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.

Taking an ambulance to the ER does not ensure that you will be seen faster. A decent chunk of ambulance patients go right out to the lobby to wait like everyone else because everyone is triaged based on their illness or injury, not their mode of transportation.

I did my cadaver dissection last year in medical school, and you'll probably be a better cadaver than you think. The worst one to deal with in the class was in the tank next to ours. The cadaver was 102 years old at time of death without a scrap of fat anywhere. The muscles dried out and fell apart almost immediately on dissection, and started growing mold over the winter break. The lab manager had to keep removing portions of the cadaver to try to limit the spread of the mold until all that group was left with was a head in a bucket of formaldehyde. The head, neck, and brain were the last dissections we did, so it worked out okay-ish, but I will never forget the absurdity of them ending up like a Futurama president.

There is a lot more to this article that you left out that provides very important context. The state health department is imposing really quite reasonable regulations on the birthing centers for the health and safety of the mothers. Some of the requirements include formal nursing education for midwives (who can otherwise calls themselves midwives after taking barely-regulated online courses), proximity to a hospital that has obstetrics and pediatrics in case of emergency (must be within 30 minutes by ambulance), and building requirements that allow for things like ADA compliance and appropriate medical facilities at the birthing center.

The article does also address the significant systemic problems that mothers, particularly black mothers, face in many hospital settings, as well as the black maternal fatality rates. While these issues are important to discuss and address, inadequately staffed and equipped birthing centers 45 minutes away from the nearest hospital by ambulance are not the answer here. In my professional medical experience working in such a hospital, I've seen transfers from birthing centers like the ones discussed in the article that were unable to address maternal uterine hemorrhage and neonatal hypoxia. Luckily, they were close enough to proper hospitals that could care for the mother and newborn, but if they were 45 minutes away by ambulance, the mother and newborn very likely would have died.

It depends on why they don't pay attention to politics. Personally, I kind of have to go ostrich-mode and bury my head in the sand when school gets stressful because I just don't have the mental bandwidth to deal with both. I'm not going to judge someone too harshly for protecting their mental health from the absolute shitshow that is the American political landscape.

PS: This is not to say that any degree of modern conservatism is okay. Bigots can go fuck themselves and I'd be out punching Nazis and being a medic at protests if it didn't jeopardize my future so significantly. (Felony convictions make it really hard to get a medical license and I have to pay off my student loans somehow. Besides, I'll be in a much better position to make a meaningful difference as a physician than as a heavily indebted student or EMT.)

Elective limb amputations, probably.

Where's this independent review board so we can strip them of all authority? The crimes and abuses this project has committed against animal subjects should have gotten it shut down a long time ago and the PI brought up on animal cruelty charges. I do not envy the neurosurgeons and trauma surgeons who are going to have to try to save any of the human participants.

That is an insult to the Muppets and the memory of Jim Henson.

Yes, the AP tests are standardized at the national level.

I looked up the procedure they were doing, a TVAR, and most institutions require a cardiac or cardiothoracic surgeon to perform the procedure or at least be involved with it. The accused here has a fellowship in interventional cardiology which covers more basic catheter-based procedures like stents; but valve replacement, even trans-catheter ones, are almost always handled by proper CT surgeons.

The great part is: the medication to treat this during pregnancy is one (1) dose of Penicillin G given as an IM injection that costs about $50 on the outside. So for the price of routine pre-natal care that women should be getting already plus an extra fifty bucks, we can prevent tens of thousands of dollars in extra medical costs and avert the possibility of stillbirth, peri-natal death, and lifelong disability from congenital syphilis.

He accepted "no" for an answer the first time without any argument or attempt to coerce, listened when I explained why the answer was "no", and offered comfort and sympathy in response to the reasoning with no expectation of the answer changing.

It's probably inadvisable. There's enough possible bacterial or viral GI diseases that can get picked up that way that it's just not worth the risk.

Biden's new SAVE plan is set up so that any interest not covered by your IDR payment is not capitalized. It would probably also be worth your while to look into the forgiveness plans and terms because you might be able to reduce how much you owe based on previous payments.

Speaking as a former ER Tech and medical student, doctors are the most likely to just "forget" to bill for the random bullshit that admin wants tracked to an obscene degree. There are some ERs (mostly HCA run ones) that have to scan your patient barcode and the cabinet to track giving you an ice pack. I've really only worked in community hospitals and intend to keep it that way, and doctors are the most likely member of a care team to just do whatever is necessary and fail to document it. I've also seen doctors down-code visits and procedures to make it easier to get insurance to pay for things.

PS: I'm intending to go into emergency medicine and/or critical care at community safety net hospitals or critical access hospitals and I will raise hell to increase the number of social workers in the department to help patients get the resources they need.

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.

The issue is that conservative, bigoted people don't view their hateful ideologies as political. They speak negatively of marginalized groups as if their opinion is banal fact instead of inflammatory hatefulness. I'm a middling Millennial and I've had Boomer and Gen X managers that spout misogynistic, homophobic, transphobic, and racist bullshit like they're talking about the weather. Sometimes I called them out, and other times I kept my head down and just got out of the situation, but the steadfast way they hold on to their bigoted beliefs leads them to see their opinions as non-political and any disagreement as obscene and unacceptable.

I highly recommend the six part mini series Robert Evans did called "Behind the Police" as a subset of his "Behind the Bastards" podcast.

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.

Holy buckets this is bullshit. I used to really like Trader Joe's; their products are pretty high quality for not outrageous prices...but I can't stand anti-union bullshit like this. I guess I need to really restrict my grocery shopping to pretty much just Aldi and Costco in terms of companies that seem to treat their employees reasonably well.

So it's more like "grandparents' rights" without having to admit that they screwed up somewhere along the way that lead to them being grandparents in the first place.

Let me try to put this in a different perspective. First: Gaza has an average age of about 19 years old, and a bit more than half of the population is under 18. Second: there was a Reuters report and video yesterday about how the cemeteries are full so people are burying their loved ones in donated vacant lots with cinder blocks and bits of rubble as gravestones.

To emphasize and clarify the point: half the population is children and they've run out of space for more graves.

Unfortunately, the medications that help with alcohol withdrawal are somewhat dangerous in their own right and need to be fairly tightly controlled. Delirium tremens (the shakes) from withdrawal are usually managed with benzodiazepines like Valium for emergent use and Ativan for prolonged control. The other main maintenance drug for alcohol withdrawal is Librium, and that one is also a benzodiazepine. It would be amazing if there were safe OTC options, but because of the serious damage alcohol does and the dangerous nature of withdrawal from it, it really needs to be closely medically managed. Opiate withdrawal sucks....alcohol withdrawal can very easily kill you outright.

As a former healthcare support staff professional and current medical student, I want you to know that I hate it just as much as you do. I can't make any explanations for that GI, but my least favorite part of medicine is when there isn't a good answer, or enough time, or the right treatment is just too expensive...I hate it when the capitalist bullshit medical system gets in the way of actually practicing medicine.

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

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.

They also have access to more reputable sources like UpToDate and PubMed when they need to look stuff up.

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?

Early 30s woman, married without children, and in grad school.

With a lovely red wine reduction glaze made from the obscenely expensive wine they probably have stashed on their yachts and a side of lobbyist paté on toast.

When you're talking about getting food, fuel, and water to more than 2 million people, air drops are not going to be remotely sufficient. Convoys of full size trucks might not be enough. 2 to 3 liters of water per person per day adds up really fast.

Edit: Just for fun, I looked up the capacity of tanker trucks to see how many they would need to get enough drinking water to the civilians in Gaza at a rate of 3 liters per person per day, assuming a population of 2.3 million and a tanker capacity of 60k liters. (Keep in mind, this does not account for water needed for hygiene or food preparation, etc.) It turns out that they would need to bring in 115 tanker trucks a day to keep the civilian population supplied with adequate drinking water. Or, y'know, Israel could turn the water back on.

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.

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.

Personally, when I'm doing direct patient care, I want as much of me covered as I can tolerate. Like, yes, it sucks horrendously doing CPR in full isolation gear, but I'd rather have that than have fluids touch my skin anywhere.

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.

The one I wish I could forget is the Clarissa comic about the little girl that is being horribly sexually abused by her father and everyone around her either knows and pretends that they don't, or just refuses to see the truth.

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.

I'm keeping my reddit account alive for just a handful of subreddits because there aren't really equivalent communities here or elsewhere.

It's definitely a short term coping mechanism, but it can help you stay steady until your appointment: try to just go through the motions. Just stick to routines, and try not to think about much of anything. Mundanity can be an effective tool in this situation, and once you meet with the grief counselor, you can work with them on how to deal with this moving forward.

I want to be very clear though: I am suggesting a short term survival mechanism until you can get professional care. This is not a healthy long-term solution and should not be considered as such.

Eh, for some significant trauma, the ambulance is better because they know which hospitals are equipped for the emergency in question and which hospitals have resuscitation or trauma bays open. They call ahead too which also allows for the ER staff to prepare and have people standing by to receive you.