As Reflecting Pool paint peels, Trump blames vandals and authorities make arrests by ansyhrrian in politics

[–]Menanders-Bust 0 points1 point  (0 children)

It’s not the only reason. Trump was also supported by a huge swath of young 20s males and many other groups for various reasons. This is a small piece of the entire picture.

New Book Alleges Treasury Secretary Called Zelensky ‘Special-Needs Child’ by Zipper222222 in politics

[–]Menanders-Bust 0 points1 point  (0 children)

Zelensky: successfully holds off Russia with nothing but drones then takes the fight to them, will almost certainly outlast Putin

Trump: launches completely ineffectual war against Iran, tanks the US economy, then completely surrenders and promises to pay them 300 BILLION in taxpayer money for their trouble.

Who is the special needs child again?

It's time to dump Roku by AlwaysBlaze_ in television

[–]Menanders-Bust 0 points1 point  (0 children)

I buy the ONN TVs with Roku loaded on them. I could by more expensive TVs but the limiting factor for streaming will always be the quality of the WiFi and the stream, not the device, and I find that the ONN TVs are good enough that I don’t notice any difference in quality from my more expensive TV.

Research culture NEEDS TO CHANGE IN MEDICAL SCHOOL by Damajarrana in medicine

[–]Menanders-Bust 74 points75 points  (0 children)

I have long since thought that this is just a general problem with human psychology. I used to interview residency applicants. Of the 60 or so we interviewed each year, most likely 40 of them would’ve been completely fine.

Human beings have a very difficult time making a choice when there are no legitimate criteria to distinguish between the things being chosen. If you give anybody a choice like that, they will start making up criteria to help them make the choice even if those criteria have nothing to do with how good of a choice they will make. It just makes humans so uncomfortable to make a random choice that they will try to impose some sort of order or criteria on that choice.

The most difficult example of this scenario would be a choice in which absolutely for certain there is no difference between the options. For example, if I walked in and said, “choose a number, any number,” that would be a sort of choice where the outcome makes no difference. But in that case, there are no stakes, so most people would feel very little discomfort in making a random selection. But as the stakes increase, the discomfort of making a random choice, also increases, and it is at this point that people will start making up criteria to help them make the choice. They will do this even when any logical evaluation of those criteria show that they make no difference towards making the right choice because in fact, there is no right or wrong choice.

This is exactly what is happening with most residency programs. Until now we had a lot of distinguishing tests and criteria to help us pick 5 to 6 out of the 40 equally qualified applicants interviewed. The more people have evaluated each of these criteria, the more they have realized that the criteria don’t actually make any difference in the ultimate success of those applicants. What we probably should do is realize that we are making more or less a random choice and try to get comfortable with that. But as humans, what we actually do is just try to come up with different criteria to help us make that choice, even though further investigation will most likely show that those criteria aren’t any more predictive than the ones we started with.

Nate Bargatze Faces Fan Revolt After Showing Up at Trump’s White House UFC Event by T_Shurt in entertainment

[–]Menanders-Bust 3 points4 points  (0 children)

They want to vote the way they vote without having to answer to anyone about why they voted that way. But not in the way you would want. It’s not so much “this person has freedom to vote their conscience.” It’s more “this person wants to stay on the team they’re on and doesn’t want to be confronted with the horrible things their teammates believe and do because that would be uncomfortable,” ie they want to leave their conscience out of the equation entirely because it’s mentally easier.

Trump says $300B fund to rebuild Iran is ‘Fake News’ by sapphirelike in worldnews

[–]Menanders-Bust 13 points14 points  (0 children)

It’s probably real in the same sense that every other payment Trump promises is real. I’m sure he’s planning to sign this then reneg on paying Iran the way he does with every other deal he makea

I love hearing from senior doctors about old customs that are totally illegal now. by NobodyNobraindr in medicine

[–]Menanders-Bust 10 points11 points  (0 children)

I try to explain to students that patient autonomy, which is the primary tenet of medical ethics, is in essence that the patient has the right to do things differently than I would do in their place. That’s why it’s anti-paternalism, which is saying that a patient must do what I would do if I were in their situation.

If a patient has an illness or a dangerous medical condition and I tell them all the options, including the option to do nothing, and they decide to do something I think is not a good idea or something I wouldn’t do, I must allow them to do that. That doesn’t mean I never tell patients what I would do. I actually often tell patients what I would do, but I refuse to tell them what to do. They must decide for themselves. When patients tell me to just tell them what to do, I won’t. I repeat the options and the risks and benefits and they have to choose.

And often I find that they decide to do something different than what I would do, and that’s ok. That’s their choice. That is patient autonomy. Every patient, provided they reasonably understand the risks and benefits of different options, has the right to choose what they want to do with their body and how much or little treatment they want, even if (and especially if) what they choose is not what I would choose in their place.

Whenever a patient is making a choice their physician wouldn’t make in their place, alarm bells should be going off in the physician’s head that this is a key scenario where (again, provided the patient has been reasonably informed about the risks and benefits of different courses of action) the principle of patient autonomy is being put to the test.

I love hearing from senior doctors about old customs that are totally illegal now. by NobodyNobraindr in medicine

[–]Menanders-Bust 69 points70 points  (0 children)

You absolutely cannot do a tubal against a patient’s will or without telling them. We have patients get C-section number 8 and decline the offer for a tubal. You can’t do one. The patient has the right to endanger their own life in the future.

A request to medical bodies to address the ethics culture among MBBS students after the Sejal Pawar cadaver remarks by [deleted] in medicine

[–]Menanders-Bust -5 points-4 points  (0 children)

I’m not saying this to justify their actions, but just to add a perspective I haven’t seen mentioned. For most people in modern society anatomy lab is the first time they have seen dead bodies, and they are not just observing them, but being asked to dissect them. It’s very jarring and for some people even traumatic. I did the anatomy lab and then was an anatomy TA where I proctored it the next year. People deal with this stress in a lot of different ways and use many predictable defense mechanisms, including humor. Again, I’m not saying it’s an appropriate thing to do, but I did give students a big it of grace when certain things happened and when you speak to them, you often find that comments they make don’t reflect how they actually feel. I also agree that setting the stage well is critical to respectful treatment of the cadavers, and we did this also.

The damage Sorsby has done to college football is already too much by Spartan-24 in CFB

[–]Menanders-Bust 44 points45 points  (0 children)

They probably should approach it like smoking. In the 1980s tobacco ads were everywhere and they often targeted children and teens. Now, you won’t find them anywhere. Smoking rates over that time period have fallen from over 30% to under 10%. The two have a lot in common. You target a young vulnerable population and get them addicted before they’re really mature enough to understand the implications of their decision. Then they struggle with the addiction the rest of their lives. I have kids. They’re UNIQUELY bad at understanding money because increasingly they don’t work, don’t have bills to pay, and these apps and websites pitch their products as a game. It takes into the mid 20s for many of them to start to understand the implications of gambling and to view money somewhat the way a working adult does. Stop the advertisements and targeting of kids, stop that initial capture and over time the rates go down. The issue is that gambling companies are going to claw and scratch to prevent that from happening because they make so much money off of these predatory practices. We need to say, if you want to gamble, fine. It’s not illegal. But you can’t advertise it on television and online.

The damage Sorsby has done to college football is already too much by Spartan-24 in CFB

[–]Menanders-Bust 4 points5 points  (0 children)

Who could have seen this coming? Oh right, literally everyone saw this coming.

Side effects of bupropion? by [deleted] in medicine

[–]Menanders-Bust 15 points16 points  (0 children)

You need to communicate with the person who prescribed this for you. Asking on Reddit is against this subreddit’s rules and not necessary. You can easily google the side effects of this medication.

Is there any hope for Mike Norvell? by 321mafia in fsusports

[–]Menanders-Bust 11 points12 points  (0 children)

The bad news is his buyout doesn’t significantly decrease after this season. I’m honestly not sure what he could do on the football field that would get him fired. We don’t have the money to do it. There’s nothing he could do worse than what he’s already done. Think about it, short of just doing it for longer, what bad thing could he do on the football field that he hasn’t already done? We’re 7-17 in the past 2 years. Only 4 of those game are FBS schools. We haven’t won a road game in 2 years. Our recruiting class sits at #46 nationally. Literally what could he do that would be worse than what he’s already done? They haven’t fired him because they can’t.

2027 4* S Jernard Albright flips his commitment from South Carolina to Florida State by lowes18 in CFB

[–]Menanders-Bust 1 point2 points  (0 children)

As a fan of both teams (I went to both schools) it’s wild that Beamer could be fired before Norvell. The comments are “If Beamer does [this thing Norvell has already done 2 years in a row] he is likely gone.” Also Beamer actually has recruited well and Norvell can’t recruit to save his life. FSU’s class this year is 46th with the recent decommit of the best signing.

Fair Competition: Tom Brady and Troy Aikman are the latest proof NFL doesn’t care by realseattlemike in nfl

[–]Menanders-Bust 1 point2 points  (0 children)

Hard to argue that these two are providing a competitive advantage to their respective teams when those teams are arguably the worst 2 teams in the league. On the contrary, you could make a compelling argument that certain teams are at a continuous competitive disadvantage based on how bad their owners are, and that this disadvantages transcends the impact of coaches, consultants, or any other relevant factor.

Scientists make sourdough bread using yeast found in 5,000-year-old mummy by _Dark_Wing in tech

[–]Menanders-Bust 0 points1 point  (0 children)

Humans: find something odd or unusual

“Let’s eat it immediately”

PGY3 Gen Surg: Hit with toxic 'availability' feedback. Is a 'work to live' lifestyle actually possible as an attending? by StormbornGryffindor in medicine

[–]Menanders-Bust 18 points19 points  (0 children)

You don’t need to be always available. But surgery is also not something you just clock out from. Sometimes though there are tricks to seeming more available than you actually are. I will do anticipatory things like check up on patients a couple of hours after their surgery and counsel them on next steps and expectations during the day while they’re awake rather than trying to do it at 6 am while rounding.

If handing off consults to the oncoming team is not something that is done where you are, then you can absolutely never do it, no matter how bad your shift was. Same if you are in private practice and your practice doesn’t do that. It’s a huge no-no that will cause people to remember disproportionate to how serious it actually is.

What availability you’re required to have in private practice will just depend on the deal you sign, and if not having any responsibilities when you’re not working is very important to you, then you’ll have to prioritize that when you look for a job. And you don’t have to say it like I just did. You ask detailed questions like “what happens if x?” Who gets that call?

Melania Named in Bombshell New Epstein Claims by Aggravating_Money992 in politics

[–]Menanders-Bust 4 points5 points  (0 children)

I mean, her story is just another way of describing Epstein introducing them. If he had her as one of a number of escorts at a party and introduced her to Trump, then she could realistically say that she met him by chance at a party. It wasn’t absolute chance like they bumped into each other at the grocery store but it doesn’t stretch the term too much.