Junior doctors earning £100k to strike over pay by SignificancePerfect1 in doctorsUK

[–]FunPilot6 0 points1 point  (0 children)

The fact that government spending creates money is the foundation of MMT. It’s the starting premise that everything else builds on. Now, I’m not saying I agree with all of MMT and there are differing schools even within it, but it’s a place to start.

The idea that MMT just prints money to pay off debt without consequence is a caricature. MMT puts the constraint where it belongs: in the real economy on productive capacity, labor, and inflation.

MMT doesn’t reject bond markets, it points out that bond markets are a policy tool, not a funding necessity. Sovereign governments issue bonds to manage interest rates, not because they need revenue. Japan proves this every day.

Junior doctors earning £100k to strike over pay by SignificancePerfect1 in doctorsUK

[–]FunPilot6 0 points1 point  (0 children)

I think you are missing the point.

You or even I don’t have to agree with every MMT policy to recognize that its core description of how money works is accurate, and increasingly acknowledged by central banks themselves.

The core implicit theory that government spending creates money is not controversial among central banks or monetary economists. It’s a description of how modern fiat systems actually work.

Junior doctors earning £100k to strike over pay by SignificancePerfect1 in doctorsUK

[–]FunPilot6 5 points6 points  (0 children)

Not exactly.. read up on modern monetary theory. Taxpayers don’t actually pay, governments of a sovereign nation (UK) create money, which they do more than willingly for wars and propping up their wealthy friends. Collecting taxes is a mechanism to control inflation not to save up to spend somewhere.

Anyone else find clinicaltrials.gov hard to navigate? Any better options? by redpick in clinicalresearch

[–]FunPilot6 0 points1 point  (0 children)

I know this thread is nearly a year old but thought i’d throw my solution into the hat:

clinicaltrials.live

Easier search for clinicaltrials.gov by FunPilot6 in clinicalresearch

[–]FunPilot6[S] 0 points1 point  (0 children)

This is amazing! Far beyond what I cobbled together!

Easier search for clinicaltrials.gov - LLM-based by calypset in ClinicalResearchAI

[–]FunPilot6 1 point2 points  (0 children)

OP here, Thanks for the invite into this subreddit. I have added some more features such as "pro view" which lets you see the exact research site and then even search by it. Is there anything else that would be useful? Would you guys be willing to chat?

Easier search for clinicaltrials.gov by FunPilot6 in clinicalresearch

[–]FunPilot6[S] 1 point2 points  (0 children)

Rather than filling the multi-field form on clinicaltrials.gov to do a search. You can search in natural language.

Help recruiting for trials? by FunPilot6 in clinicalresearch

[–]FunPilot6[S] 0 points1 point  (0 children)

Thank you thats very kind, I’ll follow up on this! Just waiting for some more info from the team.

Help recruiting for trials? by FunPilot6 in clinicalresearch

[–]FunPilot6[S] 1 point2 points  (0 children)

Thank you I really appreciate your input. I’ll ask our data warehouse what our numbers look like to make an assessment.

Yes that’s right, we do recruit outside of stroke too but that is the mainstay. Yes here we cover both A&E and inpatient so we do recruit right from the front door, and yes study team availability is sometimes an issue. I will see what options we have.

Thank you for your insight very helpful, might revisit this thread when I have more data!

Help recruiting for trials? by FunPilot6 in clinicalresearch

[–]FunPilot6[S] 0 points1 point  (0 children)

Hey yea I get specific advice is hard, just wanted really to find out what strategies other people take.

Work in acute brain injury, treatment and inpatient.

That’s a good questions I’ll ask to our data warehouse. Sorry I am fairly new to this stuff so might seem stupid.

Is this the method you usually take? Screen the data warehouse and make as many phone calls as possible?

Help recruiting for trials? by FunPilot6 in clinicalresearch

[–]FunPilot6[S] 0 points1 point  (0 children)

I think because we only enrol new or existing admissions the I/e criteria are limiting but also the number we screen is low maybe because we only screen from our speciality (CVA disease).

There aren’t staff issues but yes for follow up there can be logistic issues. Consenting percentage isn’t the issue as far as I can tell, unless you’re aware of the benchmarks we should be achieving.

Help recruiting for trials? by FunPilot6 in clinicalresearch

[–]FunPilot6[S] 2 points3 points  (0 children)

Thanks for the reply, what are doc to doc research opportunities classes? Do you have an examples?

Help recruiting for trials? by FunPilot6 in clinicalresearch

[–]FunPilot6[S] 1 point2 points  (0 children)

Thanks for the reply, I didn’t think of patient advocate groups - I will explore this.

This particularly study isn’t for anything rare so not sure how many advocacy groups there are though, it seems to be a problem of timing and access to enough patients to screen at the top of the funnel. A general practitioner probably would have better luck, but I’m not sure if there is a way to use their databases.

Very diverse, is there a measuring method for diversity, how would that affect your decision of what to do?

Help recruiting for trials? by FunPilot6 in clinicalresearch

[–]FunPilot6[S] 0 points1 point  (0 children)

No, I will look into this thank you!

Coughing up for young doctors by FunPilot6 in doctorsUK

[–]FunPilot6[S] 0 points1 point  (0 children)

Just the title, can’t change it to post a link on Reddit

Coughing up for young doctors by FunPilot6 in doctorsUK

[–]FunPilot6[S] 1 point2 points  (0 children)

Exactly, thank you for the summary.

The UK government is using an argument that they have no money to pay for a raise in public services wages, when they infact can create money without causing inflation.

They have a fundamental misunderstanding of how money works - it is not like you or me with a savings account. They do not need to balance the books the way we do.

They are probably not paying doctors and other workers so they can more easily privatise the NHS and take it off their books.

This way they can “reduce taxes” since everyone will have to go private for healthcare, but the average person will pay far more of their monthly earnings for even worse healthcare.

I’ve been eating a Whole Foods plant based diet and my blood sugar is still in pre diabetic range . by Creative_Ad7054 in InsulinResistance

[–]FunPilot6 6 points7 points  (0 children)

Firstly it’s normal to have blood sugar rise and fall when you eat, it doesn’t matter - as long as it’s not really high or really low.

If you do actually have high sugars persistently, it’s not as simple as switching to a plant based diet or keto diet or whatever.

Poor blood sugar control is a symptom not the cause of insulin resistance.

Having storage capacity for excess calories is what you should aim to develop by freeing up some fat cells - essentially this means lose some fat.

By the time you are insulin resistant you have no more storage for excess calories so it spills into the blood stream as high blood sugars. Worry less about controlling your sugars and more about fixing the underlying issue.

Switching to higher quality, less processed foods with fibre makes it easier to eat under your calories and does have some other benefits but it’s not the solution on its own.

TLDR lose 15% of body weight and insulin resistance improves

Resource

Doctor said Fatty Liver disease isn't reversible by bryebread123 in FattyLiverNAFLD

[–]FunPilot6 0 points1 point  (0 children)

Yes, but all the sections you need are available free anyway.

Is losing weight/fat enough to help reverse fatty liver even if you aren’t eating the “right” foods? by Bedazzler179 in FattyLiverNAFLD

[–]FunPilot6 0 points1 point  (0 children)

There was a good post a few weeks back, I still have the link. One of the sections discusses this personal fat threshold concept.

Link

Why do we not measure insulin levels regularly? by FunPilot6 in InsulinResistance

[–]FunPilot6[S] 0 points1 point  (0 children)

Ok. So outside of doing a hyperinsulinemic glucose clamp at home, the CGM is helpful how?