Fluke

joined 1 year ago
[–] Fluke@discuss.online 11 points 8 months ago (2 children)

Your guesses might be right, but most likely you are talking about the questionnaires about your medical history and what's called the "review of systems".

In the US, medicare and most other insurances require those questions be asked every visit, however stupid that feels. Since your doctor may only get 10 minutes face to face with you, most of us will have an assistant or a paper ask those questions, so that we can say it was done but still have as much time as possible to talk about the more meaningful stuff.

Some places do it better than others. Usually, though, the form is hard to follow and photocopied to the point of total illegibility.

[–] Fluke@discuss.online 19 points 8 months ago (9 children)

The best way to fix this is to cancel the appointment if they make you wait. If enough people did this the clinic loses money which should cause change. Unfortunately, patients are largely a captive clientele, having already waited months and canceled work and with few if any alternative providers.

The next best thing is much more realistic. Plaster the internet with reviews complaining of the wait. If your doctor (or more likely your doctor's employer) does not respect your time, let everyone know.

Many of the other comments are also correct. I have worked in clinics in government, military, academic centers, venture capital, physician owned, and even free community health centers, all in the USA. Doctors running late is going to happen. I've kept patients waiting while in the operating room, while telling someone they have cancer or are losing a limb, and by my burnt out underpaid government scheduler incompetently overbooking. I will also tell you that when I have at least a little control over my own schedule, I've never made a patient wait an hour, even with the above happening. It can be done, it just isn't because for decades timeliness has not been a financial incentive.

Make it one. Name and shame on google, yelp, zoc doc, wherever. Do it gracefully and sensitively, recognizing that there is a high chance the delay is not the doctor or nurse's fault. Done right, you'll do them a favor when their employer feels the sting of lost patients.

[–] Fluke@discuss.online 9 points 9 months ago

Here's a sweet video of a similar event in 2022, also taken by Perseverance. The article has some cool details.

https://mars.nasa.gov/news/9172/nasas-perseverance-rover-captures-video-of-solar-eclipse-on-mars/

[–] Fluke@discuss.online 2 points 9 months ago

This is a cool point. I've never thought about that before. It's a very stable environment allowing for efficiency to be selected for in ways that may decrease adaptability.

[–] Fluke@discuss.online 6 points 9 months ago (6 children)

Yeah. Countless examples going both directions. I wouldn't call crocodilians super adaptable, but they are so well tuned for their specific environs that they've been largely unchanged for 94 MILLION years.

I would argue that being warm blooded makes an animal more adaptable. Interestingly, it seems cold blooded reptiles evolved into warm blooded archosaurs which eventually led to cold blooded crocodilians. Tellingly, these active warm blooded ancestors are all extinct in favor of the passive, cold blooded, low adaptability ambush predator.

In the opposite direction, the adaptable rat has done much better than the countless specialized species that have disappeared since the industrial revolution and human explosion.

[–] Fluke@discuss.online 6 points 9 months ago (2 children)

They get eaten

[–] Fluke@discuss.online 7 points 10 months ago

Just want to say this is a quality comment. Thanks. Good points made.

[–] Fluke@discuss.online 3 points 1 year ago* (last edited 1 year ago)

I hadn't heard anything about this. Thanks for posting!

I saw a gray area where I live and wondered if somehow our pollution was low. Turns out that was just clouds. Different picture entirely when they moved.

Edit: changed great typo to gray

[–] Fluke@discuss.online 2 points 1 year ago

The perfect comment doesn't exi....

[–] Fluke@discuss.online 38 points 1 year ago (7 children)

I'll try to list things that aren't in the typical internet echo chamber. Bring on the controversy. These are just my opinions.

50% of the shelf space at the grocery store is just different forms of corn syrup, sometimes with some trans fat mixed in, generationally twisting our idea of what food is in a race to the cheapest, most addictive product.

The only way it's profitable for someone to knock on your door to sell ANYTHING is if they are obscenely inflating the price (think 100-600% markup)

Most supplements, especially expensive ones with TV ads

Dr Scholl's and the goodfeet store

Genuine leather is just about the opposite of what you'd think

Bamboo fabric which is pretty much just a different way to say rayon but is pitched as a revolutionary and environmentally friendly cloth

Most bladeless fans just hide fan blades in the base

Many cleaning products don't do better than diluted soap and water (even for sanitizing) especially the ones with TV ads

Financial planners who are actually financial product salespeople

Most single-purpose kitchen gadgets, especially as-seen-on-TV

The realtors racket: I just paid $30k for an internet posting and mediocre advice

Many personal hygiene products are just repackaging the same two or three active ingredients by the same one or two megacorporations

Essential oils (even ignoring mystical claims) big names charge an order of magnitude higher than they should

[–] Fluke@discuss.online 1 points 1 year ago

I thought your comment was a humorous perspective with maybe some small truth to it. I guess all the down votes say I'm in the minority.

[–] Fluke@discuss.online 24 points 1 year ago (3 children)

The World Health Organization said it was safe up to a certain level. The people in the WHO who said that work for Coca-Cola.

This means we can't rely on the recommendation, and the actual "safe" amount may be much lower than that. The article goes into good depth and gives counterarguments too.

It is important to note that in reality there is no safe amount for a carcinogen. Sometimes a threshold is set to reduce risk to a reasonable amount in necessary workplace exposure or medical treatments.

The truth is, I think we'll all eventually realize any sweetener should be seen as candy, not a thirst quencher.

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