Griseowulfin

joined 1 year ago
[–] [email protected] 15 points 4 weeks ago (1 children)

Lol. I can tell you if you asked doctors what the biggest problem in their clinic, it's the EMR. I can say this myself, I've been in healthcare for a while in various roles, and i'm not to far off from graduating as a physician.

To find out what happened overnight to a patient, I have to sift through pages of computer generated junk to find just a few things. It's even worse in clinic, if I want to read what happened last time a patient was here, I have to sift through a note that is 50% auto generated lists of stuff to find what I really need to know: what the last doctor said the plan was for today.

They mention inbasket messages, and that's a huge issue. Now with the rise of patient portals, patients would message now for something that previously was a visit. Only recently has there been ways to recoup this cost (not that this is appealing to most patients, who see it as nickel and diming, though I empathize, I never can get to talk to a nurse/MA at my own family doc's clinic either).

Doctors are swamped, most of the day is charting, ultimately to appease insurance companies so that we get paid. If you're slotted for a 15 minute visit, and I'm not out after 10 minutes, I'm going to be late to every appointment until lunch or close, then I'll spend time at home finishing up notes and paperwork (prior auths, refilling meds, replying to messages from nurses and other clinic staff). Ultimately, for what good our regulation of healthcare has brought in the US, it remains that it is regulatory capture nonetheless. Healthcare orgs are quickly conglomerating, so the hospital, clinic, pharmacy, and insurance company are all owned by the same company. At the loss of good patient care, doctors are being removed from the equation, care is being fragmented and compartmentalized in a lot of aspects and less of our time in the day is available for patients.

What they call burnout, really is moral injury. People who go into healthcare do it because at some level, they want to help people. It really sucks when you realize 90% of your day is screwing with a computer system that seems to be diametrically opposed to letting you do your job.

[–] [email protected] 3 points 3 months ago (3 children)

I use hispanic and can't say i have much care for the whole latinx/e debate, but if latino or latina just doesn't float your boat, I think latine at least sounds better and looks better.

[–] [email protected] 10 points 10 months ago

Ultimately this a definition issue, and is philosophical more than scientific. I have no doubt he's a great neuroscientist, but it's really not a great take. I think that the whole idea of neurochemistry cascading into the decisions we make doesn't mean we don't have the ability to choose within our neurochemical makeup. I think it definitely pushing a good point in that the root causes of our behavior, especially anti-social behavior, is possibly addressable in how we support and raise our kids.

[–] [email protected] 4 points 11 months ago

I mean, I don't use a scope to listen to pulse. I listen for murmurs, heart sounds, breathing, gut sounds. It sounds nice, but I doubt it is gonna give better info than what can be gotten from a stethoscope, ekg, or ultrasound(this is where a lot of the cutting edge is now in medicine).

[–] [email protected] 8 points 1 year ago (2 children)

Interesting findings. I think it's interesting that the decline in religiosity seems to be more lack of trust in religious institutions, rather than just non-belief. I'm curious how this will affect organized religions. It seems religion is becoming more personal, with less of a social aspect, for better or worse.

[–] [email protected] 6 points 1 year ago

I think the core of this is the hurtful aspects of gender roles men and boys face about how to handle and express emotions creates the situation of increased suicidality. Yeah firearms access is going to enable suicidal people to act upon their ideation, but taking it away just leaves you with a depressed/anxious guy, who doesn't have the knowledge or resources to overcome his negative emotions. I'm not saying this in a "it's a mental health issue not a gun issue" way, but society really normalizes the ignorance of mens' emotions and for men to not build support for managing their emotions, be it intimate friendships, healthcare resources, healthy expression of emotions.

I think it's good topic to bring up, because there's a lot of things leading to men not doing too well, and I think it'd be dumb to ignore it, given the rise of acts of violence we've seen in the past decade from men who really feel disconnected or disillusioned with society. Finding out what we can do to help men cope with hardship in a more productive way, and ultimately address the root causes of the issues they face can improve things for men, as well as everyone in society.

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

If it's something you're interesting in doing, do it. You become a pro by doing. Good luck!

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

I’ve worked in healthcare for 7 years and have not had any sort of assistive technology that hasn’t doubled my work.

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

I'm sorry you had to handle that. Though, this is an inevitable problem for a site hosting user-generated content of any sort. I think not hosting your own content is the biggest first step. It might be better to depend on external image/filesharing sites like how things used to work with imgur, photobucket, flickr, etc. (is photobucket around anymore, lol?). This does pose a risk for link rot and what not, but I think given the scale of this operation, there's no reason to having to be scanning your own servers for illegal content any more than you have to for basic moderation. I'm not sure how this issue works with federation (if another lemmy instance hosted a bad image/thumbnail/message, does that get copied over to beehaw?), but if your risk tolerance doesn't want to deal with it, a non-federated option would give you more control.

In general user generated content is always going to pose a risk to the website hosting it. It's a matter of good risk management, from prevention and mitigation to an effective response, that will best serve both the administration and the users in terms of ensuring a safe service and minimizing legal risk.

[–] [email protected] 9 points 1 year ago (1 children)

I think the best protocol is report the bad actor, not engaging with them (especially inserting yourself into a situation you're not already in), working on personal tolerance for verbal abuse and tactics for healthily managing feelings that come with getting bullied, and ultimately knowing when to remove yourself from a situation when it's not beneficial for you any longer.

Remember that online harassment that you speak of generally falls under trolling. Trolls do things "For the lulz". Their goal is to entertain themselves by getting other people mad, sad, upset, or making a scene. If you don't take the bait, you can minimize the benefit they get out of trolling.

Getting familiar with privacy/safety settings on site you frequent is important for addressing targeted harassment.

To address your question, I don't know if showing a victim that someone cares is necessarily what ALL victims might want, you are just some random anonymous user to them. They may just want to not talk to people, or to talk to people they trust. Recognizing boundaries is important, especially when someone has been the victim of someone trashing those boundaries through harassment.

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

It's really another instance of legal gun owners getting shafted because it sounds better to just ban concealed carry than to address the causes of gun violence in the city. That would require more effort and ultimately the political benefit looks better because democrats will die with goal of disarming the citizenry, and the republicans and conservatives don't care about the suffering and root causes that lead to cultures of violence (gang crime, road rage, shooting people turning around in your driveway or who knock on your door), heck in some cases they benefit from it.

While I'm not sold on the idea on mandatory training (I don't trust governments enough make it accessible and useful), i'd be ignorant to think that training shouldn't be made an expectation of ownership if not legally, than socially. There's lot's of people I just dread the fact they carry a gun. Reddit's CCW subreddit has way too many posts that are essentially "Can I kill this guy?" Luckily there's people there who do their best to educate and share resources and try to encourage a defensive mindset, away from the aggressive, "if you mess with me i'll kill you" mindset.

[–] [email protected] 8 points 1 year ago* (last edited 1 year ago) (1 children)

The weasel word in all this is “overweight (but not obese)”. This is because obesity is definitely associated with diabetes, heart disease, stroke, sleep apnea and the sequelae of these diseases. Excess fat in our body, glucose in our blood, and weight on our skeleton taxes the body and that will have consequences.

I think we are in a new era for how we see and treat obesity, with better understanding of how it affects us individually and societally, with more tools to tackle it. As such, we should not downplay the importance of weight in a person’s health.

Articles like this really don’t give a full picture of clinical decision making and the job of a physician to make high level research accessible to the patient (which involves simplifying things lots of the time). This leaves us with a headline that makes the public think that doctors don’t know about obesity, which simply is not true. It’s just that the nuance isn’t as big of a deal as this author makes it seem.

 

A study in JAMA Pediatrics found a relationship between screen time as a baby and developmental delays as a toddler. This draws more ground to further investigate the health effects of electronics usage by children and what types of media have detrimental effects on development.

 

HeLa cells have changed the field of medicine and have led to multitudes of life saving innovations. Unfortunately, the donor, Henrietta Lacks, did not consent to the harvesting of the cell line, and until now, her and her family have not received compensation from companies that profited from products tested and designed with the HeLa cell line. Her family reached a settlement with the company that maintains the cell line for the industry.

 

I share this as a tonic to a lot of the discourse I see online from people exasperated at the negative changes we bring to our environment as humans. I have met many people who feel that humans are inherently destructive to the environment as well.

I think a separation from wildlife due to urbanization might have something to do with idea that humans are above or separate from nature. I feel picking up hobbies like gardening and hunting were important for reminding me of my presence as a part of the natural world (This might be one upside to COVID, given everyone I know started gardening and raising plants. Ha.).

I think the statement from the article encouraging locals to be included in the stewardship of natural resources is incredibly important. Especially in the US, where lots of our undisturbed land is owned by the Interior department or the states, many times, regional natives often have insight that can be beneficial for the landscape (ex. California allowing Indian tribes to conduct controlled burns as a means for preventing wildfires).

I just hope that this article can renew optimism for some, given the bleak things that we see weekly in the news regarding the environment and nature, that we can exist within nature without our actions (including modification) being bad. It's too easy to feel that we're just doomed and that nothing we do can be good for us or the rest of our ecosystem.

 

Over a year since the school shooting in Uvalde, TX, a judge has ordered Texas Dept. of Public Safety to release records related to the response to the incident by the agency. This comes after a lawsuit led by multiple media organizations, claiming DPS was illegally withholding records against the Texas Public Information Act.

 

The article gives a short discussion about the use of traditional therapy terms in everyday parlance. They describe it like someone is acting like human resources when communication about relationships, or is making semi-diagnostic statements about someone's behavior.

I worry that this follows the trend of medicalization of normal(rather, non-pathological) behavior, feelings, and thoughts. It replaces the interaction and introspection of a relationship via communication with diagnosis and management of some "problem". I feel it can make a relationship feel transactional by attempting to avoid investigating the feelings and emotions of both parties. Emotion and feeling are an important and expected part of a friendship (even to a minor extent in less "deep" relationships), or at least can be discussed and explored without a clinical mindset.

Therapy speak, as it appears in non-therapeutic enviroments like Tik-Tok, support groups/forums, and other online forums can lead to misunderstandings about mental health and therapy, maladaptive coping, and misinformation about mental and emotional health.

 

"The incidence of type 1 diabetes in children increased during the COVID-19 pandemic,1-4 but studies have not discriminated between children with and without infection. We analyzed a large population-based, individual-patient data set that included diagnoses of COVID-19 to determine whether there was a temporal association between COVID-19 and type 1 diabetes in children."

This is an interesting study that reflects some anecdotal stories I've heard from doctors, where there's increased amounts of diagnoses of Type 1 Diabetes in the past few years. While this focuses on children (where viral infections are common triggers for T1DM, I've seen and heard of adults being diagnosed with Type 1 Diabetes, generally after a COVID infection. It calls into question the autoimmune effects of COVID that we might not yet know, especially in regards to diabetes.

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