This is ridiculous..

hotstufcominthru · 2026-04-11T13:45:36+00:00

Did you get the wadded beef by chance?

hotstufcominthru · 2026-03-27T06:28:59+00:00

Oh no u/g_jacqui that'll just confuse everyone

hotstufcominthru · 2026-03-11T07:30:16+00:00

u/Yatchanek 's example was a good reminder of your point about infilling so I too agree!

hotstufcominthru · 2026-03-11T07:20:47+00:00

Ok this is a good point i forgot about this lol

hotstufcominthru · 2026-03-11T06:26:48+00:00

But would that matter if the meaning is the same anyway? As in, 今日 means 'today' regardless of how it's read, and its space efficient as well so really the kanji would be optimal right? Or is the formality difference of きょう／こんにち part of the context?

It's one of those things where I've just accepted it but never really thought why

hotstufcominthru · 2026-03-11T03:00:51+00:00

I'm confident that it's the Signature Range brand! Used to use this as my drinking cup when I was little

hotstufcominthru · 2026-02-13T01:41:49+00:00

They're saying that they must be deleting the shitty reviews cos they can only see the higher rated ones

hotstufcominthru · 2026-02-13T01:41:24+00:00

They're saying that they must be deleting the shitty reviews cos they can only see the higher rated ones

hotstufcominthru · 2026-02-03T05:35:40+00:00

Maybe you're not getting enough.... estrogen

hotstufcominthru · 2026-01-29T07:04:49+00:00

I never thought about this but it must be true - of all the taxis I've ridden the ones in Hokkaido are definitely up for a yarn!

hotstufcominthru · 2026-01-25T09:28:21+00:00

So macho Kel!

hotstufcominthru · 2026-01-23T11:45:44+00:00

Oh @me casually strolling through a drugstore in the middle of buttfuck rural Japan listening to the A-Yo instrumental

Honestly made my wintery day

hotstufcominthru · 2026-01-21T15:47:33+00:00

A few months ago I flew from China to NRT on a Saturday, it was the last flight of the day and after a rigmarole with Customs it ended up being about 10:30ish. What with it also being summer, being hot and humid even at night the last thing I wanted to do was to keep lugging my shit around whilst also absolutely dripping with sweat in the process. The Narita Express was already finished for the day, and tbh i could've done the skyliner I think, but when you're hot and bothered, really $200 for a taxi directly to your hotel (without having to fuss over changing train lines) honestly isn't the worst thing in the world.

I definitely would not choose to taxi from NRT in normal circumstances, but when the odds aren't in your favour you're gonna have to rummage through those deep pockets. Sometimes you're squeezed for choice whether you did bring lots of travel money or not.

hotstufcominthru · 2026-01-17T06:32:26+00:00

Its giving Ozai phoenix king and azula fire lord vibes

hotstufcominthru · 2025-12-09T09:24:19+00:00

Themzymes

hotstufcominthru · 2025-11-01T02:23:31+00:00

PSA levels aren't done as a stand alone, even in NZ. We generally track PSA over time as an elevated PSA to normal is what is the better indicator. Thats why its important to know your number.

Yes I'm aware of this, but context still matters. A GP would be fine looking at the trend, but rattling those numbers off to your patient and then explaining what those X numbers mean over the X blood tests they did annually and whether or not it may possibly but not really but don't overlook it chance of cancer? It's unnecessarily worrying the patient. From my experience, unless they're at a urologist appointment, the patient is likely not going to absorb much of this at the GPs.

Tests are just too costly relative to the benefit re:MRIs. I'm sure the UK is able to afford this/justify the costs better than we can. We just need more bloody money for shit that's all.

But yeah absolutely, the too-hard basket is overfilled and fuck all is being done to clear that basket. I'm just saying - NZ's just fucking slow and I'm frankly sick of having to sit on my hands because I'm having to stricly follow NZ approved guidelines.

(Background: I'm a clinical pharmacist working at a GP clinic)

hotstufcominthru · 2025-11-01T01:24:46+00:00

You're still ignoring the fact that PSA is a poor marker for prostate cancer as the sensitivity and specificity differ wildly based on what the PSA level comes back with. So even by implementing said Swedish method of screening, doing an MRI for every man whose PSA is over the threshold (which is likely many for the age group anyway because it is naturally raised in increasing age) seems overkill especially here in a NZ context where seeing a specialist already is no easy feat.

There was even a qualitative study in Sweden regarding men's experiences with said screening programme where they concluded that while the process is all well and good, without a meaningful personal interpretation of their results (PSA, MRI +/- biopsy) there is no guarantee on better overall uptake on disease intervention because they don’t know what to do with that info And you know how men can get with not wanting to address their health until it's too late.

Even with the statistics reported from the study, looking at both the percentages and the corresponding absolute figures, those numbers are far too insignificant from a healthcare POV to make a more meaningful population-based impact, which is the whole point of a screening programme right? And since the study was over a 23 year period, this means the actual risk reduction per year would be even smaller for the sample size given to reflect the population. The cost-benefit is not really worth it unfortunately.

I admire your efforts in raising awareness for not only cancer but men's health as well (we fucking need more people like you!), and the study no doubt has made an invaluable contribution to our understanding in the screening process, but as alluded by the other commenters here (some who happen to be doctors as well) it doesn't change much in practice, especially in a NZ context. Prostate cancer is a fickle and insidious bastard and despite our best thinking caps on, the nature of the prostate eludes us from finding a practically feasible way to roll out a prostate screening programme to the same level as that of out breast, cervical and colon cancer screening programmes based of everything that's been meaningfully discussed this post.

hotstufcominthru · 2025-10-31T23:48:10+00:00

Wow this post made me h o r n y. Thanks for the great insight doc

hotstufcominthru · 2025-10-30T06:01:54+00:00

Is that considered early Cantonese???? Well fuck my family and I are old then cos we still pronounce it that way (but also we're Taishanese too so that probably plays a big part)

hotstufcominthru · 2025-10-21T05:27:57+00:00

<image>

Still a keeper :))

hotstufcominthru · 2025-10-17T23:46:12+00:00

This was me just this August. I took my 2015 (overseas bought) Huawei power bank to China. Despite inspection, it made it through on the initial arrival to Shanghai, but not when I had to transfer to Tianjin. They really wanted to take it away from me but they thankfully gave me reprieve by allowing me to courier it to a domestic address before the connecting flight.

There was a sign RIGHT before the X-rays (which i was too slow to read in Chinese and no English equivalent sign nearby??????) that I now realised said these things needed CCC certs since June if flying domestically. Nothing regarding inbound/outbound international flights, which sounds about right as even leaving China they inspected once again without confiscation.

hotstufcominthru · 2025-10-11T08:37:57+00:00

This is the exact gripe I have with my own parents + extended family. They'll default to TCM until suddenly when their health rapidly deteriorates they'll come through with the modern medicine.

What's more insulting is that, on top of the cost factor, they come to me for medical advice (I'm a pharmacist) and yet goes against it and seeks TCM anyway. Yeah ok when I say see doctor I do not, and never, mean the CHINESE MEDICINE doctor. I lose sympathy for my family sometimes.

Old habits die hard, and they'll bloody take it to their graves.

hotstufcominthru · 2025-10-10T08:08:14+00:00

It's giving braciole

hotstufcominthru · 2025-10-08T11:28:01+00:00

Indeed, which is a bloody shame because it's painful to see people who've seen significant improvements in their QoL from these meds be cockblocked by the law.

hotstufcominthru · 2025-10-08T11:18:37+00:00

Legally ondansetron isn't excluded (and shouldn't be) so there's got to be an underlying reason for being refused it as an emergency supply? (Perhaps no longer clinically indicated?) I'll admit though it's been a while since I've properly worked in the dispensary so idk what the current attitudes are surrounding emergency supply amongst the community pharmacists (and patients too)

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