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Speaking of painkillers and Toradol, I went to the ED maybe a month or two ago because I was having some pretty severe abdominal pain radiating to my left flank. Now, this place has my entire medical history (the joy of Epic's EMRs) and they know that I'm on lifelong anticoagulation, and therefore NSAIDs are a very big no-no. The doctor ordered Toradol, which is an NSAID. I wound up being admitted afterwards because a minor stomach bleed developed. I was not happy.
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Jan 19, 2024 18:20
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Between Pitchfork being put under the GQ umbrella and SI just laying off all its staff been a bad week for publications I used to read all the time
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Jan 19, 2024 18:28
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Pain of Mind posted:My wife and I make a decent amount of money, but we are in an odd place where we bought our house when markets were relatively down and have a low interest rate (2.6), but we have also outgrown our house. It does not make sense to buy a house where the monthly cost is 4x what our current place is just for 400 more sqft, but we also make much more money than is necessary to afford our current house so we are accruing a ton of money that is more than anything else would need, but still not enough for a nicer house (SF bay area prices go brrrrrrrrr). Just dragons sitting on a pile of gold at the moment. People who like each other never "outgrow" their houses because they enjoy spending time in close proximity. Good luck!
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Jan 19, 2024 18:30
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RIP SI https://x.com/FOS/status/1748392317973643499?s=20
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Jan 19, 2024 18:34
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LeeMajors posted:Yeah but it really really works. Bring back Thorazine imo Really does feel like the copper wiring is being torn out, sometimes.
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Jan 19, 2024 18:39
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RIP. Amazed they made it this long considering no one's needed a weekly magazine that has news from 4 days ago for at least 20 years now.
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Jan 19, 2024 18:40
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SI for Kids growing up was incredible. I learned about so many random athletes/sports from that and they had those cool little cards.
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Jan 19, 2024 18:44
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Yeah, SI hasn't really had a place for a long while as a magazine, but you'd think like... writers, reporters and photographers should be the kind of thing that should seamlessly transfer to the internet, but we utterly failed at it, just completely gutted journalism and entire industries instead.
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Jan 19, 2024 18:46
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Sports Illustrated was the one doing AI written articles too right?
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Jan 19, 2024 18:52
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Yeah. It's been a zombie publication for awhile, and pretty much suffered every debasement a former name could go through.
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Jan 19, 2024 18:53
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LeeMajors posted:I’m not sure if you guys do chemical restraint (or if you do, what you use) but we switched to ketamine frontline many years ago. We use Haldol/Versed frontline with "Consider ketamine" right below. You can go right to ketamine if you can justify it (ie, you can't wait 15 minutes for them to chill out). Our sedation and RSI dose for ketamine are the same at 2mg/kg (double for IM). I've only been doing this for less than a year, but I've already had enough times where I need to explain why fentanyl or ketamine are safe to people because of what they heard in the news. You would think having a monitor with a bunch of wires attached would be enough to indicate we're paying attention. But, like you said, dipshits out there doing stuff they shouldn't be doing.
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Jan 19, 2024 18:55
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I spent my ten bucks. So i get my stupid paragraph... What the gently caress do you all want in this world before you die? Most of you have uhhh what 20-30 years left to die on this rock? And before you come at me. I don't know loving know either.... Everyone here should be grateful that you made it this far in life and you're not in the loving system. ( Tulip I love your cats/ vibes) A lot of you posters get it. Some yeah. Have a good weekend. Also come on Trump Is def winning 2024. Just lol.
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Jan 19, 2024 18:57
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Kalli posted:Yeah, SI hasn't really had a place for a long while as a magazine, but you'd think like... writers, reporters and photographers should be the kind of thing that should seamlessly transfer to the internet, but we utterly failed at it, just completely gutted journalism and entire industries instead. Yeah, it should have easily transitioned to being a Ringer/Athletic equivelent, but the management completely fell flat for a decade at making that switchover and has gone through multiple lovely PE owners desperate to suck every bit of value out of it without putting any investment into it
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Jan 19, 2024 18:57
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lurk more
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Jan 19, 2024 18:57
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RG3ESPN posted:I spent my ten bucks. So i get my stupid paragraph... Create the Holy Roman Empire in CK3
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Jan 19, 2024 18:59
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Kalli posted:Amica has good customer service and isn't terribly expensive if you've got a clean record. 2nding Amica. They've done right by me multiple times for claims, including a total loss. They consistently score at or near the top in customer satisfaction surveys. I think shopping for auto insurance purely on price is a mistake, unless you absolutely cannot afford a couple hundred more a year or something. Look at surveys that include customers who have made claims. JD Power does one, there's probably others like Consumer Reports? Salvor_Hardin posted:Forget up, strike the earth! hell yeah
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Jan 19, 2024 19:00
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I had an SI subscription from the early 80's. Every Friday I was reading that poo poo from front to back cover. I had a entire 15x20x8' wall collage full of NBA dunk superstars that I'd cut out of SI with an exacto knife and placed into the right space of Jordan/Magic/Bird/Barkely/Robinson, with a few Dominque Wilkins and Larry Nances and other rando ballers from the mid 80's, and the remaining space was surfers and skater legends that had been captured in the magazine. I can't even remember why I took it down, but I did before I went to college and I haven't thought of SI since 1993.
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Jan 19, 2024 19:00
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RG3ESPN posted:I spent my ten bucks. So i get my stupid paragraph... lol
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Jan 19, 2024 19:02
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winter storm going to roll into the UK Sunday evening into Monday morning, 60mph winds and heavy rain
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Jan 19, 2024 19:03
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What I want most is to read more RG3 posts
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Jan 19, 2024 19:05
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Kalli posted:Yeah, SI hasn't really had a place for a long while as a magazine, but you'd think like... writers, reporters and photographers should be the kind of thing that should seamlessly transfer to the internet, but we utterly failed at it, just completely gutted journalism and entire industries instead. It’s not the content that has killed journalism, it’s management getting MBA Brain and ripping out brand cachet and future earnings for profits this quarter. Same as just about every other business that’s not a Wall Street bank or Walmart. With a little vision SI could have become what The Athletic is now. Or at least it could have lived a little longer until the illiterate percentage of the population hits critical mass and kills all journalism. Edit: or as it turns out, tl;dr what Glumslinger said
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Jan 19, 2024 19:05
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RG3ESPN posted:I spent my ten bucks. So i get my stupid paragraph... "RG3SPN" works better IMO Also I want to run more races before I get too old and weighed down by family duties to train well. Wife and I are due to have a conversation about kid #2 sometime in next couple of months and that feels like a soft timer for me to get the fast times that I still want.
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Jan 19, 2024 19:07
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dirty shrimp money posted:It’s not the content that has killed journalism, it’s management getting MBA Brain and ripping out brand cachet and future earnings for profits this quarter. Same as just about every other business that’s not a Wall Street bank or Walmart. Oh I get it, and I think it's a plague, hell look at what MBA's have done to loving Boeing. Like you know we're just straight ripping the copper out of the walls and letting it all fall apart when the defense contractor and builder of most of the planes is doing cost cutting poo poo on everything it can and just having planes fall apart.
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Jan 19, 2024 19:08
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RG3ESPN posted:I spent my ten bucks. So i get my stupid paragraph... i just want an artisanal burrito and a consenting adult to eat it with
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Jan 19, 2024 19:09
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dirty shrimp money posted:With a little vision SI could have become what The Athletic is now Frantically hitting "save URL" before the halfassed javascript adblocker makes it harder to do and then pasting it into Archive.is is no way to go through life. There are good magazines that still exist now, but they rely on great photography and feature stories that don't require "scoop" mentality.
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Jan 19, 2024 19:11
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Before the Mods come! All you guys have great football post, jobs, cool dogs, homes, and, I wish you all the best. Great group of normal humans.
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Jan 19, 2024 19:16
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Ether Frenzy posted:There are good magazines that still exist now, but they rely on great photography and feature stories that don't require "scoop" mentality. Sad thing was, that was SI once upon a time. It was The Sports Magazine. Spun off of Time. That cover used to be a highlight of a photographer’s career - get a great shot and a few days later it’s in ten million mailboxes in full color. Launched a bunch of writers’ careers too. It’s just something that doesn’t happen in mass media anymore.
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Jan 19, 2024 19:22
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I forgot fascism still works on the internet.. Kali you one of my fav posters. gently caress and DocJawls and Breast guy with bad breast or whatever. Actually the whole AFC East thread lol.
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Jan 19, 2024 19:23
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dirty shrimp money posted:It’s not the content that has killed journalism, it’s management getting MBA Brain and ripping out brand cachet and future earnings for profits this quarter. Same as just about every other business that’s not a Wall Street bank or Walmart. I dunno if The Athletic is the best example of what SI could be, considering they went from a one-stop-shop for all sports content to neutering it to pretty much only NFL and EPL content, with occasional college football stuff mixed in once the venture capital funds ran out.
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Jan 19, 2024 19:28
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seiferguy posted:I dunno if The Athletic is the best example of what SI could be, considering they went from a one-stop-shop for all sports content to neutering it to pretty much only NFL and EPL content, with occasional college football stuff mixed in once the venture capital funds ran out. They still have pretty great basketball coverage
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Jan 19, 2024 19:34
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Hi RG3 Bye, RG3
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Jan 19, 2024 19:43
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seiferguy posted:I dunno if The Athletic is the best example of what SI could be, considering they went from a one-stop-shop for all sports content to neutering it to pretty much only NFL and EPL content, with occasional college football stuff mixed in once the venture capital funds ran out. The Athletic died because they were always looking for a buyout as opposed to trying to make a quality product. Had they grown it organically they likely could have kept all of that coverage. There are plenty of people willing to pay for quality content as long as the publisher isn’t trying to jerk the audience around. Hell, did you know that there sickos that pay $20+ a year to look at a glorified spreadsheet on Kenpom.com? 
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Jan 19, 2024 19:47
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seiferguy posted:I dunno if The Athletic is the best example of what SI could be, considering they went from a one-stop-shop for all sports content to neutering it to pretty much only NFL and EPL content, with occasional college football stuff mixed in once the venture capital funds ran out. I swear to God they run essentially the exact same piece about "how Craig Counsell is approaching his new job with the Chicago Cubs" every goddamn week, just with the paragraphs moved around here and there. The Athletic also seems to have a weird limit on their writers in terms of article length. They don't do any long-form journalism, which is a shame.
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Jan 19, 2024 19:50
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Someone say ketamine?!? Ketamine is one my absolute favorite drugs. Its has so many uses and covers so many aspects that its one of the only drugs where you can do a surgery with as the lone agent. It is analgesic (eases pain), anesthetic (reduces awareness and consciousness), and has anti-convulsant properties on top of not affecting hemodynamics significantly. When the earthquake hit Haiti the anesthesia team from Miami just filled their bags with ketamine and did whole surgeries on picnic benches with it. It really is a wonder drug, and it has so many other uses! It is also starting to be used more and more for extreme asthma attacks which is new and exciting. As for depression, the research is very limited, but quite strong. In order to be effective, you need multiple therapies over the course of at least 6 weeks. When you get an infusion, you should also be engaging in some type of talk therapy in order to get the benefit. Usually you get a little bit, come up, talk for an hour, get some more, maybe do another session, then come down. So its not just a shot or even a simple infusion. It is very effective, but you need to block off a whole day for it, can't drive home, and have to do it for 6-8 weeks. That being said, it seems that compared to antidepressants that you do not need maintenance meds after the therapy (again, this is novel and still being studied so always follow the advice of the people doing this stuff). You also need to avoid all the microdosing and "infusion centers" charlatans out there. There are lots of reputable groups out there, they just are drowned out by the ones looking to make a buck.
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Jan 19, 2024 19:51
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lol hell yeah just got offered a supervisory role for two new hires
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Jan 19, 2024 19:52
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Need a concierge doc who can fill me with ketamine, Anavar, tbc-157 and other wonderful potions
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Jan 19, 2024 19:55
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It’d be cool if we could maybe create a society that doesn’t require people to be hopped to the gills 24/7 but alas
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Jan 19, 2024 19:56
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The Glumslinger posted:They still have pretty great basketball coverage During their last layoffs, they got rid of the Mariners' beat writer, the UW Huskies beat writer, and the Kraken beat writer (who had already technically left because he saw the writing on the wall, but they announced they weren't filling the position). All that was left was Seahawks coverage. I canceled my sub shortly after.
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Jan 19, 2024 20:01
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swickles posted:It is also starting to be used more and more for extreme asthma attacks which is new and exciting.  What is the mechanism of action here? Dosing/route? Is it a bolus or an infusion? Severe asthmatics (and CHF exacerbations in extremis) are the rare calls that even really get my heart rate up anymore because they're *profoundly* sick and uncomfortable and the idea of dropping some ketamine on them while running a mag drip and bronchodilating under positive pressure sounds like actually pretty loving awesome and helpful.
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Jan 19, 2024 20:01
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LeeMajors posted:
I don't know if you follow anyone on med twitter (or twitter at all) but there was a doc who posts pretty frequently about her adventuring and she had to be airlifted out of Yosemite (? Yellowstone? one of those majestic as gently caress places) due to a severe asthma attack and they gave her ketamine on the ride. Its a bronchodilator that acts faster and more reliably than steroids, and can be used when other conventional methods like beta agonists aren't doing the job. I think people like it because most emergency asthma treatments require inhalation of the drug which can be difficult for obvious reasons. An IV infusion is easy and doesn't require cooperation from the patient (i.e. a panicking child). It is still being studied but here are a few quick links: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6036522/ https://journal.chestnet.org/article/S0012-3692(21)01513-0/fulltext
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Jan 19, 2024 20:09
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