medgremlin

@medgremlin@lemmy.sdf.org

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It's Girl Scout Cookie season, so it's a great time to remind you that the Girl Scouts welcome trans and nonbinary children. Here is a list of trans Girl Scouts to order cookies from. (www.erininthemorning.com)

Also, The Girl Scouts explicitly rejected a large donation from an anti-trans organization: seattlemet.com/…/donor-says-girl-scouts-can-t-use…...

medgremlin,

I always get Girl Scout cookies every year. I was in Girl Scouts as a kid, and back when I was still going to camp in the early 2000’s, the camp had cabins set aside for the gay boys who had been kicked out of the boy scouts. Even back when I originally joined in the 90’s they accepted anyone who wanted to join a troop. Scouting is for everyone!

medgremlin,

That 54% helps to pay for the camp facilities and subsidize participation in summer camp and troops for low-income kids that otherwise wouldn’t be able to participate.

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.

medgremlin,

I think that’s part of why they have such insane metrics that employees are supposed to meet: so they can fire anyone “for cause” whenever they want because almost no one actually meets the metrics.

What's the most unexplainable/unlikely thing that's ever happened to you?

As the title says. Sometimes posts like this lead to a bunch of “paranormal” discussion—that’s ok but not a necessity. I’m relatively skeptical of that stuff myself, but they always make for good conversation and friendly debunking. This also includes very unlikely things. I’ll start:...

medgremlin,

The current recommendation for colon cancer screening in those with a family history is to start routine colonoscopies at the age 10 years younger than the family member who was diagnosed. So if your Dad was 55 when he was diagnosed, you should start getting regular colonoscopies and screening at 45 (which is around the recommended age these days anyways).

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,

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, (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,

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,

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,

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,

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,

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,

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,

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.

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,

Yeah, I’m a grad student with limited funds and I contributed to the server when I joined last summer. I don’t really want to sacrifice this account, but if we can’t interact with anyone else, it kind of defeats the purpose of being federated.

Vulnerable Republicans nervous as 'tone deaf' Supreme Court takes up new abortion case (www.rawstory.com)

The U.S. Supreme Court's decision to take up a case on the abortion pill mifepristone has unnerved Republicans from swing districts.The court's decision last year to overturn Roe v. Wade limited GOP gains in last year's midterm elections and is expected to again play a major role in next year's elec...

medgremlin,

As a (hopefully) future emergency medicine physician, I’m gonna find some creative ways to prescribe things for generously interpreted weird diagnoses.

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.

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