Throwaway05
11hr ago
Not here to litigate the company from what I understand it has some bad parts as an employee and also some incredibly good parts.
Doesn't change that she actually attempts to accomplish ethics in business, took on the minimum of outside investment, doesn't overcharge customers and all kinds of other good things.
Throwaway05
11hr ago
Probably about 3:1. In my favor. It has become clear that some portion of the medical establishment is really, really attached to vaccines.
Absolutely not. You are stepping into and speaking with authority on a conversation you know nothing about and declaring you know more than the world's total panel of experts and interested parties who hold a variety of opinions. Vaccines are a population health level initiative that in many places the government is on the hook for. This means that tons of opinions exist and the safety and efficacy are agonized over.
I'm mad about what happened with COVID too, but that doesn't mean you have to throw the baby out with the bathwater.
This isn't skepticism it's blind hatred, which is rather dangerous when it involves people's lives, safety, and health.
Throwaway05
20hr ago
I do not believe the CDC estimates.
Fine. Look at what other countries do, and what research in wildly different political and financial environments generates.
What is more likely you, sitting at home with no public health or medical background (and potentially no background in research/stats etc) has discovered that the flu shot is a big conspiracy and does nothing of value or that the entire public health apparatus, medical research (and maverick researchers trying to make a name for themselves by questioning the status quo) for the entire planet are wrong?*
Not all conspiracy theories are created equal. The flu vaccine has been around long enough to be very well studied and not lucrative enough to generate the level of coordination that would be required here, furthermore because flu trends change year after year, you have actual experts trying to assess how effective things are on a yearly basis.
*Maybe I'm wrong and Russia when freed from the horrors of the academy is able to find out that the flu vaccine has no value, that's super possible - but look into it and research it and then cite it, don't just declare "the experts must be wrong" because you dislike some of their conclusions, that's terrible intellectual hygiene.
Throwaway05
21hr ago
I'm saying the influenza vaccine is a vaccine. I'm saying the COVID vaccine is a vaccine. You can be mad about things that happened during COVID without conspiratorial rigamarole about names and definitions.
While I'm usually pretty happy to blame the public health experts it really isn't their fault laymen misunderstood what a vaccine is and does, again that says nothing about if the COVID vaccine should have been mandatory or whatever.
Throwaway05
23hr ago
People misuse technical terms all the time, that doesn't change the fact that vaccines have never really provided "immunity." Yes the COVID and Flu vaccines are less effective than some other ones, but popular misunderstanding doesn't mean they aren't vaccines, they've always been referred to as vaccines in the literature.
Throwaway05
1d ago
I think accepting a small amount of discomfort for a benefit to myself and importantly to my friends and family including my elderly parents is the very definition of manly behavior.
Avoiding discomfort because it's distressing is well, as I said. Avoiding doing something because you are annoyed someone wants you to do it is also unmanly.
Some of the benefits of the flu shot (all from the pretty hostile Trump CDC):
"For example, CDC estimates that during 2024–2025, flu vaccination prevented 180,000 flu-related hospitalizations in the United States."
"A 2018 study showed that from 2012 to 2015, flu vaccination among adults reduced the risk of being admitted to an intensive care unit (ICU) with flu by 82%."
"A 2021 narrative review noted that among adults hospitalized with flu, patients vaccinated against flu had a 26% lower risk of ICU admission and a 31% lower risk of death from flu compared with those who were unvaccinated."
It goes on.
Throwaway05
1d ago
Yeah I am sure that AI will come for Radiologists and everyone else eventually but we are still far away. They aren't right all the time, and the expectation is you are right all the time for one (and when they are wrong they are sometimes wrong in the most basic of ways).
That says nothing about being about to talk to primary teams about the read, rare findings, and how to manage incidental findings, as well as other basic radiology tasks.
People want this fight to be over because they hate doctors or certain kinds of expense, but we aren't there yet.
Throwaway05
1d ago
IIRC correctly The Killers did the opening for the recent Champion's League final. They looked old.
I think it hits a time and place like some of the 90s music did but little of the 2000s music did. For people who watched the music video it's quite odd and sticks in your mind.
Throwaway05
1d ago
Right. I bring up Judy because she did a lot of good (made medical records electronic) uses her power and influence the success of people and patients over the success of her company (as she sees these things) and generally does not engage in evil billionaire behavior.
It's so debatable though - lots of people who work for the company hate, lots of the people who work for the company love it, she does lobbying (evil) but it's almost always for the good of the company and the medical record industry (which has some bad parts but is usually good for people).
She's done a wild amount of good for the world but you could easily find people willing to shoot them.
Likewise with the brothers I'm sure you have some underbelly to the tire world and they didn't entirely make their money with right place right time, I Just don't know what it is.
A motivated socialist is going to find both of those and GabeN evil but that's not going to really capture things (or encourage people to not be evil which is a thing society has lost).
I think your comment abuts something which bugs me about the progressive crowd - nobody is ethically if they do something the slightest bit wrong, but if a system results in great evil it can still be good as long as no individual is making an evil move. It's weird.
Throwaway05
1d ago
I don't get the COVID boosters in spite of nagging because I get side effects that match my experience of most respiratory illnesses. I make this decision knowing that it may cost me something but with my comorbidities are where they are at it makes sense for now.
At the same time I get the flu shot every year because I'm not a pussy, the flu vaccine has been around for a very very long time and we have a pretty good understanding of the risks and benefits, the flu has also been around for a long time and has at times killed large amounts of the population. It is not a joke.
Throwaway05
1d ago
Common usage is imprecise or inaccurate all the time, that does not mean that anything was redefined or renamed.
Plenty of questionable stuff happened during COVID but the COVID vaccine and all the other vaccines are still vaccines.
Throwaway05
1d ago
I mean I don't think it's possible to be an ethical billionaire in the same it's not possible to be ethical in general - someone is always going to be upset. Superficially Gaben looks like a good answer, but then you find out how many people in the development and publishing space hate him for steam being "freeloaders." Consumer hate is rarer but still comes up with respect to some decisions they make.
So if we reframe the question as "who are the most ethical" billionaires I'm sure you can find some, it's just usually not people the man on the street knows about.
Consider the Duff brothers from Mississippi - they made their money running a tire company.
Or Judy Faulker in the healthcare space, Epic gets a lot of flack but most of that is actually regulatory burden or angry competitors.
Plenty of people make a billion in generally unethical spaces (real estate, investing) while being no more unethical than everyone else in that space, sometimes even more ethical (just very good or lucky).
Throwaway05
1d ago
It's a combination of resource stewardship and modern day politics, as everything is.
A few things make this vaguely feasible though - the criminal underclass is the criminal underclass, these people are out there "safely" being repeat offenders without causing significant issues, we just notice the fraction that do cause problem and not the 9 others who don't. Likewise a large fraction of people causing trouble are mentally ill or behaving in a way that gets them in front of the healthcare system, if you decarcerate you hope they head over to medicine and get managed that way.
Throwaway05
1d ago
The flu vaccine certainly doesn't work as well as some of the other vaccines, but it is very clearly a vaccine, I don't know what the other poster is on about on that front.
The flu vaccine is one of the odder and more complicated vaccines we have - we have to guess for the yearly formulation some years we guess better than others (based off of the expectation of what this years flu will look like). It also is not good at preventing you from getting an infection, what it is good at is preventing you from dying. People will often say "oh I have the flu" no, usually they have the common cold - the flu is ass.
As for if it makes sense? Young unvaccinated people die from the flu every year, not a lot of them but they do. Vaccinated people have a much better time - all cause mortality reduction in 65+ is 20%. If you are the kind of person who doesn't wear a seat belt maybe skip the vaccine, but if you wear a seat belt then this is up there with the most impactful things you can do to prevent random risk of death.
The COVID vaccine gave me flu symptoms, flu vaccine never did - which is the case for most people. If you do that's certainly a better reason to skip it, but when my non medical (male) friends ask me about it I ask them if they are a pussy.
You can go to bed a few hours earlier in order to prevent death in you and your family/friends.
Throwaway05
1d ago
Notoriously, it wasn’t called the flu vaccine but flu shot.
Do you have a citation for this?
Here's a paper from the 90s referring to it as vaccine.
Throwaway05
2d ago
That's never been true though?
Measles is something like 3% post vaccine, and mumps is something like 12% per a quick google.
Flu is a bit more obvious - the idea behind the flu vaccine is to make the flu uncomfortable but not require hospitalization and result in death, it's never really been entirely preventative.
Throwaway05
2d ago
What do you mean by this?
Throwaway05
3d ago
90% for me. Honestly thought the last part in particular was incredibly difficult, I'm shocked 80% is the average given how hard it seems to be.
Throwaway05
3d ago
I've seen a bunch of mainstream media coverage pretty explicitly surmising that the Democratic establishment doesn't find anything he is up to is objectionable but they are trying to get rid of him before the deadlines for the general because they expect the Republicans to be sitting on bigger bombshells and they figure someone else would be more electable.
Nothing fancy about the Jews or a sea change in sentiment here.
Throwaway05
4d ago
As a rule I don't trust reporting of medical issues (which important vein? that matters a lot and who knows if that is even accurate!), and the UK has a lot less experience with penetrating trauma of all kinds. We can also do miracles if you managed to get stabbed in an operating theater with shit ready to go.*
None of that changes that this happened out in the field with help far away and that any 8cm stab wound into thoracic cavity is going to require a million things going right to be survivable.
*Like given how long it took him to decline I can't imagine that he wouldn't have survived if he was immediately put on ECMO but that is not a reasonable expectation by any means (given their description ECMO could have been impossible but how the fuck did he take so long to die then wasn't it like a half hour?).
Throwaway05
4d ago
More dressy options are out there but I'm not your huckleberry for recommendations on those. I know others have preferences though.
Insoles, orthotics and other nonsense are all entirely internal and viable options.
As for the pain being somatic. I mean yeah. You are a psychiatrist - you know that doesn't mean it is unconnected from everything else. Minimize negative inputs and you'll get a better result.
Additionally if you feel helpless or apathetic about improving your experience, keep in mind how depression might be a contributor.
Lastly, Jesus Christ who still wears ties? The fomite risk alone! But for psychiatry the strangling!
Throwaway05
4d ago
This is a point of serious Opinion because of our retarded amount of hours worked over here, and while it dials down after residency for most specialities it can be a real deal career limitation factor for surgeons. Foot, leg, and back pain are all connected.
This gets to the point where people are straight up recommending Yoga to Ortho-bros or you have Vascular reading "Becoming a Supple Leopard."
The specific recommendations for footwear are pretty body type, mechanics, and use-case related (I love my clogs but only when I'm doing more standing around than walking, I've seen plenty of residents break their ankles hurrying to a code).
Dig into the shoe discussion on the medicine or residency subreddits you'll see a lot of recommendations. Hoka is a common viable option. Basic orthotics can make a big difference.
Some attention to your footwear and stretching routine can absolutely radically improve your day to day experience.
Throwaway05
4d ago
I really think people underestimate how much being drowned in these "trainings" for years and years impacts you. I'm pretty damn not-pozzed but I have to do trainings multiple times a year* and it makes it hard not to unconsciously buy their frame on things.
The "anti-racist" training is incredibly racist and it works and it results in stuff like this...
*One employer took us off clinical duties for a full week yearly to indoctrinate us in social justice. And it's one you've heard of.
Throwaway05
5d ago
I remember seeing a video, I want to say it was in Germany? of a non-white person engaging in a mass stabbing act of terrorism, the police arrived on scene and assisted him because they assumed he was being attack by the native white Germans (and got injured in the process).
This is a pattern.
Oof got me.
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