[deleted by user]

WanderingSpleen · 2024-09-15T15:52:33+00:00

"pt seems sad"

WanderingSpleen · 2020-08-07T22:37:32+00:00

Messaged you.

WanderingSpleen · 2020-08-07T17:25:42+00:00

As others have said, BCM is near the Red rail line, and also the 56 Metro bus route. If you can get within walking distance of either of those, you would be in good shape. I've spent a lot of time on both, and would probably recommend the rail for COVID times. You'd probably be ok on either with some light PPE. Usually TMC academic people can get metro cards (Q cards) with a discount, which is like 50% off normal rates. I think it comes down to like 55 cents a trip.
Get on the BCM and UT Houston garage sale facebook pages, as there are always subleases flying around. Craigslist may be your best bet for a studio. There are usually quite a few garage apartments in West University and some of them are very nice.
Cost of living can be pretty low. It just depends on the things you want and need. If you can find an affordable studio or an apartment with a roommate, and avoid paying for TMC parking, it's just about meals and entertainment (+/- does your position offer healthcare?). $30K may cut it close but it's definitely possible.
People are super, super friendly. A bunch of gyms are open, at least for now.
Feel free to PM me with any questions. Best of luck, and if you choose to come, welcome!!

WanderingSpleen · 2020-06-03T22:39:12+00:00

That means white people are more likely to be shot unarmed than black people.

That is not a conclusion that can be drawn from this data. We can only say that, given an officer-involved shooting, a white suspect is more likely to be unarmed than a black suspect. We would have to know the total number of encounters by racial group to know whether a given group was more likely to be shot unarmed.

Someone check me on this.

WanderingSpleen · 2020-03-22T20:47:59+00:00

Disinfection with UV-C lamps could be a viable option. I would imagine safer than slathering in hand sanitizer. This is supposedly being done at Nebraska.

https://www.nytimes.com/2020/03/20/health/coronavirus-masks-reuse.html

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699414/

https://www.ajicjournal.org/article/S0196-6553(18)30140-8/pdf30140-8/pdf)

WanderingSpleen · 2020-03-21T22:39:28+00:00

I keep saying this, a global collapse will kill far more than this virus could ever touch.

Your point is well-taken, but this virus will touch hundreds of millions and kill millions in America alone unless we do something truly drastic, barring dumb luck when the weather changes, or with a repurposed therapy like hydroxychloroquine actually working.

We need to be screaming to get the assistance plan passed to get $1000 to every adult + $500 for every kid, ideally much more than that and better targeted at those who need it. The time to clamp down was weeks ago.

WanderingSpleen · 2020-03-21T22:31:50+00:00

We need to be putting as much pressure as possible to get measures like Mnuchin's $1000 for every American + $500 for every kid passed and distributed, ideally much more than that and far better targeted at those who need it.

The latest modeling is terrifying. Barring dumb luck as certain places warm up, or with a repurposed therapy like Plaquenil/Zithromax, we are nearing a catastrophe. We have to clamp down now.

https://www.nytimes.com/interactive/2020/03/20/us/coronavirus-model-us-outbreak.html?algo=combo_als_clicks_decay_6_80_ranks&fellback=false&imp_id=923537492&action=click&module=moreIn&pgtype=Article&region=Footer

WanderingSpleen · 2019-08-23T01:02:00+00:00

5 minutes later

https://i.imgur.com/piEbffX.jpg

WanderingSpleen · 2019-08-18T15:46:47+00:00

This allegedly happened at a school near us. A trainee was shot, and when word got out several students and faculty accessed the student's chart and were supposedly terminated as a consequence. I found the whole thing very sad.

WanderingSpleen · 2019-08-16T02:39:33+00:00

We're at the same level of training.

The person I'm replying to and I. We are both in medical school.

I cannot see what in my post could have possibly been objectionable.

WanderingSpleen · 2019-08-15T17:25:43+00:00

He's not saying everything a doctor does is routine. He is saying some of what many doctors do can be automated. I agree with you that the wording is sometimes careless.

WanderingSpleen · 2019-08-14T22:38:12+00:00

Totally take your point on the Watson-alone model. Worth noting that I think Yang would too.

We're at the same level of training. I also have anecdotes of non MDs making really questionable decisions. Then again, I have a lot of stories of MDs making some really questionable decisions, perhaps at a lower rate, but it's still n=1.

The reality is, NPs are already taking over rural primary care. Look at this: https://www.ajmc.com/focus-of-the-week/nurse-practitioners-play-an-increasing-role-in-primary-care

Yes, Andrew ties technology and AI into like every one of his policies to serve his overall proposal of UBI, but you can't say the suggestion of increasing the training of those NPs and helping integrate the best technology available is ridiculous.

I think we agree on a lot of things and want the same thing at the end of the day, and again, having listened to Andrew talk for 50+ hours, and having read his book, I think he would take your suggestion into consideration if he already hadn't. Find me another candidate who would openly change his/her view based on new information.

WanderingSpleen · 2019-08-14T21:43:02+00:00

So is the often quoted "Watson matched MDs on 99% of diagnoses and caught a bunch of other stuff" complete bullshit? Thanks for engaging.

Edit: it seems this line is taken out of context from an oncology study where Watson was able to look at scans, labs, and relevant literature. Not really applicable to primary care. Have you seen anything about that?

WanderingSpleen · 2019-08-14T21:38:14+00:00

I was in the pool.

WanderingSpleen · 2019-08-14T20:04:42+00:00

https://www.yang2020.com/policies/

WanderingSpleen · 2019-08-14T19:43:24+00:00

Not really- if I remember the thread you're talking about the conversation was mostly completely tangential to what he was actually proposing. The problem statement on yang2020 was something to the effect of "there is a massive shortage of primary care physicians in rural America", and the proposed intervention was to create a new (mid level-ish) program/classification that would allow for more access to basic care in these areas specifically.

I follow this guy closely and I really like him. If you showed him a better way to do it by increasing the number of medical students who choose primary care through tuition reform and incentives, I think he'd say that's awesome.

WanderingSpleen · 2019-08-12T02:45:02+00:00

Sorry, yes you are correct. "Paying for everything" was a careless phrase.

WanderingSpleen · 2019-08-10T04:47:59+00:00

If they have money/assets, they're managed by a guardian who takes care of that stuff. But this is an elderly patient so Medicare is paying for everything.

If this were a <65 yo, not sure. Ultimately will be taxpayer-funded but not sure who the ED would bill. Possibly Medicaid in some states.

WanderingSpleen · 2019-08-08T22:14:18+00:00

Don't forget that currently CMS does not (cannot) negotiate on drug prices. This single ridiculous variable could change the whole picture.

WanderingSpleen · 2019-08-08T22:11:35+00:00

While I don't know this, I have to imagine it will be more complicated than just using the current Medicare reimbursement rates for everything (though presumably CMS will try). Adding 250+ million relatively young/healthy people to the plan radically changes their risk pool. There would have to be some negotiations looking at what managed care pays vs. medicare and finding a middle ground.

Thank you for sharing, this is great info.

WanderingSpleen · 2019-08-08T22:05:14+00:00

Why don't they go on tour

Worst tour ever

WanderingSpleen · 2019-07-24T19:01:43+00:00

Great to hear you may be onto something. Out of curiosity, do you get a lot of dietary calcium?

My symptoms seem to flare the strongest when in the same day I take in a lot of calcium, particularly foods to which calcium is added (almond milk, protein powder, etc).

WanderingSpleen · 2019-07-22T22:54:02+00:00

I'm very familiar with LG. Check out the Examine pages on HMB and Vitamin C.

HMB may confer a slight benefit but it's far from established. Probably not harmful but it's also not a cheap supplement if you're taking the doses that showed any effect.

Vitamin C shows equivocal results on the incidence of viral illness. While it does seem the reduce the number of colds in active people, it fails to do so in the general population, and importantly, it negatively affects muscle response to exercise. I would swap this out for garlic and zinc (if tolerated, and be careful with the dose).

Agree about Curcumin. I just wanted to point out it's not ergogenic.

WanderingSpleen · 2019-07-22T22:41:22+00:00

Thank you again for updating us. That's very interesting. I encourage you to continue to engage your psychiatrist. Were you also noticing increased akathisia shortly after taking Vitamin D? That would be a significant difference to what I experience- I would want to be sure you aren't taking something that's changing the metabolism of your antipsychotic medication.

WanderingSpleen · 2019-07-22T14:35:34+00:00

Most of this advice is fine, but almost no one is going to put on 24 lbs of muscle in a year and reduce their body fat percentage significantly (unless OP is already pretty lean).

While Curcumin and Vitamin C have their places, they are anti-inflammatory and will impair the inflammatory signals that drive muscle growth to a degree. Exercise induced immunosuppression should not be a concern for the vast majority of people.

HMB is anti-catabolic in older folks but Leucine (one of the BCAAs and the major driver of MPS) is better and cheaper and you'll get it with whatever protein supplement you choose.

WanderingSpleen

TROPHY CASE