B¡ko

Langchain | MD

[B¡ko @BagofWords_]

@_deeiana Women hureminisce things they almost did for you. I'm curious as to why this is so common

[B¡ko @BagofWords_]

@human_eiffel How many pages was your document

[乂 @forthedamnhoes]

next time your mom show you an unfunny memes, remember how she reacted when you showed her your wack crayon drawings.

[B¡ko @BagofWords_]

Highkey tempted but can't risk a bricked TV

[Siyad @axmedalxender]

I gave Claude access to my tv and the amount of illegal stuff we are doing is insane 🤣🤣 woaaaah I’m so shocked of the possibilities at 1:00 AM 🤣🤣

[B¡ko @BagofWords_]

@monster0x0000 https://t.co/J9vGTSVUDg wengi who perceive themselves better walitaka sana Kuwa madaktari

[__ghidora__ @monster0x0000]

Never ever look down on whatever tertiary credential earned. Better men and women have tried and didn’t get it. Plus to your parents, it means the world.

[B¡ko @BagofWords_]

@_H0Va If they hire my sister who' a lawyer they can walk if it happens

[B¡ko @BagofWords_]

@Leo25444222 @Its_B_here Ain't reading all that, hope you pick a book, or documentary tho

[B¡ko @BagofWords_]

@Leo25444222 @Its_B_here Interesting the things you know when you aren't an ignorant fvckturd, right?

[B¡ko @BagofWords_]

@Leo25444222 @Its_B_here Thats why Lions always win in nature. They eliminated and pushed every predator into fringe habitats and ecosystems. Leapards, cheetahs and every other stripped predator evolved it's hunting habits to avoid confirmation with Prides

[B¡ko @BagofWords_]

@Leo25444222 @Its_B_here Do you know how Lions coordinate their fights in the Wild? Do you know they are they can count and only attack after every one is in formation. In a territorial fight tigers don't stand a chance, won't even see it coming

[B¡ko @BagofWords_]

I'm happy to dive into the CS vs SVD pipeline with you, we can argue magnitude but not absence of risk, but I would love to pre-empt that medicine is only as good as the context in which we practice it

Parts of your argument may hold in a high resource setting with robust NBU and robust post op care, but we live in a country where blood banks are strained, immediate post-op care is patchy because ratio of nurses to patients is a joke, so mothers stay in pain with overstayed catheters, breeding complications that aren't even noticed till it's late

Not to mention the cost to public health, because now that's a mother that needs closer monitoring and subsequently more resources in her subsequent pregnancies - ruptures, previas, accrettas. All of which will further burden a health system already on its knees

I think the bigger issue is C/S (maybe for commercial reasons given the market dynamics and surgeries being the lifeline of hospitals) has been somewhat sold as a quick fix. Basically no incentive to invest into proper SVD care

All in all we have to honest with mothers, that elective choice today might cost her life or fertility in future because the truth is out health system CANNOT GUARANTEE her a safe rescue if things go wrong, we barely have working emergency services, no ambulance will be coming for you, unless of course you pay upfront

[B¡ko @BagofWords_]

If you put 10 male lions and 10 male tigers in a 50km2 wild enclosure, you'll be collecting tiger corpses one by one then start collecting Lion corpses till you have like 5 friendly Lions left

You have no idea how the savages you are waffling about have evolved to dominate territories. Tigers camouflage, Lions with their manes only know how to dominate

[B¡ko @BagofWords_]

Classic non-maleficience vs Autonomy argument. Autonomy gives the patient a right to refuse/request procedures, it doesn't obligate me to provide treatment not medically indicated and potentially cause harm.

We can objectively agree that a CS without any medical indication increases the risk of complications for both mother and child.

And like with anything medicine it's all context based. A CS at your average public hospital isn't the same as a CS In flagship private hospital. Equipment gaps, staff gaps, gaps in IPC means you are exposing the mother to unnecessary risk

[B¡ko @BagofWords_]

@Leo25444222 @Its_B_here And yet I have a video of 4 male tigers submitting to a single male lion. You should see how lions cope with not being the apex in a territory. They are the most intelligent of the predators

[B¡ko @BagofWords_]

@Leo25444222 @Its_B_here We grew up saying this in kindergarten touch some grass

[Ngamini @FourthArchetype]

Every high-profile doping trail involving a Kenyan athlete always leads back to Federico Rosa, Claudio Berardelli or Gianni Demadonna. Any Kenyan athlete who chooses to associate themselves with these three must also bear the burden of suspicion that follows them.

[W @WAdeola]

We are watching a man realise he’s given his best years to a lie in real time. Honestly I feel sorry for the guy.

[B¡ko @BagofWords_]

Co asks

[hazel🎃🧹 @BluebriarArts]

Real talk what would a philosophy degree even qualify you for? Is there some secret field of work where you get to sit around a table and philosophize all day?

[B¡ko @BagofWords_]

@archangell777 Aggravated assault

[B¡ko @BagofWords_]

@yusuf_mahatt Guidelines are as good as the context in which we apply them daktari

[B¡ko @BagofWords_]

I am afraid in the Public health system it's about resource optimization. Anyone who finds themselves in a Kenyan Public Hospital is probably underinsured.

Given the contribution statics for SHA, focus should be on monitoring and minimizing labour complications that necessitate expensive interventions like C/S and it's potential complications.

It's the only shot we have at availing some form of healthcare to everyone. The well Insured have lucrative electives options in the private sector choosing Public seems like a bad bargain to me