Eli

[Eli @Eli81421748]

@calleymeans @JesseCharlesLee How you thought these people were ever honest and cared about ordinary Americans is beyond me.

[Eli @Eli81421748]

@TpusaMizzou Don’t make me cheer for Texas.

[Eli @Eli81421748]

@Conrad_Wilson No joke. We’re becoming an extremist nation.

[Eli @Eli81421748]

@TheWarEnglish Assessment

[Masih Alinejad @AlinejadMasih]

Message from Iran:
This is Marvdasht. People are in the streets. The Islamic Republic is brutally cracking down.
With every young person the Islamic Republic kills, our anger grows stronger.
We must win, otherwise Khamenei will slaughter us all and hang us.
Let the world hear our voice.
They have slowed down the internet and may cut it off completely, so they can kill us more easily.
Friday, January 2nd, 2026
#Iran

[Anton Gerashchenko @Gerashchenko_en]

Carol of the Bells in Kyiv subway.

Voices of the Embassies of Germany, France, and the United Kingdom came together to perform Shchedryk in the Kyiv metro as a sign of solidarity with Ukraine.

Thankful to everyone who stands with us!

[Volodymyr Zelenskyy / Володимир Зеленський @ZelenskyyUa]

There was a report from Ukraine’s Minister of Internal Affairs Ihor Klymenko. At the site of the Russian strike on a residential building in Kyiv’s Darnytskyi district, rescue operations have been completed, and work continues to clear the destroyed structures. At this moment, it is known that 22 people were killed at this one site alone, including four children. The youngest girl was not even three years old. My condolences to the families and loved ones of those killed. In total, that night the Russians killed 23 people in Kyiv. The fate of eight people still remains unknown, and 53 others were injured. All of them have received the necessary assistance. I am grateful to the first responders, police officers, doctors, nurses, and all municipal and emergency services – to everyone involved in helping people.

Russia must be held accountable for this strike, just as for every other strike against our state, our people, and every effort by the world to bring this war to an end. When instead of diplomacy Russia chooses ballistics, continues to modernize “shaheds” for killing, and deepens cooperation with actors like North Korea, it means the world must respond accordingly. Strong sanctions, strong pressure, strong steps are needed so that the murderers do not feel impunity. Russia only understands strength, and demonstrations of strength are needed now. The United States, Europe, and the G20 countries have this strength.

[Barack Obama @BarackObama]

Thirteen years ago, my administration acted to protect young people who were American in every single way but one: on paper. 

DACA was an example of how we can be a nation of immigrants and a nation of laws. And it’s an example worth remembering today, when families with similar backgrounds who just want to live, work, and support their communities, are being demonized and treated as enemies. 

We can fix our broken immigration system while still recognizing our common humanity and treating each other with dignity and respect. In fact, it’s the only way we ever will.

[Pete Buttigieg @PeteButtigieg]

If you wanted to cut waste, fraud, and abuse, you would empower the inspectors general.

If you wanted more waste, fraud, and abuse, you would fire them.

[Eli @Eli81421748]

@Conrad_Wilson Garlic butter!

[Eli @Eli81421748]

@Conrad_Wilson Noooooooooooooo!!!!!!!!!!!!!!!

[Eli @Eli81421748]

@Conrad_Wilson I thought of you!

[Nick Norwitz MD PhD @nicknorwitz]

Should patients be fed ultra processed foods in hospitals?

I had this discussion yesterday with a peer who I deeply admire, and was surprised that we presented different opinions. And I swayed a bit…

I came to the conversation with a relatively militant stance. In a word, “no.” Now, my pre-standing position is more nuanced. For example, I wouldn’t issue a hard “no,” and have myself been know to “treat” some patients with “unhealthy” foods in special circumstances. For example, I made a patient transitioning to hospice care homemade ice cream, or brought a ‘metabolically healthy’ little child who loved blue foods blue skittles one day and blue Lindt Truffles another

But, as a rule of thumb, I would say cake 🍰 , apple pie 🥧 , muffins, etc are not just ‘sub-ideal’ choices, but in the context of a patient population overflowing with #obesity, MetS, and #diabetes, these choices can be harmful. Why harmful? Well, if poorly managed they can lead to negative acute outcomes, although this is less likely in an in-patient setting. However, they are certainly harmful over the long-term; and doesn’t a patient’s experience in the hospital setting and with the medical system set an expectation and ‘tone?’ In other words, what are we messaging when we say, “here’s a menu… if you want mashed potatoes and chocolate cake, it’s your choice. You’re an adult.”

Would we do the same for ‘acute’ use of cigarettes or alcohol? Do we…?

Well… that was my position. Now, I’m not entirely sure, and here’s why.

1/ We all have rebellious teenagers inside us. If we’re told “we can’t” - the forbidden fruit becomes all the more desired

2/ Before we can ‘preach,’ we should practice. IMHO (still) we should have a better choice ecosystem for patients.
However, were we to restrict choices and continue - ourselves - to “indulge” openly, the perceived (or evident?) hypocrisy could further undermine credibility.

3/ Consider the “starting point.” Okay, yes… I still would love to see patients being provided with better options - and to have the “standard” current food options 🍩🍪🥯🥨🥐🧇🥞 struck off as the defaults. But without first investing in education (which can start at the bedside), choice restriction in the hospital is unlikely to have much of an impact.

It’s a hand to play… but maybe not yet… maybe better played when we have a “fuller” hand, so to speak

Now, a question from me to me: if I could change 1 thing — JUST 1 — about nutrition & food in the hospital what would it be?

👉 Honestly, I don’t know what would be most impactful. But I don’t think I would choose “do cake 🍰 or donuts 🍩” as a hard rule… I think there are more strategic and effective options

That said, there will be no 🍰 🍩 for me 😉

[Sam Tsimikas, MD @Lpa_Doc]

AHA starts tomorrow- lots of material on Lp(a), will cover as we go....

Keto is also on menu:

[Eli @Eli81421748]

@Paddy_Barrett @Drlipid How does L(a) affect apoB? How does L(a) affect general particle size and number?

[Eli @Eli81421748]

@KellyannePolls How do you determine how far along a pregnancy is? What is the variation in your dating criteria? What is the difference between 14 6/7 weeks and 15 1/7 weeks? How do you and your patient make these distinctions? Oh wait . . .

[Eli @Eli81421748]

@AmbJohnBolton @highbrow_nobrow We ALL want to be safe . . . Dems and GOP alike. There has to be some common ground here.

[P.D. Mangan Health and Freedom Maximalist 🇺🇸 @Mangan150]

3 easy ways to measure your metabolic health (in 5 minutes or less):

[Mind Muscle Project @mindmusclepro]

📌
𝗨𝗿𝗶𝗰 𝗮𝗰𝗶𝗱 & 𝗚𝗼𝘂𝘁

// THREAD //

[Eli @Eli81421748]

@Conrad_Wilson Amen.