Erk @ Erk @cdda.social

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2 yr. ago

I'll have to be vague to avoid too much specific info, but I have worked in both contexts where I have a full team at my disposal and where I'm just a lone doctor, and I agree wholeheartedly we need the team. Best if it's under the same roof. It isn't necessary for every patient but for the people who need it it makes a huge difference.

If it helps, many provinces have been trying to push something like that for a long time, but there are an entire host of problems that go along with getting it rolling. BC's interprofessional team systems are sort of that, but they're weak.

Depending on the thing you're discussing, it sounds like your doctor referred you to a person who they felt would be appropriate for the request you had, so in general I'd say that's kind of a harsh summary. We can't be trained in all the things at all the times.

In the case of antibiotics and probiotics for chronic conditions in particular, there is - and I cannot understate this - an unbelievable amount of woo and misinformation around that topic. That isn't to say your specific concern falls in there, but I can understand why some docs feel overwhelmed with it. We get flooded with an incredible amount of pseudoscience in that specific domain, and it takes a huge amount of work to sort through what's real and what isn't.

"Under my window alone I've had a shootout — guns blazing between cars. So my understanding is you'll have benches in the middle of the street and people can gather. It's not a great place between Amsterdam and Broadway to open up to the nefarious folks, you know."

God this is frustrating. Literally sees problems happening with the cars and somehow assumes it will be worse without the cars.

Yeah. A common argument against bike lanes in my city is that "nobody bikes", and people don't understand that nobody bikes because we have to bike alongside their murder boxes.

Frankly as a doc myself, I'd sort of rather my patients see a naturopath if they have to choose one. I'm not a fan of either but at least I know the local naturopaths will provide a nice listening ear, while the chiropractors just seem to do everything they can to actively hurt people.

It might attract fruit flies but if it's like my compost it might be too hot for them. Compost shouldn't include a lot of the things that attract larger house flies.

My compost occasionally gets crowds of flying bugs but it's not a normal feature and usually means i need to tend to it some way or another.

It's not really about Activision being bought though, it's about Microsoft buying them.

We're not substantially better on this front.

It's strange to note that if Google had just casually worked on the feature, started gradually integrating it with YouTube etc, they might have beat insta to the punch and also really capitalized on Facebook hate. Instead they made one massive marketing blunder after another.

I remember. It became a less reasonable structure with the advent of digital piracy though, and it's just nonsensical nowm

These don't end bullshit work though. They just mean that I am doing it myself, but still paying the same price for my groceries.

If I got a discount for doing the self checkout, since the company isn't paying a cashier, maybe it would be another story, but what they're actually doing is saving money on labour and passing those savings onto themselves.

Around for twenty odd years and the experience hasn't noticeably improved in that time. I act like a neophyte on self checkout because I refuse to use it unless forced.

There's such a weird attitude around release of old material. Why can't Disney+ show the star wars theatrical release? Why won't Nintendo sell their old titles? The only possible outcome is that people get what they want and give the company cash. It's bizarre.

Nah. That's what Local is for

Yeah I'll second that one. A fungating tumour almost made me throw up once, I don't normally react to smells at all

Huh, I see a lot of horrifying diabetic foot wounds, and I've honestly been surprised by how relatively odourless they are compared to more acute abscessing wounds.

My set point might just be off. My patient population is, uh, pungent at the best of times... Most of them are homeless or close to, and hygeine is just not something they can prioritize.

I saw, and smelled, things in my medical student days that are just best not explored too deeply online. There are holes, abscesses that form in dark places, abscesses that fill with things, and age, and rot. There are things that can make even experienced colorectal surgeons get a bit queasy. The details are best left unspoken.

I had been an advocate of getting just an ordinary person to do the first Lemmy ama but apparently we've got an absolute legend.

Have you ever had a favourite reference to your joke come up?

All matrix is to me is a classic late nineties action sci fi movie.

IRC is hugely flawed but also, I miss it. Could we have a federated discord? It'd basically be irc but easier to find stuff right?