Sextius Niger sequens

@DalsonFigueired Sério que é assim que vc interpreta expectativa de vida? Não brinca…

Bolsonaro tem 71 anos. Ele foi condenado a 27 anos de prisão. A expectativa de vida média no Brasil é de 77 anos (estou arredondando para cima). Pronto. Fica tranquilo meu amigo. Dessa dor a gente não precisa mais se preocupar.

@glauber_doc Enquadramento e perspectiva são tudo em comunicação.

900 pessoas que já tiveram a morte cerebral decretada e as famílias tiveram o gesto de humanidade de doar órgãos para tirar 1800 pessoas da hemodiálise.

@ManfroiRenato Preço de medicamento no país é instrumento de roubo: ivermectina, custa 0,20/comprimido no laboratório. Com impostos. Vc pagou, com desconto, 30x mais. Quer margem comercial melhor?

O preço dos remédios estão pela hora da morte.

@Jasonphilip8 And know, you are a talented and skillful urologist. Kudos!

I read the Residency woes of most Indian Drs in Tw. I do feel for them, bc I walked the same path. Let me relate my experience as an MCh-Urology resident at Govt Stanley Medical College Hospital, yrs ago. I chose Urology, bc it ws the most sought after SS course in TN at that time. There were only 7 seats in TN, & only 1 at Stanley. I chose Stanley, as this is where I did MBBS,& hv an emotional attachment. The MCI had discontinued MCh Uro at Stanley earlier, & restarted it only then. So, I was a single PG for the entire large Dept of Urology, Stanley. The Male Urology ward was at 6th floor,NSB, Female at 7th floor, Uro Postop ward at 3rd floor,& Cystoscopy/ USG rooms at the Ground Floor. I had to run( Lift was always full) btw these wards atleast 20 times a day, up & down the stairs. There used to be 40 pts in male ward, 20 in female, 10 in male postop, 5 in female postop, 2 in Kidney Tx ward, 20 pts waiting for Ultrasound and 15 for cystoscopy on all days. As a single PG, only I attended to each one of them, every day. I never saw an Asst Prof enter the cystoscopy/USG room ever in my 3 yrs as PG. There were 5 Asst Profs, 1 Associate Prof,& 1 Prof/HOD. But of what use? Except one Asst Prof- Dr. Thiruvarul who was extremely sincere, punctual & devoted to pts,& this PG, all Asst Profs came at 9.30 -10 & left at 12 noon to practice at their clinics. The Associate Prof, came twice a month to the dept, claiming to be the brother of a Union Min. The other days, his driver signed the Attendance Register at the Dean's office. I know this ex-Union Minister,& talked to his PA even last month. He confirmed that the Dr was not a brother.Bluffing. So in effect, I, with limited experience in Uro ws managing the entire Urology dept. Urologists also hv to work with Gynaecs in many surgeries, & we have an allied Gynaec Hospital-RSRM. There were daily callovers from RSRM,& I had to drive my car to that hospital fr Uro work. Also, bladder injuries r inevitable during some Caesars,& I had to attend to on table bladder injury callovers. At 2.30 AM, 3.15 AM, 4.30 AM.. Not once during my 3 yr residency, do I remember an Asst Prof accompanying me for these on-table callovers. Except the kind AP, I referred to. I was on duty 6 days a week, with Sunday off. One of the APs took care of Sunday, when I insisted I hd to attend church. So 6 days, I wd sleep in the hospital Uro PG room without a bath/ change of clothes or shave. Food was a luxury to be taken, once a day when free, at the canteen. I lost 30 kilos in those 3 yrs. I considered suicide,& even hd a plan, to escape this hell. Somehow survived. The typical day started at 5 AM, when I wd finish Ultrasounds. Next ALL uro pts had to be examined, notes written, dressing done fr post op pts. Next wd be OT or OP. At 2 PM, I wd start cystoscopies which wd end at 5 PM. Next wd be 20-25 call overs/day from various wards. On-table callovers from Trauma ward or RSRM cd come at any time of the day or night. All were attended to, by me. This ws the routine- 6 days/ week. Add to this,the occasional night Cadaver Transplants. I endured all this to get my coveted MCh degree. To be fair, SS Pgs of other depts suffered hell too. The next yr, MCI expanded SS seats, & 5 extremely sincere Uro PGs came to my help. My suffering ws considerably eased. Today, my dept hs 24 MCh Urology PGs. All r gems. But, when someone says he is overworked, my memory flies back to my own single PG days, when I considered suicide. And smile gently. They cannot fathom the suffering,I underwent as a resident in another era. I promise u, there is not a single word of hyperbole. I hv related it, as life was then for a resident in TN. #MedTwitter

@glauber_doc 900 mortes para prolongar uma vida. Nada mal…

@ProculObservans Não. Foram 900 doadores pra 1800 transplantados antes dela conseguir o rim novo.

Que péssima chamada da Folha. Dá a entender que a fila não tava rodando ou que estavam deixando ela pra trás. Paciente já tinha sido transplantada, perdeu o rim depois de muito tempo, tinha painel altíssimo (99%) e alto risco de rejeição de recebesse um novo órgão. Já não tinha mais acesso vascular e era priorizada em fila. Fez dessensibilização em serviço especializado e pode reduzir o painel pra 26%, podendo ser finalmente transplantada. E tudo isso usando nosso sistema público de transplantes, um dos maiores do mundo.

Imagine being a physician who has taken the Hippocratic Oath—to do no harm, act in patients’ best interest, ensure justice, respect every person, and uphold integrity Then you go on social media and spew racist rhetoric toward newly matched medical students who will soon be your colleagues. That behavior violates every one of those principles.

@MrPool_QQ @magnelibra Delusional

🔻 THEY HACKED THE WRONG MAN. Friday night. Iran's cyber unit breached **FBI Director Kash Patel's personal email.** They published his photos. They thought they'd humiliate him. They didn't. They triggered a protocol. ⚡ Within **6 hours** of the breach, Patel activated **CROSSFIRE RETURN** — a counter-intelligence sequence buried inside the FBI's own architecture since January 2025. The hack didn't steal secrets. It **confirmed a location.** Every digital intrusion leaves a return path. Every return path leads to a server. Every server has an owner. The owner isn't in Tehran. The owner is on **K Street, Washington D.C.** 🔺 Now connect the dots from the last 72 hours: **Thursday** — Senator Kennedy looks Patel in the eye at the Senate hearing and asks: **"Did somebody KILL him?"** The room goes silent. Patel doesn't blink. He says one word: *"Yes."* **Friday** — Reuters publishes a bombshell: **millions in trades** placed BEFORE Trump's Iran announcement. Options. Futures. Prediction markets. Someone knew. Someone always knows. The same accounts. The same clearing house. The same building on **Constitution Avenue.** **Saturday** — 8 million people flood the streets. "No Kings" they chant. But who organized it? Who funded the buses? Who printed 3 million identical signs in **48 hours?** That's not grassroots. That's a **$47 million operation.** And the money came from the same accounts Reuters just flagged. **Sunday** — You're reading this. ⟁ Here's what they don't want you to see: The hack on Patel wasn't Iranian. It was **routed through Iran** to trigger a diplomatic incident — to STOP the ground operation on **Kharg Island.** Because under Kharg Island aren't just oil reserves. There are **vaults.** And inside those vaults are the original ledgers of every transaction between **1979 and 2024** — every dollar that flowed from Washington to Tehran and back. **$9.7 trillion.** That's the number. The same number the Federal Reserve blocked Trump from auditing **two weeks ago.** Patel now has the return path from the hack. It leads to a server farm in **Northern Virginia.** The same server farm that hosted the **Epstein scheduling database** — the one with 14,000 entries that was "accidentally" deleted in 2020. It wasn't deleted. It was moved. And now they know where. **⟁ CODE: CROSSFIRE-R / NODE-KP7 / VAULT-79 / APRIL-2** The ground operation isn't about Iran. It's about what's **under** Iran. And the people who hacked Patel just showed him exactly where to look. Forward this. Before they realize what they've done.

@TheMoneyApe x.com/amrelsherif0/s…

🚨 SAUDI MESSAGE TO IRAN 🚨 SAUDI ARABIA RELEASES MILITARY SHOW OF FORCE VIDEO WITH JETS, SHIPS, & TROOPS. SAYS TRUST WITH IRAN IS BROKEN & WARNS OF POSSIBLE MILITARY RESPONSE. MIDDLE EAST IS LOSING BILLIONS DAILY. SAUDI MAY LOSE OVER… Show more

@franciscojlk 🎯@ironickha

💉🩺Rapid sequence intubation in 2026: we are no longer “protecting the airway.” We are managing physiology under extreme stress. The latest evidence challenges one of the oldest dogmas in critical care. RSI was designed to prevent aspiration. But today, the real enemy is often hypoxemia and cardiovascular collapse. 1. Aspiration is no longer the central problem For decades, RSI was built around one fear: aspiration. But emerging data suggest: RSI may not significantly reduce aspiration It may increase hypoxemia and hemodynamic instability The paradigm is shifting: 👉 From aspiration avoidance → to physiologic optimization 2. First-pass success is everything Every additional attempt increases: Hypoxia Hemodynamic collapse Mortality Modern RSI is built around one goal: Get it right the first time. That means: Videolaryngoscopy first-line Stylet routinely Team choreography, not improvisation 3. Preoxygenation is now a therapeutic intervention Not just a step—a determinant of survival NIV > face mask HFNO as adjunct Semi-upright positioning And one key shift: 👉 Gentle ventilation is no longer taboo Done correctly, it reduces hypoxemia without increasing aspiration risk. 4. Hemodynamics matter more than ever Up to 40–50% of patients experience peri-intubation instability. The modern approach: Avoid propofol in unstable patients Favor etomidate or ketamine Consider prophylactic vasopressors Fluid loading? Not routinely beneficial. 5. Cricoid pressure: from dogma to doubt No clear benefit in preventing aspiration May worsen laryngoscopy and ventilation Current thinking: 👉 Use selectively, or not at all 6. RSI is no longer a rigid protocol It is now: Patient-specific Physiology-driven Team-dependent With tools like: Gastric ultrasound POCUS-guided decisions Structured airway protocols 7. The real determinant of success: human factors Preparation, communication, and coordination matter as much as drugs. Because in critical care: The airway is not just anatomy. It is a moment of systemic vulnerability. 🤓Final message RSI has evolved: From speed → to precision From protocol → to physiology From individual skill → to team performance And ultimately: The goal is no longer just to intubate. It is to intubate without killing the patient. 📃Reference Boulos NM et al. Anaesth Crit Care Pain Med. 2026. doi.org/10.1016/j.accp…

He did not build his own treatments. He also didn’t use AI to analyze his own tumor data. It’s more a story about your options, when you’re wealthy enough, so you can pay all these not yet approved treatments on your own risk. So you can pay your PRRT in Germany, and pay for your tumor-DNA directed scan in China, while getting immunotherapy at home. Good for him and fairplay also to him that he tries to make this accessible for everyone, but this is not a tech bro story about someone using AI to cure himself.

@Vitus_osst @SsdLinuxBent This is far more concerning for the Catholic faith:

I don't understand how someone can come during the consecration at Mass and then immediately come to receive communion during communion. 🤔🤦 It's not done that way; if you do it, stop! 🛑🛑🛑"

بيان مشترك من البطريركية اللاتينية في القدس وحراسة الأراضي المقدسة. Joint Press Release: The Latin Patriarchate of Jerusalem and the Custody of the Holy Land. lpj.org/en/news/joint-…

@SsdLinuxBent @Vitus_osst General conditions for receiving Communion: - Be in a state of grace (no conscious mortal sin). - Observe the Eucharistic fast of at least 1 hour. - Have faith in the Sacrament with devotion. Lateness itself does not prevent Communion. It can even be distributed outside of Mass.

@ProculObservans @Vitus_osst It's not a speck. It's a grave abuse of the Sacraments and scandalous to the Faith of the children. If you really cared, you'd refrain,make a worthy spiritual Holy Communion, until you can arrive on time.

Domine, dona nobis pacem.

🎯

I am not predicting that it will, but having followed how everything unfolded since day one, this is a massive mis-priced tail risk. It’s futile to debate inflation vs demand destruction shock, the bottom line is this will hit earnings and sentiment like a hammer. 11/11

JUST IN: Israeli Police prevented Cardinal Pizzaballa from entering the Church of the Holy Sepulchre today, as he went to say Mass. @LPJerusalem calls it a “grave precedent” which “constitutes a manifestly unreasonable and grossly disproportionate measure.” Full statement from @LPJerusalem below —— Joint Press Release The Latin Patriarchate of Jerusalem and the Custody of the Holy Land Holy City of Jerusalem Palm Sunday, 29 March 2026 This morning, the Israeli Police prevented the Latin Patriarch of Jerusalem, His Beatitude Cardinal Pierbattista Pizzaballa, Head of the Catholic Church in the Holy Land, together with the Custos of the Holy Land, the Most Reverend Fr. Francesco Ielpo, OFM, the official Guardian of the Church of the Holy Sepulchre, from entering the Church of the Holy Sepulchre in Jerusalem, as they made their way to celebrate the Palm Sunday Mass. The two were stopped en route, while proceeding privately and without any characteristics of a procession or ceremonial act, and were compelled to turn back. As a result, and for the first time in centuries, the Heads of the Church were prevented from celebrating the Palm Sunday Mass at the Church of the Holy Sepulchre. This incident is a grave precedent,and disregard the sensibilities of billions of people around the world who, during this week, look to Jerusalem. The Heads of the Churches have acted with full responsibility and, since the outset of the war, have complied with all imposed restrictions: public gatherings were cancelled, attendance was prohibited, and arrangements were made to broadcast the celebrations to hundreds of millions of faithful worldwide, who, during these days of Easter, turn their eyes to Jerusalem and to the Church of the Holy Sepulchre. Preventing the entry of the Cardinal and the Custos, who bear the highest ecclesiastical responsibility for the Catholic Church and the Holy Places, constitutes a manifestly unreasonable and grossly disproportionate measure. This hasty and fundamentally flawed decision, tainted by improper considerations, represents an extreme departure from basic principles of reasonableness, freedom of worship, and respect for the Status Quo. The Latin Patriarchate of Jerusalem and the Custody of the Holy Land express their profound sorrow to the Christian faithful in the Holy Land and throughout the world that prayer on one of the most sacred days of the Christian calendar has thus been prevented.

@MLJHaynes @LPJerusalem Perhaps now @Pontifex will move on real action against the crisis in Middle East and play diplomacy at high stakes.