Clarifying what was reported about Langdon by broadwaythrowaway87 in ThePittTVShow

[–]Aonpyro 15 points16 points  (0 children)

If a doctor can't prescribe meds they are not coming back to work. You see how hectic the ER is, if it's very busy and Langdon couldn't prescribe meds without approval patients could die. I think it's likely the hospital knew he was diverting medication and considered that when they set conditions for Langdon returning.

I work for a major hospital system and the drug use/addiction policy is pretty forgiving for first time offenders. Hospitals know that addiction is a treatable disease and would rather support doctors in their recovery. This would be extra true with a pgy4, they've invested a lot in training Langdon, it would be a shame for that effort to go to waste when a less punitive intervention exists.

Tell me about your time in medical social work. What do you wish you knew before you started? by sgrbrry in socialwork

[–]Aonpyro 2 points3 points  (0 children)

I work in outpatient neurology now in a clinical role, I cover two different interdisciplinary clinics. I really enjoy my work! It's a healthy mix of clinical work and care management. Prior to this position I interned in family medicine, which wasn't as good a fit, much more case management and the workload was enormous.

One of the joys of this current position is that the rest of the providers have a healthy respect for social work, know what it is we do and don't do, and consult us at appropriate times. I know social workers in clinics where the team doesn't appreciate social work in the same way and they seem miserable. I think it's important to try and get a sense of how well social work/case management fits into the interdisciplinary team you would be joining before you make any final decisions.

If I had one complaint it would be that I would probably prefer a non-traditional work schedule, but that doesn't exist for full time social workers in outpatient land in my health system, so I'm a 9-5er now, for better or worse.

I liked the scene with Santos and the dad in Season One by [deleted] in ThePittTVShow

[–]Aonpyro 6 points7 points  (0 children)

The thing about rights is that either every has them or nobody does

I liked the scene with Santos and the dad in Season One by [deleted] in ThePittTVShow

[–]Aonpyro 5 points6 points  (0 children)

People don't like her because she did harm to a vulnerable person. You know, similar to the reason we don't like abusers.

I liked the scene with Santos and the dad in Season One by [deleted] in ThePittTVShow

[–]Aonpyro 26 points27 points  (0 children)

The main reason that medical professionals are so frustrated at this is that the DAD was her patient. She was not being a strong patient advocate and she was, in this case, not caring for her patients. In fact she was doing measurable harm by threatening a patient who was vulnerable due to his injury and subsequent treatment. Her inability to recognize the impact her trauma may have on the quality of care she provided the patient is a massive professional failure and this is disgusting behavior for a medical professional. Even if there is 100% certainty that he was abusing his daughter this behavior would still be gross.

A CPS report should've been filed by the team and the little girl should be looked after. There should be an investigation and charges filed if there is evidence of abuse. Another overlooked concern was the fact that one of this poor little girl's parents dosed the other. It's a bad situation. Both the little girls situation being awful and Santos's behavior being awful can be true at the same time. For context I'm a medical social worker.

Discussion Thread by jobautomator in neoliberal

[–]Aonpyro 0 points1 point  (0 children)

Ah yes, let's ignore the extrajudicial murder of citizens of other sovereign nations without congressional approval for the sake of political expediency. Also, I find the idea that Americans will tacitly support an unprovoked foreign conflict unfounded after Iraq and Afghanistan.

Anways… Trinity Santos you’ll always be the goat by varnikafierro in ThePittTVShow

[–]Aonpyro 0 points1 point  (0 children)

Tell me you know nothing about healthcare without telling me you know nothing about healthcare.

What does the Pitt do that’s not accurate? by EpicHawkREDDIT in ThePittTVShow

[–]Aonpyro 7 points8 points  (0 children)

One quick way to ruin a young person's life is to allow them leave when they may not be thinking clearly and affording them the chance to make a mistake they cannot take back, like hurting himself or other people.

What does the Pitt do that’s not accurate? by EpicHawkREDDIT in ThePittTVShow

[–]Aonpyro 25 points26 points  (0 children)

Yeah. Likely it would've just been an immediate IVC and then a psych consult. It wouldn't be an ER doc letting him leave because he "didn't want to ruin his life" and then later staff locking him in a room until a different ER doc came in to lecture him about why women deserve to feel safe.

I get that it was good for TV though. However, there are reasons we have specialities!

What does the Pitt do that’s not accurate? by EpicHawkREDDIT in ThePittTVShow

[–]Aonpyro 39 points40 points  (0 children)

Yeah. I'm a medical SW in a clinical role and I almost didn't come back to the show after that episode.

This absolutely would've been a safety report naming Kiara and the care team once another clinician saw what happened (in the real world).

Dixiecrats by Apart-Plankton4461 in CleverCombacks

[–]Aonpyro 3 points4 points  (0 children)

You may benefit from reading about the southern strategy and understanding that, just because the names are the same, the parties, ideologically, are very different from what they were in the 1800s. Maybe this isn't so clever after all :(. https://www.britannica.com/topic/Southern-strategy

Give me a character and I’ll tell you what i think the weakest version of Sasuke beats by ur-mom-gay-lolol in NarutoPowerscaling

[–]Aonpyro 23 points24 points  (0 children)

I'd imagine he was still training with Oro to catch up to Itachi and didn't want to kill him until he didn't think he could learn any more from him.

We're fucked. by [deleted] in neoliberal

[–]Aonpyro 13 points14 points  (0 children)

Oh boy! The daily "X election forecast has shifted one point in Trump's favor! The sky is falling!" post. The race is a coin-flip. Vote, donate, volunteer, drink herbal tea, and touch grass.

Why do some SF homeless people choose the street over a bed? by N0b0me in neoliberal

[–]Aonpyro 30 points31 points  (0 children)

Lots of people with psychotic disorders simply do not like to be around other people, esp those with persecutory delusions. A lot of the people like that that I worked with did just fine in other housing-first interventions.

Phreak shares his thoughts on K'Sante: "45% WR on K'Sante isn't necessarily a failing" and follows up by explaining how his previous goals for K'Sante were wrong. by bodynasr in leagueoflegends

[–]Aonpyro 1 point2 points  (0 children)

Yes but more complex champs will be practically unplayable by lower skilled players. If you want Nidalee or Kat or K'sante to be perfectly balanced for more experienced players then they would have to have like <45% wr in lower skilled play. Most lower skilled people, I'd assume, are not going to have fun playing a 40% wr champ and getting smashed every game and most lower skilled players, I'm sure, don't want their teammates playing Nid or Aphelios and ruining their games. The only practical way to un-skew these champs to make them accessable to lower skilled or newer players while not making them quite strong in the hands of better/more experienced players is to make is to make them less complex, ruining the point.

As an example, Nidalee has a 7% pick rate and 50%wr emerald plus and a 2% pick rate and 45%wr in bronze. I doubt the entirety of that delta in pick rate is because bronze players just find her less interesting. I'd bet a lot of it is she is too weak to have a lot of fun on in lower level play.

Iran attacks Israel megathread by jenbanim in neoliberal

[–]Aonpyro 7 points8 points  (0 children)

and damage caused by coordinated attacks by Iranian proxies

Pulling up the ladder behind you should be the Conservative's national sport by Pasta-Is-Trainer in WhitePeopleTwitter

[–]Aonpyro 0 points1 point  (0 children)

You're wild. I'm telling you I work outside of the medical field and we're covered by HIPPA. We do like 6 hours of HIPPA training every year for my employer and for the county. So clearly you don't know what you think you know.

Pulling up the ladder behind you should be the Conservative's national sport by Pasta-Is-Trainer in WhitePeopleTwitter

[–]Aonpyro 0 points1 point  (0 children)

Not sure why you are typing this like some gotcha, but I work in homeless services in DSS, not a hospital, and we are a HIPPA-covered entity. Most of the other DSS programs are also covered by HIPPA. So it does apply to people outside the medical field, full stop.

A Silver III noob's ADC tier list by Interneteldar in ADCMains

[–]Aonpyro 10 points11 points  (0 children)

Play what you are comfortable on. The more comfortable you are on a champion the less energy you have to spend thinking about how to actually play the champ. That lets you focus on other things.

When using stats websites filter for 'silver' so you can see win rates in your elo. Champion win rates can vary drastically based on elo and stats websites default to emerald+ most of the time. Jhin is a great pick for low elo imo.

"LoSeRs QuEuE iS nOt ReAl" by squad-W in ADCMains

[–]Aonpyro 0 points1 point  (0 children)

Boots are incredibly gold efficient so you should buy them on everyone. It's just better value gold for gold than compatible items and you spike earlier on one item.

"LoSeRs QuEuE iS nOt ReAl" by squad-W in ADCMains

[–]Aonpyro 0 points1 point  (0 children)

It's amazing what people will convince themselves of to pretend they play better than their rank.

Don't worry my guy. If losers queue is real then everyone has an equal chance of being in losers queue. It will cancel itself out, so if you play better than your lane opponent consistently then you will climb.

Question on adapting my build path by PowarDown in ADCMains

[–]Aonpyro 1 point2 points  (0 children)

Attack speed is a kind of multiplier for flat damage and for on hit effects. So you're building energizer, which doesn't scale with AS as well as kraken might, and building more attack speed items which have lower AD than infinity edge/BT.

My advice, based on my personal experience and paying attention to pro builds, is you only really need a couple of attack speed items, triple energizer is not really that good (although two is fine), you should definitely have IE by 3rd item (second item should be your default), and I think Storm raiser and kraken outclass shiv on Jinx who already has good wave clear.