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CSCA33 04/21/24 12:06:20 AM #201: |
NightingaleMD posted...
I don't understand this logic. I truly don't. Whether you like me or not, I'm an expert. I'm board certified in emegency medicine. I'm a medical director of a national insurance company. I am an expert of managed care (medicaid/medicare policy).Do you support gender affirming care for trans children? --- [click here] pronouns incoming SHE HAS PRONOUNS!>(She/Her)<CHECK OUT my PRONOUNS ... Copied to Clipboard!
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CSCA33 04/21/24 12:08:11 AM #202: |
Its a pretty straight forward question that you can answer without hesitation.
--- [click here] pronouns incoming SHE HAS PRONOUNS!>(She/Her)<CHECK OUT my PRONOUNS ... Copied to Clipboard!
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NightingaleMD 04/21/24 12:28:09 AM #203: |
CSCA33 posted...
Do you support gender affirming care for trans children? Depends on how you define "support." Personally, this feels like something that needs more research. The confounding psychiatric conditions I see on these patients make it difficult at times to assess. This is such a controversial area I won't say anything further beyond my wish more is known about etiology of gender dysphoria. But if you mean "support" in terms of professional work, my opinion is irrelevant. I have very rigid guidelines to enforce. If I get a letter from their psych doc saying it's okay, I see good documentation of the gender dysphoria, continuous hormone therapy usage (depends on age), and a few other things I approve surgery. The hardest requirement to meet is "exclusion of incongruency." This is hard to meet since it becomes a cart-before-the-horse phenomenon. Ie, I had a case where one doc documented a 14 year old wanted reassignment because she was angry at her parents. I don't know if that's true but I can't by policy approve if someone documents that. These are pretty rare anyway but can involve over 100 pages of chart to review. Even one thing out of line like what I mentioned can derail the whole thing. Same for any procedure, really. It's not a secret that insurance companies don't want to pay for things. Personally I think that's a part of the overall Healthcare problem but what do I know... And I feel like I've derailed this topic enough so I'll step out. --- Administrative Bureaucrat ... Copied to Clipboard!
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DnDer 04/21/24 12:37:16 AM #204: |
NightingaleMD posted...
You just don't like my answers. No. It's that your answers showed you were incapable of providing proper medical care to patients who came into your ER or office. The board should strip your license if they ever heard about how you treated your patients the way you told us you did. You shouldn't be managing anyone's care but your own. Maybe not even then. --- What has books ever teached us? -- Captain Afrohead Subject-verb agreement. -- t3h 0n3 ... Copied to Clipboard!
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CSCA33 04/21/24 12:38:43 AM #205: |
Well thats a lot of words where no would suffice.
--- [click here] pronouns incoming SHE HAS PRONOUNS!>(She/Her)<CHECK OUT my PRONOUNS ... Copied to Clipboard!
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NightingaleMD 04/21/24 12:39:35 AM #206: |
DnDer posted...
No. It's that your answers showed you were incapable of providing proper medical care to patients who came into your ER or office. Dunning-kruger
Dunning-kruger. Jesus, you make it sound like like I'm just killing people left and right
Okay --- Administrative Bureaucrat ... Copied to Clipboard!
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DnDer 04/21/24 12:41:43 AM #207: |
NightingaleMD posted...
Depends on how you define "support." A lot of words to just tell CSCA "no." --- What has books ever teached us? -- Captain Afrohead Subject-verb agreement. -- t3h 0n3 ... Copied to Clipboard!
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DnDer 04/21/24 12:42:28 AM #208: |
CSCA33 posted...
Well thats a lot of words where no would suffice. Ha! I got ninja'd. --- What has books ever teached us? -- Captain Afrohead Subject-verb agreement. -- t3h 0n3 ... Copied to Clipboard!
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DnDer 04/21/24 12:43:14 AM #209: |
NightingaleMD posted...
Dunning-kruger I've noticed something really interesting about the people who use that word term a lot. --- What has books ever teached us? -- Captain Afrohead Subject-verb agreement. -- t3h 0n3 ... Copied to Clipboard!
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NightingaleMD 04/21/24 12:44:33 AM #210: |
DnDer posted...
A lot of words to just tell CSCA "no." I didn't say "no." Wishing more was known of etiology does not mean, "no." I also wish more was known about etiology of pulmonary fibrosis but I'm okay with them getting lung transplants Knowledge is never a bad thing and helps guide future care If it makes people happy and it's supported by policy, go for it --- Administrative Bureaucrat ... Copied to Clipboard!
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CSCA33 04/21/24 12:45:48 AM #211: |
I wonder if he also needs to know more about the etiology of being gay
but its not a disease to be trans (or gay), nor do you need gender dysphoria to be trans. Cisgender people can also experience gender dysphoria, famously documented in the horrible case of David Reimer --- [click here] pronouns incoming SHE HAS PRONOUNS!>(She/Her)<CHECK OUT my PRONOUNS ... Copied to Clipboard!
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CSCA33 04/21/24 12:47:55 AM #212: |
False dichotomy as well, where current evidenced based guidelines are followed to provide gender affirming care while regularly doing research to improve that care.
We can provide healthcare to people based on what we know is ethical and good standards of care while working to improve it. Its not controversial like you tried to make it seem or a new thing. --- [click here] pronouns incoming SHE HAS PRONOUNS!>(She/Her)<CHECK OUT my PRONOUNS ... Copied to Clipboard!
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NightingaleMD 04/21/24 12:50:24 AM #213: |
CSCA33 posted...
I wonder if he also needs to know more about the etiology of being gay .....yes? Knowing why anything happens is valuable. It's not offensive. It's helpful. Why does heart failure happen? Why do some kids get juvenile arthritis and end up in a wheelchair? Why does schizophrenia develop, and why is there a hard association with cat ownership especially around age 9? (For real, a wild systemic review just came out about this) And why did you put etiology in quotes? Do you not know what it means? How is it harmful to know why something happens? --- Administrative Bureaucrat ... Copied to Clipboard!
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CSCA33 04/21/24 12:52:39 AM #214: |
You used it specifically in the context of not voicing support for gender affirming care, dude. Now youre being disingenuous.
--- [click here] pronouns incoming SHE HAS PRONOUNS!>(She/Her)<CHECK OUT my PRONOUNS ... Copied to Clipboard!
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#215 | Post #215 was unavailable or deleted. |
CSCA33 04/21/24 12:54:37 AM #216: |
Gender dysphoria is not a mystery btw, you seem to be treating it like some disease that causes people to be trans, and have it all backwards, like gender dysphoria is the origin of trans people and you want to know the origin of that.
--- [click here] pronouns incoming SHE HAS PRONOUNS!>(She/Her)<CHECK OUT my PRONOUNS ... Copied to Clipboard!
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StealThisSheen 04/21/24 12:55:46 AM #217: |
NightingaleMD posted...
I don't understand this logic. I truly don't. Whether you like me or not, I'm an expert. I'm board certified in emegency medicine. I'm a medical director of a national insurance company. I am an expert of managed care (medicaid/medicare policy). I feel like if you have to say this as much as you do, instead of just letting your expertise speak for itself, you're more than likely full of crap and just trying to convince people otherwise. And, throughout your post history, you've felt the need to say this A LOT, because you often post stuff that doesn't even make sense, and you just go "Trust me, I'm an expert on this." --- Seplito Nash, Smelling Like the Vault since 1996 Step FOUR! Get Paid! ... Copied to Clipboard!
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CSCA33 04/21/24 12:56:39 AM #218: |
Thats appeal to authority in action
--- [click here] pronouns incoming SHE HAS PRONOUNS!>(She/Her)<CHECK OUT my PRONOUNS ... Copied to Clipboard!
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CSCA33 04/21/24 12:59:27 AM #219: |
DnDer posted...
I've noticed something really interesting about the people who use that word term a lot.Mans about to lose his freedom of speech --- [click here] pronouns incoming SHE HAS PRONOUNS!>(She/Her)<CHECK OUT my PRONOUNS ... Copied to Clipboard!
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ClayGuida 04/21/24 1:02:55 AM #220: |
I just learned that trans people in India were idolized for thousands of years until it became a British colony.
--- lolAmerica ... Copied to Clipboard!
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ReiRei89 04/21/24 1:05:33 AM #221: |
ClayGuida posted...
I just learned that trans people in India were idolized for thousands of years until it became a British colony.Native Americans also had trans people coexist peacefully in their society. At least until the missionaries demonized them. --- FGO US:973,940,202 JP:410,404,215 Resident Europa fangirl ... Copied to Clipboard!
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CSCA33 04/21/24 1:08:12 AM #222: |
Our existence is not controversial, thats just cishet normative bigotry rearing its ugly transphobic face
--- [click here] pronouns incoming SHE HAS PRONOUNS!>(She/Her)<CHECK OUT my PRONOUNS ... Copied to Clipboard!
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#223 | Post #223 was unavailable or deleted. |
DnDer 04/21/24 2:13:13 AM #224: |
NightingaleMD posted...
I didn't say "no." Didn't you? But if you mean "support" in terms of professional work, my opinion is irrelevant. If I get a letter from These are all shiny code words for, "If work didn't force me, I wouldn't." Hard to not read that into your statements. --- What has books ever teached us? -- Captain Afrohead Subject-verb agreement. -- t3h 0n3 ... Copied to Clipboard!
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CSCA33 04/21/24 9:24:08 AM #225: |
Its frustrating when people make baseless and transphobic insinuations that trans people are mentally ill, as NightingaleMD did.
Unfortunately there are actual people working in healthcare who hold those kind of stubbornly bigoted beliefs, are not educated or trained properly, and fail to provide an adequate level of care for some of their more vulnerable patients. Weve had to fight back against this level of misinformation and willful ignorance for many years. --- [click here] pronouns incoming SHE HAS PRONOUNS!>(She/Her)<CHECK OUT my PRONOUNS ... Copied to Clipboard!
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Gwynevere 04/21/24 10:14:18 AM #226: |
CSCA33 posted...
Thats appeal to authority in actionIt also assumes any of the shit he claims is even true, or that licenses and certifications preclude you from being called out on shitty opinions. It'd be like if I got my PhD in physics and then started saying the earth is actually flat, then claiming expertise when people rightfully point out that that's fucking stupid --- A hunter is a hunter...even in a dream [She/they] ... Copied to Clipboard!
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Shadow_Don 04/21/24 10:24:45 AM #227: |
NightingaleMD posted...
Whether you like me or not, I'm an expert. Yea thats great and all but the other experts in your field that think you're a bozo far out number you. --- "The soul in the darkness sins, but the real sinner is he who caused the darkness." - Victor Hugo ... Copied to Clipboard!
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ReiRei89 04/21/24 10:40:54 AM #228: |
Claiming you're an expert in a field doesn't make you immune to criticism regarding bigoted and wrong beliefs.
Pie on 261 claimed to be a renowned chemist yet was a very loud young earth creationist who believed that giants built the pyramids. Him being a chemist didn't make him any less wrong. --- FGO US:973,940,202 JP:410,404,215 Resident Europa fangirl ... Copied to Clipboard!
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#229 | Post #229 was unavailable or deleted. |
KajeI 04/21/24 10:54:56 AM #230: |
When we've had examples of doctors and nurses going antivax, saying "trust me bro, I'm an expert" while you say stupid shit is understandably rather uncompelling.
--- Look, I can name a few instances in MY life where I tried to reach mutual understanding and i can TELL you, always faster and easier to just kill em. Just is! ... Copied to Clipboard!
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ItsNotA2Mer 04/21/24 12:37:24 PM #231: |
NightingaleMD posted...
Depends on how you define "support." User is not currently an active member. Depends on how you define "active". --- It is impossible to live in the past, difficult to live in the present, and a waste to live in the future. (He/Him). ... Copied to Clipboard!
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#232 | Post #232 was unavailable or deleted. |
CSCA33 04/21/24 12:44:45 PM #233: |
ItsNotA2Mer posted...
User is not currently an active member.Lol --- [click here] pronouns incoming SHE HAS PRONOUNS!>(She/Her)<CHECK OUT my PRONOUNS ... Copied to Clipboard!
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wackyteen 04/21/24 12:45:10 PM #234: |
well, ripperooni
--- The name is wackyteen for a reason. Never doubt. ... Copied to Clipboard!
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CE_gonna_CE 04/21/24 1:25:19 PM #235: |
So well never see Nightingale back here on this board eh? Such a shame, truly. Not sure how well ever survive.
--- "Creed made better Pearl Jam music than Pearl Jam did" - shockthemonkey ... Copied to Clipboard!
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wackyteen 04/21/24 1:29:13 PM #236: |
CE_gonna_CE posted...
So well never see Nightingale back here on this board eh? Such a shame, truly. Not sure how well ever survive.unless they get away with a warning somehow though i think they just came off of a purg --- The name is wackyteen for a reason. Never doubt. ... Copied to Clipboard!
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misterbum 04/21/24 1:37:27 PM #237: |
wackyteen posted...
unless they get away with a warning somehowYeah, no chance of that happening --- http://imgur.com/a/WqlxL ... Copied to Clipboard!
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Zeeak4444 04/21/24 1:46:15 PM #238: |
deoxxys posted...
I mean Roe v Wade being appealed massively blindsided me I didn't think anything like that would ever happen. I still strongly doubt something like gay marriage would be repealed and if it ever was I'd be just as surprised. fool me once, shame on me. Fool me twice, shame on me again? --- Typical gameFAQers are "Complainers that always complain about those who complain about real legitimate complaints."-Joker_X ... Copied to Clipboard!
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wackyteen 04/21/24 1:47:01 PM #239: |
misterbum posted...
Yeah, no chance of that happeningstraight to suspension is straight to purgsville? --- The name is wackyteen for a reason. Never doubt. ... Copied to Clipboard!
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havean776 04/21/24 4:12:47 PM #240: |
No! Not the fake doctor! Who will shill for insurance companies? Who will post thier hatred for people needing medical care? Who?!
--- "I will either find a way, or make one." Hannibal Barca ... Copied to Clipboard!
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#241 | Post #241 was unavailable or deleted. |
havean776 04/21/24 4:50:08 PM #242: |
[LFAQs-redacted-quote]
I hope so becuase his ignorance of basic medical information in other topics would be scary in a trained doctor. --- "I will either find a way, or make one." Hannibal Barca ... Copied to Clipboard!
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Umbreon 04/21/24 4:55:48 PM #243: |
Had him tagged as fake too. Didn't say anything earlier because I wanted him to have the chance to prove himself.
--- Black Lives Matter. ~DYL~ (On mobile) ... Copied to Clipboard!
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havean776 04/21/24 5:06:29 PM #244: |
Umbreon posted...
Had him tagged as fake too. Didn't say anything earlier because I wanted him to have the chance to prove himself.The fact that he brough it up every time he posted was also pretty sus. --- "I will either find a way, or make one." Hannibal Barca ... Copied to Clipboard!
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SAlYAN 04/21/24 5:55:52 PM #245: |
havean776 posted...
The fact that he brough it up every time he posted was also pretty sus.Putting MD in his username clinched it. He was a gimmick poster, nothing more. --- Doesn't take a lot of brains to be a good fighter. ... Copied to Clipboard!
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Crimsoness 04/21/24 5:57:20 PM #246: |
[LFAQs-redacted-quote]
He's as real a doctor as SMAL is a lawyer --- She/Her She is like a cat in the dark. And then she is the darkness ... Copied to Clipboard!
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bfslick50 04/21/24 6:02:12 PM #247: |
NightingaleMD posted...
there can't possibly be a person here that understands how healthcare works better than I do. I cut out a lot in between but having those 2 sentences in the same post, he was showing his hand. --- "Something's wrong! Murder isn't working and that's all we're good at." ~Futurama ... Copied to Clipboard!
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CSCA33 04/21/24 6:04:50 PM #248: |
SAlYAN posted...
Putting MD in his username clinched it. He was a gimmick poster, nothing more.DrClaeys does it right His user name isnt Claeys, MD like a tv show doctor --- [click here] pronouns incoming SHE HAS PRONOUNS!>(She/Her)<CHECK OUT my PRONOUNS ... Copied to Clipboard!
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rideshort 04/21/24 6:42:06 PM #249: |
Has anyone on this thread actually try to defend this bullshit?
--- I believe in the Golden Rule and you should too! http://i.imgur.com/63HCN.gif http://i.imgur.com/aaTUdOx.jpg ... Copied to Clipboard!
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Prestoff 04/21/24 6:43:38 PM #250: |
Funny he tells everyone about the dunning Kruger effect and yet doesn't say a thing about appeal to authority like what he was doing lol.
--- DI MOLTO! ... Copied to Clipboard!
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