[-] godzillabacter@lemmy.world 46 points 2 months ago

Am doctor. Outside of very rare and specific causes of headache, no this wouldn't fix anything, just put you at risk for infections.

[-] godzillabacter@lemmy.world 26 points 9 months ago

Well they don't eat it to get it off of the baby. While I'm not a vet or a zoologist, my understanding is they eat it for the nutrients as well as to help remove the scent, and newborn animals are easy prey and targeted by predators.

[-] godzillabacter@lemmy.world 184 points 9 months ago

This is an alternative birth method called "lotus birth" or more formally "umbilical non-severance" in which babies are left tethered to the delivered placenta until their cord desiccates and detaches from their body on its own, usually in 3-10 days, while applying salt to the placenta to increase the speed at which it dries. It will eventually fall off, however, after its delivery the placenta is no longer being supplied with the oxygenated blood it needs to survive, and becomes necrotic (dead). This can act as an easy entry point for infectious organisms to enter the neonate, and can result in life-threatening infections. Neither the American College of Obstetrics or the American Academy of Pediatrics have explicit guidance statements as to whether this should be recommended against. AAP has published that there have been multiple case reports of severe infections with various bacteria secondary to this practice.

This should not be confused/conflated with Delayed Cord Clamping, which is waiting 30-60 seconds after the baby's delivery for some of the residual fetal blood in the placenta to be delivered to the baby's circulation to prevent anemia. This has good evidence for benefit to the baby, is recommended by ACOG, and is basically standard of care in the US.

Source: ACOG and AAP publications, also I'm a 4th year medical student that has completed OBGYN rotations

8

cross-posted from: https://lemmy.world/post/11298431

I've been a DM for about 3 years, and have predominantly run one-shots and short campaigns in DnD5e and PF2e. I have a player who persistently builds primary caster based characters, but then won't do anything in combat but "I stab it with my dagger." They rarely use cantrips, and basically won't cast a leveled spell unless I suggest it immediately before their turn. They seem to enjoy playing despite the fact that they're far too squishy to be a front-line melee character and don't utilize most of their class features. I've talked with them explicitly about how their play style seems to be discordant with the kind of play they want to do, and that maybe next time they should try a paladin/champion or a fighter/rougue subclass with some minor casting. They agreed at the time that sounded like a good idea, but low and behold showed up to the next one-shot with a primary caster, and over 3 hours of play and 3 combats never cast a single spell, including a cantrip.

I enjoy playing with this persons as a whole. They are engaged in the fiction, and are particularly engaged during exploration activities. They tell me they also find combat quite fun, and they are requesting I run a mega dungeon in the near future.

As a general rule, I like to let people play how they have the most fun, but issues have arisen with this play style. Namely, all of my TPKs have been associated with this player charging a squishy character directly up to a significantly stronger villain and continuing to stab it with a dagger until they went down, significantly hindering the party in the action economy and resulting in a TPK. I feel I have to intentionally weaken all of my encounters to keep the party feasible in the face of such mechanically poor combat choices.

What else can I do to help drive this individual towards melee builds, and/or help encourage them to change their play style to better suite the caster classes they choose?

49
submitted 9 months ago by godzillabacter@lemmy.world to c/dnd@lemmy.world

I've been a DM for about 3 years, and have predominantly run one-shots and short campaigns in DnD5e and PF2e. I have a player who persistently builds primary caster based characters, but then won't do anything in combat but "I stab it with my dagger." They rarely use cantrips, and basically won't cast a leveled spell unless I suggest it immediately before their turn. They seem to enjoy playing despite the fact that they're far too squishy to be a front-line melee character and don't utilize most of their class features. I've talked with them explicitly about how their play style seems to be discordant with the kind of play they want to do, and that maybe next time they should try a paladin/champion or a fighter/rougue subclass with some minor casting. They agreed at the time that sounded like a good idea, but low and behold showed up to the next one-shot with a primary caster, and over 3 hours of play and 3 combats never cast a single spell, including a cantrip.

I enjoy playing with this persons as a whole. They are engaged in the fiction, and are particularly engaged during exploration activities. They tell me they also find combat quite fun, and they are requesting I run a mega dungeon in the near future.

As a general rule, I like to let people play how they have the most fun, but issues have arisen with this play style. Namely, all of my TPKs have been associated with this player charging a squishy character directly up to a significantly stronger villain and continuing to stab it with a dagger until they went down, significantly hindering the party in the action economy and resulting in a TPK. I feel I have to intentionally weaken all of my encounters to keep the party feasible in the face of such mechanically poor combat choices.

What else can I do to help drive this individual towards melee builds, and/or help encourage them to change their play style to better suite the caster classes they choose?

[-] godzillabacter@lemmy.world 40 points 9 months ago

It's so funny because it is criminal activity for regular non-corporation people. Transferring assets to family/hiding assets for the purposes of declaring bankruptcy but not losing the assets is illegal. Functionally identical to what is going on here, except they're somehow transferring the liability instead of the assets.

[-] godzillabacter@lemmy.world 33 points 9 months ago

I mean if the only way they're gonna have jobs is through predatory hiring practices that could leave them fired and without severance, then yeah. Because if the company is planning on hiring these younger workers for the long-haul, then this shouldn't be a significant change. I think overall national policy should discourage unnecessary high-turnover and predatory hiring. I'm sure there will be situations this is still unavoidable, but that doesn't mean we have to endorse it by way of law/policy.

[-] godzillabacter@lemmy.world 63 points 9 months ago

I'm going to digress from the economics a tad and focus on the ethics of this. I feel like companies should be on the hook for this. You should invest in capital (including human labor) based on your confidence in its expected return. Companies should not be able to hire a myriad of workers for funzies and not have to meaningfully consider if that person will be necessary in 6 months. If it is a legitimate business venture, then the cost of potential severance for new hires should be folded into the economics of the decision to pursue that venture. Larger severance pay/worker protections encourage employers to not utilize exploitative hiring practices.

[-] godzillabacter@lemmy.world 34 points 10 months ago

EMS communication over unencrypted channels is limited by HIPAA, patient information must be kept vague to protect patient privacy. In the event that, say, an individuals name needs to be given to the receiving facility to facilitate review of records prior to arrival by the ER physician, some other method of communication has to be used.

[-] godzillabacter@lemmy.world 88 points 10 months ago* (last edited 10 months ago)

You know I felt this way for years. I felt that way through psychopharmacology in pharmacy school, and I felt that way during our psychiatry and behavior lectures in medical school. I felt like psychiatry was minimizing behavior to these boxes was far too reductionist. Then I spent a month in an inpatient psychiatry facility as a third year medical student.

While I completely agree that each individual is unique and people are more than their diagnosis, you'd be absolutely shocked by just how similar patients' overall stories, maladaptive coping mechanisms, and behaviors are within the same psychiatric illness. I can spot mania from a doorway, and it takes less than five minutes to have a high suspicion for borderline personality disorder. These classifications aren't some arbitrary grouping of symptoms: they're an attempt to create standard criteria for a relatively well preserved set of phenotypic behaviors. The hard part is understanding pathology vs culturally appropriate behavior in cultures you don't belong, and differentiating within illness spectra (Bipolar I vs II; schizophrenia vs bipolar disorder with psychotic features vs schizoaffective)

[-] godzillabacter@lemmy.world 28 points 11 months ago

If you were somewhere else you could use MakeMKV to break the region lock/DRM on the disc and give you playable files. Unfortunately, within the USA (depending on who you ask) cracking DRM is illegal. Though I am not aware of anyone ever being prosecuted for breaking DRM on discs for personal use copies of media they legally own. IANAL

[-] godzillabacter@lemmy.world 26 points 11 months ago

I think the point is more so why are digital purchased DRM'ed and prohibited from local storage in so many ways. The historical argument is "well you're not buying it, you're buying a license to use it for as long as we wish to provide it", but why does it necessarily need to be that way. And more generally, from the standpoint of artistic/media preservation, as BluRay releases continue to decrease and console video game releases become continually more digital-only, these non-archivable or locked-without-server-license-validation media results in IP that at some point in time, this media could be permanently lost.

Personally, I feel this is unacceptable. The media we consume forms a huge portion of our culture, and is just as much an example of artistic expression as painting. While I thoroughly believe artists/companies should be able to charge for these properties, I do not believe that when it is no longer profitable for them to support the system, that these pieces of media should simply be discarded with no method for future recovery and preservation.

[-] godzillabacter@lemmy.world 39 points 1 year ago

Pharmacist and 4th year medical student here. Medical tests are ordered based upon their statistical ability to alter your likelihood of a diagnosis. No test is perfect in either direction (negative result meaning you don't have disease or positive result indicating you have disease). Tests cost money, take resources of the healthcare system, and have the potential to be wrong. When a test is wrong, it can result in financial, emotional, and physical harm to an individual.

Example: you're an otherwise healthy 34 year old and you feel a little under the weather and are coughing. It's only been going on a few days, mild fever, but you're worried and you go to the doctor. Your doctor thinks this is most likely a viral infection, recommends Tylenol and ibuprofen and sends you home. You imply to the doctor you'll sue if you don't get antibiotics and a chest x-ray just to be safe. The doctor, rather than argue with you when they have a dozen other patients to see, just orders the stuff and moves on. The chest X ray doesn't explain your cough, but there's a small lesion of undetermined significance on the X-ray. Now you need a CT. The CT says "probably a self-limited granuloma from a fungal infection, can't rule out cancer, correlate with biopsy". Then you have to go get sedated, put a camera down your throat, and have a pulmonologist take a sample of your lung to see if you have cancer. Maybe you end up with a complication from the sedation or a pneumothorax. Meanwhile the antibiotics you took didn't really improve your cough but now you have this uncomfortable itchy rash. Are you allergic to the amoxicillin? Or did you just develop the typical rash seen in people who have mononucleosis that also take amoxicillin? Will you get allergy testing for the amoxicillin? Just avoid amoxicillin, an awesome antibiotic, for the rest of your life?

We are restrictive in our prescribing of medications and tests not because we don't care about you, not because we want to save the hospital or the insurance company money (in fact the hospital prefers we order more things because they make money on testing). We are restrictive because we want to maximize benefit while minimizing risk, and everything we do has risks and benefits.

[-] godzillabacter@lemmy.world 39 points 1 year ago

You mentioned trying board games, any interest in TTRPGs like Dungeons and Dragons and the like? The game is basically designed to forge friendships. If you or your partner is willing to learn to be the Dungeon Master, you'll have no trouble finding players, in fact you may have so many interested individuals you have to do brief interviews lol.

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godzillabacter

joined 1 year ago