SCDC

10.2K posts

SCDC

SCDC

@SCDC87

She/her, sconn.bsky

Northern VA Katılım Ekim 2012
362 Takip Edilen159 Takipçiler
SCDC
SCDC@SCDC87·
@moto_motes @CuriousBunnie12 My mom and MIL both had jobs and cooked dinner. But it could also be very basic/repetitive. My MIL had a weekly schedule, burgers Monday, pasta Tuesday, order pizza Friday, etc. I think a lot of people today would find that too repetitive (same w people who “don’t eat leftovers”)
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Motes
Motes@moto_motes·
Convinced everyone on both sides of this debate are channeling 1950s nostalgia they saw on Nick at Nite as kids. 50 year old men very likely had working mothers in the 80s. We need to recalibrate our sense of time.
will@will_nba_hater

Really funny discourse going around Twitter right now of 50 year old men saying “my mom had a home cooked meal for us to eat every night, why don’t people cook anymore, you’re wasting so much money on takeout” Because all the women have to work full time now to pay rent lol

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SCDC
SCDC@SCDC87·
@kaitybella I hear so much about how the dating scene sucks and then I see stuff like this and…yeah, makes sense. Trying to imagine even *wanting* to go from Greenwich village to Williamsburg in an uber vs. the subway. Like…why…
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SCDC
SCDC@SCDC87·
@TreeTitan21 @YungYinkv The rest of the stairs (the older part) don’t have that either, though? Or are we assuming he also built that 😅
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Tree
Tree@TreeTitan21·
@YungYinkv there's no stringer, the boards are supposed to sit on top of the long pieces on either side
Tree tweet mediaTree tweet media
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SCDC
SCDC@SCDC87·
@topoproc @ouranometrian2 Yeah I was just glad we only needed to do one (it completely died). Hoping to keep it a one at a time fix bc two at once would be painful 😅
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Otho
Otho@topoproc·
@SCDC87 @ouranometrian2 Right, same. For a pretty damn good (97) furnace + heat pump, communicating, it was like $15k for me -- local small company, etc. I assume based on needing 2 units that dude is in a hot state too -- could easily be 5+ ton units.
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SCDC
SCDC@SCDC87·
@soggybrocoli Obv people with families should not use the internet, they should just stare at their family members for all waking hours.
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SCDC
SCDC@SCDC87·
@meowingabyss @soggybrocoli Lmao same. She is truly the pinnacle of wants to dish it but can’t take it. I think we know who really has the hours-long meltdowns…
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soggy broccoli
soggy broccoli@soggybrocoli·
making one tweet and not even tagging her or responding to the original tweet is apparently an hours long meltdown now
Taylor Lorenz@TaylorLorenz

@soggybrocoli Bagels are vegan and I worked at a bagel shop for years making them. Consider why a woman joking around on the internet causes you to have an hours long meltdown.

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SCDC
SCDC@SCDC87·
@reasonablebears That’s fair, I would be in favor of standardization. This is the beginning of the conversation so ok!
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jack sanborn stan
jack sanborn stan@reasonablebears·
@SCDC87 Cant even begin to start this conversation until NP education is standardized and more rigorous. Some of these places are degree mills
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SCDC
SCDC@SCDC87·
Anyone remotely interested in lower-cost or universal healthcare will need to get over unfounded biases against NPs/the belief that the current length and expense of medical education for doctors is necessary for quality in general practice.
Drew Savicki@DrewSav

When I go to a doctor's office I should be able to a board certified physician, not a physician's assistant or a nurse practitioner. They may be good people that are good at their jobs but they do not have the robust education and training of an MD.

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SCDC
SCDC@SCDC87·
@arghhhhhhhhh92 @jayfosterlaw @markbgger It does not, because I would not argue in favor of people performing beyond their competency. You’re making a fallacious slippery slope argument or simply deciding what you want me to be saying 🤷🏻‍♀️
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Samantha
Samantha@arghhhhhhhhh92·
@SCDC87 @jayfosterlaw @markbgger Your entire argument leads to this conclusion. All non-physicians who are practicing in the role of a physician in specialties are practicing outside of their scope. That is the entire point here... Why spend 8 years training specialists when we can get them in 2-year part-time?
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SCDC
SCDC@SCDC87·
@CuriousBunnie12 Two fridges is great, two washer/dryers or dishwashers would not work for me. I hate folding and putting away dishes, so I just know I’d end up with two full loads to deal with at once instead of one (albeit more frequently).
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SCDC
SCDC@SCDC87·
@arghhhhhhhhh92 @jayfosterlaw @markbgger I mean if this is your argument, I think you are making a completely different point than I am. I never said we should allow anyone to practice way outside their competency. This entire time I’ve been talking about the skill of NPs and PAs practicing within their scope.
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Samantha
Samantha@arghhhhhhhhh92·
@SCDC87 @jayfosterlaw @markbgger Nobody denies that there are aspects of medicine that can be performed by NP/PA (there are many such examples). The problem occurs when you deskill workforces without evidence for safety and efficacy, and allow people to practice way outside their competence level.
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SCDC
SCDC@SCDC87·
@arghhhhhhhhh92 @jayfosterlaw @markbgger We don’t “know” that fragmentation of care is worse with NPs/PAs you have not shared a single shred of actual evidence beyond opinion.
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Samantha
Samantha@arghhhhhhhhh92·
@SCDC87 @jayfosterlaw @markbgger An argument that should be rejected. We already know that fragmentation of care produce worse outcomes. The entire benefit of having physicians in these roles is because of their breath and depth of knowledge, which allows high level management across multiple domains.
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SCDC
SCDC@SCDC87·
@arghhhhhhhhh92 @markbgger @jayfosterlaw My entire point is that NPs/PAs are also experts, or at least expert *enough* to do some of the work. So yes, if doctors want to have absolute superiority in all responsibilities over a different type of expert, it feels reasonable to want proof.
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Samantha
Samantha@arghhhhhhhhh92·
@SCDC87 @markbgger @jayfosterlaw There are absolutely confounding factors that influence the perspective of physicians, hence why I brought it up. Its rather odd (and incorrect) to expect experts in a field to prove superiority, rather than expecting non-experts to prove non-inferiority.
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SCDC
SCDC@SCDC87·
@jayfosterlaw @markbgger @arghhhhhhhhh92 Literally no one has said they are the same across the board. Competent enough for quality work in some parts of medicine /= perfect equivalency. You are repeatedly arguing against something I never said, and I’m not sure if you don’t understand nuance or just want to argue.
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Jay Foster
Jay Foster@jayfosterlaw·
@markbgger @arghhhhhhhhh92 @SCDC87 No, I posted a study for you but again, unless you have brain problems the amount of studying a MD does v. NP isn't close so the idea they can compete in any way with a MD is laughable.
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Samantha
Samantha@arghhhhhhhhh92·
@SCDC87 @markbgger @jayfosterlaw Furthermore, you can't meaningfully study this in an observational context due to the many obvious confounding factors that can't be controlled for, and certainly not in the experimental context due to ethics of running such a trial.
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Samantha
Samantha@arghhhhhhhhh92·
@SCDC87 @markbgger @jayfosterlaw You vastly overestimate how protective most US physicians are over their authority and the practice of medicine. I'd wager most would rather just leave medicine because of burnout, declining reimbursements and the increasing bureaucracy of healthcare.
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Samantha
Samantha@arghhhhhhhhh92·
@SCDC87 @markbgger @jayfosterlaw You genuinely believe that someone who completed a 2-year online part time course with 500 clinical hours of shadowing is prepared to practice medicine independently? That is a striking claim..
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SCDC
SCDC@SCDC87·
@arghhhhhhhhh92 @markbgger @jayfosterlaw Again, NPs are trained and practiced and all of your comments seem to be conjecture so far…I don’t think they should be relegated to only low complexity work, being trained professionals, and I also don’t think primary care is all a walk in the park.
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Samantha
Samantha@arghhhhhhhhh92·
@SCDC87 @markbgger @jayfosterlaw It also ignores the fact that NP/PA are not relegated to low complexity outpatient work. If you refer a patient to a neurologist there is a good chance that the patient will be seen by an NP/PA with no formal neurology training. Why even refer to specialists at that point?
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Keşfet

@moto_motes @CuriousBunnie12 @kaitybella @TreeTitan21 @YungYinkv @topoproc @ouranometrian2 @soggybrocoli