BC HEALTH
Saved by @CodyyyGardner

Over the past few days I’ve been speaking to several frontline NHS staff working in hospitals in London and surrounding areas and it seems that the situation is incredibly dire

-- THREAD --

 One doctor in a London hospital tells me that following a huge spike in cases their hospital is struggling to cope and they now have no choice but to ration Oxygen: “No beds, no space, minimal Oxygen supplies. We’re having to ration Oxygen.”
A senior doctor at one of the biggest London hospitals tells me that all elective surgery has now been cancelled and that roughly 80-85% of beds are currently being used for COVID patients.
At one hospital in London a specific team has been set purely to aid with the patient discharge process. Why? Simply to free up as much bed space as possible because demand is higher than it has ever been.
One medic tells me that the number ITU beds has increased at their hospital as they try and deal with extra demand but they only have staff to cover half of them: “Yes we have extra beds but what is the point if we don’t have any staff to actually work on them?”
Another tells me that so many members of staff are off because they are isolating: “The hospital has no idea what to do with deployment or staffing we’ve all been asked to cancel annual leave and any days off we had because there are so many people who can't come to work”.
I’ve also been told by several members of staff across multiple hospitals that many of their colleagues have signed off due to stress or mental health issues after working flat out this year. Many are saying that they are being drastically overworked and need extra support.
One tells me they have already been working flat out to cover surgeries that had been cancelled “some of us stay after our shifts, we work extra weekends, there’s a huge backlog, so we haven't stopped working.”

Now the latest spike means there will be more to deal with.
Another healthcare professional tells me the different departments at their hospital are being turned into a critical care overflow units and those who have no intensive care training are being asked to help to try and make up the numbers.
If you're a frontline healthcare professional working in hospitals in the UK at the moment, my DMs are open and I really want to hear from you.

Anything you tell me will be dealt with with the strictest of confidence.

More from Health

Alex McNeil
Alex McNeil
@AlexMcNeil14
Masks. A short thread. In June last year my GP advised me that wearing a mask even for a short space of time would be harmful for me on two fronts. One - I have painful rosacea on my face. It’s a horrible condition and it’s lifelong. I can at times look scary!

Putting on a mask simply makes it worse. Two - I have hypertension. Manageable and controlled. GP also advises that mask wearing even for short periods can raise cortisol levels and make them dangerous to me.

On that basis and given the dreadful treatment us non-maskers have to suffer and to appease the abusers I have three times asked my GP to issue me with a letter relating to my conditions.

On each occasion she has said that there is no need. Whilst she won’t admit it straight up, all conversations suggest she’s been told not to. I happen to agree that no-one should need to reveal their medical history to anyone other than medical professionals responsible for me.

I’ve researched mask wearing in relation to what they are supposed to be used for ref *Covid* - I’m no thicko - I prepare risk assessments (and I’m qualified to do so) every day (or did) - and the evidence *for* is weak. Very weak.
HEALTH
mf.
mf.
@redwineclouds
After therapy sessions, it is occurring to me how my parents and maybe most desi parents don't really grow as parents. For example, a person would be a very different to a baby and to a teenager because the needs and vulnerabilities are so different.

But here, I feel that growth for parents stagnants sometime around when a child is 12-13. None of our parents really talk to us about puberty and growing up. None of us are taught or can talk about relationships because of moral reasons. So what do you have?

You have parents who are still parenting their adult children like kids, not apologising to us but asking us to eat, reminding us to wear jackets, locking up cars. They care. But they are coming from a care where the parent is always concerned about keeping the kid safe and alive

which imo really reduces the kind of parental advice and care one needs as an adult. Because adults know enough about the world to no longer be infantilized but we still have parents who expect us to be the same children because they're still the same kind of parents.

This is why so many of our parental relationships are strained or just based on civilities. We're forced to hide a lot from them because parents refuse to grow as parents and acknowledge us as adults. How many of us are still lectured, have curfews, other restrictions?
HEALTH
Advertisement
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
Tamar Haspel
Tamar Haspel
@TamarHaspel
Let’s talk about ORGANIC.

Robert Paarlberg’s new book on the food system is out today, and here’s an excerpt.

He’s not a fan of organic, and he makes some good points but misses others.

Here we go.

Organic's biggest shortcoming is that you need more land to grow the same amount of food.

The yield penalty happens in almost every crop, in almost every study.

The gap could narrow with more research/varieties, but it won’t go away.

This has big, bad climate implications.

The second issue I have with organic, which Paarlberg shares, is that its basic criterion is naturalness.

Natural doesn’t mean safe, or even safer. A farming standard based on it forces farmers to sometimes use more dangerous, less effective tools.

On human health, there’s scant evidence that pesticide residues on conventional produce are harmful to consumers (though it’s possible farmworkers could be at risk).

What I don’t want is for folks who can’t afford organic to worry about feeding their kids conventional produce.

On the plus side, Paarlberg acknowledges that the organic standard has some real advantages for animal welfare.

This is why I buy organic animal products.

Many in the organic world would like more regs ensuring animals have decent lives.
HEALTH
Avraham Z. Cooper, MD
Avraham Z. Cooper, MD
@AvrahamCooperMD
1/15
Why can cefepime cause neurological toxicity?

And why is renal failure the main risk factor for this complication?

The answer requires us to learn about cefepime's structure and why it unexpectedly binds to a certain CNS receptor.

#MedTwitter #Tweetorial


2/
Let's establish a few facts about cefepime:

🔺4th generation cephalosporin antibiotic
🔺Excretion = exclusively in the urine (mostly as unchanged drug)
🔺Readily crosses the blood-brain barrier (so it easily accesses the brain)

https://t.co/rjYG1BfGPR


3/
The first report of cefepime neurotoxicity was in 1999.

A patient w/ renal failure received high doses of cefepime and then developed encephalopathy, tremors, myoclonic jerks, and tonic-clonic seizures.

✅All symptoms resolved after hemodialysis.

https://t.co/u7JLVitQpp


4/
Cefepime neurotoxicity is surprisingly common, occurring in up to 15% of treated critically ill patients (w/ symptoms varying from encephalopathy to seizures).

💡The main risk factors = renal failure and lack of dose adjustment for renal function.

https://t.co/nxbnzSq8AR


5/
What about cefepime induces neurotoxicity?

One clue is that it's not the only antibiotic that causes neurotoxicity, particularly seizures.

This actually is a class effect w/ other beta-lactam antibiotics (including penicillins and carbapenems).

https://t.co/Lf4BhON9IY
HEALTH

You May Also Like

KrishnaLeela
KrishnaLeela
@Talesofkrishna
🌿𝑻𝒉𝒆 𝒔𝒕𝒐𝒓𝒚 𝒐𝒇 𝒂 𝑺𝒕𝒂𝒓 : 𝑫𝒉𝒓𝒖𝒗𝒂 & 𝑽𝒊𝒔𝒉𝒏𝒖

Once upon a time there was a Raja named Uttānapāda born of Svayambhuva Manu,1st man on earth.He had 2 beautiful wives - Suniti & Suruchi & two sons were born of them Dhruva & Uttama respectively.
#talesofkrishna https://t.co/E85MTPkF9W


Now Suniti was the daughter of a tribal chief while Suruchi was the daughter of a rich king. Hence Suruchi was always favored the most by Raja while Suniti was ignored. But while Suniti was gentle & kind hearted by nature Suruchi was venomous inside.
#KrishnaLeela


The story is of a time when ideally the eldest son of the king becomes the heir to the throne. Hence the sinhasan of the Raja belonged to Dhruva.This is why Suruchi who was the 2nd wife nourished poison in her heart for Dhruva as she knew her son will never get the throne.


One day when Dhruva was just 5 years old he went on to sit on his father's lap. Suruchi, the jealous queen, got enraged and shoved him away from Raja as she never wanted Raja to shower Dhruva with his fatherly affection.


Dhruva protested questioning his step mother "why can't i sit on my own father's lap?" A furious Suruchi berated him saying "only God can allow him that privilege. Go ask him"
RELIGION
\u0936\u094d\u0930\u0940\u092e\u093e\u0932\u0940 \u0939\u093f\u0924\u0947\u0936 \u0905\u0935\u0938\u094d\u0925\u0940
श्रीमाली हितेश अवस्थी...
@HiteshAwasthi89
#Thread
12 Most Powerful Hanuman Mantras

Hanuman ji is the Hindu God of strength, valor, agility, and wisdom. He is considered as the incarnation (avatar) of bhagwan Shiva. Hanuman ji is the symbol of devotion and dedication. He is the greatest devotee of Prabhu Shri Ram. 1/n


Hanuman ji is known by several names such as Bajrangabali, Mahabali, Maruti Nandan, Pawanputra, Mahaveer, and Anjaneya. Hanuman ji is the son of Bhagwan Vayu, the wind god.

God Hanuman played a prominent part in rescuing Mata Sitafrom the bondage of demon King of Lanka, Ravana.


One can worship Hanuman ji by chanting Hanuman Mantras. There are many different types of Hanuman Mantras, each fulfilling a specific purpose. Hanuman Mantras help to beget the blessings of Mahabali Hanuman for success. 3/n


Let’s explore these powerful Hanuman Mantras one by one. Here’s the list for you:

1. Hanuman Moola Mantra
!! Om Hanumate Namah !!
ऊँ हनुमते नम:

You can chant the “Hanuman Moola Mantra if you usually face problems and obstacles in your life.4/n
#hanumanjanmotsav


However, the Human Moola Mantra is also a very powerful success mantra.

It’s a Kaarya Siddhi Mantra.

It is highly advised that all those who usually face obstacles and problems in their life should chant the Hanuman Moola Mantra. 5/n
#hanumanjanmotsav
ALL
Advertisement
Pulp Librarian
Pulp Librarian
@PulpLibrarian
Due to the pandemic you may not have visited your local library in a while. So come with me on a virtual library tour, courtesy of stock photography, to see what we do for a living...


Libraries are of course information resource centres, but in many ways they are so much more. To get the best out of them you need to really know your way around the stacks.


The enquiries desk is normally your first stop in a library, and this is where you will meet The Angry Librarian! Why is she angry? Because you keep asking her stupid questions!


"Are you open?"
"Do you have a toilet?"
"That chair's wobbly!"
"Why isn't it available in audiobook?"
"Someone else is on the computer and that's not fair!"

On and on it goes...


And that's why in the library we insist on silence. It's the only way to stop us swearing at all the idiotic things you ask us. And we've looked up a lot of old swear words: beardsplitter, bescumber, rantallion, smellfungus etc. We're such muckspouts...
ALL
Abigail See
Abigail See
@abigail_e_see
Can we control the output of neural generation systems?
Can we build a better chatbot using this control?
And what makes a good conversation anyway?

Check out the blog post for our NAACL paper:

https://t.co/UAAUxSeA0L

#AI #NLProc #DeepLearning #ConversationalAI @facebookai

This post got a little delayed since the paper's publication, but the intervening time has given me an opportunity to reflect.

So this post has some extra thoughts regarding more recent NLG developments - e.g., pretrained models like GPT(2), and the suitability of beam search.
ALL
\U0001f1fa\U0001f1f8I Support Our Military & Law Enforcement\U0001f1fa\U0001f1f8
🇺🇸I Support Our Milita...
@TheWiseOwl_AZ
1. We were informed that Tier 4B (us, the Internet Group) would receive 800# notification on Wed. 16 Dec. (A Shotgun Release of liquidity started on Mon. 14 Dec.).

Redemption Center personnel were scheduled to work for the next nine days from 8:30 am to 8:30 pm until...

2. ... Dec. 24, when they would close at 5:30 pm.

The general public would begin exchanging at the new International Rates on the first banking business day after the Christmas Holiday.

A. The RV, NESARA, GESARA, Restored Republic and Martial Law

3. According to Charlie Ward we began the Ten Days of Darkness on Tues. 15 Dec. The Ten Days would finish Dec. 24 Christmas Eve with the US going into NESARA and then the rest of the world would go straight into GESARA on 1 Jan. 2021.

4. Every single country and territory has agreed to GESARA. The UK government corporation was liquidated in Oct. last year and it was finalized last week. France has started breaking up their Parliament. Everything needed for implementation of NESARA/GESARA was finished.

5. Trump’s Christmas present: In a recent Executive Order President Trump declared that all government agencies (except for essential ones) permanently close on Dec. 24 2020. Trump had that authority since we were already under Martial Law (the US had been functioning under...
WAR