rgejman

Joined 17 years ago

Karma
672
Submissions
186
Member since
Dec 26
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Recent submissions

Comment · 4 years ago
The problem from the perspective of many Jews (including myself) is that these kinds of protests and protestors tend to focus on Israel to the exclusion of any other state. Where is the protest of Google's relationships with dozens of other countries accused of major human rights violations? The double standard when it comes to Israel calls into question the motivation behind the protest and makes many Jews reasonably wonder if it is actually anti-semitic (even when coming from fellow Jews).
Comment · 6 years ago
Comment · 6 years ago
Emails from a stamped individual could be "whitelisted" so as to no longer require a stamp to show up in your inbox. For instance, the first time you get an email from Amazon Prime (which they pay $0.001 cent to send), a box shows up saying "add this email to a whitelist so they don't have to spend money emailing you?"
Comment · 7 years ago
I remain cautiously pessimistic because there are two main possibilities: (1) there is one product (or a series of products manufactured/purified in the same way) that causes respiratory failure in many or all users, (2) all vaping products have a low level risk of causing respiratory failure. I don't think there is enough data to make a conclusion yet, but I am worried this will end up being a low-level persistent problem with vaping products—bootleg or not—for the rest of our lives.

Maybe the culprit truly is dirty oil based extraction of THC... but if so, that will remains a problem for as long as there is no regulation of the official market as well as an operating black market.

OTOH we may end up with a situation like we have in the world of muscle builder / hormone supplements where most people are fine but some users get really sick (e.g. deer hormones sold at regular stores causing severe kidney injury), but not enough of them get sick to get the CDC/FDA involved. I've seen those cases in the hospital and the patients are always confused as to how this could happen because they got the supplement from a vitamin store.

With respect to some of the European posters below who have been using vape products for years: I would not be surprised if there were health consequences to those devices that had not been identified in Europe. The US has one of the best disease identifying-apparatuses in the world (the Centers for Disease Control) and a tradition of surveillance and reporting that is unparalleled. If a substance is harmful to health, it's got a better chance of being found here than anywhere else.

Comment · 7 years ago
True, true.
Comment · 7 years ago
Is uber just an elaborate vehicle designed to redistribute wealth from investors to cab drivers and computers engineers?
Comment · 7 years ago
Suggestions: an option to only show open/active applications.
Comment · 7 years ago
This situation happens in EDs as well. For example: ED attending thinks admission is warranted but patient does not meet criteria (“please come see the patient because he/she looks worse than labs suggest”). This is why the ED exists and the correct move here should have been for the NP to send the patient to the ED for evaluation instead of relying on the opinion of an MD over the phone. The physician at the hospital should have suggested this as well—but to think that the MD is culpable for malpractice without laying eyes on the patient is lunacy.
Comment · 7 years ago
Where does it say that? This NP was practicing independently and the Fairview hospital has an ED. There is no reason that if the NP was concerned she should not have sent the patient to the ED.
Comment · 7 years ago
I haven't done a deep dive here... but this makes no sense for multiple reasons.

1. It will have a chilling effect on physicians giving informal ("curbside") consults to colleagues. That leads to worse patient care overall. For instance if your doctor doesn't know what's up with you, he/she may not be able to curbside consult phone a colleague to get a 2nd opinion. This happens all the time in medicine and is one of the advantages of being at a medical center with lots of doctors: you can double check weird cases with your colleagues.

2. Direct admission to the inpatient ward are no longer common because outside physicians don't run hospitals anymore. Hospitals are run by teams who specialize in inpatient medicine -- and they almost always function best if the inpatient admission is preceded by an ED visit because the ED can rapidly get tests, imaging and collateral to figure out what's wrong—and if the problem needs inpatient management or not. Direct admissions, in bypassing this step, often put patients at risk by skipping the rapid information gathering process that the ED employs.

The "admitting privileges" they discuss in this article are a relatively meaningless and outdated practice in medicine today (with certain exceptions, such as obstetricians and some other surgeons).

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