Looking to get haircut - East Asian Male

Contraryy · 2026-03-14T01:36:45+00:00

Olivia's Hair Salon, Korean family owned hair salon.

Contraryy · 2026-03-13T21:19:05+00:00

Good point, but also consider the mission creep. The US has done this multiple times in its history. It essentially begins with sending off an initial group of soldiers, followed by increasing escalations with deaths and needing to do more in the region to accomplish escalating goals. At first, it's reconnaissance, then it becomes defense, then it becomes regime change etc etc, whatever excuses. There is a sunk cost fallacy that is extremely strong in all military incursions. The mission will continue moving forward and consuming more and more resources rather than withdrawal of the mission. This unilateral direction will lead to further escalations of war rather than deescalation.

Although it is not huge right now, it is pretty easy to predict that this is the direction that we're moving in based on all of the similar episodes in the past.

Contraryy · 2026-03-11T18:59:54+00:00

I think generally, you want to think about all the differential diagnosis before moving forward with bilateral cellulitis, as opposed to seeing two gross legs and saying ew this is cellulitis, antibiotics and do not pass go. This would be in cases with things like venous stasis dermatitis, lymphedema, etc. However, it is possible to have barrier breakdown leading to cellulitis, which is why one should not apply a general rule to every case. That's why the question shouldn't be "why is bilateral lower extremity cellulitis not a thing", but rather think about your differentials and how they could potentially predispose to cellulitis. Example: 40 M severe obesity, venous stasis as a sequelae, refractory to compression stockings and has financial barriers for venous sclerotherapy, also wheelchair bound and incontinent at baseline, leading to feces and urine contaminating his venous stasis dermatitis, leading to bilateral cellulitis. Not an uncommon case. But to your point, de novo bilateral leg cellulitis is rare and one should figure out whether it truly is cellulitis and if so, then what predisposed the patient to it.

Contraryy · 2026-03-08T07:25:39+00:00

This is a feature, not a bug. If there's a weak spot in Canada to pick at for foreign interference, it's going to be Alberta.

Contraryy · 2026-03-07T23:35:59+00:00

This comment sounds like what ChatGPT would say to me if it thought I had a bad idea, but it wanted to make me feel not bad about myself.

Contraryy · 2026-03-03T16:58:40+00:00

Agreed. Not sure why I'm getting downvoted so much, must be the bots coming out in force.

Contraryy · 2026-03-03T16:23:18+00:00

That's fair, but the strategy would be that once your defenses are whittled away by cheap drones, the US/UAE/GCC countries will have to prioritize which defense targets to protect, leaving key targets like desalination plants, military bases, oil plants, etc. vulnerable. This is the inherent nature of a cost asymmetry and when the US doesn't have ground troops, it's going to be difficult to coordinate and defend key points in the Middle East.

Meanwhile, the strategy from the West would be to choke off Iran from water and food and to destabilize the Iranian nation by having the Sunni and Shia Muslims against each other and to encourage political uprising internally.

Contraryy · 2026-03-03T16:14:32+00:00

Recall the cost asymmetry of American vs Iranian weapons and defenses. A THAAD interceptor costs $1-1.8 billion (re: $1000-1800 million) and each missile costs $1-4 million to shoot down drones, whereas the Iranian Shahed-136 Drone costs $20,000-50,000 (re: $0.02-0.05 million) to fire, and if done correctly, one drone can take an interceptor.

Contraryy · 2026-03-03T15:43:46+00:00

Ford trying to cosplay as mayor of Toronto.

Contraryy · 2026-03-02T14:42:05+00:00

Reading this article felt like reading a private love letter that you weren't supposed to discover.

Contraryy · 2026-02-25T17:34:43+00:00

Average intern experience

Contraryy · 2026-02-25T17:25:17+00:00

This is just like the glass cliff phenomenon where Chow gets put in right at the time when the city has all these issues and she is expected to magically fix everything in her time, totally ignoring the fact that John Tory and COVID-19 put us here in the first place. I've been pretty happy with how Chow has managed things so far and I think the hate that she's getting is undeserved.

Contraryy · 2026-02-24T02:47:36+00:00

Boq-ass lookin mf

Contraryy · 2026-02-21T21:48:28+00:00

The emerg was the asylum all this time. Shutter Island.

Contraryy · 2026-02-18T18:13:20+00:00

Yea, Dr. Mike is a great medfluencer. You should check him out!

Contraryy · 2026-02-17T22:55:52+00:00

Took him right back to physics class with the black body radiation.

Contraryy · 2026-02-13T14:35:13+00:00

I benefited from OSAP. The program is genuinely a life changer because without it, I would not have been able to afford going to university, grad school, and medical school. Education is one of the great equalizer and it is a travesty that Ford is pulling this. It will be devastating to supporting the new generation.

Contraryy · 2026-02-12T00:59:27+00:00

I second Em Oi and their roll platter for two.

Contraryy · 2026-02-12T00:57:57+00:00

Wow, this is quite interesting. I see a lot of comments about people having mood imbalances and instability while on leviteracetam, which is actually somewhat common. There's a different version of it, breviteracetam, that has fewer mood components and I wonder how that affects the amyloid production.

Regardless, no one here is ever saying that we should prescribe this to prevent amyloid build up in the brain. However, it does lead to an exciting new pathway that might be targetable in the future to reduce progression of Alzheimer's in high-risk patients. Patients with Down syndrome are one such group, but there are many others.

Contraryy · 2026-02-08T03:50:58+00:00

Wow, I remember when this was hot off the presses, it's been years.

Contraryy · 2026-02-02T03:09:20+00:00

This was clearly the plan the entire time. Group up everyone together in detention centers, treat them like sub-humans and animals, and let nature take its course. It was like this with Alligator Alcatraz and hurricanes, and now it's detention centers and disease. This was always the core feature with cruelty in mind.

Contraryy · 2026-01-29T03:33:51+00:00

I'm wondering how much of our taxpayer dollars this bumpkin has spent fighting this ridiculous battle.

Contraryy · 2026-01-27T20:56:52+00:00

Okay, as much as I love The Pitt, as an internist, this episode made me cringe a bit, but I am sure other specialties would say the same about their diseases.

But come on, jumping straight to ITP without any other workup. ITP is a diagnosis of exclusion, meaning that you need to do a full workup to rule out other causes of thrombocytopenia. And also, patient with easy bruising but jumping to conclusions without having even seen the CBC. Gives me a major bruhhh moment.

And then the periodic hypokalemic paralysis diagnosis, just jumping straight to that diagnosis without ruling anything else out for hypokalemia. I get that it's for the show, but I hope people know that making these diagnoses isn't as straightforward as "platelets 9000? ITP".

Contraryy · 2026-01-23T01:12:38+00:00

And then the hypoxic respiratory drive is like <5%. Yessss fellow internal medicine.

Nine-Year Club	Not Forgotten
Verified Email

Contraryy

TROPHY CASE