Throwaway05
1mo ago
I mean there's an entire type of therapy focused around the idea of managing seemingly opposite impulses, but nothing so fancy need be used here, I just think there's an element of "what do you actually want here" that needs to be assessed first.
Throwaway05
1mo ago
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Based off of Dean's posting history and areas of knowledge he does have potentially relevant domain specific knowledge.
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Other indicators (financial markets, lack of U.S. ramp up, etc.) indicate no reason to be worried as of yet.
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Good news: China is a more competent adversary and isn't going to light the world (and themselves) on fire. Well bad news but good news here.
Throwaway05
1mo ago
I mean this is a personal question that OP needs to answer, come to terms with the answer, and then act accordingly.
Both options are fine as long as the outcome isn't paramount, but if the plan is somewhat ego dystonic you get this angst.
Throwaway05
1mo ago
What is a meetup exactly?
But whenever you have a hang up with someone ask yourself why. Often the answer is pride, so the follow-up question is - what is more important, getting the thing done or getting it done your way?
Throwaway05
1mo ago
Flash flooding happens when water rapidly appears from somewhere else. This generally requires a ton of water moving into a small area. Imagine you opened a dam into a giant plain. It fills with water but the water is spread the fuck out. Imagine you opened the same amount of water into a valley....it's going to be a valley with a big ass river covering the ground real fast.
Because Florida is wide and flat it fills, but evenly and over a period of time. Valley towns in a mountain though.....
Throwaway05
1mo ago
Counter Argument: Full Metal Alchemist: Brotherhood
Edit: I see someone else has already made this claim.
Throwaway05
1mo ago
Hospitals aren't really run by doctors anymore, this is partly by law and partly by incentive (other types of staff, like nurses can increase income by moving into admin but doctors in the U.S. usually make less). Physicians can't own hospitals, and a lot of places will have an on paper doctor who is in charge of something as a medical director or whatever but doesn't actually run anything and exists mostly as a liability sponge.
Public health stuff is its own specialty and you can cast them into the fire. There are a few exceptions like Fauci but as is usual with a lot of doctor stuff we aren't really responsible for most problems.
Throwaway05
1mo ago
The people in charge of the healthcare system are not politicians, they are the administrative state, both within medicine but also just the dems and their media apparatus etc.
Individual doctors were not in charge and just got their marching orders and beliefs via download as per usual.
Healthcare is rotted just like everything else but those tendrils are from elsewhere.
Throwaway05
1mo ago
more memorable elements.
Exactly five of them.
I remember lots of language about flatten the curve until genetic drift, vaccines, and herd immunity kicked in. By the time vaccines rolled out to gen pop it was effectively over, now politicians and public health officials not reopening in a timely fashion is a problem, but it has little to do with the actual medicine and is mostly purity spirals etc.
Throwaway05
1mo ago
No idea who Tommy Lister is
Dawg have you not seen The Fifth Element?
Herman Cain was a presidential candidate in the Obama era but Canadian is a good excuse.
re: lethality keep in mind that it's part of the expected course of a disease to eventually become less lethal as it mutates rolling through the population, which was observed with the various covid strains (not to mention the vaccines and immunity slowly building up). Importantly if you look closely a lot of people were pre-registering this so it's not a mere post-hoc justification.
Throwaway05
1mo ago
Maybe next time the doctors won't be so chickenshit and will stand up for the right thing.
Thus my constant banging of the drum here about political capture and political content in medicine. The right thing is now the left wing horseshit and brainlessness, but again the kernel was there.
I guess it's possible that my intuitions are wrong about viral inoculation, my conceptualization is that low enough inoculation and your immune system clears it before replication time gives you a full illness.
When it comes to celebrities they seem to have mostly hidden in beach houses and such. Colin Powell, Herman Cain, Tommy Lister ...shit why do I only remember intimidating black men.
Throwaway05
1mo ago
You can say haha fuck you doctors lose your careers but you do run the risk of having people die unnecessarily which is my worry (and did happen, but mostly in unsexy ways like missing cancer screenings and dying 5 years later, or being lost to psychiatric follow-up and dying of a heart attack in 15 years that would have been avoided with better medication management).
I think it makes sense for a higher initial inoculation (like being trapped in a train or city bus with a sick person) to result in more severe illness than walking past someone on the way into a grocery store and catching a whiff.
Throwaway05
1mo ago
experiences are just not consistent with a generational plague
It doesn't need to be a generational plague to overload the medical system, which it did to some extent. If we ever get a generational plague again we are absolutely fucked.
Rural probably does it though, most of the people who had a bad experience were in the city - likely due to close proximity etc, which probably also is why it's way more of a blue tribe concern.
Throwaway05
1mo ago
Huh.
Do you live somewhere very rural or like Florida or something? (can decline to answer b/c opsec).
I'm kind of shocked you haven't run into more.
Throwaway05
1mo ago
You mentioned this isn't the U.S. so I can't help you toooooo much it's probably mostly boilerplate language that isn't intended to actually be used.
Exceptions may be something like withholding test results until they can call you or tell you to come in. You are supposed to find out you have cancer in the office with the doctor so they can calm you down, tell you the plan, and help you make decisions. Not because some automated portal suddenly interuptYOUAREGOING TO DIE DIE DIEDIEDIE.
It's jarring and not good for patient mental health.
The other example that sometimes comes up in the U.S. with our equivalent legislation is blocking mental health adjacent notes. You have patients who you will documented "patient threatened to murder this writer, and then said 'if you write that down I'll kill you.'" You'd document this and then block the note so the patient can't see it, to protect you, and to protect the patient from doing something to you and harming themselves in the process.
Some theoretical discussion exists about things like blocking notes that call patients obese because they don't like it, but it isn't really legal.
Throwaway05
1mo ago
Union still have a positive role, it's just a union by union basis. For instance Resident Physicians are starting to unionize at various places, they do this because health systems will blatantly violate legal requirements and their contracts with the residents, because the residents can't leave.
If given the ability to do so most employers will misbehave ASAP. Beware of that possibility, even with shitty unions like this one.
Throwaway05
1mo ago
I don't dispute the abuses. That is not the point, people need to disentangle the abuses and the reality of the disease. Just because the boy cried wolf does not mean that the wolf didn't gnaw off your leg, and that the next one isn't sitting there slavering.
Throwaway05
1mo ago
Yeah your circumstances aren't conducive, but for me with older but still living relatives.....it cut through a lot of em (and that's independent of healthcare involvement.
It's moon landing grade conspiracy theory work. Death rates, mortality figures and so on are stupidly hard to fake.
Ya know what lets use an example. COVID skepticism like the gay communities relationship with AIDs, especially these days. Did it kill a fuckton of people in the past. Yep. Does it seem like that to young gay people now? Nope. The meds are great. They don't take it seriously. As a result all kinds of STDs are going around like crazy and you end up being the one person whose organs won't let you take meds and it's death and everyone forgets about you.
But for most AIDs isn't real anymore.
Throwaway05
1mo ago
You have to separate these two things. COVID is a big deal. Public health officials are retarded. These can both be true at the same time.
Yes you are mad about rights abuses and everything else, and so am I. But COVID was still a big deal.
Throwaway05
1mo ago
It's reactive contrarianism at its core. If they were lying about this (masks don't work at the beginning but are important later, or whatever) then the whole thing must be a lie. No.
Original recipe COVID killed a lot of people and fucked up plenty of young and healthy types, but people get hit with COVID remix years later after multiple vaccines and think "oh this must be the only way it be." There's also a lack of understanding of the role of flu vaccines in keeping old people from croaking every year which impairs intuitive comparisons.
The no big deal attitude also requires a lot of conspiratorial thinking that I don't think people realize they are doing. I remember when we pulled outpatient physicians with no critical background to staff ICUs. I remember when we bagged patients by hand. I remember people dying of a heart attack in the ED waiting room because triage was busted. We had pictures of full units, portable morgues. I watched colleagues die due to lack of PPE.
People blow this off.
Everyone just chooses to forget these things when they look back because most people were just locked in their homes on semi-vacation while older family members occasionally died.
It was a disaster. The public health aspect of it was also a disaster, and from the beginning I was screaming at everyone who would listen that this would be the biggest reason why - you'd get basically holocaust revisionism, and everyone would blow off the next one.
Throwaway05
1mo ago
Public health officials and the government keeping things gong too long is not the problem here, the problem is that lockdown skeptics have become COVID deniers. Yes shit was bad initially. Yes it was a near thing for quiet problems. No it was not just another flu. Etc. etc.
Saying that the lockdowns were a messaging and public health fuck up is totally fine, but from having these arguments in the past a lot of people are going too far.
Just because the vaccine doesn't make sense for healthy 18 year olds doesn't mean it's not a good idea, but you'd never get that from how people in these space over reacted.
Throwaway05
1mo ago
The medical professions did great, public health borked it and medical professionals decided to agree with them.
Throwaway05
1mo ago
It was going to be disorganized though, rationing requires central planning, this would be collapse with attempts at keeping things going.
Throwaway05
1mo ago
Society didn't end and wasn't going to, but we did almost lose access to healthcare which is quite a bad outcome.
Wasn't one of these types of doctors killed recently because he was holding one of the hostages and was killed in the retrieval? Could be misremembering, but I suspect that's what we are working with. And I say that as an ardent doctor defender.
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