Alastair McAlpine, MD Profile picture
Aug 11, 2018 3 tweets 1 min read Read on X
A lot of people have asked me about this, so here goes:

The #carnivore (zero carb) diet - basically just meat and eggs, with no fruit/veg/carbs - is stupid and unhealthy. And its adherents often uniquely objectionable.

Eat fruit and veg. Your colon with thank you.
It’s ‘leader’ - Shawn Baker - blocked me because I gently made fun of the fact that he was just making up random stats about plants (‘99% are inedible’).

Facts aren’t important to these people, just anecdotes.
The fact that Jordan Peterson and his daughter follow this bizarre and unscientific fad is (a) irrelevant - celebs do crazy shit all the time - and (b) unsurprising. Solid science is clearly not a Peterson strength.

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More from @AlastairMcA30

Oct 2, 2018
According to all available sleep research:
If you’re getting
7-9h sleep/d: 👌
6-7h sleep/d: 😔
<6h sleep/d: 😰
<4h sleep/d: 😭

Most Americans get +/- 6h per night. Down 20% from 50 years ago.
If you missed a night’s sleep, you’re the equivalent of someone with a 0.1% blood-alcohol level (the legal limit for driving in SA is 0.05%). In other words, you’re drunk.

And it takes approximately 5-7 days of good sleep to make up for 1 missed night.
Since people seem to be enjoying this thread:

If you find the concept of sleep interesting, I highly recommend the Joe Rogan podcast with Andrew Walker. It’s long, but fascinating.


(Thanks to @lieschenv for alerting me to it)
Read 6 tweets
Sep 21, 2018
If there is a more nefarious concept than the ‘resilient physician’, I ain’t heard it. (Thread)

Instead of improving a system that is brutal, unkind and dehumanizing, the powers that be are basically saying, ‘Harden the fuck up... by doing some yoga and stuff.’ /1
These are people, remember, who worked hard in school, slaved away for years at university, missed out large chunks of their 20s and 30s working incredibly long hours in tough conditions.

They are resilient!
/2
But human beings are not supposed to miss every 5th night of sleep. We’re not supposed to work 30 hours non-stop.
We’re not supposed to get 1 weekend off per month.
We’re not supposed to watch people die, then carry on as usual. /3
Read 9 tweets
Sep 16, 2018
All right, folks*, hide the kids away... time to talk metal! 🤘🤘🤘

*My 5 metalhead followers
It’s been a killer year for melodeath (Amorphis, Omnium Gatherum). This one from Shylmagoghnar (what a ridiculous name) is just epic. And beautiful.
Next up, for experienced black metal fans who like things fast and brutal, the new Wiegedood is just as corrosive as previous outings. But beneath the fury is a core of sadness.
Read 5 tweets
Aug 25, 2018
This whole John McCain ‘giving up’ treatment for his cancer is terrible language. (Thread)

(a) He is simply shifting the goals of care from curative to a palliative. While a cure may no longer be an option, this mode of medicine is just as active, sometimes more so.
/1
(b) Someone who decides to stop fighting a futile battle against an invasive cancer isn’t ‘giving up’ - that implies weakness.

Accepting the truth, when that truth is terrible, is not weak.
Sometimes it’s the strongest thing we can do.

/2
(c) The decision to change the focus of care from curative to palliative is gut-wrenching for all involved.

But very often, it is the kindest road. It means minimising pain and suffering. It means maximizing life. It is a deeply personal decision.

/3
Read 5 tweets
Jul 20, 2018
In light of the fact that I had to come to Vancouver to find a book by Ngugi wa Thiong’o (yes, Sea Point library, I’m looking at you), I’m going to be highlighting some great African books I’ve read (by authors of ALL races).

Thread /1
‘Chaka the Zulu’ (sic) by Thomas Mofolo. A rich and interesting fictional recreation of the life of the great warrior and leader.

/2
‘Dog Eat Dog’ by Niq Mhlongo. An honest and interesting account of a struggling university student in Johannesburg. Remarkably prescient because it was written before the ‘Fees Must Fall’ movement.

/3
Read 11 tweets
Jun 21, 2018
In principle, healthcare should not be a for-profit enterprise because that corrupts best practice. Doctors’ decisions should not be influenced by how much money a decision will make them, but by benefit to their patients. /1
Having said that, the #NHI that Motsoaledi is proposing will be a complete disaster. The SA govt can’t deliver my mail on time, or keep the lights on; they can’t be trusted with my healthcare. /2
With the economy in the condition it is, and with a manifestly corrupt and inept govt in charge, #NHI remains a pipe dream. Motsoaledi is pushing hard because he thought this would be his legacy /3
Read 4 tweets

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