medgremlin

joined 1 year ago
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[–] medgremlin@midwest.social 2 points 5 hours ago (1 children)

Peanut butter, nice bread, and hoarding shiny little trinkets.

[–] medgremlin@midwest.social 2 points 18 hours ago

I have my suspicions about how they calculated that and there was a bit in there about how freeze-dried coffee has the most fiber in it. I think it is much less than they are claiming for most of the preparations that people usually consume. Don't get me wrong, there are definite social and ritual aspects to coffee that aren't replaceable, but this trend of trying to insist that everything has some kind of physiological health benefit is seriously misguided. If you want a hot drink with actual proven health benefits, plain green tea without sugar or milk or anything is your best bet.

[–] medgremlin@midwest.social 14 points 1 day ago

Did anyone else see this headline and immediately jump to Ghost in the Shell?

[–] medgremlin@midwest.social 4 points 1 day ago (2 children)

"0.47 to 0.75 grams". The daily recommendation for fiber is 25 to 30 grams. You're better off with a caffeine pill and some oatmeal.

[–] medgremlin@midwest.social 1 points 1 day ago

Organ transplants for infants typically come from other infants. The ones that have organs to spare are the ones that are functionally dead for other reasons. I used to work at a children's hospital in the ER and I've seen multiple infants end up brain dead from trauma and someone had to ask the family if they would donate their child's organs to save other children.

[–] medgremlin@midwest.social 4 points 1 day ago

I didn't say they paid no taxes at all, but I was explaining how the bottom 50% of earners in the country pay very little, if anything. The 19.3% is the bottom 19.3% of earners in the country, not a percentage of the bottom half.

I would argue that if you get everything (or most of your withheld taxes) back on your return....that means that you effectively didn't pay federal income taxes or paid very little. If you get most of your withholding back every year, you could look at how you filed your exemptions on your I-9 and increase the number to the maximum allowable. I know some people that put the maximum allowances so that no federal tax is withheld from their paycheck and they just pay the balance at the end of the year when they file their taxes instead of getting a return.

[–] medgremlin@midwest.social 4 points 1 day ago

For Youtubers, I wish H. Bomberguy would post more often because I've seen him cited as some people's animus for de-radicalization. Abigail Thorn of Philosophy Tube was another good "male role model" prior to her transition and a lot of viewers commented about how she gave them a better model of masculinity to emulate (particularly ironic as she turned out to be trans). I think FD Signifier is a good example for young black men in particular, and Devin of Legal Eagle is a fine example of a successful professional for those that are more business-minded.

[–] medgremlin@midwest.social 10 points 1 day ago

They just try to slide it under the radar by not showing the taxes on your payslip because you're more likely to look closer at that than your receipt from the grocery store.

[–] medgremlin@midwest.social 16 points 1 day ago (2 children)

And that's not even getting into state income taxes, Medicare taxes, and Social Security taxes. Those all have different brackets and some states are more regressive than others. There are states like Texas that don't have income taxes, but they make up for it by taxing everything else through things like sales and property taxes.

Of note: sales tax is always the most regressive taxation model, and tariffs are basically sales taxes on steroids.

[–] medgremlin@midwest.social 6 points 1 day ago

For something very relevant to health: cooking, knowing how to measure food, and how to read a nutrition label. Obesity would be much less common if people were able to cook their own food more often, and knew how to actually measure out accurate portion sizes.

I totally get that time, upfront costs like cookware, and access to decent ingredients are MAJOR factors in whether or not someone can learn how to cook, but anyone can and should know how to read a nutrition label and know how to measure accurate portion sizes for the things they eat. If you are trying to lose weight or work on healthy habits, a food scale is infinitely more valuable than a body weight scale. Most people do not know what 28g of chips looks like.

[–] medgremlin@midwest.social 19 points 1 day ago* (last edited 1 day ago) (7 children)

The bottom 50% of Americans make less than $40k a year. They do pay some federal taxes, but with the standard deduction, the 19.3% of working Americans that make less than $15k a year don't pay any federal taxes. The standard deduction goes up to $22.5k for a head of household (i.e. a single working parent). Given that the federal minimum wage still works out to $15,080 a year, that means a full-time minimum wage worker doesn't make enough to get hit with income taxes.

Edit: Here's a wikipedia article with the numbers I pulled and the tax bracket info is on the IRS website: https://en.wikipedia.org/wiki/Personal_income_in_the_United_States

[–] medgremlin@midwest.social 1 points 1 day ago

He posted this to his own instagram page. He's been unable to train at all for about 6 weeks during the surgery recovery phase. He has a video on youtube talking about his experience with surgery. But, as you'll see in the comments from various physicians and other healthcare professionals, he actually had a particularly bad experience and there were some problems with the way the surgeon and the anesthesiologist handled things. I used to work in a plastic surgery clinic and I was appalled at what he described.

I think it's really good that he's open and honest about his steroid usage and about the realities and reasoning for his surgery. It's probably good for folks overall if they get an honest perspective from someone who has done these medical adjuncts to body building as opposed to only ever listening to people who haven't had problems and have never done steroids. (And the chumps that lie about their steroid use and surgery can go kick rocks. Fuck them.)

 

I'm a 3rd year medical student and I've already been caught off-guard a few times by the WILD medical misinformation my patients talk about, and figured that I should probably get ahead of it so that I can have some kind of response prepared. (Or know what the hell they've OD'd on or taken that is interfering with their actual medications)

I'm setting up a dummy tablet with a new account that isn't tied to me in any reasonable way to collect medical misinformation from. I'm looking at adding tik tok, instagram, twitter, reddit, and facebook accounts to train the algorithms to show medical misinformation. Are there any other social media apps or websites I should add to scrape for medical misinformation?

Also, any pointers on which accounts to look for on those apps to get started? I have an instagram account for my artwork and one for sharing accurate medical information, but I've trained my personal algorithm to not show me all the complete bullshit for the sake of my blood pressure. (And I have never used tik tok before, so I have no goddamn clue how that app works)

 

I wrote an essay (with sources! and data!) about what cutting Medicaid actually means because people don't have good perspective on it.

 
 

I'm working on creating a little social media presence for medical communication and education, and that includes a little substack where I've been posting some essays on my experiences in medicine. I would really appreciate any feedback folks have to offer or suggestions for topics that might be interesting to read about.

(I'm holding off on posting some of my spicier opinion pieces until I've graduated from medical school and gotten into residency, but I do try to be candid in my writing.)

 

I really have no idea what we can do as medical professionals to protect our pregnant patients. I try not to be pessimistic, but if H5N1 becomes another pandemic, I'm not very confident that Trump or those of his ilk in other countries are going to do anything useful about it.

This is a very small case series, but there aren't that many cases to study (yet). I still find it to be very concerning, even if it is a very small sample size.

 

I'm currently on my pediatrics rotation and on my first day in clinic, I had about 40% of families decline vaccinations. For the last visit of the day, the patient was a 3 week old coming in for her newborn followup and her parents said that they were against all vaccinations.

I asked them to tell me what their concerns were and spent an hour debunking conspiracy theories and answering all the questions they had. By the end of the discussion, they agreed to look at the CDC fact sheets for the recommended childhood vaccinations for the first year of life and said they would look at doing a delayed vaccination schedule at least. They wanted specific numbers and data about complication rates, but I didn't have that on hand. They seemed okay with my explanation that the data is everyone walking around that got all their childhood vaccinations and are doing fine.

Now, as a medical student, my time is basically worthless and I can absolutely sit there for an hour and answer questions, but I won't be able to do that in practice. I'd love any suggestions on how to compress that discussion (or confirmation that I'd just have to schedule those appointments at the end of the day and spend the hour.)

 

cross-posted from: https://lemmy.world/post/23719065

Summary

ProPublica investigates health insurers’ reliance on controversial doctors to deny mental health treatment.

Highlighting Emily Dwyer’s case, it details United Healthcare’s rejection of coverage for her anorexia treatment, despite evidence she was gravely ill.

Courts have criticized insurers for “arbitrary and capricious” denials, with judges pointing to factual errors and dismissive reviews by company-hired psychiatrists.

While some families, like the Dwyers, fought back in court, most lack resources to challenge insurers.

Critics call for reforms as denials often worsen health outcomes and highlight systemic issues in mental health care access.

 

Folk music/bluegrass has a long history of producing very poignant protest music, and this song/artist is no exception. The song does a good job of conveying a quick summary of where we are and how we got here (and it's a delightfully catchy tune!)

This might be a good thing to share with folks who aren't quite getting the message as it's a pleasant way to share the information and is less than 2 minutes long.

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submitted 5 months ago* (last edited 5 months ago) by medgremlin@midwest.social to c/medicine@mander.xyz
 

cross-posted from: https://midwest.social/post/20278273

This is a great article written by Robert Evans of 'Behind the Bastards' fame that goes into Luigi's background, social media presence, and apparent ideologies.

We all have had patients with chronic pain, we all know someone with chronic pain, and some of us unfortunately have chronic pain. We know how horrible it can make someone's life, and how much worse life can be if your insurance just keeps denying anything that could help.

Edit: Here's a link to what is most likely the real manifesto: https://www.kenklippenstein.com/p/luigis-manifesto

Ken Klippenstein is a very reliable journalist and this version of the manifesto contains the snippets that have been released by law enforcement. Also, considering the thing was hand-written, that very long version involving his mom is dubious. (And there’s not any good evidence that his mom is in anything besides decent/good health)

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