[-] Griseowulfin@beehaw.org 15 points 1 month ago

Lol. I can tell you if you asked doctors what the biggest problem in their clinic, it's the EMR. I can say this myself, I've been in healthcare for a while in various roles, and i'm not to far off from graduating as a physician.

To find out what happened overnight to a patient, I have to sift through pages of computer generated junk to find just a few things. It's even worse in clinic, if I want to read what happened last time a patient was here, I have to sift through a note that is 50% auto generated lists of stuff to find what I really need to know: what the last doctor said the plan was for today.

They mention inbasket messages, and that's a huge issue. Now with the rise of patient portals, patients would message now for something that previously was a visit. Only recently has there been ways to recoup this cost (not that this is appealing to most patients, who see it as nickel and diming, though I empathize, I never can get to talk to a nurse/MA at my own family doc's clinic either).

Doctors are swamped, most of the day is charting, ultimately to appease insurance companies so that we get paid. If you're slotted for a 15 minute visit, and I'm not out after 10 minutes, I'm going to be late to every appointment until lunch or close, then I'll spend time at home finishing up notes and paperwork (prior auths, refilling meds, replying to messages from nurses and other clinic staff). Ultimately, for what good our regulation of healthcare has brought in the US, it remains that it is regulatory capture nonetheless. Healthcare orgs are quickly conglomerating, so the hospital, clinic, pharmacy, and insurance company are all owned by the same company. At the loss of good patient care, doctors are being removed from the equation, care is being fragmented and compartmentalized in a lot of aspects and less of our time in the day is available for patients.

What they call burnout, really is moral injury. People who go into healthcare do it because at some level, they want to help people. It really sucks when you realize 90% of your day is screwing with a computer system that seems to be diametrically opposed to letting you do your job.

[-] Griseowulfin@beehaw.org 6 points 10 months ago

Ultimately this a definition issue, and is philosophical more than scientific. I have no doubt he's a great neuroscientist, but it's really not a great take. I think that the whole idea of neurochemistry cascading into the decisions we make doesn't mean we don't have the ability to choose within our neurochemical makeup. I think it definitely pushing a good point in that the root causes of our behavior, especially anti-social behavior, is possibly addressable in how we support and raise our kids.

[-] Griseowulfin@beehaw.org 8 points 1 year ago

Interesting findings. I think it's interesting that the decline in religiosity seems to be more lack of trust in religious institutions, rather than just non-belief. I'm curious how this will affect organized religions. It seems religion is becoming more personal, with less of a social aspect, for better or worse.

[-] Griseowulfin@beehaw.org 6 points 1 year ago

I think the core of this is the hurtful aspects of gender roles men and boys face about how to handle and express emotions creates the situation of increased suicidality. Yeah firearms access is going to enable suicidal people to act upon their ideation, but taking it away just leaves you with a depressed/anxious guy, who doesn't have the knowledge or resources to overcome his negative emotions. I'm not saying this in a "it's a mental health issue not a gun issue" way, but society really normalizes the ignorance of mens' emotions and for men to not build support for managing their emotions, be it intimate friendships, healthcare resources, healthy expression of emotions.

I think it's good topic to bring up, because there's a lot of things leading to men not doing too well, and I think it'd be dumb to ignore it, given the rise of acts of violence we've seen in the past decade from men who really feel disconnected or disillusioned with society. Finding out what we can do to help men cope with hardship in a more productive way, and ultimately address the root causes of the issues they face can improve things for men, as well as everyone in society.

[-] Griseowulfin@beehaw.org 9 points 1 year ago

I think the best protocol is report the bad actor, not engaging with them (especially inserting yourself into a situation you're not already in), working on personal tolerance for verbal abuse and tactics for healthily managing feelings that come with getting bullied, and ultimately knowing when to remove yourself from a situation when it's not beneficial for you any longer.

Remember that online harassment that you speak of generally falls under trolling. Trolls do things "For the lulz". Their goal is to entertain themselves by getting other people mad, sad, upset, or making a scene. If you don't take the bait, you can minimize the benefit they get out of trolling.

Getting familiar with privacy/safety settings on site you frequent is important for addressing targeted harassment.

To address your question, I don't know if showing a victim that someone cares is necessarily what ALL victims might want, you are just some random anonymous user to them. They may just want to not talk to people, or to talk to people they trust. Recognizing boundaries is important, especially when someone has been the victim of someone trashing those boundaries through harassment.

[-] Griseowulfin@beehaw.org 8 points 1 year ago* (last edited 1 year ago)

The weasel word in all this is “overweight (but not obese)”. This is because obesity is definitely associated with diabetes, heart disease, stroke, sleep apnea and the sequelae of these diseases. Excess fat in our body, glucose in our blood, and weight on our skeleton taxes the body and that will have consequences.

I think we are in a new era for how we see and treat obesity, with better understanding of how it affects us individually and societally, with more tools to tackle it. As such, we should not downplay the importance of weight in a person’s health.

Articles like this really don’t give a full picture of clinical decision making and the job of a physician to make high level research accessible to the patient (which involves simplifying things lots of the time). This leaves us with a headline that makes the public think that doctors don’t know about obesity, which simply is not true. It’s just that the nuance isn’t as big of a deal as this author makes it seem.

[-] Griseowulfin@beehaw.org 22 points 1 year ago

I’m in medicine, and one of the biggest issues I see in my field, as well as science in general, is a lack of ethics and cultural understanding. The humanities give context for scientific findings, and guide us in the research process. Without it, we wind up with the Tuskegee trials or Nazi medicine. The same sort of things can happen in tech (privacy, security, wellbeing) and engineering (safety, integrity).

Humanities aren’t a waste of money. They broaden your knowledge of our world and the people in it. Maybe you don’t have interest in art or history, but law, ethics (or other areas of philosophy), and sociology all can help a person be more well-rounded.

[-] Griseowulfin@beehaw.org 43 points 1 year ago

I think a big part of it is the mindset that college education should train you to do a job, rather than provide a knowledge based on which job-specific training can be built upon. I think this is dually precipitated by employers not investing in training/educating their employees anymore, and outsourcing that cost to the employee, but also the issue of students who throw a fit about taking class X because they're going for a degree in Y (I see this a lot with science/engineering majors when having to take classes in the humanities).

[-] Griseowulfin@beehaw.org 6 points 1 year ago

Well the EFF defends internet expression and communications interests for users, even when it’s a shitty cause. Kinda like how the ACLU has defended Klansmen and similar groups. They generally believe the right to freedom of speech and expression is absolute, and if speech isthreatened for one group, it sets a precedent for other groups to be threatened too.

[-] Griseowulfin@beehaw.org 9 points 1 year ago

It sits on the edge of the concept of informed consent in the realm of things like SaaS and copyright. Obviously doctors wouldn't hold her down and pull it out, but obviously it probably was not useful to leave in. I wonder if there was a contract stating it had to be removed upon demand, like at the end of a trial or the bankruptcy that occurred. It's something that we're going to likely see in the future, as medical technology starts using computers to actively treat disorders.

67

A study in JAMA Pediatrics found a relationship between screen time as a baby and developmental delays as a toddler. This draws more ground to further investigate the health effects of electronics usage by children and what types of media have detrimental effects on development.

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HeLa cells have changed the field of medicine and have led to multitudes of life saving innovations. Unfortunately, the donor, Henrietta Lacks, did not consent to the harvesting of the cell line, and until now, her and her family have not received compensation from companies that profited from products tested and designed with the HeLa cell line. Her family reached a settlement with the company that maintains the cell line for the industry.

[-] Griseowulfin@beehaw.org 6 points 1 year ago

Hobby stores and websites have melt and pour soap that you can melt in a mixing bowl, add fragrance and color, then pour it into a mold and let cool. The beauty bars you can often buy at the store (dove, irish spring, etc.) are made with detergents, and don't often react well to trying to melt them, the stuff made to be melting has extra glycerin to help it melt down and harden without getting nasty.

Brambleberry is where I buy my soap supplies. They also have guides and youtube tutorials/Q&A vids. https://www.brambleberry.com/

Making soap is fun! The easiest thing would be some melt and pour, and fragrance oils and a cheap bowl and loaf pan from Walmart or the dollar store.

[-] Griseowulfin@beehaw.org 14 points 1 year ago

I think this is a good step given the climate on women’s reproductive health currently. I am apprehensive that it will be treated as a “lazy” contraceptive instead of getting combo OCPs and follow up with a physician. This type of drug is extremely narrow in dosing, in that you can get pregnant if you miss your dose by an hour or two. It also opens up the opportunity for a woman to taken it without needing a doctor, which is good for those who don’t have east access to a family doc or OB. However, given the stats in the article(that most women prefer OTC due to convenience), I think it further enables people to avoid developing a relationship with a physician for primary and preventative care. I worry we might see some accidental pregnancies and maybe some negative health outcomes secondary to people not seeing a doctor every so often for their birth control.

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I share this as a tonic to a lot of the discourse I see online from people exasperated at the negative changes we bring to our environment as humans. I have met many people who feel that humans are inherently destructive to the environment as well.

I think a separation from wildlife due to urbanization might have something to do with idea that humans are above or separate from nature. I feel picking up hobbies like gardening and hunting were important for reminding me of my presence as a part of the natural world (This might be one upside to COVID, given everyone I know started gardening and raising plants. Ha.).

I think the statement from the article encouraging locals to be included in the stewardship of natural resources is incredibly important. Especially in the US, where lots of our undisturbed land is owned by the Interior department or the states, many times, regional natives often have insight that can be beneficial for the landscape (ex. California allowing Indian tribes to conduct controlled burns as a means for preventing wildfires).

I just hope that this article can renew optimism for some, given the bleak things that we see weekly in the news regarding the environment and nature, that we can exist within nature without our actions (including modification) being bad. It's too easy to feel that we're just doomed and that nothing we do can be good for us or the rest of our ecosystem.

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Over a year since the school shooting in Uvalde, TX, a judge has ordered Texas Dept. of Public Safety to release records related to the response to the incident by the agency. This comes after a lawsuit led by multiple media organizations, claiming DPS was illegally withholding records against the Texas Public Information Act.

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The article gives a short discussion about the use of traditional therapy terms in everyday parlance. They describe it like someone is acting like human resources when communication about relationships, or is making semi-diagnostic statements about someone's behavior.

I worry that this follows the trend of medicalization of normal(rather, non-pathological) behavior, feelings, and thoughts. It replaces the interaction and introspection of a relationship via communication with diagnosis and management of some "problem". I feel it can make a relationship feel transactional by attempting to avoid investigating the feelings and emotions of both parties. Emotion and feeling are an important and expected part of a friendship (even to a minor extent in less "deep" relationships), or at least can be discussed and explored without a clinical mindset.

Therapy speak, as it appears in non-therapeutic enviroments like Tik-Tok, support groups/forums, and other online forums can lead to misunderstandings about mental health and therapy, maladaptive coping, and misinformation about mental and emotional health.

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Griseowulfin

joined 1 year ago