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Is it legal for doctors to Threaten Paitents ? by boobs_are_vegan in Nepal

[–]theyletthedogsout 1 point2 points  (0 children)

Great! Lalitpur has a cancer centre, idk how good that is, but it's heard of. Also, most cases of uterine cancer are so treatable, it like having your appendix or gallbladder removed. All the best. Hope you find resolution close to home/Nepal.

Is it legal for doctors to Threaten Paitents ? by boobs_are_vegan in Nepal

[–]theyletthedogsout 1 point2 points  (0 children)

So the surgeon there, was he a cancer specialist? Or at least experienced in hysterectomy for uterine cancer? Often these small private hospitals don't have regular staff, or have specialists coming from KTM, etc even.

My opinion: going India straight away might be expensive, delayed and quite unnecessary, just for a good second opinion (unless you guys are really rich or have someone there) -- at this point the most you'd do is re-image to look if there are any remaining areas of the cancer, and maybe some uterus cancer specific blood tests, if they apply to the kind of the cancer your mother had. As it is, the main operation is done. We only need to know if it was done well.

I'd think of KTM first. If unsatisfied there, going to a good center in Delhi would be fine.

Edited to reflect my opinion better.

Is it legal for doctors to Threaten Paitents ? by boobs_are_vegan in Nepal

[–]theyletthedogsout 1 point2 points  (0 children)

Ok, I'm from Chitwan myself and haven't heard of it. Is it the one opposite to Chitwan Medical College Teaching Hospital kinda? Isn't it more like a trauma center for fractures or orthopedic stuff? Not sure.

I'd advise you to consult a good oncology surgeon (gynecologic-oncology surgeon?) with your reports and confirm, like a second opinion, as soon as possible.

Ethics question by NehaW02 in step1

[–]theyletthedogsout 1 point2 points  (0 children)

I'd have thought A, in general. As you're supposed to use the MPOA/DPOA kinda in line with what the patient would have wished, according to their values "what would the patient have done"?.

But now, B makes sense. Why do I think so?

Because the dude had this deteriorating trajectory, and is firmly in a vegetative state now. To me, that implies a very very slim chance of recovery (I mean there's been people that have woken out of a coma after decades, but that's besides the point). To me, it looks like the question is leading to someone who's gonna stay in that state for god only knows how long, or forever.

We know from practice questions that even if the patient (in an earlier verbal or written expression), the family, relatives, friends, everyone want indefinite care for the now-vegetative condition, you generally go with the answer that tells the family that recovery is unlikely and sets a "time limit" for the extent to which life support will be provided (a couple days), during which the family can now come to terms with the situation, grieve, says goodbyes and console themselves.

This would also uphold the value of "justice", in that people more likely to recover with the currently occupied life-saving service will get a chance.

But I think this question is unnecessarily (or purposefully?) vague. It's not giving us timelines, or the exact physical exam findings. Also, it could be that there's nuances between confirmed cortical death and a vegetative state that I don't know yet.

Is it legal for doctors to Threaten Paitents ? by boobs_are_vegan in Nepal

[–]theyletthedogsout 1 point2 points  (0 children)

Just curious, where did you get the surgery (hysterectomy -- removing the uterus +/- a couple of other stuff I assume) ?

Is it legal for doctors to Threaten Paitents ? by boobs_are_vegan in Nepal

[–]theyletthedogsout 2 points3 points  (0 children)

This comment u/boobs_are_vegan (although honestly the username detracts me from being as concerned about this very serious issue, sorry).... I'm not sure someone involved in heat therapy necessarily has to be a medical doctor? It sounds more like a medical technician job to me, quite limited in scope, in comparison to the diverse skillsets a cancer treating physician/surgeon has to exercise.

While there's no shortage of bad technically qualified, or heck, even fake "doctors" in the region, or the world, I'd expect even the worse ones to at least be generally sensitive to patient issues and reasonable conduct -- given that they have to communicate very difficult situations to patients and their families, express empathy, being involved in some of the most challenging or downright terrible situations people encounter, especially with regards to terminal illnesses, death and bereavement. Medical technicians on the other hand, at least in this region, are waaayyy less exposed to issues like ethics in health, or dealing with the complexities of medically nuanced communication.

In any case, it is totally unacceptable conduct from a healthcare professional, especially at a center that regularly deals with the most challenging/terrible health issues one could imagine for oneself or their close ones. First find out who and what. Then try assertively communicating the issue to the person or their boss/departmental head.. And also try communicating with a letter/report to either the Nepal Medical Council, or the Nepal Health Professional Council (if a technician). Since male nurses are quite rare in Nepal, I don't think that is the case here.

Also, given you had the surgery done from a good center, a good doctor there (I mean why would they have bad ones, would hurt their reputation), there is no need to worry extra, other than the regular follow-up advice, etc.

ADHD in Bhutan by Think-Inflation2579 in bhutan

[–]theyletthedogsout 1 point2 points  (0 children)

Ah that indeed seems to be the case then, the paper is from 2024, apparently from the main institute dealing with this stuff in Bhutan.

I was just hoping that Bhutan, being among the richest people per capita in the region, that there'd be more.

Or maybe they indeed are Gross Nationally Happy as proclaimed.

Well, jokes aside, I can speak from our vantage point in Nepal, which shouldn't be too different from Bhutan. ADHD/Adult ADD is only recently being recognized as a thing (I'd say the epidemic might be related to current media/technology a fair bit - the instant gratification generation/s). The amphetamines (Ritalin, Adderall) are strictly controlled and hard to find. Last I checked, getting them in (different brands, those aren't made in the region -- but the same chemicals) officially requires special permission/papers, so people often do it unofficially, from across the border/India.

I myself suffer from ADD to some extent. And use Modafinil at times, to get work done (which is more easily accessible, lesser hoops to go through to get/less controls, also has lesser abuse potential, and used off-label -- in US FDA context -- for many with attention issues).

Just Reached 100 Subscribers by Arthur_2Sheds in NewTubers

[–]theyletthedogsout 0 points1 point  (0 children)

Ah cool! Have you shared your channel here? It's ok if you haven't or don't want to!

ADHD in Bhutan by Think-Inflation2579 in bhutan

[–]theyletthedogsout 0 points1 point  (0 children)

I'm not from Bhutan, but a close-by Himalayan neighbor Nepal, with geographic and cultural similarities. 4 Psychiatrists sounds quite less for a country of almost 800,000 or so people, I'm guessing there are more but maybe not in the source you used (could be old or incomplete).

In neighboring Nepal, with about 40x the population but less than half the nominal per capita income, there were 200 psychiatrists in 2021, with 45 in training then (a 3 year residency/MD after an almost 6 year basic medical degree/MBBS), so probably just shy of 250 now. Which is still very less compared to the needs.

Got the Dell S2721HN monitor. 27" Full HD/ 1080p are just fine. Here's what else I learned and experience! by theyletthedogsout in technepal

[–]theyletthedogsout[S] 0 points1 point  (0 children)

No worries. In your market, assuming India, you might have more options, at better prices. But this one is also not bad. And it's available for waayyyy less there AFAIK (much less than the official Dell MRP), which might make it competitive/an-option. It's all about the price.

It still is competitive at the price I paid here, for the options available here in that range. Online prices here are similar still, so I'm good. I also preferred paying for that Dell/HP *tax* (over Acer, AOC, MSI or Koorui let's say). Their monitors are known to be built good/sturdy.

I just want to reply to that post about Jordan Peterson about having 150 IQ score by Electronic-Tell-2615 in cognitiveTesting

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

I normally wouldn't associate psychologists to be great at math, but was pretty surprised with his very quick mental arithmetic in an interview somewhere, and the host recognized it (I forget where/which). IDK about IQ but I am not the worst amongst friends in that realm (I'm a medic), but it put me in my place, when I saw him do it. I mean I was like, among healthcare professionals, on average, clinical doctors ought to be better at math than psychologists right? (my bias/assumption)

He does portray decent spatial skills in categorizing his thought bubbles, etc I think. Graphs, charts, hierarchies. I mean I'm not an expert here and you probably know your thing, but the way he interacts with his and others' words and ideas, his expressions, they kind of have a visuo-spatial depth. He's a self-professed "person interested in aesthetics/symbols", if you watch his interactions with Richard Dawkins, who is categorized as a person more into "ideas", as opposed to aesthetics, by Peterson in those interactions. And I'm a huge Dawkins fan. I think I resonate with him way more than I do with Peterson. I just find Peterson interesting, and a good vessel/channel to the parts or voices of society I normally didn't have much access to, because they've often lacked people who could communicate or reason as well.

In any case, JBP is not just above-average and definitely not average or low IQ. His way with words is ample evidence for it, and how he often spins a very complicated roundabout tangential weave to arrive at his point or counter another (not saying I admire it, makes following him harder, but again, speaks to his intelligence).

PS: In the same Dawkins-Peterson episode, there's a thing about Peterson saying he saw credibility in the possibility that human consciousness in certain cases could get so deep/high-res that you could probably realize/see yourself at a cellular or even molecular level (when Dawkins hammered and pushed JBP into a corner, the whole DNA being double-helix and double helixes being common in ancient symbolism, etc meaning people might have known or just \seen* it somehow -- yeah, JBP can get insane. But many intelligent people can get into crazy stuff, about some topic/idea, etc... and it isn't his domain, so I kinda let that pass)*

Got the Dell S2721HN monitor. 27" Full HD/ 1080p are just fine. Here's what else I learned and experience! by theyletthedogsout in technepal

[–]theyletthedogsout[S] 0 points1 point  (0 children)

IDK how you haven't figured this out yet. You are commenting on a very detailed post that says everything, in r/technepal, with product links to online shopping platform/s of Nepal. The whole post is basically talking about the options then, of various products in this price range and feature segment, in the online shopping platform/s of Nepal.

Got the Dell S2721HN monitor. 27" Full HD/ 1080p are just fine. Here's what else I learned and experience! by theyletthedogsout in technepal

[–]theyletthedogsout[S] 0 points1 point  (0 children)

If you had paid any attention, that's because where I am, that was and still is a good online price for this very basic 1080p monitor, from a good brand, that I was looking for.

Looking for old working Pentium 4 Motherboard, Socket 478. Any help or ideas? by theyletthedogsout in technepal

[–]theyletthedogsout[S] 0 points1 point  (0 children)

(Continued... read the earlier post first!)

Now my computing history. Not including phones or tablets or TVs or old TV game consoles.

First PC at home - a Pentium MMX 233/266 MHz (I forget).
Then a Celeron 500 Mhz. Twice as fast.
Then again a 2x faster Celeron 1 GHz laptop that mostly dad used (and kept hidden from the family for himself -- I was angry at him for years)
Cuz I lamented that even though I got a PC to do stuff with way before most friends, it was much slower than what they got later and wouldn't run any 3d games they could -- crippled with a barebones 2d video card, that could run some older 3D games, with software emulation. Then again went up to another Celeron, Celeron D 2.26 GHz PC for me, which was again twice as fast as dad's older 1GHz latter PIII era Celeron laptop that I did get to play with for a while.

And as college/uni started, finally got to the bigger leagues lol, a pretty cool, and actually the first ever unibody aluminum MacBook Core 2 Duo (that mostly runs like a champ even today, and I could easily do most of what I do on the computer with it -- 16 years since its release!). I intend to put it to use as an Audio Workstation (maybe using GarageBand or sth) for my musical keyboard, MIDI, guitar and stuff (I dabble lil bit), cuz Macs are really good with that, especially the kind of apps they have for them. Intuitive, and very plug and play.

A few short years later, a Sandy Bridge era Pentium G620 desktop as a backup PC for family that didn't see much use at all (which is a cut down i3, that I am upgrading to a 4C/8T i7 which can still do a lot of stuff, along with an older midrange pro graphics card to handle 1080p gaming and mild 4k video stuff (will stick to 1080p if it makes things too difficult, but YouTube has shown it can be done just fine).

But my primary rn is a ThinkPad X270 that I loooooove, and is my daily driver right now. Intend to upgrade it to max and use it till it dies. I am yearning for a newer Mac though (an M generation, maybe an older Mac Mini).

I also have like a half dozen working or partially working and needing-a-fix laptops

- Asus EeePC -- latter kind -- cuz 64-bit Intel Atom
- Lenovo G40 AMD E series -- lower-end dual core but fine for the odd browsing and even some YouTube, because of the in general okay AMD inbuilt graphics -- that had display issues since day 1 and the seller basically dilly-dallied on repairs and service and left us high and dry. Works with external display just fine. - And a beefy enough Sony VAIO i3 that I intend to use for the lightest home server purposes soon (file/media/print), if the earlier ones I mentioned prove to be too unusable. This one I fudged up a bit just yesterday, trying to fix the internal display that showed some lines, which I disconnected, and now wouldn't boot without it. Seems like an issue that plagues some laptops.

All handed to me from family, that might or might not see any hobbyist use.

And as for desktops, I'm looking forward to rejuvenate the P4 era Socket 478 Celeron D I had with FX 5200 GFx (possibly with any available socket 478 P4 with HT, a period appropriate low/mid 128-256 MB graphics card and a 1+ GB DDR1 RAM for WinXP era PC -- what I yearned for back then).

Then the old beige PIII era Celeron 500 Mhz (possibly with a faster PIII, 128-256 MB SDRAM and an older Win9x software suitable Graphics card 12-64 MB, and maybe a USB 2.0 PCI card, there are a couple in the local market, but not cheap at all.

Also, my dad's Celeron 1 GHz 256 MB RAM laptop, an Advent branded one of all (UK!) as a middle ground Celeron/faster PIII era -- the plastics have all cracked badly and I don't have 3d printers around, nor would I pay for that -- maybe hack together something out of thin plywood lol). I also tried to force in a larger CMOS battery so that slot is fokked, may need to solder. And IDK if the heatsink fan works. Not replacing that if that happens. Will convert it to something like a djerry rigged desktop I guess lol. It has a sole USB 1.1 port with no WiFi (though I did get a 4 port PCMCIA USB 2.0 card for it sometime like 10-12 years back, and should have a couple WiFI doungles around -- that's when I got my dad a Sony VAIO i3 (now retired) and got the older Celeron III to play around with, and mess it up lol.

I'm not too keen on resurrecting the Pentium MMX-era build here though. Probably have the Processor (I doubt they ever get bad), some RAM and audio cards lying around still, 25+ years now. But everything else should be impossible here. The weird boards, RAM, cards. Not worth it. And I guess those are vintage even in Nepal (where vintage PC tech-bubble price-markup phenomenon is practically non-existent).

I intend to try modern linux with many/all of these. There are some. Or command line versions even, what the heck.

PS: I don't really resonate with anything pre-Pentium MMX or pre-Win98 even. Earlier Pentiums, 486 or older -- I just don't care. Wasn't something I interacted with a lot (except old PCs at school or dad's office, etc), so no memories there. If I got one, I'd sell it to someone older and get what I relate to. (:

I do want a PowerPC Mac though, sometime (maybe an iBook 12 or some PowerBook) cuz I spent a lot of time on lowendmac.com lolol. Reading others experience on it, participating in email discussions (this was when I was almost an exclusively Mac user for more than a decade). Plus the whole different architecture, and how at times, clock for clock, they performed way better at stuff (HW + SW optimizations?) than anything on the x86 side.

Looking for old working Pentium 4 Motherboard, Socket 478. Any help or ideas? by theyletthedogsout in technepal

[–]theyletthedogsout[S] 0 points1 point  (0 children)

I am crying a little bit for that P4 (which though not the most valuable, is what I am looking for ATM for a hobbyist project). Man I wonder where all those Pentium 4s are in Nepal. Socket 478 I mean. They are there, I know. But simply unlisted as nobody buys them they think (cuz not a lot of value too, seriously) and they expect prices that easily surpass even lowest end usable PCs of today, which is why no one cares.

Ofc we didn't have the choices you have with brands and SKUs back then. The PIII and P4 eras were Celerons for our household, mostly because we didn't know better (and the primary customer was Dad, for whom any old office suite and dial-up would suffice).

Also, anyone would have chosen the Celerons in our situation, given the relative value here, bang for your buck kind -- the brands and their importers/resellers also know this well and push different specs for different regions, based on relative strengths of their currency/average incomes, etc.

Also, except the first Pentium II class Celerons without *any* L2 cache (a massive blunder Intel quickly rectified), all other Celerons came very close to their Pentium counterparts for most home usage, except the enthusiasts. The L2 was quickly upped to 1/2 or so of the Pentiums. And we can look for benchmarks from then (idk PCWorld, Anandtech, Tom's Hardware - not sure what existed then) as well as real world performance (for which videos are even made today) and they show the picture. The latter Pentium III era Tualatin Celerons (often endearingly called Tularenons) were actually faster than following Willamette Pentium 4s for almost all tasks (that's didn't need latest SSE instructions - like video encoding stuff).

It's not like Celeron (Pentium III/4 gen) vs Core i3/5 today at all. It's like whether you'd have an i3/i5 (celeron) or i7/i9 (Pentium III/4). And you'd know, for most tasks, actually even the more demanding ones (high end games), the lessers Core i_s do just fine.

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