senortumnus

Please do this, for science!

That’s interesting. Leftover from industrial era? Any specific contaminants that you would expect to find in the city soil?

Fwiw this is not typical, we don’t have alexa/siri type smart devices in any OR I work in, and suction is turned on off with a button and a dial.

Yes they are describing NPs and PAs. MDs are the PhDs of the medical world. Don’t get me started on “DNPs”

Surgeon here, in private practice. Agree with the article - all the stressors he mentions are typical of both residents and staff physicians. The hour crunch for me is better post residency but overall the stress is unchanged. Probably higher after training with the added responsibilities & risks.

My sense is that the field developed in the era of independent/private practice, where the grueling hours worked was justified by high pay and minimal bureaucratic/administrative burden. Add decades of stagnant/falling pay plus death by a thousand administrative cuts and the profession no longer justifies the difficult working conditions as convincingly. Some practices are still good, others terrible. Look at the rate of physician turnover to see which is which.

Oh and the “provider” discussion is worth paying attention to. Your doctor has this calculus worked out - years & energy invested, work environment & income expected, then the only viable option in your city is to be employed by a large hospital system (because hospitals get paid at least double for the same work, outcome is as expected.) But wait there’s more: you are now called “provider” by your large hospital employer who hires 2x NP employees to do the “same” work as you and pay half. Guess what direction the pricing pressure is going. In the future expect few MDs to stay in primary care because the system does not support that path. Specialty training is the future for MDs who invest time, energy, & money to excel in their field.

Termination Shock plot device

Is there something unique to your application beyond the parameters I’d expect are typical for mech keyboard use? Buy one, use daily, and expect to work indefinitely?

We live in America. We have an old house (>100 yrs). One bathroom had a tub. We renovated the bathroom to incorporate a shower head. Turns out we couldn't purchase a new tub that fit the old dimensions, as new tubs are smaller, reportedly to meet new efficiency standards. So we had to frame in a smaller recess to fit the new, smaller tub. Wah wah, I guess the answer is, old tubs used to be more adult sized, and new ones aren't because of efficiency / climate change trends? As others have pointed out, you can still get big tubs but they're more like jacuzzi or whirlpool types that take up more space.

And government protections / mandates toward that end or masquerading as being toward that end

Curious paragraph at the very end of the NYT’s article on this:

“ On average, it takes 28 flights per week to cover a 1,750-square-mile region, according to the state Food and Agriculture Department. To combat the Leimert Park outbreak, officials said they would divert two flights per week to target the affected neighborhoods.

Strict procedures are now in place to prevent another accidental release of fertile flies, Dr. Leathers said. “We really need to make sure there’s a lot more sterile flies out there, than the wild flies,” he said, “to make it more likely to work.””

Thats the end of the article. No mention of accidental release of fertile flies elsewhere in the article. Article burying the lede?

Odd question but are you reading Algorithms to Live By? This quote & a related anecdote features in the book. Or maybe this is just a really famous Knuth quote.

Proto hipsters in a good way