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  1. #2141
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  2. #2142
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    http://i.kinja-img.com/gawker-media/...536gkvb5jd.gif

    Not adorable enough for you? Fine! Have eleven hours of sleeping puppies:
    https://www.youtube.com/watch?t=27294&v=_tCUb7M9z54

  3. #2143
    i should really shut up
    You can safely ignore me I am a troll

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  4. #2144
    King of the Jews
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    Ifrit

    This perfectly describes every souls game on the money.

  5. #2145
    The Defense is ready, Your Honor
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    ^ It... it IS a conspiracy.

  6. #2146
    Custom Title
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  7. #2147
    The Shitlord
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    fucking shinji

  8. #2148
    Banned.

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  9. #2149
    i should really shut up
    You can safely ignore me I am a troll

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    Spoiler: show







  10. #2150
    Banned.

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  11. #2151
    GATTACA!
    Sweaty Dick Punching Enthusiast

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    moar hospital fails

  12. #2152
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    Quote Originally Posted by Moss View Post
    moar hospital fails
    There is little to no evidence that back surgery (50% significant reduction in pain at 2 years) is more effective than PT (41% significant reduction in pain at 2 years), and neither is probably much better than literally doing nothing (25% pain free after 1 year). Similarly, there is no evidence that vertebrae fusions improve function or reduce pain, but all these procedures are very common.

    Our best treatment for neuropathic pain (Gabapentin) probably works less than 15% of the time, if it works at all.

    Opiods are over prescribed to vulnerable populations (like seniors with dementia) because doctors can't be arsed to ask more than "rate your pain on a scale of 1 to 10" and anything over 5 warrants opiods in someone they trust to not abuse them.

    I've been taking a class with clinicians for the last few months and it has been eye opening. Doctors choose what they recommend for you based on a huge collection of anecdotes. If you've ever asked a doctor "Why?" and thought their answer was lazy, know that they probably answered it as well as they could and just didn't have a better answer to give. Out of the clinician lecturers we've had this year, I've had only one that I would trust to make decisions for me if I was unconscious and she wouldn't be qualified anyway because she was a gerontologist. It's really fucking bad if you talk to them while knowing anything about the science.

  13. #2153
    Mr. Anna Kendrick
    BGs Worst Golde Abuser

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    I trust my PCP who was a military combat medic for like 8 years before rejoining the civilian world and completing all of his doctor training. My endocrinologist is a tard though and sees no issue with 'treat type 1 diabetes for life' as opposed to 'cure type 1 diabetes', refuses to entertain any possibility that big pharma has an influence on the drug/procedure approvals/denials at the FDA, and has little knowledge of the stem cell research progress in curing the disease. Unfortunately there's only like 6 in my whole county for a million+ people so I don't get many options.

  14. #2154
    Certified Enhancement Shaman
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  15. #2155

    Sweaty Dick Punching Enthusiast

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    Bismarck

    Google refused to translate. . . but I took the hint!

  16. #2156
    Pseudo-Elitist
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  17. #2157
    So hard we fuck rocks
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    Quote Originally Posted by Byrthnoth View Post
    There is little to no evidence that back surgery (50% significant reduction in pain at 2 years) is more effective than PT (41% significant reduction in pain at 2 years), and neither is probably much better than literally doing nothing (25% pain free after 1 year). Similarly, there is no evidence that vertebrae fusions improve function or reduce pain, but all these procedures are very common.

    Our best treatment for neuropathic pain (Gabapentin) probably works less than 15% of the time, if it works at all.

    Opiods are over prescribed to vulnerable populations (like seniors with dementia) because doctors can't be arsed to ask more than "rate your pain on a scale of 1 to 10" and anything over 5 warrants opiods in someone they trust to not abuse them.

    I've been taking a class with clinicians for the last few months and it has been eye opening. Doctors choose what they recommend for you based on a huge collection of anecdotes. If you've ever asked a doctor "Why?" and thought their answer was lazy, know that they probably answered it as well as they could and just didn't have a better answer to give. Out of the clinician lecturers we've had this year, I've had only one that I would trust to make decisions for me if I was unconscious and she wouldn't be qualified anyway because she was a gerontologist. It's really fucking bad if you talk to them while knowing anything about the science.

    I just got prescribed Gabapentin today.... well shit...

  18. #2158

    Sweaty Dick Punching Enthusiast

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    Quote Originally Posted by Moss View Post
    moar hospital fails
    Got one for ya.

    I had a fella who slammed too hard down on a dildo while pleasuring himself. Call in colorectal who spends 3 hours trying to get it out, room is a blood bath. Dude finally gives up and at 4 in the morning we have to call in the OR team to pull a dildo out of some dudes asshole. X-ray showed it was 10 or so inches. It took a while to not see giant dildos on every x-ray that came up lol

  19. #2159

    Sweaty Dick Punching Enthusiast

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    Quote Originally Posted by Byrthnoth View Post
    There is little to no evidence that back surgery (50% significant reduction in pain at 2 years) is more effective than PT (41% significant reduction in pain at 2 years), and neither is probably much better than literally doing nothing (25% pain free after 1 year). Similarly, there is no evidence that vertebrae fusions improve function or reduce pain, but all these procedures are very common.

    Our best treatment for neuropathic pain (Gabapentin) probably works less than 15% of the time, if it works at all.

    Opiods are over prescribed to vulnerable populations (like seniors with dementia) because doctors can't be arsed to ask more than "rate your pain on a scale of 1 to 10" and anything over 5 warrants opiods in someone they trust to not abuse them.

    I've been taking a class with clinicians for the last few months and it has been eye opening. Doctors choose what they recommend for you based on a huge collection of anecdotes. If you've ever asked a doctor "Why?" and thought their answer was lazy, know that they probably answered it as well as they could and just didn't have a better answer to give. Out of the clinician lecturers we've had this year, I've had only one that I would trust to make decisions for me if I was unconscious and she wouldn't be qualified anyway because she was a gerontologist. It's really fucking bad if you talk to them while knowing anything about the science.
    It works more than twice that. And your own personal anecdote doesn't speak for medicine as a whole.

  20. #2160
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    Quote Originally Posted by AidenCarby View Post
    It works more than twice that.
    http://www.sciencedirect.com/science...74442214702510
    Table 1, difference between placebo and gabapentin is 14% in the treatment of neuropathic pain. Given that side effects unblind participants in the manipulated group, even that difference might just be interpreted as a stronger placebo effect.

    Quote Originally Posted by AidenCarby View Post
    And your own personal anecdote doesn't speak for medicine as a whole.
    or does it?

    At the same time, though, I wouldn't recommend anyone ignore the advice of medical professionals and self diagnose. As many stories as there are of retarded shit doctors do, they have hundreds more stories of people they've seen that felt too comfortable taking control of their own treatment. Noncompliance is a huge issue and causes way more problems than unnecessary back surgery.

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