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A place to talk about whatever you want

37.9k Topics 342.2k Posts
  • Does MTG make sense?

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    George KG
    @Doctor-Phibes said in Does MTG make sense?: I do not want to see any of them dancing in the sunlight. Almost makes me want to subscribe to an AI that could generate such a video. Almost.
  • Unsafe cities

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    Doctor PhibesD
    @George-K said in Unsafe cities: How much of that is "know your neighborhood?" In New Orleans, there were some areas that I would not consider going to, even in daylight. That's just common sense in any city. Chicago, however, seems to have become more .. unpleasant... in what used to be "safe" locations. The Loop, Gold Coast, etc have seen a real uptick in crime. Staying in San Francisco was a bit of an eye-opener for me. I was in a pretty upmarket-seeming downtown hotel with work, there were pictures of Elvis staying there and what-have-you, presumably for the $50 all-you-can-eat breakfast and Moet & Chandon vending machines (I kid you not). If you stepped outside and turned left you could find yourself in a whole mess of trouble pretty quickly. If you turned right, it was OK, but still just OK. I certainly wouldn't go there for fun.
  • How to measure an angle

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    HoraceH
    @89th you’re acutie.
  • George you're rich!

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  • Make America Healthy Again?

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    George KG
    https://x.com/boneGPT/status/1858379684104356041 "Deitz Nuüzen..." LOL (Actually, it should be "Dietz")
  • Joe goes to kiss Hitler's ring

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    89th8
    @Doctor-Phibes said in Joe goes to kiss Hitler's ring: I never cease to be surprised that people have the time or inclination to watch this stuff every day. About 10 years ago I would eat my breakfast watching the first 10-15 min of Morning Joe before leaving for work. It was a decent show... quick discussion of headlines, some opinions, good banter. But it seems like it's really gone down the anti-GOP/Trump drain since then.
  • Taibbi Speaks

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  • Thune, the banks, and Bibi.

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  • Oh, my God!

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  • How's your life insurance policy?

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    LuFins DadL
    That actually sounds like a suicide.
  • The Protector Palm Pistol

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    jon-nycJ
    Seems rather dangerous to carry in your pocket.
  • College Admission Getting Easier

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    LuFins DadL
    https://www.npr.org/2024/04/22/1245858737/gen-z-trade-vocational-schools-jobs-college
  • Hay George

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    George KG
    I've been preaching that for a while. In my career, I've had two patients aspirate gastric contents. One was a 12 (?) year old having foot surgery. He had been NPO for 8 hours, and I did the case without an endotracheal tube. It was within the standard of care. He coughed up last night's dinner. Spent the night in the hospital for a presumably outpatient procedure. No long-term sequelae. The other was a guy (I still remember his name, 30 years later) who had some ENT procedure. At the end of surgery, he coughed up last night's pizza. I remember the green peppers. He did not, AFAIK, aspirate, but it scared the crap out of me. Not my case, but there was a patient who I pre-oped who had a hiatal hernia. My partner put her to sleep, and before he could intubate her, all the stuff in her stomach came up and filled her oropharynx. A goodly amount ended up going into her lungs. She died about 10 days later - in the ICU on a ventilator. I was sued, as was my partner. I was dropped. He settled. Instead, the new ASA guidanceopens in a new tab or window states that most patients can continue their medication up until the day of surgery but should follow a liquid diet for 24 hours before the procedure, depending on specific circumstances. For decades we've been taught that pregnant women have delayed gastric emptying, and we should treat them all as having a full stomach. Now we're being told that it's probably OK. I disagree. Glad I'm retired and I don't have to make these decisions. I can't imagine going to the GI lab to give anesthesia for an endoscopy and, because the patient is on an GLP-1 agonist, arguing with the GI doc that I need to secure the airway because there's STILL STUFF IN THE STOMACH. Sorry for yelling. But, as they say, these days it's not my circus and not my monkeys. There are few things scarier for an anesthesiologist than opening the patient's mouth, inserting a laryngoscope and having half a liter of semi-solid gastric contents well up and fill the pharynx. As a former colleague of mine said (paraphrasing), "If you think the stomach might be full, you should treat it as if it definitely is." This is a hill I would have died on.
  • I guess the Senate can refuse to seat him.

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    taiwan_girlT
    @89th said in I guess the Senate can refuse to seat him.: What is sad is each side would behave in the opposite manner if the roles were reversed. Yup.
  • Fake picture of George Washington

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    89th8
    I took the photo, it has embedded metadata in the file!
  • Diversity is NOT our strength

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    Aqua LetiferA
    @Horace said in Diversity is NOT our strength: if you do think there is a lesser evil between the two majors. I did not.
  • Jon could still be in the running...

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    jon-nycJ
    I wish you were kidding.
  • Yeah, but he didn't play a snap on defense...

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    JollyJ
    As one wag referred to Taysom... TAYSOM THRILL VANILLA VICK THE MORMON MISSILE THE TERROR OF THE TABERNACLE THE LATTER-DAY LEGEND SWISS ARMY SAINT THE BAYOU BULLDOZER THE CRESCENT CITY CANNON
  • Why did Harris !ose?

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    HoraceH
    Lots of litigation of this question. The Democrat masses really don't want it to be the woke nonsense. Obviously the Trump campaign calculated that the trans stuff hurt Kamala. We know this because of the commercials. For those of us who would like more Maga after these four years, we want the Democrats to misdiagnose the issues. Might be optimal for them to amp up the woke, thinking it's not really an issue.
  • Hey Aqua - I got your Halloween planned out for next year.

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