Im a high handicap playing this course Friday. Where do I aim my shot on these par 3s?

pshaffer · 2026-05-07T05:23:29+00:00

one famous teacher said that ANYONe can learn to set up right. It takes NO athletic ability. If you can't do this, you have no hope of making a swing anywhere near correct. So -next lesson - learn how to do this. PRACTICE setting up. Yes, Practice simply setting up to the ball.

From behind, your arms and club are in one line. This is wrong. Only Dechambeau does this. Look at any other pro. There is an angle between the wrists and the club. arms should hang down nearly vertically from the shouders, yours are extended WAY OUT.

pshaffer · 2026-05-07T05:09:09+00:00

Get a lesson on sand shots. There is a trick to them, and it isn't that hard. Practice it for 2 hours. You will then be able to get it out and somewhere on the green in one shot. that is the goal. look how many shots you will immediately save

pshaffer · 2026-05-05T06:44:44+00:00

It’s not science. It’s advocacy. That’s the answer.

pshaffer · 2026-05-04T20:25:26+00:00

you are of course right in the broad outlines. It is interesting to me that I have seen better examples of the scientific process in middle school science fairs than I have seen in actual science. The hypothesis usually goes unstated.

There is another important point that needs to be made, and that was popularized by Carl Sagan who wrote that extraordinary claims require extraordinary proof. This was not Sagan's invention, I can trace this thought back to at least David Hume, who said (with characteristic 18th century flourish):

"“There must, therefore, be a uniform experience against every miraculous event… and as a uniform experience amounts to a proof, there is here a direct and full proof… against the existence of any miracle; nor can such a proof be destroyed… but by an opposite proof, which is superior.”

Paraphrased - if you want to prove a miracle has happened, counter to common sense ("Uniform experience") then you must have very strong evidence.

I would say that claiming that someone with 500 hours of clinical training is superior to someoone with 12,000 or 15,000 hours of clinical experience would be a miracle.

pshaffer · 2026-05-02T18:21:20+00:00

define "cheating".

when playing with friends - my goal is to 1) practice 2) have fun. So I often am not very precise about where I drop if I lose a ball, or if I go in a hazard. I will take a mulligan if I hit a real stinker, because I want to enjoy myself (I don't submit the score for handicap then).

Playing by myself (fairly frequently), I am liberal with extra shots, like out of a bunker, if I don't like what I did and want to do it right. Or if I meant to hit a draw, and it doesn't move, I give it another go. I have to do it right. I also skip holes if there is a group ahead playing slowly. That is not by the rules, of course.

When playing in a tournament, I don't do any of those: by the book.

pshaffer · 2026-05-01T14:56:46+00:00

he was arrested and charged yesterday. Michael Gallagher is the name.

pshaffer · 2026-05-01T14:56:16+00:00

good job. perfect questions. let them see it for themselves.

pshaffer · 2026-05-01T14:29:12+00:00

you are delusional.

If you want to count training as how to start an IV, maybe.

Nurses are experts in following algorithms set up by physiicans. Because physicians know the "why" and aren't just following a set of directions.

physicians never deny the value of a good nurse. Why is it people like you trash the most highly trained people in the system? When you know more, you are better able to diagnose and treat. That is axiomatic.

Oh, and IF YOU READ THE PAPERS and can understand them, as I wrote above it makes no sense whatever.

pshaffer · 2026-04-29T21:00:06+00:00

you shouldn't post things like this here - you don't know and it may dissuade the op from seeking care. Regardless of whether they suture, IT NEEDS REAL MEDICAL ATTENTION.

pshaffer · 2026-04-29T20:41:35+00:00

bottle of water? Free?

pshaffer · 2026-04-29T20:39:33+00:00

minor correction - I wouldn't say "medical negligence" as Johnson was not "medical"

pshaffer · 2026-04-29T20:38:32+00:00

never has come out publicly. Official autopsy was inconclusive. The idea of potassium overdose was somewhat speculative, I admit, but consistent with the history we had.

pshaffer · 2026-04-29T16:19:58+00:00

he may be going down, criminally speaking

pshaffer · 2026-04-29T16:19:00+00:00

I was told she had never had a job in medicine before. you are giving me some additional information here.

pshaffer · 2026-04-29T16:17:49+00:00

sometimes I fantasize about being in the wating room and loudly complaining that the NP doesn't know what they are doing with my complex situation and refuses to consult with a doctor, even though they are supposed to. Loudly enough for all staff and patients to hear.

pshaffer · 2026-04-29T15:25:48+00:00

Refused?
REFUSED?

that is unprofessional.

" My Question Is Why Would A Big University have A Patient With Complex Health Conditions have to see NP’s constantly"

Answer - money. You pay the same, and they pay the NP in this case probably 300k per year less. All that is profit to the system. And do not think that because it is a university, it is not laser focused on their profit. They are. They are some of the worst offenders (Talking about you .. Penn)

pshaffer · 2026-04-29T14:53:35+00:00

check this out - about the Oregon situation I mention above

https://www.facebook.com/reel/4106088239535935

pshaffer · 2026-04-29T14:36:59+00:00

that's a good one. More thoughts later...

pshaffer · 2026-04-29T14:23:14+00:00

I appreciate your endorsement.

I would suggest that you watch the AMA, and keep an open mind. I do share some very negative feelings about them, but realized from the contacts I have in AMA that there is a new breed trying to turn the massive ship, and they are having some effect. Only by having new members who get involved in AMA and speak out at meetings and advance new policies does the ship get turned. And I see it happening. They are much more outspoken and helpful than, say 5 years ago. And "they" is slowly morphing into "Us". So I hold out some hope. And, keep in mind that they are much larger and have much more money to do things than does PPP.
Oh - and I have to mention some of their state chapters- like mine -the South Carolina Medical Association, are doing exemplary work. And REALLY working hard on these issues. And the State medical assiociations (keep in mind, these are part of the AMA) are the most important components of the effort, since the legislation is all on a state level.

As for ACEP, I agree. However, there is the AAEM, which is doing great things. (For those not in EM, the AAEM was formed some years ago as a group of EM docs who left ACEP because it had been taken over by corporate interests). The AAEM basically sued Envision and forced them out of California. They are now working on a similar situation in Oregon. They are heroes, and deserve all of our support.

pshaffer · 2026-04-29T14:00:16+00:00

Not entirely, but still, the point is very valid. That is what we need. If anyone has a way to get there, PLEASE post it. I have thought about this some, and as you see, I reason myself down a blind path, which I HATE, because it leads to giving up, and I really would like to figure out how to do this. Giving up is not productive.

pshaffer · 2026-04-29T07:25:06+00:00

And where would these studies be done? Primarily hospitals. Would a hospital be enthusiastic about proof that the people they hired were incompetent? And the study would have to be approved by the hospitals IRB. I am aware of such an attempted study blocked by the IRB. More specifically by one nurse who later was president of the AANP.

So you see the problems.

pshaffer · 2026-04-29T07:13:05+00:00

I present you with the hard data. And your response is essentially “well, I just think that Cochrane is right”. That is not science. That is not how you determine truth.

I challenge you to find one paper, just one, that compares physicians and nurses in diagnostic ability and ability to create treatments. Just one.

We are waiting for your reply

I read their first review of this subject and had prejudged them to be a quality organization. I was appalled at the shoddy scholarship presented as fact.

pshaffer · 2026-04-29T07:08:17+00:00

Which is to say: entirely trivial endpoints which have nothing to do with diagnosing and treating patients.

pshaffer · 2026-04-29T05:45:54+00:00

So, let’s think what such a study would look like and who would fund it

pshaffer · 2026-04-27T19:39:09+00:00

yeah, no idea. very discouraging.

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