You have to be very careful about “filtering” as well. It becomes far too easy to write off a legitimate concern if it has to pass muster with your “filter” before you consider it. The HPI and subjective portions of a note are explicitly for the things the patient (or their caretaker) tells you. It is subjective. Then you do your objective examination and testing, then you make an assessment, and if you can justify that assessment with the testing and history, then you can make a plan. SOAP notes go in that order for a reason.

That doesn’t mean you ignore them. You listen to what they’re saying, maybe take it with a grain of salt, and actually get a good history and physical.

Stories like this make me very glad that I got my pediatric experience in a good children’s hospital before starting medical school. The attending physicians made sure to drill it into everyone’s heads that if the parent is expressing concern about a change in condition or “something just not being right”, you report that to the patient’s physician and nurse ASAP. Everyone from the physicians down to the admin folks were empowered to challenge decisions they thought weren’t in the patient’s best interest.

Hell, I even had a case where, as the ER tech, I challenged a physician on her diagnosis of a child and refused to let her discharge the kiddo without looking at him again. The mom told me something was wrong, and even with just an EMT license, I was able to see something was subtly wrong as well. It turns out the mom and I were right and the physician changed her diagnosis and admitted him to the hospital for treatment instead of discharging him home to follow up in clinic in a couple days.

I thought the point was to be better than Hamas? Of course they mistreat detainees, but that doesn’t mean Israel gets a blank check to do the same. Also, many of the Palestinians currently being held by Israel without charges in indefinite detention are innocent civilians, including many from the West Bank. Israel has been illegally detaining and mistreating thousands upon thousands of Palestinians without any kind of due process or concern for human rights for decades. Pointing a finger at Hamas and saying “Look! They’re doing it too!! October 7th!!1!!” is not a valid argument for how Israel has been treating captive Palestinians for years.

The way that Hamas treats Palestinians is partially the responsibility of Netanyahu and the Likud given that they provided Hamas with material support to take power in the first place. Also, the fact that Israelis stormed an IDF base in protest of the punishment of IDF thugs that anally raped innocent Palestinians to death with rifles tells me a lot about what Israel thinks of all Palestinians, not just the ones that are actually part of Hamas.

Edit: Here’s an article describing the way the IDF treats doctors and paramedics. (Who are not members of Hamas) https://www.democracynow.org/2024/8/27/hrw_report

Except that the sentencing keeps getting postponed.

That’s the thing though…I think it is part of their due diligence to know what’s going on in their own business. If they can’t guarantee that it’s safe, they shouldn’t release it.

The c-suites have the ultimate power and therefore ultimate responsibility for whatever happens in their organization. Similar to how parents can be held criminally liable for their children’s actions. It’s just that much more incentive for them to make sure things are in order in their organization.

Also, Citizen’s United ruled that corporations are people, so they can be held to the same standards of responsibility as other people.

I think the threshold for proving the “reasonable person” standard for companies should be extremely low. They are a complex organization that is supposed to have internal checks and reviews, so it should be very difficult for them to squirm out of liability. The C-suite should be first on the list for criminal liability so that they have a vested interest in ensuring that their products are actually safe.

I’d accept that if the makers of the self-driving cars can be tried for vehicular manslaughter the same way a human would be. Humans carry civil and criminal liability, and at the moment, the companies that produce these things only have nominal civil liability. If Musk can go to prison for his self-driving cars killing people the same way a regular driver would, I’d be willing to lower the standard.

The nuclear industry is heavily regulated by the government via the NRC, but they impose even stricter regulations upon themselves. Solar and wind are cheaper, but they are less reliable. A grid comprised of a mix of solar and wind, bolstered by nuclear is the most effective and least environmentally harmful option that we currently have.

The emissions are negligible on the grand scheme of things, especially compared to fossil fuels. The manufacturing of solar panels isn’t the cleanest either.

“The only moral abortion is my abortion.”

I am now rather curious about the context. I saw his comment about being on his boat, but hadn’t seen him around prior to that. I don’t remember the username though, so I can’t look up the profile.

If it’s a federal holiday, a lot of employers offer (or, in some cases are required) to give increased pay on holidays, usually time-and-a-half or double-time depending on overtime laws. The increased rate of pay could make up the difference for the list wages from the unpaid time off for voting.

There have been a few problems recently with pharma factories failing inspections in regards to sterile production environments. The last one I heard about was a while ago, but I think I remember a pharma company deciding to close some factories and stop making those products because coming up to code would be too expensive and the products aren’t that profitable.

It’s important to note that the human populations of northern and southern states were fairly close to even, but the south decided that anyone with a bit too much melanin was property, not a human with rights and a vote…and they were very reluctant to give up that system.

Some states require businesses to give workers a minimum of a certain number of hours to vote, but there are no requirements for that time off to be paid. This means that, even if the workers are allowed to leave to go vote, it is unlikely that they will be paid for those hours, and for some people, missing a couple hours off of a paycheck can be a very big problem.

American businesses are not required to give employees paid time off to vote, and the required amount of time that they have to allow is just a couple hours. So if someone works far away from where they live and/or has 12 hour shifts or something, it becomes a choice of getting paid or getting to vote. And the Republicans have done a fabulous job of making sure that voting is as time-consuming as possible in poor and non-white districts by limiting the number of polling sites. Some people have to wait 8+ hours to vote, and the Republicans have made it illegal to give people who are waiting in line food or water.

Also, you have to vote in the precinct you live in/are registered in. You can’t go to just any polling site on election day.

MRI sometimes uses a non-radioactive contrast depending on what you’re trying to get images of. MRI is probably the safest imaging modality, but it’s very expensive, kind of difficult sometimes due to how long it takes, and isn’t useful for every kind of imaging that needs to be done.