TranscendentalEmpire

joined 2 weeks ago
[–] [email protected] 47 points 1 week ago (3 children)

I don't think many people working outside pediatric healthcare really have an understanding about how comfortable healthcare providers are prescribing interventional care.

When diagnosing and treating a patient we come up with a plan of care that is weighted on total outcomes. Now this isn't a perfect system, for example we may not completely understand the potential harm of new medications. However, we are creating the plan of care with the best information we have at the time. Taking potential side effects and weighing it against the potential harm that could occur without any treatment.

I specialize in pediatric orthopedics and rehabilitation....so take anything I say about gender affirming care with a grain of salt. However, the potential outcome for not treating gender dysphoria as I understand it is pretty bad....self harm and suicide are about as bad as an outcome as one could imagine. Now weigh that against the medications that are usually prescribed for gender affirming care which are well known, and most often prescribed without negative effect for a plethora of treatments ranging from precocious puberty, to monitoring rate of which growth plates close.

Hormone replacement therapy has been going on for decades and is very common place at any hospital that atends to pediatric patients. To claim that intervention isn't appropriate for something with a potential total outcome as bad as suicide, based off "kids can't consent" is a ridiculous notion considering that the same drugs are often prescribed to make sure a child doesn't develop a limb length discrepancy after an orthopedic surgery.

[–] [email protected] 22 points 1 week ago

I mean.... Iraq didn't have them until we sold them the precursor chemicals to make them. What they were really upset about was that Saddam was supposed to use all those to kill Iranians and then the Kurds.

You do a guy a favour by helping him eliminate any of his dissonance and what do you get in return? The guy tries to invade Kuwait to pay off all the money he owes for invading Iran. When did empowering ruthless dictators to do your bidding get so complicated?

[–] [email protected] 0 points 1 week ago

It really depends on your energy source and your appliance, but the cost to run something like an oven for an hour is pretty negligible, especially if it's a somewhat modern appliance.

Most newer over run somewhere around 2-3,000 kwh, which nationwide averages to around .30 to .50 cents an hour.

The real cost of making food at home really just depends on how much you value your own labour/free time, and how much of a chore cooking is for you.

[–] [email protected] 0 points 2 weeks ago

How dare you remind me of the impermanence of time. I'm not old.... you're old.

[–] [email protected] -1 points 2 weeks ago

This guy bought so many rare monkey tokens. Ai is impressive in some aspects, but it's not nearly as impressive as the marketing that drives the massive amounts of investment into it.

The US economy is doing anything it can to create growth, which is causing investors to create a bubble around AI that is "too big to fail".

[–] [email protected] -1 points 2 weeks ago

I'd def agree with that before him wanting resources.

[–] [email protected] 0 points 2 weeks ago

will post the recipe below/above.

Thanks, I'll have to give it a try! I'm not a die hard puritan like my mom, I'll basically eat/make anything as long as it's tasty.

[–] [email protected] 0 points 2 weeks ago (1 children)

Unfortunately we live in very interesting times. The global death of democracy is approaching right when we all need to be working together to address the rapidly changing climate. More than likely the globe will see a nationalistic dash for resources to where nation states attempt to bolster themselves before the advent of mass migration.

Now luckily, this will more than likely take decades, not years. Being a doomer isn't being aware of the state of the world, it's how you respond to it. Don't get caught up thinking about things on a global scale, if nations aren't able to fix it.... individuals really don't have a chance. Think locally, build a mutual aid and defense network that operates to protect your loved ones and your community. There is still time to prepare and neighbors to protect, and at the end of the day that's really what matters.

[–] [email protected] -1 points 2 weeks ago (3 children)

Idk, the gdp of Greenland is only 3b a year and it's mostly from fishing. There's really nothing the US could extract from Greenland that would be worth the cost of invading it. There's some potential for mining, but you'd have to build an entire infrastructure to do it, and we don't even want to invest in building infrastructure in the US.

Realistically the only thing that makes Greenland strategically important would be controlling the shipping lanes up north. However, the only strategically significant rival we have that utilizes those shopping lanes are Russia, whom the administration wants to buddy up too.

I think it's just meat they throw out to the media anytime they want to distract from their failures, and of course our pathetic press just gobbles it up every time.

[–] [email protected] 0 points 2 weeks ago (2 children)

Oh neat, Ive never made Baechu kimchi with anything other than napa cabbage. Do you use fish sauce or fermented krill, or just add a little additional salt?

Always neat to see people expanding on kimchi, I really only know what my mom taught me and she's what I'd call radically traditional when it comes to Korean food.

[–] [email protected] 0 points 2 weeks ago (4 children)

What's hot pink kimchi?

[–] [email protected] 5 points 2 weeks ago

Lol, it's not. The IRS doesn't care about your brokerage sales unless you're liable for a capital gains tax, which wouldn't happen if you are not making a profit.

Plus, if they received a huge pile of paper about your trades that didn't include a 1099-b, which is literally just like 1/4 of a sheet of paper....they would just request it from your brokerage.

Anyone who thinks the IRS is some evil org has just never done their own taxes and listens to propaganda from billionaires who don't think taxes should exist.

If you've ever really had a legal problem with the IRS, you were more than likely purposely evading taxes and deserve the trouble. They are actually really reasonable to work with, and usually bend backwards to resolve the issue in several different ways before pursuing anyone legally.

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