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wathe

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Everything posted by wathe

  1. Hospitals love HGTV for waiting rooms! Bland content that's always appropriate for all audiences. Other channels tend to have spicier content, at least occasionally, especially late at night. HGTV is famous for being safe for all audiences 24/7.
  2. My experience with e-bikes* and e-scooters is not so much that they are inherently dangerous, but rather that they attract disproportionate number of users who can't get a driver's license (often for good reasons, related to past dangerous driving behaviours or other incapacity). At least they don't usually go on highways -- unlike motorcycles, which are also very high on my dangerous things that make my skin crawl list. Right up there with fireworks, and well above backyard trampolines. Motorcycle trauma cases are horrific. ETA: should have said my experience with e-bike/e-scooter injury cases. I've never personally used either.
  3. In Ontario they stay. They are designated "ALC" (alternate level of care) and are charged a co-pay - equivalent to the cost of basic LTC (long term care) accommodation fees. Co-pay may be reduced based on financial circumstances. These patients really aren't dischargeable. We have oodles workers whose only job is facilitating discharge - all alternative options are explored. Patients don't stay a moment longer than necessary. Keeping them in an acute care hospital when there is nowhere else to go really is the only humane and ethical choice, but also has serious consequences, especially for the ED: Hospital overcrowding is a main (IME the main) contributor to ED overcrowding. It is a serious issue. More than 1/3 of beds at my acute care hospital are occupied by ALC patients. This is similar to other hospitals across the province (and definitely there are GTA hospitals that are even worse off). Which means that admissions from the ED have nowhere to go, and pile up in the ED. Which means new ED patients have nowhere to be assessed and pile up in the hallways and waiting room. It's not unusual to have 100+ patients registered in a 40-something bed ED. We have patients in chairs in every hallway, and stretchers in every conceivable nook and cranny, as well as lining the halls. Admitted patients can be in ED hallway stretchers for days, ie frail pt with dementia with hallway noise, traffic, no privacy, and lights that never go off. Storage closets and waiting rooms and offices and anterooms have been "converted" to patient-care space. The stuff that used to go in the storage spaces now clutters up the halls. Stuff and patient chairs/stretchers line every inch of hallway wall. --- every inch). We have improvised workstations (some of them in hallways, of course!) for nurses to look after the hallway and chair patients. It makes provision of excellent care impossible. It makes work conditions for staff terrible. I'm also convinced that it increases ED violence: Everyone on top of each other, and staff having to pick their way past frustrated/angry patients in the halls in order to do their work, all shift long. Definitely a top cause of burnout. We really, really, really need more nursing home beds!
  4. To be fair, there is an evidence base to support the CDC 24h recommendation. It's not just a made-up thing: https://pubmed.ncbi.nlm.nih.gov/8502522/ https://pubmed.ncbi.nlm.nih.gov/26295745/
  5. People I know with math bachelor's degrees: actuaries, accountants, IT/computer network, high school teacher, graphic design, university professor. There is lots of overlap with electrical engineering degree friends in terms of IT/computer network type of careers.
  6. From the Methods section of the study: ". Localities with GIPANDOs and matched localities received two sets of public records requests from the investigators. In July 2015, a first set of requests under the Massachusetts Public Records Law (M.G.L.A. c. 66, §10, 2016) was sent to target localities. These letters requested, BAll records documenting complaints made to [the local police] agency and records of crimes al- leged or committed or incidents ... that took place in a public bathroom, public restroom, public locker room, or public changing room.^ The request covered a one- to two-year timespan before and after the gender identity inclusive public accommodations nondiscrimination law had gone into effect in the localities that had such an ordinance and the same time period for the localities that were matched localities. In some cases, the local ordinance had been passed less than one or two years prior to the public records request. In those in- stances, records were requested Bthrough the present.^ If matched localities were matched to more than one GIPANDO locality, the matched locality records request would cover the matching timespan for both of the GIPANDO localities to which they were matched. The total timespan covered (either two or four years) was selected based on the size and crime rate of the locality; smaller localities or those likely to have fewer incidents were given longer timespans to search, and larger localities or those in which more incidents were likely to occur were given shorter timespans. The investigators requested information on the type of crime/incident alleged, the gender of the victim(s) and the perpetrator(s) (as applicable), the date of the incident, and the address of the public bathroom, restroom, locker room, or changing room in which the alleged incident took place. After mailing public records requests, follow-up emails and phone calls were placed with all of the records custodians to facilitate the process of data collection. Some larger localities were able to comply with the requests relatively quickly and easily, while others did not have the tools necessary to perform a key word search that would make such a request possible or feasible. Several record clerks noted that the cost to pay for staff time to complete a search by hand would be prohibitively expensive. After assessing the initial completed responses, the investigators noted that the majority of incidents occurring in restrooms were not related to the types of crimes that are the subject of concern related to public accommodations nondis- crimination ordinances. In other words, the fears projected as potential problems related to such ordinances are related to violations of safety and privacy, but most incidents were re- lated to vandalism and drug use in public restrooms and theft in locker rooms. Given the mismatching scope between the search and the crimes of concern and the challenges for smaller localities to respond to the public records requests, the researchers complet- ed a second round of public records requests with a narrower scope in February 2016. In the second round of requests, the investigators requested, BAll records documenting complaints made to [the local police] agency and records of crimes alleged or committed or incidents ... involving conduct that took place in a public bathroom, public restroom, public locker room, or public changing room^ regarding criminal codes related to: murder, manslaughter and attempts; assault or assault and bat- tery and attempts; theft involving assault or battery and kidnap- ping; rape, stalking, harassment, indecent exposure, public sex and voyeurism; and solicitation. The individual Massachusetts General Law sections were cited in the request. The fullupdated request was sent to all police departments that had not fully responded to the first round of public records requests. For those who had responded, but for whom the timespan was still continuing until Bthe present,^ a modified request was sent for any new records that may have arisen since the first round of requests. Follow-up phone calls and emails were again used to assist in the facilitation of data collection until all of the localities had either responded with the results of their search or made it clear that they were unable to complete the search. By the end of the second round of data collection, two localities were unable to complete the search at all, and one locality provided an incomplete response. Records were then organized and reviewed to ensure only inclusion of incidents under the narrower scope related to assault, sexual assault, rape, voyeur- ism, public sex (including sex work), lewd behavior, and in- decent exposure."
  7. The snake draft mechanic for choosing original settlement spots evens out the disadvatange though. So long as every player understands the probabilities and makes well-informed choices. Also, the social/trading element helps too; players with poorer initial settlements can make trading alliances, or "organized crime" alliances that involve constantly robbing and resource-blocking the "richest" player. Family games of Catan at my house can get intense 🙂
  8. A couple of minutes. It would fit nicely in a scrub pocket 🙂
  9. Vitalight. I have both the Aranet and the Vitalight. I bought the Vitalight to send with my kid to school --- cheap enough that I won't cry if it gets lost or broken. My husband quite likes it also, and takes it places, like restaurants on the very rare occasion that he eats out with a friend. ( ETA: My dad also has one and likes it. ) The Vitalight is accurate as long as you keep it calibrated. It needs to be outdoor air for at least a few minutes every week in order to maintain its calibration. This is easy: in summer, put it on the porch for a while; in winter, take it for a walk in your pocket (to keep it from freezing). We check the Vitalight against the Aranet periodically. It's usually within +/- 50pm pf the Aranet, so long as it's kept calibrated. Battery life advertised at 12h, but mine lasts at least 36h. It's nice and small and unobtrusive. It has a carabiner style clip. DH clips to his man-purse. The annoying alarm at 1000ppm can be turned off, but you have to remember to do this every time you turn the unit on. It does not record data, so you have to physically check it in the moment to know what the PPM CO2 is at any given time (unlike the Aranet, which stores up to 2 weeks of data and graphs it for you on the phone app, and can download into and Excel spreadsheet etc. I love my Aranet). The display is easy to read. I take my Aranet to work periodically. The ventilation in our ED is excellent. PPM never exceeds 600. Even when we are severely overcrowded. It is useful for making decisons, especially decisions about where to eat or whether to eat at all when one is stuck indoors (like at work, airports, sports tournaments etc). I also use it to calibrate the ventilation in the car when carpooling. Vitalight review that I found useful when deciding on whether or not to purchase.
  10. The base game (orange box) is plenty to start with. Seafarers is a nice expansion that increases the map area without changing the rules too much. The most important thing: Choose your starting settlements very carefully. Poor starting settlement placement means certain doom! I usually choose the settlements that will give the most resources. Don't care what they are because I can trade them. So, always adjacent to 3 tiles, never on the edges (to start), and pick the ones with the best dice roll probabilities. The small red dots under the number tiles represent the probability of that number being rolled and getting you resources. So, 6's and 8's are the best, 5's and 9's the next best. Avoid 2, 3, 11 and 12's like the plague. Then opportunistic depending what I get to either expand and build new settlements rapidly or build cities - both create more resources per roll on average.
  11. Black bean dip, I think. A dip for torilla chips. I remember it was a thing when I was at university in Waterloo the early 90's. Actually bean dip, that is. I learned the expression here years later.
  12. Thirding (or fourthing?) a Corsi-Rosenthal box. Easy, effective and cheap: 20" box fan. We used an inexpensive Lasko 4 of the highest MERV furnace filters you can find. We used these 16x25" ones from Costco, just have to make a second cardboard shroud to fill the gap between the fan and the box. 20x20" filters fit more neatly, but here they are harder to find and more expensive than the 16x25" size. Filtration surface area is the same. The cardboard the fan came in, and tape. Total cost $70USD It's super effective. (LED party lights optional 🙂 )
  13. Agree with previous posters: Codenames, Werewolf (or pretty much any social deduction game), 7 Wonders. Loveletter, Poetry for Neadethals, Sushi-go. Adding: Concept, and Dixit. Most of these games either played in teams, or rounds where everyone is busy doing something. One-player-at-a-time turn-taking games don't work as well for 6 people, i don't think -- too much time waiting between turns.
  14. It's not a happy short story. You don't want that yellow wallpaper.
  15. It's a kind of restraint. We, generally, restrain kids for their own safety all the time: car seats, seat belts, cribs, playpens, stollers, baby gates, and no-one bats an eye. Some kids needs reins/toddler leash. This is no different. It's not like the parents lock the child in their room and then leave the house for a night out - they presumably have ears on the child (don't need a monitor for that, really) and check at intervals. I don't think it's a fire safety hazard - most 3yo aren't going to independently wake, properly exit a house and rendezvous during a house fire without help. At least this way, in an emergency, you know exactly where they are.
  16. I like mayo on fries. I don't specially seek it out, but will happily eat it if mayo is right there.
  17. Total tangent on the salty-with-chocolate theme: The scouts in my group have developed a taste for hotdog-water hot-chocolate. A recipe born from efficiency on the trail: boil hotdogs (because they can cook lots at once this way), then use the water to make hot-chocolate (from powder mix), so as not to waste water, and also not have to wait to boil fresh water. Sounds absolutely disgusting, right? But it's actually pretty good. The salt and oil from the hotdogs adds a certain umami and mouth feel to the hot chocolate that's really good! And it doesn't tast like hotdogs at all.
  18. "Smart Thermometer–Based Participatory Surveillance to Discern the Role of Children in Household Viral Transmission During the COVID-19 Pandemic", JAMA Network Open, published June 1. Here, the kids-don't-spread-it rhetoric dates from the first few months of the pandemic, when schools were closed (March to end of school year 2020) and public health restrictions were at their most stringent. Really what was proven is that school closures work to prevent spread of infectious disease. I had a pointed email exchange with our national scouts org when they requested feedback on proposed covid policy, and one of their tenets was "kids don't seem to get it or spread it". NO, no, no, no! At that time, what we knew was that that kids who are locked down don't seem to get it or spread it, and that kids did not, in general, seem to get as desperately ill with it as older adults. We had no specific data at that time to forecast what the burden would be on children and how contagious they would be. (Other than the knowledge that children, in general, are prodigious spreaders of just of about every other respiratory viral illnesses out there.....)
  19. Nah. That's my MIL's name 🙂 I've never used it; it's no mine. I use professional honorific plus original (and only) lastname.
  20. Anti-NMDA receptor autoimmune encephalitis is one interesting example of neuropsychiatric autoimmune disease. Brain on Fire is a great read; a first person account by Susannah Cahalan. One of my amazing ED colleague made a this diagnosis last year (different patient!). It was a very challenging case, complicated by presentation to multiple different facilities and complex and cumbersome electronic medical records that are both internally and externally siloed and don't talk to each other very well. We are really on the dawn of a new medical era for chronic disease. Both auto-immune and latent viral (often linked). The recent link between MS and Epstien-Barr virus comes to mind. And the negative correlation between shingles vaccine and dementia (suggesting that shingles vaccine may be protective against dementia). We are about to find many like of these, I think.
  21. Same. No issues worth worrying about. Pretty much my entire professional peer group have done the same, with no problems. There is the occasional misunderstanding, but no real problems: DC's friends sometimes assume and mistakenly call me Mrs Husband'sLastname. A teacher once assumed I'd turned up for the wrong parent-teachet interview (but I suspect that was more based on racial mismatch rather than name mismatch -- maybe both?) All easily sorted within a few seconds.
  22. Soror, I'm sorry that your thread has gone pear-shaped. I see you and I hear you.
  23. I like to use books as a tool: Make sure I don't miss anything, and also, the pictures/diagrams are super helpful. It's Perfectly Normal series has great pictures!
  24. Adding: I see a lot of sex-gone-wrong at work. Abortion complications in a 13yo, anal herpes in another young teen, a case of Mpox, unwanted pregnancies, assaults, sexting contributing to mental health crises, the list is endless. My motivation to make sure my chidren well-informed and thus prepared and protected is very, very high.
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