Daughter of God

🕯️Christian
🕯️ Doctor

🕯️Romans 8:1

[Neil Stone @DrNeilStone]

Remember when RFK Jr tried to claim Tylenol (acetaminophen/paracetamol) in pregnancy was the cause of autism?

He was wrong

Its not Tylenol. It's not vaccines.

RFK Jr has no clue.

[Ette Okon👴🏾 @ThinktwiceDark1]

It’s yet another Friday and today, we will consider what makes an understanding between two people binding and enforceable.

Even when you have an ‘informal agreement’ or a document that merely outlines briefly the mutual understanding of those people, in what circumstances would that informal document be binding?

I attempt to answer these questions here.

[Daughter of God @Ose_reme]

@ThinktwiceDark1 Thank you!

[Ette Okon👴🏾 @ThinktwiceDark1]

Last week we learned about how liabilities may arise from agreements.

Today, let’s discuss how liabilities can be limited in an agreement.

That is, where A will NOT be liable to B even when there is an indemnity clause; or where A will be liable only to a certain extent.

[Dr Terry Simpson @drterrysimpson]

“It was really influenza.”

That’s a fascinating theory — especially from people whose closest contact with an ICU is a YouTube thumbnail.

We didn’t guess. We tested. Influenza A. Influenza B. RSV. Full respiratory panels.
Flu circulation collapsed in 2020. COVID did not.

What did explode?
ARDS.
Clot burden.
Cytokine storms.
Proning teams running all night.
Refrigerated trucks.
Excess mortality curves rising in perfect synchrony with COVID waves.

Influenza does not shut down Bergamo.
Influenza does not require converting PACUs into ICUs nationwide.
Influenza does not produce global excess deaths on five continents at once.

And death certificates?
They are filled out by physicians — the same ones intubating, placing central lines, performing tracheostomies, and calling families at 3 a.m.
Not accountants. Not “the hospital.” Not some shadow cabal of coders.

If COVID triggered respiratory failure and multi-organ collapse, we listed it.
Because that is what caused the death.

The “it was just flu” crowd didn’t bag bodies.
They didn’t open overflow units.
They didn’t watch 40-year-olds clot off their lungs.

They watched a TikTok.

Skepticism is healthy.
Delusion is not.

If you weren’t there — if you didn’t see the ventilators, the proning, the FaceTime goodbyes — then maybe pause before explaining to the people who were what they “really” saw.

[Ette Okon👴🏾 @ThinktwiceDark1]

COVENANTS IN AN AGREEMENT:

See how promises that are NOT your primary obligation in an agreement can cause you trouble

[Ette Okon👴🏾 @ThinktwiceDark1]

Wanna learn something cool?

I have found the concept of material adverse changes to be fascinating since I learned about them for the first time. Let’s consider them now, in the light of events of default.

Ignore my eyebags. I’ve had a tough couple of weeks😅

[Ian Copeland, PhD @IanCopeland5]

So let me get this straight.

Big Pharma, stopped a drug, made by big pharma, so that big pharma wouldn't make money?

Do you hear yourself???

[Sam Otigba @SamuelOtigba]

If you’re Nigerian and you didn’t drop litter in your environment today, like & RT. I want to check something.

[Daughter of God @Ose_reme]

@TheCrypticWolf @iluminatibot Cars are safe and effective in transportation. Doesn't mean there are zero risks when you drive, but the benefits far outweigh the risks.

Everyone is supposed to know this.

[Daughter of God @Ose_reme]

@eric_gugua At least they love you😂

[Dr. Priyam Bordoloi @DocPriyamMD]

Today during evening ward rounds, I almost had a full verbal argument with an attendant.
The kind that stays with you long after duty ends.

A 39-year-old woman.
Eyes so yellow they didn’t look real.
A distended abdomen, tense with fluid.

She had been admitted 3 days ago.

She came with her elder sister.
No male attendant.
No money.

They told us they couldn’t afford tests.
So we helped activate Ayushman.
All investigations were arranged free.

Her reports were alarming:
Bilirubin: 21 (normal ≈ 1)
Hemoglobin: 6.1
Liver enzymes (AST,ALT) badly deranged

This wasn’t “jaundice that will settle.”
This was serious liver disease.

Treatment was started.

The next day, her husband arrived.
The sister was sent home.

He asked only one question again and again:

“When will she be discharged?”
“There are children at home.”
“She needs to take care of the house.”

We explained calmly:
This is not a minor illness.
Recovery is slow.
Evaluation takes time.

He looked angry.
We did an ultrasound.
In simple words, we explained to him:
Her liver is enlarged.
There are signs of hepatitis.
And the main vein carrying blood to the liver may be blocked.
(When that vein is blocked, blood backs up, fluid collects in the abdomen, and the liver slowly fails.)

We sent viral markers.
Hepatitis A, B, C, E.
HIV.
Leptospira.
Scrub typhus.

Conservative treatment continued
because in this situation, aggressive treatment can do more harm than good.

Then we advised one more test:
CECT abdomen.
That’s when he snapped.
“You doctors are only doing tests.”
“I don’t have money.”
"I am tired of running around."
"Whatever happens to her let it happen, i can't do more than this"

We explained again:
All tests are free under Ayushman.
Money is not the issue here.
And it's not been 2 days, this kind of presentation needs a detailed workup

This CT will decide whether the vein is blocked or not.
And treatment depends on it.
The CT was done.
Today, the report came.
Cirrhosis of the liver

Her bilirubin had improved from 21 to 17.
Yes, there were signs of improvement.
But cirrhosis is chronic.
It needs time.
And more evaluation to find the cause.
We explained this gently.

That’s when he said:
“No more tests. I’m taking my wife home. Today.”
Negotiation failed.
Reasoning failed.

And then… I lost my calm.

In front of others, I said:
“So you’re basically killing your wife.”
“Is that because you want to get married again?”
He froze.
He wasn’t expecting that.
Maybe no one had ever said it out loud before.
After a long silence, he agreed to stay.
I don’t know for how long.

But today reminded me of something medicine never teaches you:
Sometimes the disease is not the biggest threat.
Sometimes it’s
impatience, denial, and abandonment
from the very people the patient depends on most.

In times like this, all we need is patience.
Because if our loved ones abandon us when we are sick…
who will stay?

[Daughter of God @Ose_reme]

@__Hajia Nice! 👏🏽👍🏽

[Neil Stone @DrNeilStone]

The tetanus vaccine is "pushed so hard" because tetanus is one of the most horrific brutal nasty ways to go - a long slow painful agonising miserable death

THAT'S WHY

[Dr. Jonathan N. Stea @jonathanstea]

"Debating the science" describes exactly what experts do everyday in the scientific literature.

It's not a 2-hour chit-chat between a podcast host and a fringe expert.

And it's sure as hell not done in a social media thread between random people who've never seen a lab.

[Neil Stone @DrNeilStone]

Freedom of speech means HHS Secretary RFK Jr can deny that HIV is the cause of AIDS

Freedom of speech also means I am allowed to call him out for being wrong and a dangerous antiscientific quack totally unsuitable for his job

[Dr. Shak🩺 @realbig_shak]

"I did scan and they told me I have ulcer". We need to start arresting people who diagnose peptic ulcer disease with ultrasound scan. Like are you okay?

[rae_timzy @omo_Akinbile]

They were really creative with it😭

[Jonathan Reiner @JReinerMD]

People with chronic hepatitis B and liver failure can be treated with a liver transplant and people with cervical cancer after HPV infection can get extensive pelvic surgery and chemo and people with meningitis and sepsis can get amputations and people with polio can be on a ventilator.

[Daughter of God @Ose_reme]

@holisticgrenade If a healthy person gets their colon removed surgically, they could have several complications, including death.

See why you don't have a point?

Several medical interventions are risky, which is why there's something called a risk-benefit analysis. It doesn't make them scams.🤦🏽‍♀️