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Comment Re: Go into the trades (Score 1) 189

Itâ(TM)s not consolidation of practices under corporate/PE money thatâ(TM)s making it impossible to run a solo practice; that is the symptom of the insurance companies behavior which is making it harder to run a solo practice. They will no longer negotiate rate increases with physicians despite inflation and rising practice costs, which used to be a relatively common thing every few years. Now you get what they offer to pay. Take or leave it. At the same time prescribing medications imaging studies, and procedures has gotten more onerous due to excessive prior authorizations required, many of which are âoereviewedâ by AI and automatically rejected. Iâ(TM)ve been told a PA has to be submitted and rejected 3 times before I will be allowed to speak with a human (half the time pretending to be a âoepeerâ physician, half the time itâ(TM)s an actual physician but a different specialty). Consolidation and selling out to corporate, health system or private equity is the result - you get paid more for doing the exact same thing you were doing and now someone else can handle much of the headache. Source: am specialist physician about to sell my solo practice to a hospital network practice

Comment Re:500 means statistically significant health effe (Score 2) 136

You're off a bit there. Physiologically a CO2 concentration of 0.1% (which equals 1000 parts per million) is not going to cause measurable effects in humans. Even 10x that amount at 1% for healthy people should not cause symptoms. 4% is where obvious symptoms appear. Not that I am advocating for a doubling in the atmospheric CO2 concentration, just correcting your numbers. I am a physician, btw.

Comment Re: foolish in releasing next to shore. (Score 1) 60

Iodine tabs for a radiation accident are literally just to protect your thyroid which preferentially accumulates well over 99% of ingested iodine and is stored in colloid form within the thyroid. I-131 is a common component of both fallout and nuclear reactor waste so by loading up the thyroid preemptively you absorb far less of the radioactive isotope. Doesnâ(TM)t really do fuck all for other organs. Source: am physician

Comment Re: Meanwhile, in other cover ups (Score 1) 123

Jesus fucking Christ youâ(TM)re so ignorant I donâ(TM)t know where to start. The only reason the FDA approved the new vaccines as quickly as they did was that the trials enrolled more than ten times the usual number of subjects allowing much more robust data to be produced much faster than ever before. The technology involved has been around for 10 years. The lipid carrier is degraded within 24 hours of injection and the mRNA within a few days. Since you mentioned the HBV vaccine, are you aware that that is a recombinant protein produced in yeast that only targets a specific protein (the surface antigen) rather than some of the other targets natural infection produces antibodies for? The reason being that the core and e proteins do fuck all to prevent infection. So targeting the protein used by the virus to enter the cell is more efficient than whole virus lysate.

Comment Re: I am a gastroenterologist (Score 3, Informative) 34

Worldwide yes. Helicobacter pylori is the most common cause of peptic ulcers, especially outside the USA. The guys who proved this by infecting themselves with it and getting ulcers won the Nobel prize. In the US, gastric ulcers are also frequently caused by NSAID use such as aspirin (even baby aspirin!) or ibuprofen.

Comment I am a gastroenterologist (Score 2) 34

And I'm moderately baffled by a reported need for 3d printing to treat stomach ulcers "less invasively" - standard of care is an endoscopy to diagnose the ulcer (sometimes ulcers can be diagnosed by various imaging modalities, but this is much less sensitive), and if the ulcer needs treatment (visible blood vessel, visible bleeding, or a large adherent clot) you can do it then and there - typically an epinephine injection to slow active bleeding, and then either a clip which will close the ulcer and fall off and pass on its own in a few weeks, or you can apply a heat probe for coagulative coaptation of the blood vessel causing the bleeding. In either case, for the vast majority of ulcers, these treatments will stop the bleeding at the end of the procedure, typically 5-15 minutes. The stomach mucosa will then heal on its own, with the help of proton-pump inhibitors like prilosec. Not sure how this process is less invasive as it also requires endoscopic placement, or more effective as it would take much longer. I guess it could be helpful in non healing ulcers due to poor blood flow from severe vascular disease or heart failure, although I doubt the printed cells will do too well without a good blood supply.

Comment Incongruity... (Score 1) 101

The summary claims "Accurate modeling of subatomic particles" in the title, then goes on to state "that simulates subatomic particles and the formation of matter using classical physics" which would seem completely wrong on its face, as one would need to use quantum mechanics, not classical physics at that scale.

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