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Joined 2 years ago
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Cake day: October 31st, 2023

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  • Sorry, “moral hazard” is a term-of-art (something that doesn’t mean what it says on its face but is used in some particular way in some fields or professions). In this case by “moral hazard” I meant the idea that if you reduce the harm of some course of action there’s a chance that people will engage in it more because it’s less harmful now. It usually is applied to risky-yet-beneficial behaviours like injury from sports or from outdoor pursuits. It’s ridiculous in that context (I don’t think we should make things worse just so they don’t get better) and doubly or triply ridiculous when the risky behaviour isn’t beneficial or also isn’t effectively voluntary.


  • analyzed in depth under the lens of how that would actually effect reality

    You are implying you imagine some moral hazard where their provider minimizes the risk of the conditions the patient has, and as a result the patient stops seeking treatment. What you’re talking about in reality is shame. “Should a patient feel shame talking to their provider”?, and the answer to that is resoundingly “no”. Shame is a powerful demotivator, it’s function is to stop a person from doing something that threatens their relationships with others or the society they depend on. Trying to motivate someone with shame is counter-productive. All shame in a patient care setting can do is demotivate the patient from seeking care.


  • Mental illnesses are absolutely medical conditions. Many of them have physical origins; your brain is a physical organ in your body. Mental illnesses with social or experiential origins are also medical conditions that can demand both physical and mental care. The brain can have a physical impact on the body that also need care. Your brain is the main organ in your body that predicts what will happen in the future, and other parts of your body respond to it to regulate biological functions, as famously demonstrated by Pavlov’s experiments with conditioning dogs by experience to get a response from their digestive (salivary) glands.


  • hissing meerkat@sh.itjust.workstoLemmy Shitpost@lemmy.worlddoctors
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    1 month ago

    Medical care for obesity is currently in most cases like telling someone with a broken starter that they need to run their car more instead of replacing the starter.

    If eating too much compared to energy usage is unhealthy then there’s already something wrong with the patient that’s causing them to eat too much or expend too little energy. Telling them to lose weight might be the only thing within a provider’s abilities to do, but it’s equivalent to telling someone with a broken starter to leave the engine running.

    It is abelist and biased to pass judgement on ones patients for having symptoms of physical, mental, social, or environmental ailments. When a symptom is already socially stigmatized a provider has a responsibility to care for the social impacts of that stigmatization as well, at the bare minimum in one’s own dealings with the patient.



  • I hope you get the care you deserve.

    Until then talk to your doctor about:

    • if you can adjust dosage yourself so that you only take metformin in amounts or at times/circumstances that won’t make you sick
    • if you can try the extended release (or vice versa) formulation of metformin
    • talk to your doctor/dietician about when you should take it during a meal to minimize side effects.




  • Most crosswalks in the US are not marked, and in all places I’m familiar with vehicles must stop or yield to pedestrians at unmarked crosswalks.

    At unmarked crosswalks and marked but uncontrolled crosswalks we have to handle the situation with social cues about which direction the pedestrian wants to cross the street/road/highway and if they will feel safer crossing the road after a vehicle has passed than before (almost always for homeless pedestrians and frequently for pedestrians in moderate traffic).

    If waymo can’t figure out if something intends or is likely to enter the highway they can’t drive a car. Those can be people at crosswalks, people crossing at places other than crosswalks, blind pedestrians crossing anywhere, deaf and blind pedestrians crossing even at controlled intersections, kids or wildlife or livestock running toward the road, etc.






  • I don’t draw, but I think a lot of the facial sexual dimorphism in people isn’t real. The same features that appear masculine in some populations or cultures appear feminine in others. A bunch of recognizing masculinity or femininity is probably based on archetypes and other signaling features.

    In western media women are presented as younger than men, so lots of the features we recognize as feminine like having a smaller nose are really features of being younger. (And also why nose jobs are popular - not only do they make you match a societal beauty standard, they also make you look like your own memories of yourself)

    The really observable facial secondary sex characteristics are darkening of hair pigmentation and increased sebum production in men. In art those would probably show up more in shading than line drawing. Feminine makeup in response to those things is kind of a mixed batch. There’s adding shading to the face in places that wouldn’t be darkened by facial hair, like cheeks or under the eyes, which might exaggerate sex linked appearance. Similarly trimming eyebrows to reduce the appearance of darkened facial hair. But there’s also markup to darken and thicken eyebrows, makeup to lighten cheeks instead of darken them, and makeup to add a more oily, glowing appearance.