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Cake day: January 24th, 2025

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  • Hey MD: The fact that appointments we pay a bunch of money for are only 15 minutes is pretty fucked up in a lot of cases.

    It is messed up, I agree. You can’t address much in 15 min. What you don’t necessarily see is the BS administrative burden that also comes with visits that may or may not be factored in to the face-to-face encounter duration.

    Oh, and the fact that you all can cancel on us at the last minute with no problem, but if we cancel we get charged is absolute bullshit.

    Not every practice does charge for cancellation. But if someone reviews your chart before the visit and you cancel the same day or night before, you might actually end up wasting provider time. Just an FYI.





  • The US population is unhealthy and there is a strong relationship between covid mortality and obesity. So some of the susceptibility cannot be blamed on a single sitting president. That said, his lying in February and March cost a lot of lives up front and that’s where he could have made the strongest impact by showing leadership and preparedness (like getting masks so HCW wouldn’t have to wear the same N95 for a month). He used an Obama-era system to boost the development of the vaccine (moderna at least). And then he bitched about lockdowns, which should have been managed dynamically based on the local healthcare system resources/capacity. But the most telling thing was, the moment he LOST the election, he abandoned the vaccine deployment efforts, so Americans lost 2 months in the rollout.










  • I know this is a popular notion, but have you guys thought about:

    1. If the doctor sees someone who is 30 minutes late, their entire schedule slips. So y’all complain if they don’t see you if you are 15 minutes late (usually that’s the policy), but also complain if you have to wait.
    2. Have you guys thought about that primary care appts are in 15-20min increments (30min tends to be generous), which means, they either don’t address your issues if they are complicated. Or they’ll tend to run late?

    Many people have no transportation, and it’s even harder to make it on time if one’s sick, so it’s just the right thing to try to squeeze in those who are late, but y’all can’t have it both ways.

    source: am MD. And yeah I rather run late but see everybody and address everything I can, than finish on time and help nobody/few.


  • Can you point me to the part of the text where they provide clarification from a biological standpoint? This language sets up the interpretation: “the policy of the United States to recognize two sexes, male and female […] grounded in fundamental and incontrovertible reality”. So if this is an “incontrovertible reality” then why do people have such an easy time refuting it?

    Which gives me flashbacks about having to learn the specific adrenal enzyme dysfunctions that lead to erroneous sex-assignments at birth. But again, I don’t think people need biology degrees to have an understanding of this and I’d like society to stop trying to give “good faith” interpretations to texts that are explicitly written in bad faith.


  • s clearly indicates the ‘belonging’ occurs ‘at conception’, not the production of disparately sized cells. When the production occurs is not specified at all and nothing in the definition depends upon when it occurs, merely that it does at some point. This creates it own set of problems, but not the ones everyone is pointing and laughing

    Firstly, I have an MD and would have never commented on this without reading the specific text from the WH. Med school curricula cover this in molecular biology, embryology, medical genetics, pediatrics and obstetrics, and endocrinology.

    Secondly, the definition implies that zygotes can be classified as male/female at conception, which they obviously cannot be without further clarification. Your “good faith” reasoning is that you can retrospectively make that assignment, but there are no criteria to determine how that assignment ultimately happens, which therefore requires additional layers of “good faith” reasoning. Which takes us back to, yeah, the WH definition is hot garbage.