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medgremlin

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medgremlin ,

I recently saw someone on Lemmy point out that the UK has an emergency plan to move precious artwork to bunkers in the event of a nuclear attack, but no such plans exist for the people. Paintings can be replaced or remade. People cannot. The planet cannot. There are many things in this world far more valuable than art, in part because life is the source of art.

medgremlin ,

I think an important consideration is who gets to decide what knowledge and culture get preserved. For example, I would say that medicine, agriculture, and human language would be much more important to preserve than computer science or economics, but I’m sure someone would disagree.

In general, I think art is very valuable and should be protected when possible (and not just European art), but if the choice is between a painting or a human life… the painting goes every time.

medgremlin ,

I once worked at a hospital in the ER where the department director was a union-busting bastard, but the CEO was pretty reasonable. After I left, one of the other ER techs went to the CEO about our pay being messed up and got everyone $5-6/hour raises to actual market rate. Also, there were a few weeks when we were really understaffed that the hospital encouraged admin folks to volunteer as “candystripers” in the ER to do stuff like help clean/turn over rooms, and answer patient call lights for water, blankets, etc. And the CEO was down in the ER for a couple hours every evening helping out most of that time period. It was encouraging to see the CEO of the hospital putting on some gloves and helping us with basic stuff like cleaning and stocking.

medgremlin ,

It was a legitimately nonprofit hospital and he probably was overpaid, but at least he was a practicing physician at one point and did seem to give a damn about his staff.

Is anyone else caught in a weird Venn diagram of Imposter Syndrome and furious indignation and disdain for actual imposters in your field?

Context: I’m a second year medical student and currently residing in the deepest pit in the valley of the Dunning-Kruger graph, but am still constantly frustrated and infuriated with the push for introducing AI for quasi-self-diagnosis and loosening restrictions on inadequately educated providers like NP’s from the...

medgremlin OP ,

I try to remind myself that I’ve only gotten as far as I have because of hard work. I don’t have any special talent, I’m not some kind of genius, I just know how to work hard for the things that matter.

medgremlin OP , (edited )

At least I can rest assured of the fact that AI will be next to useless in my intended field. Emergency medicine is an environment where you get a random constellation of symptoms and complaints with very little direction on which are related to the current illness, and which ones are not currently relevant. Also, in the time it would take to get all the info into the AI for a trauma/cardiac/code situation, the patient might be dead or rapidly heading in that direction.

medgremlin OP ,

NPs working under a physician with actual oversight is fine. The ones I have problems with are the ones that have a physician sign the hundreds of notes a month while maybe reviewing a handful, and worse, the ones pushing for independent practice without even that sham of oversight involved.

medgremlin OP ,

I have thought about trying to plan out a learning algorithm that could spit out suggestions for triage level and preliminary tests based on input data like vital signs, symptoms, and complaints… but I would never implement something like that as anything beyond a tool for the nurses at triage to use. There would have to always be an option to override the algorithm because there’s some aspects of patient presentation that are not easily quantifiable. I’d never be able to explain it in a way that one could input it into a computer, but even with my limited experience, I can tell which patients are going to crump on me.

medgremlin OP ,

There’s some things you look for that are difficult to describe to someone who hasn’t seen it before. That’s part of why experience is so valuable in Emergency Medicine, and it’s not uncommon to put your best nurses out in triage. People will do this kinda twitchy/wilting/loss of focus/change in pallor/change in posture right before they go down. I don’t have a good way to describe it, and it might be easier to draw even, because it really is a body language thing and the general appearance of the patient that can inform your decision making.

medgremlin OP ,

I worked professionally in medicine for a few years before starting medical school, and thus far my approach has been to entirely disregard anything they said on the subject and continue as normal unless the nonsense they’re spouting has the potential to cause serious harm. Our patient care professor is training us to listen attentively, then dismantle the nonsense as politely as possible while guiding the patient’s viewpoint back to something approaching reality.

medgremlin OP ,

It’s not quite a catchphrase yet, but when discussing cases or whatever, I frequently use the sentence: “I’m not sure, lemme go look that up.”

medgremlin OP ,

Were I in any other field, I might agree with you, but given that I am in the medical field, stupidity and incompetence cost real human lives and I cannot tolerate that if it can be at all avoided.

medgremlin OP ,

The problem with AI and poorly educated professionals is not the ability to diagnose and treat based on evidence-based medicine. The problem is that you have to know enough about medicine, and enough about real human people to know what kinds of questions to ask in the first place. If nothing else, there is a massive amount of information gained from a patient’s body language, mannerisms, behavior, and the physical exam itself that would be extremely hard to quantify in a meaningful way for someone without the background education and experience to come to any useful conclusions.

Ubisoft Exec Says Gamers Need to Get 'Comfortable' Not Owning Their Games for Subscriptions to Take Off (www.ign.com)

Ubisoft Exec Says Gamers Need to Get ‘Comfortable’ Not Owning Their Games for Subscriptions to Take Off::An executive at Assassin’s Creed maker Ubisoft has said gamers will need to get “comfortable” not owning their games before video game subscriptions truly take off.

medgremlin ,

As a medical student, I have a negative amount of trust in and/or respect for anyone in the healthcare sector that has a business degree.

Where do milsim video games occurs nowadays ?

When I was young, I played a lot of air-combat games. If I remember well I learned the Ukrainian geography while Bombing Russian troops in Odessa playing USNF Video for the kids . Another game had a campaign in Yemen. If my memory isn’t too rusty, there was also Egypt and Korea campaign....

medgremlin ,

I saw “milsim” in the title and came here looking for other Arma 3 nerds.

medgremlin ,

Our server has been having some federation hiccups. I actually play with a really chill unit. Oddly enough, all the Arma units I’ve encountered have been pretty progressive. As a cis woman, I am almost always outnumbered by the trans gals because there’s always a bunch of them around. Also, all the units I’ve been with have a negative amount of tolerance for bigots.

I pretty much always play as the medic in our PvE ops, and unfortunately I’m a little incompetent when it comes to actual combat, so I haven’t been horrendously useful when we play Anyistasi.

medgremlin ,

Day by Day Cafe in downtown St Paul is lovely. They have a nice library room to sit in during the winter and a patio with a koi pond out back for summer. They have some of the best breakfast food I’ve ever had and their early bird special is a really good deal (especially when I’m on nights).

medgremlin ,

They don’t have a high fertility rate. They have a high death rate. If you look at the demographic breakdown, the number of people over the age of 30 or so drops off precipitously.

medgremlin ,

For me, it just looks like he has a certain coldness in his eyes. It’s not a dead or vacant look, it’s just the way a smile, or any other facial expression for that matter, just doesn’t seem to make it to his eyes. There’s obviously life and intelligence there, but it’s not a friendly intelligence. I pulled up the most lizard-man pictures of Zuckerberg for comparison, and even at his most robotic, his eyes still look human. Like there’s some capacity for empathy in there somewhere. With Musk? His eyes just don’t quite read as human to me in an uncanny valley sort of way.

medgremlin ,

Makeship is having a sale on their new Glow in the Dark plushies. It’s not a huge discount, but the proceeds go towards supporting independent artists which is always a good thing.

www.makeship.com/shop/gitd-2023

Israel says 55-metre fortified tunnel found under Gaza's Shifa hospital (www.reuters.com)

JERUSALEM, Nov 19 (Reuters) - Israel published video on Sunday of what it described as a tunnel dug by Palestinian militants under the Gaza Strip’s biggest hospital, a focus of its search-and-destroy missions against Hamas in a war now in its seventh week.

medgremlin ,

What strikes me is the complete discordance of the realities of Israelis and Palestinians shown in the pictures attached to the article. There’s multiple pictures of a grand funeral with flags, pomp, and circumstance…and compare that to the white sheets and mass graves in Gaza. The Israeli soldier gets a military funeral with honors and fanfare while innumerable Palestinians are interred in barely marked mass graves with little to no ceremony because the number of dead simply does not allow for paying respects to each victim.

medgremlin ,

Israel lost 0.014% of its population to the Hamas attack. Gaza has lost about 0.52% of its population to Israel’s rampage and that over 40% of those deaths are children. How is that comparable at all?

medgremlin ,

Let’s rewind to the part where you look at why they are mortal enemies, and realize that the same problem is still happening in the West Bank at the same time as the mass murder in Gaza.

medgremlin ,

I’ve had it for years and one of the biggest features that I find worthwhile is being able to easily download videos to watch on the plane or play like podcasts when I’m driving. When I first got it, I had a really long commute, so being able to download stuff and play it with my phone screen off is helpful.

medgremlin ,

They keep calling them “homeowners”. These are not “homeowners”, these are “landowners” or “landlords”. A homeowner is someone whose property is their primary residence. Homeowners are not having their taxes increased, just landlords.

Emotional outburst on live TV from Gaza over death of reporter encapsulates collective grief (abcnews.go.com)

“No one is looking at us or the extent of this disaster or the crimes that we are experiencing in Gaza,” he said. Still holding his microphone, he slid off his flak jacket marked with the word PRESS and unstrapped his helmet....

medgremlin ,

Why does “radical action” always mean “radical violence”?

“Radical action” can and should include radical kindness in which past wounds can be forgiven and a cooperative future can be built. Right now, all the violence is doing is ensuring that Hamas will be enumerated and maintained for generations by the people that Israel is considering to be sub-human and disposable. Radical violence creates radical ideologues and only ever begets further violence in the absence of total and absolute annihilation.

medgremlin ,

They took power illegally years before the literal majority of Gaza citizens were even born.

Edit: My apologies, the ones that are almost legal adults would have been infants or toddlers at the time Hamas seized power. They really should have done something about that while they were learning how to walk and speak. /s

medgremlin ,

You’re talking about a population with extremely limited resources that is literally 50% (or more) children that has been under two fascist boots for the last decade and a half. There does come a point where a level of desperation combined with a possibility of a better future will instigate a revolution, but right now? They don’t see a possibility of a better future. With Israel’s Likud on the other side of the wall and no resources to rebuild after a coup, what’s the point in gambling everything on maybe being able to overthrow the more local oppression?

Also, education in Gaza is very inconsistent and most political revolutions are started by people with education and nothing to lose.

medgremlin ,

If the citizens of Gaza aren’t offered anything better, why would they gamble what little they have on overthrowing the local oppressors? They don’t really have anything to gain by overthrowing Hamas and trying to do so would be putting their lives and their families at risk. If Israel and the wider international community can offer them something better than life under Hamas and the Likud, they’d be much more likely to eschew Hamas’ control.

medgremlin ,

So how many is “too many” for Israel to have killed? Or do the citizens of Gaza not count the same way Israelis do?

medgremlin ,

I think you are misunderstanding how the demographic shift in Gaza has happened. They didn’t have a baby boom, it’s just that many of them do not survive very far into adulthood because of violence, health and environmental problems, and, when they can manage it, emigration.

Secondarily, I’m interested to hear how you justify calling Hamas genocidal without making the same observation about the Likud and Netanyahu.

medgremlin ,

The fact that Netanyahu has supported Hamas in the past as a foil to the PA says otherwise to me. To a certain extent, Israel has made its own monster out of Hamas and Gaza through their policies and positions.

medgremlin ,

That’s not answering my question. How many Palestinian lives is too many?

medgremlin ,

Why does Hamas have insights into your personal opinions and beliefs?

medgremlin ,

I’m asking about your opinion. If Hamas refuses to cooperate, how many Palestinians does the IDF have to kill for it to be too many in your mind? When does the mass murder of Palestinian civilians exceed a reasonable metric for “defense”?

medgremlin ,

If the child did go through alone, what are the chances that family would ever see him again? Who would care for the child and advocate for his best interests away from his family? All communications have been shut down by Israel. There is no way for the family to know what happens to their children if they are taken away.

medgremlin ,

Would you get your kid out if you didn’t know whether or not they would be adequately cared for? Would you get them out if it meant that you will probably never see them again and that they will be taken to another country speaking another language with no one there to look after them and no plan for how to take care of them after the medical treatment is done?

This would most likely be a permanent separation and the child would effectively, or maybe even literally become an orphan in a foreign country with nothing. Not their vital documents, not their family, not anything that would give them any hope of ever getting home. Getting your kid out in this situation means gambling your child’s life on the good will of strangers and most likely losing them for good.

It is not unreasonable to demand to go with his child. Especially since he needs medical care as well.

medgremlin ,

It doesn’t matter what the IDF or Netanyahu say at this point; this is entirely indefensible and there is no explanation behind this attack besides cruelty and intentional mass murder.

I hope that everyone involved in dropping those missiles suffers a guilty conscience for the rest of their days, but I know that it probably won’t bother them at all.

medgremlin ,

How are they supposed to not be around Hamas? They aren’t allowed to leave Gaza (whether it’s the IDF or Hamas preventing their departure doesn’t matter that much here). Even if they were allowed to leave Gaza, what money would they use to do it? Where would they go? How will they rebuild their lives away from the family and social network that they already have established with limited mobility, immigration options, or money?

medgremlin ,

The Israeli government could fix the problem by putting an end to the settler attacks in the West Bank and the blockade of Gaza in pursuit of a true two-state solution. The easiest way to isolate Hamas would be to fully and properly recognize and protect the rights of Palestinian civilians in a way that would offer them a better life away from Hamas influence. All they’re doing right now is a massive recruiting campaign for Hamas.

medgremlin ,

*Racial and ethnic homgenization

medgremlin ,

There was an incident years ago where police carried out a no-knock raid at the wrong house and killed a baby with a flashbang grenade and they suffered no consequences that I can recall.

medgremlin ,

And settlements need to come out of the Police Union’s pocket and not be covered by taxpayers.

medgremlin ,

I don’t remember anything about a reality TV show, but yes, the flashbang landed in the crib.

medgremlin ,

If your payment is $0 based on your income, staying in appropriate contact with your loan servicer and maintaining your IDR paperwork means that those “$0 payments” each month count towards the 120 (PSLF) or 240 (20 year forgiveness) qualifying payments.

medgremlin ,

Every time I hear about (more) police violence, I just get stuck thinking about the number of times I’ve been assaulted by patients as a healthcare worker and how I was still required to put their safety above my own if at all possible…including the one that was twice my weight and tried to strangle me.

medgremlin ,

An interesting thing about Benadryl (diphenhydramine): if you look at “PM” meds or things that are supposed to help with sleep, diphenhydramine is usually the active ingredient. Benadryl is a sleep medication that happens to also work as an antihistamine which I find a bit amusing.

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