Yeah… I don’t really think anyone really cares about anyone’s education anymore, at least not past your first employer.

I have to spend a lot of time teaching people in their residencies at my job, and where they went school doesn’t really bring anything to the table. In fact, a lot of the people who went to fancy private medical schools were either overwhelmed by having to talk to our impoverished patient population, or didn’t ever develop healthy ways to mitigate interpersonal conflict.

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.

Be prepared to be assassinated by a jr level manager from Black Rock. Keep your head on a swivel. Bryce played lacrosse for Princeton, he don’t miss son.

Ahh yes, another untapped market! Inspirational chachkies for billionaires.

We’ve known for years that starting school at 08.00 is detrimental to school-aged children and teenagers, but we keep doing it.

Yeah, but we also know school is more about free childcare that allows both parents to go to work than it is about actual education.

We’ve known for years that WFH can be just as productive and even more so than RTO, but we keep doing it.

We also know that a large part of the real estate market is dependent on leasing office space.

We’ve known for ages that housing homeless people helps them and society much better than criminalizing them, but we keep doing it

Again, creating more homes drives down property value.

We’ve known for ages that repressive stances on drugs are counterproductive, but we keep doing it.

It also creates jobs for police officers, income for private prisons, and strips minorities of their rights.

We’ve known for ages that a 4-day workweek results in gains for everyone, including the owner class themselves, yet we keep on doing 5.

This is once again an issue with the real estate market. Cutting the work week also cuts into profits of companies dependent on demand made from people commuting to and from work.

starting to think that gaining knowledge and insight is completely useless if the results are never taken into account if they don’t fit the currently reigning narrative.

It’s not that we don’t take account of the results, it’s just that the results do not benefit the nonsensical economic system we’ve adapted to. Our system does not create value from the things we have, it creates value from the things we withold.

You seem to be either confused or unable to stay on topic. My point was that servers are paid by the hour which you confirm by stating the exact rates. What is your point? That they don’t get paid a lot? I’m aware, it’s why I don’t go to these places.

So you agree with my original claim…? What the hell have you been bitching about then?

Is this supposed to somehow guilt me into wanting to tip?

No, my entire point was that if you don’t want to tip, don’t go to a place where the employees rely on tips to make a living. If you do go to a place where they rely on tips, you should tip even if you don’t like the concept.

If a server doesn’t make enough money, that’s between them and their employer like in literally (and I mean literally, not figuratively) every other industry.

Yeah, because systemic poverty is a problem solved by personal responsibility…

A lot of people would love to not work for tips, but never had the resources or education to get a better career.

Oh, it’s just the system, nothing we can do! We have to conform to the system because the owners don’t care!" is exactly what greedy restaurants owners are hoping you’ll say and you perpetuate this system by repeating it over and over.

Or…like I originally said, don’t support those restaurants. Better yet, support politician and unions that aim to protect workers. My whole point is that we shouldn’t make it the workers problem.

I’m not even going to read the rest of you strawman argument, you’ve already agreed with my original claim. The rest of what you’ve said is just cognitive dissonance. You have been simultaneously saying it’s not okay to frequent tip based restaurant, but have also been defending stiffing waiters. So it seems like you are just angry and confused, I don’t think talking about this with you anymore is going to be productive in any sense.

If I’m not being tipped for waiting a table, I still get paid hourly wages, meaning I get money for that table or any other I wait during my work hours.

The hourly rate for most servers is less than minimum wage, which is already too low to make a living off of. Like I said, I don’t think you know how this works. You can legally pay a server $2.13 an hour in most states so long as what ever tips they make the rest of the day average to $7.25 an hour.

Do you think restaurant owners waste servers’ time by underpaying them?

I think they take advantage of their labour, just as people like yourself do.

You already agreed that tipping doesn’t end tipping culture, so your act doesn’t really make sense now.

Act? My claim is that if you don’t like tipping, don’t go to restaurants where servers rely on tips to make a living.

I don’t employ servers, so it is in no way my responsibility to pay their wages. I’m responsible for paying for the food and service that I receive. The owner is responsible to pay for the labour they receive. Rather simple in concept, really.

Lol, it’s also very simple to see that the system we currently utilize is inadequate and is geared towards maximizing profits to the owner, and that is not the fault of the server who is just trying to make a living.

It’s fine if you’re OK with picking up someone’s employer’s tab, I won’t. Just don’t confuse who’s exploiting who just because you so desperately want to shift the blame away from the restaurant owner.

I don’t tip because I’m fine with “picking up the owners tab”. I tip because I know that the only person who loses in the situation is the worker. The owner doesn’t care if you tip or don’t tip, he gets his money either way. I’m not shifting the blame from the owner, they are of course exploiting the worker. However, so are you if someone is working in the expectation of compensation and then receives none. I’m guessing you don’t tell the waiter you don’t believe in tipping before the service…?

the system surely sucks but apart from shaming customers into shelling out for what you systematically withhold, there’s just nothing that could be done :(" Does your family own a restaurant or something?

Or …you could go to the many restaurants that don’t rely on tips to pay their workers. That is the only way to actually fight tipping culture, by rewarding your patronage to an owner who utilizes a labour system you believer in.

An no, my family doesn’t own a restaurant. I used to work as a chef while I worked my way through school, and I know how feast or famine things can be for people working up front. I’ve known people who couldn’t make rent because they had a bad day. I have basic empathy for my fellow workers.

“I haven’t frequented tipped restaurants in 20 years”

You said you haven’t participated in tipping culture for 20 years, based on your other shitty opinions, I figured that could mean you just haven’t tipped for 20 years. Also, I don’t really think someone who defends stiffing wait staff so vehemently online would really have a problem with taking advantage of their labour in real life and lying about it on the web.

To be honest you just seem like a person incapable of empathy, like some sort of libertarian sleezball. Anyways, have fun being a miserable ass.

Oh, wow. Suddenly they’re not being paid at all only because one person doesn’t tip? How does that work?

Lol, I’m guessing you’ve never worked in a restaurant before? If you are taking one of their tables and they are having to serve you, and you don’t tip…they don’t get money for that table and whatever time you used it for. If you hadn’t taken up the table, they may have gotten a customer who wasn’t an asshole.

Not tipping wastes nobody’s time

It wastes the servers time, but you don’t seem to think that matters.

which I turned around on you, though.

How, by being wrong?

I don’t exploit anybody’s labour by not tipping since I’m not getting paid to eat out. You understand that.

Tipping is wrong because it turns over the responsibility of labour expense to the customer. You, the customer are denying that labour expense and leaving the labourer unpaid for their labour. Meaning you are participating and taking advantage of their labour.

Why didn’t I think of that and not do it for the last 20 years?

Lol, you are still participating in the tip culture if you give your business to places that rely on tipping, but don’t tip. The owner still gets paid and doesn’t give a shit if the server does or not.

And if you are saying you don’t go to places that accept tips, then why are you even fucking talking to me? My whole point was that people who don’t like tipping culture shouldn’t go to places that accept tips.

the same server still doesn’t get tipped.

They may have more time or availability for someone who does tip, plus they aren’t wasting their labour on someone.

You’re not ending tipping culture by tipping, either. Just saying.

Yeah, but I never claimed I was attempting to end tipping culture by wasting people’s time and effort.

Again, why not just support businesses that don’t rely on tipping to pay their staff?

Lol, I’m sure your reasoning is really going to make a difference to the person depending on tips to make rent. And I’m sure the owner is just going to feel terrible that his server didn’t get compensated.

Maybe you should just avoid giving your business to restaurants that exploit the tip based system? You aren’t ending tipping culture by not tipping, you’re just taking advantage of workers just as much as the owners.

Eh… I wouldn’t recommend them for use during vigorous activity or on uneven ground. But they honestly aren’t that big of a deal for the majority of people. Around a cm of heel height is built into the vast majority of shoes. Most work boots and especially cowboy boots can have 3-4 cm of extra heel height without causing problems.

People with hyper mobile ankles or heels can be at higher risk of ankle injuries, but when people with higher mobile joints turn their ankles the sprains tend to be less severe. People with tight calves, heel spurs, hx of plantar fasciitis, or shortened Achilles can actually find high heeled shoes more comfortable than flats.

Everyone is different, just because you feel unsafe or uncomfortable in heels doesn’t mean everyone does.

Also a reminder for people with shitty parents… Setting healthy boundaries is not being mean, even if it feels like it sometimes.

A large aspect of humor is a reverse of expectations. The reason this is funny and the reverse is not is because the meme is the reverse of the social normative of humans. Men kill more women, men are bigger and stronger than women, men have more social power than women.

Your accusations of sexism rings hollow when you actually use logic and apply the situation to the realities of our actual societal structure.

Really unlikely… It would be hard to miss a shattered tibia if you are already placing hardware in the fibula. Orthopedic surgery isn’t really a gentle process, you are usually really moving the limb around a lot and limbs get really floppy when you have unsupportive fractures.

Plus, all hardware is tagged and tracked before, throughout, and after the operation. Mistakes happen, but it usually involves accidentally leaving a foreign body, and usually involves supplies that aren’t specific to the individual surgery like gauze, sponges, or clamps.

Prob not, osteomyelitis is pretty nasty and would have been cause for revisional intervention. The limb would have been visibly swollen and the post op wounds prob would have been weeping a bunch of nasty pus.

Maybe? But again, reabsorption is so commonplace that it’s not particularly a significant teaching opportunity. I

f we’re assuming that what this person claimed is true, the only real educational thing about this is how important it is to stick to the prescribed follow up care. This more than likely would have been caught during follow up imaging post reconstruction.

Nah, the fibula doesn’t really bear much weight, it mainly helps with ankle stability and helps with ankle rotation. Things that probably aren’t really a factor after the reconstruction that this patient acquired after their accident.

Haha, nah. You typically don’t excise bone fragments when you plan on putting them back together. That would force you to unnecessarily remove a bunch of soft tissue that surrounds/attaches to the bone.

Not really during normal ambulation, it mainly aids in stability and in certain range of motions in the ankle. Even less so in post traumatic reconstructions like in this particular image.

Not actually that rare to see. Reabsorption of bone is fairly common place in non unionized fractures that don’t end up getting good blood flow. Osteoclasts will breakdown the bone fragments that don’t unionize, especially if the bone isn’t really responsible for weight bearing.

The only thing thats fake about this is a group of doctors being mystified by any of it.