As a cis-woman that plays Arma, I find it very amusing/interesting that the trans-women in my Arma unit outnumber the cis-women 3 to 1.

Here’s a Reuter’s article that has a bit more information about the shooter. Nick Fuentes has criticized Charlie Kirk for not being right-wing or racist enough. If the shooter subscribes to even a portion of Fuentes’ views, that makes him substantially further right than even most non-MAGA republicans.

From the article:

“the symbology found on the bullet casings suggests the shooter was part of the so-called Groyper movement, associated with far-right activist and commentator Nick Fuentes.”

If you’re not ready to take the step to a skilled nursing facility or memory care, there are adult day care programs that can care for them during the day while you are at work and you can get home nursing services a couple times a week for medication checks and things like wound care.

Physical therapy and occupational therapy are also good ideas to look into for the balance and instability issues as old age and de-conditioning can contribute to that a lot.

As someone else suggested, a medication list review to minimize the pill burden and eliminate drug interactions and side effects can be very helpful. All of this can be started with a visit to his primary care physician for referrals for PT/OT, home nursing, medication review, and caregiver respite things like the adult daycare. Just make sure to schedule a 30 to 60 minute appointment to make sure there’s enough time to go over everything.

Note: for the medication review, don’t be alarmed if the physician takes him off of things like blood pressure or cholesterol medications because those are more aimed at preventing complications, so if someone is approaching the end of their life anyways, there really isn’t anything to “prevent” per se.

I’ll be getting my hysterectomy in the new year. I’m looking forward to it.

I’m going to go out on a limb here and guess that you aren’t a member of one of the demographics that the fascists are trying to oppress. Debating abortion rights as a woman of reproductive age is literally arguing for my right to live in the event that I accidentally get pregnant because a pregnancy would quite literally kill me. Arguing for LGBTQ+ rights is arguing for the rights of my sibling to exist or for my best friend to marry her soon-to-be wife. I have the privilege of being white, but for BIPOC, arguing for racial equality and justice is literally trying to convince bigots that they are actually humans with equal rights.

These discussions become significantly more taxing and distressing when you’re going in rhetorical circles with someone who is telling you to your face that they think you are less worthy of rights and that your life doesn’t matter to them.

Please, correct me if I’m wrong here, but this is something I see a lot from leftist cis-men and white leftists is the failure to recognize the toll these conversations take on those who are the direct targets of that bigotry.

The problem is with the fact that when the discussion about human rights, there is no middle ground. There is no compromise when it comes to human rights. Everyone deserves the same rights and protections, and if someone is trying to argue that people who have more melanin or aren’t completely cis-het deserve fewer rights, there is no middle ground to be had.

Thankfully, I’m married and don’t have to deal with this bullshit, but if I was dating these days, I would open with asking if they support my right to bodily autonomy and if their answer was anything besides “yes, absolutely”, I’d get up and leave. Although, if I had to try to date these days, I’d probably just date women because I’m bi and men can be a coin toss on basic safety.

Oh, I forgot for OB/Gyn: GOOP and “Natural Birth Midwives”

If the options in November 2028 come down to Newsom vs Trump (or whoever is his puppet), I’m still voting for Newsom. I won’t be happy about it, but if we can’t get a real progressive through the primaries, I’m still voting against the GOP and for the non-GOP candidate with the best chance of winning.

• Emergency Medicine: Alcohol and/or fireworks
• Family Medicine: Wellness influencers
• Surgery: Pre-op NSAIDs (eg ibuprofen)
• Pediatrics: RFK Jr

The medical school application system, AMCAS, sells the information of every medical school applicant. I had to call the recruiters’ office and explain to them that I have multiple failing organ systems and take more than 10 medications a day. I asked if they could get me a medical waiver for chronic kidney disease and they sheepishly agreed to remove my name from their list.

Most of the drug research that actually produces new, useful treatments is done by universities and government research institutions, (or at least it was before the budget cuts). That research produced with state funding is then bought for pennies on the dollar by big pharma who does the last couple steps and reaps all of the financial rewards.

The NIH and CDC would be fully funded in perpetuity (along with many research institutions and universities) if they got paid even a fraction of the profits for their foundational research.

It’s 7 to 10 hours a day and they won’t be telling you when they’ll be getting home for you to be able to leave.

To be somewhat pedantic, “Nazi” is not a demographic identifier. Demographics almost always refers to more immutable features like age, sex, gender, orientation, race, nationality, citizenship, etc. Political ideology is a way to divide and count people, but it’s not something that is reliably counted as a demographic indicator.

Blood thinners can make minor head trauma that shears the small veins between the skull and the brain a problem. A ruptured aneurysm can kill almost anyone regardless of whether or not they’re on blood thinners. The difference is venous bleeding (slow, low pressure) versus arterial bleeding (fast, high pressure).

I have the KPDH soundtrack going on repeat. (My life is extremely stressful at the moment and I need my dopamine from somewhere)

The original Hippocratic oath forbids abortions. So do many of the modern versions. There are plenty of physicians that keep true to that oath.

And if people can’t get the care from that physician that was arrested for saving someone’s life, that is the state’s problem

Yes, and when informed of the fact that it is responsible for the lives of its’ citizens, the state said “lol no” and went right back to dismantling every single system constructed to support human life in this country.

We have already seen GOP state congresses overturn the will of the voters. No amount of outcry or protest will reverse the course of arresting and persecuting physicians and women involved with abortion care will ever overcome the gerrymandering. You’re advocating for physicians throwing away everything they’ve worked for their whole lives for a single patient in a way that will also leave all of their other patients without care.

I know you are passionate and vehement about this, but unless you’re in the position to trade your entire life for this one ethical principle without regard for all of the knock-on effects, your opinion means extremely little to those who are in that position.

So you’re saying all of the OB/Gyns in abortion ban states should give up their license and likely go to prison thereby leaving all pregnant patients without care?

Because that’s what you’re proposing here, functionally. OB/Gyns are already leaving these states in droves because of these bans and it’s leaving massive maternal care deserts across the South. There are already millions of people living in areas without OB/Gyn care within 100 miles drive, and now critical access rural hospitals are closing. Also, OB/delivery services are the first thing on the chopping block for budget cuts at struggling hospitals because 41% of births in America are covered by Medicaid. This number is substantially higher in the areas that are also affected by healthcare deserts meaning that up to 90-100% of births might be covered by Medicaid in some of these rural hospitals. With the Medicaid cuts, that means that the hospital loses thousands of dollars for every baby born there when they’re already deep in the red.

Your “all or nothing” approach to what physicians should be doing leaves absolutely no consideration for the secondary effects of such actions. If providing one abortion meant the complete loss of an OB/Gyn physician to a community, the tradeoff simply is not worth it. There are so many things that can go wrong with pregnancy and delivery that are not fixable with abortion (and what if it’s a wanted pregnancy?). Depriving communities of qualified physicians is a death sentence for many women that will then be unable to access the prenatal care that could have saved their life.

For physicians in these total ban states, defying the law would mean the loss of everything they have. Under your edict here, OB/Gyns would lose their license no matter what. They’d lose their license under your plan if they refused to provide abortion care and they’d lose their license and face prison time if they did provide abortion care.

Yes, it means that the women who need abortion care are going to suffer immensely, but there’s already a dire shortage of OB/Gyn physicians, so losing more of them to prison is not going to help all the women that need regular obstetric or gynecologic care and the women who need abortion care.

This is the definition of “between a rock and a hard place” and there’s maternal mortality on both sides because when women can’t get prenatal care, it drastically increases the chances of them dying from pregnancy or delivery complications.

I just don’t see a world in which it becomes the gold standard prior to getting so horribly enshittified that no medical institution can justify the cost of the accursed thing.

Some of my classmates used chatGPT to summarize reading assignments and it garbled the information so badly that they got things wrong on in-class assessments. Aside from the hallucinations and jumbled garbage output, I refuse to use AI unless there is absolutely no alternative on an ethical basis due to the environmental and societal impacts.

As far as I’m concerned, the only role for LLMs in medicine is to function as a scribe to reduce the burden of documentation and that’s only because everything the idiot machines vomit up has to be checked before being committed to the medical record anyways. Generative AI is a scourge on society and an absolute menace in medicine.