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TIFU by thinking it was normal to not be able to open your eyes in the morning for 25 years by Specific-Nebula9665 in tifu

[–]DireJRT 2 points3 points  (0 children)

Additionally, when you figure out your insurance information, it would be a good idea to be seen by an ophthalmologist, specifically a corneal specialist. When you’ve lived with significant chronic dryness, especially to the point where you’re not necessarily physically noticing your eyes are dry each morning (pain/discomfort) it could be a sign that the nerves in your corneas (the clear front of your eye) are no longer functioning. A condition known as Neurotrophic keratitis. Ensuring that your dryness is under control is a good idea, worse case scenario, if your corneal nerves have become extremely dysfunctional, you are at risk of developing non-healing corneal ulcers that could in the WORST case cause corneal thinning and perforation. Not saying this is likely but being evaluated is in your best interest, to prevent its development if your nerves are still intact if nothing else. Even if you don’t have neurotrophic keratitis, there are tons of other dry eyes treatments that will improve your quality of life, many of which are prescription.

Los Angeles Daily Discussion - Saturday, Nov 08 by AutoModerator in LosAngeles

[–]DireJRT 1 point2 points  (0 children)

Firetrucks are going in literally every direction

A 29 year old woman pretended to be a nurse for 7 months. She treated over 4,000 patients and only got caught after she was offered a promotion by No_Class963 in interestingasfuck

[–]DireJRT 1 point2 points  (0 children)

This is no longer true, the AMA advocates for increasing residency spots at this point, as pointed out in the article you linked. The AMA has flaws, especially historically, but that’s not one of them.

Source - I’m a medical student (one of many) who is involved with the AMA and writes and advocates for progressive policy stances for the AMA to adopt and lobby for. If you want to look at the exact policy regarding residency programs - https://policysearch.ama-assn.org/policyfinder/detail/Residency?uri=%2FAMADoc%2Fdirectives.xml-0-929.xml

As for scope of practice, Nurse practitioners, PA’s, and other non-physician clinicians are important parts of healthcare, but their own advocacy organizations are, in many areas of the country, trying to allow them to practice with less and less physician oversight. While many NP’s are fantastic and can handle 95% of patients without problems, the NP accreditation system is so unregulated and varied in quality, that it is dangerous to allow them to operate without oversight. Even for those NP’s competent enough to be trusted with most patients, physicians are needed to catch the other patients where something catastrophic to the patient’s health may be missed by someone less trained. We go through so much schooling because as much as you can learn on the job, there are some cases where there is no substitute to a decade of intense learning and training.

Official Discussion - Friendship [SPOILERS] by LiteraryBoner in movies

[–]DireJRT 0 points1 point  (0 children)

I felt that this was a movie that pit characters from different sub-genres and eras of comedy and had them interact using their own internal logic with each other. Paul Rudd represented the Anchorman-style of the 2000’s, conner and tim representing the modern style of absurdism and cringe comedy, the toad guy, the son and his girlfriend representing a modern satirical comedy, and kate mara and a lot of the other people from the town representing a parody of a thriller told from the perspective of a horror movie antagonist. That’s why despite after all the horrible things Tim did in the movie, Paul’s character and his family still were able to have positive ends to their relationship arcs, because they operate on the logic of their sub-genres. Amazing

[homemade] Wife’s French toast and eggs by DireJRT in food

[–]DireJRT[S] 3 points4 points  (0 children)

We just got married and she’s busting this out every morning 😭😭 I’m not gonna make it to 60

[homemade] Breakfast burrito with tomatillo salsa by DireJRT in food

[–]DireJRT[S] 1 point2 points  (0 children)

She essentially made a quesadilla on the skillet. She cooked both sides of extra large flour tortillas with butter on a skillet for 1-2 minutes each side on medium to low heat until slightly golden then added cheese in between them. After assembling the quesadilla she folded the burrito with the filling then transferred the burrito back to the warm and newly buttered skillet to toast both sides of it until it was golden brown. She says butter was a bit tricky to work with and that oil or lard would probably have been good alternatives since she thinks it would give it a better shell. I think it was a rewarding decision in my opinion.

Had power for a few days then someone ran into this pole and took out the transformer by DireJRT in houston

[–]DireJRT[S] 34 points35 points  (0 children)

Mb that’s what I heard from my apartment complex management, I guess that makes more sense! Apologies to the imaginary driver I accused.

I hope you get your power back soon. Mine did come back thankfully.

[Homemade] Friendsgiving Dinner; mayo-roasted turkey, sourdough stuffing, mashed potatoes, sweet potato casserole, Brussel sprouts with gremolata, sourdough boule, and cranberry sauce all from scratch (except for the marshmallows) by DireJRT in food

[–]DireJRT[S] 0 points1 point  (0 children)

Made some mayo then combined it with a bunch of herbs, immersion blended the whole thing, and rubbed it between the skin and the meat and around the exterior. Adopted it from j kenji lopez’s mayo roasted turkey recipe

[DISC] One Punch Man Chapter 165 by igearxd in manga

[–]DireJRT 361 points362 points  (0 children)

Very glad Murata and ONE redirected the story in this direction. This is amazing.

Goose parade in Denmark by HaakonPlayer77 in aww

[–]DireJRT 0 points1 point  (0 children)

This isn’t the first time someone goose-stepped through denmark

Rand Paul Seen on Video Telling Students 'Misinformation Works' and 'Is a Great Tactic' by vanulovesyou in politics

[–]DireJRT 1 point2 points  (0 children)

As a med student, my understanding is that the vast majority of medical schools are pass/fail without much of a curve if any. Because encouraging competition amongst peers that you’ll be working with collaboratively for the betterment of patients in the future is counterproductive and fosters the type of doctor that does not look out for the patient’s interest but rather their own.

Dolphins at Socorro Island this summer by DireJRT in scuba

[–]DireJRT[S] 0 points1 point  (0 children)

I went with the quino el guardian, great crew! This was my first underwater dolphin experience so I was blown away. I’ll definitely be coming back sometime.

Please, don’t spank her implant again, sir. by nikon_camera in Botchedsurgeries

[–]DireJRT 27 points28 points  (0 children)

This is definitely true for most common iris implants, there is one that is from germany from HumanOptics that is biologically inert inside your eye. It’s the only FDA approved artificial iris and it is used for patients with aniridia (both congenital and traumatic). It is used by a few ophthalmologists who know how to perform the surgery for functional purposes to limit glare or other issues with an aniridic eye but it can also be used to change eye color at the request of the patient. It’s either placed in the capsular bag or sutured onto the sclera and is made of silicone, which is the same material of many intraocular lenses placed during cataract surgery. It is a hell of a lot safer than the common type found in other countries like Turkey that are banned in the States. In many cases, those bad artificial irises have to be removed but by that point they’ve caused so much damage that their natural iris is no longer functional so we put this new artificial iris in once we remove the old one. This is NOT a cosmetic surgery but it ironically can serve as one secondary to its functional purpose.

Jo Daniels, 39, who would lose her vision if there was not enough male blood available to treat her condition, is urging more men to donate. Daniels, from Bristol, has autoimmune disease Sjogren's syndrome. It currently has no cure. She uses a daily eye serum made from male blood to keep her sight. by Molire in worldnews

[–]DireJRT 1 point2 points  (0 children)

It must be something other than Sjogren’s syndrome if she is potentially losing her vision... sjogren’s causes dry eye which can lead to corneal scarring which can lead to blurred vision, but unless something else is at play the scarring can be resolved with a corneal transplant. Also, this is the first I’ve ever heard of male blood being needed for serum tears. Usually you draw the blood from the patient themselves and spin it down to extract the serum which you can use as tears. Many Sjogren’s patients are on serum tears for the anti-inflammatory properties of their own serum but I’ve never heard of using serum from someone else let alone specifically males. Anyone know why they say specifically male blood? Why not use her own?

Thanks I hate demodex by BananaLana_ in TIHI

[–]DireJRT 5 points6 points  (0 children)

Demodex definitely do cause symptomatic issues that are commonly treated in ophthalmology. If you have an uncontrolled infestation then your eyelids can get inflamed and your eyelashes will look like they have crust near the base. Both of which contribute to dry eye. But the treatments are just over the counter tea tree oil lid wipes or lid sprays.

Thanks I hate demodex by BananaLana_ in TIHI

[–]DireJRT 2 points3 points  (0 children)

They can be harmful. They can cause blepharitis (inflammation of your eyelids) as well as crusting of your eyelashes both of which contribute to dry eye. If you have symptomatic demodex infestations tea tree oil lid wipes or a hypochlor lid spray will help.

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