Lurker > MrPeppers

Wouldn't they also nuke food stores and agricultural hubs to ensure that nobody would really survive?

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It's all good! It's never too late to start a career in healthcare, and good luck to you!

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It's definitely not appropriate to just assume people who use pain medications are addicts. I don't agree with all of the bashing, and I hate that addicts and prescribing practices from 10 yrs ago spoiled it for people like TC. I'm with you on that. Nobody should be assuming that someone is an addict especially if they know their pain regimen, and pain is a real and debilitating thing. It sucks, but you do have to be cautious and have your own license in mind when it comes to controlled substances. I'm happy this was at least ironed out for the TC at the end of the day.

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One complicating issue is that this patient was a resident who does not have her own DEA number and is acting under her attending. I usually don't deal with chronic pain patients (and didn't in my residency), but during residency I could not write or e-scribe opioids for outpatient post-op pain--it had to be done through an attending's triplicate which they had to personally write. I know benzos are C-IV scheduled drugs which makes them less controlled than opioids, but I can't remember if they needed a triplicate for outpatient management. There's a chance that it's more on the attending than the resident, since the attending may have refused to fill meds with abuse potential for initial visit patients. A lot of people who don't deal with controlled meds avoid prescribing them because of all the litigation around them. I will avoid filling chronic pain meds since that's not my wheelhouse.

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I've had the monthly patient complain about me and tell the nurses about how they've never been told X, Y, or Z in contrast to the management plan, or how their prescriptions were never filled, or why am I not scheduled for surgery. And then we go to the medical record and it's all been documented over months of counseling. People will swear up and down that they never used X treatment, and they never got Y imaging, or have never done Z procedure and I'm lying. And it's all documented with reports and pharmacy fills in their chart. Patients are NOT malicious, some of them just horribly mis-remember what was discussed or what they agreed to at the time. So, yeah, sometimes I'm very reluctant to completely side with patients on the initial few encounters at least until I get other records.

Prismsblade posted...

I'm not talking about workers being generally taken advantage of. But young NEETs who don't what to work more then 30 hours a week. But still believe businesses should pay them enough for a living wage. A a vague term at the least and a subjective one at best.

It seems to me like you want to argue about NEETs clamoring for 30 hour work weeks when people really want to talk about worker's rights or work ethics in general. Yes, it's easy to scoff at dog walkers but what about the small business and corporate chain employee conditions of the harder to scoff at low-skill jobs like grocery store employees? And that's not asking you to specifically and only focus on grocery store employees, it's to open an honest dialogue about if truly and honestly workers for low-skill/same day jobs should be able to work without stressing about providing for a family.

PoundGarden posted...

Sure, but I'm saying you have to keep trying. What industry are you in that it took 8 months to find something? I guess I'm baffled because I've lived in large and small cities and never had trouble finding work. I've also seen multiple people turn down $17/hr entry level jobs because they "don't want to work in a factory".

I'm mainly taking issue with the anti-work crowd who thinks part time no skill work entitles them to a living wage. And would rather both and moan about "the establishment" than take any kind of initiative. That mod wants to be a teacher? Cool, what steps have they taken to make that happen? None? Well there ya go.

Other posters are cherry picking and making it out to be more than that.

I'm a licensed OBGYN (MD) who just finished residency. My mind was absolutely blown having this much difficulty finding work in my desired city, being someone who is fairly less replaceable than most. I was fortunate enough to ride my situation out; if I needed to I could do next-month locums tenens but that's a short term solution to a long term problem. And credentialing for hospitals and insurances is a. fucking. bitch. Minimum 90 days but closer to 120-150 days to get paperwork in order.

I do think that it would be great if people don't have to subject themselves to more hazardous work environments for higher pay like factory positions. It'd be great if everyone could get a comfortable wage for even menial jobs, and there is clearly room in the budget for it given how inflated admin and C-suite salaries have gotten over the past decades.

PoundGarden posted...

LMFAO at your mental gymnastics and impotent little shots. All this because I think applying for jobs is a better use of time than wallowing and wishing on reddit

I'm very confused. Do you think you that once you click the apply button or finish a phone call, you immediately know and are set up? The job hunt is a fucking slog my man. It took me 8 months to find a job in an area I wanted for decent compensation, and honestly most of that is because of the immense delay paperwork and administration causes. There is a LOT of downtime during the job hunt, even if you have your fingers in many pots. You can totally be a proficient job hunter and getter while still shitting around on reddit.

voldothegr8 posted...

Lazy entitled shits who think they shouldn't have to do any duties which they deem suck, and want to be paid 40+ hours of work but only work 20 or less hours.

I hope you don't think that's every single one of them. Despite the name and bad rep, I still look at it as people looking for more employee-focused and better work conditions.

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It shouldn't be off the table which it isn't. You can argue about the morality of it, but it's not illegal and is a very legitimate avenue for achieving whatever outcome.

Any good references for switching to a more plant-based diet? Staple foods, recipes, that kind of stuff?

https://gamefaqs.gamespot.com/a/user_image/5/6/0/AAQH9IAAC2go.jpg

Completely accurate. I'm from New Orleans. I think it's the only place in the US that refers to the median as a neutral ground.

Yes. All brachycephalic dogs. French bulldogs especially.

Being inconsistent with a belief set.

Like when anti-abortion picketers condemn and harass clinics but show up to one with their 16 year old daughter because her case is special.

After about 8 months of searching, I finally found a job that I like. The only problem is that credentialing takes about 120 days and I have nothing to do in the meantime. I finished my training back in June, and instead of searching for work then I was more focused on a relationship that ultimately fell through. I've not been doing much since finishing, and I'm trying to do some traveling work; but holy crap everything either also takes forever to credential or is on the other end of the country and may also take 90 days to credential. This is infuriating.

They heavily spice their rums, a little too much for my taste

That's a bold move. If she's hitting the point where she's into an MMF, there's a high likelihood that she's been sleeping around IMO.

CableZL posted...

It's definitely a weird thing. Anti-vaxxers bash scientists, epidemiologists, biologists, doctors, nurses, hospitals, the CDC, WHO, etc. all day long. They act as if their "research" into the matter gives them more expertise when it comes to handling pandemics and illnesses in general.

Then when they get severe covid infections, they're rushing to hospitals in droves.

When you can't breathe, or when you know something's wrong, you want an actual doctor to treat you. I have no idea what the actual psychology behind a lot of these anti-vaxxers is, but I'm willing to bet they think nothing severe medically can or will happen to them... until it does. And only then do they say eff the vitamin C and look for actual treatment.

pogo_rabid posted...

"we're not replacable, we're not disposable"

Lady, I hate to break it to you, but you work a low skill job at bagel shop. Kudos to you for standing up for what is right, but someone could be trained up to do what you're doing in a day.

That's a really simplistic way to look at it. It could take quite some time to get back off the ground if the entire staff quits, and I'd imagine that something simple like a bagel shop might not even be able to recover from a month of no employees.

You're extremely young. Unless there's a family history of breast cancer I wouldn't try to worry too much, but that's an in-person conversation with your physician. Breast tissue in women <35 years is so dense that you probably wouldn't even get set up with a mammogram. You'd need an ultrasound, which has an even higher false positive rate.

You need to weigh your options, and there's a lot of nuance in this discussion. Also, make sure that your PCP is a physician (licensed MD/DO) and not a mid-level like a nurse practitioner or physician assistant.

How old are you?

Over-testing is something I would caution you about, as I have this discussion with a lot of my younger patients. Screening tests function on four principles: specificity, sensitivity, positive and negative predictive values. All of those are lower in younger patients specifically for breast issues. Much higher chances of false positives, and a positive screen needs to be followed up with diagnostic imaging. That builds up a lot of anxiety in low-probability patients, and it could lead to a negative biopsy which has the potential to deform the breast. I would have a follow-up conversation with your PCP.

I'm one of those people who think the original trilogy, especially Empire, was lightning in a bottle and a cinematic masterpiece. And that leads to my neckbeard opinion that the Disney trilogy is a sterile, calculated, focus-group driven piece of IP meant to make money rather than express something cool. /shrug

What's your concern with hooking up, legitimately?

Can't wear metal in the OR, and it's a lot harder to deglove a finger with a silastic wedding band over a metal one.

Why are you mad, though?

I guess my take, which I would think is a reasonable one, is that we have now hit the point on the graph where anti-vaccination sentiment has intersected with anti-vaccine mandate sentiment. In an academic, theoretical sense they're very distinct entities. Functionally, pragmatically, however else you want to phrase it, they're now the same thing.

If you understand the science and the true benefit of the vaccine, and if you understand the overwhelming benefit (and it's honestly a disservice to use such a mild word like benefit because it's so much more than that) of public health, then you're cutting off your nose to spite your face to support a slippery-slope and fearmongering stance on individual freedom.

ZevLoveDOOM posted...

i'll just continue to ignore him like i always do.

new video on Youtube? pass.

new podcast on Spotify? double pass.

just doing my part... lol

You're definitely doing yourself a huge favor.

If you cannot discriminate based on skin color, religion, or disability, then I'm not sure how people justified discriminating based on sexual orientation. I'm sure the same moral arguments were used on all of the former before it became illegal, as well.

There are indeed case reports of fatal air emboli happening from cunnilingus, particularly in pregnant women.

From Williams Obstetrics 25th editiion, Chapter 9 "Prenatal Care: Common Concerns - Coitus":

"Oral-vaginal intercourse is occasionally hazardous. Aronson and Nelson (1967) described a fatal air embolism late in pregnancy as a result of air blown into the vagina during cunnilingus. Other near-fatal cases have been described (Bernhardt, 1988)."

Crazy stuff

Very_Unreliable posted...

hard pill to swallow: Just because you default to the safe agreement of every mainstream source doesn't make it so that everyone who disagrees with you needs to be silenced or is necessarily wrong...

That's factually not the case when it comes to Joe Rogan's entire approach to COVID-19.

I'm actually really impressed with the mods. You guys are on top of it!

Vyrulisse posted...

lol I meant for things like Covid/Vaccines and other serious issues. He always readily admits he's ignorant about such things.

People really hate that he'll talk to just about anybody. The core of this is that Joe will often talk to people that aren't Leftists and social media/Twitter can't reconcile that talking to someone you may disagree with like an actual human isn't the end of all existence.

It'd be a lot better if he brought on actual experts to discuss the risks, benefits, alternatives, and projections when he brings on individuals with fringe experience. We have people in this topic who watch Rogan, and because of their preconceived notions, are willing to buy into whatever a self-proclaimed expert says because the snake oil lines up with their narrative. Unfortunately, people who listen in on these kinds of things lack any understanding of research, medicine, appraisal of data, etc. and Rogan tends to throw away his journalistic integrity for the sake of exploring his own personal curiosities. So many people walk away from these types of things going "Hmmm", and there really needs to be a disclaimer and prominent reminder that this is not currently accepted science and is pure conjecture.

myzz7 posted...

"trust the experts.... no not that expert!"

Malone is not an expert.

TheMikh posted...

i have a mountain of things to sort out before i meaningfully pursue any sort of relationship again

Well said. Same.

AlCalavicci posted...

Is it a booster?

I got Moderna for my first 3 but would def go for this Pfizer vaccine as a 4th

Omicron escape is unacceptably high for all available vaccines, which is why this one is in production.

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Are you referring to the consequences of preventing a preventable pandemic from happening?

https://www.redcross.org/about-us/news-and-events/press-release/2022/blood-donors-needed-now-as-omicron-intensifies.html

It looks like hard decisions are going to start being made among hospitals in the upcoming months.

goldenBoi45 posted...

This is just people rooting for their "team". The people on this board have banded together in some weird avengers team of smelling their own farts and feeling like "good people" together while they jerk off one another's opinions. It makes them feel like they're a part of something, which is something lots of people desire. Especially those who live their lives online or just have unremarkable lives in general. Facts mean nothing when all of that is on the line

What? What are you trying to accomplish? Are you keeping up with new research papers that are coming out? The entire foundation of scientific progress (and particularly medical progress) is that the field is dynamic and constantly evolving. There are things we've done in medical practice in completely unrelated fields decades ago, thinking they were beneficial, that took years of ongoing research and cases for us to understand that they were not the best practice; and the science changed.

goldenBoi45 posted...

The like to dislike gap is MASSIVE. Just about every video about Fauci has people calling him out in the comments. Mainly because that's one of the last places where you can say what you want without being banned or having your comment deleted

That sounds more like a selection bias than anything else. I'm more inclined to believe that conspiracy theorists or fringe individuals cluster around controversial videos than the general public.

Almost married someone I didn't really love. Twice. I think most people have this gestalt that tells them whether or not marriage with X person is truly the right decision.

That is an incredibly abnormal pregnancy and I'm sorry you had to experience that.

_Rinku_ posted...

I mean, you can feel bad that I miss her. It's a little pathetic.

Getting over someone can be hard and take some time. It's not pathetic to miss someone you loved enough to marry.