Lots of folks say “you must be brave” when they find out I work in the ER.

It’s true that I don’t (usually) get upset at the sight of blood. But there are plenty of things that scare me.

A non-exhaustive list of things this emergency physician is afraid of:

Choking

Because I’ve seen a child choke on a hot dog or grape that wasn’t cut lengthwise.
Door slamming

Because I’ve had to repair way too many fingertip amputations in little kids.
Throwing sticks

Because one time I saw a kiddo lose their eye after an innocent game with a sibling.
Jumping on the trampoline with your dog

Because...just don’t do it. It’s a bad idea.
Influenza

Because I’ve seen healthy kids, pregnant women and adults die from influenza.
Infant suffocation from unsafe sleep

Because I’ve held a mom as she crumpled in my arms and screamed when I told her we have tried everything to no avail.
Drownings

Because I’ve had to tell a parent I couldn’t reverse what happened in the blink of an eye to the beautiful child with the sun-kissed still-damp curls.
Gunshot wounds

Because I’ve seen way too many bodies, families and communities torn apart in milliseconds.
Stroke

Because I’ve seen how it robs vibrant and proud patients of their voice and independence.
Heart attacks

Because I’ve seen patients stay at home while their heart muscle is died and they developed disabling heart failure because they are worried their insurance will say it “wasn’t an emergency” and deny their claims.
Chemical dependency

Because I’ve seen patients suffer and die because they cannot access lifesaving treatment.
Depression

Because I’ve held the hand of a spouse and parent talking on the phone to their young child and holding it together so they can figure out how to tell them they only have one parent now.
Cancer

Because I’ve struggled to treat the pain and suffering of patients and their families who bravely support their loved one, knowing they are losing them too soon and powerless to change the course.
COVID-19

Because I’ve cared for patients who have died OF COVID. Because I’ve cared for patients whose spouses died OF COVID. Because I don’t want to be the link in the transmission chain that leads to someone else’s death. Because I don’t want to risk leaving my kids orphaned.
I’m afraid of these things because they are real risks.

Some are big risks. Some are small.

Some are common and cause temporary pain and suffering.

Some are small risks but disastrous with permanent damage.
Many things about our health cannot we cannot control. It’s hard to accept. But some things we can.

We cut the hot dogs (lengthwise!).

We wear helmets and seatbelts.

We get flu shots.

We have a system at the pool.

We have a no slamming doors rule.
Please know that COVID-19 scares the doctors and nurses and other healthcare workers.

We are afraid.

Because we have witnessed what it can do if you or your loved ones get severe COVID. We know that money, power and fame can’t purchase a cure.
The good news is that we know what helps to prevent infection and spread.

Wearing a mask. Distancing. Avoiding large indoor gatherings. Hand hygiene. Quarantining, even when it is inconvenient. Supporting patients who don’t have the resources to isolate or shield their elders.
Don’t confuse recklessness and hubris with bravery or bad luck.

Let’s keep normalizing compassion and care for for one another and save lives.

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@danielashby @AdamWJT @Greens4HS2 @TheGreenParty @GarethDennis @XRebellionUK @Hs2RebelRebel @HS2ltd I'll bite. Let's try to keep it factual. There's a reasonable basis to some aspects of this question, that it might be possible to agree on. Then there are other, more variable, elements which depend on external factors such as transport and energy policy. /1

@AdamWJT @Greens4HS2 @TheGreenParty @GarethDennis @XRebellionUK @Hs2RebelRebel @HS2ltd First up, we know reasonably well how much energy it takes to propel a high-speed train along the HS2 route. We can translate that into effective CO2 generated by making some assumptions about how green the electricity grid is. /2

@AdamWJT @Greens4HS2 @TheGreenParty @GarethDennis @XRebellionUK @Hs2RebelRebel @HS2ltd Secondly, we have a reasonable grasp of how much CO2 is going to be generated by building HS2 - there are standard methods of working this out, based on the amount of steel, concrete, earthmoving, machine-fuelling etc required. /3

@AdamWJT @Greens4HS2 @TheGreenParty @GarethDennis @XRebellionUK @Hs2RebelRebel @HS2ltd Thirdly, we can estimate how much CO2 is generated by cutting down trees, and how much is captured by planting new trees. We can also estimate how much CO2 is needed to keep the railway running and generated by maintaining the track /4

@AdamWJT @Greens4HS2 @TheGreenParty @GarethDennis @XRebellionUK @Hs2RebelRebel @HS2ltd We know how much CO2 is saved by moving goods by freight train on the lines freed up by moving the express trains on to HS2, rather than by truck. /5

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The first ever world map was sketched thousands of years ago by Indian saint
“Ramanujacharya” who simply translated the following verse from Mahabharat and gave the world its real face

In Mahabharat,it is described how 'Maharishi Ved Vyasa' gave away his divine vision to Sanjay


Dhritarashtra's charioteer so that he could describe him the events of the upcoming war.

But, even before questions of war could begin, Dhritarashtra asked him to describe how the world looks like from space.

This is how he described the face of the world:

सुदर्शनं प्रवक्ष्यामि द्वीपं तु कुरुनन्दन। परिमण्डलो महाराज द्वीपोऽसौ चक्रसंस्थितः॥
यथा हि पुरुषः पश्येदादर्शे मुखमात्मनः। एवं सुदर्शनद्वीपो दृश्यते चन्द्रमण्डले॥ द्विरंशे पिप्पलस्तत्र द्विरंशे च शशो महान्।

—वेद व्यास, भीष्म पर्व, महाभारत


Meaning:-

हे कुरुनन्दन ! सुदर्शन नामक यह द्वीप चक्र की भाँति गोलाकार स्थित है, जैसे पुरुष दर्पण में अपना मुख देखता है, उसी प्रकार यह द्वीप चन्द्रमण्डल में दिखायी देता है। इसके दो अंशो मे पीपल और दो अंशो मे विशाल शश (खरगोश) दिखायी देता है।


Meaning: "Just like a man sees his face in the mirror, so does the Earth appears in the Universe. In the first part you see leaves of the Peepal Tree, and in the next part you see a Rabbit."

Based on this shloka, Saint Ramanujacharya sketched out the map, but the world laughed