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RealityWarCriminal posted:what the gently caress is a google gemini and why is it sending me text messages This is why I don’t use an android phone
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Apr 27, 2024 14:31
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RealityWarCriminal posted:what the gently caress is a google gemini and why is it sending me text messages https://twitter.com/realdonaldtrump/status/304636780903288834
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Apr 27, 2024 14:31
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my next phone will be huawei
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Apr 27, 2024 14:34
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searches for tianamem square wont appear but neither will ads
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Apr 27, 2024 14:34
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Glumwheels posted:Biden being interview by Howard for over an hour is kind of next level poo poo. Howard Stern would love this joke
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Apr 27, 2024 14:35
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This is how I feel when I my Amazon region has changed mysteriously
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Apr 27, 2024 14:36
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RealityWarCriminal posted:searches for tianamem square wont appear but neither will ads worth it
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Apr 27, 2024 14:38
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it’s amazing how Google managed to make ChatGPT but worse but I guess that’s the business they’re in these days: let’s make it worse
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Apr 27, 2024 14:39
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6.9 magnitude earthquake hit Bonin islands https://twitter.com/PDChina/status/1784147290770534723
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Apr 27, 2024 14:41
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Japan has thousands of earthquakes daily
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Apr 27, 2024 14:41
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Nonsense posted:Japan has thousands of earthquakes daily so you're saying when Bonin island's a-rocking I shouldn't come a-knocking?
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Apr 27, 2024 14:45
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So this policy is relatively new, definitely occurred during the last five years of my practice as an ER doc. It sucks, many patients come in overly sedated and closer to death because of their overzealous sedation rather than the illness they are arriving for. It causes misdiagnosis (had a patient come in coding from over-sedation, intubated him and got him back, only hours later when family arrived they reported the patient had fevers and headaches, turns out the guy had meningitis, he did ok after antibiotics but half my nurses were exposed because we were struggling to save his life and the EMS didn’t bother to get much of a history, only loaded him up with sedation because he was agitated) and is being administered way too freely, even to elderly dementia patients who are even slightly difficult to transport by ambulance. The medics don’t seem to realize how dangerous what they’re doing is, just stating that they followed protocols established by their ambulance company. I’ve been in meetings with ambulance management and they defend their actions by stating there aren’t enough medics and this is a measure to protect them from being harmed. It’s super frustrating.
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Apr 27, 2024 14:47
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https://www.youtube.com/watch?v=neqC6nq4zUk next they're gonna give the medics guns
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Apr 27, 2024 14:49
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it’s weird how every job that we need to take care of our people/society has not enough workers to do the jobs, seems like some kind of fundamental problem
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Apr 27, 2024 14:50
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Nodelphi posted:ambulance company. here's the problem.
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Apr 27, 2024 14:50
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UFOTacoMan posted:it’s weird how every job that we need to take care of our people/society has not enough workers to do the jobs, seems like some kind of fundamental problem especially the medical professions it's like a bunch of people just vanished a few years ago
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Apr 27, 2024 14:51
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Nodelphi posted:So this policy is relatively new, definitely occurred during the last five years of my practice as an ER doc. It sucks, many patients come in overly sedated and closer to death because of their overzealous sedation rather than the illness they are arriving for. Sounds like the kind of issue that helps chip away bit by bit the greatness of our medical system
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Apr 27, 2024 14:51
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Nonsense posted:This dude got owned the last time he was in a major bout he just beat a guy with a belt but he was overweight so he didn't get it. he's at the drugs and alcohol stage of ruining his career right now.
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Apr 27, 2024 14:55
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ArmedZombie posted:here's the problem. I am the stand in for the person who says "why wouldn't a federal or state EMT ambulance agency be just as harried and understaffed as a private one"
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Apr 27, 2024 14:57
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lol
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Apr 27, 2024 14:59
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Inspector Hound posted:I am the stand in for the person who says "why wouldn't a federal or state EMT ambulance agency be just as harried and understaffed as a private one" answer "a lifelong pension by age 50 or a measly 401k match that may or may not be anything by the time your body gives out"
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Apr 27, 2024 15:01
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lol fail libs thought Joe Biden was descheduling weed on Howard Stern, famous weed smoker and teetotaler
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Apr 27, 2024 15:03
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UFOTacoMan posted:it’s weird how every job that we need to take care of our people/society has not enough workers to do the jobs, seems like some kind of fundamental problem It’s totally the lack of staffing and pay driven by private equity and knock on effects from their influence in the industry. For example: when I started my career, it was widely preached by our boards that the maximum rate a physician should safely work in an ER was seeing 1.2 patients per hour. That’s about 40min spent in a patient’s room going through everything and trying to figure out what is wrong. This was deemed appropriate because it’s an emergency and should merit your attention and careful consideration. Now the minimum threshold the company who bought out the hospital demands is 2.7 patients per hour with bonus incentives to see more than 3.5 patients per hour. Not only that but they staff the ER with the expectation that the “incentive” rate will be met or exceeded every hour and if the ER backs up with patients because they can’t meet that rate then it’s the fault of the doctors and nurses, not their staffing model.
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Apr 27, 2024 15:05
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Good Soldier Svejk posted:6.9 magnitude earthquake hit Bonin islands nice bonin
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Apr 27, 2024 15:06
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cops have been dosing arrestees with ketamine for decades now dawg
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Apr 27, 2024 15:07
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Good Citizen posted:https://x.com/discussingfilm/status/1783838550959759518?s=46 I hope they get Ryan Gosling to play “man who tased his balls to death”
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Apr 27, 2024 15:10
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RealityWarCriminal posted:cops have been dosing arrestees with ketamine for decades now dawg Not everywhere, and the example I’m referring to is being done by EMS and they’re using ketamine and fentanyl. The cops are too scared of fentanyl and come in “to get checked out” if it even touches them.
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Apr 27, 2024 15:12
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Apr 27, 2024 15:19
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Good Soldier Svejk posted:6.9 magnitude earthquake hit Bonin islands Ah, I see your mom arrived at the bonin islands
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Apr 27, 2024 15:20
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fentanyl has many positive qualities. for instance, it's fun to use
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Apr 27, 2024 15:22
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Nodelphi posted:Not everywhere, and the example I’m referring to is being done by EMS and they’re using ketamine and fentanyl. The cops are too scared of fentanyl and come in “to get checked out” if it even touches them. eh, I agree with you like 99% but the ED is often a bit blasé about the circumstances we deal with. its easy to say a patient didn’t need sedation when you’re standing in front of them docile as a kitten. meanwhile I had to get them on a stair chair and down three flights of stairs while they’re beating the poo poo out of anyone who gets near them. also lol that the medics didn’t give you guys a complete history—they almost certainly weren’t given one. but yeah oversedation is definitely a problem because medic turnover is ridiculous. it’s a poo poo job with bad hours and not nearly high enough a barrier for entry. I’d argue we shouldn’t exist in a sane society because physicians would be on the ambulance. a lot of this poo poo is regional too. I’ve probably given ketamine ~5 times in 14yrs for chemical restraint on combative patients and all of them *definitely* needed it. otherwise it’s all low dose pain mgmt and DAI induction.
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Apr 27, 2024 15:26
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I'm (for serious) enjoying the doctor talk. Later if we do computer stuff I can talk about how many times I've had to go into somebody's file and add another semicolon 
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Apr 27, 2024 15:30
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Nodelphi posted:It’s totally the lack of staffing and pay driven by private equity and knock on effects from their influence in the industry. hmm...maybe if they hired more staff from over seas to work remotely for less...patients could interact with them at a kiosk...
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Apr 27, 2024 15:33
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coincidentally doctors also sometimes have to go into someone and remove a semicolon
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Apr 27, 2024 15:33
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RealityWarCriminal posted:anyone normal today
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Apr 27, 2024 15:33
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RealityWarCriminal posted:coincidentally doctors also sometimes have to go into someone and remove a semicolon efb
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Apr 27, 2024 15:36
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UFOTacoMan posted:it’s weird how every job that we need to take care of our people/society has not enough workers to do the jobs, seems like some kind of fundamental problem We should hire more management, recruiters, and administrative staff to find a solution to this problem
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Apr 27, 2024 15:36
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RealityWarCriminal posted:anyone normal today no
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Apr 27, 2024 15:36
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titty_baby_ posted:We should hire more management, recruiters, and administrative staff to find a solution to this problem That's right
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Apr 27, 2024 15:38
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titty_baby_ posted:We should hire more management, recruiters, and administrative staff to find a solution to this problem AI is solving this in fact AI is solving everything
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Apr 27, 2024 15:39
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