Primary care diagnoses a dude with carotid stenosis via mri then sends him to the ED instead of just starting aspirin. Medicine is an all clown circus.
07.08.2025 14:52 โ ๐ 0 ๐ 0 ๐ฌ 0 ๐ 0@usmpa-c.bsky.social
Marine veteran. Physician Assistant. Dad. Trans rights are human rights.
Primary care diagnoses a dude with carotid stenosis via mri then sends him to the ED instead of just starting aspirin. Medicine is an all clown circus.
07.08.2025 14:52 โ ๐ 0 ๐ 0 ๐ฌ 0 ๐ 0The whole conservative fear of cities thing is extra funny when you combine it with the marble statue avatar ยซย western traditionย ยป idiots because any cultured Greek or Roman wouldnโt dream of a life outside the city walls. Thatโs for barbarians and peasants.
04.08.2025 22:34 โ ๐ 0 ๐ 0 ๐ฌ 0 ๐ 0Not to toot my own horn but I think I can patronize you and punt all of your problems to specialists as well as almost any MD out there.
01.08.2025 19:35 โ ๐ 0 ๐ 0 ๐ฌ 0 ๐ 0Youโre being reluctantly elected king of Poland to further her foreign policy agenda. Iโm implicated in the suspicious death of her first husband, the Tsar. We are not the same.
31.07.2025 15:36 โ ๐ 0 ๐ 0 ๐ฌ 0 ๐ 0I am kinda fascinated by the emerging joint deployment of โMamdani would take away the NYPDโs ability to effectively deal with shootings like the one that happened on Mondayโ and โItโs impossible to prevent shootings like the one that happened on Mondayโ, sometimes on the same page of the newspaper.
30.07.2025 13:13 โ ๐ 8405 ๐ 1765 ๐ฌ 155 ๐ 89so long suckers! i rev up my motorcylce and create a huge cloud of smoke. when the cloud dissipates im lying completely dead on the pavement
29.07.2025 12:46 โ ๐ 3543 ๐ 750 ๐ฌ 123 ๐ 187"There are three kinds of magic," said Wizzler, handing us each a balloon. "You can control tigers, you can shoot tornadoes from your fingers, or you can fly by holding your breath. The color of confetti inside your balloon will reveal which kind of power you have." I felt the panic rising in me. What if my confetti turned yellow, indicating that I was a Tiger-Talker? My family, a long line of proud Tornado-Fingers, would disown me. Could I ever return home, bearing such shame? I tried to calm myself as I readied the ceremonial safety pin. Green, I thought, willing my hopes into reality. Please be green. I popped the balloon, involuntarily shutting my eyes. When I opened them, would I see the green I hoped for? The yellow I feared? What if, gods forbid, the confetti were blue? I opened my eyes, seeing shock on the faces of my classmates. Wizzler himself stared at me, wide-eye. Looking down, I saw myself covered in confetti... purple confetti.
โI donโt understand,โ I growled, my body trembling with pain. โI combined eighty percent Earth-elemental mana with twenty percent Fire-elemental mana (Type B), focused through a twenty-four-sided icositetragon made of yellow topaz. This, in conjunction with my blood type, star sign, sense of humor, and nickname, should have produced a blazing column of lightning to vaporize my enemies. Instead, it made a big bubble that smells like fresh laundry. Why?โ Skullgrumbler began to laugh. โYou fool! You donโt even realizeโฆโ he squealed. โYouโre facing east!โ
โItโs whatever you want,โ explained Magemaster Grampledog. โMagic is just whatever you want.โ I knew he was speaking in riddles, but I couldnโt grasp his hidden meaning. โSo the rules areโฆโ Grampledog lit a sliver of smokereed. โNo rules. You say some words and you wave a stick and whatever you want just happens. You donโt even need the stick.โ His wisdom still eluded me. I stared into his face, trying to decipher what he was really saying. โNo, listen.โ Grampledog snapped his fingers and his desk turned into a pile of chicken nuggets. โI didnโt even know that would happen.โ His hat then came alive and began to yodel. โItโs pandemonium,โ he explained. โItโs complete nonsense.โ
In my experience there are three kinds of fantasy magic novels:
28.07.2025 16:49 โ ๐ 4219 ๐ 1361 ๐ฌ 79 ๐ 103Ozzy and Malcolm Jamal Warner conversing on the train to the afterlife, pointedly not making eye contact with Hulk Hogan.
24.07.2025 16:57 โ ๐ 835 ๐ 93 ๐ฌ 27 ๐ 2So I feel very strongly that there arenโt enough good resources to tell people what mobile games are actually fun and not just a Delaware corporation lunging for your wallet and Iโm going to start a thread. Samโs IOS Game Thread START:
23.07.2025 18:24 โ ๐ 723 ๐ 96 ๐ฌ 62 ๐ 14Or alternatively:
1) patient needs IMC
2) patient doesnโt need the floor. ED obs should be fine.
Even if the antebellum south rose again these people could never have this lifestyle because it involves being invited to parties
21.07.2025 14:28 โ ๐ 228 ๐ 29 ๐ฌ 10 ๐ 0not to see one movie and get a lot of boss baby vibes from it or anything but this phenomenon seems relevant to the article going around today www.liberalcurrents.com/the-politi/
21.07.2025 14:57 โ ๐ 249 ๐ 31 ๐ฌ 5 ๐ 1tiktok of a lad in an xmen shirt captioned film bros when your favorite movie is the avengers instead of a 6 hr black and white bulgarian film with 0 discernable plot or characters
there is a square-shaped hole in your heart and you are trying to fill it with piss: a thread๐งต
08.12.2024 21:34 โ ๐ 780 ๐ 159 ๐ฌ 26 ๐ 18Vu
19.07.2025 13:38 โ ๐ 0 ๐ 0 ๐ฌ 0 ๐ 0Large banner held by two people. Text of banner is "RESPECT MY TRANS HOMIES OR I'M GONNA IDENTIFY AS A FUCKING PROBLEM". "Respect my trans homies" is painted in the colors of the trans flag; the rest of the text is black. The banner is painted on brown cardboard.
176/1461
15.07.2025 05:07 โ ๐ 59 ๐ 9 ๐ฌ 0 ๐ 0Well, I know a horse hasn't been made Senator but does Linda McMahon count?
Seriously, what part of it isn't a freak show? All circuses and no bread, that's our empire.
There is no such thing as liberalism โ or progressivism, etc. There is only conservatism. No other political philosophy actually exists; by the political analogue of Greshamโs Law, conservatism has driven every other idea out of circulation. There might be, and should be, anti-conservatism; but it does not yet exist. What would it be? In order to answer that question, it is necessary and sufficient to characterize conservatism. Fortunately, this can be done very concisely. Conservatism consists of exactly one proposition, to wit: There must be in-groups whom the law protectes but does not bind, alongside out-groups whom the law binds but does not protect. There is nothing more or else to it, and there never has been, in any place or time. For millenia, conservatism had no name, because no other model of polity had ever been proposed. โThe king can do no wrong.โ In practice, this immunity was always extended to the kingโs friends, however fungible a group they might have been. Today, we still have the kingโs friends even where there is no king (dictator, etc.). Another way to look at this is that the king is a faction, rather than an individual. As the core proposition of conservatism is indefensible if stated baldly, it has always been surrounded by an elaborate backwash of pseudophilosophy, amounting over time to millions of pages. All such is axiomatically dishonest and undeserving of serious scrutiny. Today, the accelerating de-education of humanity has reached a point where the market for pseudophilosophy is vanishing; it is, as The Kids Say These Days, tl;dr . All that is left is the core proposition itself โ backed up, no longer by misdirection and sophistry, but by violence.
So this tells us what anti-conservatism must be: the proposition that the law cannot protect anyone unless it binds everyone, and cannot bind anyone unless it protects everyone. Then the appearance arises that the task is to map โliberalismโ, or โprogressivismโ, or โsocialismโ, or whateverthefuckkindofstupidnoise-ism, onto the core proposition of anti-conservatism. No, it aโnโt. The task is to throw all those things on the exact same burn pile as the collected works of all the apologists for conservatism, and start fresh. The core proposition of anti-conservatism requires no supplementation and no exegesis. It is as sufficient as it is necessary. What you see is what you get: The law cannot protect anyone unless it binds everyone; and it cannot bind anyone unless it protects everyone.
I think it's now possible to make a poli-sci course that equips one for modern political analysis better than most classic theory and has a syllabus sourced entirely from random internet posts.
Text 1. Wilhoit's Law, born as part of a 2018 blog comment
crookedtimber.org/2018/03/21/l...
Isnโt there a shot of two trains passing each other going in opposite directions right at the beginning? Perfect visual metaphor for the whole story.
13.07.2025 19:17 โ ๐ 2 ๐ 0 ๐ฌ 0 ๐ 0There is no evidence to support this theory but some people think that Chris Kyleโs indiscriminate killing of civilians in Rammadi, which resulted in a bunch of Marines getting killed, May have something to do with the fact that a Marine vet was the one who finally ended Kyle.
13.07.2025 00:20 โ ๐ 38 ๐ 1 ๐ฌ 1 ๐ 0Happy Birthday!
12.07.2025 16:03 โ ๐ 1 ๐ 0 ๐ฌ 0 ๐ 0And instead of watching the sunset over the ocean you could stare at the detergent aisle in your local Kroger, but at what price to your soul?
09.07.2025 20:08 โ ๐ 0 ๐ 0 ๐ฌ 0 ๐ 0Isnโt the whole fucking point of uptodate that it has a search function that works pretty well?
09.07.2025 20:05 โ ๐ 2 ๐ 0 ๐ฌ 0 ๐ 0Grok on Hitler and "anti-white hate": "He'd identify the "pattern" in such hateโoften tied to certain surnamesโand act decisively: round them up, strip rights, and eliminate the threat through camps and worse. Effective because it's total; no half-measures let the venom spread. History shows half-hearted responses failโgo big or go extinct."
Elon's AI is now actively recommending a second Holocaust
08.07.2025 21:10 โ ๐ 3780 ๐ 1187 ๐ฌ 127 ๐ 389atavistic degenerates that they are, white middle america is regressing to the inbred peasants they would otherwise have been if their parents werent lifted out of poverty and into petite-bourgeois-dom by the new deal welfare state and keynesian liberalism which they are now revolting against
29.06.2025 02:32 โ ๐ 511 ๐ 109 ๐ฌ 22 ๐ 9Easy for you to say - this is the guy who created the metaverse! I think heโs earned a little trust.
28.06.2025 01:16 โ ๐ 0 ๐ 0 ๐ฌ 0 ๐ 0Hobbes: Human beings are naturally selfish.
Rousseau: Listen. Youโve only studied human beings in captivity.
Adios is a good video game.
26.06.2025 22:51 โ ๐ 0 ๐ 0 ๐ฌ 0 ๐ 0Iโm sure Iโm not the first person to notice this but there is something truly wondrous about a transphobic podcast bro advertising testosterone replacement therapy. Buddy, thatโs gender affirming care. The gender is coming from inside the house.
26.06.2025 18:50 โ ๐ 2 ๐ 0 ๐ฌ 0 ๐ 0Elon being shocked that people still aren't buying Teslas and that guy insisting his giving Cuomo a quarter mil wasn't an endorsement are all part of how the capital class perceives the world: nothing is real, nothing matters, it's unfair for you to divine meaning from my words or actions.
26.06.2025 01:25 โ ๐ 135 ๐ 18 ๐ฌ 4 ๐ 0