AmiableSharpen

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AmiableSharpen

AmiableSharpen

@AmiableSharpen

Rude comments blocked without comment. No endorsement of rare retweets

Katılım Ağustos 2009
1.2K Takip Edilen203 Takipçiler
AmiableSharpen
AmiableSharpen@AmiableSharpen·
@TheTopRepost So did you already have a contractors license, worker's compensation insurance (for yourself), and bonding? In California, it's an onerous process I think - can't just set out a shingle - 4 years apprenticeship servitude, exams, fees, etc
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Dean 🇺🇸
Dean 🇺🇸@TheTopRepost·
I have a whole lot of new friends on here following, so I thought id share my story up to this point. - Dec of 2025, I was laid off from my construction/remodeling job - For the next 2 months I applied to 38 jobs, got 2 interviews, no calls back. - Bills were piling up, I had to do something, so I started to do odd jobs here and there to bring in some $$ - March rolls around and I made the decision to stop applying to jobs, and give myself a company name and LLC. - I made business cards, networked on socials, borrowed some tools from friends, and started services around my area. - I received TREMENDOUS support from the X community (who I could never thank enough) and their donations to my GiveSendGo!!! - I started to gain traction, word of mouth traveled fast, some elderly people I did work for referred me to others and it snowballed. - As of today, almost 5 months after being laid off, I'm booked out 3 weeks with work, I have an enclosed trailer, a dump trailer, all the tools I need and a part time helper to get jobs done. - ARE YOU READY FOR ONE OF THE BEST PARTS?? The company who laid me off has contracted my company to do subcontracting work for them on projects (started a few weeks ago)!! Don't ever give up in life. If there's not a path in front of you and you think you're stuck, that's crap. Make your own path. It might not be easy, but when you look back at the path you've created, you'll be glad you did.
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@GaltMD @jasonryanmd Don't you think this promotes anchoring of a (possibly incorrect) diagnostic impression? Tell it like a detective story - start with the key facts (what happened + relevant clues) engage the listener. Boring to hear the outcome right off then defend it.
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Julian Galt, MD
Julian Galt, MD@GaltMD·
My preference too is for the student or resident not to bury the lede. I like APSO instead of SOAP. Give me exactly your opener and then the next sentence should be “I think they have X and here’s why” Then present the info to me to substantiate your impression and we’ll see if I agree with it. I usually prefer senior residents who I already trust to present this way. I am happy to have younger students or residents present more traditionally, but with your modification.
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Jason Ryan
Jason Ryan@jasonryanmd·
Most common med student presentation mistake I see: The opening sentence when presenting a patient should give the patient’s age, gender and why they are being seen but NOTHING more. Leave the other stuff out until after you orient the listener to why the patient is there. Good: “53yom here with chest pain” “82yof day 3 post op” After this you can fill in details and the listener is oriented as you speak. Bad: “60yom with h/o HTN, diabetes, prior hip fracture, BPH, ED, anxiety, family history of colon CA who now comes in because of chest pain.” The listener has no idea which parts of that PMH matter most until you say why the patient is being seen.
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@MikeBales "There never seems to be enough time to do the things you want to do once you find them"
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Pacific Legal 🗡⚖️
Pacific Legal 🗡⚖️@PacificLegal·
BREAKING: The California Supreme Court just unanimously ruled that the California Coastal Commission unlawfully overrode a county-approved building permit — one of the most significant checks on the Commission's power in the 40 years since Nollan v. CCC.
Pacific Legal 🗡⚖️ tweet media
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
This is needed - the current system of rural medicine healthcare drought is unacceptable. Telehealth could help -- if done properly. Be prepared - local medical monopolists will object using all kinds of plausible sounding excuses which boil down to 'competition'
Brian Hasselfeld@brianhasselfeld

@StuartBlitz @StuartBlitz in all seriousness, check out the work we’re doing at Hopkins with the American Telemedicine Association on licensure innovation! hopkinsmedicine.org/telemedicine/s…

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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@FrankRundatz @turshija @maietta The scam is this AI generated thread: Claims to be doing code security work but stores passwords in his chrome browser, runs code on bare metal, we all read to the point he tells the code not to run. THIS thread was the scam!
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Frank Rundatz
Frank Rundatz@FrankRundatz·
I get sucked in every time I read one of these, “I’m a software engineer and don’t fall for scams but I fell for this sophisticated scam!” I start reading it thinking it will be an actual sophisticated scam that software engineers will fall for. Every time I’m left thinking, “who would fall for that?” Every time.
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Turshija
Turshija@turshija·
I got completely owned by the most sophisticated hack I've ever encountered. I'm a developer. I know what scams look like. This didn't look like one. 🧵
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@mastermindess When you can measure pain objectively, come back and compare male & female pain -- until then, this study just reproduces what we all know already.
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
1000x's YES! Hint: It's the system, not the physicians.
Andrew J Sauer MD@AndrewJSauer

I do not understand all the doctor-hating that seems to fill so much space online. I say that as a physician, yes. And also as someone who has now been on the other side of the bedrail. Of course, there are bad doctors. No profession is exempt from that. But the worst examples often consume all the attention, and in doing so, they can obscure something deeply true: great doctors bring hope, healing, and restoration into people’s lives every single day. I know that differently now. When I was the patient, lying on the ground with a shattered kneecap, staring at imaging that showed my patella in pieces, watching my knee fill with blood, feeling pain that seemed impossible to control, and fearing I might never walk normally again, I was not thinking about abstractions. I was thinking about disability. About loss. About whether life and physical ability, as I knew them, had just changed forever. Then I met the surgeon who reconstructed my knee. I will never forget Archie Heddings. He showed me the images and explained exactly what he would do. Piece by piece, he walked me through how he would reconstruct what had been broken. Screws. Tape. Sutures. Precision. Skill. Calm. He was quietly confident, never overstated. At one point I just bluntly asked, “Doc, can you fix this?” He looked at me, nodded calmly, and said, “Andrew, this is what I do. I fix broken, smashed stuff every day, all day. I will do my job, and you do your job with PT. You will walk, run, ski, and hike again.” That moment brought tears to my eyes. It also brought hope back into my soul. He booked the OR for the next day. Now, just 14 weeks after surgery, I am back seeing patients. During my last week rounding in the hospital, I climbed 160 flights of stairs. I can flex my knee to 130 degrees. I am not all the way back yet, but I am back in motion, back in purpose, and back in my life as a father and giving back to my patients and the world around me as best as I can. My surgeon is not God. But I will say this without hesitation: through his hands, his judgment, his training, and his care, he changed the trajectory of my life. So, when I hear sweeping contempt for doctors, I think now about moments like this. And it is much more personal. Sometimes the people who speak most dismissively about physicians have simply never had their moment yet, the moment when they are scared, hurting, vulnerable, and utterly dependent on someone with the training and courage to do what almost no one else can do. When that moment comes, they may understand. Doctors can do far more than treat disease or repair injury. Sometimes, they give people their lives back. Tell your doctor you appreciate him or her. A simple genuine thank you will really make a difference.

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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@MOSSADil North Korea has hackers - stealing crypto. Iran likely has them too - manipulating algorithms, reporting negative posts.
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Mossad Commentary
Mossad Commentary@MOSSADil·
Significant suppression of our posts. The fact that over a million people opted into seeing our posts are being blocked by the new algorithm is a bit disheartening. If you see this post, drop a comment. It will boost the algorithm. If you follow us, but haven't seen our posts in a while, also drop a comment letting us know. Either way, set notifications so you won't miss us.
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@MOSSADil Your byline says 'unofficial'. Perhaps some shameless self promotion about why we should follow and/or subscribe would help?
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David Zorkocy
David Zorkocy@GayRepublicSwag·
MAJOR ANNOUNCEMENT!! I recently changed my name from The Gay Republican to my name and there are a lot of reasons why I did this and I want to talk about the main reason. This has been something that’s been on my heart to do for years but I have always recoiled out of fear and recently God sent me a message of encouragement. Letting me know that it is time to step out in faith, out of the shadows and into the light. First of all, I want to dispel any beliefs that I am leaving the Republicans or turning on Trump. Absolutely not! I didn’t come this far just to quit! We are close to defeating the scourge that is the modern leftist party. I had a dream where I had to swim from one cruise ship to another (from one season of blessings to another) and as I was swimming I started to panic about the huge sharks underneath that wanted to devour me. The person (God) who was swimming the journey with me informed me that “The sharks aren’t real.” There are no sharks in the water. They only existed in my head and I didn’t need to be afraid. I was scaring myself with problems that I invented! I just needed to keep swimming to the next season. I actually got so scared of these sharks that I hadn’t even seen that I woke myself up! So… I immediately spent months postponing the decision lol but the calling has grown stronger and stronger and I regularly find myself saying “The sharks aren’t real.” Today I have chosen to swim! There are many reasons for the name change and I’d like to highlight some. Firstly, I have spent years speaking out against identity politics… while being called “The Gay Republican” the irony was not lost on me. When I first started this journey, I had a day job and had to worry about people finding out where I worked and getting me fired. The name was a shield to protect me and my finances from the rabid left. I also harbored a fear that I would fail as an influencer and so I didn’t want my real name out there because it could get in the way of me getting a job. The Gay Republican started as a shield but eventually became a cage. Over the years God has opened many doors and the blessings have flowed. I can make a living off of my passion. More doors will open for me as my name than will open for “The Gay Republican”. To be frank, Fox News or what not would not have “The Gay Republican” on TV to talk about immigration reform. I am also a 1 issue voter and that issue is immigration. Though I am definitely passionate about the work I’ve done with Gays Against Groomers and many other gay related projects and videos, I feel the name limits the scope of what I can accomplish in both my career and for my country! By putting my full name out there I am betting on me. I am standing strong next to the words I have said! I am believing in myself to follow this journey through! I am refusing to live in fear any longer! I believe in me and I believe in God to keep me safe and provide for me… as He has always done! My God is a God of provision! “The sharks aren’t real.”
David Zorkocy tweet media
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@mastermindess I doubt that women doctors intentionally delay women's treatment. Overloaded ER's affect everyone, not just women, and that's a staffing problem. Not every complaint is triaged with the same urgency either (heart attack, stroke, trauma = priority). Women live longer than men.
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fran ˚ ༘♡ ⋆。˚
fran ˚ ༘♡ ⋆。˚@mastermindess·
@AmiableSharpen So you really think it's the system telling women their symptoms are anxiety and making women wait longer in the ER and making women wait longer for pain meds? All just the system?
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@KeruboSk I have a multigenerational photo of me as a young kid with my 107 y/o great grandfather born late 1800's, but I was too scared to talk to someone that 'old'. Youtube has some audio interviews from the 50's with people born in 1800's.
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Sophia ❣️
Sophia ❣️@KeruboSk·
Just out of curiosity… who out there has actually talked to someone born in the 1800s during their lifetime?
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@DrSuneelDhand You say this as if political views are independent of the other factors you mention (financial stability, religious beliefs, relationships). One could argue that they are instead highly correlated.
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Suneel Dhand MD
Suneel Dhand MD@DrSuneelDhand·
Who is statistically more likely to be happier— Democrats or Republicans? ChatGPT answer: People who identify as Republicans tend to report being happier on average than Democrats in many U.S. surveys. What the data generally shows Large, long-running surveys (like those from Gallup and the General Social Survey) have consistently found: Republicans are more likely to say they are “very happy” Democrats are more likely to say “pretty happy” or “not too happy” But this doesn’t mean “Republicans are happier people” in a simple sense There are some important factors behind this: Income & marriage rates Republicans, on average, are more likely to be married and have higher incomes—both strongly linked to happiness. Religiosity Religious involvement (more common among Republicans) is associated with higher reported well-being. Outlook & expectations Conservatives often report higher satisfaction with life even during negative circumstances, while liberals may be more critical of societal problems—which can affect how they answer happiness surveys. When their party is in power happiness gaps can shrink or even flip depending on which party controls government. Political satisfaction plays a role. The real takeaway The difference exists, but it’s not purely about political identity—it’s tied to lifestyle, worldview, and social factors. If you zoom out, the biggest drivers of happiness aren’t political: Strong relationships Good health Financial stability Sense of purpose Those matter far more than whether someone votes red or blue.
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@EllieMu64034870 @GayRepublicSwag When you leave religion artificial grief disappears and the concept of making amends & living by higher principles than religious bible dogma brings peace & fulfilment that religion never can. Stay curious about truth, not primitive mythologies.
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Patchita
Patchita@EllieMu64034870·
My friend, No matter how badly we have sinned or not sinned, we are God's children and Jesus loves all of us no matter what. I carry so much sin I feel heavy with grief sometimes. Only way to be happy again is to follow our Savior, and I am only a little weed crying for water. God Bless
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@GayRepublicSwag I wish you well, but I'm not so sure the sharks aren't real. In fact, based on my experience online, I'm pretty sure they ARE real so I did the opposite (real name --> anonymous). In a world of cancel culture & identity politics, anonymity is freedom.
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@ethicalliberty The great thing about America used to be that families could contain people of different political & religious convictions noting that the other side was not evil and have civil discourse. Now, sides are so balkanized & indoctrinated there is no space for rationality.
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@mastermindess Blaming doctors when the system is broken is simply word games. I dare you to go to & pay for medical school with personal funds & then practice where you outside the certification and financial system imposed by regulators and corporate medicine.
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fran ˚ ༘♡ ⋆。˚
fran ˚ ༘♡ ⋆。˚@mastermindess·
@AmiableSharpen It's easy to blame the system, then noone is at fault. Some doctors are bad people and treat their patients badly. The system isn't the one making you do unconsented procedures on women in labor, it isn't making you blame women's symptoms on anxiety. That's a personal choice
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@ericmmatheny Consumption tax - everyone's happy. Rich spend more, pay more taxes. Middle class taxed fairly. Saving encouraged. No free lunches but reasonable prices & dignity for poor result from laws of supply & (lower) demand.
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Eric Matheny 🎙️
Eric Matheny 🎙️@ericmmatheny·
What would work better? A flat tax rate where everybody - regardless of income level - pays a fixed percentage; Or A consumption-based national sales tax system where you are only taxed on goods you purchase?
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AmiableSharpen
AmiableSharpen@AmiableSharpen·
@DrSuneelDhand Wrong - AI can't even make a correct differential diagnosis early on. But AI will make medicine even more exciting. The main thing holding medicine back is insane billing and insurance structures and administrative overhead.
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Suneel Dhand MD
Suneel Dhand MD@DrSuneelDhand·
I personally think it may be a mistake to study medicine with what’s about to happen with AI. Especially in the United States with the insane levels of med school debt. My opinion only. These young students should know what they’re getting into and the big changes ahead
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