@shahnm@therealjrn remember taking psych 101 in college? When I took it we were given an assignment to make people uncomfortable, watch how they react and write a paper.
I kinda wonder if we were his psych101 research? Then again, maybe it bothers me more than it should.
@therealjrn@tinamarie1974 That psych assignment would have been a lot more poignant if, after annoying the daylights out of someone, he or she got to keep your organs to make it all better… That probably bothers me just about the right amount.
@therealjrn You people tried to take away my man card, and now you want my organs too? You god-damn boomers have no limit to your greed and gluttony.
And while I wish I were like Coleman up there, the reality is that I’m a regular millennial working a soul-crushing office job and trying to make ends meet in a world of $16 drink specials and avocado toast.
The guy didn’t even do anything wrong. Bathrooms are gender-neutral now, you know. You rabid social justice warriors wanted those rules. And don’t leave your damn laundry in the machine after the cycle is done.
By the way, checking that box on your license/ID pretty much guarantees that they’ll do everything possible to get their hands on those giblets, even if you have a high chance of being saved. It’s not even about spending one life to save many; hospitals and contractors bill each other for high-value extraction/transportation work, and everyone needs to get a cut. Kind of like how doctors over-prescribe meds most people don’t really need. If you want to be a donor, leave a note with someone you trust who can present it quickly after you’re 100% gone.
like how doctors over-prescribe meds most people don’t really need. If you want to be a donor, leave a note with someone you trust who can present it quickly after you’re 100% gone.
@shahnm@ShotgunX
Well I’ve had surgery 3 times and doctors prescribed me opioids for pain management and I ended up taking 1 or 2 in the first day and then threw the entire bottle away and started using Ibuprofen. Pain is a part of life. I didn’t need 14 days of opiates to heal. But the pharmacy wouldn’t let me reduce the prescription, so I had to waste almost an entire bottle my health insurance and I bought.
@qkerby I never discard unused pain meds. I had some minor sinus surgery a few years ago and was prescribed some codeine-based pain meds, but only used one or two, then switched to OTC (the pain wasn’t actually that bad). But I squirelled them away. I was glad I did when I wrenched my back a couple months ago and all they would give me were some high-dose Aleve that didn’t do squat to take the edge off the (intense) pain.
@shahnm There’s nothing “tinfoil” about it. It’s a well-documented issue. Doctors get sponsored by companies, which put up display cases in their offices. Do they shove pills down your throat, as if they’re force-feeding a French pate goose? No. But “let’s get you started on X and Y just to be sure” is a very common line. They will even prescribe pills before discussing lifestyle changes. Stop shoving cheeseburgers down your throat to get your blood pressure down? No, we have a pill for that.
I’ve seen it happen to family members. And don’t even get me started on antibiotics and painkillers.
Everything in America operates on a commission. Even the government does (agencies want you to fall into eligibility categories so that you need their services, so they get bigger budgets and more power). You’re not part of a population, but a target demographic.
@ShotgunX Just do yourself a favor and avoid doctors. It’ll make you feel like you accomplished something, and you’ll spare the docs a whole lot of frustration and annoyance.
@shahnm Or I can just do research, get second opinions, and avoid the bad ones. I’m not some crazy anti-vaccine zealot. But over-prescription of meds and procedures is definitely a thing.
@ShotgunX Yep - there’s good and bad in every field… The key is to avoid making generalizations and throwing out the baby with the bathwater. Keep at it until you find the good ones!
@ShotgunX@therealjrn This: “By the way, checking that box on your license/ID pretty much guarantees that they’ll do everything possible to get their hands on those giblets, even if you have a high chance of being saved.” is Bullshit plain and simple.
I have been a PA for >25 years, and worked in hospitals for 6+ years before that in non-clinical roles, and throughout my extensive experience NEVER has a person’s organ donor status even been referenced in the treatment process UNTIL it was no CLEARLY longer possible to keep body and mind together.
Also, over the course of my 11 major surgeries including knee replacement, its removal, and revision knee replacement, I almost always get over-prescribed opioid [narcotic] pain medicines, because [as I tell them before-hand] I never take them for more than a day or two post-op, despite having had severe pain- for two reasons, I hate the side-effects, and I ice the bejesus out of wherever they cut me- and nonetheless the residents or fellows [read doctors-in-training] prescribe them a anyway, because they are afraid of getting poor Press-Ganey [patient satisfaction rating] scores.
This is in spite of all the evidence strongly showing that the patients with the highest satisfaction scores have worse outcomes.
@shahnm@ShotgunX While you are not exactly and completely wrong, there really is no incentive where you’re implying that there is- rthe real incentive is from a combination of patient satisfaction surveys, and HMO’s auditing patient charts to see what HGBA1C and FLP [fasting lipid profile scores] the patients in a practice have- both of which have a direct effect on the practice’s reimbursement from the HMO’s and CMS [Medicare/caid].
Their patients don’t want to hear and/or won’t follow care plans that require action on their parts- e.g., diet changes, increasing physical activity/exercise, or other lifestyle changes [even including interventions like using C-PAP at bedtime routinely].
This despite the extremely clear evidence that lifestyle changes work better and cost less than medication- without side-effects.
…And don’t get ME started on antibiotics and opioids…
@PhysAssist@shahnm@ShotgunX I’m old enough to remember when we would see a spike in the number of people convinced they had the “illness du jour” that was highlighted in Reader’s Digest that month.
One of the worst things we have allowed is for Big Pharma to advertise directly to the patient. Now when they come in they think it’s OK (and even advisable) for them to order a la carte. If they don’t get the latest/greatest meds right off the bat they don’t feel like they have been treated.
And everybody knows if you go to the ER you should never leave without a script for an antibiotic and a …narcotic for the viral infection you have that is do debilitating you can’t even look up from your friggin’ phone during triage…
@ShotgunX@therealjrn My mom worked in medical coding and said unless you have premium insurance they will actually do as little as possible to save you if you have viable organs. 30 years ago she warned me against checking that box.
@cinoclav@DennisG2014 I loved that show - I may have to re-binge the first 3 seasons before the 4th starts up. The trailers and clips they’re releasing look awe some!
@stolicat Read the books!
I read the entire series between seasons 2 & 3 (was ~12 books/novellas at that point). Devoured it faster than I’ve ever read anything else.
If you prefer audio books, fans rave about Jefferson Mays’ reading.
I find there’s enough difference between the books and the show that, rather than being spoiled, I’m just that much more excited to see how things play out on TV.
@PhysAssist I didn’t know the show was based on a book series either, until the summer after season 2, when I was totally jonesing for more and went online to try to find a release date for season 3.
Instead I found the book series, read through all 12 existing titles in like 2.5 months, had to wait a month for the next book and then an interminable, like 6 months for season 3. lol
I’ve calmed down a bit since then - the wait between new material is easier to handle, but I still devour any new material as soon as it’s available.
@DennisG2014@PhysAssist Thanks for the lead on the books - I should be able to make it through the list up through Cibola Burn, which the 4th season is mainly based on, by December, unless I get into a serious jones about it and just read them all …
He died in 2016 and his heart went to a teacher that went on to teach for another 25 years? Amazing! Wait, so it’s 2041? I should have retired years ago…
I called this. Boy, would I have felt like an asshole if I’d posted the joke I thought of and not clicked play.
That Coleman Sweeney was an asshole.
@therealjrn curiously, though, they didn’t say where that part went.
So…if I’m getting this correctly…@ShotgunX could still perhaps have some redeeming qualities after all?
@therealjrn Depends. How are @ShotgunX’s organs?
@shahnm I think @ShotgunX, was trolling for a date over there in the Tinder topic…pretty sure none of those people want to see his parts…
@shahnm @therealjrn remember taking psych 101 in college? When I took it we were given an assignment to make people uncomfortable, watch how they react and write a paper.
I kinda wonder if we were his psych101 research? Then again, maybe it bothers me more than it should.
@therealjrn @tinamarie1974 That psych assignment would have been a lot more poignant if, after annoying the daylights out of someone, he or she got to keep your organs to make it all better… That probably bothers me just about the right amount.
@shahnm @therealjrn
/giphy creepy
@shahnm @therealjrn well that one seems rather appropriate
@therealjrn You people tried to take away my man card, and now you want my organs too? You god-damn boomers have no limit to your greed and gluttony.
And while I wish I were like Coleman up there, the reality is that I’m a regular millennial working a soul-crushing office job and trying to make ends meet in a world of $16 drink specials and avocado toast.
The guy didn’t even do anything wrong. Bathrooms are gender-neutral now, you know. You rabid social justice warriors wanted those rules. And don’t leave your damn laundry in the machine after the cycle is done.
By the way, checking that box on your license/ID pretty much guarantees that they’ll do everything possible to get their hands on those giblets, even if you have a high chance of being saved. It’s not even about spending one life to save many; hospitals and contractors bill each other for high-value extraction/transportation work, and everyone needs to get a cut. Kind of like how doctors over-prescribe meds most people don’t really need. If you want to be a donor, leave a note with someone you trust who can present it quickly after you’re 100% gone.
@ShotgunX
You had me until:
Which is just tinfoil hat ranting…
@shahnm @ShotgunX
Well I’ve had surgery 3 times and doctors prescribed me opioids for pain management and I ended up taking 1 or 2 in the first day and then threw the entire bottle away and started using Ibuprofen. Pain is a part of life. I didn’t need 14 days of opiates to heal. But the pharmacy wouldn’t let me reduce the prescription, so I had to waste almost an entire bottle my health insurance and I bought.
@shahnm @ShotgunX
Which is what assholes do.
@qkerby I never discard unused pain meds. I had some minor sinus surgery a few years ago and was prescribed some codeine-based pain meds, but only used one or two, then switched to OTC (the pain wasn’t actually that bad). But I squirelled them away. I was glad I did when I wrenched my back a couple months ago and all they would give me were some high-dose Aleve that didn’t do squat to take the edge off the (intense) pain.
@shahnm There’s nothing “tinfoil” about it. It’s a well-documented issue. Doctors get sponsored by companies, which put up display cases in their offices. Do they shove pills down your throat, as if they’re force-feeding a French pate goose? No. But “let’s get you started on X and Y just to be sure” is a very common line. They will even prescribe pills before discussing lifestyle changes. Stop shoving cheeseburgers down your throat to get your blood pressure down? No, we have a pill for that.
I’ve seen it happen to family members. And don’t even get me started on antibiotics and painkillers.
Everything in America operates on a commission. Even the government does (agencies want you to fall into eligibility categories so that you need their services, so they get bigger budgets and more power). You’re not part of a population, but a target demographic.
@ShotgunX Just do yourself a favor and avoid doctors. It’ll make you feel like you accomplished something, and you’ll spare the docs a whole lot of frustration and annoyance.
@shahnm Or I can just do research, get second opinions, and avoid the bad ones. I’m not some crazy anti-vaccine zealot. But over-prescription of meds and procedures is definitely a thing.
@ShotgunX Yep - there’s good and bad in every field… The key is to avoid making generalizations and throwing out the baby with the bathwater. Keep at it until you find the good ones!
@ShotgunX @therealjrn This: “By the way, checking that box on your license/ID pretty much guarantees that they’ll do everything possible to get their hands on those giblets, even if you have a high chance of being saved.” is Bullshit plain and simple.
I have been a PA for >25 years, and worked in hospitals for 6+ years before that in non-clinical roles, and throughout my extensive experience NEVER has a person’s organ donor status even been referenced in the treatment process UNTIL it was no CLEARLY longer possible to keep body and mind together.
Also, over the course of my 11 major surgeries including knee replacement, its removal, and revision knee replacement, I almost always get over-prescribed opioid [narcotic] pain medicines, because [as I tell them before-hand] I never take them for more than a day or two post-op, despite having had severe pain- for two reasons, I hate the side-effects, and I ice the bejesus out of wherever they cut me- and nonetheless the residents or fellows [read doctors-in-training] prescribe them a anyway, because they are afraid of getting poor Press-Ganey [patient satisfaction rating] scores.
This is in spite of all the evidence strongly showing that the patients with the highest satisfaction scores have worse outcomes.
Rant mode- off
@qkerby @shahnm @ShotgunX Next time take them back to the pharmacy or hospital for disposal… [or keep them for TSHTF].
@shahnm @ShotgunX While you are not exactly and completely wrong, there really is no incentive where you’re implying that there is- rthe real incentive is from a combination of patient satisfaction surveys, and HMO’s auditing patient charts to see what HGBA1C and FLP [fasting lipid profile scores] the patients in a practice have- both of which have a direct effect on the practice’s reimbursement from the HMO’s and CMS [Medicare/caid].
Their patients don’t want to hear and/or won’t follow care plans that require action on their parts- e.g., diet changes, increasing physical activity/exercise, or other lifestyle changes [even including interventions like using C-PAP at bedtime routinely].
This despite the extremely clear evidence that lifestyle changes work better and cost less than medication- without side-effects.
…And don’t get ME started on antibiotics and opioids…
@PhysAssist @shahnm @ShotgunX I’m old enough to remember when we would see a spike in the number of people convinced they had the “illness du jour” that was highlighted in Reader’s Digest that month.
One of the worst things we have allowed is for Big Pharma to advertise directly to the patient. Now when they come in they think it’s OK (and even advisable) for them to order a la carte. If they don’t get the latest/greatest meds right off the bat they don’t feel like they have been treated.
And everybody knows if you go to the ER you should never leave without a script for an antibiotic and a …narcotic for the viral infection you have that is do debilitating you can’t even look up from your friggin’ phone during triage…
@chienfou @PhysAssist @shahnm I don’t care about {insert insults and name calling here}. I want Levitra and I want it NOW.
@chienfou @shahnm @ShotgunX Sorry, No man- you want Testosterone! for your [partially manufactured illness]- Low “T” scores…
heheheheheheh!
@chienfou @shahnm @ShotgunX I agree on all counts here!
@carl669
@mediocrebot who rang your bell?
@ShotgunX @therealjrn My mom worked in medical coding and said unless you have premium insurance they will actually do as little as possible to save you if you have viable organs. 30 years ago she warned me against checking that box.
Is that Thomas Jane?
He’s awe some! (FU Mediocrebot)
Anyone else watch The Expanse?
Doors and corners, kid…
@DennisG2014 The Expanse is one of my favorite shows.
@DennisG2014 And the narrator is Will Arnett.
@cinoclav @DennisG2014 I loved that show - I may have to re-binge the first 3 seasons before the 4th starts up. The trailers and clips they’re releasing look awe some!
@stolicat Read the books!
I read the entire series between seasons 2 & 3 (was ~12 books/novellas at that point). Devoured it faster than I’ve ever read anything else.
If you prefer audio books, fans rave about Jefferson Mays’ reading.
I find there’s enough difference between the books and the show that, rather than being spoiled, I’m just that much more excited to see how things play out on TV.
Here’s a list of all the books - read 'em all (novels/novellas/short-stories) in publication order (the first list): https://expanse.fandom.com/wiki/Category:The_Expanse#Books
@DennisG2014 I do love T. Jane and The Expanse.
Did you see the YouTube short he did as a fan-film tribute to The Punisher- “Dirty Laundry”?
@DennisG2014 Thanks- I didn’t even think about there being books, etc.
@PhysAssist Yes. I thought it was better than the original movie. lol
@PhysAssist I didn’t know the show was based on a book series either, until the summer after season 2, when I was totally jonesing for more and went online to try to find a release date for season 3.
Instead I found the book series, read through all 12 existing titles in like 2.5 months, had to wait a month for the next book and then an interminable, like 6 months for season 3. lol
I’ve calmed down a bit since then - the wait between new material is easier to handle, but I still devour any new material as soon as it’s available.
@DennisG2014 @PhysAssist Thanks for the lead on the books - I should be able to make it through the list up through Cibola Burn, which the 4th season is mainly based on, by December, unless I get into a serious jones about it and just read them all …
Hmmm… If this was the beginning of a horror story, all the body parts would start behaving like assholes - particularly the asshole!
Don’t you go stealing this idea, @dseanadams, I need it for October (I’m a couple stories short.)
He died in 2016 and his heart went to a teacher that went on to teach for another 25 years? Amazing! Wait, so it’s 2041? I should have retired years ago…
@PlutoIsAPlanet artistic license…
Don’t be an asshole, @PlutoIsAPlanet, it’s just a story. Did you think they had live footage of Coleman doing all those things too?
Nah, y’all digging too deep. I just want to retire early.