Mike Lallemand

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Mike Lallemand

Mike Lallemand

@GroundLvlFall

Trauma and General Surgeon via @VUMCTrauma. likes Sugar Free Red Bull and resuscitation. Dislikes: bleeding

Tacoma, WA Katılım Ekim 2018
806 Takip Edilen924 Takipçiler
frank arko
frank arko@farkomd·
I believe there are multiple specialities (3) that are probably quicker. However, your probably that fastest that is present in that scenario
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Sam Krapf
Sam Krapf@sam_gzstrength·
Lifter reports he has a 365lb squat but a 325 deadlift. 9 times out of 10 he is squatting 6-8 inches high
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Mike Lallemand
Mike Lallemand@GroundLvlFall·
@Hybridathlete Me reading this: “this guy is definitely a paramedic/firefighter/EM doc/ED RN”…..keeps reading….”oh there it is.” And you’re right. All the money in the world won’t fix the problem.
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Hybrid Athlete Guy
Hybrid Athlete Guy@Hybridathlete·
Anyone who has had extensive contact with the true homeless, the ones living on the streets, knows this is true. They cannot be helped. And what most people don't understand is that they don't want help. The homeless are not who you think they are. The perception portrayed by the media and believed by the general public is that the homeless population is a group of people who are just down on their luck and need a second chance or a little help. Just give them more money and everything will be better. They make it seem like the homeless just need a place to live and some food to eat, and the problem will be solved. Like it’s “the riches” problem that there are so many homeless people. Or that they are only homeless because they have been “priced out” of housing. This could not be further from the truth. Contrary to popular belief, most people who need help or housing or food can, and do, get it. Really, they do. Those who recently lost their job, have had a run of bad luck, or are barely making ends meet can access programs that can help. I’m not saying it’s a perfect system or that they can get all the help they need, but the government assistance programs are there, and they get used (and abused). And they get this help because they WANT it. But the truly homeless? Those living on the streets, or in tents in public parks? The vast majority of them are drug addicts/alcoholics and/or have serious mental health issues. I’m talking full-on break-with-reality mental health issues that you would not believe unless you saw it in person yourself. And addictions worse than you can imagine. Behavior you wouldn’t believe unless you saw it with your own eyes. They do not want jobs, help, or housing. Very few could even function at a job, even the most basic of jobs. Seriously, they are so far gone that they don’t want any of it, and couldn't be rehabilitated enough to be able to handle it. Could having access to professional treatment help to turn their lives around? For a VERY small percentage, yes. Particularly those who are young and recently homeless and addicted. They still have a chance. But for most, the answer is no. Many of these people have long criminal records and have long since destroyed any familial relationships that might help, if they ever had any to begin with. So, even if they got clean and sober, it would be very difficult to get a job and make something of their lives. At that point, what’s the incentive to get clean when you have no hope of a future? If you want to know what the homeless population in your area is really like, talk to your local firefighters. I’m just sharing my experiences and what I’ve seen. Many people never see this world up close. Their only contact with the homeless population is that guy with a sign on the street corner or the guy playing his guitar downtown. I don’t have an answer to this problem, I’m just telling you what it’s really like. And throwing more money at it won't help.
@

There are two separate list prices to end the "homeless" problem in America. One is the price if you are willing to call bums, tramps, and hobos what they are — bums, tramps, and hobos. That price is a lot less than $20 billion. The other is the price if you insist on calling bums "homeless". That price is infinity dollars. Because you can't solve a problem, no matter how much money you spend, until you understand what they problem is. If you call a guy "homeless", that means you think the problem is that he doesn't have a home. But the problem isn't THAT he doesn't have a home, it's WHY he doesn't have a home. He doesn't have a home because he is incapable of the basic life tasks you have to do so that you have one. So buying him a place to lay his head won't fix anything. It won't make him less addicted to heroin. Or less schizophrenic. Or less antisocial and unable to sustain the basic human relationships necessary to have a job or an income. The problem isn't that they don't have things. So you can't fix them by giving them things. It's that they can't do things. So what you have to do is stop giving them things so they have to fix themselves. And if they can't, you physically remove them from society so they can't bother functional people. And if you're not adult enough to be willing to do that, because you can't stand looking mean, then you're not adult enough to be trusted with $20 billion to "fix homelessness".

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Oliver Alexander
Oliver Alexander@OAlexanderDK·
The lion:
Oliver Alexander tweet media
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@JamesSurowiecki You live in a land of fantasy where moral arguments mean nothing. The world is entering an age of beasts. You cannot tell the lion “it’s wrong” to eat the gazelle. It just does. Understand where you’re at.

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Mike Lallemand
Mike Lallemand@GroundLvlFall·
@sam_gzstrength But the amount that I have to eat to gain weight makes it at least a part time job!
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Sam Krapf
Sam Krapf@sam_gzstrength·
Lot of guys strength progress is completely stalled and will stay that way because they refuse to add bodyweight
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Mike Lallemand
Mike Lallemand@GroundLvlFall·
@Hybridathlete Lol. All the endurance athletes crying in the comments and pretending like strength is completely irrelevant to injury prevention and longevity are killing me.
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Hybrid Athlete Guy
Hybrid Athlete Guy@Hybridathlete·
If you are a man under the age of 45 and you can't walk out the door right now and run a sub 25 minute 5k and then do 3 strict pullups, bench your bodyweight and deadlift 1.5x your bodyweight, you have a serious gap in your overall fitness.
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Mike Lallemand
Mike Lallemand@GroundLvlFall·
@BarbellFi $60k in a savings account? Seems unnecessary to not have a big chunk of that invested
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Barbell Financial 💪🏻💰
My cousin is 29 & works in big tech Makes $90k/year & still lives at home Zero debt or student loans Doesn’t ever want marriage or kids Here are his assets: $95k 401k $60k savings $42k Roth IRA He’s going to be reading the replies What advice do you have for him? 🤔
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Mike Lallemand
Mike Lallemand@GroundLvlFall·
@tarabibarati @nickmmark Your question was “Advanced pancreatic cancer was a preventable death? On what planet?” I’ve given you the planet/scenario in which it’s preventable. I can elaborate more if you’d like
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Mike Lallemand
Mike Lallemand@GroundLvlFall·
@tarabibarati @nickmmark I’d invite you to even look a little at the well publicized type of tumor and then compare outcomes between PNETs and PDACs
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Mike Lallemand
Mike Lallemand@GroundLvlFall·
@tarabibarati @nickmmark Not all pancreatic tumors are the same. He had a pancreatic neuroendocrine tumor (which is often cured by upfront surgery) not pancreatic adenocarcinoma which is far less so
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tarabibarati
tarabibarati@tarabibarati·
@nickmmark Advanced pancreatic cancer was a preventable death? On what planet?
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Daniel Pinion
Daniel Pinion@DanielLPinion·
To complete SGT Marquees Quick’s Medal of Honor packet, we need to locate 2 former Soldiers on the roof during his heroic sacrifice: SGT David T Wall (last known in Missouri) and SGT Hector Rodriguez-Dejesus (possibly in Puerto Rico or Chicago). If anyone can find them, please have them contact me at (703) 399-1259. They served in Ramadi, Iraq, 2006, with SGT Quick, who moved toward grenades to save them and teammates. #HonorSGTQuick #MedalofHonor #SGTQuick #ArmyHero #ChopThatShitUp #ArmyStrong #Soldiers @RepGaryPalmer @SenTuberville @SenKatieBritt @RepNancyMace @JockoWillink @JoeRogan @ElonMusk @ShawnRyan762 @SecArmyDanDriscoll @SecWar
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Mike Lallemand
Mike Lallemand@GroundLvlFall·
@averagemoneymd Their individual store returning customers numbers were real high. It may go back down to 45-55, but it’s also been as high as $150 in the last year, so the upside is there. What’s the rule? Something about time in market >> timing the market?
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Average Money Joe MD
Average Money Joe MD@averagemoneymd·
Does anyone like $CAVA ? Stock has got killed this year, wondering if now its at a good entry point.
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Mike Lallemand
Mike Lallemand@GroundLvlFall·
@rbarbosa91 @bryanacotton1 What about a graduated scale? We give graduated responsibility and autonomy throughout training. Why not progress in the number of hours you can work as you advance? I’ll bet a lot of hours 80-110 was waiting for the chief to finish a case to round.
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Bryan Cotton
Bryan Cotton@bryanacotton1·
As usual, @rbarbosa91, a thoughtful/incredible educator, has nailed it. Drop to 80-hrs ⬇️ time in 5yr surgery training by 5-10k hrs. Recent data: 60% graduating chiefs are practice ready. Pass/fail tests, now 3yr med school? The road to hell they say is paved w/ good intentions
Ron Barbosa MD FACS@rbarbosa91

If you push these efforts too far - shorten the schooling, shorten residency, get rid of the standardized tests, eliminate this and that… Eventually, there is a point at which people will come to believe your job isn’t that special, and could be done by anyone.

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Dr PayItBack
Dr PayItBack@DrPayItBack·
This is like looking at a gasoline drinking party lol
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Corey Ryan Forrester - WeLoveCorey.com
Just recorded the latest WellRED podcast and yes, we solved the question that has been plaguing the internet for days! (Or did we?) Could 100 men take on 1 Silverback Gorilla? Subscribe today and find out tomorrow!
Corey Ryan Forrester - WeLoveCorey.com tweet media
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