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wathe

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Posts posted by wathe

  1. 8 minutes ago, Penelope said:

    Evidence-based medicine does not find masks decrease transmission in real-world population studies,

    I disagree.  As real-world studies go, this one from NEJM is about as good as it gets: Lifting Universal Masking in Schools — Covid-19 Incidence among Students and Staff

    EBM is about using the best available evidence to make the best possible medical decisions.  Some forms of evidence are better than others, and some questions are best answered by different forms of evidence than others. Perfect real-world studies are rarely actually possible.  The one I've linked comes close, though.

    -------

    WRT to meta-analysis, it doesn't matter how stringent methodology criteria are if the study content isn't relevant to the research question.

    21 hours ago, Corraleno said:

    That is a really bizarre meta-analysis of 32 studies, going back to 1977, 16 of which were in private residences, none of which look at covid. 

    The studies included a wide variety of “air treatment systems,” including HEPA filtration, UV sterilization, ionization, electrostatic filtration, charcoal filters, plain old air conditioning (no HEPA filtration), and one study cleansed the air with “mugwort smoke.” The illnesses being tested for ranged from asthma, to allergies, aspergillus mold, and norovirus, as well as respiratory infections, and most looked at duration or severity of symptoms, not number of infections.

    Only two of the studies were in schools, and both looked at the effect of HEPA filtration on asthma, not infection. Two other studies done in preschools looked at respiratory infections, but they just had regular air conditioning systems, no HEPA filtration. 

    Content wise, this is a GIGO meta-analysis, no matter how good the methodology of these studies might have been.  They've pooled a mish-mash of technologies as inputs and measured a mish-mash of mostly surrogate outcomes.  This study doesn't tell us anything meaningful about air filtration and covid transmission, or even respiratory virus transmission more generally.  It's a bit of a dog's breakfast, truly.

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  2. 8 minutes ago, CTVKath said:

    I have the TR7 from 2020. The current model TR7 says it is "Perfect Wash" but I don't know if that was the case for 2020. Either way, I mostly use only one cycle - Permanent Press - and it is a 36 minute wash cycle no matter how big or small the load. I love it!

    Thanks.  

    Yes, the "perfect wash" is the TR series.  We are looking at the TR5 (dial controls) rather than the TR7 (electronic button controls), but I think the guts of both are the same.

    (The "classic" is TC5)

  3. Just now, Katy said:

    Idk, neither were available when I needed a new set last year so I went with the largest capacity LG Thinq’s the local appliance store had in stock. They aren’t fast, but I can do 3 loads in one wash so I’m happy with them. 

    I just wanted to say I’m sorry you had a fire.

    Thankw!  Lots of smoke, but no flames, thank goodness.  I am glad I was home and paying attention.

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  4. OK Speed Queen experts, help me pick a new washer, please!

    My 26-year-old Maytag top-loader finally went up in smoke, (literally; very exciting and dramatic!) and is not repairable.

    I want to replace it with a SpeedQueen/Heubsch top loader, but I am having trouble deciding on the model.

    Do I want "Classic Clean" with 0.5HP 2-speed motor, or "Perfect Wash" with 1HP variable speed motor?

    Classic has a shorter cycle time and no lid lock (both desirable).  Perfect Wash cycle takes longer but is maybe gentler on clothes? And has a lid lock, but it can be disabled apparently.  Both are locally available, and the price difference is negligible.

    I want clean clothes and a washer that will last a very long time.

     

  5. Podcasts and audiobooks.

    Favourite podcasts:

    In Our Time. BBC history , science, philosophy, religion, and the arts with expert guests

    Ideas.  CBC "IDEAS is a deep-dive into contemporary thought and intellectual history. Anchored in a powerful legacy and expansive archive spanning over five decades, its topics are boundless. The nature of consciousness. The history of toilets. The roots and rise of authoritarianism. Near death experiences. No idea is off-limits. Each episode cracks open a concept to see how it's played out over place and time — and uncovers why it still matters today. In the age of clickbait and superficial headlines, IDEAS is an oasis for people who like to think."

    Backstage at the Vinyl Café. "Backstage at the Vinyl Cafe welcomes you into the hilarious world of the Vinyl Cafe. Each episode features stories about Canada’s favourite fictional family: Dave, Morley and the kids, narrated by the late Stuart McLean and recorded live in concert."  Stuart McLean is a master story-teller.  Very worth your time.

    I use wired the wired earbuds that came with my iPhone.  They work just fine.

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  6. Canada.  Homelessness is a complex issue, and there are distinct sub-populations.  

    The temporarily homeless  (transiently homeless primarily due to economic misfortune) tend to do well; they are generally organized enough and motivated to complete the necessary steps to access shelters, housing and primary care.   I don't think that these is the sub-population OP is asking about though.

    Our chronically homeless do poorly.  They almost always have multiple concurrent serious co-morbidities that contribute to their chronic homelessness and unshelteredness: Axis 1 mental illness, substance use, personality disorders, challenging behaviours, are generally disorganized, and either incapable or unmotivated to complete the necessary steps to access shelters, housing and primary care.  Many refuse to stay in shelters.  In other words, they tend to have multiple co-morbidities that contribute to their poor health status independently of their homelessness (of course, homelessness makes it all worse, but it is a chicken/egg problem)  Not very many survive to old age.  They overwhelmingly use emergency departments to access medical care -- always open and almost no barriers to access (no appointments necessary, no need for a phone or internet).  Predictably, this leads to poor continuity of care.  It's a big issue in emergency medicine.  Ongoing/continuing care of the chronically homeless is not something ED docs train for, not a core competency, and not something most of them like very much.  And departments aren't structured or funded to provide this very specialized care.  It's a big issue.

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  7. Of all the fuels mentioned, wood is by far the dirtiest burning and probably the least safe for food preparation -- there are lots of carcinogens in wood smoke.

    Butane burns very cleanly.   Pocket-rocket style backpacking stoves, and the kitchen torches used to brown food (think crème brulée) use butane.

    Ethanol and methanol also burn very cleanly and are safe to use as stove/cooking fuel.  I favour alcohol stoves for camping and have a lot of experience with these.  Great for roasting marshmallows!  Pure methanol is super-clean burning and is safe to use as fuel for cooking; but burns with an almost invisible blue flame and is very poisonous if ingested as liquid fuel.  Pure ethanol also burns cleanly, but is prohibitively expensive (Everclear) to use as fuel. Denatured alcohol (ethanol plus methanol) can be clean burning if there are no other additives; but sometimes there are additives, read the label.  "Fireplace fuel" bio-ethanol is dirtier burning, as they put in additives to make it undrinkable and to make the flame yellow -- IME it leaves some soot on my pans.  Ditto fondue fuel.  Isopropanol is dirty and sooty; definitely the choice of last resort as alcohol fuels go.

    I favour pure methanol for stove fuel because it is so clean burning, cheap, and very easy to get in Canada ($15 for 4L, from the paint department), and I know better than to drink it.   It burns cleanly enough that I can use it indoors without setting off smoke alarms (we make sure we have appropriate ventilation and have a CO detector).   Would a fondue burner or alcohol stove suit your purpose?  Less pretty, but could also be used as a stove to cook food during emergencies.  The alcohol-burning personal/tabletop fire pits I see listed on amazon all look like pretty fondue burners to me.

    If you want wood-burning, maybe consider a wood camp stove like a solo stove Titan?  It's meant for cooking; you could use to cook during power failures/emergencies, or take it camping.

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  8. 4 hours ago, Laura Corin said:

    Cake is more like a 'measure word' in Mandarin - a word denoting a certain format of object, e.g., long thin things, flat wide things.

    Another one is 'corn' which meant a hard granular thing. So the local most common grain was 'corn' - oats in Scotland, wheat in England,  maize in N. America. Peppercorn is another. And corned beef - made using granules of salt.

    Yes.  Like Korean Tteokbokki "rice cakes", that to me seem more like really thick noodles.

    (Which are completely different that the "rice cakes" found in most Canadian grocery stores, used as alternative to bread or toast!)

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  9. On 9/29/2023 at 8:10 PM, Melissa Louise said:

    This is hands down the best thread I've ever seen in my time here. I am sitting here feeling thrilled about bowls and vases and pots , even ugly mid century  ones. 

    There's something stupendously spiritual about a glazed and fired clay bowl. 

    I want to go to the gallery immediately and see an exhibition that is just clay bowls. Empty or with water or maybe a mix. 

     

    Rice bowls in a Korean art museum.  Some of them are blue 🙂

    image.thumb.jpeg.be6318e1df29bf853705437fef5cb2f5.jpeg

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  10. 2 hours ago, Indigo Blue said:

    Negativity I’ve personally experienced regarding being a SAHM:

    My (female, obviously) sister in law: “Ask Indigo to bake the cookies for the band fundraiser. She doesn’t have anything else to do all day long.”

    My neighbor (male) across the street: “What do you do all day?” This is a married neighbor who also called me on the phone one day to see if I would have a fling with him. Just called and asked. Not making this up. Disgusting man. 
     

    One of Dh male coworkers before he had his own business: “His wife (referring to my dh) is a lady of leisure.”

    My own father just a few months ago: “What are you, a do nothing? A zero?”

    No wonder I’m happy to be an introvert. Some people can be so damn disgusting. 

    DH is a stay at home dad, and gets all this too (minus the direct propostioning.  I hope!)

    Which is also misogyny.  The role itself is undervalued because is it a role usually held by women.  Patriarchy and misogyny affects us all.  

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  11. 5 hours ago, Xahm said:

    My daughter is in a girl's BSA troop. The existence of such a thing causes some people's misogyny to shine through. I understand some people would prefer single-gender activities, and I don't mind too much when some fool reacts badly, assuming that camping trips are now some free for all orgy. I simply explain that the girls want to have the same opportunities as the boys and that we have high moral standards for behavior, and that girls are certainly encouraged to join Girl Scouts instead if that program is a better fit for them. One guy, however, recently kept walking away and then coming back to lay on more insults. I had explained that troops are single gender, that both girls and boys are expected to not get involved romantically or sexually at scouting events, and he still shot back at me "morally straight! How can they be morally straight with Girls in it?" Still not sure if he was insinuating that girls can't be morally straight or that boys are incapable of being morally straight around girls (in which case, what is he confessing to having done when in Co Ed environments?). He also went off, incorrectly, about how women on navy ships just got constantly pregnant and so they are now back to being banned. He was talking about this in front of 6-10 year olds selling popcorn outside a grocery store.

    Most people aren't nearly so bad, but when we go to events, male scout masters often mansplain like crazy! It's rewarding to see how many of them are willing to apologize and say their minds have been changed after watching girls and women scout successfully, but it's sort of "1 misogynist converted, 394 remain."

    Scouts Canada has been co-ed for almost 30 years.  Troops and patrols are fully integrated.   Girls and boys camp together.  The only time my group separates by gender is shared tents.  We would make your BSA misogynists' heads explode!

    We don't have full equity in scouting yet (particularly, the very top adult leadership levels still dominated by men),  but Canadian scouting is one place where there is generally less misogyny than in general society.  DEIR is taken seriously, and it shows.  Our female youth really do get the same opportunities as males, are just as likely to be in youth leadership roles as males, and are accorded the respect they deserve.

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  12. It's baked in to our patriarchal culture.  We are all swimming in misogyny tainted water and we're all so used to it that we don't even see it.  The social conditioning is invisible.

    Example: 

    Female doctors in Ontario earn 34 per cent less on average, even in fields they dominate, Globe analysis finds

    This is after correcting for hours worked - it's not that women work fewer hours or work less hard, it's that disadvantages are baked into the system.  We all bill from the same fee-for-service fee schedule (socialized medicine).  Seem fair.  But it isn't:

    Sex-specific procedures on female bodies pay less than the equivalent procedures on male bodies.  Misogyny.

    Women surgeons get fewer referrals than men, and get referrals for less lucrative procedures.  Social conditioning.  Misogyny.

    "Requests female physician" patients are often more complex and take more time (in addition to procedures that pay less in the first place).  Meanwhile, my male colleague will get through  2-3 other consults, which earns him 2-3x the $ than I make because I've spent the necessary time with a "requests female physician" patient.   Misogyny.

    Female MDs are socially expected to spend more time with patients in general and socially expected to seem more caring.  There is absolutely no way that I could get away with the kinds of interpersonal "efficiencies" that my male colleagues do.  Social conditioning ---> misogyny

    Female MDs are much more commonly mistaken for nurses and other support staff, which leads to constant interruptions in the ED.  I also have had other doctor's patients interrupt me while I'm doing a task instead of their own doctor because "he seems so busy".

    Female MDs have to take time to establish that yes, they are the doctor.  Misogyny.

    Female MDs work hard.  But, due to reasons listed above (and billion other small reasons having to do with social conditioning and living in a patriarchal culture) it is impossible for them to crank through the same patient volumes as men.  And the kind of work they do isn't valued.  Misogyny.

     

     

     

     

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  13. On 9/21/2023 at 2:45 PM, prairiewindmomma said:

    The ped hospital here is back to fully masking for all staff and workers. I don’t know if it’s compulsory, but literally every person I saw who works there was masked during our latest visit.

    The policy previously was staff will mask if patients/families ask.

    We've been back to universal masking for clinical care for a few weeks.  Still not required in non-clinical areas.   Previously was only if patients ask, but that only lasted a few months.

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  14. @Elizabeth86 

    Please don't fire your doctor based on home-school internet forum medical advice.  Especially over a single decision about antibiotics.

    This is a fabulous forum.  Full of super-smart, amazing people.  And a great place to get ideas and share experience.

    But none have taken a history or examined your child.  

    Strep is tricky.   Strep resistance to amoxil is vanishingly rare (but strep resistance to other abx more common).  Antibiotic resistance is not the same thing as treatment failure.  Sometimes strep isn't even the cause of the acute problem, even with a positive test --- 2-20% of children are chronic carriers, and will test positive for strep even if their symptoms are caused by something else.  Complications from antibiotics themselves are common and can be serious.  Emerging local and global antibiotic resistance is a very serious problem, and North America in particular has very big problem with patients demanding antibiotics.  Strep pharyngitis is usually a self-limiting condition, for which there is genuine academic debate about whether we should be using antibiotics for it at all -- that we are more likely to harm patients with antibiotics than help them in developed countries. But also, strep can go very wrong and become extremely serious, even life-threatening.  Your doctor likely knows all this.

    It sounds to me like your doctor has treated for strep, and is appropriately investigating for other causes of fever.

    I think you would benefit from a followup visit.   Rather than trying to manage your concerns by phone with office staff as go-between.

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  15. 11 hours ago, kbutton said:

    Nothing homemade here. I have some single serve containers for lunches and less help eating them than expected. And someone keeps shoving them behind other things, so out of sight, out of mind. 

    Commercial hummus freezes very well.  I sometimes freeze portions in muffin tins, transfer the frozen hummus-pucks into a freezer bag, and thaw portions as needed.

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  16. 8 hours ago, Acadie said:

    I heard Ashish Jha say in an interview on increasing Paxlovid use that many meds can be discontinued for a 5-day course of Paxlovid--of course ONLY on consultation with the person's physician--and that in many cases it's worth it to do so. I'm obviously not making any assessment of your mom's medical needs, just wanted to mention it because most people (and probably most MDs, tbh) don't realize short-term discontinuation of other meds might be a possibility. 

    Hoping you and the rest of your family stay well!

    Docs around here are well aware.   Some meds can be stopped.  For others, the risk of of harm from stopping the med is greater than the modest (and in some cases uncertain) benefit from taking paxlovid.  Some are meds hard are contraindications -- stopping them is not adequate.

    Ontario Science Table published a very good guide back when paxlovid first came out.  Unfortunately, it's not comprehensive.  There are lots of other drugs with interactions that aren't on the science table's list.   Liverpool Covid interaction checker is more comprehensive, but doesn't include some common North American drug names, and instructions on what to do with each drug aren't as complete as OST's

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