D. Muthulingam

@OslersBeast

ID doc at Washington University, St. Louis. Physician/writer/researcher/bon vivant, study drugs, incarceration, infections, med humanities. opinions are my own.

Vrijeme pridruživanja: listopad 2010.

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  1. Prikvačeni tweet
    11. pro 2019.

    "Science, as you know, my little one, is the study of the nature and behaviour of the universe.... Before the flint club, or flint butcher’s tools, The first tool of all was a sling for the baby to keep our hands free" The Mushroom Hunter

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  2. 1. velj

    10/ if you take social determinants of health seriously--& v. compelling evidence says u should--u very quickly come to this tangled web in which we are all tangled. Proposal for interventions are a work in progress but the diagnostic is definitely emerging /fin

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  3. 1. velj

    9/ the privileges of prof class are an enormous cushion of course, not the same. But i keep thinking about my oud pt in ct who was so thrilled an Amazon warehouse was opening nearby. I was alarmed, knowing his chronic pain issues. But he needed a job. Do i need 2 day delivery?

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  4. 1. velj

    8/ ive used amazon,airbnb,uber,grubhub. I feel gross for prioritizing convenience enough to pay money to this downward cycle bc I'm feeling constantly overwhelmed. I try to work w/ well supported childcare & wean off affordable shady shortcuts, but all this >> individual action

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  5. 1. velj

    7/ "efficiency at this scale requires extreme devaluation" -this is true for the precarity of gig workers & the competitive grant hustling of academics for grants. It is true for the boiling-the-frog increase of admin & patient loads of both amazon workers & physicians

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  6. 1. velj

    6/ we work 40-60hr/wk dedicated to healthcare, patient advocacy, researching equity--then face moral injury at home & exhaustedly face our underpaid childcare workers, abused amazon warehouse staff, & toxic impact of VC funded meal delivery "disruption" on our local communities

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  7. 1. velj

    5/"the sense of relief these cheap experiences provide to consumers who are experiencing an entirely related squeeze--obscures the fact that these companies' biggest breakthroughs have been successfully monetizing the unyielding stresses of late capitalism"

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  8. 1. velj

    4/ but what is the nature of transaction of housekeeping, meal delivery, childcare, when we are pressed for time and order from grubhub, take the uber, buy everything from Amazon?

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  9. 1. velj

    3/ Recently Stanford med received attention for trying to create a transactional "time banking" to address the stressors of working overtime "highlights work activities that aren’t typically recognized or that support the flexibility of a colleague"

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  10. 1. velj

    2/ not unique to medicine/research, professional-managerial jobs have had escalating work demands (e.g baseline >60hr/wk expectations) in last several decades which encroach on healthy individual leisure, family and civic life & disproportionately penalize women

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  11. 1. velj

    1/ hypothesis: the driving maniacal workholism of academia is itself is one of the barriers to the just, enlightened society many of us seek, including goals like organizing for better social goods, like accessible healthcare and a well resourced public health infrastructure

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  12. 1. velj
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  13. 1. velj

    There is so much going on here, decent summary of all the convo, maybe some smart people want to tackle this mess of public health messaging in profit-driven social media platforms coupled w/ our fundamentally profit-driven healthcare?

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  14. 31. sij

    This may have effectively happened already at nyer... but the so much worse j.chaits, a.sullivans, and d.brooks of the world persist and even flourish

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  15. proslijedio/la je Tweet
    30. sij

    Two days ago, someone called my son the ‘N’word. He was on the school bus. My son called me while I was leading a meeting for the residency program to tell me. He is 10 yo. The other boy is also 10. (This is a thread...)

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  16. 30. sij

    patiently waiting for the jia tolentinos of the world to replace the adam gopniks of the world

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  17. 28. sij

    5/ re: twit account 'howroute': "Some entity with no discernible knowledge about China, epidemiology, or infectious disease, working from a pseudonymous account, has become a leading source for people across the world about a global pandemic."

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  18. 28. sij

    4/ "That is, the information that’s plausible, and that fits into a narrative mounting outside the mainstream, gets the most clicks, likes, and retweets. Bonus points if it’s sensational or something that someone might want to censor."

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  19. 28. sij

    3/ "While out-and-out conspiracies and hoaxes will draw some attention, it’s really the stuff that’s close to the boundaries of discourse that grabs the most eyeballs."

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  20. 28. sij

    2/ "In the information sphere, while public-health researchers are doing their best to distribute scientific evidence, viral Twitter threads, context-free videos, and even conspiracy theories are reaching far more people."

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  21. 28. sij

    1/ "The thread exemplified a deep problem on Twitter: The most extreme statements can be far more amplified than more measured messages." Public health, infectious disease & Twitter skepticism, some of my favorite things all in one place!

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