Throwaway05
24d ago
Is Hantavirus that much of a big deal?
No.
Among other things it has a much smaller window of H2H transmission.
Throwaway05
26d ago
I don't think that's true - I think the USA and Israel are both intensely concerned with PR and constrain themselves accordingly, at the same time they have massive structural disadvantages that make losing the PR battle inevitable. This tension is part of the at times incoherent strategy we see.
For example: the Trump administration clearly wants the Iranian people to rise up (and they likely do want to rise up) so their hands are tied with respect to certain kinds of action that would reduce that possibility. They won't be given any media credit for these decisions, and that media credit is part of what is supposed to circle back to create interest in rebellion in the country.
I really do think that anti-Trump and anti-semitic media bias is worsening and prolonging the conflict.
Circling back to OP's comment - the black out isn't total. I'll be vague for OPSEC reasons (not because it's actually necessary but because the Iranian's involved are intensely paranoid about their government and I will respect that) - certain people in certain industries that aren't really personally or professionally regime aligned are still given access to the outside internet. This allows them consumption of foreign propaganda and communication with members of the diaspora abroad. Some of the those with access are absolutely the kinds of people you might suspect as being aligned with resistance elements.
You'd also have to imagine the U.S. government is taking advantage of this.
So no, shutting off the internet does have downsides, even if some of the benefits are not materializing.
Throwaway05
26d ago
From my understanding (which is not based off of exhaustive review) the outbreak is effectively over (come laugh at me later if it is not).
People are sensitive because of the great trauma which....sure.
I can't imagine how much of a freakout the 2014 Ebola outbreak would have caused these days.
Throwaway05
26d ago
Media looking for something to sell is absolutely part of it, the bigger part is a poor information environment -
- Hantavirus is very bad.
- Yes H2H transmission appears present.
- No this is not actually novel for Hantavirus.
- Other aspects of the disease makes it a poor pandemic agent.
On Meddit everyone seems aware of all the pieces and therefore concern is low, however elsewhere (including here) people seem to be missing or misunderstanding one or more of these pieces.
That can easily breed fear. For instance some people in gen pop think this is a possible pandemic. No not really. Some people here think this could plausibly be a bioweapon no not really.
But if you are concerned about either of those things panic and discussion seem reasonable enough.
Throwaway05
27d ago
Last I heard this was not yet confirmed but it's suspected to be a known and normal variant that does human to human transmission reasonably well.
The disease lacks several factors that would make it pandemic-able however.
Medical community is mostly non concerned.
Throwaway05
27d ago
When using LG make sure you are using the latest TLD - it's still up as of this posting.
Throwaway05
28d ago
godspeed my guy
Throwaway05
28d ago
Don't they give you dx and med questions???
Throwaway05
28d ago
What you provided was evidence of nearly every stake holder involved saying "this is a bad idea" including PTs themselves.
That is not evidence that the AMA is indirectly or directly responsible for this, it may be evidence that the AMA had a stance, but that doesn't make the AMA the villain here, or the decider.
It also does not establish that cutting physicians out is a good idea, indeed PTs don't seem to think it is a good idea as per your source.
And again, the restrictions seem to be reasonable and common sense, again as per your source.
Things like "if you try for awhile and it doesn't work you need to escalate the level of care providing therapy that appears to be ineffective."
That's common sense!
And why are you focusing on blaming the AMA when seemingly everyone opposed the change??
Throwaway05
29d ago
Your citation is from 1991 - even with an atypical forum such as this one....most of our posters didn't exist at that time.
This is one of the central problems of complaints like yours, the lobbying activity of the AMA that people get frustrated about was something that occurred in their parents time, or their parent's parents.
That system is dead. Private practice is dead in most specialties. Physicians don't bill, the people who own the work of the physicians bill and make decisions.
You are misattributing blame.
Speaking of which, from your own citation -
"Opposing forces varied from state to state and included hospital and medical associations, physicians, chiropractors, and physical therapists."
If the AMA is the villain can you explain why doctors, physical therapists, and even fucking chiropractors were on the same side of the lobbying?
Throwaway05
29d ago
Weird, could have sworn I double checked and didn't see anything about the timelessness in your original post. shrug
That doesn't address the substance of my complaint, however.
Throwaway05
29d ago
So I stand by what I said - in many states it is illegal to see a PT indefinitely without seeing a doctor.
That's extremely different from what you said before - seeing a PT for initial evaluation and treatment is not the same as seeing a PT indefinitely without further evaluation (such as things like imaging).
One of the purposes of that sort of restriction is to prevent scams where a PT just bills insurance without doing anything.
One of the reasons I can be reliably summoned this way is because the complaint is essentially baseless slander that does not acknowledge the possibility of other sensible explanations or the reality that the situation has changed in healthcare has changed. I am therefore (reasonably I think?) frustrated.
Conspiratorial posts about the AMA have low predictive value and create uncertainty for legitimately information seeking third parties like OP.
Throwaway05
29d ago
As per your link the restrictions include things like:
"A therapist who has more than one year of experience supervises any therapists licensed for less than one year."
And:
"The therapist thinks the care is within his or her scope. If a therapist thinks the care is outside of his or her scope, he or she must refer the patient to an appropriate healthcare provider."
How are these unreasonable?
Insurance is more likely to prove a barrier.
Throwaway05
29d ago
My usual recommendation for this kind of thing is to look for stuff you can pirate that US grads are using. Most US speciality boards have at least on killer app or test prep book. Easy to nab on Libgen or whatever.
Obviously might end up with different areas of focus but overall should get the job done?
Throwaway05
29d ago
Yes this is always my plan - straight to PT. Obviously I have more information which makes things a bit easier for me.
In the U.S. you do need to ensure your insurance will allow this, but a local PT can usually help walk you through that.
Throwaway05
30d ago
it really shouldn't taste like fried rice
You mean like....good?
Throwaway05
30d ago
I think I'm just expecting it to taste like fried rice and it doesn't. Might be an expectation thing.
Throwaway05
30d ago
.... I think I'm just a heathen, I've been to the few places in the US with legit stuff and still meh
Throwaway05
1mo ago
And if I recall correctly the author is an actual straight up SneerClub poster.
Throwaway05
1mo ago
beyond a fondness for biryani.
Can you change my view that Biryani is just crappy fried rice?
Throwaway05
1mo ago
The more healthy hospitals I've worked in have often had residents (and sometimes attendings) cross lecture - psychiatry explains capacity, surgery comes to IM to explain wound case basics etc.
If you feel like tilting at windmills its a nice thing to try.
Throwaway05
1mo ago
The meme in the U.S. is that the majority of Psych (and to a lesser extent Neuro) consults are inappropriate. Both tend to get Delirium/TME consults for which the recommendation is "fix the underlying medical problem" (with a side helping of "no this 85 year old grandma does not have late onset schizophrenia). Psych also gets capacity consults - any physician can determine capacity and should be able to do so unless something weird is going on. You call Psych if mental illness is complicating things only.
Throwaway05
1mo ago
by making someone in California have like 10x less say than the same person in Mississippi in Congress and the presidency.
The Electoral College prevents a small number of influential and high population urban centers with views that may be broadly considered alien from running a country most of the size of a continent. It is likely responsible for quite a bit of US stability.
Look at the Hunger Games, where a large capital dictates unpopular policy to the other regions.
It's likely we would have significant ongoing issues with places like Texas trying to leave if California was in charge.
The EC allows the federal government to have teeth without a shit ton of civil wars.
The American founding fathers were some of the most brilliant and successful political theorists in the history of mankind. Don't throw out the political technologies they invented because it has been recently expedient.
Throwaway05
1mo ago
Oh there's no rush. Get well soon.
Oh no, I was guessing that ED was the rotation.
Why is your CL service busy? Do your surgeons not understand how capacity works?*
*This insult of European surgeons not guaranteed to match the medico-legal requirements of British healthcare.
Time to plug my favorite cultivation novel!
https://www.royalroad.com/fiction/41330/virtuous-sons-a-greco-roman-xianxia
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