HOLY SH*T
Bellingham High School in WA held a pride event where drag queens danced provocatively in front of CHILDREN
They are coming for your children.
You can contact the school here: 360-676-6575
@stelzner_n1150 Indianapolis sucks. Had to live there for a few months. Buddies car got stolen, gunshots, people yelling at all hours of the night, dudes coming up to me asking for drugs at a hotel, I could go on and on. I have also lived in Des Moines, and very much agree!!
@BrentAWilliams2 Depends on situation. I mostly agree. mortality rates, especially with CKD/ESRD are very poor, so avoiding major amputation seems most reasonable if amputation is a somewhat functional foot (tma at most). If Charcot is present and have CKD, it will fail and need BKA anyway.
Everyone, "How about making the only edible Runza, an Italian Runza, part of the regular menu?"
Runza: "Here's ice cream flavored like a stuffed cabbage roll."
To my UNO Family,
This 2026 season will be my final season coaching Omaha Baseball. While this is a difficult decision, I’m confident it’s time for me put my family first. My oldest son just started Little League and I plan to be at every game. Once a Mav always a Mav!
EP
Imagine your surgeon preparing for your operation.
They see you in pre-op, answer your questions, calm your fears, examine you, confirm the plan, and go get ready for the case. They review the imaging and think through the critical parts of the operation.
Then a nurse interrupts them:
“Doctor, your pre-op documentation isn’t good enough. You can’t just say you discussed the risks and benefits. You need a full H&P.”
The surgeon points out that the H&P was already done in clinic. The note is right there in the chart.
“No. That note is 31 days old. It has to be within 30 days. But it’s fine if you just copy and paste that old note.”
Think about how insane that is.
There is no new clinical information. There is no patient benefit. There is no improvement in safety or quality. The only thing being demanded is duplication. A pointless bureaucratic ritual to satisfy the machine.
So now you have a frustrated surgeon, a delayed case, a bloated chart, and one more example of modern medicine confusing clerical box-checking with patient care.
This is exactly what is wrong with the system. Endless note bloat. Pointless duplication. Administrative nonsense dressed up as professionalism. If there are no changes, there are no changes. Forcing a doctor to re-paste an unchanged H&P adds absolutely nothing for the patient.
And the most insulting part is the tone. That smug, condescending “of course you have to do it this way” attitude, as if this is self-evidently necessary instead of obviously stupid.
At this point, a lot of doctors would probably take a substantial pay cut to never touch a computer again. Cut the salary and use the savings to hire people to do the computer garbage. Epic. CDI queries. Coding queries. H&P updates. Order entry. Case booking. Inbox nonsense. All of it.
Never touch Epic again. Never answer another coding query. Never update another unchanged H&P. Never place another order that a clerk or protocolized team could enter. Never do another ounce of hospital data-entry cosplay.
Just let us be goddamn doctors instead of highly trained documentation technicians.