wittyreference

Joined 6 years ago

Karma
1,458
Submissions
222
Member since
Jul 5
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Recent submissions

Comment · 5 years ago
Because it’s bad to be stupid. People are ashamed to be stupid because it’s a shortcoming. There is no world in which we can value a trait (intelligence) and not feel proportionately bad about its crippling deficiency. Pretending otherwise is some combination of being purposely obtuse and condescending.
Comment · 5 years ago
“Do no evil” is idealism. “Don’t undermine our marketing to grab data assets that don’t align with our business model” is cold self-interest.

I have much more faith in a company staying true to the latter. Not 100% faith, because their assessment of what business model to pursue can change, but it’s certainly not comparable in flakiness to corporate idealism.

Comment · 5 years ago
Yes.

As a physician, I wish more folks appreciated that “disability” is a property of the relationship between a person and their environment, and can emerge (or disappear) based on changes in that persons capability as well as changes in their environment.

For an obvious example: a patient with reversible heart failure can’t walk without severe shortness of breath today, but they can in three months. Today they need disabled parking; three months from now they do not.

Comment · 5 years ago
As an aside, for future potential markets: powerlifters have the same sort of needs/problems around chalking for grip.
Comment · 5 years ago
Same question. I’m a lifelong NYer, and a metro card has never failed in me in use or in structural integrity. I tend to replace them every five years or so for eventually /losing/ them, but that’s it. What more could you ask for?
Comment · 5 years ago
In my advanced cardiac life support training, an EMT once put it this way (addressing some nerves at being responsible for a critical life or death event):

Their heart is stopped - they are dead. You can’t kill them any more dead, you can /only/ bring them back to life. So what’s to be nervous about?

Don’t pick it apart. It’s not hard to pick apart. But thinking about it that way really does help take some of the pressure off and let you focus on doing the deed.

Comment · 5 years ago
I was briefly interested, until I found that full access as a physician requires using a Facebook account to prove identity. Thanks, no thanks.
Comment · 5 years ago
Any bank at which you are a customer will notarize documents for you for free.
Comment · 5 years ago
> A problem with modern psychology is the diagnostic criteria aren't very much based on underlying causes as on being able to reliably diagnose patients based on symptoms regardless of physician. This leads to people agreeing what your diagnosis is

That is true. The groupings persist because they are useful in facilitating communication regarding potential complications, prognosis, and patterns of response to treatments.

People seem intent on throwing away the above utility with a backhanded “but that’s not the Real Diagnosis.” It’s not, but within the limitations of our current understanding of neurology, it’s the best we have come up with so far (allowing for some limitations due to the pace of spread of innovations, politicking, etc.)

Comment · 5 years ago
I don’t really know why this prompted straight up downvotes. These are the exact concerns voiced in multiple Nature articles over the past decade or so.
Comment · 5 years ago
They comprise a large percentage of the caloric intake of a lot of bird species, which are already fragile due to ecosystem fracturing. This could result in a hit to bird populations - and if the mosquitos adapt and rebound, the birds are unlikely to rebound nearly as quickly, allowing for a potential enormous boom in total mosquito population.
Comment · 5 years ago
Neuronal glucose uptake is via transporter GLUT1, which is insulin independent. Insulin-dependent glucose uptake is primarily GLUT4. Even in insulin absence, the brain gets its sugar.
Comment · 5 years ago
Serotonin syndrome is due to an excess of serotonin almost exclusively due to serotonin agonists. Seizure is pretty rare - it produces stuff that looks like seizure (myoclonus, tremor, delirium), but actual seizure is only seen in SS so severe that it’s usually fatal.
Comment · 5 years ago
Do you have any sort of citation for this? I’m not trying to be snarky, I’d really like to read more.

My understanding of the med lit is that bipolar and epilepsy aren’t particularly associated, and pure BD in particular is a rarity - when epileptic patients were assessed for BD symptoms, they were mostly only found in the confusional states pre- and post-seizure, which isn’t BD at all.

At least in my hospital, the most common way we get BD patients hospitalized is either during a severe depressive episode, or when their mania results in violence or law-breaking. We do sometimes have patients land on our floor whose first presentation was seizure, but that’s after they’re assessed by neuro and found that it was pseudoseizure (factitious seizure).

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