If I’m a medical student (soon to be physician), am I really just stuck with Wizard? I do a lot of emergency medicine stuff and CPR is straight up necromancy, but I don’t recall necromancer being a class. (it has been a hot minute since I’ve gotten to play D&D)
Edit: I’m completely braindead outside of medicine these days. Necromancer is a Wizard subclass. Time to go find a fancy hat I suppose.
Oh, I forgot for OB/Gyn: GOOP and “Natural Birth Midwives”
I think this is a good idea. I’m not sure what time interval to use (ie weekly, bi-weekly, monthly)
You need the chicken to be 165F or 74C to be food safe. It takes a long time to cook at 100-200C because the heat is being transferred much slower. If we’re using this instant slap-based cooking method, it only needs to get to the food safe temperature.
Using the OP’s calculations and a cooked temperature of 74C:
It would take 8315 average slaps
or
A slap at around 813m/s or 1819mph.
*Edit for a correction to the second calculation (it still might be wrong), also, I rounded the numbers to whole integers.
The issue is that the title of the story implies that it was entirely due to the organism that the Irish people suffered so many deaths. Context matters and they framed this in the worst way possible.
The Irish people were growing tons of crops besides potatoes, but the British landlords took everything besides the potatoes as cash crops/taxes, leaving them only the potatoes to actually eat. There was more than enough food to prevent those deaths, but the Irish people weren’t allowed to eat it.
This is correct. Amlodipine is very effective as a blood pressure medication, but it doesn’t get through the blood-brain barrier which is one of the biggest hurdles for any psychiatric or neurologic medication. There’s an entire special sub-type of brain cells that control what actually makes it out of the blood and to the neurons and getting things past that barrier is quite difficult.
One of my favorite characters I’ve ever had fits perfectly into #15. She was a tiny goblin that was on a quest to collect as many skulls as possible and had a sheep that she won in a contest as her steed. (She was about 2.5 feet tall and the rest of the party was human-sized or larger, so I had to roll endurance checks to keep up with them sometimes if we were traveling a long distance.)
The crossovers between veterinary medicine and pediatric medicine are a lot more significant than most people like to think about. The Venn diagram isn’t a perfect circle…but it’s close.
There’s special kinds of short-term Medicaid for emergency room treatment and associated hospitalization. And they can’t deny a resuscitation as “not medically necessary”.
Preventative care is DIRT CHEAP compared to any treatment or management of any condition.
This is one of the reasons I want to be a night shift emergency medicine physician. No one is calling me at 2 in the morning to argue with me running a code for insurance reasons.
I don’t think the poor people have empathy for rich people, rather I think it’s a jealousy problem or a self-serving attitude. They’re convinced that they’ll hit it big one day and they don’t want to pay a bunch of taxes when they’re the billionaire. It’s this perversion of the American dream in which people think of themselves as “temporarily disgraced m/billionaires” and of course they’re going to become fabulously wealthy…somehow…any day now…
In line with what you are saying, I believe that it should be a centerpiece of the current conversation to address the “just world theory”, especially in the context of corporate-managed healthcare. For Luigi, and for any human walking around in America today, we’re one bad/unlucky injury away from ending up in the “discard pile”, especially if our insurance drags their heels and uses the Deny, Delay, Defend playbook. In the “just world theory”, there’s some unconscious belief that people are disabled or damaged or broken or wrong (in the eyes of a heavily discriminatory society) deserved it somehow, and if one is virtuous enough, eats a good diet, gets exercise, etc etc…that won’t happen to them.
This is a perfect case study. Luigi was probably pretty comfortable and pretty insulated from the hell that is the corporate healthcare system in America…until he had an unlucky injury that changed his life forever. You don’t even have to be doing something vaguely risky like surfing. You can end up with a severe injury that will leave you in chronic, unbearable pain for the rest of your life if some drunk driver runs a red light and slams into your car. There are some absolutely revolting people who will then spout some nonsense about your misery and pain being “part of God’s plan”, but they’d probably change their tune once it’s their spine being bolted back together.
Empathy is a scarce commodity these days, and we’re going to need to foster the growth of a whole hell of a lot more of it if we want to keep this spark alive.
Here’s a link to the most credible version of the manifesto we have: https://www.kenklippenstein.com/p/luigis-manifesto
Ken Klippenstein is a very reliable journalist and this version contains the snippets that have been released by law enforcement. Also, considering the thing was hand-written, that very long version involving his mom is dubious. (And there’s not any good evidence that his mom is in anything besides decent/good health)
For me, it’s not the professional reputation, but the second that kind of thing gets tagged onto a patient’s chart, it becomes extremely hard to expunge. There are a lot of patients with mental illnesses (some which are misdiagnoses) that face significant problems because of that diagnosis. If a chart gets flagged with “homicidal ideation” at any point, that patient will forever be flagged as dangerous and people will be suspicious of them immediately.
You have to make a report if the patient expresses homicidal ideation, intent, and a plan with a specific target or targets in mind. If the target is a particular person (like a partner or friend) you are supposed to notify that person directly or ensure that the police notify them.
Establishing any kind of precedent that chronic pain = homicidal ideation and intent is an extremely bad idea, and not something I’m even willing to joke about.
Unfortunately, that would end up under the Tarasoff precedent and we would be required by law to report it to police and the intended target. There’s better ways to weasel around this when filing insurance paperwork, but we’ll have to have a designated person in the clinic whose job it is to fight with the insurance companies.
That was after she charged at the guy with the intent to punch him. Dude was tackled by security for his own safety.