Dr Richard Hirschson
@richardhirschs1
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Physician, Intensive Care, pandemics, economics, libertarian, gambler. No financial/medical advice here. #H5N1 #BirdFlu #MPOX #DiseaseX #Stagflation #Gold
Sydney, New South Wales
Joined January 2018
Medical harm from excess scanning is on a par with the harm from excess alcohol consumption or excess weight. Every time you have a normal CT scan we have harmed you. https://t.co/i8BcLwDcYU
jamanetwork.com
This risk model projects how many future cancers in the United States could result from annual computed tomography examinations.
MEDICAL HARM FROM EXCESS SCANNING. THE RADIATION ☢️ INJURED. ✴️Every time you have a normal XRAY/CT/Nuclear Medicine scan, we have HARMED you. There is a price to pay for absolute reassurance. ✴️“Almost 2 in 5 Australians (39% or over 10 million people) received more than 27
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Excellent 🧵 on liquidity stresses, short and long term rates, QE.
1/13 🧵on the stresses in the funding markets, why they are happening, and what it means. Be sure to see the last two posts (12 and 13). Funding rates are rising relative to the Federal Reserve's administered rates (bottom panel arrow). This signals stress in funding markets.
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FED injected $50 billion via SRF on Friday. All eyes on SOFR and Repo actions on Monday. SOFR-IORB spread remains positive at 14bps. #Gold #Liquidity
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Banks borrowed a record $50.35 billion from the Fed's Standing Repo Facility on Friday. SOFR-IORB remained positive at +14bps. Liquidity is not ample. The spread will be telling next week. @jameslavish @FedGuy12
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👇👇👇
⚠️The SOFR-IORB is at a record high spread of +37bps. When the FED cut the FFR October 29, IORB dropped to 3.9%, yet SOFR hardly moved (4.31% to 4.27%). Spreads are usually negative, except at month ends (now). If the spread doesn’t moderate soon that will herald urgent Repo
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⚠️ Multi-country outbreak of mpox 1b. @WHO upgrades risk of MPOX 1b to moderate for men who have sex with men. This situation report was precipitated by the multi-country community spread of the more deadly clade 1b.
WHO: Multi-country outbreak of #mpox, External situation report #59 - 30 October 2025 https://t.co/kSYWTaHzzg h/t Shiloh
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⚠️The SOFR-IORB is at a record high spread of +37bps. When the FED cut the FFR October 29, IORB dropped to 3.9%, yet SOFR hardly moved (4.31% to 4.27%). Spreads are usually negative, except at month ends (now). If the spread doesn’t moderate soon that will herald urgent Repo
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Trialing GLP1’s in LongCovid is long overdue. Excellent that Tirzepatide trial is finally recruiting. Many more anti-inflammatory trials need doing. I postulated this 18 months back.👇👇 https://t.co/a53jVGvF8C
The Long COVID Treatment Trial – Tirzepatide (LoCITT-T) is officially open for enrollment for people with Long COVID in: Alabama, Alaska, California, Florida, Illinois, Indiana, Michigan, Ohio, Pennsylvania, Texas, Utah https://t.co/K7yjhCfV3N 1/16
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Statin therapy is associated with a higher incidence of new onset Diabetes. There are alternatives. ✴️2024 @TheLancet meta-analysis of 23 statin trials (154,664 participants), confirming a dose-dependent 10-39% increased risk of new-onset diabetes. ✴️Bempedoic acid is a statin
Effects of statin therapy on diagnoses of new-onset diabetes and worsening glycaemia in large-scale randomised blinded statin trials: an individual participant data meta-analysis Statins cause a moderate dose-dependent increase in new diagnoses of diabetes that is consistent
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⚠️FED monetary policy irrelevant, only MONEY PRINTING counts. QE/YCC/Repo operations by Dec 1. -SOFR-OIS spread remains wide. -Long bond rates are up (didn’t the FED just cut rates??) -QT ends Dec 1. -For the FED to have any control over short term or long term rates, they will
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#H5N1 #BirdFlu ⚠️Review published in @JAMANetwork Reviews >1000 global cases of H5N1. ✴️Asymptomatic human infections with H5N1 virus have been infrequently reported. ✴️ there are cases where the virus has very likely spread H2H. ✴️This is a call for increased surveillance,
Review: Human #H5N1 avian flu cases can be asymptomatic, and the virus likely spreads among people The findings highlight a critical gap in many national and global H5N1 surveillance systems. https://t.co/5Vquc3hWnC
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⚠️Fed cuts by 25 and ends QT Dec 1. 2 BIG problems: 1. The long end called BS on the cut and spiked 25bps. 2. SOFR spiked to 4.31 going into the cut. QE/YCC will start in December as long bonds sells off and SOFR spikes. Called this: 👇👇 https://t.co/5brXEN33kC
BREAKING: The Fed cut rates another 25 bps, moving down to a new range of 3.75-4.00%. They also announced an end to QT in December which was expected. The bond market is pricing in another rate cut on December 10 which would bring the Fed Funds Rate down to 3.50-3.75%.
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When I first started in ICU in South Africa Arterial lines were a luxury. The main problem was that it made nursing and monitoring the patients harder because phlebotomists needed constant calling for bloods, and ABG’s couldn’t be done by many ICU nurses.
When I first started in medicine idea of not using arterial line in ICU patient was seen as crazy I remember asking why we couldn't just use cuff for a few hours on particularly busy 30 hour call shift Now we know that cuff BP would've been fine because of an amazing & bold RCT
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Bottom line: For 55-69, screening saves ~1 life per 456 screened (now proven at 23 yrs). There remains NO evidence for screening PSA’s in those younger than 50 and older than 75.
The prostate cancer PSA screening story over 23 years of follow-up for >166,000 participants: more detection, small reduction of mortality @NEJM
https://t.co/MWckILe0Ni
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The RBA is expected not to cut interest rates with rising unemployment (4.5%) and sticky inflation (3%+). Jerome Powell just took the opposite approach and cut 25bps with very similar data. Stagflation is a bugger for central bank rates policy. Cutting into inflation to save the
“I don’t tell [RBA governor Michele Bullock] how to do her job, and the governor doesn’t tell me how to do my job,” Dr Chalmers said. ✴️But the #RBA can make u ( and all Australians) pay for your fiscal largesse @JEChalmers . ✴️#Deficit spending can only result in higher
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Reported in @NEJM Don’t have surgery for Aortic Stenosis, always choose percutaneous TAVR if technically possible (vast majority). There is now convincing short and long term data on the equivalence of non-invasive aortic valve replacement in low and high risk patients. See an
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⚠️Reported in @NEJM Steroids should be given, together with appropriate antibiotics, for Community-Acquired Pneumonia. https://t.co/HVFp87u459
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