keane
keane on Hacker News
I didn't realise they were owned by private equity.
"So what?" The shortsighted protectionism in 1910 and 1997 put them into the eyes of political scientists and ideologues and, before AI, there was talk of addressing the shortage using graduates of foreign schools and scope increases for mid-level providers:
https://www.politico.com/agenda/story/2017/10/25/doctors-sal... Now, if something radical doesn't change, the shortage will probably primarily be addressed by increased private equity corporatization of medicine and AI-assisted diagnosis (made politically possibly by the retaining of concierge practices for the wealthy). This started with someone saying "we should have several times as many doctors" and, whether those are US trained or foreign (NHS trained?), the likely result is physician wages and power will fall. America was kind of designed to be controlled by the professional class, rather than landed aristocrats, so this will contribute to the ongoing reshaping of the country.
You're citing an AMA public relations campaign to retain public funding of residencies but I'm not sure anyone here is arguing that it should be cut. The AMA made public statements holding the same position about increasing funding and removing the 1997 residency caps in 2006. And yet notable academics since 2006 still have suggested (eg, the books in 2017 and 2020) that the profession, ie the membership of the AMA, presumably even with this formal position taken by their association body, is behaving in a protectionist manner. Either way, part of the argument is that physicians' documented earlier collective behavior (old boys club), suspected ongoing culture, and inherent economic interests, are still causing present and future problems.
Your first paragraph is correct but the second doesn't necessarily follow as there's other disease inflammation that resembles gluten sensitivity like that caused by Giardia. See the discussion here on an instance of giardiasis:
https://news.ycombinator.com/item?id=41855307There's also things found alongside gluten like arabinoxylan which promotes the growth of certain bacteria like prevotella. At this I should mention that a possibly helpful daily breakfast to address digestion issues (with both prebiotics and probiotics) is greek yogurt + frozen blueberries + chopped walnuts. Source: https://www.northwell.edu/news/insights/are-blueberries-good... (see also doi:10.3390/nu10020244, doi:10.1016/j.jnutbio.2017.07.001, doi:10.1002/mnfr.202300096)
Congratulations on this release!
Would depend on jurisdiction, but set the upper range on the year slider to 1930 for an approximation.
No affiliation but I've been enjoying using the combination of OTC products recommended by Dr. Ellie Phillips: xylitol + CloSYS Ultra-Sensitive rinse + the cheapest Crest toothpaste + Listerine + ACT anti-cavity. She has a really interesting and I think non-typical educational background:
https://drellie.com/about/Note: other posts here have mentioned some of the medical concerns regarding xylitol so you'll need to do your own research and weigh risks but this suggested combination could be a place to start
MARCH is used by some systems
If you want to learn CPR, the Disque Foundation allows you to take the class for free and attests to be aligned with the current ILCOR protocol (you might catch minor discrepancies). Before you pay them though, know that for certification institutions generally require an AHA or ARC issued certificate.
CPR: https://disquefoundation.org/cpr-first-aid-aed-certification...
BLS: https://disquefoundation.org/bls-certification-renewal/
To become certified, you can do the AHA HeartCode adaptive class online in about an hour, followed by a 10 minute skills test on a Voice-Assisted Manikin. The manikin simulations guide you with incredible feedback on depth and rate and have come a long way from the old style of dummies. Conveniently, these are in self-serve stations across the country (often in an office space near your local hospital that you let yourself into with a combination code).
Also, some of the more useful learning tools are the animated visualizations showing the physiology involved such as https://youtube.com/watch?v=9QPwrVIBMvY — these help learners conceptualize how the first few compressions are not effectively circulating blood but are instead building up pressure (which helps them understand why continuous compressions are considered by healthcare professionals when there is not yet an advanced airway and used after there is — https://www.ahajournals.org/doi/10.1161/CIR.0000000000001369...).
Book 2, Capter 2 of Mere Christianity by C.S. Lewis explains the logical problems with dualism
Christians believe that God has called them to live with concern for others, as he has loved them counter-conditionally. When they fail to do so, (everyone does!) on reflection they feel pangs on their conscience. So, on occasion they examine how they are impacting others and if they believe they are doing harm, they change their mind, resolving to avoid the error in the future. They often credit God with the inspiration (the language you keyed in on) because reflection and concern and changes of mind are all his design. You can argue with them: that’s just “doing theology”.
Christians believe that God is inherently good. “This is the message we have heard from him and proclaim to you: that God is light and in him is no darkness at all.”
There’s an old saying in Tennessee (I know it’s in Texas, probably in Tennessee) that says “never strike a king unless you are sure you shall defeat him”. Bust in, guns in hand, and now find they’ve turned to sausages. (A tale as old as time.)
^claim to — this type of legalese (shrink wrap, clickwrap, liability waivers, etc.) is a bluff (when in doubt: sue)
‘And so, given what we know regarding his wish that Anne Frank might have enjoyed his music as a quote-unquote Belieber, we can conclude not either that this desire constitutes, as some have remarked, some abject moral failure, or bad taste, and so on, or also likewise not merely a youthful remark made from ignorance. But, instead, this very desire is, itself, some semblance of the most moral imagination and it is this imagination which we must maintain if we are to remain fully human in the world after such atrocities.’
Accidentally read this in Zizek’s voice, can imagine him delivering this in a recreated neon lit motel room set
Twenty years ago, OneLook Reverse was how I took college papers from a B to an A through intimidating the TAs with absurdly specific yet exactly fitting three dollar words. That they thought I knew the field led to great friendships (and jobs) with some of them. I owe you big time and thank you!
expected rapid sequence intubation – could have been fun
There’s the WordPress 100 Year Plan or 100 Year Domain:
https://wordpress.com/100-year/100-Year Plan: $38,000 (hosting and domain)
100-Year Domain: $2,000 (one-time purchase, no annual renewals)