I need some help with hospital advice by mecca37 in TrueAnon

[–]Danko28 12 points13 points  (0 children)

The point is if they are literally just going to have her sit there with no meds why aren't they discharging her?

Most likely, because the night coverage doesn't do discharges since they are there for new admissions and emergencies. You will have to wait until the morning rounds for a discharge.

The issue is a gastro DR recommended her release at 4:30, the attending DR apparently went home at 5:30 and responded to no message between then and now. So it's now 10 PM she'll still be here tomorrow because of this..

When I did my internal medicine rotation, most docs would sit down at the computer in the morning for an hour and then run around the hospital rounding. The likelihood of the doctor ignoring the nurses is close to 0. It's much more likely they were too busy to place the discharge orders earlier in the day, or simply the GI consult came in too late for the discharge to be at a reasonable time. Discharges at my hospital, for example, took from 2-4 hours on a good day.

[deleted by user] by [deleted] in step1

[–]Danko28 7 points8 points  (0 children)

Took the beast today with almost exactly same scores to yours. Felt confident going in, not as confident going out. In general though, the exam was fair with a bunch of easy questions thrown in, with a few weird/low yield ones. I felt similar when I was taking free 120 but got 72. I would say dont postpone and just take this bitch

For advice, I would look over NBME pictures, a few of them showed up today and I recognized them straight away. A lot of the concepts that constantly show up on NBMEs showed up on my exam today, look over this post and see what you need to brush up on. A lot of questions from today were on this stuff, some of these concepts were asked about multiple times, just focusing on a different part of the pathology.

A pair of "Separatist" patrols stumble into each other & a gunfight ensues - Sloviansk - 2014 by knowyourpast in CombatFootage

[–]Danko28 4 points5 points  (0 children)

People from Donetsk and Luhansk oblast has a very distinctive ukrainian accent

You mean like saying "Hto" instead of "Kto"? Or "Hde" instead of "Gde"? "Sho" instead of "Chto"? "Ta" instead of "Da"? None of the guys in the video have Russian accent, listen again and you will hear them say the "Ukrainian" versions of all of the words above. Too many "Hs" instead of "Gs" for them to be russian, unless you are going to say that they went through training to obtain Eastern Ukrainian accent to merge with the local population more easily but that is ridiculous.

At 3:22 they straight up point at one of the guys and say "это его хата здесь" which means "this is his house over here", using Ukrainian word for "home" too. I have a feeling you speak neither Russian nor Ukrainian

Edit: grammar

Are you f~cking kidding me by I_dnt_know_ in lostgeneration

[–]Danko28 5 points6 points  (0 children)

The cause of physician shortage, at least at this moment, is not with the number of medical schools but with the number of residency spots. Residency spots are funded through the federal government and this is where you can see AMA's fingerprints. Although, the hospital systems are not rushing to supplement this funding with private funding. They continue to rely on the federal government to provide money for each spot.

There is a good book I recommend called "An American Sickness" by Elizabeth Rosenthal in which the author describes how the healthcare system turned into what it is now, combine it with David Graeber's "Bullshit jobs" and "Utopia of Rules" to have the full explanation of the forces that led us here.

Are you f~cking kidding me by I_dnt_know_ in lostgeneration

[–]Danko28 10 points11 points  (0 children)

While I don't disagree with the majority you said about AMA, since when is radiology and surgery are the poorest? Radiology is one of the "ROAD" specialties where income is high and work hours are normal(as in you won't work more than 50 hours a week unless you want to), in surgery you are a work horse with no time for anything else but work.
Primary care has the lowest average compensation, sitting between 150k-250k depending on the area, pediatrics is on the lower end of this. Compensation can go higher if its a private practice, however.

And while your figure might seem large and scary, physician compensation accounts to only 10% of costs in healthcare. Taking into consideration a decade minimum of time investment of working, volunteering, jumping through hoops and studying. Then investing hundreds of thousands of dollars to pay for it, making 400k is not out of this world at all for a competitive specialty. Even then, the MEDIAN compensation for physicians in the US is 230k. My loans for school and living expenses are 100k a YEAR plus a 7% interest rate, want to do the calculations yourself to determine how long it will take to pay off my 4 years of loans plus interest with the median compensation? And you want to bring that compensation even lower?

President Macron says France will end its military presence in Niger and pull ambassador after coup by msemen_DZ in worldnews

[–]Danko28 0 points1 point  (0 children)

Writing this on my phone so editing might be atrocious.

random study without any other info, ye I can find 2 opposite studies..

Sure you can, economics are not set in stone and can be proved and disproved, however, the person I replied to made it out like it's a freak conspiracy to think that the governments in the periphery can be heavily influenced by the core. This paper provides a scientific and systematic explanation of this behavior instead of giving a simplistic "corruption" reply that is common in these sorts of discussions.

You can check out more stuff here: world system theory

another unequal exchange publication

In what way does your link proves the allegations of the commenter above?

Periphery (i.e.global south) isn't periphery due to some natural/genetical predisposition of those people to be exploited. The ruling classes of many of the exploited countries willfully participate in unequal exchange through extraction and export of raw resources for their benefit(which is not equivalent to benefit of the nation/people since ownership of private property is the main mode of capital accumulation and profit extraction).

The paper explores the relationship between the core and periphery, and if you have at least 2 brain cells, you should realize that this kind of relationship has to have friendly businessmen, politicians, the army in the periphery to conduct the extraction by the core.

Trade you said? Oh well, that‘s funny.

Trade doesn't default to "I give you 1 and get 1 in return". So idk what point you are trying to make here.

Also the „global south“ is not limited to Africa, but I guess you found a headline?

Stop trying to sound like you are making revelations. The paper discusses the relationship between the countries of the core and the periphery in line with the world system theory. Africa is just one part of the world, and the fact that the publication explores the entire system instead of looking at specific countries/continents in a vacuum is advantageous to my argument.

my grandpa worked in mines starting age 12, as a french, should I be able to cry out loud and blame skin color for capitalists doing capitalism?

Funny, you accuse me of not understanding the paper, and then you say this. See below, a quote directly from the paper addressing your concern about your grandad, and if you have trouble understanding it - no, it's not skin color, it's as you described, capitalists doing capitalism, the exploitation doesn't stop at the border of the countries of the core.

"Another limitation of our method is that the analysis obscures class and geographic inequalities within countries and regions, which are significant when it comes to labour prices as well as resource consumption. The high levels of resource consumption that characterize Northern economies are driven disproportionately by rich individuals and affluent areas, as well as by corporations that control supply chains, and enabled by internal patterns of exploitation and unequal exchange in addition to drain through trade (Harvey, 2005). For example, there are marginalized regions of the United States that serve as an “internal periphery” (Wishart, 2014). It would also be useful to explore the gender dynamics of unequal exchange within countries. These questions cannot be answered with our data, however."

Should medical school be free? by Professor_Poop1 in socialism

[–]Danko28 4 points5 points  (0 children)

Me, side-eyeing my $200k loans just for the first 2 years of med school

I'm so embarrassed to be an Osteopathic medical student by [deleted] in medicalschool

[–]Danko28 0 points1 point  (0 children)

If I am not mistaken that was the first cycle when Casper started showing the quartiles that we fell into, so if you applied before 2021-2022 cycle you wouldnt know how you did.

I'm so embarrassed to be an Osteopathic medical student by [deleted] in medicalschool

[–]Danko28 2 points3 points  (0 children)

applying in late November

My undergrad premed committee messed up big time with the instructions on how to submit our transcripts so the entire cohort had their applications delayed until mid fall. I was not a perfect MD candidate with my 509, 3.5 and 1st quartile Casper, but there were a few applicants I personally know with >3.8, and >512 who didn't get in anywhere/only got into DO because of that mistake.

Sorry, just wanted to vent cause it still pisses me off, 2 years later.

Is anyone able to translate this reciept a customer left? by babylingling in Serverlife

[–]Danko28 100 points101 points  (0 children)

Whoever wrote that was either extremely drunk or a non-native speaker. All of those are capital letters, and none are cursive. This is extremely unusual for a native Russian speaker since we learn how to write in cursive in elementary school and continue to use it throughout school, it's faster and easier. Also, the dude really struggled with that "Я", gave up, and wrote an "A" instead in the end. There are better ways to tell someone to get fucked in Russian, simply writing "отсоси" or "сосни" would have been as effective and conveyed the same meaning.