I mean, I don’t use a scope to listen to pulse. I listen for murmurs, heart sounds, breathing, gut sounds. It sounds nice, but I doubt it is gonna give better info than what can be gotten from a stethoscope, ekg, or ultrasound(this is where a lot of the cutting edge is now in medicine).
As I understand the regulations, the FDA did a roundabout way of approving the drug for general use (it was originally approved under a pathway for drugs that were dangerous and had to be closely monitored by a doctor. This really was a weak spot for the FDA’s case. So I think the main critique from the court being that the decision-making of the FDA was abitrary and capricious in relaxing rules to prescribe (if it was dangerous, why did they relax the rules for use during covid? If COVID necessitated an easier way to obtain it, was it dangerous enough to need the Subpart H approval in the first place?). So the way the FDA approved the drug opened them up to administrative challenge.
I found an old table sitting by the dumpster so I went and bought some stain and paint and i’m going to clean it up and refinish it for an extra table in my office. I’m excited, It’s been a while since i’ve built/rebuilt a piece of furniture.
Hobby stores and websites have melt and pour soap that you can melt in a mixing bowl, add fragrance and color, then pour it into a mold and let cool. The beauty bars you can often buy at the store (dove, irish spring, etc.) are made with detergents, and don’t often react well to trying to melt them, the stuff made to be melting has extra glycerin to help it melt down and harden without getting nasty.
Brambleberry is where I buy my soap supplies. They also have guides and youtube tutorials/Q&A vids. https://www.brambleberry.com/
Making soap is fun! The easiest thing would be some melt and pour, and fragrance oils and a cheap bowl and loaf pan from Walmart or the dollar store.
This guy likes to hear himself talk, which is what Medium is good for. Reddit is for hearing others try to tell you you’re wrong.
I think the deal is, you either pay cash or you pay with your data. While it definitely does increase friction for new users (and even existing users as finances fluctuate), a donation based system might be worth it. Something like wikipedia, archive.org, and other NPOs do. Incentives might be possible too, creating goals for getting X amount of donations to fund a specific improvement. It increases interest by defining a product or improvement, and increases buy-in by giving the donor the sense that they’re directly improving the site through their donation.
I think Beehaw and many other instances have golden hearts for their goal to start a stable, friendly community. However, like the article says, there’s no such thing as a free lunch. Eventually, when an instance gets big enough, someone needs to be on watch to ensure things are running smoothly, someone needs to be working on updating, expanding, and improving the service. On top of the cost to run the service, it’s unrealistic to expect it to be free. You can’t expect the admins who have busted their ass to get this much done for free. Call it human nature or the ills of capitalism, but the fediverse can’t run on community and goodwill alone. I saw another post a bit ago saying to expect to pay for internet services from now on. I think, at least in the realm of user-focused and FOSS-based stuff, that may be the paradigm. Donations or subscriptions should be expected, at least for some portion of users, to keep the lights on and compensate the folks keeping things moving.
The funniest thing is seeing the rage from Star Citizen fanboys about all this. They keep saying “it’ll be buggy and awful on release” like SC isn’t already. I know with Bethesda, they’ll fix it up and the modders will go wild with patches and add ins, delivering all the stuff Chris Roberts said they would. Meanwhile, I try and play Star Citizen and i’ve died or failed a mission due to glitches any time i’ve tried to play this past week.
People visit reddit for user generated content. If you remove all the memes, links, comments, and answers to all the things you google " X site:reddit.com" to find, it loses value.
"At that point Digg had a serious power user and astroturfing problem, "
lmao. Sounds familiar. I think you’re right that Reddit is going to survive, but I think this is a hard enough blow that it’s going to change the personality of the site. For one, the IPO dreams seem DOA currently, with the handling of this, the fairly toxic nature of some areas on the site, and drying up of VC in tech all seem to be bad news for any optimism for Reddit as a company. I imagine that this treatment is going to lead to migration of some communities, maybe smaller ones, leaving only the karma-farming, bot-ridden, main subs to be “the front page of the internet” anymore.
I hope that Lemmy serves as an acceptable shelter if not home for users looking for the next good web aggregator/messageboard, despite its shortcomings and the growing pains.
Yeah, I got a bad taste of crazy tankie stuff on my first venture into Lemmy when I decided to check it out. Luckily I’ve not seen much extremist rhetoric once I joined. I do see where it’s scaring off a lot of people from reddit, that said, I’ve seen lots of people promoting non-communist instances specifically, as well as the idea of federating/defederating as an antidote.
Lol. I can tell you if you asked doctors what the biggest problem in their clinic, it’s the EMR. I can say this myself, I’ve been in healthcare for a while in various roles, and i’m not to far off from graduating as a physician.
To find out what happened overnight to a patient, I have to sift through pages of computer generated junk to find just a few things. It’s even worse in clinic, if I want to read what happened last time a patient was here, I have to sift through a note that is 50% auto generated lists of stuff to find what I really need to know: what the last doctor said the plan was for today.
They mention inbasket messages, and that’s a huge issue. Now with the rise of patient portals, patients would message now for something that previously was a visit. Only recently has there been ways to recoup this cost (not that this is appealing to most patients, who see it as nickel and diming, though I empathize, I never can get to talk to a nurse/MA at my own family doc’s clinic either).
Doctors are swamped, most of the day is charting, ultimately to appease insurance companies so that we get paid. If you’re slotted for a 15 minute visit, and I’m not out after 10 minutes, I’m going to be late to every appointment until lunch or close, then I’ll spend time at home finishing up notes and paperwork (prior auths, refilling meds, replying to messages from nurses and other clinic staff). Ultimately, for what good our regulation of healthcare has brought in the US, it remains that it is regulatory capture nonetheless. Healthcare orgs are quickly conglomerating, so the hospital, clinic, pharmacy, and insurance company are all owned by the same company. At the loss of good patient care, doctors are being removed from the equation, care is being fragmented and compartmentalized in a lot of aspects and less of our time in the day is available for patients.
What they call burnout, really is moral injury. People who go into healthcare do it because at some level, they want to help people. It really sucks when you realize 90% of your day is screwing with a computer system that seems to be diametrically opposed to letting you do your job.