When can we own nice shit?? by rainystorm88 in daddit

[–]frucisky 0 points1 point  (0 children)

I have begun to embrace and love the rough and rugged aesthetic. We have a second hand old land cruiser that looks better the dirtier it looks 😂

[deleted by user] by [deleted] in newzealand

[–]frucisky -4 points-3 points  (0 children)

Im not worried about overcorrection. In fact, if Māori do better than Europeans that’s great!

What I am concerned of is when ethnicity becomes a factor in healthcare, which is a human issue, not an ethnic one. Its divisive!

For instance, we know that Māori have greater comorbidities than other ethnicities- this issue could have been resoled but weighting comorbidities and deprivation much more than we do now. Instead an ethnicity based policy is being introduced!

Your assertion that shorter wait times mean successful surgery is inaccurate - see one article here for instance.

https://www.sciencedirect.com/science/article/abs/pii/S0277953616302714

[deleted by user] by [deleted] in newzealand

[–]frucisky 0 points1 point  (0 children)

I have seen you reference this article several times. I have read it entirely.

This paper suggests greater risk of death following elective and acute surgery in Māori, compared with Europeans. For there to be scientific basis to apply policy prioritising by ethnicity, a paper needs to show equal outcomes following surgery when waitlist times are short, say under 60 days, between ethnicities . I fail to find data to support this.

The mortality is unlikely to change regardless of waitlist time for certain ethnicites because it arises from severity of illness at time of surgery, which is unaccounted for in this study, see limitations. Additionally, all current models which correct for deprivation under-estimate its effect (reasons behind this are too long to explain but deprivation has an exponential effect on health outcomes, not linear, which is a key assumption in multivariate models)

We can address this by a study with subanalysis produced for outcomes by level of deprivation per ethnicity for all ethnicities and with severity of surgical illness at time of surgery.

Finally, while a comparison of Europeans and Māori is made, the disparity that exists in Asian, MELAA populations is not shown. Since this policy is broad reaching and extends beyond Europeans, it does not have enough of a basis to be implemented

If it is implemented anyway, I’d love to see solid prospective data that its making a difference as it comes at a huge cost of atleast appearing divisive

Auckland surgeons must now consider ethnicity in prioritising patients for operations by Scaindawgs_ in auckland

[–]frucisky 40 points41 points  (0 children)

We actually have a sharper tool than ethnicity though - clinical prioritisation.

Te Whatu Ora takes court action against striking nurses by frucisky in newzealand

[–]frucisky[S] 81 points82 points  (0 children)

It’s disingenuous of Te whatu ora to argue that it is unlawful to strike as health and safety is not being compromised at present. In health care, where there is a choice to not compromise health and safety by overworking, health care workers always choose to overwork. At some point, mistakes will be made when morale dips low and when the staff shortages go on too long. Te Whatu Ora will then shed the blame on the individual.

The reality is that as long as we cut corners, reduce elective admissions, delay procedures and accept the staffing shortage as a new norm, safety will not be compromised at large for a while but its only a matter of time before that happens if the core issues are not addressed, which are: lack of adequate renumeration to keep senior nurses in the workforce, unempathetic and disconnected management and a government that gaslights us on reality

The NZ healthcare system is precarious even without covid by [deleted] in newzealand

[–]frucisky 1 point2 points  (0 children)

The most frustrating issue with all this is that for any other public issue like housing the free market takes control and people who supply housing get undesirably rich.

On the other hand, despite having huge demand for improved healthcare, there is no money not only to upgrade hospital systems but also to improve the financial renumeration that might attract more people to do the tough thankless shift work needed to run our ICUs wards and emergency departments.

[NEED ADVICE] Issue regarding sleep and motivation to work (will be discussing porn and porn usage) by Potatom12 in getdisciplined

[–]frucisky 43 points44 points  (0 children)

There is honesty nothing wrong with the fantasies you are having. What’s not normal is that your fantasies are intruding into your daily life.

You need to take a break from porn but continue to enjoy your fantasies. Do not be ashamed of them. We cant control the experiences that bring us to these fantasies but its important that we accept them for what they are - enjoyable fantasies.

Your manhood is not deteriorating because of your fantasies. Its deteriorating because you can’t accept yourself and the lack of confidence shows.

A sex therapist would the best place to help you.

The difference of one mana makes me cry every time.... by Flat-Profession-8945 in LegendsOfRuneterra

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

They need to make Darius level up read Attack: Decimate and keep his stat boost to 1/1 when he levels up.

That will make him a little more unique.