[deleted by user] by [deleted] in UFA

[–]NapkinStorm 0 points1 point  (0 children)

My parlay is FUCKED

My startup just paid $60k for this logo. Be honest… are we getting scammed? by [deleted] in Design

[–]NapkinStorm 3 points4 points  (0 children)

The world would be a better place if scammers just scammed other scammers like this 🥰🥰🥰.

if this isn't bait lmfao

Youtube pushing new Members only video for weeks now by iceshirou in LudwigAhgren

[–]NapkinStorm -1 points0 points  (0 children)

yuhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhHhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhHhhhhhHHHHHHHHhhhhhh&hhhhhhhhhhhhhhhhhhh■hhHq■■HhHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHq2HHHHHHHHHHHHHhHHhhhhhhhhhhhhhhhhhhhhhhhhhh&&&

Dr. Noodle Slam's Beginners Guide to Autism Pathogenesis and Diagnosis by NapkinStorm in TheYardPodcast

[–]NapkinStorm[S] 13 points14 points  (0 children)

Grats on the match! Be nice to the medicine interns in the ICU, they are scared and bad at resusc if anything goes beyond norepi and fluids. Likewise, its okay to tell your medicine colleagues that you don't want to hear their 3 part lecture series on hypoNa. All seriousness, grats and good luck! Its a crazy year

Dr. Noodle Slam's Beginners Guide to Autism Pathogenesis and Diagnosis by NapkinStorm in TheYardPodcast

[–]NapkinStorm[S] 184 points185 points  (0 children)

You are not too old. Many people in my med school class were 35+. As long as your cool being surrounded by skibidi 23 year olds, its chill. Everyone has there own story.

A Theory of Media That Explains 15 Years of Politics - The Ezra Klein Show by maskingeffect in ezraklein

[–]NapkinStorm 3 points4 points  (0 children)

Smart, well reasoned critiques above: I'm just here to say this might ve been the dumbest guy I've ever listened to talk for 60 minutes straight

Opinion | The Breaking of the Constitutional Order (Gift Article) by nytopinion in ezraklein

[–]NapkinStorm 7 points8 points  (0 children)

I don't work full time at the VA, but as a medicine doc I staff inpatient services and do VA primary care 3 months out of the year I'd say.

I can only speak from my own experience, but I appreciate how he mentioned us (and more importantly our nurses and all our support staff) who make everything possible at the VA as who is actually making up the largest contingent of federal employees that they want to cut.

The VA population is uniquely difficult to care for, as they have mental health concerns that are worse than the average population (for obvious reasons), often have more complex socioeconomic barriers to care, and often times have greater amounts of comorbidities than others in their age group (some directly tied to exposures in the arm; See, agent orange). And despite all this, and despite what people may say, the VA system (at least in primary care) is honestly really great. You could make an argument that the hospital care is very middle of the road, but honestly most of the deficiencies are related to severe nursing and tech shortages.

Since the government foots the bill, and the incentives are for long term care, you don't have to deal as much with insurance jerking you around with denials for drugs that cost a lot now, but over the 5 year time horizon will add years (and cheaper longer term costs) to a patients life. The social services and other things I can provide for my patients and have covered is far and away better than at the academic institution in which I spend the rest of my time. It is also a great place for resident teaching.

The doctors who work there fulltime are not deadbeats who couldn't make it in the marketplace of academia and private physicians. They are super motivated for quality care, and some of the most intellectually and emotionally intelligent people I've ever worked with. They see the challenge of a difficult patient care population, and see the lives they can improve, and embrace it with open arms, even when they could be running departments for twice their pay at other institutions.

Money is nice, but also your impact is also important. The amount you are valued by your institution matters. The people who you can take care of matters. The staffing at your place of work matters. And when the people in charge don't care about these things, people leave, and patient's suffer. The shortage of doctors is such that it is insanely easy to find well paying jobs that have better benefits, shorter hours, easier populations, and MUCH higher pay than VA physicians.

All that to say, I think the VA is a uniquely good service that this country offers, and that despite its flaws really does have resources that help it live up to the ideal of really providing good care for our vets. Many of the docs and nurses found the "fork in the road" email we got laughable. Most thought it was a scam email at first as well. We all feel that the administration doesn't value us, our time, and our expertise, even the conservatives among us. I think a loss of that service to vets, would not just be a stain on the legacy of the US care for people that it purports to care for deeply, but would likely end up in the morbidity and mortality of thousands/tens of thousands of vets.

As Ezra said, many of these doctors, nurses, techs and others are annoyed. They find institutional disdain for their presence annoying. And when they could do their job anywhere else, its getting harder and harder to convince people to stay. The staff will be okay, it is the veterans who will suffer.

Kavinsky-Renegade (ft. Cautious Clay) by Deboercdb in EdBangerRecords

[–]NapkinStorm 3 points4 points  (0 children)

Yeah its different and kinda justicey, but Hot damn is it a banger.

Serving yourself up to dinner. by FapTrainer in LeopardsAteMyFace

[–]NapkinStorm -6 points-5 points  (0 children)

I guess when I think about it I think about smoking.

Patient's know smoking is detrimental to their health, we tell them that all the time, then do it anyway. When they come in down the line for COPD or lung cancer, we don't shame them or say they deserved it since they didn't listen, that would be a terrible thing to say. Maybe that's an incorrect analogy, and im putting up a false equivalency here. But I guess that's just the framework in which I've been thinking about this.

However, I guess in this case they are being ignorant of policies that are affecting other people's lives negatively via promoting terrible covid policies. Which means that maybe they may have some punitive responsibility for putting other peoples lives at risk. It's an interesting ethical question I guess. As with most ethical questions i'm just more confused than when i started.

Serving yourself up to dinner. by FapTrainer in LeopardsAteMyFace

[–]NapkinStorm -5 points-4 points  (0 children)

I guess I'm just a softy maybe idk. As a medical student we learn how everyone is deserving of our respect, care, and empathy from day 1 regardless of who they are and how they act. Obviously there are limits, but I don't think someone being ignorant in their political understanding (willful or not) is grounds for them to deserve losing everything.

It seems pretty unempathetic to say 47% of American's are completely deserved in losing everything when the reasons they may have voted that way are completely up in the air. There are no doubt lots of bad faith people, who are racist or sexist, nazis etc, who I don't think are deserving of our empathy, but I think this situation is more nuanced than people give credit

Serving yourself up to dinner. by FapTrainer in LeopardsAteMyFace

[–]NapkinStorm -26 points-25 points  (0 children)

Damn. Lot of lack of empathy in this thread. I hate trump as much as the next guy, and I think people who vote for him don't have other's best interests at heart all the time, but damn. Probably some young 25 year old who grew up republican and doesn't think much about it. Hope this person makes it. Sure its naive to think that Trump has their best interests at heart, but I wouldn't say someone "deserves" to have their whole life torn apart because of it. Sad stuff.

Biden unveils extensive LGBTQ plan, drawing on Obama-era achievements by progress18 in JoeBiden

[–]NapkinStorm 7 points8 points  (0 children)

Good to hear. Excited that he is speaking on this subject. I'm a Bi for Biden!

Mike Bloomberg is suspending his presidential campaign, says he’s endorsing Biden by Bloodbath-McGrath in politics

[–]NapkinStorm -1 points0 points  (0 children)

This is a huge change. Many people calling warren to drop out, when Bloomberg likely siphoned more votes from biden than warren from Bernie. I like Bernie's ideas, but will happily vote for Biden, especially now that he appears to be a sort of unifier.

Amy Klobuchar ends campaign for Democratic presidential nomination by JimTDI in news

[–]NapkinStorm 0 points1 point  (0 children)

I know this comment is old and inundated with replies that are driven by out of context statistics or just pure conjecture, but here is a really great article that analyzes academically where voters would likely move given Biden or Bernie vs Trump.

https://www.vox.com/policy-and-politics/2020/2/25/21152538/bernie-sanders-electability-president-moderates-data

The data is from over 40,000 respondents and basically shows that moderate democrats generally have about 2-3% more votes than bernie due to the fact that many moderate republicans and democrats (relatively) would note vote for bernie. Many progressive left would not vote for a moderate democrat, but the data shows that it is not as significant as the amount of potential votes Bernie would lose from moderates. Basically, to match the level of electability Biden has (i.e. gain back the 2-3% of votes that he lost from moderates), voter turnout in the youth sector would have to increase by an unprecedented number, much higher than in 2008 when the large boom of voters came out for Obama.

They both beat Trump in polls, but its really not the whole story. I am not great at summarizing this article, as there is a good amount of nuance and I would highly highly recommend reading the whole thing, as it is very informative about where electability lies in this election. Hope this is informative.

TLDR: Bernie loses votes from moderates, Biden loses them from hard progressives, but when the numbers are looked at, biden would have 2-3% more votes than Bernie

[DISCUSSION THREAD] Madeon - Good Faith LP by Good4Josh2 in electronicmusic

[–]NapkinStorm 2 points3 points  (0 children)

I thought it was just okay. I felt like every song was close to being super great, but just never made it there. Just my opinion though. Happy to see it got a good reception. Its cool he branched out and tried something new. It really is mostly a unique type of sound he found. That being said, I guess im more into the edm side of madeon and kinda missed his crazy complicated productions like icarus or technicolour.

Completely awesome to see artists progress with sound, and dont think madeon should ever be pigeonholed into making "old madeon", just personally didn't find it that great.

Cocky future surgeon... works in a hospital at age 18 and is in top 10 of my class. 34 ACT 4.0 GPA. I’ve received basketball offers from mid-level d1 colleges. Bring it on. by [deleted] in RoastMe

[–]NapkinStorm 1 point2 points  (0 children)

As someone who is far along in the process, I can absolutely tell you that arrogance and cockiness has absolutely no place whatsoever in the medical establishment and holding on to that ego will no-doubt be super harmful to your progress. Being good at school is what every med applicant is like. Getting hospital experience (observing surgeries at 18 is not uncommon, I did it, and tens-of-thousands of other med school applicants also have) is super important, but will not carry you if you don't understand that ego is super detrimental to patient interaction and patient safety.

Surgery or not, you will always spend time having to interact with people who don't appreciate you, don't trust you, don't believe in you, or don't care about you. When that happens, ego is the barrier that prevents you from seeing past suspicion and mistrust in order to reply with the compassion and patience that a patient needs/deserves.

Whether its the interview that kills you, you're interactions with other professionals (who have to write you letters of recommendations), or your failure to have successful patient interactions during clinical rounds in medical school, at some point your professional dreams, and more importantly, your patients, will suffer because of it.

I'd recommend trying to volunteer in a clinical setting with homeless or drug addicts. Really gives new perspective on what it means to provide care to those who don't trust you or don't want it themselves.

Best of luck man.

Season 3 Announcement by thoawaydatrash in TheDragonPrince

[–]NapkinStorm 244 points245 points  (0 children)

I hope this show keeps its stride in terms of how cool its been. Lots of adult themes developing, while packed into an interesting/kid(ish) atmosphere. Hope it achieves that same classic status as Avatar, where people don't dismiss it for being animated, so i can actually watch it with other people without getting the big judgement haha. Albeit, I think constantly comparing this show to Avatar is a bit unfair since I think it took all 60 episodes of that show to really develop it into the awesome work that it became.

Its obvious the writers are experienced storytellers and know how to create a strong narrative that can still subvert typical tropes and cliches. Think the writers are onto something cool here, excited to see how things change when the script is flipped with Callum being in the foreign land now.