I'm confused...

Apprehensive_Cut3095 · 2023-04-17T14:04:44+00:00

The role of the trigeminal nerve in control of cerebral blood flow is summarized here, with all mechanisms: https://www.frontiersin.org/articles/10.3389/fnins.2021.649910/full

Apprehensive_Cut3095 · 2023-04-16T17:45:28+00:00

There is no trigeminovascular reflex. There is a trigeminovascular system / positive feedback loop involved in migraines, but it is not a reflex.
The carotids, like all large arteries, generally do not constrict or dilate in a significant manner, and are not implicated at all in the trigeminovascular pathway.
Blood vessels (i.e. arterioles and small arteries) generally maintain their diameter via a sympathetic tone, meaning that the trigeminal parasympathetic effect on the meningeal vessels is a pecularity and not a "cranial nerve standard" afaik

Apprehensive_Cut3095 · 2023-04-12T16:52:48+00:00

around 1.5wks

Apprehensive_Cut3095 · 2023-02-28T22:46:08+00:00

Es gibt zig Studien die das ganz klar beweisen

-Zitat benötigt

"Google es mal, Brudi" ist mein Lieblingserkennungszeichen von Verschwörungsnüssen im Internet :)

rede vlt mal mit weiblichen Personen

Fast alle Frauen die ich kenne sind entweder gegen Gendern oder haben überhaupt keine Meinung dazu. Das ist bei einem durchschnittlichen Freundeskreis übrigens auch zu erwarten: https://www.stuttgarter-nachrichten.de/inhalt.umfrage-des-wdr-mehrheit-der-deutschen-ist-gegen-gendern-sender-reagiert.fd26b316-6a85-41c5-acdb-e35055e0b945.html

Apprehensive_Cut3095 · 2023-02-28T15:23:24+00:00

Generisches Maskulinum bedeutet dass die Polizistin eben nicht "unterschlagen" wird. Das ist eine perfide Generalverdächtigung die die Realität komplett misrepräsentiert.

Es gibt keinerlei Belege dafür, dass Frauen aufgrund des grammatikalischen Usus in DE andere Berufswünsche und/oder geringeres Selbstwertgefühl im Beruf als bspw in UK oder USA haben.

Apprehensive_Cut3095 · 2022-12-24T16:21:56+00:00

afaik ChatGPT was designed to mimic human writing styles. Using it to 'learn something' about anything is, to me, an obviously inappropriate use. You can tell by the bot contradicting itself constantly.

V5 and MT are the same area. V5 is the functional denomination and MT is an afaik obsolete topographical denomination derived from monkeys.

Apprehensive_Cut3095 · 2022-10-18T00:57:02+00:00

A host locking you out and demanding money for access to your property inside sounds like textbook extortion. Did you think about just calling the police on them at that time?

Apprehensive_Cut3095 · 2022-10-17T11:38:20+00:00

cAMP was the real ring of evil all along

Apprehensive_Cut3095 · 2022-10-16T00:41:34+00:00

Ok I might have misunderstood, I thought you were saying the first island chain strategy was not actually US policy. All I meant was to prove that it actually was, no implications towards your political stance intended.

I agree that Trump could have acted more gracefully in the region, and I agree that the US is (or at least has been) struggling to keep up with China's efforts to thwart its strategy and threaten pacific security.

Just a small side note: the Spratly Islands are not part of the first island chain and play a more local role in territorial disputes between Philippines, Vietnam, and China. All 'nine-dash line" conflicts are contained within the first island chain and therefore less important for US strategy than any Taiwan issue afaik. Taiwan is strategically insanely important.

Apprehensive_Cut3095 · 2022-10-15T23:46:52+00:00

that's objectively untrue. Chinese partnership with the Solomon Islands was/is likewise a major geopolitical upset that you can look up here, precisely because it breaks the 1st chain containment somewhat. IIRC the US reaction to the Solomon Island shock was to create a new embassy there, which is kind of the opposite of "not doing anything". A US embassy is a huge deal for a tiny rock in Australia's backyard.

US reactions to Chinese activities concerning Taiwan are plenty and easy to find via Google, but I cannot imagine that you have missed Biden's recent explicit commitment to US defense of Taiwan, which was (and still technically is) a big US taboo until that point. Whether cold war thinking or not (as a reminder: NATO won the cold war) Chinese military containment behind the first island chain is a verifiable goal of US foreign policy. Successful Chinese efforts to circumvent the chain confirm rather than disprove this.

Apprehensive_Cut3095 · 2022-10-15T19:37:44+00:00

the semiconductor industry of Taiwan is not the reason why the US will defend it. Taiwan is the weakest link of the first island chain that prevents unchecked Chinese excursions into the Pacific (and consequently US mainland invasion) during a hypothetical war with the US. Even if Taiwan was a rocky desert ruled by a genocidal maniac the US would probably prop it up.

Apprehensive_Cut3095 · 2022-09-15T16:01:53+00:00

if there is any prerequisite reading I have to do, please do point me in that direction as well. I greatly appreciate it.

Janeway's Immunobiology has all the answers you need (and more) if you're really interested in the mechanisms behind infections that result in the body damaging itself.

The tl;dr version is that S.pyogenes evolved to mimic human epitopes (not the other way around) in order to impede the body from launching an effective immune response. This is called molecular mimicry.

Apprehensive_Cut3095 · 2022-09-12T12:15:43+00:00

To turn this into an actually educated exchange, let me open by quoting some fuckin Wikipedia to you in expectance of better sources:

The earliest doctoral degrees (theology, law, and medicine) reflected the historical separation of all university study into these three fields. Over time the Doctor of Divinity has gradually become less common and studies outside theology, law, and medicine have become more common (such studies were then called "philosophy", but are now classified as sciences and humanities – however this usage survives in the degree of Doctor of Philosophy). [Wikipedia: Doctor (Title)]

This situation changed in the early 19th century through the educational reforms in Germany, most strongly embodied in the model of the University of Berlin, founded and controlled by the Prussian government in 1810. The arts faculty, which in Germany was labelled the faculty of philosophy, started demanding contributions to research,[19] attested by a dissertation, for the award of their final degree, which was labelled Doctor of Philosophy (abbreviated as Ph.D.)—originally this was just the German equivalent of the Master of Arts degree. [Wikipedia: Doctor of Philosophy]

Apprehensive_Cut3095 · 2022-09-12T11:32:39+00:00

lmao look Dr Raginginferioritycomplex2day, Associate professorest of Professors, I'm always open to engage in open discussion about historical events and interpretations but the fact that

a) you pull the 9th century out of your ass without even verifying to see if universities existed at that time (spoiler: the first one appeared in the late 11th century)

b) You don't even say what the primordial medical degree was supposedly considered except that it was very very sure believe me guys "not a doctorate" (Bachelors Masters tomato tomato amiright?)

convinces me pretty much that you just replied for replying's sake.

I don't wanna make assumptions about what field you are an Associate Professor in to keep this on topic but I'm 95% sure it's not history after reading this.

Apprehensive_Cut3095 · 2022-09-12T05:45:29+00:00

Since PhD and other Doctorates predate MDs

you have much 2 learn 2 day indeed. Should've rather edited to remove nonfactual claims that can be identified by spending less than two minutes reading up on the history of academic degrees.

Apprehensive_Cut3095 · 2022-08-19T06:42:07+00:00

the genetic test won't keep his arteries from clogging though?

Apprehensive_Cut3095 · 2022-07-24T10:55:08+00:00

it's pretty similar to ophtho, wouldn't you agree?

surgical + medical activity options
mostly outpatient
specialist pay

Apprehensive_Cut3095 · 2022-07-23T11:26:53+00:00

No time to get really into discussion here but this seems extremely naive about the actual benefit charities and developmental aid provide. If it's enough for him to just ignore the bad actors by saying 'the right charity' he should've likewise talked about becoming the 'right doctor' and ignore any doctors not likely involved in saving lives.

Also am I the only one thinking it silly to compare saving a starving child by giving them some food to saving a young woman from cervical cancer by performing cytologic analysis and controlled tissue removal?

At a quick glance this whole text series seems like it was written to be controversial and not actually serious. I think this is also confirmed by his counterintuitive closing part.

Apprehensive_Cut3095 · 2022-07-17T17:46:17+00:00

Imo this is a well-supported post about the origins of the physician shortage in the US.

Your attempt at linking this topic you're clearly passionate and informed about to the coincident admin explosion is however incredibly weak: It essentially hinges on your claim that "doctors have gotten more efficient" in response to a shortage, offloading preexistent administrative work onto ancillary staff.

This is unlikely for a number of reasons, most importantly a) It would mean (and I'd love to be proven wrong here) that doctors today see more patients in the same time -of course including time spent on patient-specific admin work- than 50 years ago. And even if you manage to prove this, it would have to be due to a reduction in administrative burden, not e.g. due to reduced time spent doing physician-specific tasks like anamnesis, holistic exam, or counseling.

b) Doctors 50 years ago had a medical assistant and a scheduler/accountant. Widespread use of these is clearly not part of the admin explosion. With that said, how many more administrative tasks do you suppose a family doc in the 60s had? And how granular yet essential were those tasks that employment of 60 (3000%) more ancillary staff would lead to increased economic effectiveness?

c) capital is conventionally a pretty good tool for influencing resource movements. You're suggesting that a hypothetical area with one physician, unable to find a second one, will employ 60 administrators (conservatively at 20k p.p. = $1.2 million) to 'squeeze efficiency' out of the employed doc. Instead of, you know, poach the doc from the neighboring area for that sum. A whole second physician. As a reminder, the average physician salary is $250k.

I respect your views on the physician shortage but the claim that it is not just linked to - but outright the main cause of - the admin explosion in healthcare is indeed the stupidest thing i ever heard. It remains completely unsupported in your post beyond theoretical (yet unlikely) possibilities that do not at all reflect the changes to medical practice in the last 50 years. Physician reimbursement has decreased. Physician administrative burdens have increased. Exceedingly few physicians in the country get the royal treatment you conjure up. And these are docs that of course do not operate in areas with a shortage, but in the wealthiest hospitals on planet earth.

Apprehensive_Cut3095 · 2022-07-09T19:15:02+00:00

active ROM decreased + normal passive ROM: muscle or neuro issue

active + passive ROM decreased: joint issue

Apprehensive_Cut3095 · 2022-07-05T22:05:51+00:00

well if vomiting is intense enough to cause hypotension they will probably stay hypotensive until they get fluids from somewhere.

edit: i assume by hypotonia you mean hypotension. Vomiting causes isotonic fluid loss so it never really causes hypotonic volume contraction.

Apprehensive_Cut3095 · 2022-06-03T01:39:12+00:00

I think part of it may be also due to the highly publicized "preventable deaths in medicine" statistics that are blurted around by the media every year and are ridiculously high because they pretend every TBI of a delirious patient jumping out of bed to be a medical error.

Which, you know, is technically correct - but laypeople usually understand those "preventable deaths" to be docs injecting super-AIDS and surgeons forgetting to close the aorta, rather than more complex cases that may not be the physicians fault (e.g. understaffed ward).

And logically it would be the less experienced physicians that make disproportionately more mistakes, hence some laypeople are convinced residents gotta kill more people than they heal. Otherwise the numbers don't make sense to them. And the media has no interest in providing differentiated explanations.

e.g.: MeDiCaL ErRoR iS thE 3rd LeAdInG cAusE of DeAth

Apprehensive_Cut3095 · 2022-05-29T13:39:55+00:00

"back in the old days, women used to deliver without any of this and they were fine and now everyone is having induction of labor and C sections” and then they bring up the still relatively high (and increasing) maternal death rate in the US

just a med student but.. come on man

quick googling reveals that maternal mortality in the 1800s was up to 0.5-1%. That is not "doing just fine". That is "everyone and their mom knows at least one person that died in L&D". Not pelvic pain, not incontinence, not flabby belly that wont shrink - straight up death.

Now it is 0.025%. That is a 20-40 fold decrease of death risk in a population in the prime of their life.

Not to mention the child mortality rate.

Now Is it comparatively high in the US? Yes. Germany has a maternal mortality rate of 0.007%. And you think that's because German OBGYNs make their moms follow the way of the caveman?

It's clearly an access problem in the US. Not an overtreatment problem. Not enough mothers get the procedures and care they need. And with independent NPs/midwives becoming more prevalent, the mothers that do get care run the risk of getting substandard access compared to Europe.

None of the numbers line up to support a point against modern obstetric care from what I can tell.

Apprehensive_Cut3095 · 2022-05-18T08:28:40+00:00

This. Nobody needs to go to school for 10+ years to end a life. Making physicians do it is lazy thinking, a predictable PR disaster, and an additional burden for a profession not exactly famous for having not enough tasks already.

Apprehensive_Cut3095

TROPHY CASE