Back To Reality!

[BRITAIN IS BROKEN 🇬🇧 @BROKENBRITAIN0]

Absolutely brilliant - thank you Keir Starmer 🇬🇧

Credit to @_BasedCow_

[Martin Lewis @MartinSLewis]

Must watch: Martin Lewis lets loose on politicians over 10yrs inaction over scam ads.

Courtesy: @thismorning

[Afshine Emrani MD FACC @afshineemrani]

I'm a cardiologist. A 42-year-old mother of two came to my office complaining of jaw pain and crushing fatigue. She ran half-marathons. Her EKG was normal. Another doctor had sent her home with anxiety medication.
When I got her into the cath lab, I found severe microvascular disease — plaque choking the tiniest vessels of her heart, the ones standard angiograms routinely miss.
Her heart had been starving in silence while everyone told her she was stressed.
She is alive today. Too many women like her are not.
Heart disease kills more women than every cancer combined. And medicine is still diagnosing it through a male lens.
84% of cardiologists report having patients in the past year whose heart disease was misdiagnosed by another physician. Women with a STEMI heart attack have a 59% greater chance of being misdiagnosed compared to men. Women with an NSTEMI — 41% greater chance.
The reason is structural. For decades, we screened, tested, and treated women using a template built for men.
Men's heart attacks announce themselves — the crushing chest pain, the clutched fist, the Hollywood collapse. Women's hearts whisper. Crushing fatigue that feels like wearing a lead vest. Jaw pain written off as TMJ. Nausea blamed on a stomach bug. An ache between the shoulder blades blamed on a long week. Shortness of breath blamed on being out of shape.
For years, medicine called these "atypical" symptoms. They are not atypical. They are female-typical. Half of humanity is not a variant.
And the biology runs deeper than symptoms.
Women have smaller hearts and narrower coronary arteries. Plaque doesn't only clog the big highway vessels — it hides in the microvasculature, the tiny branches feeding the heart muscle itself. A woman can have a heart attack with a completely "clean" standard angiogram.
SCAD — spontaneous coronary artery dissection — occurs 90% of the time in women. Often young, fit women with zero traditional risk factors. It's the leading cause of heart attack in women under 50, accounting for roughly one quarter of all cases in that age group. Most doctors have never diagnosed one.
And some of the most dangerous cardiac risk factors are hidden in women's medical histories where no one thinks to look:
Preeclampsia or gestational hypertension doubles to quadruples lifetime heart disease and stroke risk. Pregnancy is the body's first cardiac stress test — and these complications are early warning sirens, not closed chapters.
Autoimmune disease — lupus, rheumatoid arthritis, psoriasis — far more common in women, turbocharges inflammation and plaque formation at any age.
Cardiovascular disease in women aged 20-44 is projected to surge nearly 50% by 2050.
The youngest patients in my practice keep getting younger.
What every woman should ask her doctor — and what every doctor should be asking:
"Given my pregnancy history, autoimmune status, and family history — what is my full cardiovascular risk?" If they don't ask about preeclampsia or gestational diabetes, volunteer it.
"Should I have an Lp(a) test and a coronary calcium score?" Standard cholesterol panels miss too much. Lp(a) is genetic, one-time, and most women have never been tested.
"My tests came back normal but my symptoms haven't stopped — what's next?" Normal stress tests and angiograms can miss microvascular disease, spasm, and SCAD. Persistent symptoms warrant coronary CT angiography or cardiac MRI.
And if something feels wrong — say these exact words to your doctor: "I am concerned this could be my heart."
That single sentence changes the workup. Do not soften it. Do not apologize for it.
80% of heart disease is preventable. But the playbook has to be built for female biology.
Two decades ago, I wrote one of the first books warning that heart disease was the number one killer of women and that medicine was diagnosing it through a male lens. It was recognized by First Lady Laura Bush at the White House during the early years of the national conversation about women's heart health.
I'm haunted by how much of that book I could republish today unchanged.
The science has advanced. The awareness has grown. But the gap between what we know and what happens in the exam room is still costing women their lives.
Share this with every woman you love — and every doctor who treats them. READ MORE: https://t.co/4LRugiY8q2

[Crewkerne Man @CrewkerneMan]

Incredible clip: Kemi Badenoch takes apart a hard-left, pro-Palestine agitator, stands her ground, and makes clear she’ll defend British Jews without apology.

Serious steel on show here.

Don’t mess with Kemi 💪🇬🇧

[Metropolitan Police @metpoliceuk]

“Apprehending violent and dangerous criminals is a full contact and messy task which may appear shocking to observers with little experience of policing in the real world.”

Commissioner Sir Mark Rowley writes to Zack Polanski.

[Blake S. Taylor Investigations 🚫 @YoungGun8140]

I’d give this man a job immediately because this demonstrates leadership and initiative.

I love how everyone just listens and obeys him.

[Back To Reality! @nikstar1000]

😂👏

[Nathalie Rothschild @n_rothschild]

So relieved my last name isn't Epstein. Dealing with all the conspiracy nuts on the internet must be tough.

[Chris Rose @ArchRose90]

The UK government’s “one in, one out” deal in action.

[Back To Reality! @nikstar1000]

Crazy!

[Kirralie Smith @KirralieS]

I lost the appeal and I am still under a 2 year apprehension of violence order for identifying a male in a female soccer team.

I have never named him, met him or asked others to target him.

But I guess if they can redefine the word "woman" why wouldn't they redefine the word "violence"?

This is simply an attempt to stop my advocacy. I won't stop. Men can not be women. Men do not belong in women's sport. Only men get upset and take women like me and @salltweets to court for saying no to them.

If you believe anything people say who call a male "she/her/miss" you will believe anything. I am not interested in arguing with liars and cheats.

Thank you so much for all the messages of support.

I will issue a more detailed statement next week.

I am off to New Zealand now and I am going to have a fantastic time!

[Susan “The Actual Susan” McDonnell 🇮🇱🇬🇧 @sleeepysandy]

I, too, often think of this. If only we hadn’t had to spend all that time and money and energy proving what literally everyone knew, eh?

[Back To Reality! @nikstar1000]

👏🏻👏🏻👏🏻

[XX-XY Athletics @xx_xyathletics]

“It will probably, at least for a moment, destroy my life.” - Stephanie Turner

Let’s show Stephanie we have her back.

Share this ad far & wide.

#RealWomenRock https://t.co/xDsKrDclYO

[Back To Reality! @nikstar1000]

@SoVeryBritish Fish - London/Essex

[No Farmers, No Food @NoFarmsNoFoods]

Please use this meme on your social media feeds today. 🚜

[Back To Reality! @nikstar1000]

I’m a celebrity, making Twitter fun again! 😀

[Back To Reality! @nikstar1000]

@CensoredMen Finally, some good news!

[Back To Reality! @nikstar1000]

@_hxrrybxtt Mate.. that is a great playlist!! 😂

[Back To Reality! @nikstar1000]

@RitaHoeffner8 @CatDr66 @LqLana @TacoTuesdah Oh fuck right off. If the baby is born ”blind, deaf and unconscious and feels no pain, knows no existence “ why can’t the pregnancy be terminated to save the mother all of the pain she would have to endure. Physically and mentally to carry it to term and give birth to it?

[Back To Reality! @nikstar1000]

@SCMeltedSG @LqLana @TacoTuesdah 👏🏻

[Back To Reality! @nikstar1000]

Noo, not Dave Grohl! Gutted😫

[Back To Reality! @nikstar1000]

@Whotfismick Soap