Throwaway05
12d ago
I thank god every day that I mostly use Epic (like at this point most damn doctors in the U.S.).
It sucks but it sucks way less than all the other options.
I don't know if you've run into any of this yet but AI assist tools are getting quite good. Should people be using them? Likely no, but they are hugely helpful.
Throwaway05
12d ago
That being said, there are lots of reasons why people don't take their medication
Putting side effects and related problems aside (and they are severe, antipsychotics increase all cause mortality for example), many patients don't think they have a problem.
https://en.wikipedia.org/wiki/Anosognosia
It's a core symptom for many with psychotic illnesses and but many mood disorders or personality disorders involve people thinking nothing is wrong or blaming unrelated things.
Many of those with awareness of illness want to be free anyway, even if it means being miserable. Sometimes it is so they can do drugs. Sometimes it's because inpatient facilities suck.
Valuing autonomy is good but it leads to some grossness at times.
Throwaway05
12d ago
I'm going to admit that I mostly skimmed looking for clinical pearls, but you may find this article interesting.
https://www.politico.com/agenda/story/2017/03/vista-computer-history-va-conspiracy-000367/
Anything about your end of things that you think a doctor should know?
Throwaway05
13d ago
I think the perception is more important than the reality here. The lefts wants to paper over all of her faults right now, but if she had won give it 5, 10, 20 years and their is going to be a big old asterisk on the first female president.
That Scarlett Letter would be tough to manage in the long term.
Throwaway05
13d ago
I can't endorse this enough. I've been more positive than you on Trump for a long time, but even with that (as well as an outright hatred of the woke) I still bought some of the propaganda, and I never really had an interest in hearing his speeches.
Now he sits down with Rogan, they both sound reasonable despite the spin, and their personalities make sense and match to others I have encountered in my life. I don't think Trump meets the criteria for narcissism after that interview, and Vance is clearly one of us regardless of any flip-flopping.
Even with all the practice in avoiding the democratic propaganda machine I still fell for it.
Throwaway05
13d ago
Wokeness is widely popular with women and necessarily involves holding together a lot of contradictory opinions, so the training is out there. Consider the modern dating market - women still want a man who is masculine, pays, etc. but they also want feminist girl bosses at the same time. These things don't work together, but they manage.
Cultural acceptability is what is normal. Lots of culturally acceptable believes are unwise or harmful, however.
Throwaway05
14d ago
Yeah I mean their are variations in personality and certainly some men are like this, but a large portion of my social group is going off right now and yeah that includes people from "histrionic" backgrounds but also lots Asians and so on who are all freaking out because they are deep in the woke bubble and panicking and huffing propaganda. This is people with graduate degrees mind you.
Most of them will calm down.
I'm not saying this is normal in the sense that is healthy, but it is reasonably common in certain social groups (yikes).
Throwaway05
14d ago
Eh it's almost always tied together when it comes up, if you feel like it isn't for you, carry on.
Throwaway05
14d ago
How many Jewish/Italian/Irish/Black etc... women do you know.
They'll say it, but only a fraction will actually believe it.
Throwaway05
14d ago
Ehhhhh I think you underestimate how consensus reality holders feel about things. Most of us here aren't really about that kinda thinking but it is wildly popular, and plenty of otherwise well adjusted little to no other abnormal belief people are shitting absolute bricks right now.
Throwaway05
14d ago
I mean I'm not pro-vaccine mandate, although I did get vaccinated ASAP. I was also pro-lockdown initially but displeased with the length and way they are implemented.
The issue is that the people who are still talking about this years later did not learn any lessons (both sides) and in the case of the skeptics, miss how bad it was.
Throwaway05
14d ago
I know it's kind of off-topic, but I would not call those totally normal women lol. Anyone who says that unironically is crazy.
If they are still saying it in a in two months they are crazy, for now? Just angry.
Women tend to interact with the world in a more bubble and consensus oriented way, the ego damage when that gets popped leads to immature defense mechanisms aka the batshit insanity. Most people will course correct.
Throwaway05
14d ago
"Sufficiently damaging to the economy, American lives, and functioning of the government" isn't quite the same as "existential threat" and still justifies much of what happened.
Throwaway05
14d ago
Come on ya'll we can be better than /r/relationshipadvice
It's possible that the advice of others is the correct way to go, and it may be the case, but don't do it prematurely. People are freaked out right now and the average woman is more vulnerable to that. She may calm down acutely, in which case the fight is not necessary. Like most she will probably calm down in the long run but it would be a serious question of what time horizon you need for people to go normal.
I know totally normal women who are saying nobody should have sex with men anymore. It histrionic nonsense. If you can tolerate taking Trump non literally you can tolerate this haha (again assuming it has hope to be temporary).
Throwaway05
14d ago
I'm not saying it was truly an existential threat, but it was way worse than a lot of people are willing to acknowledge. What those numbers translate to practically is pretty bad. It's hard to notice if you were locked up though, which many were...so they didn't.
Throwaway05
15d ago
A relatively small number of deaths can easily cause massive economic problems and overwhelm hospitals leading to all sorts of problems including...you guessed it, more deaths.
The problem wasn't the lockdowns. They were sensible. The problem was the way they were implemented and not having a reasonable offramp.
Throwaway05
16d ago
That's a fair point, although quite a few of the people I've talked to today are under the impression that Trump has a magic ability to instantiate an army from the aether. TDS is still real.
Although on a counterfactual note I think we should be pleased that institutions seems to be prepping either way. That's more competence than I've come to expect as of late.
Well I'm calling it for Harris - the people I know in D.C. are very calm and expecting a Blue victory. Could be underestimating him like previously, but in the context of the Selzer poll it seems like people don't want to be blamed if the predictions are off and are seeing a Harris win as very likely.
Come back to laugh at me later if this wrong.
Edit: Leaving this up for posterity. :)
Throwaway05
18d ago
The way I model this for myself is by asking "would I rather watch Top Gun in a movie theater or this setup." Especially with IMAX....movie theater wins. Sound is part of it, but it's also just that much more immersive.
Throwaway05
18d ago
There are a number of things that could be done by bad people that are more effective.
A few things prevent this:
-Lots of this stuff is trend based.
-Lots of this stuff is supposed to be showy, certain things are less so.
-Lots of stuff is enormously more impactful than what we normally see, but everyone who is aware of those options doesn't publicize them.
I'm being vague because the idea is not to give anyone any ideas.
Throwaway05
19d ago
What about a discussion with your boss?
"Are you guys going to fire me?"
"Uhhh nooooooooo."
vs.
"At the time of this meeting we do not plan to fire you anytime soon."
With the former I'm going to be aware and can plan accordingly, with the latter I might be fooled by any of the technicalities in that sentence or the more proficient lying.
Throwaway05
21d ago
Have you seen a doctor yet? You'll probably need an ENT.
This could be a million things. Atypical anatomy. Something like allergies or GERD causing odd problems.
Serious things are possible and you'll want to rule them out.
Throwaway05
21d ago
(It is hard to cancel a doctor in private practice.)
Not necessarily. Private pay patients have choice and can google, in Cali they may avoid Scott.
You also have to not piss off your partners, staff, malpractice provider, landlord, etc. Again in Cali can be a problem.
Throwaway05
21d ago
Yeah I think the medical side of things are most worried about the flu side of things. Monkeypox doesn't excite me, Myco isn't a big deal.
A Kessler cascade is one of my biggest fears though, yikes.
Man you must have been around in the "shit I can't double click, I might as well just retire" days.
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