Yep. Most people clutching their pearls at this story don't have any idea how difficult it is to actually build anything outside a gen 3 Glock or an ar-15. And those have "80% kits" that basically say "drill hole here" available on the market. Try finding a hi point, lorcin, or even Taurus or low end S&W pistol, or cheap shotgun(like a Stevens or Remington 870) receiver(because that's most of what comes into these guys who have businesses like this), and you'll find out it is a) cost prohibitive, b) still has to go through a nics check bc there's nobody home building much of anything (well, the hi point may be the odd one out bc there are 3d printed frames you could make). What they do end up doing is a lot of business with guys refurbishing grandpa's old deer or duck gun.

So, DO's in many of not most states in the US have the same licensure and practice limitations as MDs and charge/are reimbursed similarly. I'm many cases they actually attend the same residency programs as allopathic/MDs. Most I've worked with drop 99% of the Osteopathic manipulation stuff soon as they graduate. Naturopaths on the other hand....

I mean, you CAN make wine out of Concord grapes, but it still tastes like Concord grapes after fermentation. Many places that lack the more temperate climate of France or coastal California make a lot of wine out of Concord and similar grape varieties bred from native grape species that are in many cases more disease resistant and tolerant of extreme temps. Overall, they tend to be sweeter wines(though concords technically have a lower natural sugar content on average than many traditional varieties) and often they get mixed with other fruit wines (blackberry, blueberry, strawberry, and even another native grape called a muscadine) because they aren't easy to extract a lot of tannins out of, and are a real one trick pony from a flavor perspective. Many attempts have been made to breed grapes that exhibit more "traditional" wine flavors, to varying degrees of success.

That being said, this is some real prison hooch territory and there's zero reason to do something like this with as accessable as winemaking kits are these days. Now if you're in a prohibition type scenario maybe it makes at least some sort of sense.

Peroxide is actually a pretty terrible wound cleanser. Does as much damage to the healing tissue as to any bacteria, which is why you seldom see it used in the hospital. Honestly you are better off with lots of clean warm water and mild soap. If you really want to get wild, find some true antibacterial soap with chlorhexidine (hibiclens is the big brand name in the US) and wash the wound with that. Just don't use it on the face bc it's really bad for the eyes.

Seborrheic dermatitis is what I think of when I read what you're describing. Probably worth getting a second visit or even an outright second opinion if it's not going away with the ketoconazole (especially if that's what the dermatologist told you it was, it may be worth getting seen by an internal med doc or GP....depending on what they are called around your part of the world).

Houses, public and commercial buildings, everything needs to be rethought. Currently visiting the UK from a much warmer and more humid climate in the states. It's bizarre that it's pleasant outside but almost uniformly uncomfortably warm (and frankly, more important humid) inside. Out hotel room is supposedly air conditioned but stays a uniform 25-26c no matter what the thermostat is set on. It's "working appropriately" according to management and their 3 different maintenance staff that have "adjusted" it, but it is not handling the humidity well. The only saving grace is one of the windows will open ~6in to allow us to open it at night. The bigger picture is how this heat and humidity are going to effect the buildings and their contents. It doesn't take all that long a time for humidity and high indoor temps to allow serious mold issues to start taking hold. People forget the original use of ac wasn't for human comfort but to keep goods (specifically paper) dry so it didn't curl and become unusable by a printing company.

Is that the loch ness monster asking for $3.50 I see in the background?

Any chance you have an Indian grocery near you? The ones I've gone to often have pg tips for way cheaper than that.

Because they looked around and realized nobody else would put up with Jerry's shit?

I own a musket for home defense, since that's what the founding fathers intended. Four ruffians break into my house. "What the devil?" As I grab my powdered wig and Kentucky rifle. Blow a golf ball sized hole through the first man, he's dead on the spot. Draw my pistol on the second man, miss him entirely because it's smoothbore and nails the neighbors dog. I have to resort to the cannon mounted at the top of the stairs loaded with grape shot, "Tally ho lads" the grape shot shreds two men in the blast, the sound and extra shrapnel set off car alarms. Fix bayonet and charge the last terrified rapscallion. He Bleeds out waiting on the police to arrive since triangular bayonet wounds are impossible to stitch up. Just as the founding fathers intended.

Noscript works but it also strips a lot of other functionality. FB interprets it as you having a severely throttled Internet connection so it keeps suggesting trying "Facebook light". But if all you want is your "feed" it will likely work for you.

Just because we do something for a long time doesn't mean it's the right thing to do. In most cases, forceful irrigation with sterile saline is the best way to handle a dirty wound.

"Empress" Verdiacee "Tiari" Washitaw-Turner Goston El-Bey of the Washitaw de Dugdahmoundyah (the article missed aa few of her names or self proclaimed honorifics). Now thats a name I haven't heard in probably two decades(and one she continued to add onto and embellish throughout her life), but reading the article immediately made me remember just how absolutely batshit crazy she was. I grew up in Northeast Louisiana and remember her stirring up problems at various civic meetings for years. I can't believe anybody would ever take anything she said as serious, because she was so clearly mentally ill that even as a kid I picked up on it. But somehow they did, and she even led a movement for the "town" of richwood to secede from the city of Monroe, taking with it a good portion of the more densely populated areas but almost none of the tax base to support the basic civic infrastructure. You can probably figure out how the next two decades plus looked for residents there.

MyChart (or care everywhere which is the provider facing interface) is already searchable by other providers from within epic, all they need is patient permission. I can see labs, notes, and interpretations of imaging, though admittedly no actual imaging from other hospitals, etc... Due to the sheer volume of data transmitted for CT scans and MRIs and the different image processing systems used by various hospitals. The data doesn't disappear when you change providers, but rather it stays stored and accessable to help ease that transition. As to worries about it disappearing, CMS already requires keeping records for 7 years and many states mandate 10 years plus a day, which at that point those records are often of marginal value at best for any current care anyway. In practice, at this point I've seen records 10+ years old in systems that transitioned back around 2010, including records that were uploaded into epic from their previous emr. All that being said, we do need a stronger push to a standard set of communication between emr systems. That ball got rolling in earnest with the 21st century cares act but the actual implementation is still ongoing for most systems(anything emr related often moves at a relatively glacial pace in part due to the HIPAA concerns as someone else expressed), but we are already seeing things like pharmacy prescription data getting pulled in.

Looks more like a male wood duck. Pretty sure mandarins normally have more white around the eyes.

Literally half or more of the drugs aren't antidepressants...

Give the west end brasserie a shot too if you're still in town. Literally across the street from the Johnnie Walker experience (the experience/tasting isn't worth the price in my opinion, but the bar is cool). Maybe my favorite city ever.

Tarkov is a place where people discover they are actual masochists. The learning curve is near asymptotic, especially if you start mid or late in one of the economy "wipe" cycles. The cheater issues they have make it 10x worse than it should be though.

Helsreach. Crusading knights in space trapped in a sci-fi siege of a walled city? Yes please. See the video adaptation of the story below that was later made by a fan of the story (and eventually taken down by games workshop to be moved to their Warhammer+ service but has been re-uploaded by someone else, but that's a long story in itself).

https://m.youtube.com/watch?v=s2WGE1L6WKs

If you're going to build a PC on an end of life mobo platform, why not max out the CPU though? 3800x3d is right at $300 right now and that extra speed and more importantly the extra cache is going to give you some more overhead before your build starts feeling dated.