pitifulcmnd

3.5K posts

pitifulcmnd

pitifulcmnd

@pitifulcmnd

Katılım Mayıs 2024
182 Takip Edilen16 Takipçiler
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❤️‍🩹@isurvivedthis40·
[TW CSA, BPD, being believed] I’m now going to write about two well respected personality disorder “experts” - Dr Joel Paris and Prof Peter Fonagy, and show how some of their work in the past has helped give credence to defence teams questioning survivors’ credibility in court.
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pitifulcmnd@pitifulcmnd·
@LuigiFontanaMD Metabolism making it worse doesn't mena arthritis isn't degeneration also known as wear and tear. Why do clinicians and scientist struggle with something so basic?
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Luigi Fontana, MD, PhD, FRACP
Osteoarthritis isn’t just “wear and tear.” Yes, excess weight increases joint load. But the bigger story is metabolism. When metabolism is unhealthy (obesity, insulin resistance, inflammation), cartilage cells change behavior—producing less repair and more degeneration.
Luigi Fontana, MD, PhD, FRACP tweet mediaLuigi Fontana, MD, PhD, FRACP tweet media
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Recovery in the Bin
An interesting consideration is the fact that a psychiatrist can swoop in and remove/change a dx. A patient may have been told for 10yrs they have bipolar then have it switched to Borderline Pd. At that point what happens to the foundation of their expertise.
Sophie_A@sophiebip1982

I have just been told that I don't have the right to speak about bipolar because I am not a mental health professional. Is lived experience enough to comment on a particular condition or should I leave it to mental health professionals? I have a firm view on this but interested.

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Michael Mindrum, MD
Michael Mindrum, MD@MichaelMindrum·
The ignorance that these non-clinician “influencer scientists” spread is tough to measure. This is not complicated. The relevance of apoB and LDL becomes quite clear when you understand how to estimate an individuals baseline risk of cardiovascular events. The context of “metabolic markers” and baseline risk is baked into basic clinical practice. We know that there is a drop in relative risk for each mmol/l in LDL-c. What makes that RRR meaningful is dependent on baseline risk.
Benjamin Bikman@BenBikmanPhD

I definitely believe the lipid-based view is overhyped. This study is telling (in females): pubmed.ncbi.nlm.nih.gov/33471027/. I've attached the main figure here. The evidence is surprising--both at how irrelevant the lipid markers appear to be and how strong the metabolic markers are. ApoB and other lipid markers may matter, but diabetes and metabolic status appears to matter much more. ApoB appeared to carry a two-fold risk, while diabetes carried a 10X risk.

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Journal of Applied Physiology
Who knew how much was going on in simple everyday movement, Footwear and Illumination Modulate Muscle Co-Contraction Strategies and Joint Work Redistribution During Stair-to-Ground Transition #ArticleinPress (Yufan Xu et al.): ow.ly/5cQs50YvsGM
Journal of Applied Physiology tweet media
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Sahib Khalsa
Sahib Khalsa@KhalsaLab·
What are the new and emerging treatments for anxiety disorders? We summarize these in a new review: bmj.com/content/392/bm…
Sahib Khalsa tweet media
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Chris Beardsley
Chris Beardsley@SandCResearch·
Since eccentric contractions produce passive mechanical tension, they stimulate sarcomerogenesis, which we observe as increases in muscle fascicle length in humans. Isometric contractions at short or moderate muscle lengths do not.
Chris Beardsley tweet media
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Frank Harrell
Frank Harrell@f2harrell·
Correct interpretation of p > 0.05: The current sample size did not yield sufficient evidence to reject, at the incredibly arbitrary 0.05 level, the supposition that the treatment does nothing, assuming data model M (describe M ...) which forgot to include covariates #Statistics
David Nunan@dnunan79

@BradSpellberg @BoussageonR @BJegorovic @DrToddLee @f2harrell Also, if we go by p<0.05 "rule" - then by this metric there isn't evidence of harm (which I don't agree with in case that's not clear). But I am engaged in a discussion about frequentist vs. bayesian stats and their interpretation which is why I was tagged in here.

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Prof. dr. Vivienne Matthies-Boon
It feels as if we really are in the middle of a Kuhnian scientific revolution with regards to #MECFS, wherein the old forces fight to stick to their psycho paradigm. The ad hominem attacks against biomedical clinicians/researchers start when the content-based arguments run dry.
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No one
No one@Balderdash543·
@neerajadeshp That book is good and attachment styles are also a real thing. These don't conflict with each other
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⚜️Sovereign⚜️
⚜️Sovereign⚜️@sauvamemte·
All he had to say was, I am not answering any questions about my wife’s social media today or ever, imagine your husband condemning you in public when you are personally affected by genocide. Ew.
Josie Stratman@JosieStratman

Mayor Mamdani says his wife, Rama Duwaji, was not aware of anti-Israel posts (like calling some Israeli citizens “parasites”) from an author she illustrated an essay for. Mamdani calls that rhetoric “reprehensible” and says his wife booked the gig thru a 3rd party

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Wren
Wren@jaunty_aphorism·
If it was about medical authority, then how come the people critical of medical "overdiagnosis" are ALSO deeply critical of self-identification and the neurodiversity movement which is largely rooted in the social model of disability? Surely they would be celebrating it?
Alan Levinovitz@AlanLevinovitz

Awais and I agree on a lot, but I think he's missing something important. Concern w/"overdiagnosis" isn't about stoicism or giving up on addressing the full spectrum of human distress and disability. It's about not locating all authority on human suffering in MEDICINE.

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Tendon Research Group @ UD
Tendon Research Group @ UD@UDtendongroup·
This suggest that pain on palpation may serve as a simple clinical marker of underlying structural pathology in midportion Achilles tendinopathy, a unique feature compared to other pain measures, supporting its use in diagnosis & prognosis @AS_itwere shorturl.at/iGOGT
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