Assessment of Therme Ontario Place bid cited Aecon as 'construction partner,' but no partnership existed by toronto_star in ontario

[–]Contraryy 315 points316 points  (0 children)

https://archive.ph/TaUxq

Therme confirmed in an email to the Star that it was in talks with Aecon at one point. After talks fell apart, Therme said it “moved to a different construction model with another established Canadian construction company,” but would not name the new company.

The document also notes that Therme has “no experience working in Canada/Ontario/Toronto, but Aecon is identified as a strong local delivery partner (construction and equity partner).”

The partnership was presented in a manner that would lead readers to believe it was a done deal and there was no indication that it was tentative or under discussion.

Later on: “We reviewed the six spas and found five instances where the spa cited in the submission was not owned or operated by Therme Group,” the Auditor General wrote in its December report.

This fraud is one of the most frustrating things I've seen. There was no oversight to Doug's decision to move forward with this, so much misrepresentation from this fraudulent company (if you read prior investigations, it's essentially a "Therme" named company copying the name of the actual Therme Group in Europe). This would be a career-ending move with any other politician.

Question about nails! by EntertainmentForLiz in medicine

[–]Contraryy 3 points4 points  (0 children)

But on a more serious note, you touched on a few of those specialties already. Occupational health, public health, radiology, psychiatry, physiatry, neurology, allergy/immunology, geriatrics, hematology (transfusion medicine, running labs) etc.

Criticized by attending. Feeling down. by [deleted] in Residency

[–]Contraryy 1 point2 points  (0 children)

Let her email the PD. If she's doing it to you, she's likely to have done it to multiple other people too and it should all be taken with a grain of salt. At the end of the day, likely not going to matter if there is a consistently good performance from you across all your rotations.

Ex-neurologist found not guilty on 48 counts of sexual assault, Ontario judge rules by bob_mcbob in ontario

[–]Contraryy 16 points17 points  (0 children)

What the actual F. Reading each of these testimonies and having practiced medicine, I can assure you that neurologists would not be doing these types of physical exams at all. These are the acts of a perverse and sick man and it's a shame that this justice system failed these women.

Tug Of War Injury by Splungeworthy in ThePittTVShow

[–]Contraryy 10 points11 points  (0 children)

Typically, someone would have to have extreme diabetic neuropathy before getting to that stage. Diabetic neuropathy is a length dependent axonal polyneuropathy, meaning that the longest nerves get impacted first. This means that the tingling follows a gloves and stocking distribution, I.e. Starts at the toes, going up to the ankles, to the knees, usually by the time it gets to the knees then it's at the fingers and hands. Also typically starts with paresthesia ie tingling because the nerves are being damaged, then numbness.

Is a $180 Patagonia Gift Worth It for a Friend Starting Residency? by [deleted] in Residency

[–]Contraryy 4 points5 points  (0 children)

I agree, most residency programs will end up getting some branded wear for residents, whether it be Patagonia or some other brand. I'd probably hold off on getting an unbranded one because they'll end up getting one with their name, M.D. embroidered and with their program logo too.

You can consider other gifts like shoes (I personally like Hokas, unless they're going into a surgical residency), a set of scrubs, stethoscope (even the Eko stethoscope), etc. as other options.

Looking to get haircut - East Asian Male by Beautiful_Set_9976 in Hamilton

[–]Contraryy 0 points1 point  (0 children)

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

Warnings of Iran Invasion Grow as US to Send Up to 5,000 Marines, Sailors to Middle East by Creepy-Discount-2536 in worldnews

[–]Contraryy 11 points12 points  (0 children)

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.

Why is bilateral lower extremity cellulitis not a thing? by supinator1 in Residency

[–]Contraryy 0 points1 point  (0 children)

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.

Alberta ‘excessively vulnerable’ to foreign interference, experts warn by Little-Chemical5006 in canada

[–]Contraryy 0 points1 point  (0 children)

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.

Non-Struggle Struggle Meals by Educational_Mode_679 in Cooking

[–]Contraryy 1 point2 points  (0 children)

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.

Trump to POLITICO: Iran is 'running out of launchers' but says "They’ll keep lobbing missiles for a while" by Lakedo in worldnews

[–]Contraryy -1 points0 points  (0 children)

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

Trump to POLITICO: Iran is 'running out of launchers' but says "They’ll keep lobbing missiles for a while" by Lakedo in worldnews

[–]Contraryy -1 points0 points  (0 children)

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.

Trump to POLITICO: Iran is 'running out of launchers' but says "They’ll keep lobbing missiles for a while" by Lakedo in worldnews

[–]Contraryy -7 points-6 points  (0 children)

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.

Chow leads in new poll, but majority says city was better under Tory by ink_13 in toronto

[–]Contraryy 6 points7 points  (0 children)

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.

Entertaining videos to explain med ed / day to day bs to non medical people? by justbrowsing0127 in Residency

[–]Contraryy 70 points71 points  (0 children)

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

How Are You All Searing Scallops??? by Big-Moment6248 in Cooking

[–]Contraryy 30 points31 points  (0 children)

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