Joshi @ Joshi @aussie.zone

Clean hands, Cool head, Warm heart.

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Joined

1 yr. ago

To be clear most professors are senior in their field and usually indicates research as well as teaching, I was in a cantankerous mood this morning. But regardless Medicare needs to take access to specialist treatment seriously.

Nationalise the mines and be done with it

Yes, obviously medicare would need to increase the rebate and private insurance fees would necessarily increase(as they would now be actually paying for care rather than acting a a gatekeeping mechanism)

Rebate for a short consult with a specialist is $81.55, a long consult is $236.65.

The title professor indicates that they hold a teaching position and says nothing about their clinical skill. Plenty of specialists take the piss and leverage the title to charge ridiculous fees.

In my experience as a GP a reasonable standard fee for a specialist is around $300 with $80 back from Medicare. So yes the Medicare rebate would need to increase substantially but I doubt more than we will save when AUKUS falls through. It is within the capacity of a government with the right priorities. Also increasing the availability of public specialists would be a good companion policy.

IMO there needs to be some regulation around this, a simple measure would be to tie Medicare payments to a pricing structure(eg. a specialist can only charge the Medicare rebate + 20%).

If a specialist wants to charge more then that's fine but the patient(or insurance) will have to pay the full cost

Exactly, it's counter-productive to blame individuals for doing the best they know how in a broken system.

lemmy.ml is fine

The claim is that it is full of tankies. In fact what you'll find is that instead of a small number of obnoxious teenagers with a liberal world view making obnoxious comments you'll have a small number of obnoxious teenagers with a leftist world view making obnoxious comments.

People also claim that moderation is an issue on some communities, but hey, it's all federated, jump across elsewhere.

Hatred for lemmy.ml is just an echo chamber quirk.

Has anyone ever suggested engaging Chinese companies to help develop Aussie high speed rail. Seems like an obvious option.

I understand there'd be some dog whistling around it but surely there's no actual sovereign threat if we develop local maintenance capacity.

Escalating conflict with someone with delusions of persecution is exactly the wrong thing to do.

Not knowing the system in the UK means I can't give very good specific advice. You may be able to contact a local mental health network and there is a good chance they will know him. Let them know what is going on in as much detail as possible and suggest that he is increasingly agitated and alienating himself from the community. It sounds like this gentleman needs a conpulsory treatment order or whatever the UK equivalent is.

Like every new technology that is hailed as changing everything it is settling into a small handful of niches.

I use a service called Consensus which will unearth relevant academic papers to a specific clinical question, in the past this could be incredibly time consuming.

I also sometimes use a service called Heidi that uses voice recognition to document patient encounters, its quite good for a specific type of visit that suits a rigid template but 90% of my consults i have no idea why they are coming in and for those i find it not much better than writing notes myself.

Obviously for creative work it is near useless.

Why would anyone put pineapple on icecream?

I dislike this idea that government run is bad.

I recently changed my name and had to call several government agencies and found them competent and helpful every time.

I'm a GP, here's my opinion

Can't have eaten/drank anything for the last half hour

• in principle could alter your BP but I wouldn't worry too much unless it's quite a large meal

Feet flat on the floor

• yes, this is important

Lying down but sitting up

• for some purposes docs want lying/sitting/standing but for home measurements do them sitting

Back against the chair

• yes

Don't cross your legs/ankles

• yes, feet flat on the floor

Only use your left arm

• myth, if there is a significant difference between your left and right arms there is something funky going on with your subclavian arteries

Hand facing upward/downward

• not super important

Keep your arm down/raised

• keep your arm relaxed, ideally resting on a table or desk at close to 90deg or hanging straight down

Most important is be relaxed, sit still, don't move your arm, if you get a high reading calm yourself and take it once more then leave it.

When I'm taking a BP in clinic the most important thing I do most of the time is distract the patient from the machine with some patter as for most people the biggest confounding factor is stressing about what the reading will be, I don't correct posture etc unless they are substantially moving their arm around.

I have taken my own BP manually, it ain't easy

Good article.

As an aside I wonder how common it would've been to be communist without being an official member. A lot of people would've had a lot to lose of they were proven to be communist and felt safer without a paper trail.

Not saying that Rosa Parks was necessarily a communist, just as likely she just held common cause.

You're probably talking about the Chinese social credit score, not a replacement for currency but is up and working.

This should be printed and mailed to every registered voter. Thankyou

I think this is true and until we have easily accessible and free mental health services it is the next best option and far more likely to do good than harm.

I keep seeing commentary saying that we shouldn't use the ADF for disaster relief.

We have an organisation full of people with exactly the skills and organisation required that we maintain at great expense and barely use. Can someone give me a sensible explanation why it's not a good idea to use them for disaster response.

On a second note I know for a fact that small scale politics and wasteful spending are endemic in volunteer emergency services. I'm not sure what reform is needed but something certainly is. I'm about to re-enter a volunteer fire brigade for the first time in years so I'm sure I'll be full of opinions in a few months.

Modern guns a extremely precisely engineered devices that are incredibly easy to use, for better or worse. I know modern sporting bows are also but it's no contest in my opinion.

I've shot both, bows as a complete amateur and relatively competent with a rifle. There is no question that a modern gun is way easier to pick up as an amateur and hit what you want to hit and I cannot possibly believe there are anything other than extremely niche uses where a bow is superior.

I'm very much a privacy amateur but am interested in comments on my set up, I'm sure it's not ideal.

I use firstname@lastname.tld for personal email. Anything @lastname.tld forwards to my main email so for the rare occasion I need to access Facebook my account is facebook@lastname.tld and so on for any other untrustworthy sites.

I can easily block emails from a leak or just if unsubscribing is made difficult.