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Teemu Karjalainen @teemuvkarjalainen.bsky.social · Sep 23

actaorthop.org/actao/articl...

"... if minimal invasiveness automatically guaranteed better outcomes, then the most minimally invasive strategy—doing nothing at all—could often be the most effective."

Response to Letter: Uncertainty and risk of misleading conclusions: an umbrella review of the quality of the evi-dence for ankle arthroscopy | Acta Orthopaedica

actaorthop.org

Teemu Karjalainen @teemuvkarjalainen.bsky.social · May 16

Fulfills definition of so called dirty bomb

"explosion could create fear and panic, contaminate property, and require potentially costly cleanup"

Farmer Marv Bot 🇺🇸 🇺🇦🚜🌾 @farmermarvbot.bsky.social · May 16

Image of actual Nordic Bomb with lit fuse…

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Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 17

Somehow I wasn't too surprised to learn this is from am j sports med.

Have a look at this conclusion. (the discussion of the mechanism of effect is priceless)

pubmed.ncbi.nlm.nih.gov/27566242/

A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis - PubMed

Early results show that BMAC is safe to use and is a reliable and viable cellular product. Study patients experienced a similar relief of pain in both BMAC- and saline-treated arthritic knees. Further...

pubmed.ncbi.nlm.nih.gov

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Reposted by Teemu Karjalainen

Darren Dahly @statsepi.bsky.social · Apr 17

You regular reminder that millions has been spent on research into therapeutic benefits of insert placebos, to no avail, mainly because scientists who should know better still believe that the rooster crowing must make the sun rise.

zenodo.org/records/3886...

Nonplussed by placebos: A response to Colloca and Barsky (2020)

In a recent review published in the New England Journal of Medicine (Placebo and Nocebo Effects), Colloca and Barsky concluded that “Placebo and nocebo effects are powerful, pervasive, and common in c...

zenodo.org

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Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 16

Consider Finnish president writing this about Helsinki Uni. Half life of his/her political career would be seconds.

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Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 15

Golden age has begun

Bloomberg News @bloomberg.com · Apr 15

The US economy is set to lose billions of dollars in revenue in 2025 from a pullback in foreign tourism and boycotts of American products.

US Economy Is Set to Lose Billions as Foreign Tourists Stay Away

The US economy is set to lose billions of dollars in revenue in 2025 from a pullback in foreign tourism and boycotts of American products, adding to a growing list of headwinds keeping recession risk ...

www.bloomberg.com

Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 11

You wouldn't promise such things even in your grant application (which are always overly optimistic).

But nevertheless he said by September we will know. Not sure what knowing means here

Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 11

Morons
Are
Governing
America

Aaron Rupar @atrupar.com · Apr 10

RFK Jr: "By September we will know what has caused the autism epidemic and we will be able to eliminate those exposures."

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Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 9

Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 7

"Healed some 300"

Reminds me of orthobiologics

Benjamin Mazer @mazer.us · Apr 7

The Health Secretary is promoting quack doctors in the midst of a measles outbreak and literally nothing was more predictable.

Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 7

"Toivotaan että nyt alkaa se kultainen aika, minkä Trump on luvannut.”

- Sirpa

Ja toiveet toteutuivat.

Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 7

"Yhdysvaltain tulleilta välttyivät ainoastaan Venäjä, Valko-Venäjä, Pohjois-Korea ja Kuuba"

Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 7

Never got such a lot of feed back on any of my work. Even personal emails and ofc letter to editor from a panel of keen&offended arthroscopists.

Letter and response better fun than the paper itself

Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 7

actaorthop.org/actao/articl...

We examined temporal and regional patterns of low value operations in Finland

Rates are declining but we found large regional disparities inconsistent with variability in morbidity.

Hospital size and past incidence (treatment culture) explain variance

Regional variation in low-value musculoskeletal surgery: a nationwide study from the Finnish Care Register | Acta Orthopaedica

actaorthop.org

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Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 7

Ei.

Reposted by Teemu Karjalainen

The Tennessee Holler @thetnholler.bsky.social · Apr 6

WATCH: “Ron Vara is an anagram of Navarro.”

@maddow.msnbc.com explains how Trump’s tariffs policy came from his economic advisor Peter Navarro, who invented a fake expert in his books to justify it🤦🏻‍♂️ 🤦🏼

And now markets are crashing 🎪 #TrumpTradeWar #AmericanBrexit

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Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 4

What happens if we don't operate people with failed nonoperative treatment?

They nevertheless recover.

Ineffective surgery does not magically become effective if other treatments are ineffective.

Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 4

Can experienced surgeons identify people whose chronic tennis elbow will not resolve without surgery?

If they could, they could operate selectively people who won't otherwise recover.

Unfortunately, they cannot.

journals.lww.com/clinorthop/a...

Can Surgeons or Patients Predict the Likelihood of... : Clinical Orthopaedics and Related Research®

that resolution of symptoms is believed to be unlikely without surgery after a certain period, and surgeons can identify a subgroup to benefit from surgery. For this approach to be sound, surgeons mus...

journals.lww.com

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Teemu Karjalainen @teemuvkarjalainen.bsky.social · Apr 3

Rydmanin päiväkirjassa?

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Reposted by Teemu Karjalainen

Milla Laine @millalaine.bsky.social · Mar 25

🔥 Sekoilun sietämätön keveys 🔥

Aluksi ajattelin kirjoittaa siitä, miten oikeistopopulismi toimii. Mutta te tiedätte ne kaikki jo: vastakkainasettelu, uhriutuminen, huomion kaappaaminen.

Joten käänsin kysymyksen toisinpäin: miksi sen vastustaminen ei toimi?

Me emme pelaa edes samaa peliä. 1/12

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Reposted by Teemu Karjalainen

Shashank Joshi @shashj.bsky.social · Mar 24

Wow. "The reason I knew this is that Pete Hegseth, the secretary of defense, had texted me the war plan at 11:44 a.m. The plan included precise information about weapons packages, targets, and timing." www.theatlantic.com/politics/arc...

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Reposted by Teemu Karjalainen

Anne Applebaum @anneapplebaum.bsky.social · Mar 23

If you ever wondered how the KGB manipulated foreigners and got them to repeat Soviet propaganda, spend some time listening to Steve Witkoff talk about his wonderful conversations with Vladimir Putin.

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Reposted by Teemu Karjalainen

George Monbiot @georgemonbiot.bsky.social · Mar 22

I don't often ask people to write to their MPs. But I think they might listen to you on this, as it's so jaw-droppingly awful, and they're almost certainly unaware of it. www.theguardian.com/commentisfre...
Please also write to the Environment Secretary: [email protected] Thanks.

What’s in the millions of tonnes of sludge spread on to UK farmland? Toxic waste – and ministers don’t care | George Monbiot

Water companies let waste disposers, for cash, dump their loads into sewage farms. When it is recklessly used as fertiliser, we are all at risk, says Guardian columnist George Monbiot

www.theguardian.com

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Reposted by Teemu Karjalainen

Eliot Higgins @eliothiggins.bsky.social · Mar 21

I had to check they really used children at school desks as props for Trump dismantling the Department of Education.

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Reposted by Teemu Karjalainen

Malcontent News @malcontentnews.bsky.social · Mar 20

A pro-Russian MP asks the PM of Estonia why when he uses Google, he is shown ads for "same-sex sex toys" and "swingers clubs."

PM Kristen Michal then explains how the Internet works. Algorithms track your prior activity and customize ads to display your interests.

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