medgremlin

@medgremlin@midwest.social

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⁨Comment⁩ on ⁨Anon measures up⁩ ⁨⁨5⁩ ⁨days⁩ ago⁩:
From the perspective of human fetal development, the structures will develop into a vulva, vagina, uterus, and ovaries unless the fetus has its own DHEAS and testosterone to alter the growth pattern. There are plenty of people that have XY chromosomes that have entirely female genitalia because their testosterone receptors are broken.
⁨Comment⁩ on ⁨What is an example of a supermax prison? and how do you get sent there? And a regular prison in your state? Or what movies call club Fed which is the easiest? How do you get sent there?⁩ ⁨⁨1⁩ ⁨week⁩ ago⁩:
That is astonishingly stupid.
⁨Comment⁩ on ⁨What is an example of a supermax prison? and how do you get sent there? And a regular prison in your state? Or what movies call club Fed which is the easiest? How do you get sent there?⁩ ⁨⁨1⁩ ⁨week⁩ ago⁩:
Ft Leavenworth is the military’s prison. They don’t send civilians there.
⁨Comment⁩ on ⁨"You can't just have Geralt for every single game" says his voice actor, and if you think The Witcher 4 making Ciri the protagonist is "woke," then "read the damn books"⁩ ⁨⁨1⁩ ⁨week⁩ ago⁩:
That’s why the trailer has me so hyped for this game. It looks like the game is going to be different because Ciri is the protagonist. Her experience, reactions, and approach to saving a young woman from being sacrificed are totally different than what Geralt’s would be. I hate it when games like Mass Effect are like “Oh! You can play as FemShep! That totally counts as representation!” even though it changes literally nothing about the story.

I want more games that actually address the real and significant differences in the experiences and perspectives of different characters. I’m always disappointed when there’s a “female” option that’s just a re-skin of the male character with no changes in how the character interacts with the world and the story. (This happens a lot in non-video game media too.)
⁨Comment⁩ on ⁨Oof⁩ ⁨⁨2⁩ ⁨weeks⁩ ago⁩:
I didn’t say they paid no taxes at all, but I was explaining how the bottom 50% of earners in the country pay very little, if anything. The 19.3% is the bottom 19.3% of earners in the country, not a percentage of the bottom half.

I would argue that if you get everything (or most of your withheld taxes) back on your return…that means that you effectively didn’t pay federal income taxes or paid very little. If you get most of your withholding back every year, you could look at how you filed your exemptions on your I-9 and increase the number to the maximum allowable. I know some people that put the maximum allowances so that no federal tax is withheld from their paycheck and they just pay the balance at the end of the year when they file their taxes instead of getting a return.
⁨Comment⁩ on ⁨Oof⁩ ⁨⁨2⁩ ⁨weeks⁩ ago⁩:
They just try to slide it under the radar by not showing the taxes on your payslip because you’re more likely to look closer at that than your receipt from the grocery store.
⁨Comment⁩ on ⁨Oof⁩ ⁨⁨2⁩ ⁨weeks⁩ ago⁩:
And that’s not even getting into state income taxes, Medicare taxes, and Social Security taxes. Those all have different brackets and some states are more regressive than others. There are states like Texas that don’t have income taxes, but they make up for it by taxing everything else through things like sales and property taxes.

Of note: sales tax is always the most regressive taxation model, and tariffs are basically sales taxes on steroids.
⁨Comment⁩ on ⁨Oof⁩ ⁨⁨2⁩ ⁨weeks⁩ ago⁩:
The bottom 50% of Americans make less than $40k a year. They do pay some federal taxes, but with the standard deduction, the 19.3% of working Americans that make less than $15k a year don’t pay any federal taxes. The standard deduction goes up to $22.5k for a head of household (i.e. a single working parent). Given that the federal minimum wage still works out to $15,080, that means a full-time minimum wage worker doesn’t make enough to get hit with income taxes.
⁨Comment⁩ on ⁨[deleted]⁩ ⁨⁨2⁩ ⁨weeks⁩ ago⁩:
It is absolutely nonsense. People are subjected to stronger, more direct magnetic fields all the time in MRI’s, and MRI’s are substantially safer than most other imaging modalities in medicine (besides ultrasound). The amount of radiation from non-atmospheric sources vastly outweighs the cosmic (non-UV) radiation humans are subjected to, to the point that it’s not really even worth considering outside of maybe astronauts or people who take long-haul high altitude flights extremely frequently.

The amount of ferrous material in blood is negligible at best, and there’s an estimated 3 to 4 grams of iron in the entire human body. The pressure from your heart pumping and the relatively high percentage of blood’s mass that is not iron (about 5kg) means that the effect of the iron if it was responsive to magnetic fields is slim to none.
⁨Comment⁩ on ⁨doctors⁩ ⁨⁨3⁩ ⁨weeks⁩ ago⁩:
For a lot of doctors, the incentive to not do risky procedures is the fact that you have to live with the guilt of your patient’s death, even if you did everything perfectly. Or, you do everything perfectly, but they still have a poor outcome because they weren’t healthy enough to go through the procedure and the recovery, and you get sued for millions of dollars because you didn’t spend 4 hours going through the informed consent with the patient to ensure that every single possible complication was adequately discussed.

I’ve worked in emergency medicine and I’ve had patients die in my care that we had absolutely no way of saving. The screams of their families still haunt me and I will carry those cries of anguish and loss to my grave. I would not perform a procedure that was not 1000000% necessary if the risks are too high because I have enough blood on my hands already, and I haven’t even finished medical school.
⁨Comment⁩ on ⁨doctors⁩ ⁨⁨3⁩ ⁨weeks⁩ ago⁩:
Sometimes. It depends why the first surgeon would be unable to do the procedure. If the problem is that the patient might not wake up from anesthesia because of problems with heart disease, lung problems, or other metabolic issues, then it doesn’t really matter what the surgeon has to say about actually doing the procedure because the anesthesiologist is the one saying “no”. If it’s an issue of too much adipose, sometimes it would mean that the surgery would take longer than it’s safe for the patient to be under anesthesia.

Another possibility is that the first surgeon operates at a facility that doesn’t have access to more advanced technologies or other medical specialists in the event that something goes wrong. And there are some surgeons that are just more willing to accept the risk of a bad outcome, and I would argue that that’s rarely in the patient’s best interest. There are alternative options that the surgeon should discuss with the patient as part of the informed consent process, and sometimes, the alternatives to surgery are just safer than the risk of the surgery itself, even if they aren’t as effective or are a long term treatment (ongoing) as opposed to a definitive treatment (cure). If the patient has a high risk of serious complications, up to and including death, then attempting the curative procedure might be more risk than it’s worth compared to a long term medication that mitigates the disease.

You’ll see this with pregnant patients too. For elective procedures that have safer alternatives or temporizing measures (a holdover treatment until surgery is safe), those are generally preferred to putting a pregnant patient under anesthesia because of all the cardiovascular, immunologic, and other physiologic changes that happen during pregnancy alongside potential risks to the fetus.
⁨Comment⁩ on ⁨doctors⁩ ⁨⁨3⁩ ⁨weeks⁩ ago⁩:
There’s a reason you have to get a pre-op physical exam for any non-emergent surgery. Figuring out if you’ll wake up from the anesthesia at all is part of the calculus that determines whether the benefits of the procedure outweigh the risks.
⁨Comment⁩ on ⁨How do children address a non-binary parent?⁩ ⁨⁨3⁩ ⁨weeks⁩ ago⁩:
I’m in my 30’s and my Dad still refers to me as “kiddo” sometimes.
⁨Comment⁩ on ⁨doctors⁩ ⁨⁨3⁩ ⁨weeks⁩ ago⁩:
Another option for diabetes are the SGLT-2 inhibitors like Jardiance. They work by making you pee out all the excess sugar. You won’t have the diarrhea issues, but you will be peeing a lot. (It’s basically a special diuretic, so it’s also really good for blood pressure.) Bonus: they’ve also gained approval for slowing the progression of diabetic nephropathy (kidney disease), so if that’s something you have any trouble with, it can help get it covered.
⁨Comment⁩ on ⁨doctors⁩ ⁨⁨3⁩ ⁨weeks⁩ ago⁩:
One of the biggest problems with the GLP-1’s (Ozempic, etc) is the fact that people lose weight by just not eating as much, and the things they do eat aren’t likely to be very nutritious. Protein malnutrition and muscle wasting are very common sources of weight loss on Ozempic. That’s why it’s standard of care to get your patient to a licensed dietician before starting them on one of those drugs if at all possible.
⁨Comment⁩ on ⁨doctors⁩ ⁨⁨3⁩ ⁨weeks⁩ ago⁩:
The BMI number that is calculated just from weight and height is really just a number that tells us we need to go look at some other numbers. The other numbers are things like body fat percentage, cholesterol levels, blood pressure, blood sugar, etc. It is entirely possible for someone to have a “normal” BMI and still be very fat and unhealthy, and those people are pretty easy to identify visually, just as someone with a “high” BMI who is a powerlifter or something is very easy to visually identify.
⁨Comment⁩ on ⁨doctors⁩ ⁨⁨3⁩ ⁨weeks⁩ ago⁩:
I’m a medical student and I have some direct experience with this. Sometimes, the difference between the surgeon who will do the procedure versus the surgeon that won’t do the procedure is the availability of specialized facilities and equipment that they have access to. An elective surgery (i.e. not an emergency surgery) can go from routine to very high risk depending on the amount of adipose tissue the patient has.

And it’s not just a matter of the fat tissue overlying the surgical site. Morbidly obese patients are much more likely to have things like sleep apnea which can make anesthesia more risky and might require more specialized equipment than a particular surgeon/hospital/anesthesiologist might have access to. The “morbid” part of “morbid obesity” also refers to the fact that people above a certain threshold of weight are much more likely to have other health conditions like heart disease that make anesthesia more risky.
⁨Comment⁩ on ⁨Pictures of Animals Getting CT Scans Against their Will: A Thread⁩ ⁨⁨4⁩ ⁨weeks⁩ ago⁩:
They’re probably having a better time than the ones that aren’t intubated. The intubation is to make sure they’re still breathing while they’re anesthetized. The ones without tubes are just awake and angry/scared.
⁨Comment⁩ on ⁨Pictures of Animals Getting CT Scans Against their Will: A Thread⁩ ⁨⁨4⁩ ⁨weeks⁩ ago⁩:
The crossovers between veterinary medicine and pediatric medicine are a lot more significant than most people like to think about. The Venn diagram isn’t a perfect circle…but it’s close.
⁨Comment⁩ on ⁨TRUCKIN'⁩ ⁨⁨4⁩ ⁨weeks⁩ ago⁩:
As an ED tech, I had to clean up C diff and chemo diarrhea off patients, beds, floors, and commodes multiple times. ED boarding meant that patients that should have been admitted to hospital rooms that had a bathroom attached were stuck in the ED for hours or even days.
⁨Comment⁩ on ⁨TRUCKIN'⁩ ⁨⁨4⁩ ⁨weeks⁩ ago⁩:
I worked as an assistant in a plastic surgery office for a while as well, and I had to clean lipoaspirate out of the suction tube/syringe and the erlenmyer flask it was emptied into. That was still preferable to the time it got splattered on my scrubs because the surgeon emptied it into a kidney basin the first time. (The flask was my idea to prevent getting splattered again.)
⁨Comment⁩ on ⁨TRUCKIN'⁩ ⁨⁨4⁩ ⁨weeks⁩ ago⁩:
As a former ER tech that had to hold up a belly that size for 30 minutes for a doctor to put in femoral central lines…I feel your pain. (literally)
⁨Comment⁩ on ⁨Anon is worried about men⁩ ⁨⁨1⁩ ⁨month⁩ ago⁩:
As a woman who has been trying for literal decades to exist in traditionally male nerdy spaces, there are a LOT of asshole gatekeeper guys that keep the women away. I’ve gotten everything from inquisitions into my “nerd cred” to outright rape threats from guys in nerdy and gaming communities.
⁨Comment⁩ on ⁨"You should probably just throw it away"⁩ ⁨⁨2⁩ ⁨months⁩ ago⁩:
Yeah, my old desktop computer is getting turned into my first dedicated Linux machine and my current desktop isn’t getting updated to 11 until October 13th.
⁨Comment⁩ on ⁨life changed due to shrimp⁩ ⁨⁨2⁩ ⁨months⁩ ago⁩:
A girl from a religious family in a rural community that was home-schooled until starting at a strict Catholic school in 6th grade and has not looked at porn…yeah, she had no idea what sex is or that what her 3-years-older-than-her boyfriend wanted was actually sex.
⁨Comment⁩ on ⁨life changed due to shrimp⁩ ⁨⁨2⁩ ⁨months⁩ ago⁩:
It’s hard to have that conversation with a 17 year old who just gave birth to their second child. There’s children out here having children because we have fuckall for sex ed in this country and human instincts and desires aren’t going to go away. I have met pregnant teenagers that knew that sex before marriage was bad and would send them to hell, and that sex is where babies come from…but didn’t know that “sex” is when “he puts his thing into me where I pee from down there” because no one ever explained to her what sex actually is.
⁨Comment⁩ on ⁨life changed due to shrimp⁩ ⁨⁨2⁩ ⁨months⁩ ago⁩:
Kids are a really big commitment in a different way because of the psychological and cognitive needs of the child, and it would be a lot better for the kiddos if the parents have their spoons together before the kid arrives. It can be very chaotic and damaging for the child if the parent is getting their stuff together during the developmental periods. This especially goes for pregnancy because mental illness and substance use during pregnancy can seriously affect fetal development in some cases and it can even lead to miscarriage or stillbirth if things aren’t sorted out fast enough.

So, maybe having kids might be more viable for fathers, but it’s still not a great idea because disengaged fathers can be damaging to both the baby and the mother.
⁨Comment⁩ on ⁨*cough cough* GOLLUM *cough cough*⁩ ⁨⁨4⁩ ⁨months⁩ ago⁩:
I have interpreted it less as “the hobbits are less powerful”, and more as “what would a powerful hobbit even want?”.

If a hobbit had all the power in Middle Earth, they would have an amazingly cozy hobbit hole with the best food and their parties and garden would be the envy of every hobbit and probably some elves and men. Hobbits don’t really have much interest in conquest, and their definition of dominance includes being well-liked or admired by those they dominate.
⁨Comment⁩ on ⁨*cough cough* GOLLUM *cough cough*⁩ ⁨⁨4⁩ ⁨months⁩ ago⁩:
That is an insult to Babish.
⁨Comment⁩ on ⁨Anon sees happy people⁩ ⁨⁨5⁩ ⁨months⁩ ago⁩:
The thing you can change is your outlook and interpretation regarding the immutable parts of yourself. Your attitude about something is almost always much more important than the thing itself when it comes to relationships.