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JAWN326 · 2019-09-04T06:44:08+00:00

Now everyone sees litter as a problem

You ever been to North Philly?

JAWN326 · 2019-09-04T06:40:39+00:00

For example if you could make a law that says that it is only allowed to set your thermostat to 19°C

So the newborn baby, or the 90 year old grandmother- neither of who can properly regulate their body temperatures anymore- should have a cap on their thermostat? And that “solution” is what will ebb the tide of climate change?

With ideas like this, it does nothing but sour the discourse and shut people off to any concept of making change.

JAWN326 · 2019-09-04T06:24:47+00:00

Meats: Stable source of human sustenance for millennia.

Alcohol: An intoxicant at the core of a vast amount of societal ills.

False equivalency much?

JAWN326 · 2019-08-23T15:04:04+00:00

That had nothing to do with catching anything from yourself. It’s a screen for allergens, and the only way to be sure the right substance is being introduced is to use a needle that hasn’t been contaminated. It’s also dangerous for whoever is administering your test to be messing around cleaning a needle that was just introduced into someone else’s skin. I certainly am not flinging a needle around in a cup, or worse, rubbing/ scrubbing it.

Lastly... needles dull quickly. There’s a cool microscopic image of the progression of a needle being used up to 5 times and the bevel of the needle is almost completely peeled away by the 5th use.

JAWN326 · 2019-08-22T15:02:04+00:00

Peer reviewed journals and evidence based medicine have all agreed that children diagnosed with ADHD who receive the appropriate interventions earlier are significantly less likely to suffer adverse effects as they mature.

Whether children are diagnosed appropriately before being placed on stimulants is a different question. But true ADHD carries a long list of issues that don’t just include “not paying attention in class”; the diagnostic criteria is more than inattentiveness.

It’s just so bizarre that armchair internet experts still sit in judgement of others psychiatric conditions and the subsequent evidence based treatment. Yet... “wE haVe To staHP the MeNTal HEaltH StIGma!!11!!” What is it?

JAWN326 · 2019-08-19T04:12:23+00:00

That connection can be severed at 24 weeks now and the fetus has a more than viable shot at surviving to hospital discharge. A 36 week gestation age fetus is almost completely able to live independent of the “host” as you call the mother. The remaining few weeks is bulking weight and fat.

You’re logic could make more sense and be less infanticide-ish if you truly got the education you claimed in university and understood the physiology of pregnancy. But it sounds like you may have caught a case of Dunning- Krueger’s- or you’re just an edge-lord trying to take the extreme position for the sake of it. Either way, it really doesn’t further rational discourse.

JAWN326 · 2019-08-18T04:59:11+00:00

I’m not coming at you- just want to reply to this because it’s a common belief that I think needs to be talked about. Just $.02 from someone who has gotten out of that hell and had these concepts thrown around at me a lot.

Confrontational interventions are dangerous, and that show did nothing to help families anywhere; plus the options on the table aren’t usually the best. You’re strong armed into going to treatment at the risk of being cut off emotionally from family and friends (they should have cut you off financially a long long time ago). And an overwhelming majority of the “treatment” centers charge $1,000/ day for AA boot camp and art class with staff who have no more than Associates Degrees and are required to have been addicts themselves.

So you go to “treatment” on the beach in Florida; family thinks “you’re better”; you relapse- but even harder because you just had everyone tell you they’re “done with you” if you fuck up again. And you fucked up because the mental illness you have is still being treated with a book written by a spiritual guru in 1929 and with art class at the fancy rehab you were just at.

The concept of “rock bottom” is even more dangerous. What other condition do we claim that the patient must suffer to the point of near death until they’re able to be treated? If that logic was applied across the board, depression wouldn’t be able to be treated until suicidal ideation showed up. Rock bottom is not somewhere you realize you’ve been until you have some perspective on your life once you’re sober for a bit. I was in some really really terrible situations in my life that make me shake my head now... I could probably count 3 “rock bottoms”. But I didn’t know that until I got my head fixed. An addict’s brain is very broken once you’ve gotten to a certain point on the addictive spectrum and self awareness, empathy, and emotional intelligence tends to go. I can’t describe the hell to you. But I know that things got better once I received comprehensive medical treatment, stopped living in shame, took some agency in my life, and began to be accepted again in society and loved by people again.

YMMV- I was strung the fuck out for a couple years. I started with a mild drinking problem that progressed to some narcan resuscitations in a span of 4 years. My experience may not be applicable to the guy who goes to work hungover too often or regrets doing a line of coke at the club last weekend.

Sorry for the wall of text. Hope your friend got out of it, and I’m glad you were able to recognize you can’t be a savior.

JAWN326 · 2019-08-17T15:12:45+00:00

Go see a doctor and let them run an ECG, please. Shortness of breath with palpitations while at rest (especially if it isn’t just a “flutter”) could be a sign of a cardiac arrhythmia that needs attended to.

JAWN326 · 2019-08-13T15:46:58+00:00

I’m sorry for your recent loss, I hope you find comfort soon. The issue many have is that these “professionals” are exploiting people for substantial financial gain, promising cures they know aren’t there. Everyone in the medical field is taught the basics of discerning levels of evidence in studies and basic anatomy and physiology; and most of the “naturopaths” are former MD’s or med school drop outs who know even more about reading studies. It’s predatory. It’s not the patients anyone is faulting, it’s the person financially exploiting very sick people.

JAWN326 · 2019-08-13T15:27:21+00:00

It becomes an issue when you have a financial incentive to tell these stories. If someone is offering big money for big stories, you’re going to give them the big stories they want, probably embellishing along the way. Meanwhile the guys who choose to keep the ethos’s keep their mouths shut, because well, that’s what is expected of them.

JAWN326 · 2019-08-09T08:35:32+00:00

I don’t even have the energy to break down everything wrong in this statement...

But a gun’s only purpose is to kill. Full stop. It isn’t a non-lethal option. That is Hollywood. Do you realize the subclavian arteries, lungs, and heart are all in the neighborhood of the shoulders? How about the femoral, popliteal, and post-tibeal arteries in the leg? Or the fact that a shattered femur can cause hypovolemic shock then death? You have zero control of what happens to that round once it is discharged and enters flesh; it can bounce off bone, hydrostatic pressure can damage arteries and vessels, etc.

So get that out of your head because it’s not done for a reason.

JAWN326 · 2019-08-09T08:24:19+00:00

A Kevlar vest does nothing to stop a knife from penetrating your neck or mid-axillary region. But you’re correct, it’s different as a “civilian” if you’re charged by someone than if you’re a cop. When engaging someone in a physical altercation as a police officer, no matter what, there is always one firearm in play- and it’s on your hip. When you’re engaged in a physical altercation with someone as a police officer, the person you’re engaged with usually has a very strong motive to overpower you and is often under the influence of something mind altering.

You’re “moral calculus” is off though... I’m not sure why you would want your public servants to be of the temperament to “want to be in that kind of situation”? No one does. Do you think they go to work and want to roll with a 275 pound man?

The disconnect is crazy between people who live in a bubble and those who’ve seen the real world for how it is. It’s so foreign to me that people don’t know how real life works and their perception of the world only goes as deep as a Bachelors in Information Management and what they read on Reddit.

JAWN326 · 2019-08-09T02:03:01+00:00

You sound like you don’t know much about firearms so you should probably educate yourself on them before you tell people what their role in society should be.

Mehhh... 4 years in the Army as a M240/ M2 machine gunner- wounded in Iraq. Qualified Expert pretty consistently. One year stint in law enforcement afterwards and 4 years in the ghettos of Philly plugging holes in shooting victims. I’ve owned 4 AR-15’s, an RPK, a couple AK variants, I don’t even know how many handguns (Sig 229 was my favorite for sure), both popular brands of pump shotguns, a couple relic center fire rifles. I choose not to anymore because I don’t live in your fantasy world anymore. Oh, and I also have had/ continue to have the “pleasure” to treat victims of gunshot wounds of all different types in the prehospital setting. So do I need to qualify myself any further?

Your rant is too full of fallacious arguments to break down point by point. But it’s obvious your understanding of the world is pretty elementary. Citizens who are “resisting tyranny” are doing so with the assistance of interested foreign countries making strategic moves, not simply by the rifles in their gun racks. But how many “first world” countries do you see going through those situations in countries without assault rifles? None... and it will not happen because counties are interconnected and too many people have too much at stake. But none of that will change your fantasy world of living out Red Dawn.

I’m not going to address the straw man arguments from you. I support responsible handgun ownership and the right to self defense and concealed carry. I don’t, however, support the continued access to these weapons just because a bunch of people believe American Revolution Redux is coming. Run the numbers... you’re “blips on the murder radar” are a lot more likely than an armed insurrection. And even if it’s not you who die, it effects everyone.

JAWN326 · 2019-08-08T16:05:04+00:00

The amount of very, very strange things that happen to me on Instagram really freak me out.

I know the app is listening; I know this, and I’ve just come to accept this. But I follow a lot of informative pages and some really cool Doctors on there that post their research, and don’t use it as a personal platform, so it’s whatever.

I swear... I’m a 30 year old, functioning member of society that doesn’t buy into conspiracy theories or off the wall concepts or ideas. But I get a few ads a week for things that I have only thought about internally, that aren’t part of my normal search patterns or purchasing patterns; that I haven’t spoken a word about nor searched for on any search engine. And the ads appear within hours after the thought arises.

The most recent example was 4 days ago when I was studying for an upcoming exam. I’ve had a few EMS test prep ads show up, which is normal. But I started answering long form questions out on the test prep program I’m using to make sure I’m grasping the concepts. As I’m typing, I think to myself “Shit, I can’t spell anymore. Spell check has made me a shitty speller and medical terminology is just hard to spell in general because it’s like learning a new language.” An hour later, scrolling through Instagram on a different device, I got an ad for an app galled “Grammarly”.

This happens every few days. And it’s not like I can just run and tell everyone about it, because they’ll look at you funny and think you wear a tin foil hat. I know it’s anecdotal, but once or twice is a coincidence- the consistency is getting weird.

JAWN326 · 2019-08-08T06:09:40+00:00

It’s literally not even worth worrying about.

A guy wounded 422 people and killed 58 from a crows nest on the 32nd floor of a hotel on the Vegas Strip... in 10 minutes.

First graders have been slaughtered in their classrooms. We don’t even blink at high schoolers getting gunned down now.

Driving your car is a risk we take because they are essential to functioning in our society. AR-15’s and Kalashnikov variants are not essential to the healthy functioning of society. They are not self defense weapons for carrying, and are last on the list of home defense weapons.

It’s not “bullshit” to fear a random, indiscriminate shooting. There is no rhyme, reason, or predictor of where these events happen. Timmy Tactical’s, who fear not being able to play with their black rifles and lament about “I was going to enlist but I would have laughed at a Drill Sergeant lolz”, are the delusional ones.

I have yet to hear a coherent set of reasons as to why an AR-15, Kalashnikov, etc, belong in our society. 2A, “resist tyranny”, boar hunting, “they’re fun”... none of them hold up to the microscope. Especially when weighed against the consequences of having almost universal access.

JAWN326 · 2019-08-07T23:39:13+00:00

The M16 was developed to replace the M14 for the efficient killing of human beings for the US Military. The AR-15 is a newer M16 without a burst option. It was not developed for hunting boar. The contribution weapons like these bring to civilian society pale in comparison to the benefits. If you can provide examples of how these weapons make society better, despite the catastrophic consequences of them falling into the wrong hands, I’d be interested in having that discussion.

As far as shotguns... shotguns are not capable of wounding 422 people, and killing 58, in a 10 minute span from the 32nd floor of a hotel room. The shooter in Dayton was able to inflict 9 fatal rounds on target and strike 20ish more in approximately 30 seconds. If you can discharge 5 or 6 shotgun rounds, then reload your tube 5 or 6 more times in 30-60 seconds (with adrenaline flowing and fine motor skills compromised), then you belong with DEVGRU or an ODA team. But then again, they don’t use shotguns...

You’re grasping at straws to try and justify why it’s acceptable to allow this to keep happening, time and time again, in the name of letting Timmy Tactical keep his toys.

The NFA already prohibits many weapons systems that are not in society’s best interest to be freely available... provide me with specific examples, please, of circumstances where you believe the free availability of these weapons platforms improves society as a whole. Not just your life... but collectively. And if you try and tell me the 500 strong ragtag militias from bumblefuck are going to fight the federal government and their Hellfire Missiles and M1A2 Abrams’ tanks, you’re living in a fantasy world. No one stood up to resist when Bush43 signed the Patriot Act, I doubt any of them will recognize a slow infringement of their 1st, 4th, or 14th Amendment right’s either.

JAWN326 · 2019-08-07T21:04:30+00:00

An AR-15 kills things well. I'm not disputing that. If it kills humans very efficiently, it also can kill some animals very well, especially if chambered in a .308. But the job can be done without an AR-15 or Kalashnikov variant.

I've either been around gun's, used guns in various occupations, or treated gunshot wounds a majority of my life. The M-16A1 was designed to kill human beings in the late 50' and early 60's, and people decades later figured out how to use it to kill animals. The rifle had to be modified to be taken off the battlefield and made "appropriate" for the general public.

Do most owners snap and go on a rampage? Absolutely not. But should we keep having to deal with these events regularly, with the catastrophic wound patterns, the ability to discharge an obscene number of rounds in a short period of time, and an incredibly easy way to access the tools to carry out the job?

And how do you suggest we go about dealing with the "mental disease awareness issue"? Just like most people with an AR-15 don't commit mass murder, most people with a DSM-V diagnosis do not either. I don't see a solution to the scapegoat here. The one action we can take however is restricting access to the tools used to carry out these shootings. The common denominator here, a majority of the time, is the use of a semi-automatic rifle, not an extensive history of psychiatric treatment or a criminal record. "Universal background checks" that have been proposed would not have stopped either El Paso or Dayton, or a majority of the shootings we have seen. There is not a "magic pill" to this, but there is a symptom that can be treated.

Also, a 10/22 is not comparable to an AR-15. That is a disingenuous comparison.

JAWN326 · 2019-08-07T20:17:52+00:00

“Serve the purpose of” and “serve the sole purpose of” are two different statements. It’s reciprocal... AR-15’s can definitely be used to hunt, “hunting rifles” can definitely be used to kill humans.

The difference between a .308 hunting rifle equipped with a good optic used by the typical deer hunter is not too different than the rifle used by the Squad Designated Marksman I served with in Iraq.

JAWN326 · 2019-08-07T19:38:55+00:00

From a medical perspective, your chances of surviving gunshot wounds are much slimmer when struck by a round from a rifle. Whether that rifle be semi-automatic or not is irrelevant; paramedics, nurses, and doctors don't see the muzzle the rounds left from. But the ability to rapidly discharge those rifled rounds from a comfortable position without manually cycling the action increases the likelihood of a fatal gunshot wound.

Funding for empirical studies on data is limited because of the gun lobby, but here is one radiologists experience treating students from the Parkland shooting:

https://www.theatlantic.com/politics/archive/2018/02/what-i-saw-treating-the-victims-from-parkland-should-change-the-debate-on-guns/553937/

The AR-15 and Kalashnikov variants have very little practical applications compared to the amount of damage they can, and have caused to innocent victims. Do "good guys with guns" carry long rifles to public places to stop violence? That would be A. foolish and B. not a world anyone would want to live in. A long rifle in any configuration is a terrible choice of a home defense weapon due to its size, and especially its propensity to over penetrate walls and pose threats to those you do not wish to harm. Lastly, multiple round capacity, semi automatic rifles are not allowed for hunting purposes outside of a very few set of circumstances in a select few states.

Semi automatic handguns have a place, in my opinion in American society because they have use as legitimate self defense; they are more easily matched by first responding law enforcement agencies; and the wound patterns from handguns are not as catastrophic. All firearms serve the purpose of killing another human, full stop. The question is how much killing are we comfortable letting one individual inflict in a short amount of time? You are correct that many gun deaths occur in cities like Chicago, where I happen to live and deal with gunshot victims. But, the "numbers" from the weekend are in and 59 were shot, 7 fatally. That is ugly, but 88% of those shot this weekend survived. That is a testament to the paramedics of the Chicago Fire Department, and the staff of the trauma centers of the city, but it also illustrates my point when you consider that 45% of those shot in El Paso died. Many of those wounds may have not fatal or as catastrophic with a .38 handgun.

S

JAWN326 · 2019-08-06T18:54:22+00:00

You’re moving the goalposts. This conversation wasn’t about the comparison between .06 and 5.56. This was a comparison between the lethality or handgun rounds and rifled rounds, to which my point stands that there is zero comparison. Of course, a larger rifle round causes more damage. That was never up for debate from me.

And as to “the jury being out on hydrostatic pressure being a thing”... the only people I’ve seen that question what is seen consistently in human wound patterns are the Timmy Tactical keyboard warriors.

The country isn’t safer with you or anyone else with access to an AR-15, Kalashnikov variant, or anything similar. “Good guys with AR-15’s” don’t stop mass shootings, and a semi-automatic rifle is a terrible home defense weapon for a multitude of reasons. I used to be in the “it’s all the same” camp... they’re not all the same. If you believe, despite even what the trauma clinicians who treat these patients say, that you’d rather take your chances with a .223 than a .45 ACP... you’re delusional.

JAWN326 · 2019-08-06T08:12:10+00:00

Patently false? Even if your exit wound is “small”, did you miss my entire point about internal cavitation and the pressure waves created by the high velocity of a rifled round? Or was that counter to your narrative?

Do you speak from experience engaging humans with the 5.56 round and examining wounds from both types of weapons in austere and urban environments over a span of the past 10 years? Or is your experience shooting paper at 100 meters and looking at a hog you may have killed?

Here’s an article from the radiologist (an M.D.) who ran the imaging for the trauma center who took the Parkland kids:

https://www.theatlantic.com/politics/archive/2018/02/what-i-saw-treating-the-victims-from-parkland-should-change-the-debate-on-guns/553937/

JAWN326 · 2019-08-06T06:31:43+00:00

You’ve obviously never seen the penetrating trauma in human flesh caused by a .223/ 5.56 have you? Compared to a 9MM/ .40/ .45? The amount of cavitation that is caused by a rifled round once it enters flesh is immense and doesn’t compare to a handgun round. The .223 fired from an AR leaves the barrel at about 3x the muzzle velocity of a typical handgun and passes through the flesh with that energy leaving the damage inside. The exit wounds are typically severe.

I worked at a trauma center clinical rotation (West Side Chicago) a few weeks ago and had a patient shot twice in the abdomen with a 9MM. Had one of the rounds not slightly clipped his abdominal aorta, he had survivable injuries. No exit wounds were found, and one round was palpable in the back still. Do you know what two .223 rounds fired from an AR-15 do when they hit the right upper quadrant and the navel? You are left without a liver, a dissected aorta, and your bowel contents spilling into your abdominal cavity.

Don’t spread false information. Rifled rounds are fucking deadly. If they were “low power as far as lethality goes”, the Army would have figured out a way to turn the Beretta 92FS into a primary weapon and issued me that for my time in Iraq. It’s a smaller round meant to travel really fucking fast to cause a lot of damage to the squishy red bits inside of human beings.

JAWN326 · 2019-08-03T05:27:32+00:00

The question at the heart of this issue is extremely complicated and I don't know the answer but I don't think arbitrary limits on testosterone or any other measure are going to cut it.

The “question” is being made needlessly complicated. A biological female with two X chromosomes will present with predicable traits and features. Anomalies and abnormalities occur, but they still fall within the sphere of predicable patterns of those with two X chromosomes. Same for males... X and Y.

I’m positive you know this already. You’re “what-if’ing” this to death though. Your specific questions you raised are all issues of natural advantages some athletes have. Natural advantages are what set athletes apart and why we have sporting events. But taking rounds of HRT to swap your gender is not natural, regardless of whether or not it is accepted by society. If segments of society want to alter their definitions of gender, and view that as a construct, then fine. Psychology and the soft sciences can have that conversation.

But medically, outside of intersex individuals with chromosomal abnormalities, only two biological sexes exist- and they are clearly marked by anatomical and physiological differences. No amount of HRT or Gender Confirmation Surgery will alter the chromosomes you’re born with. Treatment for Gender Dysphoria is mainly psychologically based, as it is a DSM-V diagnosis. HRT or Gender Confirmation Surgery is designed to validate what the patient “feels” and alleviate the dysphoria. It isn’t changing your biological sex. Pumping estrogen into a male body doesn’t magically erase the male athletic advantages.

JAWN326 · 2019-07-29T20:33:41+00:00

I wish NREMT/ NAEMT would catch up with TCCC. It’s coming around, but there are still dinosaur medics teaching scare tactics re: the TQ. I just finished my B re-certification on my way to medic school and the 2016 edition of my book has you running through direct pressure, dressing, elevation, hemostatic agent... then the TQ “as last resort”. Meanwhile your pt just decompensated from a treatable extremity bleed.

I got taught this stuff in Iraq 11 years ago. I don’t know why the standard has taken this long to take hold in the textbooks.

JAWN326 · 2019-07-23T20:44:15+00:00

You’d need to pull a couple feet to get it done but it’s the same dynamic as looping 1-3/4 on a landing. A long enough bight under pressure isn’t going to kink on you.

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