Oh yeah, I’m not worried about it at all.

It’s just disturbing to me to see the side that I see as the good guys (the left) getting increasingly drawn into the trap of violence and discrimination. It’s like no one in politics has the ability to self-reflect these days.

Yeah, the cartoon really conveys that with its stereotypical depiction of a Jewish person.

There are better ways to represent a country.

Really? We’ve basically descended to antisemitism now?

I 100% think the use of force in Gaza is genocide and a war crime, but this is a cartoon I’d expect from the Right. We’re better than that.

Looking forward to the downvotes for my ground shattering opinion that racial generalizations never have a place in political commentary.

EDIT: I’ve never been happier in my life to be downvoted. Keep them coming. I love how I even said in my initial comment that I do not support Israel and think they’re committing genocide (which is the general Lemmy opinion), but I’m still getting toasted. I would say the same thing about a WWII cartoon that made racial generalizations about Asians, or about the imperialist cartoons of the late 1800s that made generalizations about any number of a group of other people.

I hate to think about the human race becoming obsolete, but it makes sense if you think about it.

I think the loophole is going to stay in place. The hemp lobby has exploded since 2018, and has done a lot to keep the loopholes from closing in even very Red states. In the real world money is what talks, and I think there’s too much money at this point to put the genie back in the bottle.

But that’s my two cents. I could be wrong. Hope I’m not.

Awesome comment, thanks for the detail.

To play a bit of Devil’s Advocate (from a bench-top scientific standpoint I come from immunology/microbiology background—so I know enough theory to be dangerous but don’t have your depth of evolutionary understanding) doesn’t a lot of this rely on cosmic timescales? I’m sure I could easily do a web search on this, but I think there are a lot of galaxy clusters that are much older than the Milky Way. That would give the potential for many multitudes of planets that have been around much longer than Earth, which gives a lot of time for intelligence to evolve and sustain. Now, if an intelligent civilization can ever survive for that long is a different question in and of itself.

I personally have wondered if the natural, sustainable, next step in any intelligent evolution is artificial forms of intelligence. Maybe biological intelligence is just the bootloader for less squishy forms of life? Immortal silicon life sort of renders the biological limits of space travel a lot less problematic. I know that comment exceeds the scientific into the philosophical, but it’s a thought I’ve had a lot lately.

Yeah, and also I wouldn’t go out of my way to shit on someone who believes we live in a simulation. Simulation theory is sort of plausible with our current understanding of tech—but right now it has just as much evidence as most religions (which is none for both). So yeah, I don’t think it’s good practice to try and dunk on people for their beliefs.

Yeah, everyone in this thread saying the phone bad is a Boomer cop out is oversimplifying the issue.

Yeah, there’s probably a component of taking the blame away from decreased quality of life by blaming it on phones—but you can’t neglect the effect that lack of social interaction has. I’m from the same era, and it’s overwhelming to think how much more complex everything has gotten.

I don’t think the problem is that the government “wasn’t the best ever,” I think it’s that it hasn’t changed. And the US hasn’t done a lot to enforce some of the groundwork beliefs of the framers.

I still think the idea and balance of power of the US government is one of the best—but it was created to change with the times and address practical flaws (amendments) and hasn’t.

I was one of those confused randos and now this is one of my favorite places

Yeah. But then you remember that space is big—so it’s pretty damn easy to miss.

Na khorocho, que si?

Generally you’re good until 40 weeks. If she’s at 40 weeks I would induce. You can continue to wait but she will likely need to be sectioned due to fetal size at that point.

I truly think there is a component of unprecedented, shared psychological distress (everyone needing to stay inside like solitary confinement) and post-COVID cognitive distortion that makes the entire pandemic feel like some sort of fugue state. I was working in healthcare during it and when I look back at those years it feel like someone that was a dream. I’m in my 30s and no other part of my life feels like that.

Thanks, I appreciate it.

I have a pretty high tolerance for disrespect (either from patients or other specialties) since I work in Emergency Medicine, but COVID was just off the charts.

And it’s this weird thing where a decent percentage of humanity was working super hard to save everyone else—did save most everyone else—and a ton of people are just going on about the “Fauci Ouchie” and nanochips.

The general public has no idea how many people we saved with the mRNA vaccines and critical care medicine. They’re blatantly oblivious to it. The death toll would’ve been monumentally worse without a coordinated effort of public health, healthcare, and research. Yet no one has any idea. COVID was simultaneously one of humanity’s greatest unrecognized accomplishments and one of its greatest blunders.

If you’ve ever read or watched The Expanse series I feel like it’s spot on as far as humanity’s response to disasters.

I was assaulted by a family member for not giving “IV Ivermectin” to someone with COVID who I had just crash intubated (honestly thought they were going to code, but somehow didn’t) back during the Delta wave.

My view of humanity has gotten pretty pessimistic since COVID. If I had the guts I’d honestly love to go create an insulated community of people who actually think about stuff and want to help each other.

Yep.

Cleaning. Home improvement stuff. Driving. Cardio.

A more niche one—we got a puppy this past summer. Those first few months they need so much attention. Having an audio book in my ear made the process of following him around everywhere/training so much less infuriating.

Yeah, I’m EM. Ended up being more work for me.

Worked in the ER.

Source?

Audiobooks. So amazing to be able to “read” while you’re doing other things that are required of you.

Ha ha so true. I thought you were joking but you never know with the internet.

Slightly educated guess medical opinion here?

As far as risk is concerned:

Smoke>>>vape>nothing.

Vaping will definitely have adverse effects we start cataloging more in 10-30 years. My guess? Likely some form of lung disease (maybe more of a restrictive pattern due to the microparticles in vapes—I could see if being like silicosis or pneumoconioses) and some forms of cancer.

I mean you basically don’t smoke then. Most of the effects of smoking are based on pack-years, which is the number of years you’ve smoked a pack per day. So two packs a day for 10 years? 20 pack years.

You have barely any pack years, and you stopped so young that the adverse effects are definitely reversed (10 years of cessation to reverse risk of lung CA/COPD).

Ones I’ve experienced because of healthcare and would’ve otherwise not really known about—

US tech CT Tech Xray Tech Medical Simulation Tech/Actor (this varies, can also be IT. Med sim centers need a ton of IT) ECMO Perfusionist

Showers are like tactile white noise. Soothes my entire body.

They mention this in the article, but the physiology would suggest this is related to CSF/blood pooling in low G.

Taking it a step further, I bet this has a similar mechanism to IIH or the high pressure headaches you get with obstructive hydrocephalus. CSF is supposed to drain down via a relatively passive system. Without G to regulate this I can envision that you’d essentially develop the same physiology as someone with IIH (too much CSF).

Really interesting. A good example of how we have no idea what insane health things we are going to experience with space travel, but also how space travel may shed insight on treatments for other conditions with similar mechanisms we experience in a gravity well.

1. Smoking
2. Smoking
3. Smoking

There are already a lot of good answers but I want to highlight this. Chronic tobacco smoke causes increased aging due to multiple mechanisms. Moreover, environmental tobacco exposure from second hand and third hand smoke prior to the 1990s was MASSIVE. So even if you didn’t smoke you got insane daily exposures to the same chemicals.

“I moved to a place to be surrounded by white people, and decided I didn’t like white people because those white people weren’t hostile enough nor did they have enough of a desire to conquer other people. This made me realize white people are weak, so now I’m disappointed in them. But actually it’s because the white people in that area came from inferior nations 🤡.”

That’s the premise of the article to save you from having to read absolute horse shit. That guy is a waste of atoms.

ED bills are sent afterward in the US, we never have to think about it up front. It’s governed by a federal law called EMTALA. This led to some predatory “out of network” billing in the past which thankfully was shot down (in all things) during the Trump admin. It’s not perfect, but getting better.

The job of EM is stabilization and resuscitation. That takes a wide array of forms depending on your presenting condition. There is no “time limit” on what entails a safely dischargeable condition—if you present with chest pain, we CT you, and don’t find an immediately emergent cause of your chest pain, but in the process we fail to tell you about the lung nodule on your CT that turns out to be a CA that kills you in several years we are still liable. Maybe in certain states we are not medical legally liable at that point, but I would argue that we ethically still are. We are still all physicians (unless you’re getting treated by an APP).

In the context of stabilization and resuscitation I personally have the take that if you present with something I can’t adequately diagnose in the ED (let’s say I can rule out life threats but you still have a condition that is compromising your quality of life) then for the next step I really have to ensure adequate follow up for you (subspecialty referral, etc). That goes for the underinsured as well. It can get tricky, but that’s what case managers and social workers are for. Maybe I’m just biased because I work in academics. In general if you need emergency care I highly recommend that you go out of your way to get to an academic center because you’ll be more likely to get plugged in in this regard.

I just don’t understand how you can ethically practice with the opening assumption that your patient is wrong.

I get just as angry when staff get judgy about who goes to the ER when. Everyone defines their own emergencies. It’s why we’re there 24/7/365. For a lot of people we are the only no questions asked lifeline that’s always open (at least in the US)

I’m sorry that happens to you. Unfortunately it’s a documented phenomenon (especially with rheumatologic diagnoses—I’ve explained that to residents a lot).

Here’s to hoping more attention to this leads to better education which can prevent it.

Yeah, it’s gotten so bad that I don’t feel like posting here anymore. Honestly may leave

I don’t understand, do you mean risk stratification in a specific clinical practice guideline based on gender?

I know I’m a minority but as someone who works in emergency medicine I think the opposite.

If you come in thinking you have something there’s probably good reason, and I damn well better be sure you don’t have it if I’m going to send you home. You know your body better than me. It may not mean we test for it, but I need solid clinical decision making tools to support not testing for it

That makes more sense then. Still would need a house, but could manage that with planning/tiny home over time.

If you’re addicted to a substance seek help for it.

This was my life when I experienced addiction.

I mean, reading the Wikipedia article is seems like there’s a lot known about the killer and a pretty clear motive of him wanting to kill a bunch of people…