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.

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.

I'm going to print this out and carry it like a pain scale for working the ER when I'm done with medical school or make something like it. Thank you for sharing this.

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 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.

It's a combination of shortening their torsos and stretching the legs. The arms are proportional in width, but they go too far past the hip.

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.

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.

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

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.

Enforce zoning regulations and apply rental laws or hotel regulations to Air BnBs. If you make them actually follow the rules, it suddenly becomes vastly less profitable.