Hormesis

@Rob_Smithers @DrDiGiorgio Because all they know is following rules and orders. They lack the knowledge to question it.

@DrDiGiorgio Why is that doctors call out this bureaucratic pointless busy work but so many nurses either silently submit to it, or worse, weaponise it. It’s a peculiar phenomenon

Imagine your surgeon preparing for your operation. They see you in pre-op, answer your questions, calm your fears, examine you, confirm the plan, and go get ready for the case. They review the imaging and think through the critical parts of the operation. Then a nurse interrupts them: “Doctor, your pre-op documentation isn’t good enough. You can’t just say you discussed the risks and benefits. You need a full H&P.” The surgeon points out that the H&P was already done in clinic. The note is right there in the chart. “No. That note is 31 days old. It has to be within 30 days. But it’s fine if you just copy and paste that old note.” Think about how insane that is. There is no new clinical information. There is no patient benefit. There is no improvement in safety or quality. The only thing being demanded is duplication. A pointless bureaucratic ritual to satisfy the machine. So now you have a frustrated surgeon, a delayed case, a bloated chart, and one more example of modern medicine confusing clerical box-checking with patient care. This is exactly what is wrong with the system. Endless note bloat. Pointless duplication. Administrative nonsense dressed up as professionalism. If there are no changes, there are no changes. Forcing a doctor to re-paste an unchanged H&P adds absolutely nothing for the patient. And the most insulting part is the tone. That smug, condescending “of course you have to do it this way” attitude, as if this is self-evidently necessary instead of obviously stupid. At this point, a lot of doctors would probably take a substantial pay cut to never touch a computer again. Cut the salary and use the savings to hire people to do the computer garbage. Epic. CDI queries. Coding queries. H&P updates. Order entry. Case booking. Inbox nonsense. All of it. Never touch Epic again. Never answer another coding query. Never update another unchanged H&P. Never place another order that a clerk or protocolized team could enter. Never do another ounce of hospital data-entry cosplay. Just let us be goddamn doctors instead of highly trained documentation technicians.

@asymmetricinfo @dilanesper So you mention the collapse of Oslo and Second Intifada and then pivot to blaming both sides. Do liberals have some sort of mental block when it comes to this issue?

Unfortunately, the collapse of Oslo and the Second Intifada completely destroyed the Israeli left, as even people on the Israeli left will tell you. They simply had no internal credibility after that. Which is a good metaphor for the whole problem: neither side has leaders with both the will and the internal credibility to make a deal. Not clear the Palestinians ever did, but Israel did, and now it doesn't.

If the Israeli center or left had stayed in power rather than Likud, October 7 never happens, the Gaza War also never happens, the Iran War probably doesn't happen, and Israel is still highly popular with Democrats.

@foster_type Maybe I am being harsh but other than Noah Wylie I find the acting to be very subpar.

Ok I put on THE PITT. I was expecting it to be a Prestige TV Show but it appears to be a Regular TV Show?

@jaketapper @jpodhoretz ICRC isn’t the global arbiter of war crimes. Bridges if used for military transport are fine to destroy under the Geneva convention. This strange sleight of hand in the initial tweet where you automatically assign bridges as “civilian” infrastructure is disingenuous.

@jpodhoretz ICRC a few days ago objected to the targeting of bridges and other infrastructure in war: icrc.org/en/news-releas… And to Russia targeting Ukraine’s bridges and other infrastructure in 2022: icrc.org/en/document/uk… And on and on. Here’s Yemen in 2015: icrc.org/en/document/ye…

Since when is a bridge not a military target, Jake? In all of human history?

@JillFilipovic Legitimately can’t take anything people on the left in this country say about Israel seriously because their brains are so fried from gaza propaganda.

Bibi didn’t just torch support for Israel in the US; he squandered every shred of goodwill Israel ever had, made the country an international pariah, and led the slaughter of thousands of innocents. One of the most disastrous leaders any country has seen in my lifetime.

@kaisuda1012 @whoistife_x Your cephalic vein says juice.

@whoistife_x 7 or 8 yrs of consistency is getting me there. Still grinding away. Honestly 98 percent of naturals will never get there unless bodybuilding becomes your obsession.

can i get this natty?

@DaveScolte @cremieuxrecueil If you actually think it’s higher then there would be more evidence. Your example also isn’t medical error.

@cremieuxrecueil Anybody that has worked within the healthcare field can probably attest that it’s likely higher. Had to call a doctor once to remind them that a specific drug wasn’t even manufactured anymore.

It's really remarkable how myths persist. "Medical errors are the 3rd leading cause of death" was implausible when it was first alleged, it was roundly debunked in short order, and it's been known to be false for years. Yet it's still commonly repeated all the time.

@cremieuxrecueil The myth gets paraded around by lay people almost as much as I hear the same people say we capped residency spots or AMA controls the amount of doctors. Just pure ignorance.

@BrentAWilliams2 I’m going to purposely make my LDL 400 just to piss off the LDL freaks

@soherimad @EmmanuelMacron The evidence suggests that hezbollah did this. Just because it doesn’t nicely fit into your jihadist fantasies doesn’t make it any less true.

@EmmanuelMacron De quelles preuves parlez-vous ? Vous n'êtes qu'un pion entre les mains des Américains et des Israéliens, et vous n'osez pas dire la vérité. Trump s'est moqué de vous, et vous n'avez pas osé répondre à l'insulte.

Le Sergent-chef Florian Montorio du 17eme régiment du génie parachutiste de Montauban est tombé ce matin au sud-Liban lors d’une attaque contre la FINUL. Trois de ses frères d’armes sont blessés et ont été évacués. La Nation s’incline avec respect et adresse son soutien aux familles de nos soldats et à tous nos militaires engagés pour la paix au Liban. Tout laisse à penser que la responsabilité de cette attaque incombe au Hezbollah. La France exige des autorités libanaises qu’elles arrêtent immédiatement les coupables et prennent leurs responsabilités aux côtés de la FINUL.

@BrentAWilliams2 They are also accommodating bad residents now because god forbid we hold someone back for incompetence.

@DrewPavlou Oh no the Jews have now started mind controlling the homeless…

Sneako just got punched in the head by what appears to be a crazy homeless guy

@NotWoofers Spain being involved in anything militarily is just hilarious. Just an unserious PM.

Cool. Are you willing to increase your military spending or at the very least stop spending money on Russian gas? No? Ok.

@DGisSERIOUS And next on ABC, Goebbels will be describing the terrifying bombings of Dresden.

Pretty absurd guest for ABC News of all places to have!

@yashar This is actually pretty light for Pakistan.

A post by Pakistan’s defense minister, as talks are reportedly set to begin within the next 36 hours between the United States and the Islamic Republic of Iran in Islamabad, under Pakistan’s mediation.

@Nebsterrr @Jamie_Weinstein They are not related. You can answer his original question without farsical attempts at changing the subject.

@Hormesislover @Jamie_Weinstein Maybe they are related dude

Has a single person upset with Israel’s actions in Lebanon explained what Israel should do instead to a terror group continuously firing missiles at it making the North of the country uninhabitable?

@orthonormalist Magically kill all the bad people without hurting any civilians. Apparently this is the new rule for modern warfare. A jihadist’s delight.

How should Israel have dealt with Hezbollah?

@Nebsterrr @Jamie_Weinstein This is a post about Hezbollah dude.

@Jamie_Weinstein Have you said anything about the jewish terrorists in the west bank?

@sunnyright Unless it’s magically reopened tomorrow or the war restarts, this is a massive L for Trump.

We stopped firing on Iran and in exchange we got nothing. Just a unilateral ceasefire on our part while Iran keeps doing whatever it wants.

@AliRida_SB @DanFriedman81 So the IDF just has to give up because Hezbollah embeds itself within the local populace?

@DanFriedman81 And you think this justifies the killing of 300 people?

They’re gonna loudly insist it was all civilians for a couple of days and then quietly admit the entire leadership of Hezbollah was killed.