Cherlas V Peyna

[NYS Div. of Homeland Security & Emergency Services @NYSDHSES]

Rain will continue through today, especially in eastern NY. While rainfall rates will gradually decrease by the afternoon, isolated to scattered flash flooding is possible.

Monitor your local forecast and listen to local officials. Never walk or drive through floodwaters.

[Tyler Black, MD @tylerblack32]

I am an emergency psychiatrist who specialized in the tertiary care of the most severely mentally ill kids in my province.

I took a great pride in delivering excellent emergency care, such that I was very much a sought after physician in my tertiary hospital. I thought that would afford me the ability to influence the systems around me. I was mistaken.

Not only did my own health suffer eventually leading to burnout because of the lack of support services around emergency care, but my patients would often bounce between services, stuck in referral limbos or not qualifying for programs or being bent into programs that weren't a good fit because they were simply available and what the person needed was not.

Good psychiatric care in an emergency requires the following:

1) A COMPASSIONATE and SAFE space for someone to come in an emergency and feel cared for, such that they would want to come again in a future emergency.

2) COMPETENT emergency providers who have access to a range of services that will match their emergency assessment of what is needed. Not having avenues closed off due to beds being full or programs being waitlisted.

3) CONTINUITY OF CARE and handoff such that the physicians forward movement in the emergency setting can be carried forward by the next person rather than them being sent for another intake, another potential diagnosis and treatment direction, and confusion and lack of coordination.

4) CONTINUOUS CARE (literally, people that are available) such that the patient doesn't languish for weeks to months between seeing mental health professionals while and off is occurring.

5) AVAILABILITY of reassessment and the ability to convene multi-provider meetings when a patient's clinical situation changes, because the prescribed treatment might no longer be appropriate with new information or new symptoms.

6) A FUNCTIONAL MULTIDISCIPLINARY TEAM in which the disciplines involved have time to actually work with their patients and fulfil their professional goals with them

7) once a patient is known by a psychiatrist, a helpful, clarifying, and COMPETENT BIOPSYCHOSOCIAL FORMULATION of the patient should be generated in which the entirety of their experience and history that contributes to their current presentation is laid out, giving multiple targets for the team to address.

What we don't need in psychiatry:

Another politician campaigning on mental health without substantively contributing to any of the above.

[Laura Robinson @LauraRbnsn]

I have a ton of respect for Wilson's work but I get the impression she neither watches nor enjoys movies.
Which is fine, it just means she's a bit out of her wheelhouse here. Most of the things she calls out the movie for not addressing are actually addressed, just not in

[VANITY FAIR @VanityFair]

From the #VFArchive: MEET MATT DAMON

By 1997, three of Hollywood's top directors decided that 27-year-old Harvard dropout Matt Damon was a star: Francis Ford Coppola gave him the lead in the latest Grisham adaptation, ‘The Rainmaker,’ Steven Spielberg cast him in the title role in ‘Saving Private Ryan,’ and Gus Van Sant directed him in ‘Good Will Hunting,’ which the actor co-wrote.

Today, as he stars in ‘The Odyssey’ as Odysseus himself, look back on David Kamp's interview with a younger Damon: https://t.co/G6LpZmRCBx

[Brooke Shields @BrookeShields]

Even though I’m a New Yorker… Apparently today is #NationalNewJerseyDay!! 🌲🌊 Now do these commercials from back in the day make you want to take a trip or what?! 🤣 @Visit_NJ @NJGov

[IntegralAnswers @IntegralAnswers]

@NightShiftMD Some more context…

[Stephen Kent @StephenKentX]

The Odyssey isn’t about Odysseus. Here’s my take on Nolan’s new film and the contrived culture war around it.

[Reverend Al Sharpton @TheRevAl]

Heading to Washington, D.C. for the Progressive National Convention’s 65th Annual Session.

I am honored to serve as the keynote speaker for the Social Justice Hour as we continue to speak truth, demand accountability, and stand for justice in every community across this nation.

The work continues, and we are still marching forward.

https://t.co/B9GxwsKAm6

[Lois Romano @loisromano]

My @nytimes bestseller is #2 in US Civil War Women's History. Mary lived the war every day and lost her husband to it. Her story is one of resilience and consequence. Order it here. https://t.co/XHgkDpinOb

[Julie Lucas Runco 🌟 @makeart]

@Betty Buckley releases her 19th album, "Enough," recorded live during her acclaimed 2025 residency at Joe's Pub!
You can never have Enough..of Betty Buckley.🎧

[The Royal Family @RoyalFamily]

☀️ In sunny Norfolk, The Queen visited Emmaus Norfolk & Waveney, a charity that offers home, support and work opportunities to people experiencing homelessness.

❤️‍🩹 Her Majesty, who has been Patron of Emmaus UK for twenty years, visited the charity’s new centre for women. Residents, known as companions, shared with The Queen their experiences of overcoming homelessness and recovering from trauma.

Her Majesty also visited the on-site charity shop, a working forge where companions make jewellery to sell, and the new “Book Nook” supported by The Queen’s Reading Room.

[Typos of the New York Times @nyttypos]

24 typos and style guide violations yesterday before checking out early. Typos 1 and 2 of the day: whom is a bad grammatical error for who. It’s the subject of has the best chance, not the object of believes. Missing close quotes. @boreskes

[W42ST @w42st]

Coffee T and Bagels brings espresso, pastries and neighborhood charm to a storied Hell’s Kitchen corner once known for iconic bars. #W42ST https://t.co/fNPHMu8jBV

[Randy Rainbow @RandyRainbow]

WASHINGTON… I’M COMING FOR YOU! 🇺🇸

I’ll be bringing National Freakin’ Treasure to Olympia and Bellingham this October, and tickets are on sale now!

PS, Palm Desert friends—I haven’t forgotten about you! I’ll see you at the McCallum Theatre October 17 & 18.

🎟️ https://t.co/4wASylCrZS

[Governor Kathy Hochul @GovKathyHochul]

Go Bills. Go Sabres. Go Buffalo.

Happy 716 Day to the greatest hometown there is. 💙🦬

[Ken Fisher @KennethLFisher]

My latest column in the @Independent_ie is out now [ENGLISH, PAYWALL]: Markets are riding a wave of IPO hype, but here’s how to not get swept away
https://t.co/tl1qjArMYG

[The Athletic | Football @TheAthleticFC]

Spain reach the 2026 World Cup final - their first since winning it in 2010 - after a comprehensive 2-0 victory over France in Dallas.

Goals from Mikel Oyarzabal and Pedro Porro earn the European champions a place in the final against either England or Argentina.

There will be no third successive World Cup final for France.

[Women's Rights Network - WRN @WomensRightsNet]

WRN have today written to the CEO of @amnesty regarding their recent report.

We have asked for an explanation of our inclusion in their list of 'anti-rights' organisations. We expect evidenced reasons for their assertions - if they are prepared to publish such statements, then they must also be prepared to back them up.

[Cherlas V Peyna @JamesWiner]

@TcFutures @cvpayne Click this link to join: https://t.co/2aj02msu0v