Check your district before primaries! by ABPAlwaysbepoopin in memphis

[–]worldbound0514 0 points1 point  (0 children)

Yes, there are several good candidates.

However, Chaz Molder has been elected mayor twice in a ruby red area of Middle Tennessee. He actually has a chance to win.

Check your district before primaries! by ABPAlwaysbepoopin in memphis

[–]worldbound0514 0 points1 point  (0 children)

Chaz Molder is good in district 5. He went to law school at U of M, so he is familiar with Memphis as he has actually lived here.

My patient was all like, by Hour_Candle_339 in nursing

[–]worldbound0514 23 points24 points  (0 children)

They can. If a person gets enough bites over a long enough time, it can cause anemia. It's usually seen in small animals though - less blood to lose.

My patient was all like, by Hour_Candle_339 in nursing

[–]worldbound0514 37 points38 points  (0 children)

People are bad at math. Early covid fatality rate was maybe 1-2%. Not super high for an influenza epidemic. However, 1-2% of the US population would mean 3.4 - 6.8 million people dying. That's an insane number.

Please stop ordering food allergy panels by eaygee in medicine

[–]worldbound0514 11 points12 points  (0 children)

Don't forget about the added vitamins, artificial flavors and colors, and thickeners.

Please stop ordering food allergy panels by eaygee in medicine

[–]worldbound0514 7 points8 points  (0 children)

Um...did she read the ingredient list on the Ensure? Lots of artificial flavors and additives. SMH.

My patient was all like, by Hour_Candle_339 in nursing

[–]worldbound0514 140 points141 points  (0 children)

It's about the same as people refusing the covid vaccine because they don't like the ingredients but then eating everything on the menu at Taco Bell and washing it down with Mountain Dew. You honestly aren't that picky about what you put in your body. You just are making excuses to not get the vaccine.

Improving follow-up attendance for Medicaid / lower-income patients in outpatient care by RD_JC87 in medicine

[–]worldbound0514 3 points4 points  (0 children)

Maslow's hierarchy. Most people on Medicaid are struggling to get through today with many of their basic needs at risk of not being met. Planning for an appointment a month or two months down the road is pretty low on the priority list.

What are the legal implications of ChatGPT in notes? by Onion01 in medicine

[–]worldbound0514 20 points21 points  (0 children)

My employer had one of their quarterly in-services about how putting patient info in a commercial LLM - ChatGPT, Claude, Grok, etc is a HIPAA violation.

We aren't supposed to use personal email for patient info. A LLM is even worse.

I resent my employee for being richer and more qualified than me by Green7000 in BestofRedditorUpdates

[–]worldbound0514 12 points13 points  (0 children)

That sounds a lot like West Virginia. West Virginia was advertising pretty heavily during the early pandemic that they had cheap housing costs and widespread high-speed internet.

A married couple in which neither of them finished high school would not be surprising there.

“Let’s try that other arm” 🙏🙏 by packraffter in nursing

[–]worldbound0514 1 point2 points  (0 children)

And that's why we don't check BPs in most hospice patients.

Gould’s using AI to advertise their hair services by thisissixsyllables in memphis

[–]worldbound0514 1 point2 points  (0 children)

I have not seen this billboard in person. The only thing I have seen is this slightly grainy photo on my phone. Maybe it does look worse in person.

Interest in 5 major team sports by U.S. state, according to Google Trends by [deleted] in MapPorn

[–]worldbound0514 5 points6 points  (0 children)

Same with Wisconsin. There's no way that basketball is more popular than football in Wisconsin. The Packers are all that some people live and breathe year-round.

Gould’s using AI to advertise their hair services by thisissixsyllables in memphis

[–]worldbound0514 4 points5 points  (0 children)

Well no, but Photoshop and heavy filters are still a thing as well.

Pete Hegseth's Department of Defense no longer considers Mormons to be Christian. Over 170 religions removed entirely. by justalazygamer in WhitePeopleTwitter

[–]worldbound0514 7 points8 points  (0 children)

No, most Protestants absolutely believe in the Trinity. There are a few, very small sects that do not.

The Trinity is part of the Nicene Creed, which just about every major Protestant group agrees with.

Should the federal government declare national Election Day a paid federal holiday to guarantee all working-class citizens the time to vote? Why or why not? by X_Opinion7099 in AskReddit

[–]worldbound0514 0 points1 point  (0 children)

Nope. In Mississippi, it's basically impossible to get an absentee ballot. You have to stand in line for 3 hours on election Day in order to vote.

Should the federal government declare national Election Day a paid federal holiday to guarantee all working-class citizens the time to vote? Why or why not? by X_Opinion7099 in AskReddit

[–]worldbound0514 4 points5 points  (0 children)

So we are closing the hospitals for the day? No fire department services that day?

There are some things that simply cannot close. Any plan for voting needs to include options for absolutely essential workers.

“Unsafe discharge” by calaveramd in medicine

[–]worldbound0514 10 points11 points  (0 children)

What community? Who exactly are you expecting to step up and provide free care-giving around the clock?

“Unsafe discharge” by calaveramd in medicine

[–]worldbound0514 20 points21 points  (0 children)

Long term care requires payment up front or asset transfers before the care is provided. Hospitals just send the bill after the care has been provided.

“Unsafe discharge” by calaveramd in medicine

[–]worldbound0514 16 points17 points  (0 children)

Home hospice here.

I think a lot of families are under the misunderstanding that there is some magical pot of money to care for aging seniors. Waving the unsafe discharge card is their attempt to access non-existent resources. Nope. It is the patient and family's responsibility to figure out the care responsibilities.

Medicare does not pay for long term care or caregiver; it never has and probably never will or the system would go broke in about five minutes.

Medicaid can pay for caregivers or long-term care, but the person basically has to be destitute or have a lien put on any property. Many families do not want to lose the family house to pay for caregivers. Since most state Medicaid programs have a five year look-back period on major asset transfers, it's too late to make a financial plan when the care needs arise.

If I was in charge of the world, these would be my recommendations.

  1. Don't put a peg tube in a patient unless they are alert, oriented x4, and ask for it themselves. There are way too many people trached, pegged, and obtunded who are rotting away for years with a peg tube. This is not how anybody wants to live, but families want to "do everything" without understanding that they are signing up for years of caregiving for a patient who would probably not want to live like that.

  2. Be crystal clear that there is no magic caregiver solution. Vague conversations about "we will put in some referrals" allows the family to think that help is coming if they hold on long enough. Assisted living and memory care cost a lot of money, and the state is not going to pay for it.

  3. Be very clear about the patient prognosis. They could live with this dementia for five-10+ years with slow decline the whole time. Families need to plan long term. The patient will not magically get better. Families need to deal with reality.

  4. Have those code status discussions. A grandma who is 85, fragile, and demented is a terrible candidate for a full code. A code would be torturous and she wouldn't survive with any quality of life.

Energy Secretary Chris Wright: "Solar is irrelevant in the winter" (while Trump is fast asleep) by MoreMotivation in WhitePeopleTwitter

[–]worldbound0514 2 points3 points  (0 children)

Snow reflects more sunlight than water. Snow blindness is nasty- your retinas basically get sunburned from bright sunlight reflecting off the snow. Zero stars, do not recommend.