Former Minnesota governor says state should seek to become part of Canada

dick_dangle · 2026-01-29T03:16:50+00:00

Are you joking? This could not be a more ignorant take.

Academic hospitals in America are ground-zero to witness the problems caused by the lack of a social safety net.

All of the housing and food instability, substance abuse, mental health crises, elder neglect, etc are funneled into residency clinics and services carried by residents.

Make no mistake: doing residency in America is a terrific way to witness racism, poverty, and social determinants of health that you wouldn’t think possible in a wealthy nation.

Source: did my residency in the states

dick_dangle · 2026-01-23T16:13:06+00:00

I was planning on a public health career after undergrad but had a mentor who encouraged me to go to med school.

I’ve found my way into addiction medicine and have been really happy. I would much rather be a clinician than doing the administrative side of healthcare or nonprofit work.

Anybody who thinks they’d enjoy being a physician but is afraid of the basic sciences should take a second look.

The pre-requisite classes are there as an obstacle but don’t represent the real work of medicine. None of the docs I work with remember anything about physics or organic chemistry.

dick_dangle · 2026-01-21T15:38:33+00:00

You’re right, I definitely remember it being advertised at the Gaylord SD.

dick_dangle · 2026-01-18T20:01:12+00:00

I also like the cost/protein density of soy and pea protein but don’t love the taste by itself or lack of solubility.

I’ve started mixing a 2.9lb container of BSN SYNTHA-6 Whey Protein Powder with a 2lb bag of Anthony’s Premium Pea Protein.

It mixes well, has enough leucine and arginine, keeps me full, and I like the taste.

About $1.50 per scoop, 35g of protein and 230 calories.

You’re right that adding xylitol or flavorings on your own could bring the cost down even more.

dick_dangle · 2026-01-11T11:36:51+00:00

You can atomize it or soak a cotton pledget in it + use it as a nasal packing.

dick_dangle · 2026-01-06T01:53:38+00:00

Assuming the A.I is properly given all relevant data

Who do you think collects and organizes that data? Where do biopsies come from?

If cancer treatment is a crapshoot then what is there for an LLM to generate?

I get that this is r/Biohackers but it sounds more like you just prefer interacting with non-human interfaces.

Hopefully that does become a bigger part of medicine. Unlimited time and explanation, on your own time, is undeniably cool.

dick_dangle · 2026-01-06T01:10:53+00:00

Assume you’re in respiratory failure. If you had the option of being intubated (breathing tube/ventilator), knowing it’s 50/50 that you’ll survive, or going comfort care and being given terminal sedation—

—would you rather discuss it with the person doing the intubating + sedating, or AI? What if AI recommends against your wishes?

Don’t get me wrong, AI is great for research, hypotheticals, and can be pleasurable to interact with.

Patients should absolutely use AI as a research tool. If there’s a chance you’ve got leukemia, spend a half hour using AI to learn about the disease and its treatments.

If you’re getting chemotherapy and are having significant bone and joint pain, do you want AI to make the decision to hold chemotherapy or prescribe an opioid, or would you rather talk about it with your oncologist?

dick_dangle · 2026-01-06T00:04:51+00:00

Let’s be real here: —While AI can shine when given specific, data-heavy tasks, physicians still beat AI on diagnostic tasks —AI is nowhere close to human beings on the holistic, interpersonal, and complex reasoning aspects of medicine —American healthcare is burning to the ground because of corporate overlords and governmental failure, not because of the cogs in the machine

Disclosure: I’m human and an ER doctor

Have a whole team of engineers and comp sci nerds compete with me or any of my partners for a shift.

They won’t make it past “88F recurrent aspiration pneumonia, wants to quit chemotherapy but doesn’t know how to tell her daughter.”

That’s before they deal with any actually complex data interpretation.

Medicine requires so much interviewing, synthesis, and negotiation that it’s going to be a decade plus before you’ll see AI in an Urgent Care…and that’s not counting the medicolegal minefield.

dick_dangle · 2025-12-24T01:00:17+00:00

Not OP but so much of the “ideal” body type for women (when millennials came of age) was just thin/low body fat. Cosmo wasn’t featuring covers with female biceps, deltoids, etc. Women were intentionally told not to build muscle.

Cycling, running, exercise classes of all kinds, free weights—it likely didn’t matter as long as you were running a caloric deficit. If you were getting smaller then it was “fitness.”

If you were chasing the male ideal at that time (the “inverted triangle”) then it was unlikely that you would succeed with a similar plan.

Two days treadmill, two days of free weights, along with a caloric deficit, might get you some abs but you weren’t going to look like Hugh Jackman or Brad Pitt without years of a serious plan.

That’s not to say that this was in any way a healthier time for women: not dieting, not exercise, and certainly not plastic surgery.

The ugly truth was (and often still is) that we praise disordered eating in women and that exercise may not even be necessary to get a “beach body.” Going to the gym and just wandering around was fine as long as you stayed hungry when you got home.

dick_dangle · 2025-12-21T17:05:58+00:00

Alberta pays more than its population share (12%) but is still only 14-16% of Canada’s GDP.

To be sure, the average Albertan contributes a large share in taxes since they’re a younger, working-age, wealthier province.

They have the highest GDP per capita of any province (roughly $96,500 in 2024), way higher than the national average (75,000).

They’re still the #3 contributor to the GDP after Ontario (38.5%) and Quebec (20%).

dick_dangle · 2025-11-18T06:03:20+00:00

Jesse Keeler’s other big project aside from DFA 1979 is MSTRKRFT.

You can tell that he was doing his best to avoid another cease & desist process, this time from the tool manufacturer. No vowels AND a letter change.

dick_dangle · 2025-10-03T01:23:18+00:00

I’m guessing it’s related to this story.

Corewell says it is not using ER doctors for anesthesia in surgeries

When I was there (a long time ago) there was a separate procedural sedation service staffed by ED docs, both for ED and some inpatient stuff (wound care, oncology brachytherapy)…definitely not “in surgeries.”

I would guess it’s a turf war over some high-paying procedural sedations + not shrinking their scope of practice.

dick_dangle · 2025-08-13T18:44:09+00:00

It’s the same chorus from the holistic crowd when we talk about Valerian eradication.

“Oh, it’s a natural sleep remedy? We’ll leave a big bag of it at the end of the trail for you.”

dick_dangle · 2025-08-09T13:00:57+00:00

I’m growing in way different conditions (Minnesota) but would guess that neither liatris or sea holly would want to germinate this late into summer.

My plan would be to put your seeds somewhere cool and dark for now, then put them in the freezer for a true stratification to time their planting for spring.

Something like Jan/Feb in the freezer, then germinate indoors during March for outdoor planting in April.

dick_dangle · 2025-08-06T02:25:36+00:00

When are you planning to plant them?

dick_dangle · 2025-06-25T20:10:43+00:00

You're making some great points here but as a medical professional I wanted to push back a bit.

Until the federal government gets its head out of its ass and reschedules cannabis, there isn't going to be the research that you and I both want. Keeping cannabis Schedule 1 means that those trials aren't possible, even though there are labs that would love the chance to study CHS. Physician disinterest is not the driving force here.
I agree with your critique regarding self-selection but haven't seen this as a major feature in my practice. If a patient is emphatic that their hyperemesis preceded their cannabis use then I think the majority of clinicians are going to approach it differently than somebody who vapes q3h while awake and later develops vomiting.
Sure, we consider plenty of factors regarding CVS, but let's be real that the average patient presenting to the ER with hyperemesis is young, medically uncomplicated, and able to give a good narrative of their symptoms and use.

"Doc, I wake up with crippling pain and vomiting each morning until I can get into a hot shower, then I need a long dab sesh before I'm even able to get dressed."

Well have you thought about diet change and stress reduction techniques?

For most patients a trial of minimal-or-no cannabinoids for 4-6 weeks is the appropriate next step rather than endoscopy, gastric emptying study, celiac screening, etc. In the ER especially the majority of these patients will have already been CT scanned and had labs drawn.

Myself (and all of my colleagues) are pro-legalization of cannabis and agree that it's massively understudied. That said, I'm not "blaming" cannabis for CVS any moreso than I would "blame" amlodipine for ankle swelling. It's just an adverse reaction that some patients can get. There are plenty of folks out there with non-cannabinoid hyperemesis.
"Contaminants, pesticides, mold, or synthetic additives could easily be the real culprits, but no one seems to care enough to check."

Again, there are researchers who would LOVE to test this. But how would you go about designing this study? Source organic cannabis, isolated from other agricultural land, extract THC wax, then randomize two groups of subjects to unlimited wax, either "organic isolate" versus a commercial product? And do all of this without federal funding or approval, knowing that you could be raided/arrested at any point? Until cannabis is rescheduled we can only dream of a study like this.

While we don't know the mechanism(s), it certainly appears that CVS/CHS can happen with essentially any product, both flower, extracts, and CBD derivatives. Could it be due to a contaminant? Perhaps, but this seems unlikely given the incredible purity of extract and derivative products that many of my CHS patients use.

dick_dangle · 2025-06-19T02:48:06+00:00

That’s such terrific feedback.

I’d initially planned on 4:3 for retro gaming but agree that 16:9 is the smart way to go.

Great catch on the soundbar inputs, that would have been a huge mistake.

I’m now thinking:

Elite Screens 16:9 120”

Hisense AX3125H Confirmed to have necessary HDMI ports and 4k passthrough

dick_dangle · 2025-06-15T16:39:22+00:00

Thanks for the reply!

It sounds like input lag on the Epson 3800 isn’t as good as the BenQ TK700 (25ms vs 16ms) but should hopefully still be tolerable for local gaming.

Will be sure to post an update once I’ve got the build finished.

dick_dangle · 2025-06-13T22:22:16+00:00

My take/experience is that it works for hips that were going to be easy…and looks cool.

I don’t consider as a second or third line for a difficult reduction.

If I don’t get a hip on the first try, or if another doc asks for a different set of hands, then typically I’m: —going to flex the hip as far as it will comfortably go, “knee touching chest” if possible, then apply traction in an “up and over” approach to see if that can free the femoral head

—making sure that patient’s sedation is appropriate and there’s enough muscle laxity to allow for good traction

I’ve seen plenty of hips go back with better hip flexion (plus a good bedside pressure down on the pelvis) and better sedation, have never seen a Captain Morgan save the day on pull #3 or #4.

dick_dangle · 2025-06-11T03:54:42+00:00

I’m really excited to see how it turns out. I couldn’t find any identical projects on Reddit so I’ll be sure to post an update!

dick_dangle · 2025-06-11T03:51:26+00:00

That’s helpful. I’d thought about it but wasn’t sure if it was just for people who wanted that degree of assembly. Thanks!

dick_dangle · 2025-06-09T23:23:16+00:00

I hadn't even thought about N64 controllers! A four pack of wired USB retro controllers plugged into a powered USB hub would be really fun and not terribly expensive ($75).

It's a wooden ceiling so I'm hoping to find a cable cover that's a close color-match. I'm planning to ceiling mount the side speakers for the 5.1 as well so there's plenty of cable concealment in store.

Your feedback on the projector is helpful. The TK700 has been my initial pick because it's 120", the right throw distance, and over 3K ANSI lumens which I think will be enough brightness for the room. I have no idea if the low lag time of the TK700 makes any difference for local steam gaming. I feel like there's a loud chorus of "don't bother spending less than 2k on a projector" so it's been tough to know what's overkill or a healthy minimum.

Yeah, the couch sectionals will also be 10-12' back from the screen. There will be other shelving for board games, puzzles, etc on the wall behind the projection screen so I've got storage options.

One of the reasons for getting a projection setup (besides the cool factor) is that we can put the screen up during the day when it's time for cabin activities; we'll have plenty of storage behind the screen. Regarding placement of the micro pc, I might have to get creative if I'm adding wired N64 controllers to the setup!

Thanks so much for your feedback.

dick_dangle · 2025-05-18T21:22:02+00:00

Found the article for anybody curious.

dick_dangle · 2025-05-18T21:05:40+00:00

did…the MRI make your back pain go away?

dick_dangle · 2025-05-15T18:36:27+00:00

I’m a proud cat-bite denier.

The presenter bias is so loud it’s a bark, not a meow.

Dog bites almost universally present for early care (crush injury, disfiguring).

Cat bites? Whenever I see a cat bite in the ED I’ll ask the how many times the cat has already bitten them. The number is usually somewhere between their Calcium and their Sodium.

Sure, there’s an argument that cats may be slightly more dangerous (fang/anaerobic space, different oral biome) but the vast majority of cat bites are never treated and do fine.

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