Catherine Clase @cmclase@qoto.org

Yes, masks reduce the risk of spreading COVID, despite a review saying they don’t.

#COVID19 #masks 😷
https://theconversation.com/yes-masks-reduce-the-risk-of-spreading-covid-despite-a-review-saying-they-dont-198992

This is not a quick two-minute read.
It’s long.
It’s alarming.
It reveals uncomfortable truths.
It’s critical of our default behaviours as humans and the institutions who rule us.
And it’s very, very important.
You should read it, internalise it, and share it.
#ClimateChange #ClimateEmergency #ClimateAction

https://www.theguardian.com/environment/2021/oct/30/capitalism-is-killing-the-planet-its-time-to-stop-buying-into-our-own-destruction

Tracking media coverage of today's action.

CTV/City TV VIDEO:
https://www.cp24.com/mobile/news/protest-outside-toronto-city-hall-today-renews-call-for-more-social-housing-shelter-1.6261363

✨️ Summary:
The Shelter and Housing Justice Network is holding a protest today in front of Toronto City Hall, calling for more supports for social housing and shelter in the city.

The housing and homelessness advocacy network has planned the sit-in protest and vigil for 11:30 a-m, adding there will be speakers at the event.

It comes after last week's extreme cold that brought wind chill values between minus 30 and minus 40 Celsius across much of southern and eastern Ontario.

The City of Toronto said on Friday it had increased capacity at its shelters and warming centres, and had directed workers in the system to not turn anyone away during the extreme cold.

Dept of research that fits my bias

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2800152 in JAMAIM

Intensity of pre-transplant CAD work up (varying from 24 to 56% at centre level) and post #transplant outcomes to 30 days.

Doesn’t matter!

@cmclase @hswapnil pts 1,25 dihydroxyvit D was 40s so I figure can try to suppress that with either fluconazole or hydroxychloroquine off-label for more “targeted” treatment than bispnosphonates. Side note: she has excellent bone density…again would have been great to have a dx of FHH. Checked a ACE level (high of course w/no evidence of disease anywhere…why did I check it??) She agreed to give hydroxychloroquine a shot as a next step... will see if any response. Still needs a cscope done.

@cmclase @hswapnil thanks Catherine
For the input and tips on using mastodon!

I didn’t mention that this patient was heterozygous for a SLC34A3 variant Ser192Leu on the genetic testing. This causes increased risk of hypercalciuria (which are pt doesn’t have) due to low serum phos stimulating calcitriol synthesis. Bialleic cases have been described w/hypercalcemia but not monoalleic cases. I don’t feel this pts case is explained by that mutation but may be contributing https://www.medrxiv.org/content/10.1101/2023.01.21.23284856v1

@cmclase thanks! Trying to see if I’m missing any zebras. With low calcium excretion I thought I’d pick up FHH. Genetic testing neg for FHH. Thought of the pheo zebra (some secrete calcitonin)…plasma metanephrines wnl. Parathyroid scan neg (I know it’s not 100%), i empirically gave cinacalcet and no improvement in calcium. Vit A wnl. Cystatin c eGFR is lower at 38 but don’t think would have hypercalcemia w/secondary hyperpara…

Finally made the move!

Pt in 40s thin, new poorly controlled DM, severe HTN, nephrotic proteinuria, retinopathy, hypercalcemia 12-13. Cr 1.0 Previously healthy but not seeing doc regularly. PTH 40s after repleting vit D. 24 hr urine ca anywhere from undetectable to <150. Pth-rp nl, Pan CT negative for cancer. Calcium still 12s after IVFs in hospital briefly improved it. Pt a little dizzy in general. Has orthostasis, BP 150s sitting to 120s standing. Next steps for hypercalcemia??

Sooner or later, #degrowth *is* coming to our economy and to our society. It simply can't be avoided.

The only question is whether we will choose to enact that transition as smoothly as possible, or instead have it forced upon us by the actions of nature.

The next time you use any navigation device, software or Google Maps thank Dr. Gladys West. Her contributions to the mathematical modeling of the shape of Earth, and her work on the development of the satellite models that were eventually incorporated into  the Global Positioning System (GPS) technology. #BlackMastodon #BlackHistoryMonth

Thanks Robert for the s/o and the work you & ASHRAE are doing to improve building air quality standards. Our mission is to blaze a quiet, cost-effective path to outdoor-levels of COVID safety for indoor air!
---
RT @healthyheating
S/o @cleanairkits looking forward to having these in my hotel and meeting room...going to bring them to our jam session!
https://twitter.com/healthyheating/status/1621195012112547840

Hyponatremia: Diagnostic algorithm
#Nephpearls

👉🏼 https://shop.lww.com/Handbook-of-Critical-Care-Nephrology/p/9781975144098

Pretty soon @TheConversationUS will have more followers on #mastodon after 9 days than we have accumulated on TikTok in 18 months.

Could you help us get to 1159 by boosting this toot and telling your friends about the work we do?

(We're a nonprofit news organization dedicated to sharing the knowledge of academic experts with the public)

https://theconversation.com/us/10-ways-we-are-different

Dutch words I really miss in English:

- Lotgenoten (fate-buddies). People with the same illness or who've encountered the same tough thing in life are lotgenoten. People with #longcovid are lotgenoten. Covid-avoiders are lotgenoten. You can say things like: "I'm looking to connect with lotgenoten."

- Sterkte (strength). It's a wish of strength to someone in a tough situation. These wishes in English aren't cutting it. I don't want to just wish you well or the best, I want to send you power!

#Strike #UK

British workers unite in largest strike in a generation
Hundreds of thousands of teachers are among those who walked off their jobs to demand wages that keep pace with inflation.

https://www.aljazeera.com/news/2023/2/1/britain-braces-for-biggest-day-of-strike-action-in-a-generation

The door is open for Britain to rejoin the EU “any time”, Michel Barnier said on Wednesday before warning the UK not to tear up Brussels regulations after Brexit...

Make no mistake, this’s why the Tories want to tear up all the EU regulations, to prevent us ever rejoining the EU under a new Government!

https://www.telegraph.co.uk/politics/2023/02/01/uk-can-rejoin-eu-time-says-michel-barnier/

I’m fairly new here so #introduction time!

My name is Sera! (she/her)


🎨 I’m a freelance #artist - love making twitch emotes & original character art.

🎯 My hobbies: #archery, #streaming, #gaming

🌤️ Recently diagnosed with #ADHD & #bipolar after years of bad doctors & bad mental health - working on setting achievable goals & being kind to myself this year 🌻

💻 I want to get into content creation, I just lack consistency. 


☕ check out my art here! https://ko-fi.com/serazebruh/gallery