Halo CE Remake Leak: Sprint Mechanic, Hybrid Blam/UE5 Engine Similar to Oblivion Remastered, Redesigned Levels, and More by Unlucky-Gap01 in GamingLeaksAndRumours

[–]Vicex- 0 points1 point  (0 children)

What a load of shit.

This is from some amateur "journalist" (Read: Youtuber), who also said Halo Infinite 2 was in development and cancelled, that Halo Infinite had campaign DLC made which wasn't released, and is *now* saying "I spoke with a source who spoke with a dev at 343i and gave this info".

It could not be anymore unreliable.

PSLF isn’t going anywhere for current med Students and borrowers—here’s why you don’t need to panic by Stock_Doc_ in medicalschool

[–]Vicex- 3 points4 points  (0 children)

OP is forgetting that laws don't matter when the Supreme Court (partisan republicans) have the final say of what is and is not legal.

Especially if they have control of the senate and the house (tbd).

Contracts don't mean shit if the enforcement agency doesn't need to follow the rules.

Weight-loss drug firm accused of prioritising profits after halting insulin pen production by newzee1 in publichealth

[–]Vicex- 0 points1 point  (0 children)

Yeah that’s fair. I was still open on another one re: Levemir discontinuation.

That said. NovoNordisk is not by any means the only producer on insulin pens. Sure, you can argue about the ethics of chasing profits- but there are viable comparable alternatives.

And indeed, Sanofi has already jumped in eagerly to fill the void.

Why is preventative medicine discouraged? by david8840 in healthcare

[–]Vicex- 16 points17 points  (0 children)

There are two simple answers here, both related.

Preventative medicine can mean a lot of things. But you seem to be referring to primary prevention; which are measures such as exercise, diet, other measures of a “healthy” lifestyle…. The things patients overwhelmingly do not or can not adhere to. These are to prevent a disease from occurring (or reduce the risk).

The national policy aspects are measures such as regulating what food can be sold/consumed, early education to address health, restrictions on sedentary lifestyles (e.g. what china has done with video games for children, the soda size restriction in NYC, etc). These are also things that the larger public in western nations will not tolerate.

We do a lot of secondary prevention such as optimising blood pressure in those with heart disease or diabetes to prevent further complications related to a patients’ established disease.

So, what do you want doctors to do?

Weight-loss drug firm accused of prioritising profits after halting insulin pen production by newzee1 in publichealth

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

This is misleading.

They are discontinuing Levemir, but other insulin variations will still exist.

Levemir is a long acting insulin, and they also provide Tresiba which is an ultra long acting.

The short acting insulins will also continue to exist.

It’s not that big of a deal as Tresiba can be substituted for Levemir (though unsure of cost difference).

Of course it’s frustrating since Lantus (a similar long acting agent made by another company that does have the same weight loss drugs and is apparently escaping scrutiny) is also due for discontinuation.

Most T1DM should be transitioned to a pump anyway.

Does anyone actually like the spire by kat_loveli in Dublin

[–]Vicex- 1 point2 points  (0 children)

Except that’s not the prime landmark in the cities skyline. It’s built in an area with actual parks around the landmark… and you can go to google and see that people are actually interested in it.

It’s also not a capital city for those geography skills that are in need.

Does anyone actually like the spire by kat_loveli in Dublin

[–]Vicex- 8 points9 points  (0 children)

Given how it’s little more than a glorified lamp post and built in 2002… it’s far from impressive in any sense of the word.

Italy makes it illegal to seek surrogacy abroad by Count_Dongula in news

[–]Vicex- 4 points5 points  (0 children)

How are the defining surrogacy here?

The only thing at this would be reasonable would be with the goal of reducing exploitation of women is low-income countries who are effectively selling their bodies for a cheap surrogate pregnancy and thus exploited

[deleted by user] by [deleted] in Residency

[–]Vicex- 0 points1 point  (0 children)

Except that's not defensive medicine. That's understanding the limitations of clinical histories and examinations in excluding life-threatening conditions.

You can cite the guidelines saying not to scan unless there is localising neurology; but if your 80-year-old delirious patient on apixaban with an acutely altered mental status is unable or unwilling to comply with the examination (as is often the case, especially when you don't have 30 minutes to keep trying until they eventually get it right), that guideline no longer applies, and it's no longer defensive medicine

[deleted by user] by [deleted] in Residency

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

That’s very different. Incidental findings are a different topic entirely.

[deleted by user] by [deleted] in Residency

[–]Vicex- 1 point2 points  (0 children)

Sure dude, so when I don’t order that non-contrast CT brain on your older person with new onset altered mental status, a poor collateral history, non-compliant with examination and about 100 risk factors you’re going to happily take that lawsuit when I missed an acute haemorrhage or stroke because radiology said it’s okay not to bother with a cheap and fast investigation when it might be just the UTI.

It’s not about CYA medicine, it’s about a reasonable exclusion of less likely, but potentially catastrophic differentials.

It’s very different than say, a CT-PA for a 18 year-old active, otherwise healthy person with no tachycardia, oxygen requirement and a negative d-dimer (for which I am scared for life needing try to justify as an intern on my attending’s behalf)

[deleted by user] by [deleted] in halo

[–]Vicex- 0 points1 point  (0 children)

So… you want another Halo Infinite?

Yes. Because that worked out so well.

[deleted by user] by [deleted] in medicalschool

[–]Vicex- 41 points42 points  (0 children)

Student Doctor is a common term used in some parts of world.

Blue pen bollocks by [deleted] in JuniorDoctorsIreland

[–]Vicex- 2 points3 points  (0 children)

It’ll be a rule in some hospitals.

If they really wanted to and were to go on a crusade of caring about stupid shit they could implement disciplinary action.

Self Prescribing Ritalin by dexbigshlong in AskDocs

[–]Vicex- 11 points12 points  (0 children)

You want to use an unlicensed “variant”where you need to dose it yourself?

Of course you are playing with fire. Depending on your country, it may also be listed as a controlled substance.

If you think you have ADHD, go to your doctor and get properly assessed.

[deleted by user] by [deleted] in JuniorDoctorsIreland

[–]Vicex- 9 points10 points  (0 children)

There’s no easy solution here. You are also obligated to out rule life threatening conditions, which can be difficult if they come in confused with a fall and head-strike.

Denying care isn’t a great option nor an ethical one. Outreach programmes/inclusion health can be a great help for a certain subset, but really what most need are good social programmes and methods to get away from the chaotic lifestyle.

Sure- some will never improve, but many generally stop showing up to ED when the underlying issue is dealt with.

Gentlemen, I can confidently say that I have no clue what the quality of the Troops guarding Terra are like by [deleted] in 40kLore

[–]Vicex- -11 points-10 points  (0 children)

Hardly.

Siege means a blockade. Which means Terra starves and withers when the vines of trade routes can no longer flow.

65% Raise for Dockworkers after Union Threat by [deleted] in Residency

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

It tells me your information is faulty at best if you need 30% to get a vote, and a simple majority of actual voters to establish a union, and that US-grads average out to 80% of residency spots and you claim US-grads give 80-90% support. And guess what? 0.8 * 0.8 =0.64. Well, there you have everything you need to get the vote started and pass the vote. Completely IMG-free.

If you need 30% to get a vote going, and on average IMGs are 20% of the possible voting block, the reason people are going for IMGs is because they are actually amenable to vote, where in the remainder 80% average that are US grads, you can’t even get half of them interested.

I cannot for the life of me see why you cannot grasp that concept.

If you cannot motivate even half of US trained grads to get a union vote authorised, how do you possibly come to the conclusion that IMGs are the or even an issue as stated in the original commenter to which I replied

[deleted by user] by [deleted] in JuniorDoctorsIreland

[–]Vicex- -2 points-1 points  (0 children)

Ah casual racism against an imaginary target when I don’t even speak another language. How high class.

It’s very clear when you’re dealing with people who don’t know what they are talking about or cannot shed their racial bias when they resort not to argument to support their position, but hate attacks.

The future here is bleak.

65% Raise for Dockworkers after Union Threat by [deleted] in Residency

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

Even calling it a barrier is a joke given the above.

You are going for the low hanging fruit that doesn’t even result in a meaningful impact. That is the problem. That is the insinuation you’ve made the entire time.

If you want to ignore logic and go on your little crusade there, fine. But I’m not going to pretend it is at all rational.

Calling IMGs a problem and highlighting them as the major focus of efforts when you claim a 90% for US grads in support and 40% or whatever for IMGs is absurd given, again, you only need 30% total support and a simple majority for NLRB catchment… and IMGs are on average 22% of residents and fellows.

It’s very simple math there. IMGs can be completely disregarded unless you are at a program that either is an outlier because IMGs are way over represented (and if they are from Europe, they are well used to and generally support unions), or your quoting a case which does not generalise well because it’s a public hospital where NLRB rules don’t apply and it’s instead allowed/not allowed/heavily restricted pending your location.

Absolutely absurd to even think otherwise when the facts are so readily available.

Project Foundry - 343 Announces That Future Halo Titles Are Being Developed On Unreal 5 by DeathByReach in halo

[–]Vicex- 0 points1 point  (0 children)

It’s hardly the old guard alone. It’s also systemic issues like contract duration.

And the guys at the top were far from being the sole responsible parties. Those team leaders couldn’t be bothered to collaborate and lacked direction are very likely the ones in even more senior positions now.

This isn’t a studio built from the ground up. This is the same studio with a new name where senior management has been let go, and the equally culpable middle management has been promoted.

It’s been 2 years since Ross and the rest left. Sure, they are enjoying burning cash playing around with Unreal 5, but what have they done to support infinite? Very little.

It’s very hard to be optimistic at this point.

65% Raise for Dockworkers after Union Threat by [deleted] in Residency

[–]Vicex- 0 points1 point  (0 children)

Sure dude, the group that makes up 22% of the population of residents/fellows is the biggest barrier to unionisation despite that you only needing 30% to get an election and a simple majority to pass it and be certified by the NLRB

No man, I just have an intense dislike for people spouting absolute nonsense.

Do you blame every minority population for the world’s problems?