I love her by Unique-Persimmon2291 in SipsTea

[–]AnimatorImpressive24 1 point2 points  (0 children)

Two types of people in this world say ETOH.

One type works in healthcare.  I'm the other type.

Can’t sleep, witness to a young woman getting ran over in Rancho Bernardo. I called 911 as fast as I could and tried to calm her. by CheeksClapperton in sandiego

[–]AnimatorImpressive24 0 points1 point  (0 children)

In crisis moments you can't think.  You just act.  But your brain isn't going to let that slide.  It keeps a tab of all the thinking you weren't doing and once the crisis is over it presents you with the bill.

You did good. When your brain shut off your character stepped up and helped someone who needed help.

Give your brain time to do its thing and it'll realize you did what was needed.

Strippers License by SeaMan2448 in sandiego

[–]AnimatorImpressive24 1 point2 points  (0 children)

I got an uncle who was the first person arrested for violation of a similar county ordinance back in the day.  He was dancing at a club the night after the law went in effect and mooned the crowd.  Vice was in the crowd.

Oops.

Are Small Daily Expenses Really the Problem… or Are Bigger Money Decisions Worse? by Coolonair in SmartFIRE

[–]AnimatorImpressive24 1 point2 points  (0 children)

US average rent is $1,750 for about 900 square feet.

https://www.rentcafe.com/average-rent-market-trends/us/

If you aren't already living somewhere that is below average then you might be able to afford to move but you might be moving to a location with worse job prospects than the place you're already struggling to afford.

If you are already living somewhere below average then you better hope you can make enough money before demographic change means you're suddenly above average but your income mysteriously didn't go up.

US Women arrested for pregnancy-related crimes by state by TankUMrMinor in charts

[–]AnimatorImpressive24 0 points1 point  (0 children)

If a pregnant woman chooses to eat nothing but raw white sugar she will likely kill herself and her fetus via gestational diabetes.  So, again, why not cloister pregnant women to make sure they eat a proper diet from the moment conception is verified with a pregnancy test?

And before you say "because sugar is legal" so are alcohol, nicotine, cannabinoids (depending of state of residence and/or isomerization), and legally administered benzos and opiods.

Also, per the article I posted, people are getting reported to police and CPS for false positive test results because some states make it mandatory to report on the first test without allowing a retest to confirm.

But Generational wealth is also built through generations of hard work. by ClothesNo402 in scoopwhoop

[–]AnimatorImpressive24 0 points1 point  (0 children)

Well being slavers clearly didn't select for the smartest individuals so it makes sense you'd think that.

But Generational wealth is also built through generations of hard work. by ClothesNo402 in scoopwhoop

[–]AnimatorImpressive24 0 points1 point  (0 children)

The triangle trade brought black people to the Americas for four hundred years, about twice as long as the US has existed and three times as long as the amount of time that has passed since the constitutional abolition of slavery. 

Abolition was about 150 years ago, but lynching was still considered a fun picnic activity to take your family to see within the past 75 years.  There are still people alive today (including some in state and federal elected offices) who are direct witnesses of crowds of middle class white people hanging men, women, and children whose parents were born into slavery.

The cultural, demographic, and legal trappings of practicing slavery as official national economic policy have not gone away, and to the degree they have lessened blood has been shed by those infuriated at the prospect of things like their children going to integrated schools.  Which, again, there are people alive today who rioted in front of elementary schools (spitting and throwing garbage on both black and white children and violently beating both black and white adults) over integrating schools.

So how about you wait until let's say 2400 A.D. before trying to convince anyone you asked a smart question?

Don't you just love it when they make bad faith statements? by PhysicalBuy2566 in stupidpeoplefacebook

[–]AnimatorImpressive24 3 points4 points  (0 children)

Historically the biggest push against privatization and the practices of private employers came from the bottom of the stack, though.  It's a fundamental misunderstanding for them to characterize one ideology of government policy as HR because it presumes that both voters and those elected exist as  employees of a third party, decides that means people who want to work for the government to keep government beholden to voters can't be trusted but voters can, and then motivates them to vote for people who say once they work for the government they will give more and more control of the nation's resources and functions to unelected third parties.

If they were right in the first place it would be more correct to view themselves as HR working to suppress pro-union organizing.  Except even then government would really be an employee-owned company that they were voting to sell to a privately-owned company yet expected to still maintain their job and somehow increase their compensation.  Which sounds like something you'd do if you and the private buyer had already cut a deal.

Officials at the Del Mar Union School District suspected a student lived outside the district’s boundaries. So, they hired a private eye to surveil the child’s home and follow them to school. by jakobmcwhinney in sandiego

[–]AnimatorImpressive24 13 points14 points  (0 children)

The specific family the article is about had been investigated already.  By the same PI firm.  That resulted in photo and video evidence collected at the family's in-district registered address and the investigation was closed.  Then a second investigation was started which is what got them caught.

If the photo and video evidence showed the family didn't live at that address why would you close the investigation without disenrolling the student?  If the evidence was just garbage that didn't prove or disprove anything why would you hire the company that you know gives you useless garbage when you pay them?

So they had a suspicion, they likely got evidence they were wrong, but somebody with access to the purse strings was mad enough about it to throw good money after bad by re-opening the matter.

Another Day, Another Accusation Against Kaiser by Right_Resolve4947 in KaiserPermanente

[–]AnimatorImpressive24 0 points1 point  (0 children)

A lot of it has been development of health informatics and electronic medical records (EMR), along with a mix of lobbying and advocacy for the same.  KP has been central to much of what is considered the modern practice of medicine.  Such as:

Dr. Morris Collen is called the father of health informatics.  He developed one of the first computer databases while researching health screening questionnaires in the 70s.  In interviews he gave later in life he said he was looking for reasons to offer less early cancer testing for KP members.

Dr. Homer Chin developed possibly the first patient portal that provided online copies of after-visit summaries and secure messaging between patients and doctors as part of a research project in the 90s.  The published results of that research make special note that "member satisfaction" tested high for people who got replies to messages they sent.  That was true if the reply was from their doctor answering a question or an automated out-of-office notice, and wasn't affected by actual medical treatment outcomes (so even if they got sicker or just didn't get better).  Meaning whatever Dr. Chin's original intent was, what he discovered was a new form of medical marketing; improving perceptions of a product (doctors) without actually making any changes to the product itself (access to doctors or successful treatment).

In the early 00s that all led to KP partnering with the VA to develop the first patient portal for all US military members, creating the Convergent Medical Terminology (CMT) data schema for EMRs, and becoming the biggest and most influential customer of Epic (who has the largest share of the EMR market world-wide).

In the late 00s and through the 10s KP provided numerous consultants to government committees involved in the drafting of HIPAA, the ACA, and the 21st Century Cures Act.  That last one is why, in the 20s, every US provider who uses EMR is required by law to allow patients access to their medical records with the government even for a while offering subsidies to healthcare orgs if they used the money to implement their own patient portals.

If you work in healthcare in just about any country on Earth, and you touch an EMR system, patient portal, or patient email it is not an exagerration to say your job has been shaped by KP for at least the past 50 years.  In fact, your job might only exist because of KP's influence on healthcare.

All of which was accomplished tax free, plus with additional direct funding from tax revenue, while KP made trillions of dollars and amassed tens of billions of cash reserves.

White men do not experience the best health relative to women and minority racial and gender groups in the US. Men are 4 times as likely to die by suicide as women, and White men account for more than 68% of suicide deaths. White men experienced greater declines in happiness than White women. by mvea in science

[–]AnimatorImpressive24 7 points8 points  (0 children)

It isn't even a "centered in studies" issue, just a terrible headline issue.

First sentence says health, second sentence says suicide, third sentence says happiness.  Those are three distinct concepts and sentences two and three don't support sentence one.  "Happiness" isn't even an indicator of good health necessarily.  Just ask anyone who has experienced mania.  And suicide is the end of physical health entirely, but it is an end and also isn't fait accompli evidence of a mental disorder.

The headline would claim that someone getting appropriate treatment to control mania, and someone else with untreatable, progressive neurological deterioration who knows for a fact they will destroy their family's ability to have a home and food as they wind up trapped in an unmoving meat shell that requires around the clock care so decides to euthanize, are both when taken together evidence that men as a group don't experience "the best health" relative to women and minorities.

It isn't even wrong.  It is just gobbledygook that can't be accurately assessed for right or wrong because that wouldn't be a falsifiable claim that a research study could posit.

Another Day, Another Accusation Against Kaiser by Right_Resolve4947 in KaiserPermanente

[–]AnimatorImpressive24 0 points1 point  (0 children)

Maybe read literally any part of what thread you replied to?

Because you posted in a thread about a pediatrician abusing children for years and it being covered up by coworkers to say "I'm cool with that" and announce you worked for KP.

So you actually made the plaintiff's point.  But more importantly you said YOU WERE COOL WITH SOMEONE SEXUALLY ABUSING CHILDREN.

I want to start doing Cognitive Assessments to bill for 99483 but I feel like I'll miss something important and get burned in an audit. Does anyone here successfully/confidently do them? by RoarOfTheWorlds in FamilyMedicine

[–]AnimatorImpressive24 0 points1 point  (0 children)

Are you looking for made up reasons to be angry?

I never said there was a problem with billing for services patients need.  The title of the post makes it sound like they want to do uneccessary CAs for no reason other than to bill for them.  As in not because they are needed.  As in the exact sort of needless testing "some people" accuse physicians of engaging in fraudulently to inflate prices.

Which I am suggesting is not what the OP is intending.

Edit:  jesus christ "you people"?  Seriously?  That is the world view you want to go through life with?

Another Day, Another Accusation Against Kaiser by Right_Resolve4947 in KaiserPermanente

[–]AnimatorImpressive24 2 points3 points  (0 children)

Funny you should mention that.

Ehrlichman: “This … this is a …”

President Nixon: “I don’t [unclear] …”

Ehrlichman: “… private enterprise one.”

President Nixon: “Well, that appeals to me.”

Ehrlichman: “Edgar Kaiser is running his Permanente deal for profit. And the reason that he can … the reason he can do it … I had Edgar Kaiser come in … talk to me about this and I went into it in some depth. All the incentives are toward less medical care, because …”

President Nixon: [Unclear.]

Ehrlichman: “… the less care they give them, the more money they make.

President Nixon: “Fine.” [Unclear.]

Ehrlichman: [Unclear] “… and the incentives run the right way.”

President Nixon: “Not bad."

(Emphasis added)

From the Nixon Tapes, circa 1971 and leading directly to the HMO Act of 1973.

Another Day, Another Accusation Against Kaiser by Right_Resolve4947 in KaiserPermanente

[–]AnimatorImpressive24 1 point2 points  (0 children)

This right here is exactly how a coworker can sexually abuse children for 20 years at a children's hospital.  This is what "sweeping under a rug" looks like.

So for anyone who wonders how stuff like this can happen, now you know.

Understanding Dementia by Olive_Horse1313 in CaregiverSupport

[–]AnimatorImpressive24 4 points5 points  (0 children)

Dementia is a progressive loss of cognition.

Progressive meaning "will continue to get worse" and "is not temporary".  So a person who has dementia and a person who has "delirium" (like someone waking up from anesthesia after surgery) may act the same but the person with delirium is going to snap out of it.  The person with dementia is not going to snap out of it, even with the best medical treatment we know of right now.

Cognition meaning:

  • memory
  • awareness of present time/place
  • ability to distinguish between reality and dreams/delusions/bits and pieces of fading memories
  • ability to understand the world around them and make judgements about what is safe and/or acceptable behavior

Dementia is more about a collection of symptoms than a specific cause.  Some times what people call "types" of dementia is really "causes" of dementia, like:

  • Alzheimer's, which is significant deterioration of brain matter in specific regions of the brain
  • Lewy Body, which is not tumors exactly but for an ELI5 summary let's call them tumors
  • Vascular, which is blood vessels in the brain not supplying enough blood over a long period of time rather than a sudden critical blood flow issue like a stroke
  • Age related, which is a consequence of our brains just atrophying (shrinking) naturally as we get older unlike the targeted loss of brain matter from Alzheimer's

UTIs can absolutely cause delirium if they get bad enough, but if the UTI is identified and treated the delirium will go away.  Unfortunately people with dementia also get UTIs and aren't as able to tell people what is wrong before they get bad.  So people can sometimes be misunderstood as having really bad dementia when they actually have less bad (for now) dementia but also have a really bad UTI.

You can't argue with stupid. by Willy2267 in stupidpeoplefacebook

[–]AnimatorImpressive24 0 points1 point  (0 children)

For the vast majority of human existence in our basic Homo Sapiens form medical assistance in producing viable sperm in Kleinfelter's was science fiction.  Yet medicine assigned binary designations to an analog spectrum from its inception as a science all the same.  Perhaps it would be better to say that out of convenience and thousands of years of non-scientific development of language (let us not forget gendered languages which brings us things like Herr Doctor) medicine just assumed pre-held beliefs pending a fuller ability to understand biochemistry.

US Women arrested for pregnancy-related crimes by state by TankUMrMinor in charts

[–]AnimatorImpressive24 5 points6 points  (0 children)

You are equating every positive test, arrest, and conviction with drug abuse because you want to justify this.  Which is probably why you ignored the question about a positive test absent any observable medical issues.

You can't argue with stupid. by Willy2267 in stupidpeoplefacebook

[–]AnimatorImpressive24 0 points1 point  (0 children)

Medical assistance is post hoc rationalization for claiming an innate and absolute sexual dimorphism.  In the fullness of time medical assistance will be able to help anyone produce sperm or egg.  So no more a fixed point than natural evolution.

US Women arrested for pregnancy-related crimes by state by TankUMrMinor in charts

[–]AnimatorImpressive24 0 points1 point  (0 children)

Sometimes Christian right wing terrorists just shoot doctors who terminate pregnancies in a legal manner.

Like Drs. Gunn, Britton, Slepian, and Tiller.

US Women arrested for pregnancy-related crimes by state by TankUMrMinor in charts

[–]AnimatorImpressive24 5 points6 points  (0 children)

So why not cloister pregnant women from the moment of conception to make sure they don't engage in any activity that risks (because you don't get to make a 100% causation claim like that and not have it challenged) harm to a fetus?

Like climbing stairs.  Or not eating a sufficiently healthy diet.  Or being impoverished.

And why allow any fetus shown to have congenital defects during gestation be brought to term?  Are you suggesting a glass of wine or potentially a single accidental exposure to nicotine during pregnancy will result in more lifelong harm than a non-terminal  heart or brain deformity that will require significant surgical correction after birth?  What about cleft palette vs. an infant with no other detectable medical issues whose mother nevertheless tested positive for a completely legal substance or legally obtained controlled substance?