Plugging a 50-y/o paper on redox modulation of the dopamine receptor. Proctor P, McGinness JE. "Levodopa side-effects and the Lesch-Nyhan syndrome". Lancet. 1970;687:1367.
@jtrebach
You can imagine when I first saw the acronym "SOB" in a chart. We were all neophytes once. BTW, SOB means "shortness of breath". What did you think it meant?
@JoeyMannarinoUS
As a physician-- that is more how people with back pain walk. This is how people with a particular brand of dementia (FTD) stand and walk. Gotten so bad that Trumps handlers now provide toe pads to bring him more upright.
@Gerashchenko_en
The Russian economy (always a Potemkin village) collapses as we watch. What oil they can export doesn't pay the bills. They refuse to print Rubles because then inflation gives away the game. So they pay in kind, or simply don't pay government employees, etc., at all.
"S&P
@Gerashchenko_en
Behind the scenes, the West has renewed the same war on the Russian economy that brought down the Soviet Union. Russia has not been able to pay its bills off oil revenues for some time.-- "S&P Global Commodity Insights estimates Russia's fiscal breakeven oil price at $114/b in
@jtrebach
One of the questions on the Oral part of my ABMT board exam was "List the toxicological consequences of Love Canal". I stalled and hemmed and hawed. But finally admitted I knew of none, figuring I had just flunked. I mean, how can a toxicologist not know THAT? Much to my
@bittroldcatlady
@Eric_Conn
@MadisonKittay
Clearly doesn't even know his bible either, which tells believers to mind their own business with WRT non-church members. 1 Corinthians 5:12 — "It is not my business to judge those who are not part of the church. God will judge them."
@randymot4
"..The United States has so far provided military aid to Ukraine that amounts to roughly a tenth of its total annual defense budget. In return, one of America’s most dangerous enemies has sacrificed almost all of its existing soldiers and the bulk of its armor. The courage of the
@Gerashchenko_en
"..The United States has so far provided military aid to Ukraine that amounts to roughly a tenth of its total annual defense budget. In return, one of America’s most dangerous enemies has sacrificed almost all of its existing soldiers and the bulk of its armor. The courage of the
@BadMedicalTakes
I was in a research institute allied with the various "State Schools" in Texas. We saw a lot of mystery diagnoses which these days would have been called "on the spectrum".
@RifeTechnology
@RyanMarino
I read my first blood smear over 50 years ago as a med tech and did a path residency. Your slide is completely artifactual and you conclusions frankly wrong. Whatever made you think you could get away with this BS in a site with a lot of physicians on it?
@JadeK526
Some of the more extreme pro-lifers even object to abdominal surgery for ectopic pregnancies. This even though there is no way the fetus can survive and there is a strong possibility mom will die. It's a cult, and a rather heretical one.
@JayinKyiv
“If you will not fight for right when you can easily win without blood shed; if you will not fight when your victory is sure and not too costly; you may come to the moment when you will have to fight with all the odds against you and only a precarious chance of survival. There
@NOELreports
"..The United States has so far provided military aid to Ukraine that amounts to roughly a tenth of its total annual defense budget. In return, one of America’s most dangerous enemies has sacrificed almost all of its existing soldiers and the bulk of its armor. The courage of the
@Gerashchenko_en
Over the next decade, Russian oil will become more expensive to drill and produce than it sells for. At that point, Russian oil reserves become "stranded" and the whole Russian economy goes right off a cliff. Meanwhile, they spend all their surplus cash fighting a useless
@Gerashchenko_en
The clock is ticking on Russian oil reserves. The all-in cost of Ru oil production is predicted to exceed market price within the next few years, if it has not already. This "strands" Russian oil underground, after which, the RU economy goes right off a cliff.
@wartranslated
“If you will not fight for right when you can easily win without blood shed; if you will not fight when your victory is sure and not too costly; you may come to the moment when you will have to fight with all the odds against you and only a precarious chance of survival. There
@Gerashchenko_en
Always remember that the Russians are operating from weakness. "According to Investopedia’s rankings, at $1.48 trillion nominal GDP, Russia has the 11th largest economy in the world, and only represents 1.31 percent of the world’s economy. It’s nominal GDP per capita is
@visegrad24
"Israel has more Nobel Prizes per capita than the Germany, United States and France. It has more laureates, in real numbers, than India, China and Spain. Israel is 11th in Nobel prize per capita, just after the United Kingdom at 10th."
@matthew4brem
@Gerashchenko_en
“If you will not fight for right when you can easily win without blood shed; if you will not fight when your victory is sure and not too costly; you may come to the moment when you will have to fight with all the odds against you and only a precarious chance of survival.
There
@Liz_Cheney
@HNTurtledove
“If you will not fight for right when you can easily win without blood shed; if you will not fight when your victory is sure and not too costly; you may come to the moment when you will have to fight with all the odds against you and only a precarious chance of survival. There
@Mylovanov
Russia has plenty of arms. What they do not have is the native economic capacity to wage a broad-scale modern war. Stated-simply, Russian warmaking is highly leveraged to oil. So that is where you wage war on them.
We have done it before. Last time, the US and the
@HelenaHauser
@Gerashchenko_en
Somebody breaks into your house, kills your family, and steals your stuff. And you are a spoiled child if you object? Not in my world.
@RyanMarino
Big difference is that a regular dose of an opiate does not generally significantly affect driving ability. This was established decades ago in the run up to legalizing methadone maintenance. Methadone clients come into the clinic, take their dose (which can be
@spooked75
The old KGB program to subvert the western democracies never stopped working behind the scenes and is finally bearing fruit as institutional memory fades. While their military might have deficiencies, the Russians plot and work in the long term. They have now accomplished
@NOELreports
Russian may be running short of heating oil, which is produced from some of the same petroleum fractions as Diesel fuel. Russia embargoed export of Diesel fuel for its recent harvest season. Further, that tanker damaged a couple months back by UKR drone motorboats was carrying
@Gerashchenko_en
The Hell with them Rooshans. Gas sells for $2.95/mcf in west Texas. We can compress it to LNG, transport, and deliver it in Europe for significantly less than Gasprom, say $16. Same with other producers. All due to new technology that apparently Putin's advisers did not
@MalcolmNance
Hamas started this knowing they could not win militarily. Their purpose was be so brutal that Israelis would do what is necessary to supress them, even if this means the death of a lot of innocents. At which point, Hamas reaps the PR win, at the expense of the people of
@ctyshipperuytin
@Gerashchenko_en
Unfortunately, give in to nuclear blackmail, the Russians will figure you are "weak" and not be content with winning the point. Since it is the only thing they have, they will keep coming back to it until we eventually do stumble into a nuclear exchange.
@TomJChicago
He has shown the characteristic frontoemporal dementia (FTD) forward lean for a couple years now. I originally suspected it when he started showing word issues, "covfefe", etc.. And yes, things have deteriorated since.
@LizaRosen0000
In a polygamous society where women are basiclly kept captive and fathers decide who their daughters marry, many young males will flatly never have sex. The exception is with women taken taken as captives in war, which Islam endorses.
Great way to encourage the young males
@GCapital_LLC
@ReallyAmerican1
Alas, many in the Republican base equate "freedom" with the God-given power to inflict their belief system on everyone else.
@ArturRehi
Russia can no longer support itself on it oil reserves. So only a matter of time. "S&P Global Commodity Insights estimates Russia's fiscal breakeven oil price at $114/b in 2023, up from $64.47/b before its invasion of Ukraine,"
@AlastairMcA30
@AshleyGWinter
Not even a standard slide. What he seems to have done is dilute blood with (say) the diluent you use to do a cbc and then put that under a cover slide. I see a few stained granulocytes floating around. But nobody would use anything like this to make a clinical judgement.
@AGAndrewBailey
Facts? NOT! Anyway, sources? Stated-simply, you could not be more wrong. I'm also a medical toxicologist and I concur with Dr Marino. Why do you-all feel you need to flat out lie about this matter? It does not give your case any credibility.
@Gerashchenko_en
Respond to nuclear blackmail, the Russians will keep using it until eventually we stumble into nukes anyway, if only by accident. We are riding a Tiger and just can't hop off and not get eaten.
“If you will not fight for right when you can easily win without blood shed; if
@RyanMarino
....They have to go back to Roman theologian Tertullian to reinforce their claim that the “orthodox position” is that life begins at conception, conveniently leaving out the fact that Church fathers Augustine and Aquinas—and most evangelicals up until the 1970s—are on the other
@albafella1
The warm cheery glow of burning oil. This is going to bring down a significant fraction of Russian processing capacity and, with it, more of Russia's ability to sustain this war.
@leahmcelrath
I was a student literally forever and learned how to eat reasonably-well inexpensively. Basically, peasant foods. Best over-all are Pasta and rice dishes and (especially) Mexican food. Forget meat except for flavoring or, e.g., "Tuna surprise" (Macaroni and cheese with tuna,
@albafella1
Seriously wounded. Fading as we watch. Might survive if stablized within the next hour or so, which means patching the leaks and filling up his tank. But likely this did not happen.
@mnguncaucus
Which will accomplish nothing, except to reelect Trump. Don't you people understand how this works? "Nearly half of gun owners (40% of the population) say they have voted against a candidate strictly because of their stance on gun policy,.."
@Gerashchenko_en
Quibble: Kruschev meant the soviet system would out-produce and generally out-compete the west. A healthy competition we would welcome from present-day Russia. Instead, they seem intent on outdoing us in barbarity.
@RedWave_Press
@krassenstein
Old Soviet terms like "dupe", "useful idiot", and "fellow-travelor" come to mind. Clearly, Russia's singular ability to subvert western democracies continued right thru the fall of the Soviet Union.
@spooked75
The Russians see the oil running out in the next decade or so as Russian oil reserves "strand" underground. So they better steal what they can, when they can.
@angeloinchina
As a practical matter, the only thing that works consistently in opiate dependency is medication-assisted treatment. It is doubtful our helping the Ukrainians will affect this much one way or another.
@Gerashchenko_en
Misstates history. Eventually the Austrians conceded the Hungarians equal status in the so-called "dual monarchy". From whence they misruled the other (especially-slavic) ethnicities of the Austrian Empire on an equal basis. One historic Hungarian goal has always been to get
@NOELreports
Russian all-in cost of oil production is now $114/barrel+, much more than they can sell the oil for. Continue this for much longer, their economy goes right off the cliff. "S&P Global Commodity Insights estimates Russia's fiscal breakeven oil price at $114/b in 2023, up from
@BEHOLDRGOD
@CBSMornings
@TheRyanHamilton
@OmarVillafranca
The point is that the laws are so savage and so contrary to medical realities that we Texas physicans are rightfully terrified of making a mistake. So patient care suffers. BTW, the fetus had no heart-beat, which means pregnancy termination was perfectly-legal.
@SteveLovesAmmo
"..The United States has so far provided military aid to Ukraine that amounts to roughly a tenth of its total annual defense budget. In return, one of America’s most dangerous enemies has sacrificed almost all of its existing soldiers and the bulk of its armor. The courage of the
@yasminalombaert
Soviet influence on Middle Eastern politics and their carefully crafted concept of antizionism, is particularly documented in Russian exile Pavel Stroilov book, Behind the Desert Storm, reviewed by Claire Berlinski. Stroilov fled Russia in 2003 after stealing 50,000 top-secret
@JeremySWallace
@HoustonChron
As a practical matter, the Texas abortion ban only affects women who are too poor, too young, too ignorant, or too powerless to leave the state or simply make "other arrangements". It does not affect suburban Republican women and their daughters in any way that cannot be easily
@MomsDemand
The elephant in the room-- "..In 2019, the report says, the firearm homicide rate for Black boys and men between the ages of 10 and 24 was 20.6 times the rate among White boys and men in that age range. By 2020, that disparity had grown, with the rate among Black men and boys in
@officejjsmart
Opinion: How Reagan and Thatcher would have defeated Putin in Ukraine
"Today, the Western war effort is hamstrung by Kremlin leverage over the West in the form of continued oil and gas exports. John McCain’s jab that Russia is a “gas station masquerading as a country” rings true,
@wartranslated
What Russia got for its trouble is a ready excuse for two US carrier groups in the Eastern Med. The carriers' radius of operation includes 180 miles from Ru's Tartus Naval base and one aerial refueling from southern Russia, Tehran and its oil facilities, and the Caspian.
@NOELreports
If you know the 'ol bidness, combined with the shift of Russia's EU customers to other sources, UKR's attacks on Russian oil and gas assets were working quite well. Surprised me, in fact. Always remember that a similar economic attack on a war-weakened Russia brought down
@RealJakeBroe
For Natural Gas, it is either a pipeline or LNG tanker. Biden just messed up everything by stopping permitting of new LNG terminals. This screws our allies and opens up both the market and scarce tanker transport to the Russians. The avowed reason is "enviornmental".
@LAPDMarcReina
Dr. Marino and I are both board-certified medical Toxicologists. So you know where we are coming from, here is our professional board's position paper on this issue. You are welcome to contest it.
@kvistp
“If you will not fight for right when you can easily win without blood shed; if you will not fight when your victory is sure and not too costly; you may come to the moment when you will have to fight with all the odds against you and only a precarious chance of survival.
There
@AlbertSam786067
The Russians repair the damage that they caused so they can move in Russian colonists. Repeating a patern from WW2. Shows the Ukrainians what to expect if the Russians win this thing.
@ChrisO_wiki
"..The United States has so far provided military aid to Ukraine that amounts to roughly a tenth of its total annual defense budget. In return, one of America’s most dangerous enemies has sacrificed almost all of its existing soldiers and the bulk of its armor. The courage of the
@shingiti
@Alex_Oloyede2
If so, Hamas walked right into the trap. Not the first time Palestinian nationalism has wrecked their message by beastly actions.