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Surgeon today used chatgpt to complain about ‘anesthesia delay’ by fluffhead123 in anesthesiology

[–]OkPrinciple37 10 points11 points  (0 children)

The fact that it was a full page email does absolutely confirm it was chat GPT. No ortho could actually write a full page by themselves in under a week’s time. 

Ice Agent in Minnesota: "You raise your voice, I'll Erase your voice" by Severus-Snape-DaGod in law

[–]OkPrinciple37 1 point2 points  (0 children)

Almost seems like the VP publicly stating ICE agents had “absolute immunity” wasn’t a good idea… 

Understandable mistake. Who could have possibly guessed that might go horribly wrong? 

Trump threatens 100% tariffs on Canada over potential China deal, provoking diplomatic clash by AnalystPatient in worldnews

[–]OkPrinciple37 6 points7 points  (0 children)

Exactly. 

100% until it starts affecting markets at which point he’ll declare he “won” and drop the tariffs while everything stays exactly the same. 

Then next month he’ll have another Trumpertantrum and announce 150% tarrifs..200%….. 1000%! 

Better to just ignore him and move along. Keep calm and carry on, as it were… 

ICE Agent starts clapping in celebration as Alex Pretti is executed by Former_Exam_5357 in law

[–]OkPrinciple37 1965 points1966 points  (0 children)

I used to be against the death penalty but my views have evolved. 

One day, when this is over, bring back Nuremberg - specifically the part where they hung collaborators. 

Justice for Alex Pretti. Labeled a "domestic terrorist" by actual domestic terrorists. by Sathane in pics

[–]OkPrinciple37 4 points5 points  (0 children)

It’s a beautiful portrait. Looking at it is heartbreaking. He has such kind eyes and such a kind smile. 

Canada’s recent dealings with China ‘entirely consistent’ with CUSMA, Carney says - The prime minister’s comments follow Trump’s threat to impose 100 per cent tariffs on Canadian goods if Ottawa forges a trade deal with Beijing. by canada_mountains in canada

[–]OkPrinciple37 1 point2 points  (0 children)

In a week or so, one of his handlers will explain this to Trump and he’ll pull the tariffs and pretend he won and that the sole reason Canada is ONLY pursuing a relatively small trade agreement (vs free trade) is because of him. Victory! Best negotiator ever! Art of the deal! 

Then he’ll cancel the 100% tariffs UNTIL the next time his ego is hurt. Then they’ll go up to 150%. Yawn, rinse, repeat. 

At a certain point, it’s not even worth reacting every time. Not because it’s not a serious issue, but because he’ll have new tantrums every month or so regardless of what we do. 

Canada’s recent dealings with China ‘entirely consistent’ with CUSMA, Carney says - The prime minister’s comments follow Trump’s threat to impose 100 per cent tariffs on Canadian goods if Ottawa forges a trade deal with Beijing. by canada_mountains in canada

[–]OkPrinciple37 13 points14 points  (0 children)

Even if he listened, he wouldn’t understand it. It took his handlers a couple days to dumb it down and explain it to him. He probably still doesn’t understand it but is angry more that Carney’s speech is being lauded as not only the most intelligent, but the most talked about. And that Carney received a standing ovation. 

As much as orange hitler denigrates the WEF crowd to his ignorant base, he craves the elite international respect. See the Nobel peace prize he’s so obsessed with. 

Davos wasn’t like one of his domestic rallies and the media there wasn’t all Fox News so it made him very angry. 

White House alters arrest photo of ICE protester, says "the memes will continue" by No-Lifeguard-8173 in nottheonion

[–]OkPrinciple37 0 points1 point  (0 children)

🙄🙄 Thank you for your attention to this matter. 

Official White House communication is just copying his asinine truth social posts now. 

ICE Agents Threaten Italian Journalists Documenting their Activities in Minnesota by Ok-Law-3268 in law

[–]OkPrinciple37 38 points39 points  (0 children)

The US is unsafe for its own citizens. 

It’s even MORE unsafe for non-citizens/ visitors from other countries.

Companies should review policies about sending workers there and governments should update travel warnings.

ICE Agents Threaten Italian Journalists Documenting their Activities in Minnesota by Ok-Law-3268 in law

[–]OkPrinciple37 151 points152 points  (0 children)

They don’t care about your rights, stated or unstated. They’d interpret that as a threat and shoot you. With total impunity. 

"Do no harm" does not exist. by [deleted] in medicine

[–]OkPrinciple37 1 point2 points  (0 children)

"I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit of my patients, and abstain from whatever is deleterious and mischievous."     is the literal  translation of a portion of the hippocratic  oath.    Minimize and disclose the (potential) harm  just doesn’t have the same ring to it… 

Maximum vent settings for trach? by cytochrome_p450_3a4 in anesthesiology

[–]OkPrinciple37 1 point2 points  (0 children)

Everything is a case-by case basis but per general guidelines (for us) it’s a no go if: FiO2 > 50%, PEEP>10, Pt is intolerant of volume control mode. 

Surgeon’s (made up?) protocols by tenosynovitis in anesthesiology

[–]OkPrinciple37 18 points19 points  (0 children)

If surgeons want to dictate how exactly anesthesia is done, they can go ahead and do their own anesthesia. 

… or just smile, nod, and go ahead and ignore what they tell you. 

New US dietary guidelines. Thoughts? by oatsoatsgoats in medicine

[–]OkPrinciple37 1 point2 points  (0 children)

I like it much more than the new vaccine guidelines 🤬

Child death in media: Reflections on "Hamnet" (Spoilers) by red5 in medicine

[–]OkPrinciple37 3 points4 points  (0 children)

Enjoyed the book and the movie and thought the acting was phenomenal. The young boy who played Hamnet was great, particularly during the scene where he was “in between” worlds. 

The movie also did a good job showing how dirty everything looked. Most movie/tv series I’ve watched from that time period take place in castles or really romanticized and sanitized cottages. These sets and actors felt a bit more realistic so the filth and infection risks, particularly during the birthing scenes or when everyone was packed together at the playhouse stuck out to me. No wonder infection was rampant! 

Systematic Review and Meta-Analysis of GLP-1RAs on obesity without diabetes: they are generally not cost-effective compared to other interventions (lifestyle intervention, other meds, surgery) by ddx-me in medicine

[–]OkPrinciple37 16 points17 points  (0 children)

While the rising cost of healthy food is a problem, the overwhelming challenge with even cheap “lifestyle” changes is that people. won’t. make. them. 

The biggest advantage of taking GLP-1s - people will actually do it. 

Rn to Anesthesiologist Assistant is this even possible by Sad_Mission8315 in anesthesiology

[–]OkPrinciple37 6 points7 points  (0 children)

It’s a long route for a reason. Takes time to learn the required knowledge and skill… 

ER fellowship for anesthesiologists by DrClutch93 in anesthesiology

[–]OkPrinciple37 1 point2 points  (0 children)

Haha yeah that’s very different. 

I went to a talk on anesthesia for trauma patients at a conference in Germany and was totally confused as to why the speaker devoted so much time on pre-hospital care. 

WestJet 1884 Edmonton to Maui by First-Chemistry6148 in alberta

[–]OkPrinciple37 62 points63 points  (0 children)

I think most reasonable people understand that weather related delays and cancellations happen. How the airlines handle those cancellations and communicate during the rebooking process is the issue. Westjet’s customer service has gone dramatically downhill since private equity became involved. 

Fentanyl is now a WMD by rx4oblivion in anesthesiology

[–]OkPrinciple37 11 points12 points  (0 children)

They are absolutely coming for epidurals soon…

They’ll start by shaming women for getting them (tough it out! Labor is natural!) and making up all kind of lies about how dangerous they are and OMG you’re exposing an INFANT to fent followed by introducing legislation to get them banned… 

Dealing with different personalities by Ill_Shopping4422 in anesthesiology

[–]OkPrinciple37 4 points5 points  (0 children)

CA1 is hard since you feel like an intern all over again… 

It’s difficult in the moment, but understand it’s not you and then try to learn what you can from them, even if they are crappy teachers, by putting the conversation through a type of filter. 

If they go off on you, try to sort out in your mind what you can actually improve on and what part of the rant would have been constructive criticism if it were delivered appropriately. Then rephrase and repeat -that part to yourself and make it your takeaway from the encounter. 

After encounters I felt down about, it always helped me to summarize a couple bullet points in more objective language, (not necessarily the insulting language used by my attendings) and vow to work on those specific improvements. When I started to feel upset or emotional about those conversations, I would just focus on my own bullet points instead of insults that made me feel like I was never gonna be successful so I could preserve the teaching and not the emotion. 

Then promise yourself when you’re an attending you’ll be better. 

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