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joemd

@joemd

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Physician, Educator, Writer, and Consultant. Writing a book to improve medical communication & empathy. Opinions are my own. #Vegan #Equity #Compassion

New York
Joined December 2008
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@joemd
joemd
4 months
COVID-mortality greater at all ages if you are not vaccinated (JAMA January 5, 2024. doi:10.1001/jama.2023.27685)
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@joemd
joemd
4 months
@Dee_Camacho Very important post. AI is susceptible to all kinds of biases because it draws from data that has internal biases. Thank you for pointing this out.
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4 months
@drseanmullen It's predicted between 1/30 to 1/20 people will be COVID+ in January. Waitstaff in restaurants can be exposed to 100+ people daily. Smart employers will have staff wearing masks, Hepa filters, good ventilation, at the very least for their bottom line and employee's health. 2/2
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@joemd
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5 years
@tribelaw @RepAdamSchiff @RepJerryNadler We are now entering formal authoritarianism where separation of branches of the government are dissolving. This can not be allowed. Unfortunately, we can't rely on the R-Congress to set limits. It will be up to the D-House and the courts.
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@joemd
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4 months
Anti-Vaccination is becoming the greatest public health threat in the US, not just for COVID, but for many preventable infectious diseases due to misinformation and the purposeful spread of falsehoods. Your primary care doctor's vaccination guidance saves lives.
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@joemd
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4 years
@BandyXLee1 Malignant narcissist leaders often commit democide. The President is doing this "efficiently" (note word) by purposefully denying coordination of assistance to states and implementing a national plan. He seeks to sow chaos and incite, hoping to claim dictatorial power.
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4 years
@yourauntemma Malignant Narcissists declare in public their evil doings -> they think they won't be held accountable because of grandiosity. His psychopathy ->democide (killing own people). He doesn't care about the 10s of 1,000's of his own supporters who died from COVID of his own doing.
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@joemd
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5 months
@PeteUK7 Excellent thread. Maslow's hierarchy: once a tipping point of masklessness emerged, most people felt too uncomfortable to not be in that group. When I give a lecture to medical students, I'm one of two or three other people who are masked out of 120 students/faculty who are not.
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@joemd
joemd
6 years
@paulkrugman It’s disconcerting when news anchors don’t call out Mr. Kudlow on his distortion. They should play clips of Mr. Trudeau’s conference. Without this data, Trump’s supporters will buy into the narrative.
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@joemd
joemd
2 years
@haileybanack I’ve seen many posts addressing shame after being infected. We doctors are susceptible to that when something happens out of control. Your carefulness has already saved lives by limiting the spread a bit. Hope you recover quickly. 🙏
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@joemd
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4 months
@drseanmullen Absolutely. I have patients who have been sick multiple times and ran out of paid sick days. Their income dropped as a result, and not for a brief period of time. One patient hasn't been able to return to work full time since 2021....1/2
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@joemd
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7 months
@AWangMPH That’s fatalistic. I haven’t gotten COVID yet. We can reduce the odds: masking, ventilation, vaccination, hepa filtration, hand washing.
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@joemd
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6 years
@doryowen @tyrasquared @jljacobson @GOP @chucktodd Excellent point. Also stories about dismantling of the EPA, State Dept, packing judicial positions, Consumer protection regression, net neutrality, kleptocratic corruption...
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@joemd
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2 years
@AlisaValdesRod1 This. 👇 although I don’t agree with every sentence of this thread, I do agree with the general statement: We’re in deep sh*t if things don’t change. Our society’s reaction to COVID is now primarily emotional, not proactive, causing most Americans to be…
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@joemd
joemd
5 years
@UROCKlive1 @SethAbramson And many clinicians, including myself, saw him as psychopathic before the 2016 election.
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@joemd
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4 years
@chrislhayes Mental health professionals imagined it. I wrote an op ed in April 2016, "Donald Trump has Psychopathic Traits," sent it to 10 media outlets. No one published it. Clinicians like @BandyXLee1 and @yourauntemma tried to warn us. Worst is yet to come if we don't stop reelection. 1/2
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@joemd
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2 years
@AlisaValdesRod1 … self defeating or cynical or arrogant or resigned or passive or selfish. This extends to healthcare professionals who have largely stopped wearing masks in non-clinical settings. We’ll see what will happen this fall and winter with the next waveS and rise in Long COVID…
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@joemd
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6 years
@KasieDC @LindseyGrahamSC @RepSwalwell Has someone in the press specifically asked Lindsey Graham what he & the President discussed that caused him 2 so abruptly change his opinion Mr. Trump after he played golf with him? He won't answer, I'm sure, but it would be important to hold him accountable 4 his answer
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@joemd
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6 years
@RWPUSA Yes. Enough is enough. Voting to restore democratic majorities in November is the most important vote we will make in our lifetimes. No one who can vote should stay home.
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6 years
@SteveSchmidtSES It’s more than an abuse of power. It’s more than a political stunt. He is testing the waters to use the troops for other political purposes. Foreshadowing of martial law. Did we see Gen Mattis say no to him? Everyone must vote D all the way to save the republic!!
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@joemd
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6 years
@tribelaw @HuffPostPol We are inching closer to fascism. November is the election for the soul of this country. Everyone with a soul who believes in our Constitution's core principles must vote.
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4 months
@TheChalis Please read this extremely important post. We need public funding/OSHA regulations to limit COVID and combat social drivers of illness/death/poverty. We don't need misinformation, distraction, photo ops from elected officials hypnotizing people to believe "the pandemic is over"
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6 years
@funder I do believe this is irrelevant, as much as I detest the candidacy of Roy Moore, unless the dad used political leverage to help his son avoid appropriate penalties.
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@joemd
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2 years
@kaveri59872487 I share your frustration. It’s group think/avoidance/denial. A public health tragedy that’s ongoing and it will get worse with reinfections. It befuddles me why doctors have largely stopped wearing masks in non clinical situations.
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5 years
@renato_mariotti If he doesn't show it's one step closer to impeachment. #AmericansForImpeachment
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7 months
@StashColTV I've never gotten COVID. I think it may be a combination of masking indoors, having HEPA filters, being vaccinated, and washing hands (people do get COVID and can sneeze.) It's also a combination of luck and privilege (eg, I can afford masks.) #freeN95s
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2 years
@calirunnerdoc This👇👇👇 1) high quality masks, 2) vaccinations, 3) ventilation, 4) hepa filtration, 5) social distancing. Think of the long game. COVID is not going away soon. I appreciate your exhaustion. Keep in mind that repeated COVID increases your risk for long COVID. Stay safe. 🙏
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7 years
@axios @mikeallen Not astonishing. #tribalism Let's listen to and understand the other side #empathy Let's treat each other with dignity and respect #humanism
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5 years
@waltshaub Regardless, the link between Trump, Inc and SA is damning as is. This is dangerous transnational kleptocracy, authoritarianism and pathocracy with no moral bounds. Now nuclear technology, pay to play??? The infected US government must be strongly treated in 2020.
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@joemd
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5 years
@tribelaw It's about investigating conspiracy, collusion, violations of the Constitution, corruption, endangering National Security. If that's not a productive use of impeachment hearings, what is? Not to proceed is a dereliction of duty. 2/2
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4 years
@chrislhayes @BandyXLee1 @yourauntemma If you haven't dealt with psychopaths, it's hard to imagine because they think very differently from the rest of us. No moral compass, no empathy, no boundary between their needs and others' lives. Look at last four years. Now is a simple extension. Extrapolate tomorrow...2/2
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2 years
@CDCDirector @CDCDirector , you know that mask-wearing and other interventions are all essential. The absence of these suggestions in your tweet is deeply disappointing and reflective of a lack of courage in the CDC. I'm a Democrat and Biden supporter, but this is a big failure.
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2 years
@cjmaddison @fairley_jackie @loscharlos @useless_priest @LaraHawthorne @OmicronData @chrischirp Thank you. The lack of a public health emphasis about #LongCovid has been a disaster that I’ve been shouting about since the beginning. Went to an indoor meeting with 20 doctors and ONLY 4 WERE WEARING MASKS! So many reasons for this disregard, even by my colleagues.
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4 months
@JeromeAdamsMD Thank you for posting this @JeromeAdamsMD . Dr. Collins raises an important point. One gap is leaders present decisions as right/wrong, rather than explaining uncertainties/limited data and why decisions are being made as best as possible. This is one reason people dig into camps.
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6 years
@benjaminwittes @RVAwonk They have and will continue to defy their oaths of office. Why? Because self interest means much more to them. Vote! November! Kick as many bums out of office as possible. Patriots will then have committe chairs and the bums will be held accountable.
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5 years
@ValerieComplex @Alba_Dawn This is terrible. I can't imagine what that feels like. I hope women across the country stand up and push back with outrage. I, as a man, will join. Vote, donate time and/or money as you can, call representatives (federal and state), protest . #ItIsNotJustTrump
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5 years
@tribelaw This underscores how impeachment proceedings are investigative proceedings that can continue to uncover evidence of criminal and corrupt activity. I am more convinced this will be constructive in @2020 . It's not about investigating sexual abuse of power (Clinton). 1/2
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5 years
@ThePlumLineGS @tribelaw Please read this article. @tribelaw articulated this with great moral clarity.
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4 years
@Acyn It's hard to understand his thinking if you haven't worked with malignant narcissists. Grandiosity: My minions will not be infected; Sadism: I will kill the people who feed me. Psychopathy: To be the orator for 25,000. Who cares if it kills them? Deeply warped @yourauntemma
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5 years
@peterdaou Even more important, the witnesses who were told to do illegal things by the president (Landowski, McGahn, etc.)
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7 years
@yourauntemma 2/2 ...so scared that they confused psychopathy with strength. A common error.
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5 years
@peterdaou Hmmm, are they staying ahead of a troubling finding to mitigate damage?
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6 years
@NatashaBertrand Things are approaching an unraveling point. Call your elected representative to ask for an emergency session of Congress to pass HR 669 / S 200 which requires Congressional approval before a nuclear first strike can be ordered. We all have to be alive to heal the country.
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6 years
@Amy_Siskind OMG. Next there will be tattoos.
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4 months
@Asta_de_B @drseanmullen I wonder if they do realize it but lobbyists and other self-interest forces continue this short-sighted, destructive approach. Look at climate change.
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5 years
@SenBobCorker So will you stand with Sen Flake and demand protection of Mueller investigation?
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5 years
@RepAdamSchiff @Vickypissedat45 Mueller report was not just about Trump. It discussed the cyberwar Russia has deployed against the US. If the Pres sides with our enemy in a cyberwar, is that not treason?
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5 years
@UROCKlive1 Hmmm, maybe she went to the same school that taught the guy who understand army stuff better than the generals.
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7 years
@yashar This illustrates the presence of a moral compass. #democracy
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5 years
@kylegriffin1 Any other President at any other time in history would have been pressured by his own party to resign. This is a symptom of critical illness in our current admnistration. The cure is removal of the whole bunch in 2020–removal of Mr. Trump leaves much of the cancer in place.
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6 years
@SteveSchmidtSES @carogonza Only ONE Repub cosponsored bills to require Congress to authorize a nuclear first strike, taking this out of the hands of the President. We know the president is unraveling. We need to pressure Congress to pass S200/HR466, requiring congressional approval for nuclear strike. 1/2
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6 years
@IronStache @SpeakerRyan @RepBarbaraLee @realDonaldTrump Call your representative to ask them to support HR 669 / S 200 which would require Congressional approval before the launch of a first nuclear strike. The world depends on our restraint!
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4 years
@waltshaub A humble, capable role model might have said, 'Yes, I was being careful so I wouldn't fall. Falls are dangerous for older adults. I care about my health.'
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4 months
@HemlockHouse I'm so sorry. Hospitals should have accountability for hospital-acquired covid like they are for post-operative infections.
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6 years
@mikefarb1 @MelindaThinker The first of many. No to a border wall. Let spend some of that $25 billion on firewalls to protect election integrity.
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7 years
@puppymnkey John Oliver had a great piece on this. Thanks for continuing attention on this!
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1 year
@psvbluemts We need calm, rationale, nuanced discussions about ways to mitigate spread of #COVID : #masks , #ventilation , #vaccination , #socialdistancing , and #ROLEMODELING . Our leaders have stopped wearing masks, which has filtered down to the rest of us. I still wear a mask. You can too.
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6 years
@Amy_Siskind Stay angry. Vote, March, contribute to causes, write, sing, make our voices heard. A country is formed by its people!
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7 years
@monolithic87 Malcom Nance is articulate and places country first.
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4 years
All healthcare workers: Practice self-care. Please join our growing peer support group via Zoom Tuesdays/Thursdays 5:30pm-6:30pm EDT. Come listen. Come share. No Fee. Confidential. For security, registration required Please RT 4 peers in need!
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@joemd
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6 years
@SenFeinstein @SenKamalaHarris @SenBooker Thank you Senator Feinstein for standing up for Democracy today!!!
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@joemd
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7 years
@yashar How Arrogant. The IC has already told the President this.
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@joemd
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7 years
@ananavarro This is the point of it all. Wear us down. Tiny steps towards authoritarianism. Don't take your eyes off of the larger issues going on.
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6 years
@Emolclause @sarahkendzior @RNC @GOP @LindseyGrahamSC Makes sense. This will all come out in the wash if we continue to have an independent judiciary. Any attempt by the President to obstruct this investigation by firing Mr. Rosenstein or Mr. Mueller should be met by mass peaceful protest in the streets.
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6 years
@tribelaw It truly is about the survival of our governmental structure. If the Democrats don’t win one branch of Congress we will have a dictatorship by 2020. Not hyperbole. Handwriting’s on the wall.
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5 years
@kylegriffin1 Subpoena Barr, Mueller, Rosenstein and other attorneys who worked on the report. The truth will come out.
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@joemd
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5 years
@DavidJollyFL And for the record, Mr. Mueller did not comment on collusion, only conspiracy. He also did not say there was not conspiracy, just not sufficient evidence. And for the record, Mr. M also noted lack of cooperation by witnesses and destruction of evidence. 1/2
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3 years
@dremilyportermd I'm sorry to hear about this Dr. Porter. What abuse! Have you contacted the state agency that hears complaints? Writing the CEO of the company? I know you have loads on your plate, but it may make the company more attentive to your care moving forward. My thoughts are with you.
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4 months
@pot8um I'm a doc and I mask whenever I'm indoors (groceries, teaching in a med school), often only a couple of other people masking. I've gotten some bad autoimmune responses after a viral illness. Interestingly, I'm NOVID but I'm not going to see how COVID affects me. 🙏🙏🙏
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1 year
@luckytran @LALegault “The pandemic isn't over. It's just much more inequitable.” Very well put @luckytran
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5 years
@AmoneyResists She knew what would unfold. When Mr. Barr testifies, she will no doubt read this back to him. The country needs to see that.
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@joemd
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5 years
@StevenBeschloss They fear their base. They need to educate and inspire their base with higher aspirations than fighting non existent external threats, instead, uniting to meet real challenges such as climate change, automation taking jobs, health care, AND negotiating across the aisle.
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6 years
@Susan_Hennessey @JoyceWhiteVance You are absolutely right. We are headed to a constitutional crisis and if the Republicans can't stand up and protect our constitution, they must be voted out of office. November. Vote!
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@joemd
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4 years
@sarahkendzior @sarahkendzior is an expert in authoritarianism. Follow her wisdom. Trump was elected because the Republican Party, despite better judgment, decided to support him in order to sustain the larger system. This became more apparent as Trump devolved and R's did not push back.
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1 year
@psvbluemts Everyone needs to listen to Dr. Duncan's riveting 12 min video. IMO, a huge public health failure has been the lack of education about #LongCovid , how reinfection increases the probability of Long COVID, and how we need ongoing mitigation strategies ( #MASKS , #vaccination , etc.)
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@joemd
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1 year
@AdairaLandryMD Practice compassion for self and others. You’ll feel a little lighter in dark times.
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5 years
@RBReich So true. And the party behind him. They are almost all afraid of being primaries. If we’re lucky enough to get the theee branches of government in D hands I hope they rewrite the rules of governance (not the same as the Constitution) to hale this erosion.
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6 years
@krassenstein Subsidize training of coal workers to learn how to build and maintain solar farms, wind farms.
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5 years
@4everNeverTrump Even sadder, he is talking to his constituents as if they’re 11 year olds, thus bringing down the role modeling of dialogue. Please see @chrislhayes @AOC @MSNBC show on #GreenNewDeal for an alternate level of dialogue that can raise the dignity of the country.
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@joemd
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5 months
@myburneracct76 @SalvMattera @1goodtern I would caution not to propose a diagnosis for someone you haven't examined yourself or have a detailed history from.
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7 years
@RedTRaccoon @Cyndi37568221 More than inappropriate. This is a misuse of his authority on young boys. #NoMoralCompass
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5 years
@kylegriffin1 Humanity, maturity, respect, intelligence. Thank you.
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6 years
Why is impeachment of Mr. Trump is important at this moment of history? This is not a partisan argument. This is about the dangerous instability that the country is in. I would advocate for impeachment of any President of any party under similar circumstances. 1/
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6 years
@kylegriffin1 Members of law enforcement: do you believe Mr. Mueller can do a fair job? Members of the military: do you believe Mr. Mueller can do a fair job? Members of the legal profession: do you believe Mr. Mueller can do a fair job?
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3 years
@dremilyportermd You're such a good soul. I imagine the apples of you and your sister don't fall far from the parental tree.
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2 years
I’m thinking about the kids whose parents died from COVID and I’m hoping they’re surrounded by love tonight.
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1 year
@NKinNewEng @ipattorneyliza It's hard for most people to feel appropriately scared of this pandemic. Your caution is healthy @NKinNewEng . Their insensitivity to your caution is not. 🙏
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5 years
@kylegriffin1 I hope she takes a page from Mr. Mueller’s playbook. No grandstanding that could threaten an investigation’s credibility. No leaking. Nose to the grindstone. Get evidence. Indict. Convict.
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5 years
@kurteichenwald Please read this important thread Now, what are we doing to mitigate/prevent this in the future. D’s will need to push for large scale assessment of social media responsibilities, voter registration, gerrymandering, voter suppression, journalism responsibilities...
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6 years
@kurteichenwald Please read this important thread from @kurteichenwald He is absolutely correct. Congress must, in an emergency session, pass a law that requires 2/3 (or 3/4) vote to authorize a nuclear first strike. Call your Congresspeople and ask them to support bills HR 669 / S 200 !!!
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6 years
@IronStache @EINS_Institute @SpeakerRyan Ok, so let him have the same healthcare as the rest of us.
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3 years
@PattyArquette Great question. At age 63, enrolling in an MFA program in creative writing! So meaningful.
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6 years
@EdKrassen We are seeing the first floor of a brutal dictatorship being built before our eyes. November will be the most important election in generations. We see what will happen even more so if Dems don’t control Congress.
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3 years
@celinegounder Please read this important thread that put J and J vaccine risk into perspective. Thank you @celinegounder !
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1 year
@kathryniveyy I hope u have the emotional & spiritual support that u & ur colleagues need. The CDC & most of the country has failed this test of inner strength, opting for distraction, denial, &avoidance of the real challenges, which require ongoing mitigatation thru boosters, masks, etc.)
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6 years
@CharlesMBlow It's the impact authoritarianism has on people. It does wear you down. We need you and your voice!!! Recharge and resist!!! Thank you for your work!!!
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6 years
@PreetBharara @USNavyMomPA Psychologically, yes. However, it will take strong limit setting to remove him and his psychopathic culture from our government: impeachment or indictment, kicking his sycophants out of office and standing up on a daily basis for basic ethical behavior.
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6 years
@tedlieu @EPAScottPruitt He will be on the list of people who will need to answer for his corruption and damage to our environment when the government is restored to some sort of sanity. NOVEMBER VOTE PROTEST IMPEACH REPAIR HEAL
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5 years
@RepSwalwell @CapitolPolice Stay strong. Thank you for powerful work for the country.
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