We need an immediate crisis plan + long term structural policy plan. In the past I’ve called for opening up of our health labor force to alleviate pressure on the few while we put in place the training & promotion pathway necessary to attract people to enter the health workforce.
Only 8 medical officers are running Ranau Hospital. We are on daily on-calls here, working for 48 to 72 consecutive hours, followed by 5-15 hours’ rest, before resuming another 48- to 72-hour shift. None of us have had a single day off in the past month.
codeblue.galencentre.org/202…
Not my area so I’ve a dumb question. Listening to Sanusi’s speech on REE, why do we not have something like the Petroleum Devt Act for REE?
Nadiah Wan retweeted
in light of the AI cyberattack mayhem going on right now, it's a good time to reshare Karapthy's Digital Hygiene guide
probably the most important thing you can read this week:
> use a password manager for every account
> set up physical security keys so attackers can't log in
> enable face id and fingerprint everywhere
> randomize your security question answers
> encrypt your hard drive
> get rid of unnecessary smart home devices
> switch to signal for private messaging
> use brave instead of chrome
> switch to brave search instead of google
> mint virtual credit cards for every purchase
> get a virtual mailing address
> never click links inside emails
> use a vpn on public wifi
> block ads and trackers at the dns level
> install a network monitor to see which apps are spying on you
If im reading this correctly, even acts of terrorism these days are performative for social recognition rather than any firm belief in misogyny or ideology. If this is the effect of socmed, I shudder to think what AI and agents will bring to our mental health.
TCC MUNGKIN PUNCA KANAK KANAK MALAYSIA MAKIN GANAS TERUTAMA DI SEKOLAH
Pakar Lawan Keganasan Malaysia, Munira Mustaffa memberitahu Malay Mail bahawa penyebaran Agenda True Crime Community TCC menjadi antara punca kanak kanak Malaysia makin mengganas di sekolah
Ini berdasarkan analisis terbaru serangan ke atas sebuah sekolah di Sarawak di mana pelajar berusia 16 tahun itu menggunakan kapak dan menetak gurunya sambil bersiaran langsung di Facebook
Berdasarkan analisis beliau dan trend ditunjukkan dalam beberapa serangan di Malaysia dan seluruh Asia Tenggara yang dipelopori oleh pelajar pelajar ini. Kebanyakan pelajar pelajar ini terdedah kepada kandungan TCC ini di media sosial sebelum mereka melakukan serangan berkenaan
TCC ini merupakan cabang utama daripada ideologi Misanthropic/Nihilistic Violent Extremism (M/NVE) di mana keganasan itu digalakkan bukan melalui agama dan politik tetapi melalui kebencian sedia ada mereka kepada orang dan masyarakat. Dan benih itu sudah mula ada kepada pelajar pelajar yang melakukan serangan berkenaan kerana kebanyakan mereka sudah ada latar belakang dibuli atau penyakit mental sebelum mengakses kandungan TCC dan M/NVE ini
Cabaran utama Malaysia hadapi ancaman ini ialah mereka memilih sasaran, tempat dan masa secara spesifik mengikut kemahuan dan ideologi yang mereka sokong sendiri sendiri tanpa melibatkan mana mana kumpulan ideologi radikal yang lain. Menyebabkan ia lebih sukar dikesan
Kemudian mereka menunjukkan sokongan mereka dengan bersiaran langsung di media sosial, meletakkan logo atau simbol pada senjata, manifesto dan apa apa yang boleh sebarkan apa yang mereka percaya
Buat masa ini pendebatan masih berjalan sama ada untuk mengklasifikasikan mereka yang terpengaruh dengan TCC dan M/NVE ini sebagai terlibat dalam jenayah biasa atau keganasan
Di Perancis. Mereka sudah mengambil tindakan bahawa pelaku TCC dan M/NVE ini terlibat dengan keganasan kerana mengancam umum. Sekolah sudah digantung di Poland sebelum ini kerana serangan sama
Puan Munira menyeru kerajaan agar segera berbincang dan menetapkan sama ada adakah ideologi ini di dalam kerangka aktiviti pengganas atau tidak supaya langkah lebih proaktif dapat diambil
Nadiah Wan retweeted
TCC MUNGKIN PUNCA KANAK KANAK MALAYSIA MAKIN GANAS TERUTAMA DI SEKOLAH
Pakar Lawan Keganasan Malaysia, Munira Mustaffa memberitahu Malay Mail bahawa penyebaran Agenda True Crime Community TCC menjadi antara punca kanak kanak Malaysia makin mengganas di sekolah
Ini berdasarkan analisis terbaru serangan ke atas sebuah sekolah di Sarawak di mana pelajar berusia 16 tahun itu menggunakan kapak dan menetak gurunya sambil bersiaran langsung di Facebook
Berdasarkan analisis beliau dan trend ditunjukkan dalam beberapa serangan di Malaysia dan seluruh Asia Tenggara yang dipelopori oleh pelajar pelajar ini. Kebanyakan pelajar pelajar ini terdedah kepada kandungan TCC ini di media sosial sebelum mereka melakukan serangan berkenaan
TCC ini merupakan cabang utama daripada ideologi Misanthropic/Nihilistic Violent Extremism (M/NVE) di mana keganasan itu digalakkan bukan melalui agama dan politik tetapi melalui kebencian sedia ada mereka kepada orang dan masyarakat. Dan benih itu sudah mula ada kepada pelajar pelajar yang melakukan serangan berkenaan kerana kebanyakan mereka sudah ada latar belakang dibuli atau penyakit mental sebelum mengakses kandungan TCC dan M/NVE ini
Cabaran utama Malaysia hadapi ancaman ini ialah mereka memilih sasaran, tempat dan masa secara spesifik mengikut kemahuan dan ideologi yang mereka sokong sendiri sendiri tanpa melibatkan mana mana kumpulan ideologi radikal yang lain. Menyebabkan ia lebih sukar dikesan
Kemudian mereka menunjukkan sokongan mereka dengan bersiaran langsung di media sosial, meletakkan logo atau simbol pada senjata, manifesto dan apa apa yang boleh sebarkan apa yang mereka percaya
Buat masa ini pendebatan masih berjalan sama ada untuk mengklasifikasikan mereka yang terpengaruh dengan TCC dan M/NVE ini sebagai terlibat dalam jenayah biasa atau keganasan
Di Perancis. Mereka sudah mengambil tindakan bahawa pelaku TCC dan M/NVE ini terlibat dengan keganasan kerana mengancam umum. Sekolah sudah digantung di Poland sebelum ini kerana serangan sama
Puan Munira menyeru kerajaan agar segera berbincang dan menetapkan sama ada adakah ideologi ini di dalam kerangka aktiviti pengganas atau tidak supaya langkah lebih proaktif dapat diambil
Well if NHS isn’t hiring Malaysian doctors, guess who is
The U.S. Residency bottleneck is breaking! 🔨📈
The push to allow experienced foreign-trained doctors to practice without a U.S. residency is gaining massive momentum. We just saw four states pass sweeping legislation in early 2026!
Kentucky (Passed April 10, 2026)
West Virginia (Effective June 7, 2026)
If you meet the standard licensure criteria and hold international experience, these states are opening their doors.
Swipe through the slides for the specific bill status and requirements for each state! 👉 Which state do you think will be the next to pass this type of law? 🌎👇
Explore our Residency Interview Preparation Packages and get personalized mock interviews, expert feedback, and guidance to help you prepare with confidence!
thematchguy.com/residency-in…
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#ResidencyMatch #ForeignTrainedDoctors #Healthcare #MedicalProfessionals #MedicalLicensure
Mind boggling display of creativity and joy
Being an exceptionally talented musician is one thing. But to stand before such high-caliber fellow musicians, a large audience, and cameras—all while remaining composed, communicating skillfully and effectively, showing genuine enjoyment, and staying focused on the creative process—that is what truly amazes me.
Nadiah Wan retweeted
I am a member of the Norwegian Nobel Committee.
There are five of us. Five people, appointed by a parliament most of the planet could not find on a map, who decide, once a year, which human being the world has agreed to call good.
I know. I know. I think about it on the tram.
We meet in a building on Henrik Ibsens gate, a street named after a man who wrote almost exclusively about people discovering they are frauds, which nobody on the committee finds funny except me. There is a room with a long table and the portraits of the dead laureates looking down, Mandela, the Dalai Lama, a great many earnest men in spectacles, and one portrait we do not discuss, which is Kissinger, 1973, awarded while the bombs were still falling, after which two of our predecessors resigned and the satirist Tom Lehrer said political satire was now obsolete. We keep him on the wall. A reminder. Every family has the uncle.
It is October in Oslo, which means the sun gives up around four in the afternoon like a civil servant, and it rains the particular Norwegian rain that isn’t quite falling, just hanging there, judging you. I arrive with wet shoes. I always arrive with wet shoes. There is coffee, because this is Norway and there is always coffee, we drink more of it per person than almost anyone alive, and someone’s wife has sent kanelboller, the cinnamon buns, and we sit, five Norwegians, damp, caffeinated, sugared, and we decide the moral standing of the entire species.
Let me tell you how it actually works, because the world imagines a cathedral and it is, I promise you, a book club with a mandate.
287 nominations this year. 208 people, 79 organizations. Anyone can nominate, that’s the secret nobody understands: a professor, a parliamentarian, a former laureate, so the “nominee” list is meaningless, it’s a suggestion box, and every autumn some congressman nominates his own golden retriever and the press writes “SHORTLISTED.” Nobody is shortlisted. There is no short list the public ever sees. There is us, and the coffee, and the rain, and the portraits, and a Norwegian stubbornness that is older than the prize itself.
We read reports. The institute’s advisers write them, thick dull documents, and we argue. Our chairman told the BBC once that in the final meeting “there is a high temperature.” High temperature, for a Norwegian, means someone slightly raised an eyebrow and then apologized for it. We don’t do high temperature. We do a long silence, and then Kristin says “well,” and everyone knows exactly what “well” meant, and it’s settled. That’s our shouting. “Well.” You’d have to be raised here to hear the violence in it.
Now. This year. I will not say the name, because we never say the name, but you know the name.
A certain head of state wanted this prize the way a child wants a thing in a shop window, which is to say loudly, and in public, and with the full belief that wanting it was itself the argument. He said he deserved it. He said he’d ended eight wars, a number that grew most times he said it, like a fish. He had other heads of state phone us. Israel’s prime minister posted it on the internet, “Give him the Nobel.” The leaders of Cambodia and Pakistan announced they’d nominated him, as though announcing it were part of it, as though we tally mentions. A man flew around the globe collecting endorsements for a Norwegian committee the way you’d collect signatures for a petition to the council about a noisy dog.
And here, uff da, is the detail I treasure, the one that makes me smile into my coffee. The nomination deadline is the 31st of January. He took office on the 20th. So for all the phone calls, all the posts, all the gilded lobbying, the only nominations that could possibly count for this year’s prize were filed in the first eleven days of his term, before he had, by his own arithmetic, ended a single one of the eight wars. He campaigned all year for a prize whose window had shut while he was still hanging up his coat. We didn’t have to reject him. The calendar did. We just watched. Norwegians are very good at watching. We have long winters.
People think we sit there weighing his deeds. We don’t. That’s the thing I can’t make the world understand. We’re not grading his homework. We don’t owe anyone the prize for a ceasefire, however real, however loud the announcement. “He made peace” is not a sentence that ends in a medal, the way he believes it does, the way he believes every good thing ends in his name on it. The will of a dead Swede says the prize goes to whoever did the most for fraternity between nations. A dead Swede, I should add, who made his entire fortune inventing dynamite and selling arms, and spent his last years horrified at his own obituary, which called him a merchant of death, and so bought his way to immortality as a man of peace. The whole prize is one guilty arms dealer’s attempt to launder his name. We are, all of us, administering a dead man’s public relations. I find this clarifying. It keeps me humble. It should keep everyone humble, and it keeps, by my count, no one humble at all.
So who did we give it to?
An eighty-five-year-old woman. A judge. Born in Durban, under apartheid, granddaughter of a Tamil man who came to South Africa as indentured labor, a bus driver’s daughter from the poor Indian quarter, who became the first non-white woman to run a law practice in her province, who defended Mandela’s people when defending them was dangerous, who sat on the Rwanda tribunal and the court at the Hague, and who, at eighty-five, is right now a judge weighing whether a genocide is a genocide. When we told the world, our chairman said the rule of law “underpins the system we have set up to ensure peace,” and that “peace requires justice.” She wasn’t even in Oslo. She was in Nuremberg. In courtroom 600. The actual room where they tried the Nazis. You cannot stage that. God staged that, and God, it turns out, is a better satirist than any of us.
She did not phone us. She did not post. No prime minister demanded it for her on the internet. She had, as far as our deliberations are concerned, the one qualification the loud man could never manufacture, which is that she wanted the work and not the medal. The medal finds those people. It flees the ones who chase it. This is not a rule we wrote. It’s just the only pattern the hundred-odd years of our mistakes has ever shown.
The reaction from across the ocean was immediate. His spokesman posted that we “place politics over peace.” Ja. Perhaps. We’re five damp pensioners in a rainy city; of course it’s political, it was always political, it was political when we gave it to a sitting American president nine months into his first term for the promise of things he had not yet done, and we have been quietly embarrassed about that one for fifteen years, so believe me, we had a particular reason this year to prefer a woman with fifty years of verdicts behind her over a man with eight wars in front of him and a deadline already behind him.
Here is what he will never understand, the thing I’d tell him on the tram if he ever took one. We are the one prize he cannot buy, cannot post his way to, cannot have a friendly dictator phone in for him. Not because we’re incorruptible, nei, we’re as vain and wrong and human as the portraits on our wall. But because the entire point of the thing, the only power a small cold country’s book club has ever held, is that it goes to the person not performing the wanting. The moment you demand it, you’ve proven you don’t understand what it’s for, and proving that is itself the disqualification. He ran the most expensive campaign in the history of the prize and the campaign was the reason. He was never losing to Navi Pillay. He was losing to the concept.
It’s dark now. Four o’clock dark. The buns are gone. Kristin said “well” an hour ago and we all went home. I’m on the tram with my wet shoes, and somewhere across the water a very powerful man is explaining to a camera that the prize is rigged, that we’re corrupt, that he’ll win it next year, and he genuinely might, we’re only five idiots and we’ve been wrong before, Kissinger is still on the wall.
But not this year. This year an old woman in Nuremberg, in the room where the law once stared down the exact kind of man who thinks wanting a thing loudly enough should make it his, got a phone call she didn’t ask for.
That’s the job. We don’t reward the man who ends the war and announces it.
We reward the woman who spent fifty years deciding what a war was.
He’ll never see the difference. That’s rather the whole point of him.
Takk for i dag. I have to change trams.
Spare a thought for folks who depend on outdoor activities for a living like hiking guides, tour guides etc. I can’t imagine times are good for them. Does anyone know if they need help?
Nadiah Wan retweeted
In an age dominated by technology, in which efficiency and profit often take precedence, it is so important that we continue to cultivate a spirit of contemplation and allow time and space for beauty. Such an attitude will greatly help humanity, especially young people, to discover the ability of art to uplift and reveal the depths of the human spirit and our openness to the divine. Contemplation presents a marvelous opportunity to encounter the God who is Beauty.
Actually banking convenience is the one thing I miss about home when travelling to the west.
几年前来马来西亚,我换了一叠现金塞行李箱。
到今天,那叠钱还在行李箱里。
国内人对这边最大的误解,可能就是支付 👇
出发前朋友认真问我:那边有网吗?要不要多带点现金?
现实是:路边卖椰浆饭的阿姨都有二维码。过路费、停车、水电费、转账,一个 Touch 'n Go 全包。
担心安全?
Touch 'n Go 早期是蚂蚁金服扶持起来的,底子就是支付宝那套。
而且支付宝微信本身也接了一大批商家,不开本地账户也能过日子。
说白了是信息差。
国内对东南亚的印象还是椰子树加摩天大楼的明信片,这边这几年悄悄把数字化补齐了。
只是没人出来说。
所以想来这边的:现金别操心,下飞机打开支付宝就能吃饭。
你对马来西亚最大的误解是什么?评论区说说
Brain-Eye complex. Beyond cool. congrats!
BREAKING NEWS
The 2026 #NobelPrize in Physiology or Medicine has been awarded to Karl Deisseroth, Peter Hegemann and Georg Nagel “for their discoveries concerning light-gated ion channels and optogenetics.”
Nadiah Wan retweeted
I first read @yuxin_gao's essays when I was posted in Beijing — almost 15 years ago at this point. She has always been one of the most thoughtful writers on Chinese society. This piece is not different: nytimes.com/2026/10/02/opini…
Nadiah Wan retweeted
I've coached over 30 Olympic gold medals.
I've worked with some of the greatest athletes in history.
Here are the lessons I wish more people understood:🧵
Nadiah Wan retweeted
Si es de las mujeres que cada vez que hacía un comentario sobre algún dolor que pudiera presentar su cuerpo, la respuesta automática del entorno era “todo es mental”, preste atención porque la ciencia acaba de derrumbar un mito de la medicina que acompañó a las mujeres durante décadas.
La revista Science, publicó el pasado 1 de octubre una edición especial dedicada a la Salud de las Mujeres (Women’s Health), que estuvo a cargo de cuatro investigadoras: Yevgeniya Nusinovich, Sacha Vignieri, Joana Osório y Sarah Ross quienes tenían el propósito claro de su investigación: exponer públicamente la brecha histórica de género en los ensayos clínicos y la medicina en general.
Durante décadas la academia de medicina avaló la teoría de que las mujeres tenían una menor tolerancia al dolor que los hombres. La realidad es que las mujeres poseen mecanismos biológicos, hormonales y neuroinmunes completamente distintos a los de los caballeros, como se explicó en el artículo Sex-specific mechanisms of chronic pain, que forma parte de la edición especial de la revista científica antes mencionada.
La investigación determinó:
1.- Existencia de un dolor somático y un dolor visceral. Los dolores somáticos se exteriorizan en los tejidos externos, músculos y articulaciones. Migrañas, fibromialgia y osteoartritis (más frecuente en las mujeres después de la menopausia que en los hombres al llegar a la andropausia).
En cuanto al dolor visceral, se ubica en el síndrome de intestino irritable, dolor de vejiga, órganos internos y sobre todo en la zona pélvica y abdominal en la etapa reproductiva de la mujer.
2.- La culpa del dolor en las mujeres no es exclusiva de la ausencia de estrógenos, la prolactina también tiene su cuota, esta hormona segregada por la glándula pituitaria que al tener una mayor expresión de este gen, sensibiliza las neuronas sensoriales y dispara su excitabilidad y potencia el dolor mediado por el péptido relacionado con el gen de la calcitonina (CGRP), una molécula clave en los ataques de migraña.
3.- Existen diferencias en la forma en las cuales el sistema inmunitario le habla a la neuronas de un hombre o una mujer.
En las mujeres, una inflamación intestinal previa puede dejar una disbiosis (alteración microbiana) persistente que perpetúa el dolor crónico. En modelos experimentales, este dolor visceral se pudo transferir a otros sujetos mediante trasplante de microbiota fecal.
En el caso de las articulaciones de las mujeres se observa una mayor concentración de quimiocinas inflamatorias (como CCL2 e IL-8) en el líquido sinovial. Esto atrae una infiltración de macrófagos sensiblemente superior a la que se registra en los hombres.
4.- Finalmente, llegamos al cerebro. A nivel periférico los nociceptores (neuronas encargadas de detectar el dolor) expresaron genes completamente diferentes entre hombres y mujeres.
La amígdala contribuye a fijar una hipersensibilidad visceral a largo plazo que se activa con el estrés.
Estos resultados reveladores trascienden el mero estudio sobre el dolor en las mujeres, dentro de la investigación fue decisivo realizar una advertencia, la inmensa mayoría de los datos genéticos, clínicos y biomédicos corresponden a mujeres de origen europeo. Es urgente que los ensayos incluyan a mujeres de todos los orígenes étnicos y genéticos para que la medicina personalizada sea real.
La industria farmacéutica tiene una deuda pero también una oportunidad a partir de esta investigación. Utilizar los resultados para diseñar analgésicos que tengan en cuenta el perfil hormonal, neuroinmune y genérico de las mujeres.
Si el tema le apasiona le recomiendo la lectura de esta edición especial de la Revista Science dedica en exclusiva a la salud de la mujer.
#CienciaParaLaVida #SaludDeLasMujeres #DolorCrónico #Neurociencia
Pneumonic plague at that
Health authorities in Siberia’s Irkutsk region have placed nearly 200 people under medical observation after a laboratory worker died from plague, according to media reports and a statement by a regional leader.
themoscowtimes.com/2026/10/0…



























