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A place to talk about whatever you want

38.0k Topics 343.0k Posts
  • Clogged up

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    taiwan_girlT
    @bachophile said in Clogged up: I see your calender is free the week of Oct 20. Should give you time to go out and get a new printer.
  • 13 Years Until Freedom!

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    kluursK
    People need delusions. It may be all that someone is clinging to.
  • The Office: Presidential Edition

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  • Yet another data breach - 106 million people

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    HoraceH
    @Axtremus said in Yet another data breach - 106 million people: @Horace said in Yet another data breach - 106 million people: There is a certain de facto safety when everybody else had their info leaked, too. Not really. Filtering big data is not that hard these days. The safety I have in mind doesn't come from a difficulty in filtering a large dataset. The value of the information is lessened if it's understood by the marketplace that the information is no longer private, and no longer a reliable indicator of one's identity.
  • The final gig

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    RenaudaR
    I was aware of him, that’s about it. As for Jazz trumpet players, I rather like Dave Douglas. Check out his 2015 album Dada People on the greenleaf label.
  • President Biden's track record

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    George KG
    @Axtremus said in President Biden's track record: Manage the COVID, then the economic recovery following COVID, those are huge challenges. Giving Congress a chance to enact a legislative fix is reasonable. With all these, 3.5 years ain't too bad. Ah, he was distracted. If only he had had a capable black woman #2 who could have done it.
  • Harris gets police endorsement

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    MikM
    She has RDF. Resting Disgruntled Face.
  • Dental Trifecta

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    George KG
    My favorite thing to say at the dentist: "OK Doc, let's just get this straight. We're not gonna hurt each other, right?"
  • Fresh Squeeze

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    89th8
    I hope I'm wrong, but it looks a little like she has an eating disorder. [image: 1727354975638-ee21a1e7-c10e-4325-93e1-71148e6174e7-image.png] [image: 1727354984621-6f0d6782-b720-4617-9296-9cce67593cf4-image.png] [image: 1727355023665-0dcffb5a-3151-462c-80ea-513655cd2792-image.png]
  • Pushman

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    HoraceH
    The first one was sort of beatles like. The second one was more like something out of the 50s.
  • The Big Guy

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    George KG
    @Horace said in The Big Guy: I'll feel a lot safer when he's in prison. "Cage the senile man!"
  • "The Batman"

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    Doctor PhibesD
    @George-K said in "The Batman": @LuFins-Dad said in "The Batman": See Afleck version.. Any good? I put it right up there with George Clooney, but that's just me. I always felt that the villains were easily the best part of Batman, even the camp ones. And isn't it a bit hard for anybody to wander around in a black rubber suit without being camp?
  • The Chef

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  • Seven Years

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    taiwan_girlT
    Interesting thought exercise.
  • Parkinson's

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    taiwan_girlT
    wow! But, having a 150kg guy run into full speed and jump on your head cannot be a good thing in the long run.
  • Government Shutdown - Fall 2024

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    AxtremusA
    https://www.cpr.org/2024/09/25/congress-passes-funding-bill-avoids-government-shutdown/ Congress passes funding bill set to expire in December, avoids government shutdown Both chambers passed it. Basically a short term continuing resolution that extends the budget to Dec. 20, plus extra Secret Service funding to beef up security for the upcoming election.
  • A banger of a speech by Starmer

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    MikM
    Oh, wait…that was last week with Peruvian chicken.
  • Zelensky Speaks in PA

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    RenaudaR
    @Mik said in Zelensky Speaks in PA: Wait, I thought those were the Ukrainians. This is all so confusing. Only those from Western Ukraine are Banderisti Nazis, all others are (allegedly) a figment of the foreign imagination.
  • No OB

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    George KG
    When I went into private practice, our small place was doing about 1000 deliveries a year - that's 3 a day. It was sustainable. When I retired, it was down to about 450 a year. They closed the unit about a year after that. As @jolly said, it's a staffing issue. You're going to need 2-3 nurses per shift per day. The OB has to be within 15 minutes, 24/7. If you're delivering babies, you gotta be prepared to do a c-section within 30 minutes. Now you need a gas-passer and a neonatologist. Gets pricey - fast. Neonatologist and gas-passer are gonna cost $600K a year - or more. Nurses get, what, $40 an hour? That's $120 an hour for 365 days. You're looking at another $1.75 million in salaries. The OB docs? No way you're going to have only 2-3 now. No one wants to be on call every third night with every other if someone goes on vacation. Granted OB docs supplement their income by doing GYNE surgery, and that alone can sustain a nice lifestyle. So, why do the hard work of OB? I know three guys that quit delivering babies in their late forties, and they're happier for it - and better rested. Equipment - OB beds are not regular hospital beds. Fetal monitors cost money, and maintenance of hospital-grade electronics needs to be considered. Gotta have an ultrasound machine handy too. Gotta have a fully-equipped OR available at all times. OR tables and anesthesia machines are pricey AF. Ive seen situations where the C-section is done in the main OR, but if your main OR is in use, gotta have one free. Then, there's the liability. I'm just guessing that a hospital that doesn't do OB has a lower malpractice premium that one that does. But, if the insurance biz for hospitals is like it is for docs, I'd say I'm probably right. Looks like at least $2.5 million in salaries, probably another million for equipment and maintenance (though that's a one-time cost other than PM) and insurance. How many deliveries do you need to do to clear $2.5 million?
  • Shoot & Scoot

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