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शुक्रवार, 27 मई 2022

Success Stories - Dr Alexa Datko - Family Medicine Residency Match

Success Stories - Dr Alexa Datko - Family Medicine Residency Match
By

Alexa Datko, MD shares her journey to becoming an MD with Scott Harrah, MA, Director of Digital Content at UMHS. She discusses her hometown of San Diego, California, and her status as an elite NCAA Division 1 athlete at the College of Charleston in Charleston, South Carolina. Eventually winding up at UMHS more than six years after graduating from undergrad. Dr. Datko chose UMHS as her medical school because of the small class sizes and the reputation of having professors that were 100% dedicated to helping her succeed in becoming a medical doctor. She then discusses why she chose Family Medicine (with a concentration in OB and Women’s Health) as her choice of residencies. To read her in-depth interview with Scott Harrah, MA, Director of Digital Content at UMHS, please go to this link: <a href="https://ift.tt/3SChT5d" rel="nofollow">https://ift.tt/VFfOdgJ> To learn more about Family medicine as a specialty, please read this informative article: <a href="https://ift.tt/vEcIT9p" rel="nofollow">https://ift.tt/gU45Z9y> If you are interested in learning more about the University of Medicine and Health Science, the small class sizes, and the top-rated professors that are dedicated to helping you succeed in becoming a Medical doctor, check out this link: <a href="https://ift.tt/EypzVTt" rel="nofollow">https://ift.tt/5kuWxVP> TimeStamps - 00:00 Alexa Datko, MD 00:30 Information about Dr. Datko 00:48 Residency in Family medicine in Wyoming 01:03 Always wanted to be a Doctor 02:08 Fell in love with women's health on core rotation 02:29 Why Dr. Datko decided to attend UMHS 03:51 Dr. Datko discusses influential professors at UMHS 06:02 Residency details in Casper, WY 07:53 Family medicine vs Internal medicine

from University of Medicine and Health Sciences <a href="https://www.youtube.com/watch?v=4xFKhE_VKzw" rel="nofollow">https://www.youtube.com/watch?v=4xFKhE_VKzw</a> via UMHS YouTube Channel





May 26, 2022 at 11:56PM
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Saturday Morning Breakfast Cereal - Foreword

Saturday Morning Breakfast Cereal - Foreword
By tech@thehiveworks.com



Click here to go see the bonus panel!

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I would like to thank patreon typo squad for finding several errors with my fellatio book.


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May 27, 2022 at 02:23AM
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शनिवार, 21 मई 2022

“Straight White Male: The Lowest Difficulty Setting,” Ten Years On

“Straight White Male: The Lowest Difficulty Setting,” Ten Years On
By John Scalzi

John Scalzi

Ten years ago this week I thought I would write a piece to offer a useful metaphor for straight white male privilege without using the word “privilege,” because when you use the word “privilege,” straight white men freak out, like, I said then, “vampires being fed a garlic tart.” Since I play video games, I wrote the piece using them as a metaphor. And thus “Straight White Male: The Lowest Difficulty Setting There Is” was born and posted.

And blew up: First here on Whatever, where it became the most-visited single post in the history of the site (more than 1.2 million visits to date), and then when it was posted on video gaming site Kotaku, where I suspect it was visited a multiple number of times more than it was visited here, because Kotaku has more visitors generally, and because the piece was heavily promoted and linked there. 

The piece received both praise and condemnation, in what felt like almost equal amounts (it wasn’t; it’s just the complainers were very loud, as they often are). To this day the piece is still referred and linked to, taught in schools and universities, and “living on the lowest difficulty setting” is used as a shorthand for the straight white male experience, including by people who don’t know where the phrase had come from.

(I will note here, as I often do when discussing this piece, that my own use of the metaphor was an expansion on a similar metaphor that writer Luke McKinney used in a piece on Cracked.com, when he noted that “straight male” was the lowest difficulty setting in sexuality. Always credit sources and inspirations, folks!)

In the ten years since I’ve written the piece, I’ve had a lot of time to think about it, the response to it, and whether the metaphor still applies. And so for this anniversary, here are some further thoughts on the matter.

1. First off: Was the piece successful? In retrospect, I think it largely was. One measure of its success, as noted above, is its persistence; it’s still read and talked about and taught and used. Anecdotally, I have hundreds of emails from people who used it to explain privilege to others and/or had it used to explain privilege to them, and who say that it did what it was meant to do: Get through the already-erected defenses against the word “privilege” and convey the concept in an interesting and novel manner. So: Hooray for that. It is always good to be useful.

2. That said, Upton Sinclair once wrote that “It is difficult to get a man to understand something when his salary depends upon his not understanding it.” In almost exactly the same manner, it is difficult to get a straight white man to acknowledge his privileges when his self-image depends on him not doing so. Which is to say there is a very large number of straight white men who absolutely do not wish to acknowledge just how thoroughly and deeply their privileges are systemically embedded into day-to-day life. A fair number of this sort of dude read the piece (or more perhaps more accurately, read the headline, since a lot of their specific complaints about the piece were in fact addressed in the piece itself) and refused to entertain the notion there might be something to it. Which is their privilege (heh), but doesn’t make them right.

But, I mean, as a straight white dude, I totally get it! I also work hard and make an effort to get by, and in my life not all the breaks have gone my way. I too have suffered disappointment and failure and exclusion and difficulty. In the context of a life where people who are not straight white men are perhaps not in your day-to-day world view, except as abstractions mediated by television or radio or web sites, one’s own struggles loom large. It’s harder to conceive of, or sympathize with, the idea that one’s own struggles and disappointments are resting atop of a pile of systemic privilege — not in the least because that implicitly seems to suggest that if you can still have troubles even with those many systemic advantages, you might be bad at this game called life.

But here’s the thing about that. One, just because you can’t or won’t see the systemic advantages you have, it doesn’t mean you don’t still have them, relative to others. Two, it’s a reflection of how immensely fucked up the system is that even with all those systemic advantages, lots of straight white men feel like they’re just treading water. Yes! It’s not just you! This game of life is difficult! Like Elden Ring with a laggy wireless mouse and a five-year-old graphics card! And yet, you are indeed still playing life on the lowest difficulty setting! 

Maybe rather than refusing to accept that other people are playing on higher difficulty settings, one should ask who the hell decided to make the game so difficult for everyone right out of the box (hint: they’re largely in the same demographic as straight white men), and how that might be changed. But of course it’s simply just easy to deny that anyone else might have a more challenging life experience than you have, systemically speaking. 

3. Speaking of “easy,” one of the problems that the piece had is that when I wrote the phrase “lowest difficulty,” lots of people translated that to “easy.” The two concepts are not the same, and the difference between the two is real and significant. Which is, mind you, why I used the phrase “lowest difficulty” and not “easy.” But if you intentionally or unintentionally equate the two, then clearly there’s an issue to be had with the piece. I do suspect a number of dudes intentionally equated the two, even when it was made clear (by me, and others) they were not the same. I can’t do much for those dudes, then or now.

4. When I wrote the piece, some folks chimed in to say that other factors deserved to be part of a “lowest difficulty setting,” with “wealth” being primary among them. At the time I said I didn’t think wealth should have been; it’s a stat in my formulation — hugely influential, but not an inherent feature of identity like being white, or straight, or male. This got a lot of pushback, in no small part because (and relating to point two above) I think a lot of straight white dudes believed that if wealth was in there, it would somehow swamp the privileges that being white and straight and male provide, and that would mean that everyone else’s difficulty setting was no more difficult than their own.

It’s ten years on now, and I continue to call bullshit on this. I’ve been rich and I’ve been poor and I’ve been in the middle, and in all of those economic states I still had and have systemic advantages that came with being white and straight and male. Yes, being wealthy does make life less difficult! But on the other hand being wealthy (and an Oscar winner) didn’t keep Forest Whitaker from being frisked in a bodega for alleged shoplifting, whereas I have never once been asked to empty my pockets at a store, even when (as a kid, and poor as hell) I was actually shoplifting. This is an anecdotal observation! Also, systemically, wealth insulates people who are not straight and white and male less than it does those who are. Which means, to me, I put it in the right place in my formulation.

5. What would I add into the inherent formulation ten years on? I would add “cis” to “straight” and “white” and “male.” One, because I understand the concept better than than I did in 2012 and how it works within the matrix of privilege, and two, in the last decade, more of the people I know and like and love have come out as being outside of standard-issue cis-ness (or were already outside of it when I met them during this period), and I’ve seen directly how the world works on and with them. 

So, yes: Were I writing that piece for the first time in 2022, I would have written “Cis Straight White Male: The Lowest Difficulty Setting There Is.” 

6. Ten years of time has not mitigated the observation about who is on the Lowest Difficulty Setting, especially here in the United States. Indeed, if anything, 2022 in the US has been about (mostly) straight white men nerfing the fuck out of everyone else in the land in order to maintain their own systemic advantages. Oh, you’re not white? Let’s pass laws to make sure an accurate picture of your historical treatment is punted out of schools and libraries, and the excuse we’ll give is that learning these things would be mean to white kids. You’re LGBTQ+? Let’s pass laws so that a teacher even mentioning you exist could get them fired. Trans? Let’s take away your rights for gender-affirming medical treatment. Have functional ovaries? We’re planning to let your rapist have more say in what happens to your body than you! Have a blessed day!

And of course hashtag not all straight white men, but on the other hand let’s not pretend we don’t know who is largely responsible for this bullshit. The Republican party of the United States is overwhelmingly straight, overwhelmingly white, and substantially male, and here in 2022 it is also an unabashedly white supremacist political party, an authoritarian party and a patriarchal party: mainstream GOP politicians talk openly about the unspeakably racist and anti-Semitic “Great Replacement Theory,” and about sending people who have abortions to prison, and are actively making it more difficult for minorities to vote. It’s largely assumed that once the conservative supermajority of the Supreme Court (very likely as of this writing) throws out Roe v. Wade, it’ll go after Obergefell (same-sex marriage) as soon as a challenge gets to them, and then possibly Griswold (contraception) and Loving (mixed-race marriage) after that. Because, after all, why stop at Roe when you can roll civil rights back to the 1950s at least?

What makes this especially and terribly ironic is that when game designers nerf characters, they’re usually doing it to bring balance to the game — to put all the characters on something closer to an even playing field. What’s happening here in 2022 isn’t about evening up the playing field. It’s to keep the playing field as uneven as possible, for as long as possible, for the benefit of a particular group of people who already has most of the advantages. 2022 is straight white men employing code injection to change the rules of the game, while it’s in process, to make it more difficult for everyone else. 

So yes, ten years on, the Lowest Difficulty Setting still applies. It’s as relevant as ever. And I’m sure, even now, a bunch of straight white men will still maintain it’s still not accurate. As they would have been in 2012, they’re entirely wrong about that. 

And what a privilege that is: To be completely wrong, and yet suffer no consequences for it. 

— JS





May 18, 2022 at 04:27PM
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शुक्रवार, 20 मई 2022

Success Stories - Michelle Hornedo MD - Internal Medicine Match

Success Stories - Michelle Hornedo MD - Internal Medicine Match
By

Michelle Hornedo, MD shares her journey of matching into Internal Medicine. Michelle Hornedo, MD recently graduated from the University of Medicine and Health Sciences (UMHS) in Saint Kitts and was interviewed by Scott Harrah, MA the director of digital content for UMHS from the New York administrative office. Here are some of the key points of the video: Dr. Hornedo chose to attend UMHS because it was so warm and welcoming. In addition, she had a close friend at UMHS that helped her make up her decision to attend UMHS. She mentioned that the professors had an open-door policy and that everyone was willing to give extra help and support. Dr. Hornedo discusses the opportunities at UMHS that helped her match into Internal medicine. She also suggested that working harder than others are willing to do will help you stand out above other students competing for residency positions. Read more on a recent interview with Dr. Hornedo here: <a href="https://ift.tt/OQJy3XS" rel="nofollow">https://ift.tt/r17pNtB> For more information about Internal Medicine as a Medical specialty go here <a href="https://ift.tt/jSXg49x" rel="nofollow">https://ift.tt/0YKgU2S> If you are a prospective student please check out our Caribbean Medical School overview page <a href="https://ift.tt/xfRu4Fg" rel="nofollow">https://ift.tt/3n4uUoZ> If you are interested in contacting Dr. Hornedo about Internal Medicine or have questions about her experience at UMHS, she can be reached here <a href="mailto:mhornedo@umhs-sk.net">mhornedo@umhs-sk.net</a> -TimeStamps - 00:00 Matching into Internal Medicine 01:51 Why Choose UMHS? 02:42 UMHS has great opportunities in many hospitals 03:20 Dr. Hornedo discusses influential professors and staff at UMHS 04:38 How the education at UMHS helped her match into Internal Medicine 06:45 Description of Internal medicine as a medical specialty 08:59 Advice for students interested in attending UMHS

from University of Medicine and Health Sciences <a href="https://www.youtube.com/watch?v=ZF3tGLVW8v4" rel="nofollow">https://www.youtube.com/watch?v=ZF3tGLVW8v4</a> via UMHS YouTube Channel





May 21, 2022 at 01:55AM
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मंगलवार, 17 मई 2022

Health Data

Health Data
By

Donate now to help us find a cure for causality. No one should have to suffer through events because of other events.



May 16, 2022 at 08:00AM
via xkcd.com https://xkcd.com/2620/
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शुक्रवार, 13 मई 2022

Saturday Morning Breakfast Cereal - Golden

Saturday Morning Breakfast Cereal - Golden
By tech@thehiveworks.com



Click here to go see the bonus panel!

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This graph is exactly, EXACTLY to scale.


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May 13, 2022 at 09:47PM
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मंगलवार, 10 मई 2022

Flying Kites with Simone de Beauvoir

Flying Kites with Simone de Beauvoir
By Corey Mohler

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May 9, 2022 at 11:00AM
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सोमवार, 9 मई 2022

Pathways to Practicing Medicine in Canada: UMHS Alumni Share Their Experiences

Pathways to Practicing Medicine in Canada: UMHS Alumni Share Their Experiences
By

Join us for a special livestream event, “Pathways to Practicing Medicine in Canada: UMHS Alumni Share Their Experiences” on Monday, May 9 at 7 pm EDT. UMHS alumni Rebecca Bremner, MD, a hospitalist at Lakeview Family Health in Trenton, Ontario and Shamim Shakeel Khan, MD, a family medicine physician at Dayspring Medical Centre in Bolton, Ontario, will discuss their individual journeys to medical school, describe their pathways to practicing medicine in Canada, review key differences between practicing medicine in the United States and Canada, and provide tips for students hoping to establish a medical practice in Canada. Following the presentation, Drs. Bremner and Khan will answer audience questions during a live Q & A session.

via UMHS YouTube Channel





May 10, 2022 at 03:14AM
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Deep End

Deep End
By

Hey! No running in the back-arc basin!



May 6, 2022 at 08:00AM
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शुक्रवार, 6 मई 2022

Letter of Recommendation: Get a Vasectomy

Letter of Recommendation: Get a Vasectomy
By Jason Kottke

Men in the US typically do not talk about or worry about birth control that much, to the detriment of the health and safety of women. In the spirit of trying to change that a little, I’m going to talk to you about my experience. About a decade ago, knowing that I did not want to have any more children, I had a vasectomy. And let me tell you, it’s been great. Quickly, here’s what a vasectomy is, via the Mayo Clinic:

Vasectomy is a form of male birth control that cuts the supply of sperm to your semen. It’s done by cutting and sealing the tubes that carry sperm. Vasectomy has a low risk of problems and can usually be performed in an outpatient setting under local anesthesia.

Whether you’re in a committed relationship or a more casual one, knowing that you’re rolling up to sexual encounters with the birth control handled is a really good feeling for everyone concerned.1 Women have typically (and unfairly) had to be the responsible ones about birth control, in large part because it’s ultimately their body, health, and well-being that’s on the line if a sexual act results in pregnancy, but there are benefits of birth control that accrue to both parties (and to society) and taking over that important responsibility from your sexual partner is way more than equitable.

(Here’s the part where I need to come clean: getting a vasectomy was not my idea. I had to be talked into it. It seemed scary and birth control was not something I thought about as much as I should have. I’m ashamed of this; I wish I’d been more proactive and taken more responsibility about it. Guys, we should be talking about and thinking about this shit just as much as women do! I hope you’ve figured this out earlier than I did. Ok, back to the matter at hand.)

Vasectomies are often covered by health insurance and are (somewhat) reversible. These issues can be legitimate dealbreakers for some people. Some folks cannot afford the cost of the procedure or can’t take the necessary time off of work to recover (heavy lifting is verboten for a few days afterwards). And if you get a vasectomy in your 20s for the purpose of 10-15 years of birth control before deciding to start a family, the lack of guarantee around reversal might be unappealing. Talk to your doctor, insurance company, and place of employment about these concerns!

Does the procedure hurt? This is a concern that many men have and the answer is yes: it hurts a little bit during and for a few days afterwards. For most people, you’re in and out in an hour or two, you ice your crotch, pop some Advil, take it easy for a few days, and you’re good to go.1 It’s a small price to pay and honestly if you don’t want to get a vasectomy because you’re worried about your balls aching for 48 hours, I’m going to suggest that you are a whiny little baby — and I’m telling you this as someone who is quite uncomfortable and sometimes faints during even routine medical procedures.

So, if you’re a sperm-producing person who has sex with people who can get pregnant and do not wish for pregnancy to occur, you should consider getting a vasectomy. It’s a minor procedure with few side effects that results in an almost iron-clad guarantee against unwanted pregnancy. At the very least, know that this is an option you have and that you can talk to your partner and doctor about it. Good luck!

  1. Just to be clear, you still have to worry about sexually transmitted infections — a vasectomy obviously does not provide any protection against that.

  2. There also is a follow-up about 6-12 weeks later to make sure the procedure worked. You masturbate into a cup and they check to see that there’s no sperm in the sample. Part of this follow-up, if my experience is any guide, includes checking that the doctor’s office bathroom door is locked about 50 times while watching very outdated porn on a small TV mounted up in the corner of the tiny room. It’s fine though! And you have a fun story to tell later.

Tags: medicine



May 6, 2022 at 06:24PM
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Hot Banana

Hot Banana
By xkcd (whatif@xkcd.com)

I heard that bananas are radioactive. If they are radioactive, then they radiate energy. How many bananas would you need to power a house?

Kang JI

Bananas are radioactive. But don't worry, it's fine.

Bananas are radioactive because they contain potassium, some of which is the radioactive isotope potassium-40. The factoid about banana radioactivity was popularized by nuclear engineers trying to reassure people[1] that small doses of radiation are normal and not necessarily dangerous. Of course, this kind of thing can backfire.

Thanks to their use as a radiation dose comparison, bananas now have a reputation as an especially radioactive food, but they're really not. The CRC Handbook of Radiation Measurement and Protection, the source of the original data behind the banana factoid, lists lots of other foods with more potassium-40 than bananas, including coconuts, peanuts, and sweet potatoes. A large cheese pizza might be three times more radioactive than a banana,[2] and your own body emits a lot more radiation than either.

Potassium-40 decays slowly, with individual atoms sitting around for millions or billions of years before quantum randomness finally triggers their decay. Imagine you're an atom of potassium; every second you roll 21 dice. If they all come up 6s, you decay.

There are gazillions[3] of atoms of potassium-40 in a banana. In any given second, 10 or 15 of them make that all-sixes roll, spit out a high-energy particle, and become stable calcium or argon.

That high-energy particle released by the expiring potassium atom[4] will promptly bonk[5] into other atoms, leaving everything vibrating with extra heat energy. In theory, you could use this heat energy to do work—that's how the Mars rovers Curiosity and Opportunity are powered.

The Mars rovers use plutonium, which decays millions of times per second, releasing a lot of power. By comparison, the 15 decays per second from one banana work out to a couple of picowatts of power, roughly the power consumption of a single human cell. Even if you captured that decay energy with perfect efficiency, powering a house would require about 300 quadrillion[6] bananas, which would form a heap large enough to bury most of the skyscrapers in the NYC metro area.[7]

The potassium-40 in bananas is a terrible source of energy. But that's okay, because you know what's a great energy source? The banana itself! A banana contains about 100 calories of food energy, and if you incinerate whole bananas as fuel, it would only take about 10 bunches per day to keep your house running.

Unfortunately for New York City, which we buried in bananas a moment ago while trying to make the radiation idea work (sorry!), radioactivity vs chemical energy isn't an either/or thing. If you piled up a lot of bananas, they would start to release that chemical energy, one way or another. The sun-baked banana pile would start to rot. The heat from the bananas decomposing in the atmosphere would immediately swamp the heat from radioactivity. The sun-dried bananas would dry, crack, and eventually burn.

Decomposition by anaerobic bacteria deep in the pile would produce various gases, including highly flammable methane. As they bubbled up to the surface of the burning banana swamp, they could ignite; gas buildup from food waste is a major industrial explosion hazard.

So don't worry about the radioactivity in bananas. It's the rest of the banana that's the real threat. But if you're willing to risk the danger, you could power a lot more than just your house. With just a modest weekly supply of bananas—enough to cover Liberty Island in NYC...

...you could power the entire city.

[1] After nuclear engineering, this is the main pastime of nuclear engineers.

[2] Google has a handy tool for looking up the amount of potassium in foods, which even lets you select specific pizza brands. But for some reason, if you select Pizza Hut Pepperoni Pizza, your only serving size options are either "1 slice" or "40 pizzas." Nothing in between.

[3] There are about 800,000,000,000,000,000 of them, which is probably quadrillions or quintillions or something, but life is too short to sit around counting zeros and then looking up the Latin prefixes for big numbers.

[4] RIP

[5] The technical term is THUNK.

[6] Fine, I looked it up this time.

[7] It's 300 quadrillion bananas, Michael—what can it cost, 3 quintillion dollars?





May 4, 2022 at 04:00AM
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