Thank you for this wonderful insight, Lincoln. You raised some critical points about the health system. I want to add some perspective in defense of the doctors and also look closer at the Maslow argument you brought up. A thread:🧵
Concept #NEETPG
RA (Rheumatoid Arthritis) vs OA (Osteoarthritis) joint involvement patterns
Students memorise "RA spares DIP, OA hits DIP" as random facts, then blank on which is which.
It's not random. Just ask: what tissue is the disease attacking?
RA attacks synovium. It's immune driven - a pannus grows out of synovial lining and eats the joint. So RA goes where synovium is in great density: the MCP (metacarpophalangeal/knuckle), PIP (proximal interphalangeal) and wrist. The DIP (distal interphalangeal) has little synovium, so it's spared. And since the trigger is systemic (circulating antibodies, cytokines), it hits both hands symmetrically.
Proof of the rule - in the spine, RA ignores everything except the atlantoaxial joint. Why? Discs aren't synovial; the atlantoaxial joint is! RA literally hunts synovium across the skeleton.
OA is different. It's cartilage breaking down under mechanical load - wear and tear, not immunity. So it follows wherever you grind/hardworking joint: the DIP (fine pinch), thumb base, knees, hips, spine. Being mechanical and local, it's often asymmetric - your dominant hand, your old injured knee.
Now the part students miss - which joints OA spare, and why. OA almost never touches the MCP, wrist, elbow or ankle. Look at the logic: these aren't built to take pure compressive load the way fingertips, knees and hips are. The ankle especially has tough, resilient cartilage and great congruence, so it resists wear beautifully. So if you see OA at the MCP, wrist or ankle, don't accept it at first sight - think secondary cause: haemochromatosis, CPPD (calcium pyrophosphate dihydrate deposition - pseudogout), old trauma. (Remember ''-1 mark'' is for wrong click)
Dear @MinofHealthUG, @PoliceUg et al,
When you take a practicing doctor and husband of the house for quarantine, kindly support his wife and kids.
Inform the family about your imposition prior and at least give the quarantined doctors changing clothes, food and cleaning supplies.
How does a doctor that works for you go days without brushing, bathing and changing clothes?
Is your quarantine some kind of Guantanamo Bay?
Mwedeko
This was Arsenal Admin in 2012 after the @ChelseaFC UEFA Champions League victory.
The success was downplayed with no congratulations, just an unnecessary post.
Chelsea beat PSG in a major final. Chelsea came out to play PSG in that final and won them convincingly like the big boys do!
Chelsea, I h8te them so much but they are not cowards!
In 2012, Chelsea took the game to Bayern Munich in their home as well especially when they needed to get a goal and during PK!
Come and visit London’s Home of Trophies. 🏆
Book your Stadium Tour at Stamford Bridge now. ⭐️⭐Come and visit London’s Home of Trophies. 🏆
Book your Stadium Tour at Stamford Bridge now. ⭐️⭐Come and visit London’s Home of Trophies. 🏆
Book your Stadium Tour at Stamford Bridge now. ⭐️⭐Come and visit London’s Home of Trophies. 🏆
Book your Stadium Tour at Stamford Bridge now. ⭐️⭐Come and visit London’s Home of Trophies. 🏆
Book your Stadium Tour at Stamford Bridge now. ⭐️⭐Come and visit London’s Home of Trophies. 🏆
Book your Stadium Tour at Stamford Bridge now. ⭐️⭐️
Dr. Cornelius Sendagire, Cardiac Anaesthesiologist and Intensivist at the @HeartUganda, breaks down how the Intensive Care Registry of Uganda is transforming critical care in Uganda as we prepare for the first #ICRU2026 Network Meeting in Uganda.