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.

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.

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.

They require the certificate to be installed to have access to the network.

I use Proton when I’m on my university’s campus because they switched to using EDUroam for the campus wifi. I used to be a Sys Admin at a different university a while back, and from what I know, EDUroam allows the IT department to monitor basically all of the traffic over the network. I don’t know exactly how deep that stuff goes, but if I was doing anything personal or sensitive like banking or whatever, I’d flip on the VPN on my personal computer. I also don’t have any personal accounts logged in on the school issued laptop because they have it loaded with institutional spyware. Once I graduate, I’ll blank the drive and reinstall the OS to have a decent Lenovo laptop on hand as a spare.

Edit to add: I use Proton because it was the least shady service that I could get for a reasonable price as a student. It is also helpful for finding textbooks. :)

He was banned from trying to join any branch of the military because he did so poorly on the ASVAB (and probably also failed a psych eval). While many police departments are deeply corrupt, I don’t think any of them want the bad press that would come with hiring him. Maybe he can get hired as a deputy in a sheriff’s department run by someone like Arpaio.

Usually the situation they put themselves in is taking a job as a cop and refusing to deescalate any situation.

One of the problems these monsters have been having with carrying out executions is that they can’t get pharma companies to sell them the drugs they use and they can’t find actual healthcare professionals to perform the act. That’s why there’s been a few cases recently of having to cancel or postpone an execution because they couldn’t get the damn IV line in.

Which is why, in many cases, there should be liability assigned. If a self-driving car kills someone, the programming of the car is at least partially to blame, and the company that made it should be liable for the wrongful death suit, and probably for criminal charges as well. Citizens United already determined that corporations are people…now we just need to put a corporation in prison for their crimes.

The article specifically describes the housing options that are single-occupant with doors that lock and accommodation for pets. They are also working on solutions for couples to help keep them together where possible. It’s not ideal, and it’s not a permanent fix, but they interviewed someone that’s staying in the safe, clean, cabins while attending a 2 year college program to get a better paying job.

There is definitely more that the state could be doing as a whole, but they are investing a lot of money into programs and housing with free or heavily subsidized rent to help people get back on their feet. The article specifically mentioned a model where “rent” costs 30% of the resident’s income and the rest is covered by a rental assistance program.

The restrictions on nuclear fuel recycling might be lifted soon, so that argument may very well become moot as well.