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