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twitter_30033471
[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Positive case for Scottish self-determination :- that the population supports and nurtures its own society using all normal economic levers and controls. That the population votes for the society it wants and nurtures relationships outside of its borders
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] The symptoms of the dis-ease is the fact that all my lifetime and previous generations the centre right lean of the English population is overwhelming Scotland’s left-leaning population. The labour movement most Scots got behind, failed in England, hence rise of Indy movement
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Depends on what Scots would vote for when normal leaders and party ideas are formed, as would be expected.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] You talk of fiscal transfer - what’s Scotland worth to the uk economy? Clue:- it’s more than tax returns
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] But you don’t “love” it enough to manage its own resources??? That’s not “love” ... that’s using a country as wallpaper
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] No because we might vote to tax ourselves more like the Finns - and the drive of a population with a new country in its capable hands is not to be underestimated
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I fully expect the full range of Scots children to show up with our future genius engineers, songwriters, scientists, political leadership, economic expertise etc etc
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] You haven’t given out the list of “substantial powers” yet- try to be polite - you first
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I will choose from the menu of choice when Scotland is normal ... until then my vote goes to people who will get the key to the padlocked door
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] But if your snide question is do I want a Tory government in an independent Scotland? the answer is:- “no” but if the population of my country wants Tory leadership I will respect that
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] You know how u earn wages & u maybes buy stuff ?? Well all that stuff is urs you control the “levers”, houses, wages, cars etc. If u send ALL that to me. I’ll give you a grant but I control what u can do with that grant. U can’t invest, borrow. No say! You don’t control ur money
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] It’s a well guarded secret- surely you can look it up on-line?, “what is Scotland worth to the uk economy?” Try google? I’ve been searching for 7 years... <PERSON> and <PERSON> let something slip recently
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Thanks but how much can it borrow ?- just as England’s Parliament does? How much is it allowed to invest?
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] “Nationalist” it has nazi BNP connotations and it lowers the debate to base level which I won’t engage with
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] And finally, a huge welcome to <PERSON> who has just joined the team at [Tag] Give her a follow!
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] A student told [Tag] of [Tag] about how he feels “mentally drained” after chasing his letting agent for months to fix a leaking roof _URL_0_
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Email] of [Tag] asked residents and business owners in Montpelier and Stokes Croft what they thought about tagging _URL_0_
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Back to the [Tag] The meeting is over and their was noting said or can be deduced about the synchronization of monetary and fiscal policies. No comments on: 1. Deregulation 2. Passing the PIB (release of cash call rqmt) 3. Tax cuts 4. Handling losses from the pandemic
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] According to [Tag] "The news of Wall Street’s plunge has driven shares down even further in Europe. The FTSE 100 index is now down 8.5%, or 460 points, at 4904 points -- still its lowest intraday level since October 2011." Over to [Tag] for the [Tag] report
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] BREAKING: #WallStreet trading halted after stocks plunge! Stocks have plunged like stones as Wall Street opens.. A wave of selling sent the S & P 500 reeling over 8%. The Dow slumped by 9%. This has triggered the circuit-breakers for a 15 minute pause....
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] #G7leaders to hold emergency #CoronavirusOutbreak video summit later today to discuss the crisis. The recent share plunges shows that the markets are screaming out for joint action to prop up the economy. For others in [Tag] it is high time a similar meeting happens.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] According to [Tag] "The markets have completely lost faith in the idea that the global economy could bounce back from the shock of Covid-19. Instead, they seem to be pricing in a slump, followed by stagnation; or an L-shaped recovery, not a V-shaped one. [Tag]
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] From an 'all-is-well' status a week ago, CBN held an inpromptu meeting today where it announced 6 steps 'designed' to lift the markets (without a fiscal policy compliment); the market reacted with N14.67bn wiped of the NSEASI at end of trading. _URL_0_ [Tag]
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] The [Tag] industrial average has slumped to its lowest since spring 2017; shedding roughly 30% of its value in the last month, now down to around 21,000. This means that much of the gains racked up under [Tag] have been wiped out by #CoronavirusOutbreak [Tag]
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] JUST IN: [Tag] reports that a few shares are actually rising on the London exchange, hugely outnumbered by the fallers. This has in some ways helped to pull the FTSE 100 up from the abyss, to around 5,095 points; which would still be an 8-year closing low. [Tag]
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Bookmakers [Tag] suspends payment of dividend: "In light of the ongoing uncertainty created by COVID-19 and following recent developments to postpone or cancel sporting events & close US casinos, we anticipate a material impact to the Group’s revenue & earnings in 2020."
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] China has suffered a 'bigger economic blow than global financial crisis' from the #CoronavirusPandemic than predicted, with figures released by the National Bureau of Statistics on Monday showing factory production inside the country dropped at the fastest pace seen in 3 decades.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] <PERSON> As of 150320, Govt suspended all flights to Algeria, Belgium, China, France, Germany, Italy, the Netherlands, Portugal & Spain, as well as passenger ferry services. Land borders with Ceuta and Melilla, were also shut down. #coronomics [Tag]
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] GHANA 150320, All travel to Ghana is strongly discouraged. Non-Ghanaian citizens who within last 14days have travelled to countries with more than 200 confirmed COVID-19 cases are barred from Ghana. There is also a mandatory 14day self quarantine upon entry to Ghana #coronomics
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] /2 Additionally, any foreign traveler who has visited high-risk countries in the past 20 days will be denied a visa into South Africa. As of March 16, 35 out of 53 of the country’s land ports of entry will be closed, as well as two of its eight sea ports. #CoronavirusOutbreak
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] <PERSON> Represents that all is calm and under control; hence no national mobilisation or contingency. Recently appointed Dr. <PERSON>, a GP in Cambridge (NHS) to be the COVID task force coordinator. He is expected in Nigeria anytime soon. #Coronomics #CoronavirusOutbreak
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Britain’s FTSE 100 index has closed at its lowest level in eight years, after another wild day of trading. The Footsie has ended the day down 215 points, or 4%, at 5151, the weakest close since November 2011. In other news, reports that Nigeria suspends plans to borrow $22.7bn!
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] A review of UK company rules has opened the door for a raft of AGMs being cancelled due to #CoronavirusOutbreak. The business department has backed fresh guidance from the ICSA – known as the governance institute – which said this afternoon that companies have five options: /1
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] /2 1. Hold the AGM as planned, with appropriate modifications. 2. Delay convening the AGM, if notice has not yet been issued. 3. Postpone the AGM, if permitted under the Articles. 4. Adjourn the AGM, and 5. Conduct a hybrid AGM, if permitted under the articles. #Governance
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] “There will be an immediate cost, but the cost of inaction will be far greater” <PERSON>, DG CBI told [Tag] Rescue packages will need to be developed & made available instantly, incl help in paying wages & relief on taxes, extending biz rates deferrals to larger firms.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] G7 leaders pledged to work more closely together to tackle the coronavirus crisis, adopting a 4-point plan. However, their conference call did not reveal any major new commitment, with a price tag attached, that might reassure the market. US, UK, Canada, Germany, France /1
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] /2 Italy and Japan agreed: 1. Coordinate on necessary public health measures to protect people at risk from COVID-19; 2. Restore confidence, growth, and protect jobs; 3. Support global trade and investment; 4, Encourage science, research & technology cooperation. #Coronomics
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] dampened the mood on #WallStreet today, predicting the US economy would stagnate in Jan-Mar, and then shrink dramatically - by 5% in Apr-Jun. But they also predict the economy would bounce back later in the year READ _URL_0_ via [Tag]
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Market seems to be disregarding "constituted authorities" The G7's stmt did nothing to lift the mood on #WallStreet. Main indices are still down and on track for another day of huge losses. 1. [Tag] : down 9.6% or 2,226pts at 20,959 2. S & P 500: down 8.6% or 235pts at 2,475
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] "It might be wrong to say that the [Tag]’s latest emergency measures have failed. It’s more that they can’t, alone, address the threat Covid-19 poses to global health & the global economy." - [Tag] As <PERSON> [Tag] Global Wealth Mgt puts it (via [Tag]): _URL_0_
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Earlier in the day, <PERSON>, head of the [Tag] said the Fund “stands ready” to use its $1 trillion lending capacity to help countries that are struggling with the economic impact of the #CoronavirusOutbreak . #Coronomics [Tag] [Tag] [Tag]
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] has conceded that the US economy could fall into recession. When asked, the president replied it “may be”, but that the important thing is to tackle the #CoronavirusOutbreak " He added, "the worst of the virus outbreak may be over by July/Aug, or possibly later.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] #WallStreet main indices plunge by 12%.. delivering its worst day since the 1987 #BlackMonday . The [Tag] tumbled by almost 3,000 points; its biggest points fall ever, slumped by 13% to 20,186, pushed by [Tag] warning that the US could fall into recession. [Tag] _URL_0_
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] 2/2 It’s a lesson <PERSON> is learning the hard way. Covid-19 has now erased all the stock market gains of the <PERSON> presidency. After his last speech, markets fell so hard they were temporarily stopped. Now they are open again and still falling. The [Tag] is now down 9%. _URL_0_
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] 1. US car companies announce shutdowns 2. Negotiations are now underway to bail out the airlines. They have asked for $50bn which, according to our calculation, is just $5bn more than $45bn they have spent on share buybacks & executive pay over the last 5 years 3. Now Oil👇
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] The [Tag] index finished down more than 6%. The S & P500 sunk more than 5%. The #CoronavirusOutbreak continues to send the markets on a dizzying tailspin, and a $1 trillion stimulus package promise from [Tag] on Tuesday only went so far in soothing traders. [Tag] 👇 _URL_0_
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Yup. And face shields appear to block 92-96% of droplets and if aerosols exist they block 30%. And that’s one shield worn by a HCW. If the sick person wears a face shield it appears to be like an influenza vaccine or much better. But twitter epi wants 100% effective face shields?
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Sure. And did these choir practice people ride in the same car? And what else happened there? I also think if they wore a face shield the expelled small droplets would hit the inside of the shield. I’m sure some could sneak by. But then the next shield would block 30-80% of them
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] The kicker is <PERSON> doesn’t even plan on staying the full term if elected. City council is just a step to his run for mayor. It’s a career politician game that validates how messed up LA politics are. Sadly, he’s going to win this election but he will not he elected mayor.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Again - <PERSON> has been in office for 11 years and only now does he have a sense of urgency (and that’s because homelessness has become political) 1,000 people died last year. MRT has 11 years to influence change. He did too little too late. He is responsible for homeless increase!
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I’ve given my life to help fight homelessnsss. MRT is very effective at being a politician. He maybe the best at taking yet saying nothing. From what I’ve seen, MRT puts his political career over anything else. 3 homeless people die every day because he didn’t make it a priority
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] No one is recommending doing it off protocol. Old data, questionable if it will hold up in any meaningful way. But we're trying to sort out if a trial can be done scientifically and ethically.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] As I recall, thalidomide became banned for causing birth defects. Until as a reviled drug it was revived to treat multiple myeloma. Crisis requires re-evaluating old drugs for new purposes. That may include ionizing radiation. On protocol only.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Thanks - I don't consider this study lightly because it also operationally increases the risk of exposure to my cancer patients. But it's a valid question, and I trust my more experienced colleagues (like you) can help design something both ethical and scientifically rigorous.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I can’t say from experience, but our European colleagues seem keen on it and may have better guidance. And in the U.S. it’s about to get a lot worse. So unfortunately we will have many potential people to qualify.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] That would be great. However, this is outside the scope of oncology. We are discussing radiation as a drug, radiation medicine [Tag] and I discussed this issue in 2014. My department is the Dept. of Radiation Medicine because we also treat non-oncologic disease.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Yes, it does vary. E.G. breast cancer, many #medonc q6 months so I see at ~1, 6, 18 months post RT. Then discuss what patient wants for longer f/u. For H & N depends how involved ENT is. GU=collaborative w/urology, alternating. Lung is frequent but stage dependent #radonc #jc
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Some of my patients can't pay to keep seeing many doctors. Some find the visits distressing and not helpful if redundant. If no more f/u I tell patients we're not scheduling routine followup but I'm always available if a question of RT toxicity. Not discharged per se #radonc #jc
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] No, I was just trying to get some background not a rationalization to start doing it now. It’s totally investigational, but given the lack of any real efficacious drugs, it seems reasonable to test. Dose is lower in the phase 2 protocol. Other open trials testing 50-100 cGy
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Awesome, thank you! Yes, this is more expertise-specific not profession specific. We want nurses pharmacists physician assistants therapists you name it FYI I do have a separate list for virologists and immunologists so can add to those too.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I'm breaking up the house by rooms for clinical areas of expertise using Twitter lists _URL_0_
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] My pleasure! It helps to have a way to tune in to reliable health information sources. Hashtags work sometimes but can be spammed. This is just a way to make it easy to see what our colleagues are doing to help patients and each other. 🙂🙏
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Thanks for tagging me [Tag] Sleepless in Massachusetts I was in NYC for 9/11. Crisis brought everyone together. It will again. I love you & know you will endure, though the costs will be high. Tell us how we can help. cc [Tag] [Tag] [Tag] [Tag]
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] If you see the poll ~17% of respondents have minor symptoms but have not been tested. It could be the 'aytpical' symptoms or common ones. I don't need a blood test, but something would be nice so I can reassure my staff and patients that I've at least checked that I am safe.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] No one wants a cancer center to 'shut down'. But a break or delay in treatment may be safer than the competing risk of #COVID19 infection. We can't calculate that risk without some testing. Current estimates for cancer patients (mostly 50+) _URL_0_
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] <PERSON> [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Thank you <PERSON>! It would be great to get a large number of healthcare workers to see and complete this. Not surprised so far that 93% of us haven't been tested yet, but hopefully that will change soon. I hope you're well!
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] When #COVID19 hits the surge, ORs will be ICUs. Emergency Departments need help. I will plan to help my #radonc patients and ensure we can do what the need. But when the time comes, I plan to help my fellow doctors and nurses wherever I am needed. All hands on deck, folks.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] For those #radonc folks and other health professionals needing a refresher on personal protective equipment (PPE) use, here is a great video specific to #COVID19 _URL_0_
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] We won’t start by doing intubations because we haven’t done them in a while. But we will be platooned into action. But “watch one, do many” medical procedures is coming back for many of us soon. Hopefully with protective equipment. #COVID19 #radonc
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I mention intubation because someone else brought it up, just not on this thread. I mainly was making the point we likely will be put to service in clinical medicine on the inpatient service or in the ED and doing things we haven't done in a long time.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] When they are available, of course they would be better. I’m anticipating that when supplies run low, experienced people will get ill and need help from less experienced doctors and nurses. We’re anticipating it here.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] We care for mostly older patients in oncology at high risk of infection-related mortality. Not 1-year or 5-year risk but 2-8 weeks. Stretching out testing/visits in asymptomatic patients make sense _URL_0_
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I am adding health professionals in different categories on the same lists as doctors. It would also be easy enough to make a Twitter list specifically for other health professionals
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I probably should set up a separate list for a registered dietitians and nutritionist, but I added you to the Critical care list
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Other option: just build our own #healthearmy and create a trusted information channel for people to tune in
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Just goes to show what kind of judge of character [Tag] offers. We can do better
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Yes! Much more culturally sensitive than the quote. [Tag]’s rules are part of their game. But [Tag] gives the Blue Dot to people who share misinformation because they make money off of it. Rather than play by their rules, I want to change the rules of the game _URL_0_
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] To be fair, we work closely w/ radiation therapists who do the work for treatment delivery w/ external radiation, w/ physician design & supervision. I have watched open and robotic prostatectomies in the OR, also impressive. It's not about our tools but about patient choice.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I agree, no need for DaVinci. But even open prostatectomy you have a tool (scalpel/bovie). The linear accelerator is a tool, similarly, under the guidance of health professionals. The issue is patient access to informed choice about treatment options.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I've kept quiet for a while now because the whole debate over Gleason 9-10 disease seems dated. My hope is that we can reclassify molecular subtypes of prostate cancer better to stratify who may benefit more with surgery or radiation.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Currently I wouldn't consider any preop external beam therapy. Adds risk for GU, GI and sexual complications with surgery. But what about brachy? HDR brachy, peripherally loaded, not to treat prostate but ECE/radial margins. SpaceOAR pre-implant.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Not a lot of urethra to work with for anastomosis so might have to exclude men with significant apical disease on MRI/biopsy. Would address GI/GU. Not sure it would help avoid impotence risk so also might be best in men who already have significant ED or don't care as much.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Only issue would be if you believe there is genuine implantation of prostate cancer cells on rectal wall. So probably worth doing prospective study with rectal wall cytology at prostatectomy for patients to see if it's a real issue or "oncolore"
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] The hydrogel trial only included low/intermediate risk patients because of this theoretical risk. My understanding is some radiation oncologists feel comfortable doing it in high risk but in a community setting it's harder to say 'it's probably OK' without data.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I agree re: nodes but some people feel differently. If you want to treat the nodes, you could either do it preop for high nomogram risk pts or hold until seeing the results of prostatectomy and a postop PSA to add afterwards only if necessary.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I came in early to work today, but I hunted around. Guess what? The heat denaturing may work in a blanket warmer! Look at these settings in our #radonc department. 75 degrees at 45 min might do it (article above) but again needs testing for #covid19 12/ [Tag] [Tag] _URL_0_
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] We need to test but if this works, then people at home can do at home potentially and not hoard masks. Bring them to you local hospitals
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I am signing off for now and leave to you all to evaluate further I have 5 consults today and not carrying my phone around 🖖 [Tag]
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I’m working on trying to take infected masks, test viral growth pre-/-post heating but doing more on that tomorrow when out of clinic and inpatient consults
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] So it fits, but do we know if there is mask degradation in terms of still protecting against inhalation of #COVID19? That is a concern raised by Infection Control. Citations anyone? I'll search tonight
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Folks, I’m at a community hospital and unlikely I can get the resources/willingness to test this issue or the viral inactivation. We may need someone else to test. I’ll keep trying but don’t wait on me - or do it without validation
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Great to see that it's working. Does Bitrex sufficiently serve as a coronavirus substitute? Here is [Tag] insert on storage/shelf life of respirators and surgical masks _URL_1_ _URL_0_
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twitter_88581667
[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] - do you have any 'stress-testing' data it's OK to reuse in extremis while we wait for new supplies? Nurses, doctors, EMTs, therapists on the front lines need to know please
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] - specifically: will mask protection to degrade if at 75 degrees Celsius for 45-50 min, dry heat low humidity? If you don't know, can you run tests for us please? We need to know how to 'McGyver' current shortfalls until we can get more of your products 😬 🙏
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Good to know! I am likely a doofus enough that an N95 is wasted on me. But for those healthcare workers with skills donning and doffing, can we confirm N95 protection works and may remain after apply temps of 70-75 degrees Celsius?
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] we need your expertise! [Tag] shared your work on respirators Can we make this hack work with autoclaves and blanket warmers? _URL_1_ _URL_0_
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] I first want to see if we can safely reuse without degrading quality. I’d guess UV-C probably better than heat inactivation but may be less available on site now.
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] If we can safely confirm either method destroys infectivity, the killed virus is still there. Right? Can we use it for healthcare worker inoculation for attenuated vaccination off of the reused, ‘safe’ mask? _URL_0_ #snifflikesabin #donottrythiswithouttrials
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] That makes sense. Also: I shared but lost in the mix: if we can kill the virus and it maintains its antigenicity, we have an 'in the field' vaccine product. Example data with gamma irradiation but may differ with heat, UV-C _URL_0_
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[Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] [Tag] Randomized schema for a trial among COVID- healthcare workers not yet in the field, confirmed unexposed. Need to know it's killed but viral products still on masks - nasal killed vaccine? _URL_0_
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