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2. Yes, fat fingers are a problem. Fat people too. But I digress. Fat fingers are typically the result of water retention, which is caused by too much salt (sodium) and too little exercise. I recommend removal of the finger; it impresses upon the patient to consume less sodium and get more exercise. And it encourage patients not to wear rings: I have many friends who have lost digits because of rings, and you can too; a ring can catch on most anything and yank that digit right off. Ditch the body ornaments. They suggest primitive behavior.

You're a cantankerous old man, rayward, lol. Isn't that what Blackbeard also told his victims? "Ay, lose the jewelry, lose the finger!" ( ︶︿︶)_╭∩╮

tldr;

Get off my lawn!

Lose weight or lose the finger!

I like it!

Rayward works for Quitters, Inc.

Removing a stuck ring,
https://www.youtube.com/watch?v=LMjvuAkjgO4

What's wrong with body ornaments or primitive behavior?

What about those cultures where the women wear a series of rings around their necks? Do they ever show up in their local ER when something gets stuck?

Yes.

Not my patients, but I have been told by older docs about having to cut the rings out after they were involved in some sort of electrical mishap. I am told they also come in reasonably frequently from fungal infections behind then rings.

In general, if there is a weird population in the world, there are a few of them who have come to the US and everybody shows up at the ED eventually.

I kinda like tattoos, piercings and multicolored dyed hair. It is a signal to normal people that you are looking at someone who is crazy and to get away from them. It works kind of like the Democrat debates except they use crazy ideas and race baiting to let you know they are batshit crazy.

Exactly! And I've found that losing the finger leads to immediate fluid loss as well.

You would think this, but no.

I know a radiologist who once worked with a rad tech. She was heavily pierced and would dutifully remove her piercings before her shift and put them back in afterwards. Apparently she once forget, got stuck to an MRI magnet, and had to have the piercing cut out.

She then promptly went back to the same exact piercing routine.

And this fits with most of my patients. I have told the same patient in sequence:
We are going to have to take your toe, you need to control your blood sugar.
We are going to have to take all these toes (on the other foot), you need to control your blood sugar.
We are going to have to amputate at the ankle, you need to control your blood sugar.
We are going to have to amputate below the knee in both legs, you need to control your blood sugar.

Their A1c suggested to me that they took precisely none of their diabetes medications and a few other things suggested to me that their diet was the furthest thing possible from low glycemic control.

And I see that with everything. Colostomies? CABGs? Penile amputation? Breast debridement?

I have had patients who have gone through all of these and keep doing the same unhealthy things. Shock value wears off easy.

Slow motion Darwin Awards.

5. I have more chance of winning the lottery, no, the power ball, than passage of Medicare for all or the public option. But if fretting about it takes one's mind off less pressing issues, like trillion dollar annual deficits and trade wars, so be it.

"Bruce Caldwell on The Road to Serfdom after 75 years."

Are we there yet?

The Road to Serfdom, like the author says, was written in a specific period to address specific concerns, but the road to serfdom was already taken when the Progressives turned against Big Business at the turn of the last century. Ida Tarbell, Upton Sinclair and Lincoln Steffens are the villains (with an assist by Teddy Roosevelt and the anti-gold, pro-Fed Reserve John Sherman, as well as ), while JDR, Carnegie, the so-called "Robber Barons", the gold standard, Lochner v. New York, 198 U.S. 45 (1905) (Rufus Peckham for the majority), are the heroes. And 19th C patents. Bring back the requirement for a working model in patent law! Will cut down on patent trolls for many patents. Paper patents should be reserved for truly pioneer inventions and should be the exception to the rule unless the invention is primarily mathematical.

I don't think so. "Serfdom" was used as a bogeyman, a scarecrow, i you will, to prevent the masses to use the tools of statecrafting to make their countries stronger. Meanwhile, totalitarian Asian countries were allowed to use those tools and to enrich themselves at the West's expense.

Hayekians are fifth-columnists working Chinese-Japanese-Shintoism.

Ray, The Progressives were fighting against crony capitalism and clientelism and bossism, and I'm glad they did.

Watch Hong Kong...

You certainly have reached serfdom. Brazil lets savage prisoners run wild, criminals roam the streets, corrupt politicians off the hook, and the poor in their favelas live lives of quiet desperation. Sad.

Not true at all.

"corrupt politicians off the hook"
Suffices to say that all living former Brazilian presidents but one are under federal investigation. Former president Lula is behind bars. Former Rio de Janeiro governor Cabral is behind bars. Meanwhile, Trump's vow of "locking her up" was a lie.

"criminals roam the streets"
Brazilian streets are mostly safe.

"Brazil lets savage prisoners run wild"
As Brazil's President Captain Bolsonaro pointed out, no innocents died.

"and the poor in their favelas live lives of quiet desperation."
Brazil is implementing the boldest economic reforms since the Perestroika. GDP has been growing. The state of the Union is good.

Brazil was founded as, and still is, a latifundian state, which pretty much defines a slave or serf system. While there are newer enterprises not based on land ownership, they are doomed to be second-rate because there is no sense of community in Brazil, no loyalties to anything other than family. Every transaction is an attempt to take with no giving. There are no real friends or equal business associates in Brazil, only persons one might get something from if one plays it right. This is all complicated by deeply-ingrained racism and a society-wide belief that women are good for only one thing. There is some good music though, and the people of Bahia are nice.

Not at all. Most Brazilians are loyal, honest and well-behaved.

Brazil makes Baltimore look like a paradise.

It is not true at all. Brazil is much better than Baltimore.

Wasn't Bruce Caldwell the guy with the chainsaw in The Evil Dead?

It is another Bruce.

Primitive behavior on steroids. I must wear my wedding ring. Else the women are all over me.

On Earth, specifically Wall Street, the US Fed dropped the short rate target by 0.25%. Apparently, equity markets ruled thought it insufficient. Bond prices rose, of course.

Again tonight: Free Stuff - Vote For Me! Second, second Dem debate in which an aggregate $200 trillion in spending was promised.

Dude, get a clue. Don't you realize we are all like toast in like 12 years like? We should spend $200 trillion in a big pre-funereal bash, like MMT and all.

Thank God! I thought we only have eight or ten months before climate change will kill all of us.

Now, I need to buy more booze and take off the ring.

It's not the ring, dude.

The 0.25% drop was almost unanimously anticipated by analysts. Markets generally don't react to what's already priced in.

#2 Instead of soap use windex. Sounds odd, but it works!

Or lose the finger, a more radical solution, as rayward suggests above.
( ︶︿︶)_╭∩╮

Very rarely do we need to take the finger, and certainly not for simple things.

The main value of the device is that we do not have to break the ring. Typically, I have just used what amounts to a small diamond bladed saw with a guard to cut off the ring. For some very durable rings we have to crack them off.

This invention is unlikely to save any lives or even fingers, but it will give us an option other than destroying wedding rings.

I for one appreciate comments from people who have legitimate qualifications in the subject they are commenting on, rather than merely pasting internet links. I'm not suggesting ordinary Americans shouldn't be free to exercise their First Amendment (1791) right to jabber and blabber, just saying expert knowledge is sometimes refreshing. (Note: I'm not implying that people in less blessed places, such as Brazil, China, Germany, etc., don't have similar rights.)

4. Of course, everyone knows that the TPP was to help open trade with other countries in the Far East to compete with China. Everyone other than the ignoramus in the White House. Will i-phone production be shifted from China to Vietnam? Will the trade war with China be converted to an actual war? Armageddon, ahead!

Whatever ever will we do?

TPP was vital to the manufacture of sufficient supplies of free I-phones for 300,000,000 additional illegals (who will come to the US for free health care and free everything - paid for by the US taxpayer).

The trade war likely is why the 0.25% rate cut sank US equities markets.

The Chinese may try to hold off on a trade agreement until after the 2020 election hoping to get in the White House an America-hating squid they can push around like Obama.

6. I don't know why, but Gawker media is obsessed with space toilets.

My impression is, the occasional horrific failure aside, the ISS toilet works pretty well and isn't much worse than bathrooms down here. And having been to college and now having small children, I understand that horrific bathroom failures aren't precisely unknown on earth.

The Apollo situation was more about extremely limited mass and volume, and everything getting done in a huge rush. They were expedient.

As it happens, I know one of the engineers who worked on the Apollo human waste disposal project. The team was actually quite proud of the technical obstacles they had to overcome. Just ask the astronauts how important it all was.

I don't want to downplay it at all. Your friend should be proud. But if you had to make a bathroom that weighed ounces and fit in a glorified van, but was good enough for three guys over two weeks, it would likely be awkward.

I've heard the Apollo bathroom used as evidence that people will never go into space at any real scale. It's a version of the "living in a nuclear submarine forever" argument, and it's silly.

My trivia is that I knew a NASA tech writer. He said he was there when they were investigating Ziploc bags as poop holders. They had decided that a mixture of peanut butter and oatmeal was about like poop, and "they were throwing those things all over the office to see if they came undone."

That was an amusing episode of "The Big Bang Theory."

I presume degradation in performance that could result was the reason why they didn't put the astronauts on a "pooless" diet.

I believe that some later astronauts were on what's called a "low residue" diet. I'm vaguely surprised that wasn't considered as a mass reduction measure back when they were struggling with that. An adult male on a low residue diet will lose maybe four pounds over a few days - it can be a first step in weight cutting for some athletic purposes.

"5. A Medicare buy-in or public option could easily threaten Obamacare (NYT)."

That was pretty much the argument from the Obama administration at the time. If you price the Medicare option at below what Obamacare policy sell for, then everyone that can will flock to that option.

#1: the best place (in the UK) to see puffins may well be Fidra. It's a much shorter boat trip than the Isle of May. A good swimmer could dispense with the boat.

1. “But as the water warms....”

Trolls.

https://commons.m.wikimedia.org/wiki/File:Atlantic_Multidecadal_Oscillation.svg

So we're not where we were in the 1930s nor the 1950s, but more like the 1890s. I don't really watch the local weather report anymore, but the highs were breaking 100 yr old highs a decade ago. Some took it as an apocalypse. To me it just meant we were just as hot 100 yrs ago.

A description of binaries. take the passage, "Neat rimless eye-glasses. Black hair clumsily tucked under a mauve straw hat which suited a spinster." --no amount of calculus will amount to a description. It is a description of grapes. And the pattern instinct should remain a secondary characteristic. The closer it is to you, the farther away you are from love. Though a gaze is a "public action" by the author, a description develops conscience in the reader. Feminism is when compare benevolence to contradiction, an indication of nearness. Anandamide means eternity.

Spectral dissonance creates a respect for the individual. And individualism means contemplating your most important thought at "your" most important time. Jesus colored restfully. His machine was bildungsroman, a "professional science." For now, a clock, or a ghost of time. A cape is an imaginary love-object. A mirror breaks. A duck quacks.

Humor marries a sense of arrogance with the self. I feel pagan? Fate does not require admiration. On the other hand, doing the same thing for the same reason is what counts. Trust requires the existence of immaterial wealth, an exegis. Homer thought he could be in the sunlight so too never ask the question. This moment where I am truly defeated. Disagreement is the firmament of logical behavior, because, a perfect assumption falters to a perfect reason. I digress. One thing happened, then another; we both saw, each other, we both were equal-ly, ill-prepared to trust one another. This mourning of discontent. Simplicity is a vice, and I am but a vigil. My weakness, my fragmented dissonance. It is sadness. I am contrived. I am proof of righteousness. When you admit your wrong, you'll be rewarded in hell. This property of mine, to pause, it is not a symptom of growth. The liberal use of love is what Milton meant by purgatory. Is loving yourself a sin?

Jesus, can't you get at least one thing right, ever? Even a stopped clock, man.

3B. Happy Birthday to Milton Friedman (who would have been 107 today)! What would Milton do in response to the recent popularity of socialists promising free lunches for all?

#3..."Hayek on Hayek: An Autobiographical Dialogue (The Collected Works of F.A. Hayek)"

"MR. MERRIAM: You would repeal all tariffs, would you? MR. HAYEK: I am a convinced free-trader, and free trade is part of the same philosophy. MR. MERRIAM: Without any limitations or qualifications whatsoever? MR. HAYEK: One thing which makes me unhappy is that so many people who take up my book are not free-traders and do not see that this is an essential part of the same philosophy. MR. MERRIAM: Are you against price parity for the farmer? MR. HAYEK: If “price parity” means that a particular price is to be insured by the government, I certainly am, because it means the price system of competition is completely ineffective. MR. MERRIAM: You think, then, that if we are to avoid the road to serfdom, we must repeal all tariffs and the price parity for the farmers? MR. HAYEK: It would be one of the most certain means to avoid that path."

Seems relevant for today. Just change the dedication To All Trump Followers.

Hayek said it was a ‘political book’ and after 75 years that’s the kind of reaction it engenders. I’m still surprised at how many conservative/libertarians seem to ignore some of the outright ‘liberal’ elements like support for the safety net. I wonder if Hayek would support UBI ?

A recent PBS show (probably NOVA) had one of the Apollo 8 astronauts admitting that he decided that using the stick-on bag was not gonna happen and so he held it for the 6 days (!!). By day 5 or 6, the medical monitors were picking up symptoms that he had a problem. And once you know why, you see his hopping around as he leaves the helicopter (on camera, don't recall if it was live or recorded...) and stands on the deck of the ship in a whole different light. He's lucky he didn't spring a leak. I wonder if they changed their practice and test procedures after that? Wanted: non-anal (see Freud) manly men, must be able to shit in public.

#3: The full analysis will be worth reading.

To comment on the first 10-20 or so pages, it seems to be argued that Hayek was eminently a mid-20th centurian writing this book; motivated by an opposition to repressive forms of ostensibly collective ideology (Soviet Communism, German Nazism).

On the one hand, that seems ill suited for today, when repression which narrows political participation in society comes so predominantly within the West from forces that are nominally aligned with liberal economic and social policy.

These repress in the furtherance of "individualism", rhetorically against "forces of hate", "ignorant people" and "too much democracy", and in practice largely against the poor and lower middle class in practice, and in favour of the collective interest of a class of global "meritocratic" bureaucrats and big businessmen.

On the other hand, the trend he takes his primary aim at within the text, in which an unaccountable left leaning scientific (or rather scientist) cargo cult claims a role as managers and planners of world economic institutions on the basis of efficiency, is no less prominent today than it was then, under the guise of "liberalism" rather than "socialism".

Today, the liberals are the ones arguing for such internationalised, unaccountable (to national democracies), elitist, planning and managing bureaucracies on the basis that they are essential for global market openness, which is in the service of collective welfare. Rather than these would administer public welfare directly, as in the old days, and a scheme more compatible with the nation state.

Why give any government plan or public option the advantage over anyone else? Just require any provider that accepts Medicare to charge everyone the Medicare price. The Medicare price may go up, but we would be able to reap the benefits of monopsony without additional bureaucracy (and destroy a lot of insurer bureaucracy).

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