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| Topic | Data from the omicron variant suggests it's more infectious, but less deadly |
| MrPeppers 12/06/21 11:25:50 AM #8 | That's typically how pathogens work! Contagious pathogens tend to be less deadly. As an example, Ebola kills too quickly and the infected have too visible of symptoms for the virus to spread very far. It's super interesting stuff. --- |
| Topic | Netflix romantic comedy that fucks over Asian guys |
| MrPeppers 12/06/21 11:23:45 AM #34 | But he doesn't get effed over unless I'm completely misremembering this movie. --- |
| Topic | Your reaction: All babies born are female. |
| MrPeppers 12/04/21 12:57:22 PM #8 | |
| Topic | DoorDash drivers not taking orders unless they get a good tip prior |
| MrPeppers 12/04/21 10:53:31 AM #348 | MrDrMan posted... I swear its like people in this topic can not fucking read. Its not a tip. Youre basically placing a bid for the service. Lets say you post a bid(tip) of $2 and someone else posts one for $10. The driver can accept either or. Which one do you think hell take? I hope most of us get it. I get it. It's not a common type of transaction. It's, in my opinion, ludicrous that you are bidding for a fast-pass on food that has already been paid for, in addition to the already paid cost for transportation (that you'd think [and technically does] include the cost of the driver's wages). Because it exists doesn't mean that we have to agree with it. --- |
| Topic | DoorDash drivers not taking orders unless they get a good tip prior |
| MrPeppers 12/04/21 10:46:39 AM #344 | I hate how the customer has to pick up the slack for the employee's horrible wages. They should be picking a fight with their employer, not us. --- |
| Topic | Imagine being so fuckin salty you got called out by the board |
| MrPeppers 12/04/21 10:43:23 AM #9 | |
| Topic | Parents of Oakland school shooter now on the run. |
| MrPeppers 12/04/21 10:40:34 AM #29 | CableZL posted... They didn't show up. They were arrested last night. Someone called 911 after seeing their SUV and they were found hiding in a building somewhere. Despicable. --- |
| Topic | Parents of Oakland school shooter now on the run. |
| MrPeppers 12/04/21 10:37:50 AM #27 | |
| Topic | Ariana Grande is accused of Asian fishing. It can't be that bad |
| MrPeppers 12/04/21 10:35:23 AM #44 | 257Loner posted... Liberals pretend race fluidity is a "real sin". None of them have apparently considered the needs of regular, ordinary people. For example, I've seen Latinos work at Asian restaurants and vice versa because they're trying to MAKE ENDS MEETnot satisfy Liberals' definition of race-holy and race-righteous. Sir, this is a Wendy's --- |
| Topic | Be honest, do you care about abortion? >_> |
| MrPeppers 12/01/21 6:28:54 PM #90 | I care because now I have to closely follow these individual state mandates, because I am capable of offering abortion. --- |
| Topic | Outrage after deputy shoots family dog in the head |
| MrPeppers 12/01/21 11:03:50 AM #36 | PoundGarden posted... Actually a very high percentage have suffered serious dog bites, so I wouldn't call that "just fine". Just fine doesn't mean great --- |
| Topic | I just injected a bunch of estrogen into me, AMA |
| MrPeppers 11/28/21 8:41:41 PM #62 | Sigh. I can't tell if you guys are trolling or not. Estrogen has well established risks, no matter its indication. That's not to discourage anyone from using it, but don't tell people that it has no risk. --- |
| Topic | I just injected a bunch of estrogen into me, AMA |
| MrPeppers 11/28/21 8:28:57 PM #59 | greyfox747 posted... It was actually communicated to me that as long as I was on E, I would be physically unable to die, so I dont know what nonsense youre sprouting. >_> --- |
| Topic | I just injected a bunch of estrogen into me, AMA |
| MrPeppers 11/28/21 8:21:26 PM #56 | AldousIsDead posted... It's really not, biggest thing is not to spill any hormones and make sure not to contaminate your needles. Estrogen therapy absolutely carries risk with it. It's why the Women's Health Initiative had to abandon their major study early because of a clear harm to study participants back in the 90s. It's all about good counseling and making sure that individuals who take estrogen or testosterone are aware of the risk they undertake. --- |
| Topic | Peer review doesn't prevent bad science from being published. |
| MrPeppers 11/22/21 3:31:14 PM #34 | COVxy posted... I do most of my reading of the scientific literature now-a-days from non peer reviewed preprints. From what I can tell, this is the case for most of my colleagues as well. I'm willing to bet that you know how to critically appraise most preprints, though. In a way, because of your credentials, you are subjecting it to a personal peer review. --- |
| Topic | "You don't want to just work for a paycheck and go home to Netflix-CEO |
| MrPeppers 11/22/21 3:23:54 PM #9 | Uh oh, that's anti-union speak. Someone must have caught wind of something, lol. --- |
| Topic | What do u think Kyle Rittenhouse will become? |
| MrPeppers 11/22/21 10:03:53 AM #24 | |
| Topic | 'Capitalism is necessary for innovation! To progress! For these comforts we have |
| MrPeppers 11/19/21 9:09:23 AM #12 | Physician here. Your opinion of physician compensation is skewed; maybe it was that way in the 80's but it's definitely not the case unless you're moving towards spa medicine, are a dermatologist, or a plastic surgeon. The Sunshine Act and reporting policies have made pharmaceutical kickbacks, drug rep honeypots, or any of those old-school practices incredibly difficult for obvious reasons. Physicians, as an aggregate, comprise approximately 7-8% of all healthcare dollars. Compound that with the hundreds of thousands of dollars and tens of thousands of hours it takes to train, and we are honestly not compensated enough in today's day and age. --- |
| Topic | Can we ban all these anti-mandate people already? |
| MrPeppers 11/14/21 11:29:15 AM #71 | Mr Hangman posted... You're conflating arguments for or against vaccine mandates with arguments about the definition. You can make an argument that vaccines should be mandated. I support them in limited circumstances. But that doesn't mean it's anti-vax to oppose them while supporting vaccination generally. Only in the most technical of senses. Functionally, though, it is anti-vaccination. You're supporting anti-vaxxers with that kind of sentiment. It is a comment designed only to support and defend anti-vaxxers. --- |
| Topic | Can we ban all these anti-mandate people already? |
| MrPeppers 11/14/21 11:18:32 AM #63 | Mr Hangman posted... It's not accurate. People who oppose vaccine mandates but support getting vaccinated are obviously by any sane definition not anti-vax. It demonstrably creates anti-vaccination sentiment and, most critically, vaccine inaction. It's anti-vax whether your cognitive dissonance agrees with it or not, whether you want to believe it or not. --- |
| Topic | Youtube removing Dislike counts site-wide. |
| MrPeppers 11/14/21 11:16:07 AM #62 | Is the "like" button also being removed from the viewing public? Skewing is going to happen if they remove the "dislike" button from public view but the "like" count is still visible. This decision doesn't really make much sense if they leave the "like" count in view. --- |
| Topic | Rittenhouse takes the stand. |
| MrPeppers 11/10/21 7:49:37 PM #312 | Idk yall the thought of a 17 year old crossing state lines carrying a firearm with sentiment and intentions clearly against that of the protest is just a recipe for trouble, and Im not surprised things played out the way they did when someone so young does this kind of stuff --- |
| Topic | If you haven't already, please get your vaccine. |
| MrPeppers 11/09/21 11:02:28 AM #130 | myzz7 posted... the vaccine is a misnomer. there is no immunity granted as numerous people have been infected spread by those "vaccinated". No vaccine is completely efficacious from a public health standpoint. Most's efficacy are within the low 80th percentile, which helps to actually demonstrate the importance of mass vaccination campaigns and the benefits of herd immunity. EDIT: To clarify, this includes all vaccinations--not just the COVID-19 vaccines. --- |
| Topic | Why was there almost no pushback on other vaccine mandates? |
| MrPeppers 11/08/21 12:18:58 PM #43 | Mr Hangman posted... You're the one who is dishonestly ignoring the whole point of my posts. I'm not here to point out hypocrisy from Democratic hacks. The question is "is Trump responsible for anti-vax conservatives?" I don't see evidence that he is. You constantly make accusations of dishonestly when someone points out something you don't like. I don't know if any one person is responsible. The Republican party as whole sure is mostly culpable, though, given the downplay of the pandemic before a vaccine and the unfounded push for vaccine hesitancy. There were multiple steps along the way where we can point to the Republican party (as a whole, not necessarily to one individual) leading to people jeopardizing their and others' lives, much more than the Democratic party. Blame doesn't start and stop with party affiliation, but there are some interesting correlations between political alignment and health outcomes. --- |
| Topic | Why was there almost no pushback on other vaccine mandates? |
| MrPeppers 11/08/21 11:25:00 AM #31 | Mr Hangman posted... That would be the Joy Reid tweets that Kolibri X so helpfully posted. And again I'm not looking to debate here whether this stance from Democratic figures was justified, I'm just illustrating that not only was Trump aggressively for the vaccine, but that fact was very much in the public discourse at the time. Since then this has been memory-holed, with Trump being deplatformed and the media, who are making a full court effort to promote vaccination, never mentioning that Trump was and is still recommending that people get it. A few months back a small group of pro-vaccine conservatives tried unsuccessfully to brand it the "Trump vaccine", they gave up on that pretty quickly. I thought the media was using the fact that Trump backed the vaccine as a positive talking point? Isn't there footage of Republican voters booing him at a rally for supporting the vaccine? --- |
| Topic | I literally can't transfer critical patients to ICUs |
| MrPeppers 09/21/21 11:25:58 AM #228 | I'm sure it's like that at some hospitals. Where I trained, the emergency department was (and probably still is) a warzone and a nightmare with people on stretchers in the hallways. The women's center (labor and delivery unit) had to convert a recently constructed labor division into the "pregnant COVID" unit where anyone sick but not sick enough for a ventilator is placed. But the inpatient floors of the main hospital were still one patient one room. The entire pandemic is interesting for many reasons. One talking point is the difficulty the healthcare system encountered with the initial virus and then a separate difficulty with the delta variant. When it first came stateside, the issues was equipment: not enough vents, ICU rooms, tubing, PPE. Now, the issue is staffing since nurses are leaving due to horrible compensation and working conditions. We definitely experienced that firsthand: 24 labor rooms but now we were only running about 10-12 at a time because too many nurses left due to crappy wages, hours, harassment, or for fear of contracting the virus. I imagine that (with the exception of ICU beds which probably are full nation-wide), most hospitals have all of these empty rooms because they simply cannot retain enough nurses to safely care for patients. --- |
| Topic | I literally can't transfer critical patients to ICUs |
| MrPeppers 09/21/21 11:11:56 AM #226 | OrangeWizard posted... So why are some staff still hesitant? They should be first in line, right? Not all staff see it. Some departments have been decreased to skeleton crews, and some specialties flat-out don't treat COVID patients. Most surgery centers and surgical wings of the hospital have stopped elective (non-life saving) surgeries because ICUs need the ventilators/intubating personnel. This is why the occasional surgeon/surgery team will have some comment about COVID not being that bad. Yeah of course the plastic surgeon who will never treat COVID and had all of his money-generating cases cancelled thinks we need to get back to normal. Most hospitals have created COVID wings in order to minimize spread, so only a section of the hospital is relegated to COVID patients. Some floor nurses don't deal at all with COVID patients, and the nursing field does not have the same academic barrier to entry or intellectual rigor as that of physicians. Unfortunately, most nurses are (even sometimes encouraged through training) intuition-based and there is a very concrete "out of sight, out of mind" approach to their care. So if they're on a med-surg floor and they don't have to rotate to the COVID wing, they don't see COVID and are convinced it's overblown or a lie. And don't get me started about administration. They just want everything and everyone back to normal to generate money for them. Fuck them. --- |
| Topic | I literally can't transfer critical patients to ICUs |
| MrPeppers 09/21/21 10:45:50 AM #222 | This is making me so glad I didn't do primary or critical care, but then again it's also a disaster with pregnant patients. I'm enjoying some time off after residency so I haven't been in a hospital for a few months now, but my friends are telling me how bad COVID-19 cases in their pregnant patients are now. --- |
| Topic | Alabama Nurse AND her Unborn Child DIE from COVID-19 who was afraid of VACCINES! |
| MrPeppers 08/24/21 11:02:23 PM #7 | Smackems posted... No but I understand why some people are afraid of it For the same reason a dog is afraid of a vacuum cleaner. --- |
| Topic | More Than 75 Doctors Walk Out of Florida Hospital to Protest Anti-Vaxxers |
| MrPeppers 08/23/21 3:21:39 PM #7 | It reads as if it were a staged publicity stunt to demonstrate physician frustration. --- |
| Topic | I understand why people are vaccine hesitant |
| MrPeppers 08/22/21 11:50:15 PM #132 | Smackems posted... I'm not anti vax.. I'm vaccinated. Wanting some booster. Said nay because that's not how everyone isFirst off, that's awesome that you're vaccinated. I don't understand your viewpoint though, since enough evidence about the vaccine's safety profile definitively shows its complete lack of adverse effects. People who are uneasy about the vaccine are now uneasy about it for no reason, which is in practice the same reason anti-vaxxers are against it. You (the collective you, not you personally) are effectively anti-vaxx at this point, and people who decline the vaccine claiming it's for other reasons are lying to themselves in order to feel a step above conspiracy theorists. --- |
| Topic | I understand why people are vaccine hesitant |
| MrPeppers 08/22/21 11:30:21 PM #128 | Smackems posted... Nay Why nay? Are you saying you're not anti-vaccine because you've received vaccines for other diseases in the past? --- |
| Topic | I understand why people are vaccine hesitant |
| MrPeppers 08/22/21 11:24:47 PM #122 | Smackems posted... Anti vaxxers arent really who I'm talking about though. I'm talking about people that don't want to get this one for one reason or another but aren't anti vax Idk man I think at this point if you're apprehensive about the vaccine for "other" reasons, you're antivaxx but too proud to recognize that you're antivaxx. Or you're antivaxx and want to believe you're too intelligent to be antivaxx. But all signs are pointing to... you being antivaxx. --- |
| Topic | I understand why people are vaccine hesitant |
| MrPeppers 08/22/21 10:13:39 PM #61 | Smackems posted... That's the problem It's fatiguing. Even before the pandemic, we would have patients refuse Hep B and MMR vaccines for absolutely no reason. We would even have some decline Tdap. Tdap of all things. No matter what type of counseling you give, they just politely decline and put their unborn child, newborn, or their family at risk. The one thing I'm grateful for is that, for whatever reason, many of my patients are supportive for the COVID vaccine, especially after that NEJM study came out showing antibodies passed on from mother to fetus. There are, however, many more who adamantly decline the COVID vaccine and will sometimes become annoyed if you ask them. We had to watch a 35 year old pregnant patient die on a vent a few months ago. Unvaccinated. Her husband got vaccinated afterwards. If it weren't for HIPAA, I would encourage every antivaxxer to spend a week in the ICU watching all of this. Yeah, it's mostly the old and the comorbid; but it's also the young and healthy and in a scary enough proportion. --- |
| Topic | I understand why people are vaccine hesitant |
| MrPeppers 08/22/21 9:57:10 PM #51 | I don't understand why people are so vaccine hesitant. Vaccinations have saved so many human lives throughout the centuries. Vaccinations, the human immune system, and the interaction between the two have been studied for centuries. There are virtually no side effects to modern vaccines, with the extremely rare exception of Guillain-Barre syndrome. Egg allergies realistically don't exist, and someone having an anaphylactic reaction to vaccines is so rare you'd be able to write a case study if you ran across one. Thimerosal is a completely different kind of mercury, in almost negligible amounts, and is rapidly cleared from the body. There are a multitude of different types of vaccines. Yes, this was the first mRNA vaccine implemented en masse, but it was preceded by decades of mRNA vaccine research. The retrospective safety data after implementation (and this doesn't even consider the safety data when it was still in clinical trials) shows zero adverse effects. And this was peer reviewed by people who were not paid by any pharmaceutical company. To be hesitant because "you don't know" is akin to never getting surgery because you don't know what they do when you go to sleep. It's bizarre and, honestly, idiotic. --- |
| Topic | Ever been in a hospital? |
| MrPeppers 08/08/21 12:51:09 PM #18 | |
| Topic | My Asian friend told me about a particular toxic belief in his community. |
| MrPeppers 08/08/21 12:47:42 PM #14 | Veggeta_MAX posted... He just admitted to me that he has no sex drive. Yeah that's definitely the cause of not having a baby; not having sex. They both should really get worked up. Female factor is much more common than male factor infertility. Issues with anovulation, PCOS, structural abnormalities of her uterus, structural abnormalities of the fallopian tubes, potential chromosomal issues with the female, potential thyroid or other endocrine dysfunction in the female. All much more common than male factor infertility. And if he has a normal semen analysis and she's ovulating, they can go the route of intrauterine insemination which is a cheap outpatient procedure that requires zero anesthesia and minimal planning. --- |
| Topic | My Asian friend told me about a particular toxic belief in his community. |
| MrPeppers 08/08/21 12:43:59 PM #12 | Veggeta_MAX posted... BTW, he has seen two different Eurologists before Covid and they both said they same thing to him, it's prolly his high blood sugar that's causing the issue so they gave him meds for that, told him to change his diet and start exercising and also gave him ED pills. He's lost weight for sure so I'd say he's doing a lot but that's also me looking in from the outside. That's either your friend going to quack urologists or him completely misunderstanding the counseling his received. Male factor infertility is a real thing and evaluated with a semen analysis, but there are multiple potential issues that can cause male factor infertility. Endocrine tests (tests that assess his blood levels for hormones) don't look at standard blood sugar levels: they specifically focus on testosterone, and the testosterone-generating hormones LH and FSH. In rare cases you can analyze fructose, which is not the same as glucose (which is the sugar associated with high blood sugar) and even fructose abnormalities are about 2% of all causes of male factor infertility, and male factor infertility itself is about 1/10 of the known causes of infertility. Urologist sounds like he's approaching a potential fructose abnormality with ED pills but realistically it's probably not gonna fix anything. Then again, full disclosure I have no clue what his medical history is. --- |
| Topic | My Asian friend told me about a particular toxic belief in his community. |
| MrPeppers 08/08/21 12:32:23 PM #8 | My question is: what are his goals for marriage and kids? What are his wife's goals? I'm assuming neither he nor his wife have any children from other marriages. Infertility is considered after 1 year of inability to conceive in women <35 years old, and after 6 months of inability in 35 year-olds. There are many causes for infertility, but about 1/3 to 1/2 of all cases are idiopathic meaning that there is no known explanation. I would strongly suggest that his wife sees a gynecologist to initiate a work-up if it's warranted (which it sounds like it is). Fertility evaluations and treatments are not typically expensive until the remaining option is IVF. --- |
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