Family physician. Clinical instructor @UBC. Supporter of @arsenal and @raptors. Practitioner of myoActivation. Eliminator of chronic pain. Tweets are my own.
Global health experts credit Dr. Anthony Fauci's work with saving over 25 million lives worldwide.
An architect of PEPFAR under G. W. Bush Dr. Fauci helped build an initiative that distributed lifesaving antiretroviral treatment across Africa & other developing regions
Based on what empirical evidence?
Your feelings don't count.
The data contradicts your tears.
MRNA COVID vaccines were initially 90-100% effective...
https://t.co/LcxzrreHlI
Of course Fauci had to take the 5th on every question, & his lawyer, or any lawyer, would so insist. Once you start dancing with the devil on the color of the carpet or day of the week, you're on the path to a perjury trap. The outrage is so palpable given Fauci's exemplary record as a public servant.
It will be interesting to see how the MAHA advocates respond to this study of >2.5 million US children.
Any limitations of the study provide no support for the vax causes autism claim.
https://t.co/sKDMfL9sbd @DrNice2026@IntegralAnswers
IF I GET DEMENTIA…..
I’d like my family to hang this wish list up on the wall where I live. I want them to remember these things.
1a. Every time you enter the room announce yourself. “Hi Dad - it’s Amanda.”
NEVER ask- Do you know who I am??? That causes anxiety.
• If I get dementia, I want my friends and family to embrace my reality.
• If I think my spouse is still alive, or if I think we’re visiting my parents for dinner, let me believe those things. I’ll be much happier for it.
• If I get dementia, don’t argue with me about what is true for me versus what is true for you.
• If I get dementia, and I am not sure who you are, do not take it personally. My timeline is confusing to me.
• If I get dementia, and can no longer use utensils, do not start feeding me. Instead, switch me to a finger-food diet, and see if I can still feed myself.
• If I get dementia, and I am sad or anxious, hold my hand and listen. Do not tell me that my feelings are unfounded.
• If I get dementia, I don’t want to be treated like a child. Talk to me like the adult that I am.
• If I get dementia, I still want to enjoy the things that I’ve always enjoyed. Help me find a way to exercise, read, and visit with friends.
• If I get dementia, ask me to tell you a story from my past.
• If I get dementia, and I become agitated, take the time to figure out what is bothering me.
• If I get dementia, treat me the way that you would want to be treated.
• If I get dementia, make sure that there are plenty of snacks for me in the house. Even now if I don’t eat I get angry, and if I have dementia, I may have trouble explaining what I need.
• If I get dementia, don’t talk about me as if I’m not in the room.
• If I get dementia, don’t feel guilty if you cannot care for me 24 hours a day, 7 days a week. It’s not your fault, and you’ve done your best. Find someone who can help you, or choose a great new place for me to live. With a bus and activities!!
• If I get dementia, and I live in a dementia care community, please visit me often.
• If I get dementia, don’t act frustrated if I mix up names, events, or places.
Take a deep breath. It’s not my fault.
• If I get dementia, make sure I always have my favorite music playing within earshot.
• If I get dementia, and I like to pick up items and carry them around, help me return those items to their original place.
• If I get dementia, don’t exclude me from parties and family gatherings.
• If I get dementia, know that I still like receiving hugs or handshakes.
• If I get dementia, remember that I am still the person you know and love.”
ᴄᴏᴘʏ ᴀɴᴅ ᴘᴀsᴛᴇ in Honor of someone you know or knew who has dementia. In Honor of all those I know and love and lost who are fighting Dementia/Alzheimer’s.
FIFA #WorldCup2026 has been a huge success so far in Vancouver. Even those that were against it are now partaking in the fun. That’s the power of sport. And that’s why you invest in it. It brings people together and that alone is a good reason for more sports in this City. We need more things to rally around.
🚨 #ULTIMAHORA preocupación por el estado de salud mental de Edward Norton. Se le ha visto desorientado hablando solo durante el USA-Turquía en el estadio de los Ángeles.
The Canadian Association of Radiologists is against asymptomatic whole body MRI screening but that doesn’t stop profiteers from making money stoking people’s fears. This should be banned in Canada. It pulls resources from those that need it.
https://t.co/EklfkKSs5s
Almost any time someone mentions the word toxins, you can assume they’re not being factual.
Everything can be toxic, including oxygen, water, sodium, glucose, and many other things essential to life.
Thankfully, even scary-sounding things that can be toxic—like arsenic, formaldehyde, and even heavy metals—are also usually nontoxic in the small amounts in which they’re encountered in our diets and everyday life.
The rare exceptions prove the rule that there’s really no such thing as detoxing.
Your liver and kidneys are the best detox agents you have, and if those aren’t working, then you should seek medical attention.
- @RyanMarino
fourth quarter alone:
- 6 intentional foul free throws to extend the game
- 3 free throws from harden hacking brandon on a three
- 2 flagrant foul free throws from merrill yanking CMB with two hands
don't try to spin some sort of narrative about the refs favoring toronto. you just got outworked.
Comentarios como este, y pacientes como este, fueron el pan de cada día durante los primeros años post-COVID en la consulta de neumología.
Trabajando en conjunto con los equipos de Reumatología, pudimos caracterizar muchos de estos cuadros que llegaban etiquetados como ‘daño por vacuna’ o ‘long COVID’ — y que en realidad correspondían a enfermedades autoinmunes sistémicas con años de evolución silenciosa, finalmente detonadas o desenmascaradas por la infección, por el estrés fisiológico de la pandemia, o simplemente diagnosticadas por primera vez gracias a que el paciente por fin buscó atención médica.
La pandemia creó una tormenta perfecta: pacientes con cuadros multisistémicos complejos, un sistema de salud saturado, y una narrativa viral que ofrecía una explicación simple y un culpable claro. El resultado fue predecible — vasculitis, síndrome antifosfolípido, LES, sjogre, esclerodermias y IPAFs comenzaron a firmarse como ‘lesión por vacuna’ en foros, redes sociales y clínicas de tratamientos no validados.
Basta leer este comentario con ojo clínico para construir un diagnóstico diferencial sólido: daño de pequeño vaso, coagulopatía, neuropatía de fibras pequeñas, sangrado mucoso difuso, úlceras cutáneas hemorrágicas y enfermedad de Graves coexistente.
Ese no es el fenotipo de una reacción adversa a una vacuna — ese es el fenotipo de una vasculitis sistémica ANCA-asociada, un síndrome antifosfolípido catastrófico, o un LES con afectación multisistémica activa.
Lo verdaderamente preocupante no es que este paciente esté equivocado sobre la causa — lo preocupante es que probablemente tenga una enfermedad real, grave y tratable, y que en lugar de estar en manos de Reumatología recibiendo ciclofosfamida, rituximab o anticoagulación, esté en Japón sometiéndose a plasmaféresis experimental sin indicación validada.
La pandemia nos dejó muchas lecciones. Una de las más importantes para los que trabajamos en medicina respiratoria: nunca subestimes lo que un diagnóstico equivocado — aunque venga envuelto en la narrativa correcta — le puede costar a un paciente.
BREAKING — The Faith Militant’s Jaden Ivey, who was recently stripped of his knighthood, has sent a raven saying:
I knew no gods, old nor new. When I came to King’s Landing I lay with women in the pleasure houses of Flea Bottom, drank until the morn came.
That was the world I knew. After won tilts, I felt as though the realm itself had been laid at my feet.