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Cake day: July 1st, 2023

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  • Hey, I’m a provider at a hospital who uses MyChart everyday and would like to offer perspective from the other side.

    because it’s showing in MyChart as a former address but I’m not sure other places have the information. The problem is the address is associated with that psychiatric facility and may show in my chart as “Mental Health Behavior Modification Hospital,”

    In Mychart I’m sure it stores previous addresses somewhere, but I have no idea where I would even find this information, and can basically guarantee no one else is going to be looking for it.

    so doctors may refuse to treat me without a release of those records, leading to lots of hours billed talking about mental health instead of seeing if I have cancer.

    Part of HIPPA is that we can only access information that is pertinent to your current treatment as a provider. A specialist like someone who works at a cancer clinic would have no reason to access or question you about a previous treatment in a mental health facility unless you have something like a brain tumor.

    Also in MyCharts certain notes containing sensitive information like metal health treatment or sexual assault are usually automatically locked out unless additional consent is given by patients, or unless it is directly associated with the current providers treatment plan.

    leading to lots of hours billed talking about mental health instead of seeing if I have cancer.

    Healthcare visits are not reimbursed by time, but by visit type. It doesn’t matter if I spend 10 min or an hour with a patient. If the visit type is for a specific treatment they are reimbursed at the same rate. The affordable care act highly regulated how facilities are reimbursed for care, wether they are insured or lack coverage. And for the most part providers at hospitals have little to no control on how the hospital charges patients.

    I also will refuse any mental health screenings/questionnaires, etc., and so it may result in them refusing to care for me.

    I haven’t really heard of anyone refusing care because someone didn’t fill out a mental health screening. I specialize in orthopedics and rehabilitation, so that’s not exactly pertinent to my field. But we have people who refuse to fill out paperwork all the time, and i don’t really care unless it’s pertinent to my current treatment plan.

    For me to refuse my services the hospital requires me to have a really good reason why, like attempting to assault me or the staff.

    If someone asks you about your previous treatment at the facility and it has nothing to do with your current appointment, I would just ask them how it pertains to your current visit. If they try and make a big deal about it, I would just ask for their manager, and ask them why the provider asked about sensitive information that doesn’t have anything to do with your current treatment.


  • The mistake is assuming that Orban was ever anything but a populist. Orban never really changed, what changed was the state of populism in central Europe.

    Basically, in the 90’s liberal reform was popularized following the implosion of the Soviet Union. However, there was a conservative backlash following the “shock therapy” doctrine the IMF took when reforming the former Soviet block.

    Conservative backlash in this case being styled after late Soviet socialism. Which was conservative in social mores, and in nationalist intent, but left leaning in economically. The older more impoverished population wanted to go back to the days before the collapse and before the implementation of shock therapy.

    Orban has almost always riden the sentiment of populism whether that be liberalism or the sentiment of the Soviet era. The lone time he abandoned populism was in the early 00’s where he tried to align himself with the middle class, which cost him the election. Since then he has doubled down on his populist agenda.


  • That is the problem with transitioning your government into a war time economy, once it starts sustaining itself it’s nearly impossible to decouple from without initiating a huge recession.

    It’s the reason Putin is treating peace negotiations as a joke, there is no economic incentive for peace. Most foreign capital left Russia after the war in Georgia in 08, and the rest left or were gobbled up by the state after the war in Ukraine.

    If the Russian government doesn’t sustain a war in Ukraine or start another war relatively soon their economy will soon spiral out of control. The Guns vs Butter model is still a bitch to deal with, and Russia as a nation throughout history seems to be incapable of learning that particular lesson.


  • I build and fit orthotics and prosthetics…this is mainly just a marketing gimmick. The myoelectric sensors that feed the data to the terminal device are built into the socket of the prosthetic. There’s no real reason to wear the socket without the hand, and you can’t operate the hand without the socket.

    The hard connections from the end of the socket and the hand are very durable, and they typically don’t really have any issues with wear. I don’t think fidelity is a big issue because there’s not a ton of information being transferred, the myoelectric sensors haven’t really changed a bunch in the last 40 years and the amount of information being sent is minimal.

    The biggest downside I foresee is that if you had different terminal devices, you’re probably going to have to pair them to the socket whenever you want to switch. When the traditional hard connection is just plug and play. That and you are just adding extra things to break in devices that are built to take a beating.









  • think he’s accelerating the decline of the US empire. And I think a new multipolar world with China taking on a leading role will emerge shortly. Within a few years at latest.

    Thinking of geopolitics as a polarity is a way to make a complex subject more digestible, however when it’s examined against actual history its highly reductive.

    Even when the world was less complicated and communist nations weren’t a hodgepodge of mixed markets, nothing was delineated so cleanly into something as simple as multipolarism.

    Democratic capitalist nations still overthrew emerging capitalist democracies, communist nations still went to war with other communist nations. I think it’s a bit optimistic to believe that political and economic instability inexplicably births unity.





  • There’s no fundamental difference between Russian and western oligarchs having influence over Ukraine.

    That’s a non sequitur from the discussion we were talking about.

    Yeah, that’s not what happened.

    I guess it’s inarguable since you said it with such conviction…

    Claiming that these people represent majority of Ukrainians is the height of intellectual dishonesty

    “As for the conflict itself, over 50% sided with the protesters and volunteers. More than half of the respondents discountenanced the authorities and pro-government anti-Maidan protesters. The main adversary of the Euromaidan was Viktor Yanukovych and his closest allies, 71% of the pollees believe.”

    It’s fairly unanimous that the protest were mainly against Viktor Yanukovych.

    Not surprisingly, you’re once again making statements at odds with the basic facts of the situation.

    Wow, such a good argument. How can anyone compete with the sophisticated rebuttal of “not uh”.

    guess you’ll just keep repeating this like baby Goebbels

    Hmmm… I can’t refute this fact, I guess I’ll just call anyone who disagrees with me a Nazi. Big brain move.

    The substack points to plenty of sources to substantiate the argument.

    First of all, half of the links in that substack are dead. Secondly, just because you claim a piece of evidence substanciates your argument doesn’t make it true. Having a link saying 6 people from America went and observed an election, doesn’t mean they were part of an overall conspiracy to overthrow a country. Especially considering the people in that country attribute the actual rebellion as a response to Yanukovych sicking the police on a peaceful protest.

    I’m not attacking the “evidence” in the substack, I’m attacking the overall narrative that run counter to reality.

    Nobody said they’re solely responsible for regime change.

    You haven’t offered any other reasoning…

    to put more effort into your trolling to make it less transparent at least.

    Lol, anytime anyone disagrees with you it’s trolling.

    US is capitalizing on it and has done so since 2014.

    By taking away the wealth of the oligarchs who supposedly handed over power to the US in the first place? Sure.

    Maybe learn a bit about the subject you’re attempting to debate as not to make a clown of yourself in public.

    Man, you really are just a broken record. What is your obsession with clowns?

    Why is it that all Russian nationalist argue in the same exact way?



  • didn’t have any actual point to make here.

    Being purposely obtuse is not a rebuttal…

    was independent in a sense of having sovereign domestic policy which it lost after the coup by the west.

    Just because the people of Ukraine overthrew a government that was being controlled by the benefactors of Russian capital for a government controlled by people who want to take loans from the US and Western Europe does not mean there was a “coup by the west”.

    Not surprisingly you are stripping any sense of autonomy from the people of Ukraine. Could it be that the people of Ukraine were just tired of being the poorest nation in Europe despite their size, agricultural output, and mineral wealth?

    Ukraine was allowed to stay independent then the war would not have happened

    Meaning if Ukraine had continued to be controlled by oligarchs loyal to Russia, Russia wouldn’t have had to invade. Sure.

    We’ve already established that it’s actually that the west that wants to maintain control over Ukrainian politics as was evidenced by the west overthrowing the government in Ukraine.

    I don’t think posting the substack of an author who works for the Russian media is really enough to establish anything. The guy is clearly not a reliable narrator, and his “evidence” is hardly sufficient to validate his claims.

    shred of intellectual integrity.

    Lol, the pot calling the kettle black.

    Literally that org that is known for doing regime change around the world.

    Every powerful nation in the world has lobbying groups of a similar order. Saying that they are solely responsible for regime change all over the world is just reductionist and ignores the autonomy of the people in those nations.

    The whole western proxy war is backfiring right now as well.

    So America is so powerful they can overthrow a nation with a ngo, but so weak they can’t capitalize on it… curious.


  • As opposed to the oligarchic system in the west?

    Did I deny that the west had its own oligarchic system? No, it wasn’t pertinent because we were talking about Ukraine prior to 2014.

    Your claim was that Ukraine was “independent”, when in reality the majority of the wealth was held by Ukrainian oligarchs with deep ties to Russian capital.

    Russia wanting to maintain economic relations with Ukraine isn’t the conspiracy theory you seem to think it is.

    Russia wanting to maintain control of Ukrainians politics through the wealth of their oligarchs is literally a conspiracy. I’d say it’s a lot more influential than a US backed org like freedom radio or what have you.

    The credit goes to the US and it’s pretty well documented at this point https://kitklarenberg.substack.com/p/anatomy-of-a-coup-how-cia-front-laid

    Ahh, yes… The national endowment fund… So powerful they could take over the government by funding… Independent Journalism?

    Surely having a few people control 80% of the countrys wealth has nothing to do with people being upset at the status quo…

    certain oligarchs in Ukraine decided to throw their lot with the US

    Yeah, because that worked out for them…

    November 2023 there were only two billionaires left in Ukraine, these being Rinat Akhmetov ($6.59 billion) and Viktor Pinchuk ($1.72 billion).[7] In November 2022 they had counted nine billionaires.[7] The February 2022 Russian invasion of Ukraine and its negative impact on the economy of Ukraine led to the decline in billionaires.[8]


  • What actually happened was that the west was not ok with Ukraine being independent and instigated a coup there.

    By independent, you mean controlled by the same oligarchic system as the Russian federation?

    While you are correct that Russia really didn’t need the minerals in Ukraine, they did want to maintain relations with the oligarchs that controlled the majority of Ukraine wealth. They especially wanted to maintain relations with the oligarchs like Akhmetov, Kolomoisky, Pinchuk, and Firtash. Who were responsible for mediating Russian gas sales to Ukraine.

    Of course the US has their fingers in geopolitics around the globe, but giving them credit for the revolution in 2014 is a bit generous imo. I mean, when is the last time America did anything at this scale with any kind of competency?

    In 2008, the combined wealth of Ukraine’s 50 richest oligarchs was equal to 85% of Ukraine’s GDP.[3] In November 2013, this number was 45% (of GDP).[

    In reality this is the reason for the revolution. It’s also the same reason why America’s billionaire president is now supporting Russia. The ultra wealthy have long craved the control Russia’s oligarchy has over the state.