Isanthrope
@isanthropia.bsky.social
“Facts are not repealed by a refusal to face them.” —William Catton.
Pinned
Isanthrope
@isanthropia.bsky.social
· Nov 9
🧵that tells you a bit about how I think (👋 new followers). I used to review healthcare experiences gone wrong for a living. Research and critical thought inform my decisions but with the ever present reality I can be (and will be) wrong at times.
A really important snapshot of how we got to emergency department only care and how horrible that is for patients and emerg docs alike.
”[a] war over who “owns” a patient. It makes me feel less like a doctor and more like a hostage negotiator. Things didn’t get this bad by accident.”
”[a] war over who “owns” a patient. It makes me feel less like a doctor and more like a hostage negotiator. Things didn’t get this bad by accident.”
The doctor shortage isn’t an accident. It was policy. canadahealthwatch.ca/2025/11/10/c... @codeblackamerica.bsky.social
Canada’s doctor shortage is no accident
It was policy.
canadahealthwatch.ca
November 11, 2025 at 3:41 AM
A really important snapshot of how we got to emergency department only care and how horrible that is for patients and emerg docs alike.
”[a] war over who “owns” a patient. It makes me feel less like a doctor and more like a hostage negotiator. Things didn’t get this bad by accident.”
”[a] war over who “owns” a patient. It makes me feel less like a doctor and more like a hostage negotiator. Things didn’t get this bad by accident.”
Reposted by Isanthrope
Canadian COVID Forecast Nov 8 - Nov 21, 2025
CANADA
VERY HIGH [no change]
About 1 of every 118 people is infected.
Compared to lowest point of pandemic in Canada:
-Infections: 7.6 x higher
-Long COVID: 6.0 x higher
-Hospitalizations: 10.4 x higher
-Deaths: 12.2 x higher
CANADA
VERY HIGH [no change]
About 1 of every 118 people is infected.
Compared to lowest point of pandemic in Canada:
-Infections: 7.6 x higher
-Long COVID: 6.0 x higher
-Hospitalizations: 10.4 x higher
-Deaths: 12.2 x higher
![This image describes the Canadian COVID Forecast for the fourteen-day period between Nov 8 - Nov 21, 2025, which is produced by COVID-19 Resources Canada. Canada’s COVID Forecast outlook is VERY HIGH [no change] with a COVID INDEX SCORE of 10.1
About 1 of every 118 people is infected.
Estimated infections this week: 583,200-806,200
What these numbers mean: MODERATE 1-5, HIGH 5-10, VERY HIGH 10-15, SEVERE >15 COMPARED TO THE LOWEST POINT IN THE COVID PANDEMIC IN CANADA
How much higher are key indicators compared to the lowest point in the COVID pandemic in Canada?
Waste water, infections: HIGH; 7.6X higher
Long COVID: HIGH; 6.0X higher
Hospitalizations: VERY HIGH; 10.4X higher
Deaths: VERY HIGH; 12.2X higher
HOW TO HELP:
EVERYONE:
UPDATE vaccines every 6 months
WEAR N95-type masks
AVOID indoor social gatherings
AVOID crowded non-essential places
Who is HIGH RISK?
People 60 and older, babies < 1 year, pregnant
ALL AGES: immunocompromised OR medically at-risk OR no vaccine or infection in the last 6 months
Recommendations are based on the COVID-19 Risk Index from the Peterborough ON Public Health Unit
COVID-19 Resources Canada is a grassroots organization of volunteer scientists supporting Canadian COVID responses. Sources, data and methods for the COVID Index are available at www.Covid19Resources.ca](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:qbuobwdie7rzq4fburk63aft/bafkreigcayvfpw3riiwc5ff4taetmai2egkpb4dyvp7ghhtvqirbpzm2vu@jpeg)
November 10, 2025 at 10:58 PM
Canadian COVID Forecast Nov 8 - Nov 21, 2025
CANADA
VERY HIGH [no change]
About 1 of every 118 people is infected.
Compared to lowest point of pandemic in Canada:
-Infections: 7.6 x higher
-Long COVID: 6.0 x higher
-Hospitalizations: 10.4 x higher
-Deaths: 12.2 x higher
CANADA
VERY HIGH [no change]
About 1 of every 118 people is infected.
Compared to lowest point of pandemic in Canada:
-Infections: 7.6 x higher
-Long COVID: 6.0 x higher
-Hospitalizations: 10.4 x higher
-Deaths: 12.2 x higher
Respirator mask in public is the most potent protection, clean the air and shots are mere add ons to that and they are not suitable standalone options whereas a mask is. Washing your hands is unrelated to protection from airborne pathogens so do it for unrelated reasons.
bsky.app/profile/isan...
bsky.app/profile/isan...
We might be in for a whopper of a flu season as the circulating strain changes from what's in the shot. Should you still get the shot and what protection it offers? Absolutely. But also wash your hands, stay home when sick, mask up and clean the air where you live/ work.
www.cbc.ca/news/health/...
www.cbc.ca/news/health/...
Canada could face ‘worst kind’ of flu season as experts warn evolving strain may be mismatch for vaccine | CBC News
With flu cases now rising in Canada, medical experts are bracing for a difficult influenza season linked to the global spread of an evolving H3N2 strain that could be a mismatch for this year’s vaccin...
www.cbc.ca
November 10, 2025 at 7:05 PM
Respirator mask in public is the most potent protection, clean the air and shots are mere add ons to that and they are not suitable standalone options whereas a mask is. Washing your hands is unrelated to protection from airborne pathogens so do it for unrelated reasons.
bsky.app/profile/isan...
bsky.app/profile/isan...
Reposted by Isanthrope
this felt too informative not to share
October 6, 2025 at 1:24 PM
this felt too informative not to share
The DRC out on its own doing public health for the benefit of us all while we sit here with shrugs from our health leaders in our ongoing SARS2-acquired immune deficiency syndrome spreading forever unchecked and our measles eradication lost after a quarter of a century. Well done us.
November 10, 2025 at 4:42 PM
The DRC out on its own doing public health for the benefit of us all while we sit here with shrugs from our health leaders in our ongoing SARS2-acquired immune deficiency syndrome spreading forever unchecked and our measles eradication lost after a quarter of a century. Well done us.
Reposted by Isanthrope
They were giving away unused pumpkins at the library last weekend; this one was too far gone for eating so I painted it instead.
🐡 #watercolour #botanicalArt
🐡 #watercolour #botanicalArt
November 10, 2025 at 11:30 AM
They were giving away unused pumpkins at the library last weekend; this one was too far gone for eating so I painted it instead.
🐡 #watercolour #botanicalArt
🐡 #watercolour #botanicalArt
Reposted by Isanthrope
I've said this before, NO city handles the first snowfall well.
OPP reports 220 collisions in GTA on first snowy day of the season
In addition, there were another 120 incidents where vehicles were in the ditch or stuck and the OPP were not able to attend.
www.thestar.com
November 10, 2025 at 3:24 PM
I've said this before, NO city handles the first snowfall well.
This appears to be important for many states.
Hey, a lot of people are talking about changing affiliation from Democratic to Independent.
Let me tell you why you shouldn’t do that in Colorado.
One of the main ways to get a primary challenge candidate on a ballot is to caucus for your party. You need to be registered as a Dem to caucus.
Let me tell you why you shouldn’t do that in Colorado.
One of the main ways to get a primary challenge candidate on a ballot is to caucus for your party. You need to be registered as a Dem to caucus.
November 10, 2025 at 4:05 PM
This appears to be important for many states.
Reposted by Isanthrope
Managing psychiatric emergencies in Gaza with a destroyed psychiatric hospital - The Lancet Psychiatry www.thelancet.com/journals/lan...
Managing psychiatric emergencies in Gaza with a destroyed psychiatric hospital
The running of psychiatric wards during times of war has unique ethical challenges,
as discussed by Weiser and colleagues.1 Unfortunately, in Gaza, we do not have the
luxury of adapting inpatient care...
www.thelancet.com
November 10, 2025 at 3:37 PM
Managing psychiatric emergencies in Gaza with a destroyed psychiatric hospital - The Lancet Psychiatry www.thelancet.com/journals/lan...
Reposted by Isanthrope
This is another watercolour painting I did of my niece's cat, Molly. I just love those eyes!
#cats #catsofbluesky #petportraits #art #watercolours #paintings #kittyloafmonday
#cats #catsofbluesky #petportraits #art #watercolours #paintings #kittyloafmonday
November 10, 2025 at 10:55 AM
This is another watercolour painting I did of my niece's cat, Molly. I just love those eyes!
#cats #catsofbluesky #petportraits #art #watercolours #paintings #kittyloafmonday
#cats #catsofbluesky #petportraits #art #watercolours #paintings #kittyloafmonday
Reposted by Isanthrope
a thread for screaming
November 10, 2025 at 5:02 AM
a thread for screaming
Reposted by Isanthrope
look I know being an engaged citizen IS the work of democracy but it is also the work of elected officials not to create situations where everyone has to be mobilized all the time to prevent them from allowing some kind of Dickensian horror on a Sunday night while you're in between loads of laundry
November 9, 2025 at 11:37 PM
look I know being an engaged citizen IS the work of democracy but it is also the work of elected officials not to create situations where everyone has to be mobilized all the time to prevent them from allowing some kind of Dickensian horror on a Sunday night while you're in between loads of laundry
Reposted by Isanthrope
Great story.
"A half-century later...“The Wreck of the Edmund Fitzgerald” stands as a crucial work of historical preservation for an incident that might have otherwise faded from collective memory."
#GiftLink 🎁
www.thestar.com/entertainmen...
"A half-century later...“The Wreck of the Edmund Fitzgerald” stands as a crucial work of historical preservation for an incident that might have otherwise faded from collective memory."
#GiftLink 🎁
www.thestar.com/entertainmen...
November 9, 2025 at 6:37 PM
Great story.
"A half-century later...“The Wreck of the Edmund Fitzgerald” stands as a crucial work of historical preservation for an incident that might have otherwise faded from collective memory."
#GiftLink 🎁
www.thestar.com/entertainmen...
"A half-century later...“The Wreck of the Edmund Fitzgerald” stands as a crucial work of historical preservation for an incident that might have otherwise faded from collective memory."
#GiftLink 🎁
www.thestar.com/entertainmen...
Reposted by Isanthrope
Reposted by Isanthrope
My family has been without half our income for 40 days. It has been.. very hard.
We are willing to feel that pain so people can have health care next year, or to undo these illegal recissions.
We are not willing to have been put through this for NOTHING.
We are willing to feel that pain so people can have health care next year, or to undo these illegal recissions.
We are not willing to have been put through this for NOTHING.
November 10, 2025 at 1:36 AM
My family has been without half our income for 40 days. It has been.. very hard.
We are willing to feel that pain so people can have health care next year, or to undo these illegal recissions.
We are not willing to have been put through this for NOTHING.
We are willing to feel that pain so people can have health care next year, or to undo these illegal recissions.
We are not willing to have been put through this for NOTHING.
Reposted by Isanthrope
Did ChatGPT tell the Democratic Party to kill itself??
November 9, 2025 at 9:13 PM
Did ChatGPT tell the Democratic Party to kill itself??
Reposted by Isanthrope
Hey folks, this isn't me! I don't have an active public Facebook page right now (though this is making me think I need one).
They're taking my work and photos.
I've tried reporting it, but it didn't work (thanks Meta).
So if you guys see any posts from this account please report it!
They're taking my work and photos.
I've tried reporting it, but it didn't work (thanks Meta).
So if you guys see any posts from this account please report it!
November 9, 2025 at 7:44 PM
Hey folks, this isn't me! I don't have an active public Facebook page right now (though this is making me think I need one).
They're taking my work and photos.
I've tried reporting it, but it didn't work (thanks Meta).
So if you guys see any posts from this account please report it!
They're taking my work and photos.
I've tried reporting it, but it didn't work (thanks Meta).
So if you guys see any posts from this account please report it!
Reposted by Isanthrope
Really would like to know what people who think that preventing mass death and epidemics is “government overreach” believe government is FOR?? Parades??
Actually, the real problem in my humble opinion is that masks should be required in medical settings *year round* in *all* counties.
I mean... why should you be allowed to spread your germs to other people who are sick?
I mean... why should you be allowed to spread your germs to other people who are sick?
November 9, 2025 at 10:39 PM
Really would like to know what people who think that preventing mass death and epidemics is “government overreach” believe government is FOR?? Parades??
Reposted by Isanthrope
I swear to god if all my friends starved just for the democrats to cave and allow an abortion ban to pass in exchange for being able to let an ACA extension get vetoed in a month, I'm gonna lose my shit.
November 9, 2025 at 10:02 PM
I swear to god if all my friends starved just for the democrats to cave and allow an abortion ban to pass in exchange for being able to let an ACA extension get vetoed in a month, I'm gonna lose my shit.
Reposted by Isanthrope
UBI opens up a lot of space for all sorts of monetizable but hard to get off the ground professions like journalism. UBI would pave way to fix outrage slop media because real journalists could actually survive.
Universal Basic Income ( #UBI ) programs have been tried, tested and proven to save money and improve quality of life overall. If it was already in place in #Canada, the country would have been in a much better financial position to fight the nonsense from USA.
#StuckInARut
#Elderly
#Disabled
#StuckInARut
#Elderly
#Disabled
November 9, 2025 at 4:04 PM
UBI opens up a lot of space for all sorts of monetizable but hard to get off the ground professions like journalism. UBI would pave way to fix outrage slop media because real journalists could actually survive.
I absolutely loathe doing the faux obsequiousness just to navigate harried HCWs who are just doing their jobs in an utterly two-tier gross system for patients without GPs and the contracted HCWs alike. Looking at you NB eHealth after 4 hour wait.
November 9, 2025 at 9:28 PM
I absolutely loathe doing the faux obsequiousness just to navigate harried HCWs who are just doing their jobs in an utterly two-tier gross system for patients without GPs and the contracted HCWs alike. Looking at you NB eHealth after 4 hour wait.
Reposted by Isanthrope
I'm behind on rent, & landlord is losing patience. NGL, kinda scared of him. Not willing to waive late fees. Total is $2,800 and I've got $1000. Every place that offers assistance is slammed. I've got an interview on Monday. Fingers crossed. So many people are not okay right now.
spot.fund/qsrm8f8sc
spot.fund/qsrm8f8sc
Click here to support Amanda Finley's story *RentAndRxForAmanda
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spot.fund
November 9, 2025 at 2:19 AM
I'm behind on rent, & landlord is losing patience. NGL, kinda scared of him. Not willing to waive late fees. Total is $2,800 and I've got $1000. Every place that offers assistance is slammed. I've got an interview on Monday. Fingers crossed. So many people are not okay right now.
spot.fund/qsrm8f8sc
spot.fund/qsrm8f8sc
They are required not just to halt issuance but to undo any issuance that has occurred to date:
“To the extent States sent full SNAP payment files for November 2025, this was unauthorized. Accordingly, States must immediately undo any steps taken to issue full SNAP benefits for November 2025.”
“To the extent States sent full SNAP payment files for November 2025, this was unauthorized. Accordingly, States must immediately undo any steps taken to issue full SNAP benefits for November 2025.”
Here's the actual USDA memo to states warning them not to issue SNAP benefits on their own, along with the bulls**, completely unhinged notice at the top of the USDA page blaming Dems for the shutdown & consequences to SNAP, & going on about "illegals" and "gender mutilation."
November 9, 2025 at 6:47 PM
They are required not just to halt issuance but to undo any issuance that has occurred to date:
“To the extent States sent full SNAP payment files for November 2025, this was unauthorized. Accordingly, States must immediately undo any steps taken to issue full SNAP benefits for November 2025.”
“To the extent States sent full SNAP payment files for November 2025, this was unauthorized. Accordingly, States must immediately undo any steps taken to issue full SNAP benefits for November 2025.”
Reposted by Isanthrope
You can support @nycplan.org in our campaign to increase and stabilize public library funding in NYC by sending a letter to your City Council member. It takes 30 seconds: actionnetwork.org/letters/city...
City Council, we demand half a percent of the overall city budget for libraries!
In response to the NYC FY2026 Budget, adopted this June, the Brooklyn Public Library, the New York Public Library, and the Queens Public Library released a joint statement thanking City Leaders for in...
actionnetwork.org
November 9, 2025 at 6:24 PM
You can support @nycplan.org in our campaign to increase and stabilize public library funding in NYC by sending a letter to your City Council member. It takes 30 seconds: actionnetwork.org/letters/city...