BC SOCIETY
Saved by @Jacobtldr

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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I have been working on pandemic outbreaks for 15 years.

There is a misunderstanding of the difference between the response in much of the West, versus successful countries (including New Zealand and Australia).

Summarizing:

1.Reactive versus proactive and goal oriented.

1/-

2.Mitigation (slowing transmission) versus elimination (stopping transmission)

3.Gradually responding to increasing levels of infection by imposing greater restrictions which enables the infection rate to grow (red zone strategy), …

2/

versus starting with high restrictions to arrest transmission and relaxing restrictions only when the number of new cases is so low that contact tracing or localized short term action can stop community transmission (green zone strategy, including localized "fire fighting").

3/

4.Trying to keep economic activity and travel as open as possible but perpetuating the economic harm and imposing yoyo restrictions, versus making an initial sacrifice of economic activity and travel in order to benefit from the rapid restoration of normal economic activity.

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5.Focusing attention on few individuals resistant to social action because of shortsightedness or selfishness, versus recognizing the vast majority do the right thing if given clear guidance and support, which is what matters for success, as elimination is a robust strategy.

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Gaurav Sabnis \U0001f1ee\U0001f1f3\U0001f1fa\U0001f1f8
Gaurav Sabnis 🇮🇳🇺🇸...
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So much #FactCheckBait being put out by IT Cell today and so many people biting.

What is #FactCheckBait? Fascists putting out tweets or messages with very obvious rebuttal properties. So non-fascists are distracted by rebutting or fact checking them. And the fascists get more name recognition. What have the top sanghi twitter accounts done other than provoke?

Why are so many sanghi bigot handles famous & well followed on Twitter despite having no notable quality other than getting called out by liberals? Cos that's all it takes. If they can fool liberals into QTing or even screenshot-ing them, they become heroes and then are like


Another example of #FactCheckBait. This sanghi wants you to identify them while pointing out the very obvious flaws in their logic. This sanghi is counting on it to improve their visibility. Don't give them that oxygen. Call them out like this, without IDs, if you must.


As pointed out by @bongopondit, peak #FactCheckBait was Ted Cruz saying rejoining the Paris climate agreement was about appeasing Paris not Pittsburgh. He knows it's BS. He's an evil psychopath but not dumb. He wants you to QT him and distract from his insurrection efforts.
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@AdamSmithWorks
@AdamSmithWorks
@adamsmithworks
It's been a whole day since we tweeted Part 2 of this chapter, so let us remind you: #AdamSmith just said that the colonies got nothing that helped them succeed from the mother country. (IV.vii.c) #WealthOfTweets #SmithTweets

So these two opening sentences are pretty heckin’ sarcastic:
Now we've seen the great advantages the colonies got (they got nothing!) (IV.vii.c.1)
So what have been the great advantages to Europe! (IV.vii.c.2)

Seems like there’s a...tone there. #WealthOfTweets #SmithTweets


Europeans buy goods from America, and Americans buy European goods as well. Even countries that don’t trade directly with America have benefited. (IV.vii.c.3–8) #WealthOfTweets #SmithTweets

The mother countries restrict colonial trade (esp the exclusive right to buy from or sell to their colonies). That's a dead weight on the increase of the wealth of nations. Everything is more expensive, everyone enjoys less of it. (IV.vii.c.9) #WealthOfTweets #SmithTweets

Maybe European countries get added security? In ancient times, empires expected military support and revenue from their colonies, and they got it.
18thC colonies? Not so much. (IV.vii.c.11–13) #WealthOfTweets #SmithTweets
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Aaron Reichlin-Melnick
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@ReichlinMelnick
We finally have the U.S. Citizenship Act Bill Text! I'm going to go through some portions of the bill right now and highlight some of the major changes and improvements that it would make to our immigration system.

Thread:


First the Bill makes a series of promises changes to the way we talk about immigrants and immigration law.

Gone would be the term "alien" and in its place is "noncitizen."

Also gone would be the term "alienage," replaced with "noncitizenship."


Now we get to the "earned path to citizenship" for all undocumented immigrants present in the United States on January 1, 2021.

Under this bill, anyone who satisfies the eligibility criteria for a new "lawful prospective immigrant status" can come out of the shadows.


So, what are the eligibility criteria for becoming a "lawful prospective immigrant status"? Those are in a new INA 245G and include:

- Payment of the appropriate fees
- Continuous presence after January 1, 2021
- Not having certain criminal record (but there's a waiver)


After a person has been in "lawful prospective immigrant status" for at least 5 years, they can apply for a green card, so long as they still pass background checks and have paid back any taxes they are required to do so by law.

However! Some groups don't have to wait 5 years.
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