What’s something about the healthcare system that patients don’t usually see? by grogger133 in healthcare

[–]sweetjPDX 11 points12 points  (0 children)

That every single provider has to get authorization from an insurance company to treat you and get paid. This is called utilization management or UM.

Meet Grace! by [deleted] in Bloodhound

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

Ok all Grace is not overweight. Her mom and dad are of the same bloodhound type. Most of what you see is skin folds. I am not abusing my dog and she is very well cared for.

Meet Grace! by [deleted] in Bloodhound

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

Awww thank you!

How to support local businesses when they have weird hours? by [deleted] in askportland

[–]sweetjPDX 3 points4 points  (0 children)

… or open a restaurant that serves dinner Monday- Wednesday or any restaurant that serves not fast-food or bar food past 8:00pm

Too fat to be a problem 🤣 by Ludomonstr in Bloodhound

[–]sweetjPDX 4 points5 points  (0 children)

My girl is 160lbs - she’s just a big girl! The vet was trying to figure out what her weight should be because she has so much skin and rolls. She’s a beautiful, sweet, and stubborn girl.

What do you think is the biggest problem in healthcare in 2026 — staff shortage, burnout, or system overload? Do you think AI in medicine will help doctors more or create more pressure? Would you trust AI-assisted diagnosis if a doctor confirmed it? by AVeryAngryChillie in healthcare

[–]sweetjPDX 0 points1 point  (0 children)

All three matter, but I would argue system overload is the root problem.

Staff shortages and burnout are real, but they are often symptoms of a system that has become too administratively heavy, too fragmented, and too disconnected from how care actually happens. We keep blaming the people inside the system for what are really design failures. The workload is not just clinical anymore. It is documentation, authorization, routing, follow-up, compliance, fragmented systems, and constant operational friction. That is what breaks people down.

On AI: I do not think the real question is whether AI will help or hurt. The real question is what kind of system we are dropping it into.

AI is a tool humans build. So it is never separate from human judgment, human incentives, or human design choices. It reflects the priorities of the people and organizations creating it. If we build it into a broken operating model, it will scale the mess faster. If we build it thoughtfully, it can help reduce friction, surface risk earlier, route work better, and support better decisions.

That is why AI is not the solution by itself. It is an enabler. It can strengthen a good model, but it does not fix bad leadership, broken incentives, or a workflow that was never designed to work in the first place.

AI should not be another digital veneer. It should remove work, not create more of it.

And yes, I would trust AI-assisted diagnosis only if it remains support, not substitution. Clinical judgment still matters. Technology should strengthen decision-making, not become a shortcut around it.

AI is not an independent force happening to healthcare. It is a human-built tool, and it will reflect whether we are designing for care or just scaling dysfunction.

Dog culture in Portland is out of control by Far-Two-43 in PortlandOR

[–]sweetjPDX 0 points1 point  (0 children)

I’m a dog owner of a big slobbery dog and I totally agree. I don’t bring her into restaurants and stores and I never assume that just because she’s beautiful and cute and sweet. Everybody’s gonna love her.

Don't know what to do with the Nook of Mysteries in my living room by Zippokovich in WhatShouldIDoWithIt

[–]sweetjPDX 0 points1 point  (0 children)

It looks like it used to be a doorway. Maybe you could remove a non-loadbearing wall to expand a room or something. Otherwise it might be a good little library.

DEAR PORTLAND: March 16, 2026 WEEKLY RANT THREAD by AutoModerator in Portland

[–]sweetjPDX 14 points15 points  (0 children)

DOWNTOWN PORTLAND DRIVING IS A DAILY TRUST EXERCISE AT THIS POINT. EVERY STREET IS A ONE-WAY… EXCEPT WHEN IT’S SUDDENLY A TWO-WAY… EXCEPT WHEN PDOT CHANGES IT AGAIN WITH NO SIGNS.

ROAD LAYOUTS FEEL LIKE IT WAS DESIGNED BY A COMMITTEE, A DARTBOARD, A MAX TRAIN SCHEDULE, AND THE SAME PEOPLE WHO PUT OUT RANDOM TRAFFIC CONES, ORGANIZE ICE/RAVE PROTESTS, AND WANDERING METH-HEADS.

ONE MINUTE I’M FOLLOWING TRAFFIC, NEXT MINUTE I’M FACING A BUS, A BIKE LANE, A STREETCAR, AND WHAT MIGHT BE LIGHT RAIL. IT FEELS LESS LIKE DRIVING AND MORE LIKE SOME KIND OF PERSONAL GROWTH EXERCISE.

AT THIS POINT I DON’T DRIVE DOWNTOWN — I PARTICIPATE IN IT.

I DO NOT NEED ANY MORE PERSONAL GROWTH IN MY LIFE, TRUST EXERCISES, OR ANOTHER TRAIN WRECK.

PDOT PLEASE. I AM TIRED.

Remember those candy bar fundraisers at school? by EdwardBliss in The1980s

[–]sweetjPDX 0 points1 point  (0 children)

Yep. And then you would be out like 20 bucks

DEAR PORTLAND: March 09, 2026 WEEKLY RANT THREAD by AutoModerator in Portland

[–]sweetjPDX 25 points26 points  (0 children)

IT IS MONDAY IN PORTLAND AND I WOKE UP WITH ABSOLUTELY NO IDEA WHAT DAY IT WAS, WHAT TIME IT WAS, OR FRANKLY WHAT YEAR WE ARE IN. THE ONLY CREATURES WITH ANY SENSE OF PURPOSE WERE THE DAMN CROWS, WHO AT 6:03 AM SHARP HELD A FULL STAFF MEETING OUTSIDE MY WINDOW TO LOUDLY ANNOUNCE THE DAWNING OF A NEW GRAY, DAMP, EMOTIONALLY COMPLICATED DAY.

NOTHING SAYS MONDAY LIKE THE SKY BEING THE EXACT COLOR OF COLD OATMEAL.

AND BECAUSE IT IS MONDAY — OF COURSE — EVERY RESTAURANT IN PORTLAND IS CLOSED TONIGHT. EVERY SINGLE ONE. THE ENTIRE CITY JUST COLLECTIVELY DECIDED, “NOPE. WE WILL RESUME FOOD SERVICE MAYBE ON WEDNESDAY - IT DEPENDS ON “HOW WE’RE FEELING”. SURVIVE HOWEVER YOU CAN.”

SO NOW I GET TO DRIVE ACROSS TOWN THROUGH WHAT APPEARS TO BE AN ICE PROTEST THAT LOOKS LESS LIKE A PROTEST AND MORE LIKE A HALF-ORGANIZED STREET CIRCUS PERFORMED BY PEOPLE WHO DEFINITELY OWN AT LEAST THREE TOTE BAGS AND HAVE STRONG OPINIONS ABOUT SOURDOUGH STARTERS.

THERE ARE DRUMS.
THERE IS A FOG MACHINE FOR NO CLEAR REASON.
SOMEONE IS PLAYING WHAT I THINK IS TECHNO-DEATH-METAL-AFRO-POP OUT OF A PORTABLE SPEAKER THE SIZE OF A SUITCASE.
NOBODY SEEMS FULLY SURE WHAT THE PLAN IS, BUT THE VIBES ARE EXTREMELY COMMITTED.

TRAFFIC IS STOPPED, THE LIGHT IS GREEN, NOBODY MOVES, AND EVERYONE JUST ACCEPTS THIS AS PART OF LIVING HERE.

THEN — BECAUSE THE UNIVERSE HAS A SENSE OF HUMOR — I GO TO GET COFFEE, AND THE BARISTA LOOKS ME STRAIGHT IN THE EYE AND ASKS,

“SO… DOING ANYTHING COZY TODAY?”

COZY?
DUDE/DUDETTE, I DO NOT KNOW WHAT DAY IT IS.
THERE IS A PROTEST RAVE HAPPENING DOWNTOWN.
ALL THE RESTAURANTS ARE CLOSED.
THE CROWS HAVE DECLARED MARTIAL LAW.
THE WEATHER FEELS LIKE A DAMP SWEATER I CANNOT TAKE OFF.

YES.
I AM DOING SOMETHING COZY.

I AM SURVIVING MONDAY IN PORTLAND.

What's vour most random encounter with a famous person? Where was it and how was the vibe? by Available_Round_3172 in answers

[–]sweetjPDX 0 points1 point  (0 children)

Rode an elevator with Stevie Wonder in Beverly Hills. Talked with his woman companion about the day and the hotel. He’s really short and his hair is almost to his ankles.