• 3 Posts
  • 15 Comments
Joined 3 years ago
cake
Cake day: May 31st, 2023

help-circle
  • I’m back home after spending a month on what is essentially an extended job interview/training opportunity at a hospital in another part of the country i’m considering moving to after I graduate medical school. It was fun, and I enjoyed it, but I’m so glad to sleep in my own bed. Now to begin the process of finalizing what I wanna be when I grow up, it’s agonizing (but exciting too, tbh) to finally have to make a choice that really will decide at least the next few years, but ultimately the rest of my career.



  • I’m finishing up the year, and about to start what is essentially my final year of school. Planning my schedule, getting in gear to apply for the residency match (first job/otj training after you finish medical school). I am doing a lot of bouncing between excited and nervous, so I’m doing a lot of work trying to be mindful and in touch with my mood, as stressful as the holidays already are.


  • Lol. I can tell you if you asked doctors what the biggest problem in their clinic, it’s the EMR. I can say this myself, I’ve been in healthcare for a while in various roles, and i’m not to far off from graduating as a physician.

    To find out what happened overnight to a patient, I have to sift through pages of computer generated junk to find just a few things. It’s even worse in clinic, if I want to read what happened last time a patient was here, I have to sift through a note that is 50% auto generated lists of stuff to find what I really need to know: what the last doctor said the plan was for today.

    They mention inbasket messages, and that’s a huge issue. Now with the rise of patient portals, patients would message now for something that previously was a visit. Only recently has there been ways to recoup this cost (not that this is appealing to most patients, who see it as nickel and diming, though I empathize, I never can get to talk to a nurse/MA at my own family doc’s clinic either).

    Doctors are swamped, most of the day is charting, ultimately to appease insurance companies so that we get paid. If you’re slotted for a 15 minute visit, and I’m not out after 10 minutes, I’m going to be late to every appointment until lunch or close, then I’ll spend time at home finishing up notes and paperwork (prior auths, refilling meds, replying to messages from nurses and other clinic staff). Ultimately, for what good our regulation of healthcare has brought in the US, it remains that it is regulatory capture nonetheless. Healthcare orgs are quickly conglomerating, so the hospital, clinic, pharmacy, and insurance company are all owned by the same company. At the loss of good patient care, doctors are being removed from the equation, care is being fragmented and compartmentalized in a lot of aspects and less of our time in the day is available for patients.

    What they call burnout, really is moral injury. People who go into healthcare do it because at some level, they want to help people. It really sucks when you realize 90% of your day is screwing with a computer system that seems to be diametrically opposed to letting you do your job.



  • Ultimately this a definition issue, and is philosophical more than scientific. I have no doubt he’s a great neuroscientist, but it’s really not a great take. I think that the whole idea of neurochemistry cascading into the decisions we make doesn’t mean we don’t have the ability to choose within our neurochemical makeup. I think it definitely pushing a good point in that the root causes of our behavior, especially anti-social behavior, is possibly addressable in how we support and raise our kids.





  • I’m sorry you had to handle that. Though, this is an inevitable problem for a site hosting user-generated content of any sort. I think not hosting your own content is the biggest first step. It might be better to depend on external image/filesharing sites like how things used to work with imgur, photobucket, flickr, etc. (is photobucket around anymore, lol?). This does pose a risk for link rot and what not, but I think given the scale of this operation, there’s no reason to having to be scanning your own servers for illegal content any more than you have to for basic moderation. I’m not sure how this issue works with federation (if another lemmy instance hosted a bad image/thumbnail/message, does that get copied over to beehaw?), but if your risk tolerance doesn’t want to deal with it, a non-federated option would give you more control.

    In general user generated content is always going to pose a risk to the website hosting it. It’s a matter of good risk management, from prevention and mitigation to an effective response, that will best serve both the administration and the users in terms of ensuring a safe service and minimizing legal risk.


  • While I can’t say much about the specifics of Japanese health and nutrition, I’d argue it confirms the general tenet of dietetics that restrictive dieting is largely not good for you (and isn’t easily maintained either).

    Eating too little (or unbalanced) taxes your metabolism to free up glucose from your organ stores and store what it has, plus running the risk of nutrition deficiencies too. Plus eating too much also has it’s obvious risks.

    I think in regards to keto, the risks of high fat diets are independent from the effects of ketosis. You still run the risk of CAD, obesity, high cholesterol and the issues those bring. (It raises LDLs but lowers triglycerides according to a paper from the ACC, they and the AAND are not convinced one way or another it seems on if keto should be recommended)



  • It sits on the edge of the concept of informed consent in the realm of things like SaaS and copyright. Obviously doctors wouldn’t hold her down and pull it out, but obviously it probably was not useful to leave in. I wonder if there was a contract stating it had to be removed upon demand, like at the end of a trial or the bankruptcy that occurred. It’s something that we’re going to likely see in the future, as medical technology starts using computers to actively treat disorders.


  • Ultimately this feels weak. The prefatory clause is an explanation of why the right to bear arms is to be unrestricted. It isn’t a statement to say “the people should only have guns to serve in defense of the country”, it’s to support a militia should it be necessary. Everything else is just secondary to the “shall not be infringed” portion.

    The Heller decision did enumerate a right to self defense as part of the 2A, with the justification that is was common to own guns to defend one’s person and property. While it can be argued that we shouldn’t base law today on life in 1787(given issues we are seeing in LGBT rights erosion, namely), I don’t think that there’s any reason why right to self defense has diminished in importance since then.

    The Constitution is generally a statement of the limitations of the government, not the citizenry. I think that paints the tone of how the bill of rights should be taken.



  • I mean. yeah single payer is nice, however that’s really not even on the horizon for the US. For most Americans, especially those who actually have to know how to fully utilize their insurance (if lucky enough to have it), there’s no benefit for them to worry too much about a single-payer or socialized system. They have immediate needs and immediate solutions. They need to get their prescriptions, their surgeries, and their doctor’s appointments. It’s not “supporting” it, as so much as it is the devil you know.

    Practically speaking, compared to standard PPO/HMO insurance, HDHPs are pretty good. If you are low-maintenance health-wise, you don’t pay for your physical, are going to spend maybe couple hundred bucks on sick care and maintenance meds. If you have chronic illness, you will only pay the deductible before your care is 100 percent covered, so a hospital stay would be enough to meet your out-of-pocket max, and everything else is covered 100% by your insurer (whereas the traditional plans have 6-10k limits, the HDHPs are much lower at 1-2k for a person and 2-3 for a family). Especially with HSAs, which are savings/retirement accounts for medical expenses, that some employers will pay into, so basically free money to pay copays, prescriptions, even stuff like aspirin and bandages.