BC HEALTH
Saved by @Mollyycolllinss

The events of the week have shaken us all. Murray Bowen described 'societal regression.' Anxiety is contagious in any group and a society is one giant interconnected group, so over time, societies become more and more anxious unless the anxiety is displaced.

1/

 Displacement requires calm, non reactive leadership at every level and we have lacked that at a federal level, hence the massive escalation of anxiety on the 'system' of our society.

2/
Bowen predicted that as we regress we would no longer be able to listen to each other, we'd become highly reactive, continuing the vicious cycle of catching each others' anxiety and reactivity.

We are there.

3/
But we are not doomed. Especially knowing we have a God who cares.

But it requires calm, aware leadership at every level.

4/
Systems theory often measures anxiety and action through the lens of responsibility and control.

I frame it through the notion of spaces

1. The space inside me

2. The space between us

3. The space between me and God.

5/
We often get stuck in an anxiety spiral because we put too much energy into the forth space:

4. The space inside them.

Systems Theory reminds us that spending time and energy on that space is not only futile, it is destructive.

6/
But the first 3 spaces? To coin an old Seinfeld reference, 'That's gold, Jerry. Gold.'

What is mine to carry, what is theirs, what is God's?

7/
Ed Friedman reminds us that working on the nature of our own anxiety, noticing recurring patterns and reactivity in ourselves, is what gives the most potential for change.

8/
The world needs leaders who practice calm presence. Leaders who listen to learn rather than listening to defend or fix. Leaders who can stay connected while strongly disagreeing, who can maintain their own values while connecting to people who violate their values.

9/
Fortunately we have Jesus of Nazareth as an example of calm, aware presence in the face of hostility and values violations.

10/
So connection and lowering reactivity starts with hyper awareness of the 3 spaces.

1. The Space inside me.

It may sound silly or weird, but maintaining connection with yourself is essential.

11/
A simple example: I have a set of values for my social media behavior because I don't trust myself in the moment as I read people's posts. I get reactive, then I get self righteous, then I fall into the lie, 'one corrective comment from me will help.'

It never does.

12/
I have already established behavior values, so I don't succumb to reactivity. I can live out of my pre chosen values.

That is a simple ex. of being connected to myself. Clarifying my posture, values, behavior BEFORE I get anxious so they can guide me WHEN I am anxious.

13.
The space between me and God is as key because anxiety and reactivity fill that space and infect my awareness of God.

One of the simplest, but most difficult ways to know you are anxious: you forget that God is with you. It is because anxiety has blocked your view.

14/
'We love because He first loved.' All our action is action reaction to The Actor. But anxiety tells me I must initiate, I must act.

I, I, I.

But God invites me into response.

15/
This is no cop out to sit in life's lazy hot tub while God acts. Some of the finest justice advocates I know are the most connected to God. But their activism is a RE-action to the Active God.

16/
So attending to the space inside me, the space between me and God....

Generally, that helps sort out space #2 at the top of this thread and keeps me from falling into the daily temptation to focus on space 4 which is OFF LIMITS!

Peace of Christ be upon you today.

17/17

More from Steve Cuss

Steve Cuss
Steve Cuss
@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/
HEALTH
Steve Cuss
Steve Cuss
@stevecusswords
John says 'perfect love casts out fear.'

Perfect love displaces fear. I think fear can displace our awareness and experience of perfect love. It cannot displace God's love, but it sure can displace our awareness of it.

1/

Knowing you're in anxiety's grip is actually not as easy as we think. We tend to bear down and try harder instead of pausing.

One way to notice it: you are no longer aware of God's presence and God's love.

It could be that your anxiety has displaced your awareness.

2/

Warning Signs:

- you start to think it is all on you/all on your shoulders.
- 'if it is to be, it is up to me.' An anxious statement if ever I heard one.
- An impending feeling of doom or hopelessness.
- Rigid thinking, either-or locked in thinking.
- double binding.

3/

Chronic Anxiety has a 'gospel.'

'it is on you, there is not much you can do, you are not ______ enough, YOU are not enough, there are only bad options, try harder, do more of the same.'

Recognizing Chronic Anxiety's message helps you displace it with the actual Gospel.

4/

Even though we have the Gospel, we often don't access it. We spend most of our time living by our false selves, not by the Gospel. I have been doing this work for decades and I still spend more time living for false self, than I do resting in my identity in Christ.

5/
LIFE
Advertisement
Steve Cuss
Steve Cuss
@stevecusswords
The Inner Critic.

Ugh.

Its hard to dislodge the power and influence the IC has over us. Here is a helpful tool:

1. Find at least one other who cares about you and get together.

1/

2. Have your friend write down the messages your IC tells you as you share it.

3. Then ask her/him to write the adjectives of these messages, ex: 'harsh,' 'unrelenting,' 'condemning.' etc.

So now you have the actual messages on one line and descriptors on the other.

2/

4. Now write the descriptors of God's character and God's posture toward you. Patient, loving, kind etc.

5. What if I were at least as ________ to myself as God is.

3/

We tend to get wigged out by talk of Satan and Spiritual Warfare, but the more I work with people on chronic anxiety, the more convinced I am that our self talk, our IC, the story we tell ourselves about how we MUST be and how the world MUST be is keeping us trapped.

4/

Paul says, 'it is for freedom that Christ has set us free' yet so many are bound by our IC and .the story we tell ourselves.

We give it WAY too much authority, too much real estate in our soul. It has a 'gospel' which is always some form of legalism and condemnation

5/
LIFE
Steve Cuss
Steve Cuss
@stevecusswords
I've been doing more study on the constant critic(s) that every church leader deals with. Its amazing how a steady group of 2-5 critics can really tax a leader's health and impact them way beyond their numbers. ie, more than 3 feels like 'legion' to a leader.

1/

All vocations face criticism of course.

I wonder if church criticism is unique because:

a) church leaders tend to conflate personal identity and church health more than most.

b) critics falsely think they know about leading a church because they attend a church.

2/

For example, doctors and teachers face criticism. People come into a Doc with diagnosis from Internet etc. But I wonder if attending and serving in a church makes someone more confident that they know when they really don't know.

3/

I've often marveled, and been hurt by how strongly someone has an opinion about something they've had zero training in. They are oblivious to how broad a church is - they think everyone thinks the same.

4/

One reason they think this is because their phantom mob is usually made up of like minded people. A handful of passionate people agreeing, so they say, 'everyone thinks' but actually it is less than 1% of the church.

5/
LIFE
Steve Cuss
Steve Cuss
@stevecusswords
There are 4 spaces in life, 3 we can do something about. We spend too much time and energy focusing on the one that we cannot and ought not try to manage.

1/

1. Space inside me. What is going on in me? How do I know when I am anxious? We all carry a bubbling collective of pressure, pain, assumptions, inner critic etc that can block our awareness of God and distort reality.

2/

2. Space between people. This can be space between me and you or space between others. Ever walked into a room with people and you felt off? You might be picking up the space between others.

Anxiety is contagious and often the most anxious person has the most power.

3/

3. Space between me and God. It is disturbing how often I forget God With Us.

Chronic anxiety seeps through us like that foam insulation. It finds the nooks and crannies and squeezes out our awareness of God.

But it can be quickly displaced with some tools.

4/

4. The space inside them.

This is the space we spend too much time and energy worrying about. If you've ever thought, 'what were they thinking? Why did they do that, Why wouldn't they _____' you're fixated on the one space you cannot manage.

5/
LIFE

More from Health

Southern Anti-Racist | Abolition Now
Southern Anti-Racist |...
@antiracistsouth
While #Tulane school of medicine is rightfully being exposed for its contemporary racism towards faculty, staff, students (and patients) due to the racist firing of Dr. Princess Dennar, it’s important to call out the deeply anti-Black history of this school, specifically... 1/

The way #Tulane became a private institution (originally was a public university) at the end of Reconstruction to avoid having to desegregate. The school charter says it was founded for “white men” only... but there’s more (much more) to this story... 2/

cw: medical racism

Tulane’s school of medicine rose to national prominence for its collection of human “specimens” in their anatomy museum “rivaled only by Harvard”. How did it acquire these “specimens” you might ask?

The collection was “curated” by a Dr. Edward Souchon... 3/

Dr. Souchon was mentored by the late James Marion Sims, the “father of modern gynecology”, who himself had started collecting body parts, organs, and skeletal remains from enslaved Black people during slavery. Souchon continued “curating” his own collection in horrific ways. 4/

The Souchon Collection grew over several decades, eventually touring the state as a traveling “public health” exhibit- nearly all of the body parts stolen, harvested and illicitly acquired from formerly enslaved and poor Black people via Charity Hospital. 5/
HEALTH
\u0939\u0920\u092f\u094b\u0917\u0940
हठयोगी...
@hathyogi31
#Thread on Tantra

The word ’Tantra’ literally means ‘loom’ in Sanskrit. There are several differing explanations as to what this word means. According to one source, this name is supposed to be a pun, and in order to understand it, one has to first understand the word ‘sutra’.


The key texts of Hinduism are known as sutras, a word which also means ‘formula or thread’. Therefore, if a sutra is a single thread of thought, then Tantra would be the loom that produces these threads of thoughts into a whole system of thoughts.


As a comparison, another source suggests that Tantra is a combination of two words, ‘tattva’ and ‘mantra’, which mean the science of cosmic principles and the science of mystic sound and vibration respectively.


In other words, Tantra may be regarded to be “the application of cosmic sciences with a view to attain spiritual ascendancy.”

In the beginning of Satyuga, Lord Shiva appeared in the form of Swacchandanatha, with his five mukha(mouth), namely Ishana, Tatpurusha, Sadyojata,


Vamadeva & Aghor. These mukhas represent his 5 energies, namely, Consciousness, Bliss, Will, Knowledge & Action. He manifested Tantras through his 5 mukhas (energies), some given by each of his mouth while others recited by him through two or more than two mouths simultaneously.
HEALTH
Advertisement
oatc
oatc
@_oatc_
@73inlancs @janethooton_ @ErinInTheMorn @fifi_EY 1/ The 🏴󠁧󠁢󠁥󠁮󠁧󠁿 government decided pediatric gender care in England would be a monopoly contract (a Labour minister, in 2008), despite all other NHS patients officially being entitled to a choice of providers, & second opinions on diagnoses & treatment, & gave it to GIDS, which has…

@janethooton_ @ErinInTheMorn @fifi_EY 2/…always advocated that trans minors & their families must have no alternative source of care, & subsequent Tory ministers have personally put their signature on renewals of it, and even personally rejected proposals for improvement that have been put forward by NHS England…

@janethooton_ @ErinInTheMorn @fifi_EY 3/…as a result of wider & public consultation. They & their civil servants listen only to GIDS on trans minors - it was GIDS advised against <18s being allowed #GenderRecognition in 2004, & since, on the basis that no one under 18 can be certain of their gender identity, just…

@janethooton_ @ErinInTheMorn @fifi_EY 4/…as many other staff at their trust wrote⬇️ to the press in 2002 (when the first instigator of this case, psychoanalyst Susan Evans was on staff too) that no trans people should be allowed that recognition but needed

@janethooton_ @ErinInTheMorn @fifi_EY 5/…to "cure" us instead. Yet GIDS proved incapable of defending its super-conservative protocol in court - no doubt because GIDS has always expected challenges to be from patients seeking care more like that elsewhere, arrogantly ignoring that services in countries where the…
HEALTH
matthew remski
matthew remski
@matthewremski
A staple of anti-lockdown conspiracism in yoga/wellness is that public health measures are oppressive, authoritarian, and stifling what it means to be human. Masks suppress identity and speech. Vaccines assault the sovereign body. Influencers must rise up against tyranny! /1

Ironically, pandemic management in economies where yoga/wellness is lucrative has been a neoliberal, choose-your-own-adventure mess in which centre-right governments barter with public health to enact a patchwork of half-measures that punish the poor and marginalized. /2

The goal is not universal health rights, or protecting medical systems, or saving as many lives as possible. The goal is to return to business-as-usual, using public health as a pit stop on a productivity race off a cliff. The ice caps aren’t melting fast enough, I guess. /3

Right-leaning governments, like influencers, have assessed the COVID threat with the magical bias of limitless optimism. Then they work to normalize COVID casualties as a new cost of doing business. *This* is what alt-healthers and Qamoms call “socialist”, or “communist”. /4

Centre-right governments and wellness influencers share a goal: get back to the optimism of making productivity heroic and consumption virtuous, without any reflection on structural issues of injustice, or what universal health care funding and standards would look like. /5
HEALTH
Sumanta Pal
Sumanta Pal
@montypal
It's Monday AM post-@ASCO #GU21 & clinic starts in a couple of hours! Lots to process - I'll try to tackle optimal 1L tx for #kidneycancer. I'll make a case for cabo/nivo, leaning on the beautiful (& timely) tables below from @lalaniMD, @SoaresAndrey & @brian_rini (1/15)


What about IO/IO? We have long f/u w #CM214 data w nivo/ipi, no doubt (@AlbigesL et al in @myESMO Open). And treatment-free interval discussed by McDermott @BIDMChealth is no doubt impt. But we've known data not as impressive for favorable risk (2/15)


And furthermore, as @ERPlimackMD points out in another tweet, impt to look at primary PD rates (seen in @lalaniMD's table) - nivo/ipi at 19%!!! CR rate used to be something we highlighted w nivo/ipi, but now comparable across studies (3/15)


Okay now to the really tough stuff - comparing TKI/IO regimens. Something interesting I will add to @brian_rini @uromigos table above is the HR for PFS by INVESTIGATOR review. If the diff in HR for PFS by IND review caught your eye, this is even more striking (4/15)


I think INV-assessed PFS is impt, but if you're a skeptic, forget that argument. Turn instead to #QOL with axi/pembro. Kudos to @brian_rini @tompowles1 @ERPlimackMD et al for advocating for QOL in KN-426. @crisbergerot et al have taughts us the importance of these metrics. (5/15)
HEALTH

You May Also Like

Vibhu Vashisth
Vibhu Vashisth
@VIBHU_Tweet
RANI NAIKI DEVI AND THE BATTLE OF KASAHRADA

Mohammad Ghori, the young Ghurid Prince conquered Ghaznavids in Afghanistan in the year 1173 CE. He conducted some successful raids into the Indian territory, which even Mahmud Ghazni & the Persians couldn't do.


First&foremost,Ghori invaded states of Multan &Uch in India.After this he turned to southern states of Gujarat &Rajputana.Everybody knows this about Ghori,but what most pple r unaware of is the defeat he suffered at hands of Chalukyan Queen Naiki Devi in 1178 Battle of Kasahrada.


When he marched southwards, his first target was the prosperous fortified town of Anhilwara Patan.
It was the capital of Chalukyas(also known as Solankis of Gujarat) which was established by Vanraj of Chapotkata Dynasty in 8th century.


American historian Tertius Chandler states that it was the 10th largest city in the world at that time. The history of Chalukyas has been written by many historians, but the valour of the Great Queen Naiki Devi remains unsung.


Born to the Kadamba King Paramardin of Goa,Naiki Devi was well trained in sword fighting, horse riding, strategy & every other subject of Statesmanship. She was married to King Ajaypala of Gujarat who sat on throne in 1171CE. Unfortunately,the King died within 4 yrs of his rule.
ALL
Raman Shalupau
Raman Shalupau
@ksaitor
Maker movement is doing to startups what startups did to corporations.

Here is why 👇

Startups fixed the problem of innovation, that corporations lack.

In big, slow corporations, innovation is a RISK and distraction from the core $$$ profitable business.

Agile startups could launch, iterate fast and eventually stumble upon new growing market opportunities.

However,

When a startup reaches product-market-fit, it has to 🚀 "grow at all costs" and reach market dominance before some giant corporation can replicate their new product and distribute it to their existing giant customer base.

Startup's "growth at all costs" often means growth at the expense of charging customers $$$ money.

Hence, to be sustainable, startups have to constantly chase investor money.

Startup teams spend more time finding and pleasing investors, than finding and pleasing customers.

95% of startups die because they run out of (investor) money + no business model + crazy investor expectations.

Same way corporations die, when unable to adjust to new technology and market shifts.
MAKERS
Advertisement
Cookie Cyboid
Cookie Cyboid
@CookieCyboid
“Why are Tumblr and Facebook cracking down on sex so much? And why is Facebook in so over zealous about it? It’s all Apples fault!” Etc etc

I can explain all. It is largely the fault of a set of US laws called SESTA and FOSTA.
TECH
History Of Rajputana
History Of Rajputana
@KshatriyaItihas
**Thread on Bravery of Sikhs**
(I am forced to do this due to continuous hounding of Sikh Extremists since yesterday)

Rani Jindan Kaur, wife of Maharaja Ranjit Singh had illegitimate relations with Lal Singh (PM of Ranjit Singh). Along with Lal Singh, she attacked Jammu, burnt - https://t.co/EfjAq59AyI


Hindu villages of Jasrota, caused rebellion in Jammu, attacked Kishtwar.

Ancestors of Raja Ranjit Singh, The Sansi Tribe used to give daughters as concubines to Jahangir.


The Ludhiana Political Agency (Later NW Fronties Prov) was formed by less than 4000 British soldiers who advanced from Delhi and reached Ludhiana, receiving submissions of all sikh chiefs along the way. The submission of the troops of Raja of Lahore (Ranjit Singh) at Ambala.

Dabistan a contemporary book on Sikh History tells us that Guru Hargobind broke Naina devi Idol Same source describes Guru Hargobind serving a eunuch
YarKhan. (ref was proudly shared by a sikh on twitter)
Gobind Singh followed Bahadur Shah to Deccan to fight for him.


In Zafarnama, Guru Gobind Singh states that the reason he was in conflict with the Hill Rajas was that while they were worshiping idols, while he was an idol-breaker.

And idiot Hindus place him along Maharana, Prithviraj and Shivaji as saviours of Dharma.
HISTORY
Kitze @ \U0001f1e9\U0001f1ea\ufe0f
Kitze @ 🇩🇪️...
@thekitze
To people who are under the impression that you can get rich quickly by working on an app, here are the stats for https://t.co/az8F12pf02

📈 ~12000 vistis
☑️ 109 transactions
💰 353€ profit (285 after tax)

I have spent 1.5 months on this app. You can make more $ in 2 days.

🤷‍♂️


I'm still happy that I launched a paid app bcs it involved extra work:

- backend for processing payments (+ permissions, webhooks, etc)
- integration with payment processor
- UI for license activation in Electron
- machine activation limit
- autoupdates
- mailgun emails

etc.

These things seemed super scary at first. I always thought it was way too much work and something would break. But I'm glad I persisted. So far the only problem I have is that mailgun is not delivering the license keys to certain domains like https://t.co/6Bqn0FUYXo etc. 👌

omg I just realized that me . com is an Apple domain, of course something wouldn't work with these dicks
MAKERS