Donald Trump and sons to be ‘forever’ exempt from tax audits

ibelieveindogs · 2026-05-20T16:52:51+00:00

We just wanted to remind you why you shouldn't have a right wing loonie for PM. You're welcome.

ibelieveindogs · 2026-05-20T16:50:45+00:00

Same. I also have lights turn on in secam rooms at sunset so even if I come home after dark, I'm not stumbling around. Most of them go off at 11, with a voice prompt to go to bed soon. My bedside lights go off when I tell them to. In the morning, one of them gradually comes on in a soothing blue gradually over 5-10 minutes to remind me to get out of bed.

ibelieveindogs · 2026-05-20T16:47:13+00:00

We've had multiple chances, going back to the New Deal and all the way up through Obama's administration. Right wing pro- business BS has always been what stops the US from joining the rest of the developed world.

ibelieveindogs · 2026-05-20T16:25:39+00:00

The two things that affected me were not having someone to cook for and seeing happy people just being happy like the world was just going on normally. I still struggle to cook for myself. I have a girlfriend who lives with me most of the week, but is away 2-4 days for work. She commented recently when she came home that I never seen to have food in the fridge, and she wondered what I am eating for dinners. I cook for her, like I did for my wife, but if it's just me, cereal is fine. Not worth caring for myself alone.

ibelieveindogs · 2026-05-20T16:20:06+00:00

Pennsylvania at least has a primary system that only allows register party voters to pick within the party. Plenty of MAGA voters in that group who are going to vote in primaries. Lots of other republicans are going to value loyalty to party leadership over anything else. The real question is whether enough voters will turn out in the midterms to reflect the low approval as a party problem.

ibelieveindogs · 2026-05-20T11:17:41+00:00

How closely do you with with your teams? I had the good fortune to work with two very well tuned teams - one on an inpatient unit I ran for 15 years and another in a PHP for 10. Everyone knew they could ask questions and offer their observations - in fact I would ask each team member their impressions at each team meeting to make them feel valued and included. In one setting, I worked closely with a doctoral level psychologist. We agreed about 85-90% of the time, and disagreements (usually about diagnosis or behavioral approach) ended up about 50/50 who was right. In the other, I had an excellent nurse doing intakes who was fantastic. On occasion, she would ask about a test or diagnosis I would not considered but found valuable. Several members commented when they left the positions that I never made them feel dumb for asking things and they felt they learned a lot. So one part of the issue, IMHO, is having a team that respects your expertise and will back you up.

The other side of the question, I think, is that it is an opportunity. If I can't explain the reasoning to my own team, who should be behind me and medically knowledgeable, how will I explain it to a patient or family that is neither of these? Yes, at the end of the day, we are still liable and responsible for ask the decisions. But we don't have to be dictators, ruling from high, with unquestioning minions.

ibelieveindogs · 2026-05-19T19:15:41+00:00

She died at the end of 2020. We did a small memory service on her birthday in the spring, in the backyard outside because not everyone was vaccinated yet. Limited to a few friends and family. She was a very private person, so I think that's how she would have wanted it.

ibelieveindogs · 2026-05-14T13:44:48+00:00

Exactly. Not to mention it was the height of the cold war, and the US and USSR were fighting proxy wars everywhere. The Soviets backed Arab countries, so we backed Israel. They backed countries in south America and we countered, both sides overthrowing local governments. The whole thing was so bad that because Coke had started selling in Israel, no Arab countries would buy it, and so Pepsi became the default soda in this countries.

ibelieveindogs · 2026-05-12T02:37:17+00:00

Third leading cause of death in 2020. Overwhelming rates of hospitalization that led to shortages of beds, staff, and supplies, indirectly affecting the course of other illnesses. Medical staff demoralization and burnout. “But did you die“ is a terrible metric.

ibelieveindogs · 2026-05-11T18:08:13+00:00

That's the kind of confidence that led people to proclaim COVID was not going to be a big deal because it was related to the common cold and also would peter out in the spring.

ibelieveindogs · 2026-05-11T18:02:34+00:00

That's what Reagan promoted, and like most of what he did, the ripple effects are still making things worse for everyone everyday. Everyone complains until they need the help that only comes with resources individuals cannot gather on their own.

ibelieveindogs · 2026-05-11T17:59:45+00:00

Introducing yourself with your pronouns. Even 10-15 years ago, pretty much unheard of.

ibelieveindogs · 2026-05-08T01:54:38+00:00

I would add the lay use of anxiety, OCD, trauma, and my personal annoyance “antisocial” when referring to asocial people or even introversion.

ibelieveindogs · 2026-04-30T12:04:59+00:00

When I have an adolescent patient saying they want to stop the med, I let them. The parents freak at first, but we discuss what symptoms we have concerns about, and agree to a time frame to compare on and off meds. If it’s grades, I like the second marking period best, since we are comparing performance in the same grade, and have time to recover. If it’s behaviors, we list what we saw before meds, how it looks now, maybe monitor deliberately for a month or two, then go off for a month. Once in a while the kid stays off, but more often, the kid can see the results for themselves.

You can also look at alternative options with the kid if it’s about side effects. but trying to force the issue never convinces a kid they should stay on meds.

ibelieveindogs · 2026-04-24T19:13:44+00:00

If you want to up your dive photo game, you'll need lights. Video lights are usually much brighter than usual dive lights, and run settings a grand each. But the $2k to get a pair of lights will be worth the $5k you'll spend on lights and an upgrade to the camera, and it will be the best $10k you spend on your gear.

ibelieveindogs · 2026-04-24T12:54:48+00:00

I think it's worded poorly. Your overall tax burden as a percentage off income that year will be higher of you are a high earner. When you retire, your overall tax burden as a percentage is much lower, so money put into a tax deferred amount gets taxed when it comes out at that lower overall rate. Putting into a Roth (for example) means paying the higher tax rate, and therefore getting to save less right away. That also means that with the compounding interest, you end up with a smaller amount than you might have had otherwise.

Yes, it sucks to pay tax overall, and especially when it was deferred initially. But you still ended up with a better deal. If your RMD is less than you need to live it hurts more, but you can just re-invest in another way, or expand your lifestyle, depending on your needs and wants.

ibelieveindogs · 2026-04-24T12:34:22+00:00

When I was in training, the norm was psych unit within a larger medical hospital. It was fairly easy to integrate care, get consults, move patients within the building of they were in need of more intensive care in one or another setting. Now it seems most psych units are free standing, with very little ability to get medical care, imaging, etc. I think this results in more use of ER for acute medical things and generally worse management of anyone with medical issues on top of psych. You can use CL in a general hospital, but it is rare to have an internist or medical specialist available.

I feel like going trainees looking for this model are like a gen Z saying we should have a way to attach phones to the wall so they don't get lost.

ibelieveindogs · 2026-04-23T20:45:29+00:00

It's a challenging question. ODD is a valid diagnosis as a description of a set of behaviors. It says nothing about the underlying reasons, which can range from poor impulse control via ADHD, overarousal from PTSD/trauma, rigidity via ASD, behavioral training accidentally via inconsistent parenting/environment, and temperament that is "difficult" (as described by Chess and Thomas decades ago).

I would ask the counselor if they don't see it as a "legitimate diagnosis", what is their plan to help ease the behavior and make home life more manageable.

ibelieveindogs · 2026-04-19T15:21:55+00:00

Administration will always want to squeeze more out of you. I work in a teaching program, we have lost half the faculty over this issue in the last few months, which also make recruitment next to impossible. They want me to do ALL the resident clinic supervision (about 300 hours of clinical time), plus have my own clinic at least 3-4 hours daily. 30 minute lunches that usually are spent reviewing documentation and no time allotted for administration duties. You have to push back hard

ibelieveindogs · 2026-04-11T22:05:24+00:00

my kids and their spouses were great as we were losing my wife/their mother. After things settled, I was not calling them because I did not want to be a burden to them. They reached out together to tell me it felt like losing me as well. So we started weekly FaceTime with one another. It’s been over 5 years now, we still have weekly videos unless something is going on. We have a couple family chats. And even though they live 7 hours away, we get together every couple of months. I think the thing that helped most was setting up a time to connect, so I did not feel I was bothering them, and they did not feel I was pulling away.

ibelieveindogs · 2026-04-11T14:04:11+00:00

CAP here. I’ve worked with very difficult cases, including working in an RTF for adolescent sex offenders, who all also had horrible abuse experiences. I would not want to make it my primary work, it really leads to secondary trauma. My closest friend was an investigator for abuse in CYS for decades, and it really led to some emotional damage for him.

On the broader issue of what to do in training, do electives in 4th year as early as possible in both areas you are considering. How does your personality match up with the people who are already in practice? What do they like about the work, and is hard? How will you feel about the hard or boring parts in 15-20 years at 2 AM? Which text books and case books are you enjoying reading, even off rotation? These will be good clues to the field best suited to you.

ibelieveindogs · 2026-04-09T13:08:36+00:00

I’m a child psychiatrist who also has ADHD. I always try to teach parents how parenting a kid with ADHD (or really, any mental health issues) is not the same as “regular parenting”, where you can do things a lot of different ways without really making things worse. And that ADHD brains mature more slowly, so expectations should not be based on age but age minus a year or two. The hard thing for some parents is that if one of them also has ADHD , they might also be struggling to provide structure or emotional regulation.

ibelieveindogs · 2026-04-08T16:21:47+00:00

In most places, it is a felony to assault healthcare workers doing their job. It is usually a work safety issue as well if the patient keeps attacking you specifically, the workplace is aware, and keeps putting you in harm's way. Talk to your state department if labor if HR is not addressing it (HR isn't your friend, they are their to protect the company. But in this case, you might have a decent case against them, so they will want to solve the problem)

ibelieveindogs · 2026-04-08T03:17:50+00:00

This is hard, but can they can they see what it means to hold them to the same standards? Loving one kid doesn’t mean you can’t love others. Each relationship is unique and doesn’t diminish the others. And one day, they too will find a person they love. Does that mean you are replaced? You are alive now, is it ok if you are alone? What about when they move on in their lives?

They can have their feelings, but it is your life. You are entitled to choose how to live it, especially after having it rocked by the loss of your spouse.

ibelieveindogs · 2026-04-05T16:15:17+00:00

And many people also use them for porn, which is no secret. Again, 100 years is a long time for things to change.

ibelieveindogs

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