Not videos that I know of but maybe? I Iove both of these though:
Not Another D&D Podcast. Hour long or so a week with interspersed non-play episodes. Hilarious improv people, great characters, lots of jokes, some good emoti stuff. Bunch of prior campaigns to listen already.
Pink Faux Hawk. Newish podcast playing Shadowrun. Funny, over-the-top action movie play style. One player has health issues so they’re oe on uploads lately but I still love it.
Ha, sounds like you might have delivered in rural areas like I did.
Amazon drivers (the ones in budget or Amazon cans, not flex in personal cars) do okish. I just quit working for a third party company Amazon uses to shield them from liability and unions because it’s miserable work but the pay was $22.50 which isn’t too bad. The workload is crazy, it’s all rush rush rush, and they don’t care about you at all though so fuck them and Amazon. The drivers would appreciate the tip, they’re generally hardworking and decent people.
Oh yeah, a lot of common causes need to be evaluated plus we need to assess if the person should be on blood thinners due to the risk for a clot in the heart that can travel to the brain. I’ve admitted quite a few patients for new onset Afib due to their underlying causes as we didn’t think they were good to go home. Admittedly most people would be fine and we can be too cautious due to legal liability and physician anxiety over bad outcomes but considering the possible consequences, it’s not a terrible thing to do that.
Afib, which commonly causes palpitations, should be seen in the ER if you can’t get in to your PCP that day. Could be caused by a lot of things and a work up is warranted including lab work, echo, etc if new.
Yeah, a good physical therapist will push you past your limits. From personal and professional experience, mental limitations will hold you back when you’re rehabbing. With my less uptight patients I’ll tell them physical therapists don’t give a shit about your pain and discomfort, they’re there to get you better. I love those fuckers, they do wonders.
Well shit, I grew one town over from there. Pretty sure that’s right by our cliff diving spot on the Croton Falls Reservoir. I never went in it most kids in highschool knew some “facts” about that mine.
Fortunately CMS is rethinking the role of primary care and realizing we can save money if we’re able to provide high quality preventive care like we’re supposed to. PCP service payments (RVUs) are up 18% since 2020 which has been a long time coming. Unfortunately physician pay is down vs inflation over the last few decades but thank Christ administration salaries are way, way up over the same timeframe.
It’s not that CPR doesn’t work, it’s that outcomes after resuscitation usually aren’t great. The study doesn’t disclose ages or neurological outcomes post-rescuscitation so that limits my interpretation but quick rescue and quick CPR is key in those acute, single reason emergencies. That isn’t to say in an emergency situation you shouldn’t try especially since you don’t know that person’s wishes. There are good outcomes but usually for underlying healthy people who had one thing go wrong. Think the athlete who’s heart stops on the field for some reason.
I’ve admitted at least a thousand people into a hospital through the ER and I tell everyone that it’s not like on TV. If you’re older, sick, multiple chronic diseases, don’t take care of yourself, etc. the chances of any kind of quality of life after CPR is limited. Death is terrifying and I understand them wanting to try but it’s just not realistic a lot of the time. We need better deaths in the US and more in-depth end-of-life conversations with our patients. That should be starting in the PCP’s office. Trying to discuss that with a patient in the ER who’s already scared isn’t ideal. I’ve seen patients with do not resuscitate/do not intubate orders on file change their mind when they’re suffocating and panicking then once they’re more stable immediately change their mind back.
Thanks, that looks legit, especially considering they got a Nobel for the process. Red blood cells wouldn’t work though, no genetic material to tell the cell what to do. Skin cells sure but deeper layers before they ditch their nucleus. The bottom layer of your epidermis is already made of stem cells that continuously produce new keratinocytes (skin cells). That’d make sense as a starting point for what they did. I’ve been in medicine for seven years and there have been all kinds of crazy claims made but researchers so I’m always skeptical.
Do you have a link for the paper that describes the process for converting blood into stem cells? Curious how they went about it because making red blood cells into stem cells would be hard since they have no nucleus and no DNA. I googled but couldn’t find anything about how they do it.
Gave Fallout 76 a shot again after trying it early in it’s release and quitting due the travesty it was (also because I was disappointed in Starfield). It’s good now, very similar feel to 4 though with some differences. It’s a Fallout game so not perfect but the feeling of endless possibilities you get when stepping out of the vault for the first time is classic Fallout.
Couple of things it could be:
I agree with your doc (I’m a family med physician), don’t smoke if all of a sudden you’re passing out.
Fucking not 9lbs that’s for sure. Around 1/2lb usually.
But then you don’t get that cheese that dribbled out and sat on the pan and got crunchy and savory and delicious. Like caramelized cheese.
I’m listened to Jones on the Joe Rogan show when he was on with Eddie Bravo. It ended up with them getting wasted and spouting some really off the wall shit. Bravo was deep into chem trails. Jones confidently proclaimed that “interdimensional child molesters” were the biggest threat to humanity. If they were trying to get people to believe in that stuff they were doing a terrible job of it. Unless you’re already primed to think that way, it was obvious they weren’t thinking rationally.
It’s really not the doctors charging crazy amounts, it’s the hospitals. MBA types got into medicine and squeeze it like any other industry. GI does a scope? Doc gets $200 for doing the procedure, facility gets $5k for a facility fee.
If you ever want to go further, pathology as an MD or DO would be perfect. Sounds like you might work with them already. Med school is difficult, annoying, and expensive though.
So I’m a physician and I support most things people do to import their health but I do try to make sure they’re fully informed. In terms of fasting, this cohort study found an adverse association between fasting and cardiovascular death. There are limitations to the study (self-reported diet, etc.) but it followed 20,000 people for 8yrs which is pretty good. Definitely need more study in this area, especially considering the complexity of human metabolism. Here’s the highlights from the study but the full text is available at that link: