Chetzemoka

Yeah, I grew up in a small American town and my cousins were more like my siblings than my actual sister because they were the same age as me. We all fled that small town, so the next generation are all growing up not surrounded by extended family.

I think there are good and bad sides to it. It was nice to grow up surrounded by family with a strong sense of belonging. But my cousins’ children are growing up knowing people from far more diverse backgrounds than I ever had access to, which is good for them in a different way.

Overall, I think the effects are probably neutral

This Podcast Will Kill You

They did a whole series on Covid including the history of development of vaccines

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This kind of passive bigotry is necessary for genocides to occur. It is the foundation on which the mechanisms of genocide are built.

It’s not just no good; it’s terrifying.

You can’t ask them that. The idiots already believe that there are more gay people and gay teenagers in the world today because gay people convert people who would otherwise be straight. As opposed to just, you know, no longer having to hide their identities for fear of being murdered.

That’s why they screech about the “gay agenda”

Hmm, “current went missing” isn’t a phrase I’m used to hearing. I wonder if the cardiogram was indicating some level of heart block (often not a dangerous condition, just something to monitor).

With the high fibrinogen, they’re probably concerned about clotting. I wonder, did they check a blood test called d-dimer by chance?

I’m glad you’ll be seeing a doctor soon. We have a lot of good treatments for cardiac conditions these days.

May I ask you about the nature of your heart problems exactly?

Because a “heart attack” is not actually a medical thing. What people usually mean when they say “heart attack” is what we call a myocardial infarction (lack of blood flow to the heart muscle caused by a blockage or constriction in a coronary artery.) And less commonly people use the term “heart attack” to refer to cardiac arrest where the heart just stops beating for some reason. (Myocardial infarction can turn into cardiac arrest, but cardiac arrest can happen because of any number of other things as well.)

So do you have a confirmed occlusion of a coronary artery? Or do you have a diagnosed cardiac arrhythmia of some kind? What are they planning to do to treat you? Because “don’t get excited” isn’t a long term management strategy. It’s usually just to get you through until you find a successful treatment.

(I’m a cardiac critical care nurse. AMA)

Dark healthcare provider humor incoming: When considering these kinds of questions regarding CPR, we actually say, “Well, they ain’t getting any deader.”

CPR actually reverses death. That’s why it only works sometimes and only if provided in a very short window of time after you’ve died. Nothing that is done during CPR is going to make that worse. So yeah, the reality is that it’s a little bit of a controlled free-for-all. It’s called “heroic measures” for a reason.

The most effective medication is the one that actually gets used.

My understanding was this was the actual intended use case for NFTs. To allow you to properly own a digital item. The fact that it got applied to a stupid fad right out the gate doesn’t change the fact that it should actually be used to allow us to own things again.

Singing lessons. I’m honestly not even kidding.

I’m an American who grew up in a part of the country called Appalachia. My native accent is often associated with being uneducated and stupid, so I learned how to change it when I was a young adult.

The thing that helped me most was voice lessons that taught me how to control the muscles in the nasopharynx, throat, tongue. The reason that’s difficult is because you can’t see the way those muscles move when someone else speaks or sings, so you can’t just mimic what they’re doing. It takes a little bit more effort to learn.

Learning how to sing classical western music (opera type stuff) allowed me to learn how to speak in that kind of just generic Midwestern American accent that has less negative social associations.

Now, that being said, I also have Indian friends who grew up in the United States who still speak with a similar Indian accent as their immigrant parents, and it’s really no big deal. So you could just roll with your native accent.

(And also, I still code switch back into my native accent when I’m talking to my family or I visit my home region. Your native accent never goes away even when you learn a different way of speaking.)

This is actually how it’s handled in a lot of electronic medical records. There is a different indicator for sex/gender assigned at birth and current gender. I’ve not seen a specific indicator for intersex, but I’ve not encountered an intersex patient so far in my career.

So, first things: There’s definitely no provision in this Ohio state amendment that allows partial birth abortions. That’s just right wing lies. The Ohio amendment only enshrines the individual right to make one’s own medical decisions.

But hypothetically, if it did, then the situation kind of all depends on whether or not the federal government chose to enforce its law or not. We’ve had that situation with cannabis for a decade now after the first states passed laws legalized cannabis for purely recreational consumption.

Cannabis is still banned by the federal government to this day, but legal in 24 states. Over the course of the past decade, the feds have declined to bother trying to override states on this issue. If a state really and honestly did try to allow partial birth abortions, on the other hand, I think the feds would take them to court over it. A federal lawsuit generally puts the state law on pause until the court case is complete and a final decision is issued.

Basically if there’s a conflict between state and federal law, they go to court and ask the court to interpret whether or not the Constitution grants power over that particular issue to the feds or not. The Constitution is written in a way that outlines what powers are granted to the federal government. Whatever isn’t explicitly stated in the Constitution is assumed to belong to the state governments.

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The only people who believe that wait times would be worse under a public health care system are people who don’t currently need to access health care under a private health care system. I’m an American who unfortunately needs to see specialists relatively frequently and the wait times are already atrocious.

I’m a nurse, not a doctor, just gonna chime in here that non-alcoholic fatty liver disease is a thing:

https://www.heart.org/en/news/2022/04/14/fatty-liver-disease-not-caused-by-alcohol-is-common-and-often-missed

In general, any kind of sudden changes to your normal functioning are things you should probably be discussing with a physician, even if you’re young and otherwise healthy. The really encouraging news is that, if this is indeed caused by a health problem, you’re young enough that it’s really likely you can completely reverse it and get back to 100%. And if it’s not, then no harm done by seeing a doctor and confirming that ¯\_(ツ)_/¯

(Also, not to scare you, but no I wouldn’t expect to see that dramatic a decrease in alcohol tolerance over the course of just a couple of years at your age. I think it’s worth talking to a doctor about this.)

Deaf people can still feel vibrations from music, and in my experience tend to enjoy that quite a lot

I’m a nurse who uses 24-hr time at work and it’s about 50/50 with me saying “fourteen hundred” or “2pm” when speaking. I generally find that my colleagues understand both and use both interchangeably.

Making price per unit mandatory on all retail items sold would go a long way toward making shrinkflation transparent for the customer

The biggest problem, I’ve found, is that elderly people who are hard of hearing to begin with struggle so much to understand you with a mask on. Through the whole pandemic, I was losing my voice from what I affectionately call “shouting at old people” all day. Especially with ventilation fans and monitor alarms and people talking in the hallway.

When my hospital finally lifted their mask mandate earlier this year, I initially thought I’d never go back. Then the creeping convenience, “well let me just pull the mask down because Meemaw doesn’t understand me, just this once.” It’s especially helpful with dementia patients who really need that nonverbal communication of facial expression.

I still mask vigilantly if I have any patient with respiratory symptoms, even if they’re negative for Covid/fly/RSV because I learned the hard way that viruses were don’t test for still exist. And of course, with the recent (completely manageable) influx of Covid patients, I’m religiously wearing my N95.

So that’s kind of the what we’re dealing with when considering to mask or not to mask.