Pb_Enthusiast's recent activity
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Comment on Donald Trump whisked off stage in Pennsylvania after apparent gunshots rang through the crowd in ~news
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Comment on South Korea health alert raised to ‘severe’ over doctors walkout in ~health
Pb_Enthusiast Link ParentVery valid, but that severely underestimates what a fully trained primary care physician does. A fully trained physician will reduce Healthcare costs and utilization by appropriately referring to...Very valid, but that severely underestimates what a fully trained primary care physician does. A fully trained physician will reduce Healthcare costs and utilization by appropriately referring to specialities problems that need a specialist or treating conditions that can be treated by a doctor. NPs, on the other hand, increase costs and inappropriate utilization by over ordering imaging and over prescribing antibiotics (second source). Quality of referrals are [lower](https://www.mayoclinicproceedings.org/article/S0025-6196(13) by NPs and PAs than MDs and DOs, which leads to actually increased burden on the Healthcare system and increased costs for patients.
A primary care physician is much more than someone who "treats simple infections and refers to specialists", and that misperception is costing the Healthcare system as a whole and leading to worse outcomes for patients. It's perfectly fine if you're happy with your care by a midlevel, but the facts show they're much more likely to miss things and cost you more.
Sorry, this is a touchy subject for me because just this week we had a patient nearly die because the primary care NP didn't even order a UA for them when they had urinary complaints, only gave them a flu and covid swab and then sent them home. They came into the ED with pyelonephritis (a kidney infection) and could have died, but certainly led to increased utilization and cost on the system which could have been avoided if they had a primary care physician over an NP
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Comment on South Korea health alert raised to ‘severe’ over doctors walkout in ~health
Pb_Enthusiast Link ParentI would push back against that. It's not that doctors are lobbying to limit the scope of mid-levels and psychologists, it's that midlevels are actively trying to lobby to increase their scope of...I would push back against that. It's not that doctors are lobbying to limit the scope of mid-levels and psychologists, it's that midlevels are actively trying to lobby to increase their scope of practice beyond their training and knowledge levels and the physician lobby groups are trying to (rightfully) push back against that, but the lobbying groups for physicians are way less effect than other medical professionals
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Comment on Christian Super Bowl commercial outrages US conservatives in ~humanities
Pb_Enthusiast Link ParentI just got that too, but a heads up it's basically Seventh Day Adventists propaganda and their founding document. Unsure if it's actually anti-catholicI just got that too, but a heads up it's basically Seventh Day Adventists propaganda and their founding document. Unsure if it's actually anti-catholic
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Comment on ChatGPT seems to be transphobic and pro-torture in ~humanities
Pb_Enthusiast Link ParentOne hundred percent agree. The term "research" has basically lost all meaning because people have started using it to make their opinions sound more informed instead of "I did a Google search and...One hundred percent agree. The term "research" has basically lost all meaning because people have started using it to make their opinions sound more informed instead of "I did a Google search and found these things that confirm my preexisting beliefs". The number of times I've had someone come into clinic telling me what disease they have because they "researched" their symptoms beforehand is concerningly high
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Comment on What’s something you want to tell someone, but can’t? in ~talk
Pb_Enthusiast (edited )LinkI would tell my parents that they cause me nothing but pain and anxiety and both of our lives would be better off if we didn't see or talk to each other. I don't know how to talk about this in an...I would tell my parents that they cause me nothing but pain and anxiety and both of our lives would be better off if we didn't see or talk to each other.
I don't know how to talk about this in an elegant way, but it's always been a bad relationship. Growing up they never really cared about me unless it made them look bad. My brothers were the golden children, and I was the black sheep. They technically feed and clothed us, but never provided any love. In fact, the only way to get any positive approval from them was to talk about our parents in a positive light.
Going through my childhood I never remember feeling loved, only alone. Like my only purpose was to make them look good. When they told me I was getting fat in 5th grade, I started running laps during recess to lose weight as part of the recess run program, and developed life long bulimia. When I told her i was suicidal in high school, I was only told "what do you expect me to do about it?". Being lied to about who my biological father was, and realizing maybe that was why i felt rejected by my dad my whole life. They basically stopped acknowledging me until both my brothers came out as gay. Hell, the only reason they even still talk to me I feel is because I'm the only one who can give them biological grand children, but I don't think I will want to have them because of my own childhood.
I've been reading Adult Children of Emotionally Immature Parents, and it's helped a lot but it's also made me aware more of how they see me. And everytime I call them (they don't contact me) I'm taken back to the unloved kid who felt he wasn't worthy of love.
I guess that's also what I would say, to my younger self. You're worthy of love, and you're going to find someone who loves you like you need to be loved. I'm sorry you have to go through this little one
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Comment on Starfield reviews in ~games
Pb_Enthusiast LinkSeems like it's more of the RPG-lite that Bethesda's been going for recently over a heavier RPG. Might pick it up on a sale down the lineSeems like it's more of the RPG-lite that Bethesda's been going for recently over a heavier RPG. Might pick it up on a sale down the line
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Comment on Coming to Kansas City: The first stadium built solely for pro women’s sports in ~sports.football
Pb_Enthusiast Link ParentI mean, yes but no. The streetcar extension will go down to the stadium, and the stadium itself is a quick walk from river Market area with loads to do. Overall it's much closer and better...I mean, yes but no. The streetcar extension will go down to the stadium, and the stadium itself is a quick walk from river Market area with loads to do. Overall it's much closer and better situated IMO than any other stadium in KC
Extremely worried, this really is the only "benefit" we have since the speed the news cycle moves at means this could easily be forgotten about in 2 months......or it could not since trump loves to harp on things over and over.