They’ve already killed people.

I miss forums so much. A federated backend for forums would be nice. I’m so tired of having these giant communities of angry strangers if I want to talk about anything

Agreed on the sleeping better. There are things it had that Lemmy doesn’t but honestly I never want this site to catch all the way up. Reddit had become bad for me.

Well, that’s their point. With a smaller population we want a smaller canvas.

I’d argue it’s mostly true. I’ve never used Fahrenheit for a pool, the pools I’ve used in multiple cities around the west are all in Celsius. I’m as confused about 101f as a hot tub temperature as I am about knowing if 72f is a good room temp. Like most people I know, I switch my AC to Celsius immediately, because otherwise I have to do a mental conversion any time I want to set it. I think the only F a Canadian is almost certain to use is in oven temperatures…

And the “is it for work” adage for lengths only really applies to trades.

What better way to show how much you don’t care about Reddit than to spend all your time talking about it?

Still alleged unless proven in court.

Artisanal crude

Well, a huge one is finding ways to make them easily accessible to doctors without uprooting the entire current infrastructure. The average doc can’t just host a physiotherapist, dietician, and social worker in their clinic, and to work best there needs to be open communication between the different branches.

That’s a fixable problem, probably starting by opening clinics where all the professionals work under one roof and the doctors are subcontractors to the clinic rather than owners and managers. That’s a structure that wouldn’t appeal to everyone but it would appeal to many. Then those clinics could take specific patient populations preferentially to do their primary care, eg. elderly people, people with multiple chronic illnesses, etc - helping to take the load from docs in independent practice who would rather not be part of a larger team. There are already clinics like that out there, and they’ve been pretty successful.

Ultimately though the biggest barrier is just money and trained professionals. The interprofessional teams in BC should fill this role fairly well, but don’t have enough employees to reliably meet the gaps

I’ll have to be vague to avoid too much specific info, but I have worked in both contexts where I have a full team at my disposal and where I’m just a lone doctor, and I agree wholeheartedly we need the team. Best if it’s under the same roof. It isn’t necessary for every patient but for the people who need it it makes a huge difference.

If it helps, many provinces have been trying to push something like that for a long time, but there are an entire host of problems that go along with getting it rolling. BC’s interprofessional team systems are sort of that, but they’re weak.

Depending on the thing you’re discussing, it sounds like your doctor referred you to a person who they felt would be appropriate for the request you had, so in general I’d say that’s kind of a harsh summary. We can’t be trained in all the things at all the times.

In the case of antibiotics and probiotics for chronic conditions in particular, there is - and I cannot understate this - an unbelievable amount of woo and misinformation around that topic. That isn’t to say your specific concern falls in there, but I can understand why some docs feel overwhelmed with it. We get flooded with an incredible amount of pseudoscience in that specific domain, and it takes a huge amount of work to sort through what’s real and what isn’t.

Frankly as a doc myself, I’d sort of rather my patients see a naturopath if they have to choose one. I’m not a fan of either but at least I know the local naturopaths will provide a nice listening ear, while the chiropractors just seem to do everything they can to actively hurt people.

We’re not substantially better on this front.

It’s strange to note that if Google had just casually worked on the feature, started gradually integrating it with YouTube etc, they might have beat insta to the punch and also really capitalized on Facebook hate. Instead they made one massive marketing blunder after another.

These don’t end bullshit work though. They just mean that I am doing it myself, but still paying the same price for my groceries.

If I got a discount for doing the self checkout, since the company isn’t paying a cashier, maybe it would be another story, but what they’re actually doing is saving money on labour and passing those savings onto themselves.

Around for twenty odd years and the experience hasn’t noticeably improved in that time. I act like a neophyte on self checkout because I refuse to use it unless forced.

All matrix is to me is a classic late nineties action sci fi movie.

IRC is hugely flawed but also, I miss it. Could we have a federated discord? It’d basically be irc but easier to find stuff right?

I think it has a lot of value. I don’t really see the point of anonymous upvotes in the first place.

For myself, I’ve already just assumed this stuff is public. I don’t know why I’d assume it was private, in fact. I have a few different accounts and I use them for different things, but anything I want to keep off the public internet doesn’t go on the public internet, on Lemmy or Reddit or Facebook or anywhere. It’s 2023, I think most people have some understanding of this already. Threatening to out data I already assumed no privacy on is not terribly threatening.