Chetzemoka

joined 1 year ago
[–] Chetzemoka@startrek.website 2 points 11 months ago

I might have had an entire backyard dance choreographed to this song when I was a kid. Maybe. I'm not telling.

[–] Chetzemoka@startrek.website 4 points 11 months ago (1 children)

There's no scandal. Some people who are leading proponents of MOND theory recently published a new paper using what might be the best scenario we currently have to detect MOND (wide binary stars), and their more precise calculations...are not consistent with MOND. They published evidence against the very theory they were betting on.

https://youtu.be/HlNSvrYygRc?si=otqhH6VINIsCMfiS

[–] Chetzemoka@startrek.website 4 points 11 months ago

But that's literally true and fully acknowledged by the physics and astronomy fields. It's why those things received the names "dark." Because currently we can't see what's causing those effects. And there are currently physicists and astronomers who spend their time researching these effects in hopes of publishing that exact "Hey! I figured out what it is" paper. Then we'll praise that person, add their name to the pantheon and fail to acknowledge the hoards of other people who contributed to the foundational research that allowed them to finally figure it out.

Same as it ever was.

[–] Chetzemoka@startrek.website 2 points 11 months ago (1 children)

Even Crohn's has different subtypes that are suspected to explain why different Crohn's patients respond differently to the same treatments. Much like the comment about lupus. Crohn's also is much more complicated than the general public is aware.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1774386/

For example, it is well established that there is a subset of people with Crohn's disease who go into remission while taking an antidepressant called bupropion and we have no idea why. No one believes this is because these people's Crohn's was caused by a psychological problem, but rather that the bupropion appears to have effects on the immune system that aren't well understood. And this appears to only work in certain people. Do those people have a different "kind" of Crohn's? Different underlying genetic response to bupropion? Those questions aren't as easy to answer as you might think.

https://www.gastrojournal.org/article/S0016-5085(03)01316-7/fulltext#:~:text=Another%202%20patients%20with%20Crohn's,factor%2D%CE%B1%20(TNF).

[–] Chetzemoka@startrek.website 6 points 11 months ago (1 children)

That's not science.

[–] Chetzemoka@startrek.website 4 points 11 months ago* (last edited 11 months ago)

Not true really. Wayfair is just a drop shipping company, in a similar vein as Amazon. Except with actual customer service. You can search specifically for solid wood furniture, so you don't end up with cheap MDF toy furniture, their reviews are accurate and not gamed, and their search has robust filtering so you can drill down and find exactly what you want. I buy a lot of shit from Wayfair that is definitely better quality than Ikea.

That doesn't mean their CEO isn't a labor abusing bag of dicks. I still think they should unionize.

[–] Chetzemoka@startrek.website 12 points 11 months ago

Boston, Comm Ave., Kenmore Square

I know exactly where this is lol

[–] Chetzemoka@startrek.website 6 points 11 months ago* (last edited 11 months ago)

I'm a nurse on a cardiac critical care unit. Let me provide some insight here.

There's a reason I joke to my patients that reading a telemetry monitor is a little bit like reading tea leaves. It's WAY less precise than members of the general public assume.

First though, there seems to be a little confusion in the comments on exactly what kind of monitoring we're talking about. This is specifically continuous monitoring of heart rhythms via cardiac electrical activity. Telemetry monitoring does provide a heart rate, but these technicians are not also monitoring other vitals like blood pressure, temperature, and oxygen saturation. Outside of a critical care unit, we don't leave patients continuously hooked up to those things because it's unnecessary and it's annoying and inconvenient for the patient.

So this is specifically about technicians who are not physically near a patient noticing changes in a patient's heart rhythm.

Which brings me to my dear friend: MOTION ARTIFACT

Pop quiz - what is this heart rhythm?

Answer: It's not. This is what we in the industry like to refer to as "a buncha bullshit." THIS is a patient who is moving - eating lunch, talking on the phone, etc. Or a patient where one of the heart monitor stickers fell off their chest. Or a really skinny patient without enough subcutaneous tissue to properly conduct the electrical signals from their heart to the telemetry stickers.

This is why - not even exaggerating - around 90% of the times that there's a scary alarm on the central monitor on our unit, you'll hear it quickly followed by one of us loudly proclaiming, "Trash wave!" "It's nothing!" "Lies again! They're fine."

And this happens ALL DAY on a legit critical care unit.

You can't just read and react to what's happening on these monitors. You have to be able to correlate it to what's happening with the real, actual human being in the bed.

Now imagine this process with EIGHTY monitors on people you can't even see. Your whole day would be nothing but ignoring alarms and probably hyperfocusing on a handful of people you knew were having legitimate problems.

Hospitals using this system are relying on one of the truisms I've developed over the course of my career: Most of the time people don't die. Most of the time people are pretty shockingly resilient and most of the time you get a lot of warning when things are starting to turn south. Most of the time, people don't just up and die. Until that one person who does just that.

The simple fact is that no matter how much an American corporation might wish it were true, you will never be able to automate and replace the most basic and most expensive part of healthcare: One human being directly looking at another to make sure they're ok.

[–] Chetzemoka@startrek.website 39 points 11 months ago (1 children)

In real life, a restaurant can and will kick you out and ban you from the premises for wearing a swastika and saying you think minorities don't deserve to live.

Ergo, being kicked off a company's privately owned server for hate speech is EXACTLY the same amount of freedom they would have in real life.

Everyone loves censorship. Even you.

[–] Chetzemoka@startrek.website 20 points 11 months ago (1 children)

Yeah isn't this the part of the movie where he gets recruited from jail by James Bond or something? That's literally a plot point in at least one Mission Impossible movie, isn't it? Lol

[–] Chetzemoka@startrek.website 5 points 11 months ago (1 children)

"moist owlette" 🤣

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