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General Discussion

A place to talk about whatever you want

38.0k Topics 343.3k Posts
  • Maureen Dowd, bringing the receipts…

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  • California - the pendulum swings

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    LuFins DadL
    Did you notice that the kids weren’t even rushing? They took their time and didn’t feel any urgency to get out of there. It’s like they knew nothing was going to happen.
  • Walk This Way

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    George KG
    He needs pitchers to show where the podium is.
  • Only the Lord Almighty

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    Doctor PhibesD
    @LuFins-Dad said in Only the Lord Almighty: I might consider Parkinson’s to be a sign from God… A postcard might have been more compassionate, but the Supreme Kahuna has always had a pretty odd sense of what's an appropriate way to break bad news.
  • They were made of sterner stuff back then...

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    LuFins DadL
    I don’t get the big deal… I did this multiple times playing Pitfall…
  • Vikings

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    89th8
    Stay out of PG County, MD. Sucks.
  • A thread with something for everyone

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    MikM
    He'll be seasoned for destination!
  • Yep

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    JollyJ
    Sad, but true.
  • Looks like I finally got Covid.

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    89th8
    @kluurs said in Looks like I finally got Covid.: Paxlovid does a good job. 24 hours after my first dos and life is much improved. Good to hear!
  • Israel: military must draft Ultra-Orthodox Jews

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    jon-nycJ
    https://x.com/i24news_en/status/1810275451530559666?s=46
  • EKGs explained.

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    B
    @taiwan_girl No, I’m not Andrea. But yes I did teach basic ECG analyses long ago. I took a screenshot of the credits and wrote on it. There is no “Bigeminal Productions” .. but a “bigeminal rhythm” is one where every other heart beat is a PVC (premature ventricular contraction) .. ha PVC ha PVC ha PVC ha, etc.
  • Even Cary Grant wanted to be Cary Grant

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    taiwan_girlT
    @Copper That was funny.
  • Wish them well ...

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    taiwan_girlT
    It will be tough. I have my doubts but wish them well. @jon-nyc Weren't you going to (or actually did) travel on some airline company that was like an only business class airline that offered pretty good rates. Are they still in business? I met a US guy a while ago, and we started talking about the different airlines we had been on. He had been on Pan Am quite a bit, and he told me that then beginning of the end for Pan Am was when Lyndon Johnson (I think) did not allow Pan Am to fly any domestic routes. Cant remember the reason he told me why this was not allowed - believe it had something to do with Texas and Johnson was from Texas and some sort of protection........... (or something like that. LOL)
  • Cheap Wedding Dresses in China

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    taiwan_girlT
    @Jolly LOL Yeah, you get what you pay for.
  • Old War Skule

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  • Sneezing your guts out!

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  • Mo Manta

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    taiwan_girlT
    Interesting.
  • Halal

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    JollyJ
    @Mik said in Halal: So they consider the ritual slaughter to be unnecessarily cruel? I also did not know. You bleed them out. I guess Sikhs just wack 'em. Now, here's where it gets interesting... Shoot a deer with a bow. It's not ritualistic, but the deer usually dies from blood in the lungs or sometimes exsanguination. If the deer dies from blood loss caused by razor sharp broad head blades, is that different than cutting the animal's throat?
  • Double booked.

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    George KG
    @axtremus, I don't think so. Malpractice requires 3 proofs. An injury occurred The injury was a result of the physician's care The care was outside the "standard of care." That standard is determined by expert witnesses and policies of the department and hospital. That said, heart surgery is pretty mundane stuff, other than when it's not. Almost any well-trained resident/fellow/associate can do the mundane parts: Harvest a vein Open the chest, expose the heart Cannulate the great vessels and be ready to start CPB (Heart-Lung machine) Here's the non mundane parts. Sew the anastomoses (hookups) from the aorta to the obstructed coronary vessels. Or open the aorta or left atrium and replace the aortic or mitral valves. Semi-mundane. Wean the patient from CPB with the gas-passer giving whatever drugs necessary will give the heart the "kick" that it needs to work on its own. Mundane: Close leg (or other vein harvest site) Wire the chest closed, along with all other tissues and transport to ICU. I've been told that at Texas (don't remember if it was this place) they would "stagger starts" so that by 9 AM Cooley (or whoever) could to the non-mundane parts in Room 1 while Room 2 was just finishing their "mundane" parts. He'd walk across the hall and do the non-mundane parts. Meanwhile. Room 1 is back to mundane, and Room 3 is getting into their mundane. That's how Cooley could claim that he did 6-8 open heart surgeries a day. Is this bad medicine? I dunno. It's certainly efficient, but I always found it a bit...deceitful. Also, when you're in Room 2 and things in Room 1 go south, what are you going to do? Which patient gets abandoned? Our small place, with one heart surgeon and no assistants never had such experiences.
  • CNN starting to catch on

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    JollyJ
    The end of democracy as we know it has always been bushwa. To quote J.E.B. Stuart, he was "keeping up the skeer".