medgremlin

joined 1 year ago
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[–] [email protected] 10 points 1 month ago* (last edited 1 month ago)

The age group of children that gets put on leashes doesn't have the brain development to feel shame or humiliation. Their brains have literally not developed the cortex that does that yet.

From the age of about 2 to 4, my Dad made a harness out of climbing webbing for me and clipped the leash to a carabineer on his belt when we were out and about. We were constantly going to places like Haight St in San Francisco and hiking on the sea cliffs in Santa Cruz. I 100% would have gotten myself killed without that leash because I was very curious about the fishies in the ocean at the bottom of that 50-100ft high cliff, and my Dad was wrangling me and my sibling by himself while Mom was at work.

I'm pretty sure there's a picture somewhere of me leaning over a cliff being held back by the leash because I was a rambunctious little gremlin that was about 20 years off from having a fully developed frontal lobe. And I want to find that picture and share it with my friends because I think it's hilarious.

[–] [email protected] 5 points 1 month ago

As a nerdy gal on the Internet, I envy Joanna.

[–] [email protected] 5 points 1 month 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.)

[–] [email protected] 2 points 1 month ago (1 children)

You're right. My brain is absolute pudding because I'm studying for my board exams. Doing a few hundred multiple choice questions about complex medical topics in a row doesn't leave a whole lot of processing power left for anything else.

[–] [email protected] 3 points 1 month ago* (last edited 1 month ago) (3 children)

Unfortunately, it appears that you are correct. They released a list of qualifying conditions and while COPD and brochiectasis are on the list, asthma is not.

Edit: I'm kinda braindead right now. Asthma is the first thing on the list. whoops.

[–] [email protected] 3 points 1 month ago (5 children)

That will usually qualify, especially since Covid is primarily a respiratory illness.

[–] [email protected] 4 points 1 month ago

It's entirely possible that it just wasn't diagnosed until very recently. Prostate cancer screening is not a standard recommendation at his age, and there are a lot of cancers that are very insidious. A lot of times, if there wasn't a screening test done for it, cancer is caught because of the symptoms of metastasis meaning that unless we're screening for cancer, we don't catch it until it's already progressed.

Some people are more attuned to their bodies and might notice the smaller, earlier symptoms, but for prostate cancer, they can be pretty easy to miss and the primary metastasis symptom is usually back pain from the cancer spreading into the lumbar vertebrae. A lot of people will just write that off as regular back pain and not go to the doctor for it.

[–] [email protected] 2 points 1 month ago

In order to tell it what is important, you would have to read the material to begin with. Also, the tests we took in class were in preparation for the board exams which can ask you about literally anything in medicine that you are expected to know. The amount of information involved here and the amount of details in the text that are important basically necessitate reading the text yourself and knowing how the information in that text relates to everything else you've read and learned.

Trying to get the LLM to spit out an actually useful summary would be more time-consuming than just doing the reading to begin with.

[–] [email protected] 1 points 1 month ago

This attitude is why people complain about doctors having God complexes and why doctors frequently fall victim to pseudoscientific claims. You think you know far more about how the world works than you actually do, and it’s my contention that that is a result of the way med students are taught in med school.

I'm not claiming to know all of these things. I'm not pretending that I do, but there is still an expectation that I know what kinds of health problems my patients are at risk for based on their lifestyle. I'm better off in this area than a lot of my classmates because I didn't go straight from kindergarten through medical school. My undergraduate degree is in history and I worked in tech for a while before going back to school. My hobbies are all over the place, including having done blacksmithing with my Dad when I was a kid. I have significantly more life experience than most of my classmates, so I have a leg up on being familiar with these things.

I know that there is a lot that I don't know which is why my approach to medicine is that I will be studying and learning until the day I retire. I have a pretty good idea of where my limits are and when to call a specialist for things I'm not sure about. I make a point to learn as much as I can from everyone, patients, other physicians, my friends, random folks on the street/internet...everyone.

For example, I know from watching a dumb youtube channel about some of the weird chemicals that someone who worked as an armorer in the Army would have been exposed to that can have some serious health effects, but that wasn't something that was explicitly covered in my formal medical school education. I have friends in the Navy and they're the ones that told me about the weird fertility effects of working on the flight deck of an aircraft carrier. The Naval medical academy did a study on it, but I would have never had the inclination to go read that study if I hadn't heard about it from my friends. The list goes on. There's so many things that are important for me to know that will never be covered in our lectures in school and wouldn't even come up as things to learn about if I didn't learn about them from other people.

[–] [email protected] 1 points 1 month ago

Medical malpractice is very rarely due to gaps in knowledge and is much more likely due to accidents, miscommunication, or negligence. The board exams are not taken at the school and have very stringent anti-cheating measures. The exams are done at testing centers where they have the palm vein scanners, identity verification, and constant video surveillance throughout the test. If there is any irregularity during your exam, it will get flagged and if you are found to have cheated, you are banned from ever taking the exam again. (which also prevents you from becoming a physician)

[–] [email protected] 2 points 1 month ago (2 children)

It doesn't know what things are key points that make or break a diagnosis and what is just ancillary information. There's no way for it to know unless you already know and tell it that, at which point, why bother?

[–] [email protected] 1 points 1 month ago (2 children)

I am expected to know and understand all of the risk factors that someone may encounter in their engineering or manufacturing or cooking or whatever line of work, and to know about people's social lives, recreational activities, dietary habits, substance usage, and hobbies can affect their health. In order to practice medicine effectively, I need to know almost everything about how humans work and what they get up to in the world outside the exam room.

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