@bachophile said in Unprepared surgeons?: hole in the stomach-no biggie, just suture it up trocar in the aorta or vena cava, thats a whole different kettle of fish. thats when the patient can bleed out even before u have time to open the belly, put a clamp on, scream to high heaven for help. as for what the article says about training, its very multi factorial, and yes includes work limits. i think it also includes residents being a lot less independnet than in the past, because litigation has limited the amount of responsibility on residents and transfered it to attendings. which of course in some sense is a good thing but robs residents of experience of acting independently in the OR. When i was a youngin, i did lot of operations on my own, the night energencies like appendix and incarcerated hernias, with the attending being a phone call away, but still, in the OR i was on my own (with another resident). now, no one has any procedure done in the OR without an attending physically present, which spares the resident the ass puckering feeling of being on your own, which is essential to the learning process. think-learning to fly without ever doing a solo and getting a pilots license. its impossible. We had Tulane residents. Ortho, Surgery, Medicine, Ob-Gyn and GU. For things like Oral Surgery, Radiology, Pathology etc., we had staff physicians. We were just a meat and potatoes hospital, and referred the neuro and other complicated cases to Confederate (LSUS Med) or Big Charity. Guys liked and disliked our hospital. Old, creaky, sometimes without the latest tech. But we did a lot of trauma, our OR crew was very good and surgery had some specialty instruments that no other hospital in the area had. Residents, especially senior residents, functioned much on their own. Especially in the middle of the night, the attending was only called out for the wooly-booger cases. That was a bit different than the big hospitals attached to the medical schools. Junior residents got stuck with more than their share of ED duty. Didn't matter your specialty, you saw everything from soup to nuts, but at least the junior guys had resident consults to fall back on. I'd like to think the system turned out some pretty decent docs...

Maybe God needs to flush the toilet. That was how many people down here referred to the Chocolate City concerning Hurricane Katrina. New Orleans before the storm, had become even more violent and graft-ridden than its historical self. After Katrina, a lot of the gibmedats - the nonproductive, criminal culture element - became disbursed throughout the South. Crime soared in Houston, Atlanta and other big cities in the region. But a funny thing happened in city and state politics. Things overall got a little better concerning crime. The state became a bit more conservative and some of the emphasis on certain programs changed. Some of the graft went away. Now, it hasn't stayed that way. Over time, New Orleans is becoming a bit more like its previous self... I'd say some of that is due to typical Dem big city politics. Katrina did show what happens to a city, at least for a decade or two, when the reset button is pushed. Don't know if that would work in Chicago and I don't wish catastrophe on anybody. But without a certain element, cities do change. At least for awhile.

It looks pretty constant other than COVID. https://fred.stlouisfed.org/series/JTS1000LDL

We don't need furriners... https://m. Link to video

@George-K said in Electric Cars? Apple? "Nope.": Gotta wonder what prompted the decision to abandon it. Software issues? Outsourcing construction? Other problems with EVs? When it became apparent that motor vehicles require regular service and customers demand a right to repair their vehicles on an ongoing basis.

And...another. https://www.fox5dc.com/news/fifth-suspect-arrested-in-tragic-murder-of-2-year-old-jeremy-poou-caceres Trejo-Granados is an unlawfully present Salvadoran national. On Nov. 7, 2022, a Department of Justice immigration judge in Newark, New Jersey ordered Trejo-Granados’ removal from the United States. According to the ICE records, the Montgomery County Police Department arrested Trejo-Granados on March 21, 2023, and charged him with theft. While those charges remain pending, ICE lodged an Immigration Detainer on Trejo-Granados with the Montgomery County Detention Center on March 22, 2023; however, the agency says MCDC refused to honor the detainer and Trejo-Granados was released by MCDC on March 27, 2023. Remember the "If it saves ONE LIFE!" call? Yeah, good times.

It all boils down to whether one is privileged or oppressed. The oppressed-face appropriation of Claudine Gay or Kamala Harris is no less disgusting than Rachel Dolezal. There are plenty of people with black skin who grew up privileged, and they comprise the oppressed-face of most elite mainstream institutions.

I'm not a fan of Vampire stuff either - other than Cuppola's Dracula, Salem's Lot, Interview With The Vampire .. I'm sorta a fan, I guess. But I enjoyed the first season of the series. It inspired me to re-watch the movie and read the book.

Orthodontist's dream

Seems right. Almost all teams are in the 65K-70K range.

Link to video

@LuFins-Dad From what I’ve heard he hasn’t had any complaints about it.

@Horace said in I saw this tweet and thought of Aqua: Children's books are written by celebrity females who want to check off "published author" on their bucket list. Yes but they generally don't win Caldecotts for them.

@Copper said in Shoplifting.: If the FBI had used pictures of oppressed minorities, they agents would all be indicted. Especially during this sacred month. Give it a few years. They will be minorities.

I am sure she thinks the alternative is still worse.

@Axtremus said in China is no longer the top importer to the US.: Welcome to Joe Biden’s new world order. See Copper's statement above.

What would any of us have done if we were Germans during Hitler's rise? If we were white southerners during slavery? When the right side of history is at stake, one needs commitment.