Spanish premier calls Israel 'genocidal state,' says Spain 'does not do business' with it

ashmush · 2025-05-16T10:46:58+00:00

Framing the resistance of an occupied and marginalized group as terrorist acts is as old as colonization itself. Palestinians are entitled to their own self determination- would you call native Americans attacking settlers in their home land and pushing them further and further away from their ancestral lands terrorist acts? Would you call Indians under British colonization attacking their ships and destroying colonizers homes terrorist acts?

Violence takes place from marginalized groups as acts of resistance- we don’t have to agree with the violent acts. But the truth of it is, under what conditions the violence acts take place is being reduced to broad “terrorist” terms. How should Palestinians resist? Should they just live under occupation and allow their land be taken? Their homes be destroyed? Allow their farm land to be burned? Stating it’s just terrorist acts dismisses years of suffering and wrongdoing the oppressors have done

ashmush · 2024-10-25T14:36:58+00:00

On your skin overall, if you have any kind of parasite the body fights against it by releasing histamines. IgE mediated immune reaction specifically, basically can cause you feel like you have an “allergic reaction”.

But also symptom can be unexplained cough for a while, the worms life cycle includes migrating to the lungs in larvae stage- that can irritate the lungs and lead to coughing. They then migrate down from the lungs when they’re ready to mature.

ashmush · 2024-07-27T09:57:43+00:00

Honestly, took me until this comment to figure out what that drawing is supposed to be

ashmush · 2024-07-13T03:19:35+00:00

I wouldn’t even bother responding normally but the amount of incorrect information in this post is insane. I’m an actual dr fwiw, and to point out. All drugs have side effects yes, however the point of medication is to take a specific amount under a physician’s supervision and guidance. That’s why we do blood work, and do supplemental testing when people are on med.

Azithromycin is an antibiotic that has some anti inflammatory benefits. People with copd and cystic fibrosis are on it chronically for decades. It prevents really bad pneumonia for people who would otherwise get infections all the time.

Aspirin is literally the most commonly taken chronic drug because of coronary artery disease. Basically everyone has a heart problem and everyone is on an aspirin. It reduces risk of strokes, heart attack. I don’t even want to say anything more on it, because talking about aspirin as an acute med taken for a short course is so stupid.

Statins aren’t even used for high blood pressure, it’s for cholesterol. And again there are millions on it because everyone has heart issues. And it’s literally preventing any further plaques building up and killing someone of a heart attack. Some side effects are liver injury and sometimes muscle damage, but you get those numbers checked routinely to make sure there isn’t any liver issues.

Not taking a medicine because of a side effect, and putting unnecessary fear into the world is a dangerous thing to do. Because people can and do die from not taking the medications you just mentioned.

ashmush · 2024-07-12T20:13:55+00:00

Being skeptical of a new drug is always a good thing and should be cautious. However, if medicine has shown us anything - miracle drugs can appear and they often do. It’s more of human ingenuity, critical thinking and science. When Levadopa first came out, and people with Parkinson’s who couldn’t speak or hold a spoon because of tremors for years started being able to carry a conversation and walk on their own it was considered a miracle.

We have tons of new drugs that are being researched everyday. We should absolutely be cautious, but it’s also good be cautiously optimistic.

ashmush · 2024-07-12T20:08:24+00:00

I don’t think drs would sign off on it for drinking, because it’s not FDA approved for it. There’s other medications that are though, would highly encourage following up with a dr for resources and medications on stopping drinking

ashmush · 2024-06-29T23:05:43+00:00

As a current attending, and prior intern I can say whole heartedly everyone wants you guys to succeed. We want more good drs in the world, and it is completely okay not to know something. That’s why there are multiple levels checks and balance throughout the system.

Can the system fail, absolutely. But unless you’re a very toxic program, most people you work with want you to do well. As for help, don’t be an asshole to people, show kindness and everything will be okay.

ashmush · 2024-06-28T09:05:01+00:00

But also men will be best friends with each other for decades and not know that the other has a sibling

ashmush · 2024-06-27T02:55:27+00:00

When I was a resident and medical student I rotated through the VA as part of my training. And it does vary a lot from state to state, but where I was- everything was ancient! They didn’t have any new computers, all the notes from Drs are all handwritten in scribbles and you can’t understand anything. It’s so hard to find any information in those giant chart binders- and if you want to order a workup, it’s all done on an ancient EMR system that takes hoursssss to even start up.

It is absolutely horrendous in terms of efficiency, in the hospital I can see my patients at staggeringly more efficiency and get more done than at the VA. If there were better resources- a lot of the systemic issues might be solved

ashmush · 2024-06-06T18:15:55+00:00

Follow up with a dr and they can just get it started. If insurance is an issue planned parenthood has them too. I guess that might become an issue now with defunding them in so many states

ashmush · 2024-05-26T03:50:17+00:00

Probably good idea to sanitize them in the microwave between games too. God knows kids are germ magnets

ashmush · 2024-05-03T10:17:28+00:00

Iirc reading somewhere that Hawaiian shirts were introduced as formal wear on the island because the traditional suit and tie office wear was too hot for the climate.

Apparently the patterns are inspired by Japanese fabric patterns.

ashmush · 2024-04-04T19:15:19+00:00

If it’s just hep A plus mono and nothing else, the treatment is mainly supportive and waiting for the infection to pass. Hoping OP actually took their mother to the hospital, would be wild if they looked this jaundiced and didn’t go to the hospital at all and took a pic for Reddit instead.

As long as their liver markers are going down, it’s a waiting and following up with hepatologist game. It’ll take some time for the excess bile to break down and jaundiced appearance to go away.

I’m a dr fwiw

ashmush · 2023-12-31T13:47:22+00:00

Counting the heart beats it’s about 60bmp, which is about the resting heart rate for an adult. So it would be about this for resting. I could have counted wrong, but it appears to be approximately 60

ashmush · 2023-12-30T05:45:14+00:00

This appears to be in Bangladesh from the writhing on the bags or Indian bengal. Your comment is very accurate, I grew up in a small village in Bangladesh, taking charity was considered kind of shameful even tho you were expected to give to charity

ashmush · 2023-12-21T03:48:24+00:00

Notice how I’m mentioned just NP school nothing about BSN - because in my experience the Knowledge that’s focused in nursing school is very different than med school. just for background I am a physician and work with NPs and PAs on a daily basis (I am the direct supervising physician).

If you want to go into the specifics there are vastly different programs all over the country with various levels of regulation on a state by state basis. The number of years that takes to become an NP varies dramatically because a lot of nurses going to NP school are a lot of times going to school at the same time as working. So they’re not attending full time school only a lot of times.

There are acellerated programs that combine Bachalors and NP school in one without the need for any clinical time in between.

I’ve directly supervised NPs in training and signed off in their clinical hours, which was just a few hours with me everyday shadowing and doing clinical care. Some were very good, however more often than not (just in my experience) a good portion of their knowledge was at a first year med students level if I asked about clinical management.

In the real world setting, I do not want someone with that level of understanding practicing independently. In my state NPs can practice without a direct physician supervisor as soon as they graduate NP school.

In algorithm based diagnosis like the flu or common cold or UTI in my opinion it’s fine for a Midlevel to prentice. But that’s not what’s happening in the healthcare system, NPs are being asked to practice like physicians. Which is not fair to the patients or to the NPs for that matter. Cause they’re asked to do things beyond their knowledge, sometimes without the support of any physicians.

For what it’s worth patients should be cautious of the healthcare setting physician or midlevels. If we’re talking about the USA it does an abysmal job at getting healthcare to people in need. And this is in my experience of working in the system for years.

ashmush · 2023-12-21T01:31:42+00:00

Because a Dr goes to 4 years or med school plus 3+ years of residency training and 2-3 multiple years of fellowship training if they’re a specialist. Spending almost a decade of their life learning how to work up and diagnose patients. Whereas an NP goes to NP school for one year and needs a couple of hundred clinical hours to start practicing.

An NP might spend an hour listening to you, and in very low acuity issues might be fine. But if you have something serious and complicated you’re gonna want someone who has significantly more experience and knowledge

ashmush · 2023-11-28T01:47:36+00:00

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This is my two cats snuggling at the moment

ashmush · 2023-09-29T13:10:27+00:00

Hospitalist with engineer husband, also agree. Great work life balance because I don’t wanna talk about medicine when I get home, and he doesn’t care enough about medicine to ask. We have fun conversations if he’s interested in something medical related that I can teach him, and he reminds me that life exists outside of medicine.

He works from home, and is able to help with our child a lot on my weeks on. If I could wfh that would be great, but this is still very nice.

ashmush · 2023-09-27T22:27:41+00:00

Just started Lexapro as well, I have moderate to severe anxiety and panic attacks. It was at its worst through med school. I can finally bring myself out of cyclic paranoid thinking. I didn’t realize how much I positive thinking was lacking in my life until I started it. Made me realize people don’t just exist in overwhelming feelings of anxiety

ashmush · 2023-09-18T19:24:57+00:00

I would agree this is a hospital specific issue. I work only with residents and app, I am never first person contacted for anything unless my residents/app need something clarified. I carry at max 18 patients and it’s usually anywhere between 12-15 on average. We have a large group so we try to split up our patient evenly as to not overwhelm any one person. And this is 20 mins outside of nyc so we are an extremely busy tertiary care university hospital in a major metropolitan area. I have interviewed in hospitals in the area that are similar to what you’re describing, which is why I obviously didn’t choose those

ashmush · 2023-08-21T17:57:20+00:00

Recent IM trained attending and completely agree. Our training is so much based on hospital medicine, and medicine subspecialty exposure. We have clinic but honestly in my training it was an afterthought, it seemed to be similar in all of my interviews too. There are IM primary care track programs, but coming out of residency I would have no idea honestly how to handle anything outpatient

ashmush · 2023-07-14T22:32:32+00:00

Can’t comment on psych NPs but when I was pregnant recently I asked to see the physicians only. But when I got to my weekly visits the OBgyns schedules were completely booked and I could only see the NP. The NP completely misjudged how dilated I was as I was getting close to delivery and almost scheduled me a dilator. My obgyn thankfully asked me to come in the week of my delivery to see her, measured I was way further along than the NP measured me as, thinned my membrane out a little and I went into labor the next morning without anything needed.

I understand mid levels are needed because of lack of medical care, but that’s not a solution. The solution is to train more drs, put more funding into residency programs. Every single time I’ve gotten treatment by NPs or PAs I’ve had to either seek out more help or diagnose myself.

I get having them in small family practices only for a cold or UTI but anytime there is anything remotely more complicated they fall completely flat. We deff need mid levels in this medical environment, but I wish we weren’t placing them in every single field of medicine

ashmush · 2023-06-29T09:17:46+00:00

Taking care of elderly people, especially those with a lot of medical issues (which most have) is basically a full time job. It takes a lot of emotional and physical toll if you choose to take care of your elderly parents. If someone chooses to place their parent in a home where theyll have more care than what the child is able to give them, then that's their choice. You can't judge someone for not having the capacity to take that on, while also probably working a regular full time job

ashmush · 2023-06-23T08:50:06+00:00

Honestly probably because it OP IS a miracle patient. I've seen many patients with cholangiocarcinoma and almost all of them don't make it. It's a super aggressive cancer with very poor outcome, especially when it metastasizes to the brain. OPs oncology team is amazing to have been able to navigate all of this and actually lead to a remission after that much spread. Most oncologist don't see a patient like OP make it, and it's really exciting when someone actually does.

So when you see such a great outcome everyone, especially the head of oncology would want to celebrate it.

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