vanc_cefepime

Joined 6 years ago

Karma
305
Submissions
57
Member since
Jun 14
Et tu, Brutè?

MD/PhD

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Recent submissions

Comment · 22 days ago
[1] https://news.ycombinator.com/item?id=49028037

[2] https://discuss.privacyguides.net/t/privacy-concerns-regardi...

Bought out by private equity. I've moved my domains to Hover when I found out from that Hacker news thread before any of the enshittification affects me.

Comment · 22 days ago
[1] https://news.ycombinator.com/item?id=49028037

[2] https://discuss.privacyguides.net/t/privacy-concerns-regardi...

Bought out by private equity. I've moved my domains to Hover when I found out from that Hacker news thread before any of the enshittification affects me.

Comment · 3 months ago
I would like to know too. I purchased a OLED Alienware monitor back in 2022 when they first came out. Ive had a Linux/Windows dual-boot system but around 2023-24 I erased my Windows partition.

My uneducated guess is that it would be pretty difficult for something like this to autoinstall on linux without your permission. They can "recommend" you to install their app, but just plugging it and getting adware/malware, I hope it would be difficult.

Unlikely for any brand out there not to do this. Samsung will do it eventually if backlash isn't bad with this one with Alienware/Dell/LG. Maybe Benq, viewsonic, monoprice? I dont trust Asus not to do it either.

I have a LG TV and never connect it to Wifi. Never did I think just plugging in a HDMI cable would do this.

Comment · 4 months ago
Comment · 5 months ago
1. It’s unpaid, short answer. Not part of your visit, usually a visit code is just one time based code for everything you provided and maybe a procedure if you did something like ear flushes, wart burning, quick wound fixes, etc. Long answer below.

If there’s a billing code for it, I’m not aware of it and frankly I shouldn’t have to use it. For providers, it’s part of their “administrative time” which used to be a full day of catching up. In most hospital or insurance-owned clinics, that admin day is gone. You now do this during your lunch break and anytime you can squeeze a phone call. Fun fact, in the hospital, these peer to peers are at the mercy of the insurance company and only give you 24-48hrs to do it, so the hell to the overworked provider and their schedule, again this is exactly what they want. A overworked provider who doesn’t have the energy to fight. Providers are so overworked, they no longer can you catch up on charts and hence why the patient-provider relationship has eroded and become so cold when you see your provider just typing away instead of focusing on you.

2. Fight. Appeal your denial. Make sure your provider does the same. Follow this: https://news.ycombinator.com/item?id=48126000#48128288 Can’t speak to all providers, but most of us are good people trying to do their best to help people. Few bad actors out there give us a bad name, but every field has good vs bad. It’s not right to make hasty decisions based on legitimately a few bad providers out there because of their greed, corruption, fraud, etc and lump everyone to prove they’re not fraudsters. Your basic primary care physician/NP/PA or surgeon isn’t the problem. It’s the conflict of interests of the health care industry, private equity groups, etc who create these issues, exploit the system and make it a breeding-ground for fraud/etc then complain that it needs to be fixed with more middle men.

Comment · 5 months ago
“The algorithm cannot say no, however. If it finds problems, it sends the request for review to a team of in-house nurses and doctors who consult company medical guidelines. Only doctors can issue a final denial.”

As a physician, I’ve had to speak to these so called “peers” in a peer to peer denials with both my clinic and hospital setting. They are usually people who aren’t physicians as a first line of their defense, ie therapist, nurses, etc. This weeds out the providers who either don’t care about the patient denial and blindly accept the denial, or patient has to take matters in their own hands just to get the care they need/deserve. Or worse, in the hospital that means the patient gets hit with a huge bill (already an insane number in the US even with insurance, so don’t get me started on this) or it gets delegated to another provider who has to deal with it. Quite often patients get denied medical and rehab services, esp after something debilitating like a stroke, trauma/accident, etc. and at that point the peer to peer is to weed the provider out. Usually someone will tell the patient you’ve been denied, either go home without the services they need or you fight it.

I fight it. Can’t count the number of times I’ve spoken to someone not in the field of medicine or if they are, not my field of medicine (both Family/Hospital Medicine). Often I’m fighting with an MD or “practitioner” who is some other field like a gynecologist about hospital medicine services or rehab. I’ve even had the pleasure of talking to a physical therapist and didn’t let me get a word in as we began the peer to peer. I now start of by asking for their credentials and field of speciality and demand a peer of my field to do the denying if they are so adamant about it “not being medically necessary”.

I have so much to say and could write a book about it. I just wish I had the money and connections to actually change the state of US of Corporate Medicine.

Comment · 6 months ago
I distro hopped for a while and settled on Linux mint. Uses flat packs. Hits the spot for easy to use and easy to maintain without needing to use terminal scripts to get things my way. Just my opinion.
Comment · 6 months ago
I am the same, used Little Snitch for a few years back in the late 2000s, I think like 2010 until a few years back when I moved fulltime to Linux. Back then, my parents had an iMac and I was the designated "IT" person to keep it running efficiently. My siblings had a bad habit of installing games and hack software on it for their games. I ended up purchasing a license and after the first few hours/days of configuring allow/block lists, it worked pretty well. It earned the label of "Little B*ch" from them since it would stop their gaming hacking apps from connecting and wrecking havoc. Eventually I learned to keep them on a standard user account and separate admin for installing software.

Long story you didn't ask for. Like I said, I haven't used Little Snitch in a while. I'll give this a whirl this weekend. What I have done over the past few years is run AdGuard Home on a min home server. This has helped keep ads undercontrol in our hoursehold and I have an easy "turn off adguard for 10 mins" in homeassistant for the wife so she can do some shopping online since it can occasionally break some sites, but overall they tolerate adguard and think it's a good middle ground. I have a few block lists, nothing too crazy or strict to avoid breaking most sites. On the desktops/laptops, they all run FireFox w uBlock origin.

Comment · 7 months ago
"Dye also contributed greatly to the design language of iOS 7 in 2013. In 2015, Dye became the head of Apple's user interface design team. In 2022, he played an integral role in the creation of the Dynamic Island, a feature on iPhones and then in 2025, he led the design of Liquid Glass."

Left for Meta in Dec 2025. Hopefully things normalize a bit? Wishful thinking, I suppose.

Comment · 8 months ago
What blogs do you subscribe to for tech stuff in your RSS feed? I still have Ars but I have to weed through a lot of stuff like the political articles. Really like just pure tech like how it used to be with the old Anandtech.
Comment · 8 months ago
Just the people’s choice, right? They voted for this government policy, right???!? https://www.coloradopolitics.com/2025/10/22/denver-mayor-ext...

>> “I was stunned to learn late yesterday that after convening a task force of local and national experts, Mayor Johnston has been negotiating secretly with the discredited CEO of Flock Safety and signing another unilateral extension of this mass surveillance contract with no public process and no vote from the City Council or input from his own task force,” Councilmember Sarah Parady told The Denver Gazette.

Comment · 9 months ago
Comment · 9 months ago
I added google.com and it spit out https://twitterDOTc1icDOTlink/install_Jy7NpK_private_videoDOTzip

Interesting that it spit out a .zip url. Was not expecting that so I changed all the “.” to “DOT” so I don’t get punished for posting a spammy link despite this literally being a website to make links as spammy and creepy as possible.

Comment · 9 months ago
Outside transfer switch and a 10-20kw portable generator is like $4-5k. It requires manual switching but it works for us in our hurricane-prone region. Helped with last years 1 in a 100 year winter storm in our southern region.

Battery/solar doesn’t make sense in my opinion. Too many years to break even like this parent comment said and by the time you break even at 10 years, your system either is too inefficient or needs replacing. At least with the portable generator, you can move it with you to a new home and use it for other things like camping or RVing.

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