patience_limited's recent activity

  1. Comment on Prescribing Opioids for a Sprained Ankle? - New research report shows an increase in patients being prescribed opioids after experiencing an ankle sprain in ~health

    patience_limited Link
    Man, I've gotten in major injury accidents with broken bones, had dental work and outpatient surgery, with nothing stronger than NSAIDS and ice packs prescribed. The only occasions on which I...

    Man, I've gotten in major injury accidents with broken bones, had dental work and outpatient surgery, with nothing stronger than NSAIDS and ice packs prescribed.

    The only occasions on which I received opioids stronger than codiene were for catastrophic migraines, and a potential burst appendix. On those occasions, morphine mainly stopped the neuro or GI symptoms without enough analgesic effect.

    That was just before opioids were prescribed like candy.

    The truth is, opioids aren't vastly more effective in pain control than NSAIDS for most acute injuries, and NSAIDS are equally effective for chronic conditions like back pain.

    NSAID side effects like bleeding, liver/kidney injury, cardiovascular events, and severe allergic reactions are so undesirable that opioids appeared to be a better short-term solution. Aside from the nausea, addiction potential, and respiratory depression in overdose, opioids are relatively safe drugs.

    [I miss the COX-2 inhibitor NSAID, Vioxx - it was a fantastic "nothing hurts now" drug, aside from the moderately increased heart attack and stroke risk.]

    Professionally, I was acquainted with a couple of people who developed post-traumatic reflex sympathetic dystrophy, which basically causes a sensation similar to being on fire all the time. What worked for them was regular marijuana intake.

  2. Comment on This house was built using 600,000 recycled plastic bottles in ~enviro

    patience_limited Link Parent
    I've got some questions about ventilation, fire safety, chemical contaminants, safety for manufacturing and construction workers during processing, and UV/oxidation/moisture/pest resistance, too....

    I've got some questions about ventilation, fire safety, chemical contaminants, safety for manufacturing and construction workers during processing, and UV/oxidation/moisture/pest resistance, too. Not to mention lifecycle - how many times can the panels be reused or recycled, and what's the disposal method when they can't? [Maybe someday it will be efficient to crack all that plastic back to basic monomers or hydrocarbons, or feed it to bacteria for composting, but the technology at scale isn't anywhere near ready.]

    Standard wood-frame housing has issues of concern in all of these areas, and recycled plastic panels will surely have more or different concerns.

    3 votes
  3. Comment on Man described as "anarchist and anti-fascist" killed while assaulting ICE detention facility in Tacoma in ~news

    patience_limited (edited ) Link
    So it sounds like we have a direly mentally ill man seeking to die for a cause, who was so disordered that he disregarded the lives of the people he claimed to save. [If you consider setting...

    So it sounds like we have a direly mentally ill man seeking to die for a cause, who was so disordered that he disregarded the lives of the people he claimed to save. [If you consider setting ablaze a prison with thousands of helpless inmates an acceptable act of resistance, I don't want to know you.]

    Cue the official denunciations of all people who endorse anti-fascism (including non-violent activists) as terrorists, while the fascists who kill remain "lone wolves".

    9 votes
  4. Comment on Microsoft Teams is now officially bigger than Slack in ~tech

    patience_limited (edited ) Link
    My former employer ["ExCo"] went full-on Office 365 Enterprise, including Teams rollout this year. One of the most compelling Teams features for corporations is the granular management for...

    My former employer ["ExCo"] went full-on Office 365 Enterprise, including Teams rollout this year.

    One of the most compelling Teams features for corporations is the granular management for compliance. ExCo had an insane compliance policy with 90-day expiration for all e-mail messages, that they successfully applied to chat messages in Teams. Corporate executives, by contrast, had permanent archiving of all direct mail and chats. This keeps the lawyers happy - any discoverable material for lawsuits or regulatory enforcement is kept to the minimum necessary. Lower level harassment, discrimination and other claims would fail for lack of documentary evidence. Logging can be enabled to any desired level, particularly file-sharing control logs, so HIPAA compliance can be proved easily.

    I liked using Teams well enough, though it was awkward to use and unreliable for communication across non-federated domains of acquired subsidiaries. [Immensely better than the 365 browser-only version of Skype, though.] The Android client worked fine, even though there were some UI idiosyncracies.

    I expect the experience would be more pleasing in smaller organisations. There can be a tremendous amount of administrative overhead depending on what your organization's needs entail. ExCo's Teams implementation was marred by legacy Exchange and SharePoint integrations, ongoing resolution and disputes about federation across subsidiaries with differing levels of IT competence, political warfare among departments (alternately to gain control, shove off extra labor, or claim success), and escalating costs.

    4 votes
  5. Comment on Crystal Geyser Mistakenly Emails Chronicle: Randle Bottling Project Likely ‘Dead’ in ~enviro

    patience_limited (edited ) Link
    A useful insight into how bad actors inject their destructive projects into communities which have already rallied opposition: astroturfed support and expensive, draining lawsuits. I stumbled...

    A useful insight into how bad actors inject their destructive projects into communities which have already rallied opposition: astroturfed support and expensive, draining lawsuits. I stumbled across this while researching Nestle's similar activity (including a few purchased politicians) in my new home state.

    Also, just to keep pounding the pulpit, don't buy bottled water. The bottlers are draining local acquifers far faster than natural replenishment rates, failing to compensate local communities for the costs of chasing a dropping water table and removing pollutant infiltration, creating unnecessary plastic waste, engaging in false advertising. There's no health benefit to drinking the plasticisers and other contaminants introduced, or drinking from unpurified natural sources.

    If you're concerned about your local tap water quality, charcoal filters are only a short-term, expensive solution - get more involved in local politics.

    6 votes
  6. Comment on A call to journalists: Let’s save America in ~news

    patience_limited Link Parent
    I agree - the Right has leveraged its funding very effectively to overwhelm a pool of overtaxed professional journalists and hijack the narrative. I'm concerned about NPR (sometimes referred to as...

    I agree - the Right has leveraged its funding very effectively to overwhelm a pool of overtaxed professional journalists and hijack the narrative.

    I'm concerned about NPR (sometimes referred to as "Nice Polite Republicans"), as they've been effective neoliberal doctrinal cheerleaders, and they're also falling into the "stenographers to power" trap. If I'm interested in original, challenging journalism, it's ProPublica and some other subscriptions. [Confession - I stopped donating to the local public radio station when they kept running Koch Industries promos and cut the non-NPR programming. Kind of self-defeating, but I donated to Pacifica Radio instead.]

    The takeaway from all this is that if you can afford to pay for the journalism you want, you should, and get involved in the conversation, as a matter of activism.

    Whether they're published or not, write letters to the editor and otherwise participate to say that you want stories which reflect local concerns accurately, without regard to which political party they lend support to. Don't reshare empty clickbait. Ask for, and if necessary submit, publicly available data that indicates the political biases and funders of "non-partisan" elected officials. As per George Lakoff, call it out when a seemingly neutral story uses the language and framing defined by the right-wing ideologues (e.g. "migrants" instead of "refugees").

    And yes, the U.S. needs the Fairness Doctrine reinstated for broadcast licenses, but that's a shrinking fraction of news consumption these days. We need transparency in search and recommendation algorithms, as well as the funding for any media site that purports to publish news.

    It's going to take concerted, conscientious action for reform of academic journalism to adapt to the sources actively trying to poison the well of truth.

    1 vote
  7. Comment on What are your home remedies for a cold? in ~talk

    patience_limited (edited ) Link Parent
    The "perennial cold" is usually perennial rhinitis from allergies, and there's a host of non-drowsy anti-histamines, corticosteroids, and immunomodulatory drugs to treat that. When I was...

    The "perennial cold" is usually perennial rhinitis from allergies, and there's a host of non-drowsy anti-histamines, corticosteroids, and immunomodulatory drugs to treat that. When I was traveling, I'd frequently stumble into a brand-new allergen and wake up feeling like I'd snorted QuikRete the night before. I started using generic cromolyn nasal spray before getting on the plane and that helped keep things damped down.

    For perennial allergies to local sensitizers (pollens and molds), you might be better off seeing an allergist and getting desensitized if the symptoms are interfering with your life in ways that aren't easy to control, or leading to more serious persistent infections.

    Also, a word of caution about the "-metazoline" and corticosteroid nasal decongestants. You can develop a dependence on these products due to rebound nasal congestion; don't use for more than a day or two. Steroids are really nasty and can predispose you to more serious bacterial/fungal infections.

    3 votes
  8. Comment on A call to journalists: Let’s save America in ~news

    patience_limited Link
    Please pardon me for saying this, but there's a hint of "leeches aren't curative, so the solution must be applying more leeches". Notably, the article references the Brookings Institution (U.S....

    Please pardon me for saying this, but there's a hint of "leeches aren't curative, so the solution must be applying more leeches".

    Notably, the article references the Brookings Institution (U.S. liberal-capitalist) and the Wharton School (U.S. conservative-capitalist) coming together to sing kumbaya for democracy. No one there is going to acknowledge that at most levels of the U.S. government, "democracy" has been largely defined by the interests of wealthy (incidentally, white) contributors, regardless of the vote, for decades.

    I don't see how reiterating the same ideals will work, without addressing the government's actual distance from the needs and desires of the populace. Journalistic organizations don't have the knowledge, resources and often, interest, to report ground truth about the causes of popular disaffection, and the general sense that democracy isn't working for most of us.

    3 votes
  9. Comment on 'ContraPoints' host says YouTube algorithm isn't 'sophisticated' enough to counter extremist content in ~tech

    patience_limited Link
    TheHill's Krystal Ball (is that name for realz?!) interviews Natalie Wynn, and does a not-terrible job of allowing Natalie to speak about the nature and deconstruction of right-wing ideology on...

    TheHill's Krystal Ball (is that name for realz?!) interviews Natalie Wynn, and does a not-terrible job of allowing Natalie to speak about the nature and deconstruction of right-wing ideology on YouTube.

    2 votes
  10. Comment on What are your home remedies for a cold? in ~talk

    patience_limited Link Parent
    We completed our move to the Great White North a couple of weeks ago. It's not a hotbed of places to get cinnamon basil or other fresh ingredients needed for a perfect pho. All the Mexican...

    We completed our move to the Great White North a couple of weeks ago. It's not a hotbed of places to get cinnamon basil or other fresh ingredients needed for a perfect pho.

    All the Mexican cuisines, though... there's a Latino grocery with everything, including a better stock of Caribbean and Asian ingredients than I could find easily in South Florida.

    Time to fire up the Instant Pot and start laying in a pile of frozen glace' de viand cubes for the inevitable winter cold and 'flu season!

    1 vote
  11. Comment on What are your home remedies for a cold? in ~talk

    patience_limited Link Parent
    Pho works too, and I love it, but mostly I've been in places where really good pho (not made from chicken bouillon powder) is harder to get or make than Caldo de Pollo. These days, an Instant Pot...

    Pho works too, and I love it, but mostly I've been in places where really good pho (not made from chicken bouillon powder) is harder to get or make than Caldo de Pollo.

    These days, an Instant Pot lets you make the chicken broth and cooked chicken for either soup, much more easily and quickly.

    2 votes
  12. Comment on What are your home remedies for a cold? in ~talk

    patience_limited Link
    If you're fortunate to have a good Mexican restaurant (or very kind friends/family) around, Caldo de Pollo (chicken soup with lime, cilantro, chiles, garlic, corn, and tortillas) will fix you...

    If you're fortunate to have a good Mexican restaurant (or very kind friends/family) around, Caldo de Pollo (chicken soup with lime, cilantro, chiles, garlic, corn, and tortillas) will fix you right up. I grew up with Jewish chicken soup for colds, and it's comforting, but doesn't have anywhere near the healing power of a good Caldo.

    I once got direly sick, shivering with chills and barely able to swallow, on the eve of a long-planned Mexican dinner with friends. I dragged myself out anyway, and felt the fever break while finishing a bowl of that chicken soup. It may have been placebo effect ever since, but I swear by it - there's something about that combination of ingredients which sets me right.

    7 votes
  13. Comment on F.T.C. Approves Facebook Fine of About $5 Billion in ~tech

    patience_limited Link
    Better explanation here, which at least mentions that Facebook violated a prior 2012 consent decree concerning data privacy, and explicitly indicates that the fine is for the Cambridge Analytica...

    Better explanation here, which at least mentions that Facebook violated a prior 2012 consent decree concerning data privacy, and explicitly indicates that the fine is for the Cambridge Analytica data disclosures involved in the 2016 malvertising.

    It's still a trivial bite on the revenue Facebook has achieved.

    9 votes
  14. Comment on The Snakes That Ate Florida in ~enviro

    patience_limited Link
    My personal experience of South Florida is one of emergent environmental disaster. While I hadn't encountered any pythons, invasive iguanas, Muscovy ducks, feral pigs, vervet monkeys, macaques,...

    My personal experience of South Florida is one of emergent environmental disaster.

    While I hadn't encountered any pythons, invasive iguanas, Muscovy ducks, feral pigs, vervet monkeys, macaques, air potato vines, cane toads, lionfish, giant African snails, feral cats, tegu lizards, and other uncontrolled invasive species made appearances. Even the famous feral chickens of Key West are non-native.

    As of December, 2018, there were 131 recognized endangered or threatened native animal species. Enforcement of protection for these species, and continued conservation funding, are at risk. Climate change is imperiling existing environmental restoration projects, but the good news is that even the most obstructionist, pro-development Republicans are waking up to the dangers of doing nothing.

    1 vote
  15. Comment on Solar Foods – Would you eat a burger made out of CO2 captured from the air? in ~food

    patience_limited Link
    I'm actually pretty excited about this - if the bioreactor is compact enough, it makes solar system colonization more feasible. There've been a number of science fiction authors who proposed CHON...

    I'm actually pretty excited about this - if the bioreactor is compact enough, it makes solar system colonization more feasible.

    There've been a number of science fiction authors who proposed CHON (carbon, hydrogen, oxygen, nitrogen) harvesting from asteroids as the raw material for human food in space, and this looks like a promising route. Since we're already in the age of synthetic coffee and adequate plant-based meat simulants, I don't see why we couldn't achieve a delicious and healthy synthetic diet that's more ethical and environmentally friendly.

    2 votes
  16. Comment on The Story McKinsey Didn’t Want Written in ~news

    patience_limited Link
    You wouldn't expect "Institutional Investor" to perform investigative journalism, but this is a somewhat technical story about deep-seated evil and financial shenanigans on the part of one of the...

    You wouldn't expect "Institutional Investor" to perform investigative journalism, but this is a somewhat technical story about deep-seated evil and financial shenanigans on the part of one of the premier global corporate consultancies, McKinsey.

    Their client list reads like a planetary "Who's Who" of capitalism, but McKinsey partners were self-dealing through a supposedly independent hedge fund, often to the detriment of everyone, including lower-level McKinsey staff who had pension funds tied up in the mess.

    It's impossible to tell at this point just how much McKinsey's advice to its clients may have been biased to enrich insiders.

    Hopefully, this will get broader and more straightforward media coverage.

    9 votes