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3
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91
Joined
2 yr. ago

  • I don't think I did. When they do work on the left screen I think they're different than I remember.

  • I'm not really sure. It's been doing this for about 2 weeks now, but I don't recall if there was an associated update as I don't remember exactly when it started. That's why I was hoping to find someone else having the same problem to look for correlations.

  • Version 0.0.49, Android Version 12, Surface Duo 2

  • Pro tip: if there's an Aldi near you, get the Benton's sandwich creme cookies. They're so much better than Oreos and way cheaper.

  • Other people have given me a hard time for using that as the metric for when they're done. It's not my fault they interpret it as me drowning the cookie.

  • The lower colon really only transports water and a couple of vitamins released by gut biota, so if they're getting far enough in that more complex molecules would be taken up, that would probably be up into the hepatic portal system.

    The reason "boofing" works for alcohol is because ethanol is actually a rather small molecule, all things considered.

  • It would still go through the liver for metabolism. The only thing "boofing" effectively does is skip the stomach part of the digestive process. To take up anything from the digestive tract, it gets transported through the intestinal lumen and into the mesenteric and hepatic portal system. The liver filters everything that gets into the blood from the gut before it goes into the inferior vena cava and into the rest of the circulatory system.

    Correction to clarify: the lower gut/colon mostly only takes up water and certain vitamins that are released by gut bacteria, and very small molecules like ethanol can sometimes get through as well. The very lowest part of the colon does have a vascular supply that can bypass the liver, and there are some medications designed to take advantage of the select receptors and transporters down there. However, neurotransmitters and peptide hormones (which is what OP was asking about) would likely not get taken up until it was much higher up in the digestive tract, and at that point it would go through the hepatic portal system.

    Thank you to those that corrected me. Intestines are actually fairly complicated.

  • Bitcoin is evil in the sense that Bitcoin mining has likely done irreparable harm to the environment through energy usage and it's associated pollution. I also find it to be a very predatory market that relies on small investors to bolster the overall value, but usually gives little to no benefit in return for that investment. All of the hype and media around cryptocurrency encourages people in precarious positions to buy in with the hopes of making it big. It's just gambling.

    In my experience, people who use and trade cryptocurrency in significant quantities are likely either gambling on it, or using it as money laundering for nefarious things.

    Before you jump into your tirade about how you have all this education and how you're so much smarter than everyone else, I'll head you off at the pass to say that you probably know a lot more about computer and software engineering than I do. However, I have a fairly extensive education in the humanities and biological sciences. So if we're going to be all stupid about it, I guarantee that I'll be more useful and more employable in any kind of post-crash society than you would be, so I'd encourage you to take other kinds of intelligence into consideration before you get all sanctimonious about stuff like this; especially in subjects that don't really matter that much in the grand scheme of things.

  • Another option to consider would be the Depo Provera shot. Without insurance, it would be about $60-70 every 3 months, but I don't think there's an insurance plan that doesn't cover it. It doesn't contain estrogen and is a common treatment for dysmenorrhea and endometriosis.

  • If I was going to be selfish, yes, I would move to a country that has more progressive policies and government. I refuse to be selfish though. I'm in medical school and hoping to become an ER physician in the safety net county hospitals for the express purpose of doing everything I can to help the people that have no way of escaping. I probably would have a pretty easy time taking my medical degree and moving almost anywhere because doctors are in demand pretty much everywhere, but it would be against everything I stand for and would be in complete opposition to my goals. I know that I won't be able to move the needle very much, and as an ER physician I'd be making a difference just to my patients and perhaps my community, but I still have to try. I want everyone to be able to access food, housing, education, and healthcare equally and I can't work towards that reality if I just run away from the worst of it.

  • Elective limb amputations, probably.

  • He accepted "no" for an answer the first time without any argument or attempt to coerce, listened when I explained why the answer was "no", and offered comfort and sympathy in response to the reasoning with no expectation of the answer changing.

  • The one I wish I could forget is the Clarissa comic about the little girl that is being horribly sexually abused by her father and everyone around her either knows and pretends that they don't, or just refuses to see the truth.

  • If they are very lean, yeah, it can be a problem. Having a bit of adipose to absorb some of the formaldehyde and retain some moisture helps to keep the tissues from drying out. Once the body tissues dry out, they're basically mummified and dissecting them would be about as useful and easy as dissecting jerky.

  • I've worked in ERs where on a really busy night patients with chest pain and a cardiac history that came in by ambulance went out to the lobby because their EKG was mostly okay and literally the only room open was the resuscitation bay. We kept checking on him in the lobby and did repeat EKGs until a room was available, but if there's not space and they're not dying, they'll just have to wait.

  • American ambulances are usually an EMT and a Paramedic that can start some pretty advanced care en route. Paramedics can intubate, defibrillate, and give medications on their own authority or with clearance from the EMS medical director.

  • I have also worked at a Level 1 Trauma hospital, and I think it depends on the distance from the hospital and the degree of specialty care needed. Also, since Covid, there have been more and more staffing and capacity problems in ERs. Taking a critical patient to an ER with no available resus bays that is also boarding ICU patients due to a lack of ICU staffing is going to be less effective and less safe than going the extra distance to a hospital that does have the capacity to care for the patient. Studies from before 2020 are just not relevant anymore.

  • Eh, for some significant trauma, the ambulance is better because they know which hospitals are equipped for the emergency in question and which hospitals have resuscitation or trauma bays open. They call ahead too which also allows for the ER staff to prepare and have people standing by to receive you.

  • Wishful thinking? Entitlement? Main character syndrome? Some kind of nonsense.