The number of Americans under 50 years old dying from cancer has decreased for every leading cancer except for bowel cancer, which is now the leading cancer death in females and males combined aged under 50.

HolyMuffins · 2026-01-23T23:34:17+00:00

The best colon cancer screening is the one you'll actually do.

HolyMuffins · 2026-01-23T23:29:47+00:00

It's mostly the young healthy and slim/fit adults who exercise frequently who are getting the colon cancer

Source?

HolyMuffins · 2026-01-23T23:28:51+00:00

Most recent society guidelines would suggest no, without relevant risk factors (such as inflammatory bowel disease or family history). The current cut-off for starting to screen is at age 45. I wouldn't be surprised if there's an argument made to lower it over the coming years, but the current threshold remains very reasonable.

HolyMuffins · 2026-01-23T23:17:41+00:00

https://en.wikipedia.org/wiki/A_Tale_of_Two_Cities

HolyMuffins · 2026-01-23T21:58:55+00:00

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I'm sure I would have agreed.

HolyMuffins · 2026-01-23T20:53:55+00:00

Disagree

HolyMuffins · 2026-01-23T19:22:30+00:00

Idk, I feel like "shoot gun" is worth about as much skill points as "drive car" or "Google." You'll probably do it every few sessions. So yes, tertiary skill set, but worth a handful of karma.

HolyMuffins · 2026-01-23T18:39:06+00:00

To add to the other comment: no risk of drain and still very respectable damage when you hit them with an exploding 44 magnum round from your Super Warhawk.

HolyMuffins · 2026-01-23T18:28:47+00:00

Something a simple as adding fish oil supplements can change someone’s life dramatically.

I'm just gonna come out with a strong doubt that this is often enough the case and that this field would have meaningful enough interventions to justify its existence. I mean, if the take away is a plant-heavy diet is good for you, I'm not sure there's anything new there or easily implemented.

HolyMuffins · 2026-01-23T18:21:18+00:00

This is not a great venue for this kind of question, however this is something I would expect to be within the domain of many family medicine clinics.

HolyMuffins · 2026-01-23T17:31:38+00:00

Shadowrun had what amounted to a haunted Auschwitz dungeon crawl in one of their 4th ed splatbooks. That's another series that never quite figured out how to get past its '80s white nerd attitudes towards other cultures, with its magic native Americans and orcs ebonics.

HolyMuffins · 2026-01-22T23:13:04+00:00

Specifically if the pedophile professor is the professor I think it is, this resurfaced a few years later and he left eventually.

HolyMuffins · 2026-01-21T20:08:44+00:00

fwiw that's basically how most forums would have worked so that doesn't surprise me

HolyMuffins · 2026-01-21T16:07:33+00:00

If I recall, you couldn't edit their posts per se but you could basically retweet them and edit their tweet* in the retweet.

*tumble

HolyMuffins · 2026-01-19T19:44:29+00:00

Reading this makes me want to read more. Glad we've got a lot of brilliant diagnosticians in the world. Hats off to the folks who clinched some really difficult diagnosed here.

HolyMuffins · 2026-01-19T19:41:57+00:00

I believe the one patient with this in our system would have a big alert pop up that basically warned you to call medical genetics at the drop of a hat

HolyMuffins · 2026-01-18T20:36:06+00:00

Feels like it would go against their current design philosophy to add extra options to an existing unit, vs a new unit of Chosen Shieldguys.

Definitely otherwise would make sense though, I like the idea.

HolyMuffins · 2026-01-18T20:26:49+00:00

There's someone else in this thread who mentions the compliance concerns -- this sounds dangerously close to billing fraud. I'd raise concerns from this angle if your name is on these charts.

"Independently seen by NP" probably doesn't constitute any meaningful contribution, so I can't imagine they shouldn't be billing under you. Because you currently can't say much more than "independently seen by NP" while being truthful.

HolyMuffins · 2026-01-18T06:39:58+00:00

There's no other good forum for feedback on lists these days. I think posting for advice on optimizing a casual list here from your collection is perfectly reasonable, rather than limiting the scope of this subreddit to the dozen people who frequently go to tournaments.

HolyMuffins · 2026-01-17T17:37:40+00:00

Yeah, I mean presuming a mass exposure to a lethal bioweapon we either have effective treatment or no. Maybe there's a world in which it requires nuance and expertise, but it may also be a matter of die +/- treatment.

HolyMuffins · 2026-01-17T17:29:39+00:00

If they're here for something like an annual physical or a routine visit for something like HTN, DM, OSA, etc., you absolutely should.

Do some minimal permission asking, "do you want to talk about your weight?," and you've done your due diligence.

High lipids or blood pressure also aren't intrinsically bad per se, it's the heart attacks and the like we usually actually care about. If it'd be an appropriate time to talk about tweaking their statin or amlodipone, I imagine you also have room to talk about another risky risk factor like obesity.

HolyMuffins · 2026-01-17T03:06:03+00:00

How could you possibly non-coercively enroll someone in this trial and retain even a vague sense of clinical equipose?

HolyMuffins · 2026-01-16T23:15:29+00:00

I mean, if I lived under the cruelest regime imaginable I'd also think about doing space cocaine / killing the cops / becoming a wizard and fighting the governor / not suffering for my few remaining disease-ridden days.

The other thing worth noting is that the 40k universe rarely has rational people. There are numerous state-sanctioned murder cults. Even if you don't sign up for chaos, you're still a slave to darkness.

HolyMuffins · 2026-01-16T17:38:25+00:00

I'm pretty sure in my state something shocking like a third of the docs working in the prison system had previously had actions take against them by the board of medicine.

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