co/19Onc84u3g


Atheists are also likely to affected by pervasive mental and developmental disorders like high-functioning autism.

Cognitive Scientists and renowned Neurologists found that more atheism is leads to greater autism.

https://t.co/zRjEyFoX3P
HEALTH
AutisticSciencePerson
AutisticSciencePerson
@AutSciPerson
Okay, let's start this hypersomnia thread!

[note - I am not looking for unsolicited advice.]

Idiopathic hypersomnia or narcolepsy (not the same, but similar) is very hard to describe to people.

When I say "I slept 10 hours last night and I'm still tired" I'm not bragging. 1/16

For me, the accommodations I need are about time. My body doesn't care what I want to do - when I want to wake up or be asleep. My body wants to wake up at 10-11am, and go to sleep at 3am, always.

Just a one hour shift in my sleep schedule can screw me up for days. 2/16

When I tell people that I'd really "prefer it" if we could meet at 10am or later, it's because getting up before that has consequences for me. Big consequences. Most people won't see them. Sometimes I still give in and say it's fine. It ruins 2-3 of my days, sometimes more. 3/16

Let me explain. When I am required to wake up at 9am, esp. in covid times working from home, my body pays me back for it later.

I'm going to show you ways this happens. I can usually withstand 1 day of waking up early, with some consequences, but 2 days in a row kills me. 4/16

Let's say this graph represents Day 1, the first time I am required to get up early. The y-axis is my level of Sleepiness. Any symptom listed higher up includes that symptom + every other symptom below it. Getting up that early means I can't listen or concentrate all day. 5/16
HEALTH

You May Also Like

Dr Naomi Wolf
Dr Naomi Wolf
@naomirwolf
1/Just had an interview scheduled with @goddeketal, Dr Simon Goddek, the post-doctoral researcher at the Faculty of Mathematics and Statistics in the field of biotechnology, at an unnamed Dutch university. This researcher has been publicly pointing out that the paper that...

2/ the PCR test as the gold standard underlying global "lockdowns" was passed after maximum ONE day of peer review, as opposed to the average at that same journal of 172 days in 2019. Also that several authors have conflicts of interest. Unfortunately we were forced to cancel..

3/ because he was strongly advised by his university to maintain silence and not speak publicly -- to step back from this issue. I learned from a source that his university was heavily assailed by many complaints. Other scientists who have signed the review criticizing the PRC..

4/test, the "Retraction Request Letter", a critique that got worldwide attention, have also been bombarded with attacks, their relatives are being called at night, and their universities assailed. Some are at risk of losing jobs. Even former employers are being harassed. I..

5/ Note : scientists around the world are being silenced and harassed if they speak up in normal criticism of the scientific methods or conclusions used to advance the lockdown agenda and COVID testing. This is not post-enlightenment scientific discourse, this is how scientists
SCIENCE
Liz (Welsh) Beechinor \U0001f605
Liz (Welsh) Beechinor ...
@LizTweetsTech
My dad led an organization of over 300,000 employees.

When I took on my biggest marketing & events team to date (35 employees) I asked him how the *heck* he did it. Here's what he said and what helped me every day. 🧵

Remember you're leading all the employees under you, but you're not *managing* them all. You're managing your direct reports, which should be 5-7 individuals max. Focus on them.

When you interact with the employees you don't manage directly, get to know them as people first, that'll be the most valuable information in leading them. Remembering everything you learn about them is hard, but doing so will make you a superhero.

If you're not going to empower the managers under you, why do you have them? If you see room for improvement, let the manager know and let them make the change on their teams and come to you with questions/concerns. This will save you SO much time.

If you're the smartest person in any room - you're doing it wrong. As a leader, your job is bringing together the best people to get the job done - your skillset is identifying those people, not being one of them.
ALL , WORK , A CATAGORY
Advertisement
Elizabeth May
Elizabeth May
@_ElizabethMay
This is NONSENSE. The people who take photos with their books on instagram are known to be voracious readers who graciously take time to review books and recommend them to their followers. Part of their medium is to take elaborate, beautiful photos of books. Die mad, Guardian.


THEY DO READ THEM, YOU JUDGY, RACOON-PICKED TRASH BIN


If you come for Bookstagram, i will fight you.

In appreciation, here are some of my favourite bookstagrams of my books: (photos by lit_nerd37, mybookacademy, bookswrotemystory, and scorpio_books)
FUN
Anshul Pandey
Anshul Pandey
@Anshulspiritual
LING PURANA: IMPORTANCE AND CHARACTERISTICS

Reading Ling Purana provides bhog and moksha to the reader and listeners. It is about Shiva's sermon to Brahma when Shiva entered the Agni Ling and preached about Dharma sidhhi through the stories of Agni Kalp.


Vyasji divided this into two parts. This book is different from others and has eleven thousand shlokas which depict the glory of Shiva. This Puran is the summary about importance of Tridev.
It starts first with a questions. Then it describes the Shrishti in brief.

Then there is description of Yog and Kalp. Next is the evolution of Ling and its puja Vidhi. It consists of dialogue between Sanat Kumar and Shail etc. It also mentions the character of Dadhichi, the dharma representation of that yug, Bhuvan kosh description,

Chandravansh and Surya vansh. Next there is elaborate description of Shrishti, story of Tripur, Ling and Pashu Paash vimoksha, Vrats for Shiva, Discipline, Repentance, Arisht, description of Shri Shail. Next is the story of Andhakasur, Varah, Narsingh,

k¡lling of Jalandhar, Shiv sahastra naam, story of Daksha's yagya and its destruction, killing of Madan and marriage of Parvati.

Next is Vinayak katha, Shiv tandav, Ambrish katha and Upmanyu .
RELIGION
The Astro Sapien\u2728
The Astro Sapien✨
@TheAstroSapienn
Here is my Thread on 'Ketu (South Node) Through Nakshatras' The 27 Constellations 🙏❣.

Do check your “Past life Mastery” which KETU Represents🤞🏻.


1. Ketu in Ashwini Nakshatra:

Here native is Great at Financial Planning, Face reading, understanding other’s mind and intention, Driving Fast they don’t like but they are wayyy smooth over driving Fast. This is also great position which can make native Great Surgeon,

Neurologist, Psychologist.
These natives are Selfless and Sacrifice self for others. They gets Fame and Success but they just don’t care.

2. Ketu in Bharani Nakshatra:

They are good at Flirting, Attracting opposite sex, studing ancient subjects. They are also Great at Creativity and Artistic activities. The are lazy but they are really open minded who handles situations really well.

In Past life they have handles many things which is now helping them to make things easier in this life. They are great Leaders too.

They are really good at Hard work and Smart work both. And yes just as Ashwini they don’t much care about Fame and Success!
ALL