Dr. Brian Goldman

ER MD Author of four bestsellers including Nightshift, Power of Kindness and Power of Teamwork. My latest book is The Casino Shift. RTs are not endorsements.

[Dr. Brian Goldman @NightShiftMD]

I'm thrilled to announce my new book, The Casino Shift, are now live! Sequel to The Night Shift, diving into today's ER chaos, tech advances, and healthcare challenges across Canada. Order here: https://t.co/e5rpCCkDRH
#EmergencyMedicine #MedTwitter

[David Frum @davidfrum]

Reflecting Pool story:

Under Obama, responsible people carefully studied the problem, sought best solutions - and failed.

Under Trump, irresponsible people imposed a hasty solution that enriched inept cronies - and failed even more spectacularly.
https://t.co/esjRocTGF5

[Marc Polymeropoulos @Mpolymer]

A metaphor for this second term. Peeling paint and algae. Is it not time for the GOP and real conservatives to grow a spine? How about free markets, not this crazy state socialism. Free trade, not tariffs. A balanced budget. Countering Russia and China… https://t.co/CG0m7lwCMX

[BigMama @PotatoDoggies]

If Steve Kirsch says not to listen to someone, listen to that person.

[Neil Stone @DrNeilStone]

Ebola cases continue to rise in DR Congo 🇨🇩

Nearly 1000 confirmed cases, real figure likely much higher.

A very nasty outbreak https://t.co/mveF73jtrS

[Christopher Miller @ChristopherJM]

“Putin’s very much under the influence of the military, who are really good at stringing him along. He understands that, but he really believes them and lets them do it. If I were listening to Gerasimov’s reports three times a day from dawn until dusk, I’d perceive reality differently too.” @maxseddon @fabrice_deprez
https://t.co/e0vUx8dYvi

[Shaun Pinner @ShaunPinnerUA]

Crimea is beginning to feel like a Mariupol moment for Russia.

Fuel shortages are spreading across the peninsula, strikes are hitting logistics, and the Kerch Bridge now appears higher on Ukraine’s target list than at any point in the war.

We’re also hearing from reliable local sources that property prices are being heavily discounted as Russians seek to leave the peninsula, taking whatever they can get for apartments before the situation deteriorates further.

For years, Crimea was presented as Putin’s greatest geopolitical triumph and home to the prized Black Sea Fleet. Today, the peninsula is facing fuel shortages, transport disruption and growing economic uncertainty, and now abandonment.

The bridge is more than infrastructure. It’s a symbol. If it were ever rendered unusable for a prolonged period, the military consequences would be significant.

The political consequences for Putin could be even greater.

[alan drummond @alandrummond2]

Kicked, punched, bitten: Nurses say hospital violence is out of control https://t.co/VGHwI35pPO

[(((Tendar))) @Tendar]

Dramatic events are unfolding in the Russian-occupied peninsula of Crimea, Ukraine.

Local Russian regime authorities announced that all fuel deliveries to civilians are suspended. The remaining fuel resources are distributed to government (military) forces and emergency only.

[Medscape @Medscape]

Glucosamine, a popular joint-pain supplement, may worsen outcomes in people with mild cognitive impairment (MCI), and a newly identified metabolic pathway involving excessive protein glycosylation could help explain why, new research suggests.

In a large electronic health record analysis, glucosamine use was associated with a 25% higher likelihood of progression from MCI to dementia over 5 years. Experiments in human brain tissue and mouse models suggested that excessive protein glycosylation may contribute to Alzheimer’s disease (AD) progression and that glucosamine supplementation could exacerbate the process by fueling glycan production.

Although preliminary, researchers said the findings point to glycan metabolism as a possible therapeutic target and raise questions about the safety of glucosamine use among patients with established dementia. https://t.co/FhfePV3sSQ

[Aaron David Miller @aarondmiller2]

A terrific and trenchant piece on Israel's strategic defeat in the US/Israel-Iran war @shalomlipner https://t.co/ba874qedyc

[Marc Polymeropoulos @Mpolymer]

The betrayal of the Iranian people is almost irrefutable now. 159 days since Trump said “help was on its way.” Shameful and disgraceful. This matters, as those of us who actually were/are practioners, who are tasked with speaking with/assisting/recruiting indig forces…well, there will be historic references any of our future potential partners will always bring up….the Afghan withdrawal under Biden, was terrible…gut wrenching abandonment….and now the abandonment of the Iranian people under Trump. Equally awful. If not worse. So…The word of the US ends up meaning, what? Now, Ukraine was a huge success, yes. In terms of my old world, and support to indig forces….but the overall scorecard as a reliable ally….our record is very very mixed. Makes job particularly hard for those that actually DO things in far away places…

[Rick Wilson @TheRickWilson]

That fucking fraud deserves prison.

[Greg MacEachern @gmacofglebe]

CBC News : U.S. claims about higher drug trafficking from Canada don't match the data: fentanyl czar

https://t.co/bx3R9otVKi

[The Economist @TheEconomist]

Since last year alone, Harlan Coben has been behind seven series and two novels. His name went from meaningless to ubiquitous seemingly overnight https://t.co/FYabachHZK

[Neil Stone @DrNeilStone]

Saying something like a vaccine is safe and effective does not mean its 100% safe and 100% effective

It means that the benefit to risk ratio is strongly in favour of getting it

Not a difficult concept

[The Washington Post @washingtonpost]

A number of TikTok videos pushing misinformation about sunscreen received a disproportionately high share of likes, shares and comments on the platform, suggesting that anti-sunscreen views resonate strongly with some users, according to a new study. https://t.co/PvLFKBYjWH

[(((Tendar))) @Tendar]

Ukrainian drones are also attacking ferry port facilities in Russia, including parking trucks, who are waiting for the transfer to Russian-occupied Crimea, Ukraine.

The peninsula is getting cut off from all sides.

[Anton Gerashchenko @Gerashchenko_en]

❗️Four radar stations from the S-400 anti-aircraft missile system and two Pantsir anti-aircraft missile and gun systems located directly on the Kerch bridge were disabled last night in an operation by the Security Service of Ukraine and Ukrainian Defense Forces.

[BBC News (World) @BBCWorld]

Fuel sales halted in occupied Crimea as Ukraine targets oil facilities https://t.co/yV4Ds8DvZJ

[Volodymyr Zelenskyy / Володимир Зеленський @ZelenskyyUa]

Last night, our long-range sanctions targeted the occupiers’ military logistics, oil industry, and air defense. All of this is a just response to Russia’s brutal attacks against our people. I thank the warriors of the Security Service of Ukraine, the Unmanned Systems Forces, the Defense Intelligence of Ukraine, and the Special Operations Forces for their successful work at a distance of about 300 kilometers from the frontline.

Facilities on both sides of the Crimean Bridge were hit: maritime logistics used to transport oil in the Krasnodar region and an oil depot in temporarily occupied Kerch. In addition, military logistics facilities were successfully struck, along with four radar stations belonging to S-400 systems and two Pantsir systems.

I am grateful to all our warriors for their precision and professionalism. Russia understands only strength, and our long-range strength is certainly working for peace. Glory to Ukraine!