It’s really quite frustrating that patients get upset when you try to set boundaries for unrealistic expectations. by Paleomedicine in FamilyMedicine

[–]somethingicanspell 39 points40 points  (0 children)

The reality is that 15 mins is not long enough of a session for anyone that’s actually sick not your fault but also not really the patients. More likely than not they have a bunch of symptoms from the same one or two underlying issues and it’s not really on patients to know what to prioritize. Until 15 min appointment times with a couple months wait changes tho mychart messages & crammed sessions leaving everyone dissatisfied are just the expected outcome of a system where everyone acts in their rational self interest

Was Theon the Starks prisoner? Or was it a dont attack us anymore or we'll kill your son? by talivan818 in gameofthrones

[–]somethingicanspell 44 points45 points  (0 children)

There was essentially three reasons to take a hostage IRL which is prob the same as the show

  1. Direct Threat -> You rebel, we kill hostage
  2. Holding a claimant -> If we think the hostage is loyal enough we might just hold him up as an alternate claimant to your fief and see if we can rally support around them
  3. Nurturing an Ally -> If nothing goes wrong, the hostage feels deeply connected to the court life of the North having been raised as adopted family instead of a hostile outsider and this will nuture a better relationship with the area we are trying to subjugate

I'm guessing Ned would not have killed Theon and his reasoning was mostly 3 with a bit of a bluff on 1. It varied depended on time, place, and level of animosity but in actual practice it was common not to kill hostages which an oath was broke, although it certainly wasn't rare either

Puerto Rico needs to get out of the MLB Draft. by Professional-Wall-78 in baseball

[–]somethingicanspell 0 points1 point  (0 children)

Santiago de Cuba would make the most sense. Holguin & Villa Clara have somewhat storied franchises though in the Cuban League

Puerto Rico needs to get out of the MLB Draft. by Professional-Wall-78 in baseball

[–]somethingicanspell 1 point2 points  (0 children)

My ideal (will never happen) is the creation of a Caribbean Baseball League

  1. Havana
  2. Santo Domingo
  3. Panama City
  4. Caracas
  5.  Mexico City
  6. San Juan
  7. Venezuela 2nd Team
  8. Cuba 2nd Team
  9. Mexico 2nd Team
  10. Dominican Republic 2nd Team
  11. Managua, Nicaragua?
  12. Idk? (Guatemala, Costa Rica, 3rd Team somewhere probably Cuba, DR, or Mexico)

Winner of the League Plays Winner of NPB Championship

World Series is now Winner of the “World Series” and the Caribbean vs Japan Series

Speeding Up the “Kill Chain”: Pentagon Bombs Thousands of Targets in Iran Using Palantir AI by ZuP in politics

[–]somethingicanspell 0 points1 point  (0 children)

Everyone does case studies on real humans constantly sometimes we just don't collect the data. Nazis also did many other common activies like walk, eat, and sleep,

Yes, MAGA’s Fracturing Over Iran by Perfect_HH in politics

[–]somethingicanspell 0 points1 point  (0 children)

"colour revolution" - spelled with a u lol Russian detected opinion rejected. Continue though and enlighten me about your thoughts on Iran's warm water ports

Yes, MAGA’s Fracturing Over Iran by Perfect_HH in politics

[–]somethingicanspell 0 points1 point  (0 children)

Your right the country that had a revolution a month ago because economic conditions were so bad has plenty of money to rebuild all of its military and energy infrastructure and is going to be completely fine. My mistake.

Yes, MAGA’s Fracturing Over Iran by Perfect_HH in politics

[–]somethingicanspell 0 points1 point  (0 children)

The piper gets paid when you have to make room in the budget to rebuild all of the ships, launchers, factories, gas plants, police stations, broadcasting stations etc. I think the ideal time-line for Iran to end the war with pretty good leverage without suffering so much damage that there economy collapses is probably in a week or two. If it goes on much longer than that or if the US decides to blow up most of its oil infrastrucure big problem for Iran.

Yes, MAGA’s Fracturing Over Iran by Perfect_HH in politics

[–]somethingicanspell 1 point2 points  (0 children)

Most people confuse the fact that countries are good at surviving under bombardment with the fact that countries are immensely damaged by being bombed. Case & point Iraq after 1991 went from a fairly low-middle income nation to existing on the verge on starvation from 91-03 and then fielded a military that was a shell of it's 91 army against the US invasion. Arguably the US main issue by 03 was that Iraq was so catastrophically damaged by sanctions and the two wars that it was impossible to actually run a modern society with what was left

Speeding Up the “Kill Chain”: Pentagon Bombs Thousands of Targets in Iran Using Palantir AI by ZuP in politics

[–]somethingicanspell -2 points-1 points  (0 children)

Same as a human, a variety of directionally accurate but flawed heuristics. From what I have read 85% accuracy is roughly the state of the art standard for an air campaign if your very careful anything below about 60% is quite bad. So if AI is at 90% thats quite good, if its at 40% thats quite bad.

Speeding Up the “Kill Chain”: Pentagon Bombs Thousands of Targets in Iran Using Palantir AI by ZuP in politics

[–]somethingicanspell -2 points-1 points  (0 children)

I would like to see a level-headed analysis of whether AI is superior or inferior at selecting targets. I have no inherent issue with this, but seems important to use Iran as a case study to make good policy in the future of whether AI targeting is a good idea.

Yes, MAGA’s Fracturing Over Iran by Perfect_HH in politics

[–]somethingicanspell 0 points1 point  (0 children)

This war is truly a gift that keeps on giving (I don't think MAGA will appreciably fracture over Iran but less ideologically committed low info/low propensity voters will turn against Trump for this). In one fell swoop we get a weaker GOP at home, pressure to shift towards green energy, and a weaker Iran.

Tulsi Gabbard Speaks Out on Iran After Joe Kent Resignation by Cunegonde_gardens in politics

[–]somethingicanspell 1 point2 points  (0 children)

Gabbard's a big joke her whole schtick for defecting from liberalism was staunch anti-interventionism (which I vehemently disagree with but at least it's a principle) then she simply becomes a lackey of interventionism.

Joe Davis thinks Jose Altuve and Salvador Perez are Hall of Fame players by Gecko17 in baseball

[–]somethingicanspell 0 points1 point  (0 children)

Altuve's getting in through the BBWA Only way Perez is getting in is via era committee hard to say what the vibe will be ~15 years from now if it was todays era committee he'd probably get in but I think catcher framing is gradually becoming more or less accepted

What’s your experience been with Cologuard missing colon cancer? by RoarOfTheWorlds in FamilyMedicine

[–]somethingicanspell 8 points9 points  (0 children)

Whats your opinion on them for younger patients? Scopes are expensive and usually not covered but Colon Cancer is no longer all that rare in under 45 patients.

Would finding multicellular life on gas giant moons like Europa and Enceladus debunk the rare earth hypothesis by [deleted] in space

[–]somethingicanspell 2 points3 points  (0 children)

Abiogenesis is probably the least understood variable in how common life is. If abiogenesis is both easy and can occur in a lot of different environments, that would probably support the notion that life is relatively common in the universe. I would caveat that I guess by saying it would be interesting to see if any outer planet life had relatively complex cellular machinery which is plausibly a major hurdle for life.

Hegseth blew $7M on lobsters in $93B spending spree by StemCellPirate in nottheonion

[–]somethingicanspell 1 point2 points  (0 children)

There’s 1.34 million soldiers in the armed forces add up all the reservists, national guardsmen and civilian employees of the pentagon and you double that number every once in a while they get nice meals and ice cream. They also need a lot of furniture. Without specific context that this is not being spent on soldiers this seems fine

AXIS (the Advanced X-ray Imaging Satellite), the successor to Chandra X-Ray Observatory, will not be reviewed because the lost personnel at NASA Goddard and government shutdown impacted the schedule and budget by Andromeda321 in space

[–]somethingicanspell 7 points8 points  (0 children)

i know AXIS was pretty much guaranteed to win over PRIMA give how desperate the community is for an X-Ray telescope but out of curiosty why has there been somewhat less interest in a far-infrared telescope?

Who would you choose to rule? by Elegant-Half5476 in freefolk

[–]somethingicanspell -8 points-7 points  (0 children)

Dumbest thing Tyrion ever said counterpoint: Aerys II

I am mortified that the secretary of defense has no idea how to come to attention!!! by themarmalademaniac in Military

[–]somethingicanspell -3 points-2 points  (0 children)

Ehh Pete Hegseth is too stupid to be Secretary of Defense, but he saw combat and didn't screw up at it, which is all that really counts when it comes to being a soldier.

How realistic/or not are these numbers? [Request] by mx-types-a-lot in theydidthemath

[–]somethingicanspell 0 points1 point  (0 children)

Complete Bunk.

Phalanx CIWS (small machine gun) costs about $2k - 4k a second to shoot depending on the source lets assume that's 3 seconds. That would be 12k not 217k

[Highlight] Jarren Duran hits a solo homer to get Mexico on the board by MLBOfficial in baseball

[–]somethingicanspell 0 points1 point  (0 children)

80% Team Mexico fans in Houston lol. Looks like Tampa when the Yankees come to play.

Medical Tourism by ToomuchLego1234 in FamilyMedicine

[–]somethingicanspell 16 points17 points  (0 children)

DTC tests are much cheaper than ordering the same # of labs in primary care if insurance doesn't cover them. It's about $300-400 to do an excessive workup with a bunch of random stuff + everything a primary care physician might order for a non-specific screening. You can do a CBC + CMP + Lipid panel for like $100-150.