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Dr. Nicole Linder has cared for countless COVID-19 patients throughout the pandemic, but one “very special patient” was on her mind as she spoke with reporters Thursday, Sept. 9, about the need to get more Michiganders vaccinated.
Linder, who serves as chief hospitalist for OSF St. Francis Hospital Medical Group in Escanaba, said she has cared for a patient named Kathy for the last three weeks, who had “refused the vaccine adamantly” before contracting COVID-19.
The woman voiced regret upon being admitted, and spent her time in the hospital calling friends and family who, like her, had refused to be vaccinated. Linder said Kathy convinced at least six people to get the shot before her condition worsened and she was sent home to spend her final days in hospice care with her family.
“It was too late for her,” Linder said. “Despite everything that could possibly be done for her, she’s going to lose her battle and lose her life. And she’s vivacious and gregarious and just a wonderful person and this did not have to happen. Her family didn’t have to lose her.”
Linder shared her patient’s story, with her permission, but provided limited details. She hugged her and said goodbye earlier this week, noting that her “death is imminent” and she wanted to be at home with her family when she died.
The Upper Peninsula doctor spoke Thursday about her experience with COVID-19 patients in recent months, the vast majority of whom have declined to get vaccinated and wound up seriously ill from a coronavirus infection. In Delta County, where she works, 53% of residents had gotten a first shot as of Sept. 8, and 57% were fully vaccinated.
“I’m fatigued, and I am heartsick and I’m tired of watching people suffer needlessly and die of a disease that could have been prevented by a simple and safe and effective vaccine,” Linder said. “I don’t want to watch my patients’ families suffer with the grief of this and also the guilt if they played some role in their family member’s decision not to be vaccinated.”
One of the most common reasons she hears for why people didn’t get vaccinated was because they “don’t want to inject some untested or foreign substance into their body.”
“I don’t think that people realize that if they do become ill enough to be hospitalized, they’re going to be injected with a lot of foreign substances and most of them less proven than the COVID vaccine,” she said. “... I think people overestimate the effectiveness of the treatments that we have for COVID in comparison to the vaccine.”
Linder noted that full vaccination leaves people with a .001% chance of dying from a breakthrough COVID-19 infection. The available vaccines have gone through rigorous testing and offer significant protection against severe illness and death from COVID-19.
Pfizer’s two-dose vaccine has been granted full approval for use by the U.S. Food and Drug Administration for individuals 16 year and older. Additional vaccines by Moderna and Johnson & Johnson offer similar protection against severe COVID-19 illness, and have received emergency use authorization following clinical trials and review by an independent advisory committee made up of vaccine and disease experts.
“The best treatment for COVID is to never get it in the first place,” Linder said. “There really aren’t any miracle cures, despite what some of the media figures have led the public to believe.”
As of Tuesday, Sept. 7, about 61% of Michigan residents 12 and older had gotten a first dose of vaccine, and 56.2% had been fully vaccinated. Vaccination rates remain higher among those 50 and older, with the lowest rates coming from teens and those in their 20s and 30s.
Vaccines are readily available at local pharmacies, health systems, clinics, and health departments. To find a vaccine near you, visit Michigan’s COVID-19 vaccine website or go to VaccineFinder.org.
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Nicole Linder 医生在整个大流行期间照顾了无数的 COVID-19 患者,但在 9 月 9 日星期四与记者谈论需要让更多密歇根人接种疫苗时,她想到了一位“非常特殊的患者”。 Linder 是埃斯卡纳巴 OSF 圣弗朗西斯医院医疗集团的首席住院医师,她说过去三周她一直在照顾一位名叫 Kathy 的患者,该患者在感染 COVID-19 之前“坚决拒绝接种疫苗”。这名妇女在入院后表示遗憾,并在医院里打电话给像她一样拒绝接种疫苗的朋友和家人。林德说,凯西说服了至少六人在她的病情恶化之前注射了疫苗,她被送回家与家人一起在临终关怀中度过最后的日子。 “对她来说已经太晚了,”林德说。 “尽管可以为她做一切,她还是会输掉战斗并失去生命。她活泼、合群,是一个很棒的人,但这种情况本不应该发生。她的家人不必失去她。”林德在征得患者同意后分享了患者的故事,但提供的细节有限。本周早些时候,她拥抱了她并向她告别,并指出她“死亡迫在眉睫”,她去世时想和家人在一起。这位上半岛医生周四讲述了她近几个月来与 COVID-19 患者的经历,其中绝大多数人拒绝接种疫苗,并因感染冠状病毒而病情严重。在她工作的三角洲县,截至 9 月 8 日,53% 的居民已接种第一针,57% 的居民已完全接种疫苗。林德说:“我很累,我很伤心,我厌倦了看着人们遭受不必要的痛苦,并死于一种本可以通过简单、安全和有效的疫苗来预防的疾病。” “我不想看到我的患者家属为此感到悲伤,如果他们在家人决定不接种疫苗的过程中发挥了某种作用,我也不想看到他们感到内疚。”她听到的人们不接种疫苗的最常见原因之一是因为他们“不想将一些未经测试的或异物注入体内”。她说:“我认为人们没有意识到,如果他们确实病得需要住院治疗,他们将被注射大量异物,而其中大多数的效果不如新冠疫苗那么有效。” “……我认为,与疫苗相比,人们高估了我们针对新冠病毒的治疗方法的有效性。” Linder 指出,全面接种疫苗后,人们死于突破性 COVID-19 感染的几率为 0.001%。现有疫苗已经过严格测试,可有效预防 COVID-19 造成的严重疾病和死亡。辉瑞的两剂疫苗已获得美国食品和药物管理局的完全批准,可用于 16 岁及以上的个人。 Moderna 和强生公司的其他疫苗Johnson 提供类似的针对严重 COVID-19 疾病的保护,并在临床试验和由疫苗和疾病专家组成的独立咨询委员会审查后获得了紧急使用授权。林德说:“治疗新冠病毒的最佳方法就是从一开始就不感染它。” “尽管一些媒体人物让公众相信,但确实没有任何灵丹妙药。”截至 9 月 7 日星期二,约 61% 的 12 岁及以上密歇根居民已接种第一剂疫苗,56.2% 已完全接种疫苗。 50 岁及以上人群的疫苗接种率仍然较高,青少年以及 20 多岁和 30 多岁的人群接种率最低。当地药房、卫生系统、诊所和卫生部门均可轻松获得疫苗。要查找您附近的疫苗,请访问密歇根州的 COVID-19 疫苗网站或访问 VaccineFinder.org。
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Dr. Nicole Linder has cared for countless COVID-19 patients throughout the pandemic, but one very special patient was on her mind as she spoke with reporters Thursday, Sept. 9, about the need to get more Michiganders vaccinated. Linder, who serves as chief hospitalist for OSF St. Francis Hospital Medical Group in Escanaba, said she has cared for a patient named Kathy for the last three weeks, who had refused the vaccine adamantly before contracting COVID-19. The woman voiced regret upon being admitted, and spent her time in the hospital calling friends and family who, like her, had refused to be vaccinated. Linder said Kathy convinced at least six people to get the shot before her condition worsened and she was sent home to spend her final days in hospice care with her family. It was too late for her, Linder said. Despite everything that could possibly be done for her, shes going to lose her battle and lose her life. And shes vivacious and gregarious and just a wonderful person and this did not have to happen. Her family didnt have to lose her. Linder shared her patients story, with her permission, but provided limited details. She hugged her and said goodbye earlier this week, noting that her death is imminent and she wanted to be at home with her family when she died. The Upper Peninsula doctor spoke Thursday about her experience with COVID-19 patients in recent months, the vast majority of whom have declined to get vaccinated and wound up seriously ill from a coronavirus infection. In Delta County, where she works, 53 of residents had gotten a first shot as of Sept. 8, and 57 were fully vaccinated. Im fatigued, and I am heartsick and Im tired of watching people suffer needlessly and die of a disease that could have been prevented by a simple and safe and effective vaccine, Linder said. I dont want to watch my patients families suffer with the grief of this and also the guilt if they played some role in their family members decision not to be vaccinated. One of the most common reasons she hears for why people didnt get vaccinated was because they dont want to inject some untested or foreign substance into their body. I dont think that people realize that if they do become ill enough to be hospitalized, theyre going to be injected with a lot of foreign substances and most of them less proven than the COVID vaccine, she said. ... I think people overestimate the effectiveness of the treatments that we have for COVID in comparison to the vaccine. Linder noted that full vaccination leaves people with a .001 chance of dying from a breakthrough COVID-19 infection. The available vaccines have gone through rigorous testing and offer significant protection against severe illness and death from COVID-19. Pfizers two-dose vaccine has been granted full approval for use by the U.S. Food and Drug Administration for individuals 16 year and older. Additional vaccines by Moderna and Johnson amp; Johnson offer similar protection against severe COVID-19 illness, and have received emergency use authorization following clinical trials and review by an independent advisory committee made up of vaccine and disease experts. The best treatment for COVID is to never get it in the first place, Linder said. There really arent any miracle cures, despite what some of the media figures have led the public to believe. As of Tuesday, Sept. 7, about 61 of Michigan residents 12 and older had gotten a first dose of vaccine, and 56.2 had been fully vaccinated. Vaccination rates remain higher among those 50 and older, with the lowest rates coming from teens and those in their 20s and 30s. Vaccines are readily available at local pharmacies, health systems, clinics, and health departments. To find a vaccine near you, visit Michigans COVID-19 vaccine website or go to VaccineFinder.org.
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I've researched vaccines extensively, here is a small part of that research (all from peer reviewed journal articles no less):
The main problem we have is that the necessary studies are not being performed, the industry doesn't want to find the harm their products cause as it can mean loss of confidence, sales and also huge compensation payouts. So what they do is whitewash their products, data is played with, statistics are used to lie.
For example the honest experts are so sick of Big Pharma for not funding any proper studies into the safety of injecting Aluminum, that now they are crowdfunding for over $600,000 to perform the trials.
Private forces to raise funds for research into aluminum in vaccines
https://patientdanmark.dk/private-forces-to-raise-funds-research-into-aluminium-in-vaccines/
Here are some sources to get people started
For those from a scientific background I'd strongly recommend the presentations given at the Vaccine Safety Conference
The rest is a general starter pack for people who want to learn more:-
Dr Peter Gøtzsche exposes big pharma as organized crime
Birth dose of hepatitis B vaccine may not be necessary: Study
http://www.thehindubusinessline.com/news/science/birth-dose-of-hepatitis-b-vaccine-may-not-be-necessary-study/article10033134.ece
Professor Gordon T. Stewart, Emeritus Professor of Public Health, Glasgow University, explains exactly the dangers of the Whopping Cough vaccine from a Emeritus Professor of Public Health
http://www.vaccinationinformationnetwork.com/the-dangers-of-whooping-cough-vaccination-prof-gordon-stewart/
"the marginal advantages of the vaccine in children over one year of age have to be offset against adverse effects of the vaccine itself, which are very common indeed and may be followed occasionally by irreversible brain damage, paralysis and mental deficiency. Because of this danger, or for fear of it, many parents and doctors are reluctant to vaccinate their children."
Dr. Suzanne Humphries Lecture on vaccines and health
https://www.youtube.com/watch?v=SFQQOv-Oi6U
Dr Tenpenny, What the CDC documents say about vaccines
https://www.youtube.com/watch?v=M1VwVBmx0Ng
Here a professor explains his findings regarding the dangers of injecting Aluminum, which is contained in most vaccines
https://www.youtube.com/watch?v=yCzdliixnmI
Here's the study itself:-
Aluminum adjuvant linked to Gulf War illness induces motor neuron death in mice
http://www.ncbi.nlm.nih.gov/pubmed/17114826/
Experts complain of the 'witch hunt' which takes place after any scientist reports on vaccine dangers
https://www.ncbi.nlm.nih.gov/labs/articles/28882443/
Association between type 1 diabetes and Hib vaccine Causal relation is likely
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1116914/
Infant mortality rates regressed against number of vaccine doses routinely given
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3170075/
The Polio vaccines are causing problems worse than Polio
https://www.ncbi.nlm.nih.gov/pubmed/22591873
"Furthermore, while India has been polio-free for a year, there has been a huge increase in non-polio acute flaccid paralysis (NPAFP). In 2011, there were an extra 47,500 new cases of NPAFP. Clinically indistinguishable from polio paralysis but twice as deadly, the incidence of NPAFP was directly proportional to doses of oral polio received. Though this data was collected within the polio surveillance system, it was not investigated. The principle of primum-non-nocere was violated."
Recordings from the CDC whistleblower exposing lies, corruption, manipulation of data and destruction of evidence
http://fearlessparent.org/cdc-data-stranglehold-blocks-autism-vaccine-research-recording-2/
Follow the money!! (see below)
How Much US Pediatricians Make From Vaccines
"So how much money do doctors really make from vaccines? The average American pediatrician has 1546 patients, though some pediatricians see many more. The vast majority of those patients are very young, perhaps because children transition to a family physician or stop visiting the doctor at all as they grow up. As they table above explains, Blue Cross Blue Shield pays pediatricians $400 per fully vaccinated child. If your pediatrician has just 100 fully-vaccinated patients turning 2 this year, that’s $40,000. Yes, Blue Cross Blue Shield pays your doctor a $40,000 bonus for fully vaccinating 100 patients under the age of 2. If your doctor manages to fully vaccinate 200 patients, that bonus jumps to $80,000. V But here’s the catch: Under Blue Cross Blue Shield’s rules, pediatricians lose the whole bonus unless at least 63% of patients are fully vaccinated, and that includes the flu vaccine. So it’s not just $400 on your child’s head–it could be the whole bonus. To your doctor, your decision to vaccinate your child might be worth $40,000, or much more, depending on the size of his or her practice.
If your pediatrician recommends that your child under the age of 2 receive the flu vaccine–even though the flu vaccine has never been studied in very young children and evidence suggests that the flu vaccine actually weakens a person’s immune system over the long term–ask yourself: Is my doctor more concerned with selling me vaccines to keep my child healthy or to send his child to private school?"
https://wellnessandequality.com/2016/06/20/how-much-money-do-pediatricians-really-make-from-vaccines/
Screenshot Page 5
2016 Performance Recognition Program PDF
Harvard doctor admits he's too scared to speak truth on vaccines as Big Pharma are watching, implies there will be consequences
Human papilloma virus vaccine and primary ovarian failure: another facet of the autoimmune/inflammatory syndrome induced by adjuvants.
http://www.ncbi.nlm.nih.gov/pubmed/23902317
Smoke, Mirrors and the "Disappearance" of Polio
In the Senate Big Pharma getting told off for putting substances in vaccines without first performing the necessary safety studies
This study found that it is the vaccines made using aborted fetal cells which are causing Autism
Impact of environmental factors on the prevalence of autistic disorder after 1979
http://www.academicjournals.org/journal/JPHE/article-abstract/C98151247042
Under Freedom of Information we see that CDC experts privately admit the dangers of vaccines, they admit that vaccines are causing neurological problems, speech delays and they warn the information must be embargoed.
http://www.aapsonline.org/vaccines/cdcfdaexperts.htm
Key quotes below:-
Dr. Johnston, pg. 14-15 & 19-20: "The data on its toxicity (shows) it can cause neurologic and renal toxicity, including death.”
Dr. Weil, pg. 24: "There are just a host of neurodevelopmental data that would suggest that we’ve got a serious problem." .... "the potential for aluminum and central nervous system toxicity was established by dialysis data. To think there isn’t some possible problem here is unreal.”
Dr. Verstraeten, pg. 31: "we have found statistically significant relationships between the exposure and outcomes for these different exposures and outcomes."
Dr. Verstraeten, pg. 44: "Now for speech delays, which is the largest single disorder in this category of neurologic delays. The results are a suggestion of a trend with a small dip. The overall test for trend is highly statistically significant above one.”
Dr. Bernier, pg. 113: "So we are asking people who have a great job protecting this information up until now, to continue to do that until the time of the ACIP meeting. So to basically consider this embargoed information."
Dr. Johnson, pg. 198: "This association leads me to favor a recommendation that infants up to two years old not be immunized with Thimerosal containing vaccines if suitable alternative preparations are available.” ... "I do not want that grandson to get a Thimerosal containing vaccine until we know better what is going on."
Dr. Weil, pg. 207: "The number of dose related relationships are linear and statistically significant. You can play with this all you want. They are linear. They are statistically significant.
Dr. Brent, pg. 229 "we are in a bad position from the standpoint of defending any lawsuits"
Dr. Clements, pg 247- 249: "that I am very concerned that this has gotten this far, and that having got this far, how you present in a concerted voice the information to the ACIP in a way they will be able to handle it and not get exposed"
Dr. Bernier, pg. 256: "just consider this embargoed information, if I can use that term, and very highly protected information"
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我对疫苗进行了广泛的研究,以下是该研究的一小部分(全部来自同行评审的期刊文章):我们面临的主要问题是没有进行必要的研究,业界不想找到损害他们的产品,因为这可能意味着失去信心、销售以及巨额赔偿。所以他们所做的就是粉饰他们的产品,玩弄数据,用统计数据来撒谎。例如,诚实的专家们对大型制药公司不资助任何有关注射铝安全性的适当研究感到厌倦,现在他们众筹超过 60 万美元来进行试验。私人力量为疫苗中的铝研究筹集资金 https://patentdanmark.dk/private-forces-to-raise-funds-research-into-aluminium-in-vaccines/ 以下是一些可以帮助人们开始的来源科学背景 我强烈推荐在疫苗安全会议上所做的演讲 其余部分是为想要了解更多信息的人提供的一般入门包:- Peter Gøtzsche 博士揭露大型制药公司为有组织犯罪 乙型肝炎疫苗的出生剂量可能不必要:研究http://www.thehindubusinessline.com/news/science/birth-dose-of-hepatitis-b-vaccine-may-not-be-necessary-study/article10033134.ece Gordon T. Stewart教授,名誉教授格拉斯哥大学公共卫生学院的一位名誉公共卫生教授准确解释了百日咳疫苗的危险性 http://www.vaccinationinformationnetwork.com/the-dangers-of-whooping-cough-vaccination-prof-gordon-stewart /“疫苗对一岁以上儿童的边际优势必须抵消疫苗本身的不利影响,这确实很常见,有时可能会导致不可逆转的脑损伤、瘫痪和精神缺陷。由于这种危险,或者出于恐惧,许多家长和医生不愿意给孩子接种疫苗。” Suzanne Humphries 博士关于疫苗与健康的讲座 https://www.youtube.com/watch?v=SFQQOv-Oi6U Dr Tenpenny,CDC 文件对疫苗的说法 https://www.youtube.com/watch?v=M1VwVBmx0Ng 一位教授解释了他关于注射铝危险的发现,大多数疫苗中都含有铝 https://www.youtube .com/watch?v=yCzdliixnmI 这是研究本身:- 与海湾战争疾病有关的铝佐剂会导致小鼠运动神经元死亡 http://www.ncbi.nlm.nih.gov/pubmed/17114826/ 专家抱怨“在任何科学家报告疫苗危险后就会发生“政治迫害” https://www.ncbi.nlm.nih.gov/labs/articles/28882443/ 1 型糖尿病和 Hib 疫苗之间的关联可能是因果关系 http://www .ncbi.nlm.nih.gov/pmc/articles/PMC1116914/ 婴儿死亡率与常规疫苗接种剂量的回归 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3170075/造成比小儿麻痹症更严重的问题 https://www.ncbi.nlm.nih.gov/pubmed/22591873 “此外,虽然印度已经无小儿麻痹症一年了,但非小儿麻痹症急性弛缓性麻痹的人数却大幅增加( NPAFP)。 2011年,新增NPAFP病例47,500例。 NPAFP 在临床上与脊髓灰质炎麻痹没有区别,但死亡率是脊髓灰质炎麻痹的两倍,其发病率与口服脊髓灰质炎的剂量成正比。尽管这些数据是在脊髓灰质炎监测系统内收集的,但并未经过调查。违反了“一无所知”原则。”CDC 举报人的录音揭露了谎言、腐败、操纵数据和销毁证据 http://fearlessparent.org/cdc-data-stranglehold-blocks-autism-vaccine-research -recording-2/ 跟着钱走!!(见下文) 美国儿科医生从疫苗中赚多少钱 “那么医生真正从疫苗中赚了多少钱?美国儿科医生平均接诊 1546 名患者,但有些儿科医生接诊的患者数量还要多。这些患者中的绝大多数都很年轻,可能是因为孩子们在长大后转向家庭医生或根本不再去看医生。正如上表所解释的,Blue Cross Blue Shield 向儿科医生支付每个完全接种疫苗的儿童 400 美元。如果您的儿科医生只有 100 名今年 2 岁且已完全接种疫苗的患者,则费用为 40,000 美元。是的,如果您的医生为 100 名 2 岁以下的患者全面接种疫苗,Blue Cross Blue Shield 将向您的医生支付 40,000 美元的奖金。如果您的医生设法为 200 名患者全面接种疫苗,则奖金将跃升至 80,000 美元。 V 但这里有一个问题:根据 Blue Cross Blue Shield 的规则,除非至少 63% 的患者完全接种疫苗(其中包括流感疫苗),否则儿科医生将失去全部奖金。因此,这不仅仅是您孩子头上的 400 美元,还可能是全部奖金。对于您的医生来说,您为孩子接种疫苗的决定可能价值 40,000 美元或更多,具体取决于他或她的诊所规模。如果您的儿科医生建议您 2 岁以下的孩子接种流感疫苗(即使从未在幼儿中研究过流感疫苗,并且有证据表明流感疫苗实际上会长期削弱一个人的免疫系统),请问问自己:我的医生更关心的是卖给我疫苗以保持我孩子的健康还是送他的孩子去私立学校?” https://wellnessandequality.com/2016/06/20/how-much-money-do-pediatricians-really -make-from-vaccines/ 屏幕截图 第 5 页 2016 年绩效认可计划 PDF 哈佛大学医生承认,在大型制药公司正在关注的情况下,他不敢说出有关疫苗的真相,这意味着将会产生后果 人乳头状瘤病毒疫苗和原发性卵巢功能衰竭:疫苗接种的另一个方面佐剂诱发的自身免疫/炎症综合症。http://www.ncbi.nlm.nih.gov/pubmed/23902317 烟雾、镜子和脊髓灰质炎的“消失” 在参议院 大型制药公司因未经事先批准就将物质添加到疫苗中而受到责备进行必要的安全性研究 这项研究发现,正是使用流产的胎儿细胞制成的疫苗导致了自闭症。环境因素对 1979 年之后自闭症患病率的影响 http://www.academicjournals.org/journal/JPHE/article-摘要/C98151247042 在信息自由下,我们看到疾病预防控制中心的专家私下承认疫苗的危险,他们承认疫苗会导致神经系统问题、言语延迟,并警告必须禁止这些信息。 http://www.aapsonline.org/vaccines/cdcfdaexperts.htm 以下主要引述:- Johnston 博士,第 10 页。 14-15& 19-20:“有关其毒性的数据表明,它会导致神经和肾脏毒性,包括死亡。” Weil 博士,第 24 页:“只有大量神经发育数据表明我们遇到了严重问题。”......“铝和中枢神经系统毒性的可能性是通过透析数据确定的。认为这里不存在任何可能的问题是不真实的。” Verstraeten 博士,页。 31:“我们发现这些不同的暴露和结果的暴露和结果之间存在统计上显着的关系。” Verstraeten 博士,页。 44:“现在来说说话延迟,这是此类神经系统延迟中最大的单一疾病。结果表明趋势有小幅下降。趋势的总体测试在统计上高度显着。” Bernier 博士,第 113 页:“因此,我们要求迄今为止在保护这些信息方面表现出色的人们继续这样做,直到 ACIP 会议召开。因此,从根本上考虑这一禁运信息。”约翰逊博士,第 198 页:“这种关联使我赞成一项建议,即如果有合适的替代制剂,则两岁以下的婴儿不应接种含有硫柳汞的疫苗。” ...“在我们更好地了解发生了什么之前,我不希望那个孙子接种含有硫柳汞的疫苗。”韦尔博士,页。 207:“剂量相关关系的数量是线性的并且具有统计显着性。您可以随心所欲地使用它。它们是线性的。它们具有统计显着性。布伦特博士,第 229 页“从角度来看,我们处于不利地位克莱门茨博士,第 247-249 页:“我非常担心事情已经发展到这一步,并且已经发展到这一步,你们如何以一致的声音向 ACIP 提供信息将能够处理它并且不被暴露”Bernier 博士,第 256 页:“只要考虑这个禁运信息,如果我可以使用这个术语,以及非常受高度保护的信息”
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I've researched vaccines extensively, here is a small part of that research (all from peer reviewed journal articles no less): The main problem we have is that the necessary studies are not being performed, the industry doesn't want to find the harm their products cause as it can mean loss of confidence, sales and also huge compensation payouts. So what they do is whitewash their products, data is played with, statistics are used to lie. For example the honest experts are so sick of Big Pharma for not funding any proper studies into the safety of injecting Aluminum, that now they are crowdfunding for over 600,000 to perform the trials. Private forces to raise funds for research into aluminum in vaccines https:patientdanmark.dkprivate-forces-to-raise-funds-research-into-aluminium-in-vaccines Here are some sources to get people started For those from a scientific background I'd strongly recommend the presentations given at the Vaccine Safety Conference The rest is a general starter pack for people who want to learn more:- Dr Peter Gtzsche exposes big pharma as organized crime Birth dose of hepatitis B vaccine may not be necessary: Study http:www.thehindubusinessline.comnewssciencebirth-dose-of-hepatitis-b-vaccine-may-not-be-necessary-studyarticle10033134.ece Professor Gordon T. Stewart, Emeritus Professor of Public Health, Glasgow University, explains exactly the dangers of the Whopping Cough vaccine from a Emeritus Professor of Public Health http:www.vaccinationinformationnetwork.comthe-dangers-of-whooping-cough-vaccination-prof-gordon-stewart "the marginal advantages of the vaccine in children over one year of age have to be offset against adverse effects of the vaccine itself, which are very common indeed and may be followed occasionally by irreversible brain damage, paralysis and mental deficiency. Because of this danger, or for fear of it, many parents and doctors are reluctant to vaccinate their children." Dr. Suzanne Humphries Lecture on vaccines and health https:www.youtube.comwatch?vSFQQOv-Oi6U Dr Tenpenny, What the CDC documents say about vaccines https:www.youtube.comwatch?vM1VwVBmx0Ng Here a professor explains his findings regarding the dangers of injecting Aluminum, which is contained in most vaccines https:www.youtube.comwatch?vyCzdliixnmI Here's the study itself:- Aluminum adjuvant linked to Gulf War illness induces motor neuron death in mice http:www.ncbi.nlm.nih.govpubmed17114826 Experts complain of the 'witch hunt' which takes place after any scientist reports on vaccine dangers https:www.ncbi.nlm.nih.govlabsarticles28882443 Association between type 1 diabetes and Hib vaccine Causal relation is likely http:www.ncbi.nlm.nih.govpmcarticlesPMC1116914 Infant mortality rates regressed against number of vaccine doses routinely given http:www.ncbi.nlm.nih.govpmcarticlesPMC3170075 The Polio vaccines are causing problems worse than Polio https:www.ncbi.nlm.nih.govpubmed22591873 "Furthermore, while India has been polio-free for a year, there has been a huge increase in non-polio acute flaccid paralysis (NPAFP). In 2011, there were an extra 47,500 new cases of NPAFP. Clinically indistinguishable from polio paralysis but twice as deadly, the incidence of NPAFP was directly proportional to doses of oral polio received. Though this data was collected within the polio surveillance system, it was not investigated. The principle of primum-non-nocere was violated." Recordings from the CDC whistleblower exposing lies, corruption, manipulation of data and destruction of evidence http:fearlessparent.orgcdc-data-stranglehold-blocks-autism-vaccine-research-recording-2 Follow the money!! (see below) How Much US Pediatricians Make From Vaccines "So how much money do doctors really make from vaccines? The average American pediatrician has 1546 patients, though some pediatricians see many more. The vast majority of those patients are very young, perhaps because children transition to a family physician or stop visiting the doctor at all as they grow up. As they table above explains, Blue Cross Blue Shield pays pediatricians 400 per fully vaccinated child. If your pediatrician has just 100 fully-vaccinated patients turning 2 this year, thats 40,000. Yes, Blue Cross Blue Shield pays your doctor a 40,000 bonus for fully vaccinating 100 patients under the age of 2. If your doctor manages to fully vaccinate 200 patients, that bonus jumps to 80,000. V But heres the catch: Under Blue Cross Blue Shields rules, pediatricians lose the whole bonus unless at least 63 of patients are fully vaccinated, and that includes the flu vaccine. So its not just 400 on your childs headit could be the whole bonus. To your doctor, your decision to vaccinate your child might be worth 40,000, or much more, depending on the size of his or her practice. If your pediatrician recommends that your child under the age of 2 receive the flu vaccineeven though the flu vaccine has never been studied in very young children and evidence suggests that the flu vaccine actually weakens a persons immune system over the long termask yourself: Is my doctor more concerned with selling me vaccines to keep my child healthy or to send his child to private school?" https:wellnessandequality.com20160620how-much-money-do-pediatricians-really-make-from-vaccines Screenshot Page 5 2016 Performance Recognition Program PDF Harvard doctor admits he's too scared to speak truth on vaccines as Big Pharma are watching, implies there will be consequences Human papilloma virus vaccine and primary ovarian failure: another facet of the autoimmuneinflammatory syndrome induced by adjuvants. http:www.ncbi.nlm.nih.govpubmed23902317 Smoke, Mirrors and the "Disappearance" of Polio In the Senate Big Pharma getting told off for putting substances in vaccines without first performing the necessary safety studies This study found that it is the vaccines made using aborted fetal cells which are causing Autism Impact of environmental factors on the prevalence of autistic disorder after 1979 http:www.academicjournals.orgjournalJPHEarticle-abstractC98151247042 Under Freedom of Information we see that CDC experts privately admit the dangers of vaccines, they admit that vaccines are causing neurological problems, speech delays and they warn the information must be embargoed. http:www.aapsonline.orgvaccinescdcfdaexperts.htm Key quotes below:- Dr. Johnston, pg. 14-15 amp; 19-20: "The data on its toxicity (shows) it can cause neurologic and renal toxicity, including death. Dr. Weil, pg. 24: "There are just a host of neurodevelopmental data that would suggest that weve got a serious problem." .... "the potential for aluminum and central nervous system toxicity was established by dialysis data. To think there isnt some possible problem here is unreal. Dr. Verstraeten, pg. 31: "we have found statistically significant relationships between the exposure and outcomes for these different exposures and outcomes." Dr. Verstraeten, pg. 44: "Now for speech delays, which is the largest single disorder in this category of neurologic delays. The results are a suggestion of a trend with a small dip. The overall test for trend is highly statistically significant above one. Dr. Bernier, pg. 113: "So we are asking people who have a great job protecting this information up until now, to continue to do that until the time of the ACIP meeting. So to basically consider this embargoed information." Dr. Johnson, pg. 198: "This association leads me to favor a recommendation that infants up to two years old not be immunized with Thimerosal containing vaccines if suitable alternative preparations are available. ... "I do not want that grandson to get a Thimerosal containing vaccine until we know better what is going on." Dr. Weil, pg. 207: "The number of dose related relationships are linear and statistically significant. You can play with this all you want. They are linear. They are statistically significant. Dr. Brent, pg. 229 "we are in a bad position from the standpoint of defending any lawsuits" Dr. Clements, pg 247- 249: "that I am very concerned that this has gotten this far, and that having got this far, how you present in a concerted voice the information to the ACIP in a way they will be able to handle it and not get exposed" Dr. Bernier, pg. 256: "just consider this embargoed information, if I can use that term, and very highly protected information"
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Yeah, I have 3 MFT bodies. I don't do as much freelance work as I used to but I work full-time as an all-around digital media producer in a dental office, so I shoot photos, video, and manage their social media, among other things. The doctors and corporate higher-ups wouldn't know the difference between full frame and cropped sensor so they're none the wiser and usually love everything I shoot for them. The only times I've gotten complaints are when I was lazy and used shitty lighting in a pinch, but that has nothing to do with the cameras. I've never had complaints about my footage or stills in any of my recent jobs though and the only times I really struggle with the cameras are in extremely low light, but now that Lightroom has its own AI de-noising tool that cuts down a lot of the issue for stills specifically. I notice some noise in my footage occasionally but since everything is being put on social media, no one else notices or cares.
I also just bought the PL 10-25 f/1.7 so I'm not likely to move systems any time soon. I'd probably love the S5iiX but I just can't justify completely starting over glass-wise.
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是的,我有 3 个 MFT 机体。我不像以前那样做那么多自由职业,但我在牙科诊所全职担任全能数字媒体制作人,所以我拍摄照片、视频并管理他们的社交媒体等等。医生和公司高层不知道全画幅传感器和裁剪传感器之间的区别,所以他们一无所知,通常喜欢我为他们拍摄的一切。我唯一收到抱怨的时候是因为我很懒,在紧要关头使用了糟糕的灯光,但这与相机无关。不过,在我最近的工作中,我从未对我的镜头或剧照有过抱怨,而且我唯一真正在相机上遇到困难的时候是在极低的光线下,但现在 Lightroom 有了自己的人工智能去噪工具,可以减少很多问题都是专门针对剧照的。我偶尔会注意到我的镜头中有些噪音,但由于所有内容都放在社交媒体上,所以没有其他人注意到或关心。我还刚刚购买了 PL 10-25 f/1.7,所以我不太可能很快更换系统。我可能会喜欢 S5iiX,但我无法证明完全从玻璃角度开始是合理的。
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Yeah, I have 3 MFT bodies. I don't do as much freelance work as I used to but I work full-time as an all-around digital media producer in a dental office, so I shoot photos, video, and manage their social media, among other things. The doctors and corporate higher-ups wouldn't know the difference between full frame and cropped sensor so they're none the wiser and usually love everything I shoot for them. The only times I've gotten complaints are when I was lazy and used shitty lighting in a pinch, but that has nothing to do with the cameras. I've never had complaints about my footage or stills in any of my recent jobs though and the only times I really struggle with the cameras are in extremely low light, but now that Lightroom has its own AI de-noising tool that cuts down a lot of the issue for stills specifically. I notice some noise in my footage occasionally but since everything is being put on social media, no one else notices or cares. I also just bought the PL 10-25 f1.7 so I'm not likely to move systems any time soon. I'd probably love the S5iiX but I just can't justify completely starting over glass-wise.
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Technically your wrong over the hierarchies as the examples you provided would be hierarchies
Then we disagree over the definition of a hierarchy. I define a hierarchy as based on power, and the inability of people to see decisions as a free choice. If I can enforce my will with violence, it's a hierarchy. If I'm not possibly able to enforce my will with violence but people follow my decisions because they are, as a product of my intervention, unable to see voluntary options for them besides my decision, it's a hierarchy. Or, in short: If a choice wasn't made voluntarily as far as naturally (or un-artificially) as possible, it was hierarchically enforced.
The whole idea is that humans naturally create an order of people, almost always voluntary and the non voluntary ones tend to end up very badly
We can't describe a wider, society spanning process as "voluntary". People have individually protested against hierarchies for probably as long as hierarchies existed. But hierarchies always benefit some and exploit the others (the relationship can be much more complex, and hierarchies can plunder ones human spirit while benefitting the material needs, but let's keep it short) and the balance between those factors decide over the viability of the hierarchy.
The ability of humans to reason doesn't stop us forming into these structures
Ability is ability, not the process of actually doing it per se.
Also the reason democracy in the work place wouldn't work was demonstrated in your point about hobbies, if people were not forced by the market to do something productive for humanity then we will end up with too many artists and authors and such as far less people would persue the difficult careers in society as there is now less incentive to do so.
Ask scientists, ask doctors, ask engineers. Did they became those things because it satisfies them, or because of the money? The answers I got so far were relatively unambiguous.
I already alluded to alienation, and how it impacts our attitude towards work.
I do think this will change over time as there will be less and less need for people who are less intelligent due to the rise of automation and AI, this will lead to a sort of socialist utopia where the only people who will have to (or more accurately be able to) work will be the top 5% Maybe less, then we need a massive welfare state for those who can't keep up. Kind of bleak for everyone as that 5% probably will be treated different by society to make them work and everyone else won't really have anything to do.
That's a very uninformed opinion and exactly describes what Bookchin (an interesting person. I suggest to check him out) meant with: "The assumption that what currently exists must necessarily exist is the acid that corrodes all visionary thinking."
there will be less and less need for people who are less intelligent due to the rise of automation and AI
Humans have never stopped working. Going from a hunter and gatherer society to a settled down one that toiled fields to a industrial society that works on conveyors to a digital society that mainly maintains and operates machines, we never stopped working. Because, in it's core, which is exactly what you miss, we work for our sake. We don't exist to turn cogs and wheels, cogs and wheels exist to be turned by us. We work because we want to work. Our plasticity allows us to adapt to new working conditions, but we never stopped working, because work is a fundamental part of us. We want to see ourselves reflected in others and in the world around us. The best way to achieve this is work. And that's also why not everyone will "just become an artist". There's only a certain amount of artists that can express themselves the same until the gap is satisfied. Others will, to satisfy their need, choose a job that allows them to express their artistic wishes otherwise.
then we need a massive welfare state for those who can't keep up
That's like saying you will need a lot of cows to tow a star ship, and that cows can't even live in space which makes the whole idea of building star ships not-so-smart. You take the fifth steps forward without looking at the four you made before. A society that reached this amount of automation for basic needs won't exist in the form of "welfare states", but as a society in which work for survival isn't necessary anymore.
Kind of bleak for everyone as that 5% probably will be treated different by society to make them work and everyone else won't really have anything to do.
Yeah the not-so-smart people will force the smart people to operate the machinery that keeps everyone alive by disliking them when they don't. This doesn't make sense.
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从技术上讲,您对层次结构的错误是因为您提供的示例是层次结构然后我们不同意层次结构的定义。我将等级制度定义为基于权力,以及人们无法将决策视为自由选择。如果我可以用暴力来强制执行我的意志,那就是等级制度。如果我不可能用暴力强制执行我的意志,但人们遵循我的决定,因为作为我干预的产物,他们除了我的决定之外看不到他们的自愿选择,那就是等级制度。或者,简而言之:如果一个选择不是尽可能自然地(或非人为地)自愿做出的,那么它就会按等级强制执行。整个想法是,人类自然地创造了一种人的秩序,几乎总是自愿的,而非自愿的秩序往往会非常糟糕。我们不能将更广泛的、跨越社会的过程描述为“自愿”。自从等级制度存在以来,人们就以个人的方式抗议等级制度。但等级制度总是让一些人受益而剥削另一些人(这种关系可能更复杂,等级制度可以在物质需求受益的同时掠夺人的精神,但让我们长话短说),这些因素之间的平衡决定了等级制度的生存能力。人类的推理能力并不能阻止我们形成这些结构。能力就是能力,而不是实际做事的过程本身。另外,工作场所的民主行不通的原因已经在你关于爱好的观点中得到了证明,如果人们不被市场强迫去做一些对人类有益的事情,那么我们最终会出现太多的艺术家和作家,诸如此类的人要少得多。人们会追求社会上困难的职业,因为现在这样做的动力越来越少。询问科学家、询问医生、询问工程师。他们之所以成为那些东西,是因为它满足了他们,还是因为钱?到目前为止我得到的答案相对明确。我已经提到了疏离感,以及它如何影响我们对工作的态度。我确实认为这会随着时间的推移而改变,因为由于自动化和人工智能的兴起,对智力较低的人的需求将会越来越少,这将导致一种社会主义乌托邦,在那里,唯一需要(或更准确地说,能够)工作的人将是前 5% 甚至更少,那么我们需要为那些跟不上的人提供大规模的福利国家。对每个人来说都有点黯淡,因为这 5% 的人可能会受到社会的区别对待,让他们工作,而其他人则实际上无事可做。这是一个非常无知的观点,准确地描述了 Bookchin(一个有趣的人。我建议去看看他)的意思:“当前存在的东西必然存在的假设是腐蚀所有有远见的思维的酸。”由于自动化和人工智能的兴起,对智力较低的人的需求将越来越少,人类从未停止工作。从狩猎采集社会到耕种田地的定居社会,再到在传送带上工作的工业社会,再到主要维护和操作机器的数字社会,我们从未停止过工作。因为,从本质上讲,这正是您所怀念的,我们为自己而工作。我们的存在不是为了转动齿轮和轮子,齿轮和轮子的存在是为了被我们转动。我们工作是因为我们想工作。我们的可塑性使我们能够适应新的工作条件,但我们从未停止工作,因为工作是我们的基本组成部分。我们希望看到自己在他人和周围世界中得到反映。实现这一目标的最好方法就是工作。这也是为什么不是每个人都会“成为一名艺术家”。在差距得到填补之前,只有一定数量的艺术家能够以同样的方式表达自己。其他人会为了满足自己的需要而选择一份可以让他们表达艺术愿望的工作。那么我们需要为那些无法跟上的人建立一个大规模的福利国家这就像说你需要很多牛来拖曳一艘星际飞船,而奶牛甚至不能生活在太空中这就是建造星际飞船的整个想法不太聪明。你向前迈出了第五步,没有看之前的四步。一个在满足基本需求方面达到如此程度的自动化的社会不会以“福利国家”的形式存在,而是一个不再需要为生存而工作的社会。对每个人来说都有点黯淡,因为这 5% 的人可能会受到社会的区别对待,让他们工作,而其他人则实际上无事可做。是的,不那么聪明的人会强迫聪明的人操作让每个人都活下去的机器,当他们不这样做时就会不喜欢他们。这没有道理。
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Technically your wrong over the hierarchies as the examples you provided would be hierarchies Then we disagree over the definition of a hierarchy. I define a hierarchy as based on power, and the inability of people to see decisions as a free choice. If I can enforce my will with violence, it's a hierarchy. If I'm not possibly able to enforce my will with violence but people follow my decisions because they are, as a product of my intervention, unable to see voluntary options for them besides my decision, it's a hierarchy. Or, in short: If a choice wasn't made voluntarily as far as naturally (or un-artificially) as possible, it was hierarchically enforced. The whole idea is that humans naturally create an order of people, almost always voluntary and the non voluntary ones tend to end up very badly We can't describe a wider, society spanning process as "voluntary". People have individually protested against hierarchies for probably as long as hierarchies existed. But hierarchies always benefit some and exploit the others (the relationship can be much more complex, and hierarchies can plunder ones human spirit while benefitting the material needs, but let's keep it short) and the balance between those factors decide over the viability of the hierarchy. The ability of humans to reason doesn't stop us forming into these structures Ability is ability, not the process of actually doing it per se. Also the reason democracy in the work place wouldn't work was demonstrated in your point about hobbies, if people were not forced by the market to do something productive for humanity then we will end up with too many artists and authors and such as far less people would persue the difficult careers in society as there is now less incentive to do so. Ask scientists, ask doctors, ask engineers. Did they became those things because it satisfies them, or because of the money? The answers I got so far were relatively unambiguous. I already alluded to alienation, and how it impacts our attitude towards work. I do think this will change over time as there will be less and less need for people who are less intelligent due to the rise of automation and AI, this will lead to a sort of socialist utopia where the only people who will have to (or more accurately be able to) work will be the top 5 Maybe less, then we need a massive welfare state for those who can't keep up. Kind of bleak for everyone as that 5 probably will be treated different by society to make them work and everyone else won't really have anything to do. That's a very uninformed opinion and exactly describes what Bookchin (an interesting person. I suggest to check him out) meant with: "The assumption that what currently exists must necessarily exist is the acid that corrodes all visionary thinking." there will be less and less need for people who are less intelligent due to the rise of automation and AI Humans have never stopped working. Going from a hunter and gatherer society to a settled down one that toiled fields to a industrial society that works on conveyors to a digital society that mainly maintains and operates machines, we never stopped working. Because, in it's core, which is exactly what you miss, we work for our sake. We don't exist to turn cogs and wheels, cogs and wheels exist to be turned by us. We work because we want to work. Our plasticity allows us to adapt to new working conditions, but we never stopped working, because work is a fundamental part of us. We want to see ourselves reflected in others and in the world around us. The best way to achieve this is work. And that's also why not everyone will "just become an artist". There's only a certain amount of artists that can express themselves the same until the gap is satisfied. Others will, to satisfy their need, choose a job that allows them to express their artistic wishes otherwise. then we need a massive welfare state for those who can't keep up That's like saying you will need a lot of cows to tow a star ship, and that cows can't even live in space which makes the whole idea of building star ships not-so-smart. You take the fifth steps forward without looking at the four you made before. A society that reached this amount of automation for basic needs won't exist in the form of "welfare states", but as a society in which work for survival isn't necessary anymore. Kind of bleak for everyone as that 5 probably will be treated different by society to make them work and everyone else won't really have anything to do. Yeah the not-so-smart people will force the smart people to operate the machinery that keeps everyone alive by disliking them when they don't. This doesn't make sense.
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If you want an easier start, use the damn tutorial. It gives you four solid people instead of three. Choose a couple that doesn't have a shitbag doctor. Done.
Speaking of the tutorial. It teaches you fuck all about this game. The close combat is fun. 90% of people fall into the noob-trap that are all the firearms in the game. Find some youtube videos of people that know what they're doing. I asked here when I started and can guarantee everyone's fucking clueless. You want to be able to take on a hoard with nothing but a screwdriver and get to the point you can manage a group of 4-6 surprising you with a full stamina bar and coming out on top with your no-skill characters. Also, take off your melee and learn to carry through the first 4 waves without guns in Daybreak.
Enclaves exist to make you quit the game. Dive in with them, make mistakes, but take notes so you can *quickly* learn how to ignore 99% of their goddamn bullshit.
5th skills, "community skills" (there are eight) as described in the wiki are skills that benefit the entire community no matter which character you're in control of. You have a mechanic jacking off in the command center? That's fine, your medic can still craft whatever she needs in the workshop for her mission just because he exists. In general I've found it fun to make mistakes with peoples skills. Lots of not understanding the long term benefits of maxing out a skill even after reading up on it on the wiki.
Then there's traits and quirk skills. Read the wiki. Your character can have a quirk skill like driving which makes just that character be more fuel efficient when driving. They'll have gotten that skill from a trait like "loves to drive". It's confusing since a trait can give it's own buff along with a quirk skill which is it's own set of either personal or community buffs or skills. Kind of a mess until you spend some time understanding the hierarchy. Some traits grant knowledge of one or more community skills, some give personal buffs/debuffs like HP/stamina, some give both, some do nothing, and some only contribute to your possible "hero bonuses".
Hero bonuses are buffs that your entire community gets once you've maxed "leveling" that character on various missions. They're determined from one of the character's traits and you only get one. Since you have upwards of four traits (out of 1400 possible) it's a mystery at first which hero bonus you'll actually get since it could from any of them.
QOL: On steam I cannot find a way to disable cloud syncing so your saves are always at risk ofcorruption because of this amazing technology has been implemented in the most bullshit and self-destructive goddamn way imaginable. You need to find a way that works for you to backup your saves. I made a batch file I run at the end of a session. Supposedly a dude named bilago made a continuous backup program over on nexusmods if you can get it to work.
The AI is nerfed to the point of sabotage beyond dread difficulty. If you don't have a friend to play with they make a nice companion at that difficulty. If you go nightmare or lethal and think the AI is bad, it's intentionally so. If you're on dread and you think the AI is bad, just fucking wait LOL.
ETA: The keybinds were made by clowns for clowns, at least on PC.
>One Key to rule them all, One Key to find them. One Key to bring them all, and in the darkness bind them.
You're gonna run into mucho problems since "E" is the same key to get in the car, fuel up the tank, look in the trunk, as well as murder someone or talk to them...
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如果你想要一个更简单的开始,请使用该死的教程。它给你四个可靠的人,而不是三个。选择一对没有垃圾医生的夫妇。完毕。说到教程。它教你他妈的关于这个游戏的一切。近战很有趣。 90%的人都会陷入游戏中所有枪械的菜鸟陷阱。查找一些了解自己在做什么的人的 YouTube 视频。我什么时候开始问的,可以保证每个人都他妈的一无所知。你希望能够只用一把螺丝刀就可以拿下一堆宝藏,并达到可以管理一支 4-6 人的团队的程度,让你惊讶地拥有完整的耐力条,并以你的无技能角色脱颖而出。另外,在《黎明》中,放下你的近战,学习在没有枪的情况下完成前 4 波攻击。飞地的存在是为了让你退出游戏。与他们一起深入研究,犯错误,但记笔记,这样你就可以“快速”学会如何忽略他们 99% 的该死的废话。第五个技能,维基百科中描述的“社区技能”(有八个)是对整个社区有利的技能,无论你控制哪个角色。你有一个机械师在指挥中心打飞机吗?没关系,你的医生仍然可以在车间里制作她完成任务所需的任何东西,因为他存在。总的来说,我发现人们的技能犯错误很有趣。即使在 wiki 上阅读了该技能后,很多人仍不了解最大限度发挥某项技能的长期好处。然后是特质和怪异技能。阅读维基。你的角色可以拥有像驾驶这样的怪异技能,这使得该角色在驾驶时更加省油。他们会从“喜欢开车”这样的特质中获得这种技能。这很令人困惑,因为一个特质可以赋予它自己的增益以及怪异技能,这是它自己的一套个人或社区增益或技能。在您花一些时间理解层次结构之前,这有点混乱。有些特性提供一种或多种社区技能的知识,有些特性提供个人增益/减益,例如生命值/耐力,有些特性两者都提供,有些特性什么也不做,有些特性只对您可能的“英雄奖励”做出贡献。英雄奖励是当您在各种任务中将该角色“升级”到最大时,您的整个社区都会获得的增益。它们是由角色的特征之一决定的,而你只能得到一个。由于你拥有四种以上的特质(总共有 1400 种),所以一开始你实际上会获得哪种英雄奖励是个谜,因为它可以从其中任何一个特质中获得。 QOL:在 Steam 上,我找不到禁用云同步的方法,因此您的保存始终面临损坏的风险,因为这项令人惊叹的技术是以可以想象到的最狗屎和自毁性的方式实施的。您需要找到一种适合您的方法来备份您的保存。我制作了一个在会话结束时运行的批处理文件。据说,一个名叫 bilago 的家伙在 nexusmods 上制作了一个连续备份程序,如果你能让它工作的话。人工智能被削弱到了超出可怕难度的破坏程度。如果你没有朋友可以一起玩,他们会是你在这种困难下的好伙伴。如果你陷入噩梦或致命并认为人工智能很糟糕,那是故意的。如果你感到恐惧并且认为人工智能很糟糕,那就他妈的等着吧,哈哈。 ETA:按键绑定是小丑为小丑制作的,至少在 PC 上是这样。 >一键统治一切,一键找到他们。一把钥匙可以把他们全部带来,并在黑暗中束缚他们。你会遇到很多问题,因为“E”与上车、给油箱加油、检查后备箱以及谋杀某人或与他们交谈是同一个钥匙......
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If you want an easier start, use the damn tutorial. It gives you four solid people instead of three. Choose a couple that doesn't have a shitbag doctor. Done. Speaking of the tutorial. It teaches you fuck all about this game. The close combat is fun. 90 of people fall into the noob-trap that are all the firearms in the game. Find some youtube videos of people that know what they're doing. I asked here when I started and can guarantee everyone's fucking clueless. You want to be able to take on a hoard with nothing but a screwdriver and get to the point you can manage a group of 4-6 surprising you with a full stamina bar and coming out on top with your no-skill characters. Also, take off your melee and learn to carry through the first 4 waves without guns in Daybreak. Enclaves exist to make you quit the game. Dive in with them, make mistakes, but take notes so you can quickly learn how to ignore 99 of their goddamn bullshit. 5th skills, "community skills" (there are eight) as described in the wiki are skills that benefit the entire community no matter which character you're in control of. You have a mechanic jacking off in the command center? That's fine, your medic can still craft whatever she needs in the workshop for her mission just because he exists. In general I've found it fun to make mistakes with peoples skills. Lots of not understanding the long term benefits of maxing out a skill even after reading up on it on the wiki. Then there's traits and quirk skills. Read the wiki. Your character can have a quirk skill like driving which makes just that character be more fuel efficient when driving. They'll have gotten that skill from a trait like "loves to drive". It's confusing since a trait can give it's own buff along with a quirk skill which is it's own set of either personal or community buffs or skills. Kind of a mess until you spend some time understanding the hierarchy. Some traits grant knowledge of one or more community skills, some give personal buffsdebuffs like HPstamina, some give both, some do nothing, and some only contribute to your possible "hero bonuses". Hero bonuses are buffs that your entire community gets once you've maxed "leveling" that character on various missions. They're determined from one of the character's traits and you only get one. Since you have upwards of four traits (out of 1400 possible) it's a mystery at first which hero bonus you'll actually get since it could from any of them. QOL: On steam I cannot find a way to disable cloud syncing so your saves are always at risk ofcorruption because of this amazing technology has been implemented in the most bullshit and self-destructive goddamn way imaginable. You need to find a way that works for you to backup your saves. I made a batch file I run at the end of a session. Supposedly a dude named bilago made a continuous backup program over on nexusmods if you can get it to work. The AI is nerfed to the point of sabotage beyond dread difficulty. If you don't have a friend to play with they make a nice companion at that difficulty. If you go nightmare or lethal and think the AI is bad, it's intentionally so. If you're on dread and you think the AI is bad, just fucking wait LOL. ETA: The keybinds were made by clowns for clowns, at least on PC. gt;One Key to rule them all, One Key to find them. One Key to bring them all, and in the darkness bind them. You're gonna run into mucho problems since "E" is the same key to get in the car, fuel up the tank, look in the trunk, as well as murder someone or talk to them...
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Definitely. I feel better now, knowledge gives me confidence about how to go about it. The doctor wanted me to stay overnight based on what he saw, I had to sign a release because I did not wanted to stay:
1- I was terrified of staying there one more second, it was a literal war zone.
2- I live very close and can get there fast, now I know what to look for if symptoms return. I am confident I will overcome.
3- I did not wanted to take a hospital bed when I was seeing so much carnage around. The screams, the gasping moans, the rushing nurses and doctors in full hazmat...It felt surreal, don't know how you guys do it.
I was so very impressed by the demeanor of everyone there, doctors, nurses, even paramedics. No one panicking, everyone calm and focused, clean installations, absolute distance and PPE at all times, professionalism. The triage robots tripped me, so futuristic to have a literal human size robot asking me to put a mask on(which I had), approach the screen, take my temp. and instruct where to go based on my vitals, so very well organized and safe. I felt like other than the short walk in and out the commune hall, and maybe a risky minute or two when the door opened while stretchers of sick ones passed by, I should be ok. I don't know for sure, but I am staying in my room for 6 days, and after that if no symptoms I will maybe relax out in the house with a mask and wiping everything I touch for another week. I will not leave the house period. 14 days. Hoping I won't get sick again for sure. Thank you for all you do, truly a hero and I owe you my life and gratitude forever.
I was inspired by your colleagues. Thinking about changing careers and becoming a health worker in whatever capacity I can.
Thanks.
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确实。我现在感觉好多了,知识让我对如何去做有信心。医生根据他所看到的情况希望我留下来过夜,我必须签署一份释放书,因为我不想留下来:1-我害怕在那里多呆一秒钟,那是一个名副其实的战区。 2- 我住得很近,可以很快到达那里,现在我知道如果症状再次出现该怎么办。我有信心我一定能克服。 3-当我看到周围有如此多的屠杀时,我不想占用医院的病床。尖叫声、喘息的呻吟声、穿着防护服冲过来的护士和医生……感觉超现实,不知道你们是怎么做到的。那里每个人的举止给我留下了深刻的印象,包括医生、护士,甚至护理人员。没有人惊慌,每个人都平静而专注,干净的设施,绝对的距离和始终的个人防护装备,专业精神。分诊机器人绊倒了我,太未来主义了,有一个真正的人类大小的机器人要求我戴上口罩(我已经戴上了),靠近屏幕,测量体温。并根据我的生命体征指示去哪里,组织得很好而且安全。我觉得除了进出公社大厅的短暂步行,以及当门打开而病人的担架经过时可能有一两分钟的危险之外,我应该没问题。我不确定,但我会在房间里呆 6 天,之后如果没有症状,我可能会在家里戴着口罩放松,并擦拭我接触过的所有东西,再呆一周。我不会离开家的时间。 14天。希望我不会再生病了。感谢您所做的一切,您是真正的英雄,我永远欠您生命和感激之情。我受到你的同事的启发。考虑改变职业并尽我所能成为一名卫生工作者。谢谢。
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Definitely. I feel better now, knowledge gives me confidence about how to go about it. The doctor wanted me to stay overnight based on what he saw, I had to sign a release because I did not wanted to stay: 1- I was terrified of staying there one more second, it was a literal war zone. 2- I live very close and can get there fast, now I know what to look for if symptoms return. I am confident I will overcome. 3- I did not wanted to take a hospital bed when I was seeing so much carnage around. The screams, the gasping moans, the rushing nurses and doctors in full hazmat...It felt surreal, don't know how you guys do it. I was so very impressed by the demeanor of everyone there, doctors, nurses, even paramedics. No one panicking, everyone calm and focused, clean installations, absolute distance and PPE at all times, professionalism. The triage robots tripped me, so futuristic to have a literal human size robot asking me to put a mask on(which I had), approach the screen, take my temp. and instruct where to go based on my vitals, so very well organized and safe. I felt like other than the short walk in and out the commune hall, and maybe a risky minute or two when the door opened while stretchers of sick ones passed by, I should be ok. I don't know for sure, but I am staying in my room for 6 days, and after that if no symptoms I will maybe relax out in the house with a mask and wiping everything I touch for another week. I will not leave the house period. 14 days. Hoping I won't get sick again for sure. Thank you for all you do, truly a hero and I owe you my life and gratitude forever. I was inspired by your colleagues. Thinking about changing careers and becoming a health worker in whatever capacity I can. Thanks.
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I’m simply saying there are no definites when it comes to pharmacology. Bloods are absolutely vital in figuring out if e is high, I’m all about going off blood work first and then matching that with subjective experiences at said blood levels. AIs are used in the treatment of breast cancer but are not breast cancer medications per se, they simply alter estrogenic driven cancer types by giving them less “fuel” to keep burning. AIs can be used for a variety of medical reasons.
I agree estrogen is not to be feared. In fact, I prefer my estrogen to be on the higher side for many reasons. I do know how I have felt without it as I have experimented (under medical supervision) with various dosing protocols, including changes in AI, testosterone injection site/frequency. I only gave my .02 about how I have done things. OP always trust your body, explore your options, do your reading and find a good physician that listens to you. Don’t ever take the weight of anything said by this gent, myself, or anyone on this board as stone.
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我只是说药理学没有明确的规定。血液对于确定 e 是否高绝对至关重要,我首先要进行血液检查,然后将其与所述血液水平的主观经验相匹配。 AI 用于治疗乳腺癌,但其本身并不是乳腺癌药物,它们只是通过减少雌激素驱动的癌症类型来改变它们继续燃烧的“燃料”。人工智能可用于多种医疗原因。我同意雌激素并不可怕。事实上,出于多种原因,我更喜欢我的雌激素处于较高水平。我确实知道没有它时我的感受如何,因为我(在医疗监督下)尝试了各种剂量方案,包括人工智能、睾酮注射部位/频率的变化。我只给出了 .02 关于我是如何做事的。 OP 始终相信您的身体,探索您的选择,进行阅读并找到一位倾听您意见的好医生。永远不要把这位先生、我自己或这个论坛上任何人所说的任何话当作石头。
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Im simply saying there are no definites when it comes to pharmacology. Bloods are absolutely vital in figuring out if e is high, Im all about going off blood work first and then matching that with subjective experiences at said blood levels. AIs are used in the treatment of breast cancer but are not breast cancer medications per se, they simply alter estrogenic driven cancer types by giving them less fuel to keep burning. AIs can be used for a variety of medical reasons. I agree estrogen is not to be feared. In fact, I prefer my estrogen to be on the higher side for many reasons. I do know how I have felt without it as I have experimented (under medical supervision) with various dosing protocols, including changes in AI, testosterone injection sitefrequency. I only gave my .02 about how I have done things. OP always trust your body, explore your options, do your reading and find a good physician that listens to you. Dont ever take the weight of anything said by this gent, myself, or anyone on this board as stone.
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It’s not entirely clear why, but most experts seems to feel that India is not counting COVID-19 deaths correctly. It’s probably not coincidence that the highest mortality rates are seen in the regions of India with better health care - those are the most likely to actually identify and report COVID deaths.
> But India’s reported mortality rate —calculated by the number of deaths per 100 confirmed cases — is surprisingly low compared to other countries with high infection rates. … But some scientists in India warn that the numbers are incomplete and misleading -- and that relying on them to reopen the country could make matters worse. … some experts warn that the data is full of gaps. India has a weak, underfunded public health infrastructure, and for years it has failed to accurately record the deaths of its own citizens. Even when India isn't facing a pandemic, only 86% of deaths nationwide are even registered in government systems. And only 22% of all registered deaths get an official cause of death, certified by a doctor … "The deaths are certainly being undercounted because a lot of people who die without getting a Covid test aren't counted as Covid deaths," said Ramanan Laxminarayan, a senior research scholar at Princeton University. "So it's unclear if India has a lower mortality rate than other countries in the region."
—[CNN: India has one of the world's lowest Covid-19 mortality rates. But the numbers don't tell the whole story](https://www.cnn.com/2020/09/11/asia/india-covid-death-rate-explainer-intl-hnk-scli/index.html)
> Also, experts say, India’s relatively low fatality rate doesn’t tell the whole story, and some believe that there is substantial undercounting in several states. For one, many states, in contravention of World Health Organization (WHO) guidelines, are not adding suspected cases in the final count. Second, a handful of states are heavily attributing Covid-19 deaths to patients’ underlying conditions or co-morbidities. Two states, Gujarat and Telangana, appear to have under-counted heavily, as an investigation by health journalist Priyanka Pulla shows. In the city of Vadodara, in Gujarat, for example, the number of deaths grew by just 49% in the last two months, even as the caseload leapt by a whopping 329%.
—[BBC: Coronavirus: How many Covid-19 deaths is India missing?](https://www.bbc.com/news/world-asia-india-53773070)
> Experts have questioned shortcomings and lack of clarity in vital registration, testing practices, and classification of COVID-19 deaths. Patralekha Chatterjee reports from New Delhi.
—[The Lancet: Is India missing COVID-19 deaths?](https://www.thelancet.com/journals/lancet/article/PIIS0140-6736\(20\)31857-2/fulltext)
That said there are other factors that could be reducing mortality rates somewhat (though not to the official figures). Probably most importantly, [the Indian population is relatively young](https://www.bbc.com/news/world-asia-india-53773070) and younger people have better outcomes. There are other arguments but most of them are very weak and seem like wishful thinking.
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目前还不完全清楚原因,但大多数专家似乎认为印度没有正确计算 COVID-19 死亡人数。印度医疗保健较好的地区死亡率最高,这可能并非巧合——这些地区最有可能实际识别和报告新冠死亡病例。 >但与其他感染率较高的国家相比,印度报告的死亡率(按每 100 例确诊病例的死亡人数计算)出人意料地低。 ……但印度的一些科学家警告说,这些数字不完整且具有误导性,依靠这些数字重新开放国家可能会让情况变得更糟。 ......一些专家警告说,这些数据充满了差距。印度的公共卫生基础设施薄弱且资金不足,多年来未能准确记录本国公民的死亡人数。即使印度没有面临大流行病,全国范围内也只有 86% 的死亡病例在政府系统中进行了登记。在所有登记的死亡中,只有 22% 的人得到了官方死因,并得到了医生的认证……拉马南说:“死亡人数肯定被低估了,因为很多没有接受新冠病毒检测而死亡的人并没有被算作新冠死亡人数。” Laxminarayan,普林斯顿大学高级研究学者。 “因此尚不清楚印度的死亡率是否低于该地区其他国家。” —[CNN:印度是世界上 Covid-19 死亡率最低的国家之一。但数字并不能说明全部情况](https://www.cnn.com/2020/09/11/asia/india-covid-death-rate-explainer-intl-hnk-scli/index.html) >此外,专家表示,印度相对较低的死亡率并不能说明全部情况,一些人认为几个邦的死亡率严重低估。其一,许多州没有将疑似病例纳入最终统计,这违反了世界卫生组织(WHO)的指导方针。其次,少数州将 Covid-19 死亡严重归因于患者的基础疾病或合并症。卫生记者 Priyanka Pulla 的一项调查显示,古吉拉特邦和特伦甘纳邦这两个邦的感染人数似乎严重低估。例如,在古吉拉特邦巴罗达市,过去两个月死亡人数仅增长了 49%,而病例数量却猛增了 329%。 —[BBC:冠状病毒:印度遗漏了多少 Covid-19 死亡人数?](https://www.bbc.com/news/world-asia-india-53773070) >专家对人口动态登记、检测实践和 COVID-19 死亡分类方面的缺陷和不明确提出了质疑。帕特拉莱卡·查特吉 (Patralekha Chatterjee) 从新德里报道。 —[《柳叶刀》:印度是否遗漏了 COVID-19 死亡人数?](https://www.thelancet.com/journals/lancet/article/PIIS0140-6736\(20\)31857-2/fulltext)可能会在一定程度上降低死亡率的因素(尽管不是官方数据)。也许最重要的是,[印度人口相对年轻](https://www.bbc.com/news/world-asia-india-53773070)并且年轻人有更好的结果。还有其他的论点,但大多数都很站不住脚,看起来像是一厢情愿的想法。
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Its not entirely clear why, but most experts seems to feel that India is not counting COVID-19 deaths correctly. Its probably not coincidence that the highest mortality rates are seen in the regions of India with better health care - those are the most likely to actually identify and report COVID deaths. gt; But Indias reported mortality rate calculated by the number of deaths per 100 confirmed cases is surprisingly low compared to other countries with high infection rates. But some scientists in India warn that the numbers are incomplete and misleading -- and that relying on them to reopen the country could make matters worse. some experts warn that the data is full of gaps. India has a weak, underfunded public health infrastructure, and for years it has failed to accurately record the deaths of its own citizens. Even when India isn't facing a pandemic, only 86 of deaths nationwide are even registered in government systems. And only 22 of all registered deaths get an official cause of death, certified by a doctor "The deaths are certainly being undercounted because a lot of people who die without getting a Covid test aren't counted as Covid deaths," said Ramanan Laxminarayan, a senior research scholar at Princeton University. "So it's unclear if India has a lower mortality rate than other countries in the region." CNN: India has one of the world's lowest Covid-19 mortality rates. But the numbers don't tell the whole story(https:www.cnn.com20200911asiaindia-covid-death-rate-explainer-intl-hnk-scliindex.html) gt; Also, experts say, Indias relatively low fatality rate doesnt tell the whole story, and some believe that there is substantial undercounting in several states. For one, many states, in contravention of World Health Organization (WHO) guidelines, are not adding suspected cases in the final count. Second, a handful of states are heavily attributing Covid-19 deaths to patients underlying conditions or co-morbidities. Two states, Gujarat and Telangana, appear to have under-counted heavily, as an investigation by health journalist Priyanka Pulla shows. In the city of Vadodara, in Gujarat, for example, the number of deaths grew by just 49 in the last two months, even as the caseload leapt by a whopping 329. BBC: Coronavirus: How many Covid-19 deaths is India missing?(https:www.bbc.comnewsworld-asia-india-53773070) gt; Experts have questioned shortcomings and lack of clarity in vital registration, testing practices, and classification of COVID-19 deaths. Patralekha Chatterjee reports from New Delhi. The Lancet: Is India missing COVID-19 deaths?(https:www.thelancet.comjournalslancetarticlePIIS0140-6736(20)31857-2fulltext) That said there are other factors that could be reducing mortality rates somewhat (though not to the official figures). Probably most importantly, the Indian population is relatively young(https:www.bbc.comnewsworld-asia-india-53773070) and younger people have better outcomes. There are other arguments but most of them are very weak and seem like wishful thinking.
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They're less actual robots than the traditional term, these machines are only semi autonomous and are basically extentions of the surgeons hands, essentially shrinking them down to a couple inches tall so they can perform the most intricate aspects of the surgery more smoothly and accurately.
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与传统术语相比,它们并不是真正的机器人,这些机器只是半自主的,基本上是外科医生手的延伸,本质上将它们缩小到几英寸高,这样它们就可以更顺利、更准确地执行手术中最复杂的方面。
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They're less actual robots than the traditional term, these machines are only semi autonomous and are basically extentions of the surgeons hands, essentially shrinking them down to a couple inches tall so they can perform the most intricate aspects of the surgery more smoothly and accurately.
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# About
I promised to post pictures when she heals, so here we go.
I was waiting impatiently almost a year now to see her in her final shape. The healing process was exhausting at times, but I loved her from the day one. I knew that once she heals, then everything will be great.
It was bit hassle to get her into where she is now. Initially dilations three times a day, and each time was taking twenty minutes. Everytime I was dilating I set up timer for twenty minutes. Every even minute dilator went inside fir one minute, and then every odd minute I pulled it out. I was using antibiotic ointment with enzymatic debridement for lubrication. At later stage I started using hormonal cream as well. The hormonal cream increases elasticity of my vagina, improves circulation to clitoris, and speeds up healing process.
I had number of urinary tract infections and yeast infections. I was suffering vaginal dryness, and dehydration. Thankfully my gynecologist helped me with all that, I had antibiotic cream prescribed to fight infection. There's number of creams I'm using. Some are to be used inside like hormonal cream or lactic acid cream, and some on the vulva like linen seed oil or hyaluronic acid cream. The linen seed oil is very good for improving sensation in clitoris and labia minora, and I can also apply it on my dry lips, because it tastes and smells nice.
At present I don't dilate every day, but only when I am in the mood, which is few times in a week.
The depth is fantastic. My boyfriend happens to have exquisitely large penis and we enjoy our intimate moments a lot.
The vagina is wet inside, because she's lined with mucus tissue, which came originally from the urethra. The original urethra wasn't shortened, but instead was split in specific way, so that my Meatus is located in the correct position, i.e. just below clitoris, while remaining part of original urethra makes a U-turn and goes deep inside vagina providing mucus and elasticity.
The clitoris, labia minora and clitoral hood are made of the single source material, which originally came from corona of glans together with prepuce. The upper part of glans are hidden inside, forming internal structures of the clitoris. The external clitoris is made of corona, and labia minora from prepuce, while Hart's line in natural line diving corona from prepuce, and is one of the most erogenic spots.
The sensitivity is fully preserved, because of very ruch blood vessel networks underneath. Every single part of vulva and vagina has sensation. Depending on the part that sensation and it's strength differs. Personally I find most erogenic the urethral lining of the vestibule, i.e. the whole corridor stretching from clitoris down into vagina, then Hart's line and clitoris. The labia majora and Fourchette are also very erogenic and I love massaging them.
In my past experiences I had numerous cis girlfriends, and to my subjective opinion, when I touch my vagina inside with my fingers, she has very much same feel: she's soft, wet, elastic, she smells quite the same, and I can contract her with pelvic muscles in the same way like cis girl would.
During sexual intercourse with cis man, when he's inside me, I love the sensation of his penis sliding over my urethral lining. It really feels exquisite.
The name of the method is Combined Method, and it was developed and performed by Dr Jürgen Schaff, in Klinik Sanssouci, in Potsdam, Germany, http://drschaff.de
#FAQ Answers
*Hair Removal*
I had been doing laser hair removal for three years. It was one bikini session every six weeks.
*Price*
This was two surgeries:
1. gender realignment surgery,
2. grs revision with breast augmentation
The total cost including both surgeries, travel, quarantine hotel stay and one check-up was around €50k.
Please, contact surgeon's office to make an appointment for exact price information.
*Financing*
I used my savings money, and on top of that I took substantial loan from my bank. Once my bank learned the purpose of the loan, they were more than happy to provide the funds in form of the personal loan. Additionally I made a claim with my private health insurance company, and they agreed to pay half of the price of my second surgery.
*Combined Method*
This is a very special method developed by Dr Jürgen Schaff. I have described its characteristic features in the text above.
*Recovery*
Intimate hygiene, disciplined dilations, nothing to be scared. Healthy eating and exercise are crucial for speedy recovery.
*Long term care*
One year post-op I dilate twice a week. This is sufficient to maintain depth.
*^See_updates_below* I tried various products and I found best is extra virgin coconut oil. Coconut oil is edible, smells nice and my mucus membranes of my Vestibule and Vaginal canal love it, because they immediately produce nice and slippery mucus when I apply some coconut oil with my finger. I apply coconut oil inside and outside to keep everything down there happy.
Female bacterial flora lives there if taken care of. I tried many products and I found that Multigyn FloraPlus is the only product that works. Common problem I had with other products was that they don't work, my vagina got dry and yeast was growing - not exactly what I would wish for. Multigyn FloraPlus on the other hand does great job in keeping vagina wet and healthy.
*^Update_1*
I'm not sure anymore what is the best long term care practices. Over last week I returned to almost daily dilations, and I'm using only Ovestin (estrogen) and Vagisan (lactic acid) creams directly on dilator, and I douche rarely (once in two weeks). Trying to see if that gets better results. I think Multigyn when used for too long is also not good, so I stopped using it for now. Let's see what happens. I will keep you updated.
*^Update_2*
I tried camomile tea to wash my vagina inside, and I think this might have worked quite well. I've noticed it might not have been yeast, but just some dead skin that peeled off, or also it could be some residue from creams. I came back to using Multigyn, and I dilate two or three times a week. I think situation down there is a bit better at the moment. Vagina seems to stay moist for at least few days. I think doing dilations more often helps remove dead skin, and that helps keep vagina moist. Basically urethral lining needs to stay clean so it can produce nice and wet mucus.
*^Update_3*
I found this Vagisil Créme in my pharmacy. It is vulvar moisturizing cream for fighting infections. I keep getting those blisters all over my vestibule and clitoris, and I tried this cream. I don't know if it worked or was it a reason for more blisters showing up. So today I applied lanolin nipple cream and Canesten instead. I think this will work fine.
*Additional Pictures*
[May Day](https://www.reddit.com/user/sonia_sadhbh/comments/n2f3rw/may_day/?utm_medium=android_app&utm_source=share)
[Mons Pubis Panorama](https://www.reddit.com/user/sonia_sadhbh/comments/mtiopv/mons_pubis_panorama/?utm_medium=android_app&utm_source=share)
*Breast Implants*
[Polytech Mesmo Sensitive 445cc Germany BA](https://www.reddit.com/user/sonia_sadhbh/comments/l2lsw5/polytech_mesmo_sensitive_445cc_germany_ba_092020/?utm_medium=android_app&utm_source=share)
*My Story on GenderGP*
[My Intimate Experiences pre vs post GRS](https://www.reddit.com/r/Transgender_Surgeries/comments/j1x359/my_intimate_experiences_pre_vs_postgrs/?utm_medium=android_app&utm_source=share)
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关于我答应她痊愈后会发布照片,所以我们开始吧。我已经不耐烦地等待了近一年才能看到她最终的样子。治愈的过程有时令人筋疲力尽,但我从第一天起就爱她。我知道,一旦她痊愈,一切都会好起来的。让她变成现在这个样子,确实有点麻烦。最初每天扩张3次,每次需要20分钟。每次我扩张时,我都会设置二十分钟的计时器。每个偶数分钟的扩张器都会进入一分钟,然后每隔奇数分钟我就把它拉出来。我使用抗生素软膏和酶清创术进行润滑。后来我也开始使用荷尔蒙霜。荷尔蒙霜增加了我阴道的弹性,改善了阴蒂的循环,并加速了愈合过程。我患有多种尿路感染和酵母菌感染。我患有阴道干燥和脱水。值得庆幸的是,我的妇科医生帮助我解决了这一切,我开了抗生素霜来对抗感染。我正在使用很多面霜。有些是在体内使用的,如激素霜或乳酸霜,有些是在外阴上使用的,如亚麻籽油或透明质酸霜。亚麻籽油对于改善阴蒂和小阴唇的感觉非常好,我也可以将它涂在干燥的嘴唇上,因为它的味道和气味都很好。目前我不是每天都扩张,只是有心情的时候才扩张,一周就几次。深度太棒了。我的男朋友恰好有一个非常大的阴茎,我们非常享受我们的亲密时刻。阴道内部是湿的,因为她内衬着粘液组织,这些粘液组织最初来自尿道。原来的尿道并没有被缩短,而是以特定的方式分开,这样我的尿道就位于正确的位置,即阴蒂下方,而原来的尿道的剩余部分则掉头深入阴道内提供粘液和弹性。阴蒂、小阴唇和阴蒂罩是由单一来源的材料制成的,这些材料最初来自于龟头冠和包皮。龟头的上部隐藏在内部,形成阴蒂的内部结构。外阴蒂由冠部构成,小阴唇由包皮构成,而哈特线则由包皮构成的自然线潜水冠部,是最容易引起性感的部位之一。由于下面有非常丰富的血管网络,因此敏感性得以完全保留。外阴和阴道的每个部分都有感觉。根据部位的不同,感觉和强度也不同。就我个人而言,我发现前庭的尿道内壁最性感,即从阴蒂延伸到阴道的整个走廊,然后是哈特线和阴蒂。大阴唇和福切特也非常性感,我喜欢按摩它们。在我过去的经历中,我有过很多顺性别的女朋友,在我的主观看来,当我用手指触摸我的阴道内部时,她的感觉非常相似:她柔软,潮湿,有弹性,她的气味很相似,我可以收缩她的骨盆肌肉就像顺性别女孩一样。在与顺性别男人性交时,当他在我体内时,我喜欢他的阴茎在我的尿道内壁上滑动的感觉。确实感觉很精致。该方法的名称是组合法,由德国波茨坦 Klinik Sanssouci 诊所的 Jürgen Schaff 博士开发和实施,http://drschaff.de #FAQ 答案 *脱毛* 我一直在做激光脱毛三年来。每六周进行一次比基尼训练。 *价格* 这是两次手术:1. 性别重新调整手术,2. 隆胸手术。 包括两次手术、旅行、隔离酒店住宿和一次检查在内的总费用约为 5 万欧元。请联系外科医生办公室进行预约以获取确切的价格信息。 *融资*我用了我的积蓄,除此之外,我还从银行获得了大量贷款。一旦我的银行了解了贷款的目的,他们就非常乐意以个人贷款的形式提供资金。此外,我向我的私人健康保险公司提出了索赔,他们同意支付我第二次手术费用的一半。 *组合方法* 这是 Jürgen Schaff 博士开发的一种非常特殊的方法。我在上面的文字中描述了它的特征。 *恢复* 私密卫生,有规律的扩张,没什么好害怕的。健康饮食和锻炼对于快速康复至关重要。 *长期护理* 术后一年,我每周扩张两次。这足以保持深度。 *^参见下面的更新*我尝试了各种产品,发现最好的是特级初榨椰子油。椰子油是可食用的,闻起来很香,我的前庭和阴道管的粘膜很喜欢它,因为当我用手指涂抹一些椰子油时,它们会立即产生美味而滑的粘液。我在里面和外面涂上椰子油,让下面的一切都开心。如果得到照顾,雌性细菌菌群就会生活在那里。我尝试了很多产品,发现 Multigyn FloraPlus 是唯一有效的产品。我使用其他产品时遇到的常见问题是它们不起作用,我的阴道变得干燥并且酵母菌正在生长 - 这并不完全是我所希望的。另一方面,Multigyn FloraPlus 在保持阴道湿润和健康方面做得很好。 *^Update_1* 我不再确定什么是最好的长期护理实践。上周,我几乎恢复了每日扩张,并且只在扩张器上直接使用 Ovestin(雌激素)和 Vagisan(乳酸)乳膏,而且我很少冲洗(每两周一次)。尝试看看是否会得到更好的结果。我觉得Multigyn用太久也不好,所以暂时停止使用了。让我们看看发生了什么。我会及时通知你的。 *^Update_2* 我尝试用甘菊茶清洗阴道内部,我认为这可能效果很好。我注意到它可能不是酵母,而只是一些剥落的死皮,或者也可能是面霜的残留物。我重新开始使用 Multigyn,每周扩张两到三次。我认为目前那里的情况要好一些。阴道似乎至少会保持湿润几天。我认为更频繁地进行扩张有助于去除死皮,并有助于保持阴道湿润。基本上,尿道内壁需要保持清洁,这样才能产生湿润的粘液。 *^Update_3* 我在药房找到了这款 Vagisil Créme。它是用于对抗感染的外阴保湿霜。我的前庭和阴蒂上不断出现水泡,我尝试了这种霜。我不知道这是否有效,或者是否是出现更多水泡的原因。所以今天我用羊毛脂乳头霜和 Canesten 代替。我认为这会很好。 *附加图片* [五一劳动节](https://www.reddit.com/user/sonia_sadhbh/comments/n2f3rw/may_day/?utm_medium=android_app&utm_source=share) [Mons Pubis 全景](https://www. reddit.com/user/sonia_sadhbh/comments/mtiopv/mons_pubis_panorama/?utm_medium=android_app&utm_source=share) *乳房植入物* [Polytech Mesmo Sensitive 445cc 德国 BA](https://www.reddit.com/user/sonia_sadhbh/ comments/l2lsw5/polytech_mesmo_sensitive_445cc_germany_ba_092020/?utm_medium=android_app&utm_source=share) *我关于 GenderGP 的故事* [我在 GRS 前后的亲密经历](https://www.reddit.com/r/Transgender_Surgeries/comments/j1x359/my_intimate_experiences_pre_vs_postgr s /?utm_medium=android_app&utm_source=share)
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About I promised to post pictures when she heals, so here we go. I was waiting impatiently almost a year now to see her in her final shape. The healing process was exhausting at times, but I loved her from the day one. I knew that once she heals, then everything will be great. It was bit hassle to get her into where she is now. Initially dilations three times a day, and each time was taking twenty minutes. Everytime I was dilating I set up timer for twenty minutes. Every even minute dilator went inside fir one minute, and then every odd minute I pulled it out. I was using antibiotic ointment with enzymatic debridement for lubrication. At later stage I started using hormonal cream as well. The hormonal cream increases elasticity of my vagina, improves circulation to clitoris, and speeds up healing process. I had number of urinary tract infections and yeast infections. I was suffering vaginal dryness, and dehydration. Thankfully my gynecologist helped me with all that, I had antibiotic cream prescribed to fight infection. There's number of creams I'm using. Some are to be used inside like hormonal cream or lactic acid cream, and some on the vulva like linen seed oil or hyaluronic acid cream. The linen seed oil is very good for improving sensation in clitoris and labia minora, and I can also apply it on my dry lips, because it tastes and smells nice. At present I don't dilate every day, but only when I am in the mood, which is few times in a week. The depth is fantastic. My boyfriend happens to have exquisitely large penis and we enjoy our intimate moments a lot. The vagina is wet inside, because she's lined with mucus tissue, which came originally from the urethra. The original urethra wasn't shortened, but instead was split in specific way, so that my Meatus is located in the correct position, i.e. just below clitoris, while remaining part of original urethra makes a U-turn and goes deep inside vagina providing mucus and elasticity. The clitoris, labia minora and clitoral hood are made of the single source material, which originally came from corona of glans together with prepuce. The upper part of glans are hidden inside, forming internal structures of the clitoris. The external clitoris is made of corona, and labia minora from prepuce, while Hart's line in natural line diving corona from prepuce, and is one of the most erogenic spots. The sensitivity is fully preserved, because of very ruch blood vessel networks underneath. Every single part of vulva and vagina has sensation. Depending on the part that sensation and it's strength differs. Personally I find most erogenic the urethral lining of the vestibule, i.e. the whole corridor stretching from clitoris down into vagina, then Hart's line and clitoris. The labia majora and Fourchette are also very erogenic and I love massaging them. In my past experiences I had numerous cis girlfriends, and to my subjective opinion, when I touch my vagina inside with my fingers, she has very much same feel: she's soft, wet, elastic, she smells quite the same, and I can contract her with pelvic muscles in the same way like cis girl would. During sexual intercourse with cis man, when he's inside me, I love the sensation of his penis sliding over my urethral lining. It really feels exquisite. The name of the method is Combined Method, and it was developed and performed by Dr Jrgen Schaff, in Klinik Sanssouci, in Potsdam, Germany, http:drschaff.de FAQ Answers Hair Removal I had been doing laser hair removal for three years. It was one bikini session every six weeks. Price This was two surgeries: 1. gender realignment surgery, 2. grs revision with breast augmentation The total cost including both surgeries, travel, quarantine hotel stay and one check-up was around 50k. Please, contact surgeon's office to make an appointment for exact price information. Financing I used my savings money, and on top of that I took substantial loan from my bank. Once my bank learned the purpose of the loan, they were more than happy to provide the funds in form of the personal loan. Additionally I made a claim with my private health insurance company, and they agreed to pay half of the price of my second surgery. Combined Method This is a very special method developed by Dr Jrgen Schaff. I have described its characteristic features in the text above. Recovery Intimate hygiene, disciplined dilations, nothing to be scared. Healthy eating and exercise are crucial for speedy recovery. Long term care One year post-op I dilate twice a week. This is sufficient to maintain depth. Seeupdatesbelow I tried various products and I found best is extra virgin coconut oil. Coconut oil is edible, smells nice and my mucus membranes of my Vestibule and Vaginal canal love it, because they immediately produce nice and slippery mucus when I apply some coconut oil with my finger. I apply coconut oil inside and outside to keep everything down there happy. Female bacterial flora lives there if taken care of. I tried many products and I found that Multigyn FloraPlus is the only product that works. Common problem I had with other products was that they don't work, my vagina got dry and yeast was growing - not exactly what I would wish for. Multigyn FloraPlus on the other hand does great job in keeping vagina wet and healthy. Update1 I'm not sure anymore what is the best long term care practices. Over last week I returned to almost daily dilations, and I'm using only Ovestin (estrogen) and Vagisan (lactic acid) creams directly on dilator, and I douche rarely (once in two weeks). Trying to see if that gets better results. I think Multigyn when used for too long is also not good, so I stopped using it for now. Let's see what happens. I will keep you updated. Update2 I tried camomile tea to wash my vagina inside, and I think this might have worked quite well. I've noticed it might not have been yeast, but just some dead skin that peeled off, or also it could be some residue from creams. I came back to using Multigyn, and I dilate two or three times a week. I think situation down there is a bit better at the moment. Vagina seems to stay moist for at least few days. I think doing dilations more often helps remove dead skin, and that helps keep vagina moist. Basically urethral lining needs to stay clean so it can produce nice and wet mucus. Update3 I found this Vagisil Crme in my pharmacy. It is vulvar moisturizing cream for fighting infections. I keep getting those blisters all over my vestibule and clitoris, and I tried this cream. I don't know if it worked or was it a reason for more blisters showing up. So today I applied lanolin nipple cream and Canesten instead. I think this will work fine. Additional Pictures May Day(https:www.reddit.comusersoniasadhbhcommentsn2f3rwmayday?utmmediumandroidappamp;utmsourceshare) Mons Pubis Panorama(https:www.reddit.comusersoniasadhbhcommentsmtiopvmonspubispanorama?utmmediumandroidappamp;utmsourceshare) Breast Implants Polytech Mesmo Sensitive 445cc Germany BA(https:www.reddit.comusersoniasadhbhcommentsl2lsw5polytechmesmosensitive445ccgermanyba092020?utmmediumandroidappamp;utmsourceshare) My Story on GenderGP My Intimate Experiences pre vs post GRS(https:www.reddit.comrTransgenderSurgeriescommentsj1x359myintimateexperiencesprevspostgrs?utmmediumandroidappamp;utmsourceshare)
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fr9i0h9
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Oh, boy, storytime.
When I first started playing, the friend that got me into the game invited me to join an FC she was part of. At first, everyone was really friendly, but it wasnt long before everyone got really distant towards me. Only my friend was actively trying to play with me. Eventually, my friend yelled at me for being a dick to everyone, and I was really confused, as nobody had really told me anything.. It turns out, they felt I was a really bad healer and took everything I said to mean I was being a dick to them and refusing to learn my class or any mechanics. Instead of trying to actually teach me the mechanics, they just assumed I'd learn them or somehow magically know what to do. They basically banned me from playing with them and forced my friend to only play with them for a couple months. I went deep into a depression after that, and almost quit playing entirely. I pushed through, though, and eventually she felt I had improved enough to play with the rest of the group. The group still didn't like me for whatever reason, and still kept doing the things my friend wanted to do, but only when I was on. Eventually, my friend texts me and says she's been kicked out of the FC's Discord because she called them out on some shady behavior, and that I probably was, too. I looked and, sure enough, the Discord was gone. We were all still in the FC itself, though, because the leader had some weird thing about not kicking people. It turns out, the leader had asked my friend to do higher level content to teach the rest of the group the mechanics, but then got jealous that she was progressing so much and complained that she does everything solo now, her brother-in-law was getting angry at literally everything (I guess he refused to go to a doctor to check up on his hormone therapy and his testosterone levels were out of whack), and the other main gal just went along with everything (she was super nice and generally avoided conflict, but got roped into the whole scheme). My friend called them out on their controlling nature and double standards, particularly the jealousy and planning on harassing people that told one of their other healers that they were bad at it (she was actually bad at it, worse than I was). They didnt take it so well, and kicked her and everyone she invited out of Discord. A couple days later, we demolished our rooms, left the FC, and we went without for a time. We just recently made our own FC, and just yesterday got to rank 5. Already, the two of us are more accomplished than the two co-leaders of the old FC, with her getting her crown and our guild actually growing in rank while theirs remains stagnant. Petty? Definitely. But it feels so much better to be part of an FC that cares about your progress instead of just their own egos.
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哦,孩子,故事时间到了。当我第一次开始玩游戏时,让我加入游戏的朋友邀请我加入她所在的 FC。起初,每个人都非常友好,但没过多久,每个人都对我疏远了。只有我的朋友主动尝试和我一起玩。最后,我的朋友对我大喊大叫,说我对每个人都是混蛋,我真的很困惑,因为没有人真正告诉我任何事情。事实证明,他们觉得我是一个非常糟糕的治疗师,并认为我所说的一切都意味着我是一个糟糕的治疗师。对他们来说是个混蛋,拒绝学习我的课程或任何机械知识。他们并没有试图真正教我这些机制,而是假设我会学习它们或者以某种方式神奇地知道该怎么做。他们基本上禁止我和他们一起玩,并强迫我的朋友只和他们一起玩几个月。从那以后我陷入了深深的抑郁,几乎彻底放弃了游戏。不过,我坚持了下来,最终她觉得我已经进步到足以和小组的其他人一起玩了。不管出于什么原因,这个团队仍然不喜欢我,并且仍然继续做我朋友想做的事情,但只有当我在场的时候。最终,我的朋友发短信给我,说她被踢出了 FC 的 Discord,因为她揭露了他们的一些不正当行为,我可能也是如此。我看了看,果然,不和谐消失了。不过,我们仍然在足球俱乐部里,因为领导者有一些奇怪的事情,就是不踢人。事实证明,领导要求我的朋友做更高级别的内容来教小组其他成员机械,但后来嫉妒她进步这么大,并抱怨她现在独自做所有事情,她的姐夫几乎对所有事情都很生气(我猜他拒绝去看医生检查他的激素治疗,而且他的睾丸激素水平不正常),而另一个主要女孩只是同意一切(她超级友善,总的来说避免了冲突,但却被卷入了整个计划)。我的朋友指责他们的控制本性和双重标准,特别是嫉妒和计划骚扰那些告诉他们的另一位治疗师他们不擅长的人(她实际上不擅长,比我更糟糕)。他们不太高兴,把她和她邀请的所有人都踢出了Discord。几天后,我们拆除了房间,离开了足球俱乐部,有一段时间我们没有了。我们最近刚刚创建了自己的FC,就在昨天才达到了第5名。我们两个人已经比旧FC的两位联合领导者更有成就了,她获得了王冠,我们的公会实际上在排名上增长,而他们的公会仍然停滞不前。小气?确实。但成为一个关心你的进步而不仅仅是他们自己的俱乐部的一员感觉好多了。
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Oh, boy, storytime. When I first started playing, the friend that got me into the game invited me to join an FC she was part of. At first, everyone was really friendly, but it wasnt long before everyone got really distant towards me. Only my friend was actively trying to play with me. Eventually, my friend yelled at me for being a dick to everyone, and I was really confused, as nobody had really told me anything.. It turns out, they felt I was a really bad healer and took everything I said to mean I was being a dick to them and refusing to learn my class or any mechanics. Instead of trying to actually teach me the mechanics, they just assumed I'd learn them or somehow magically know what to do. They basically banned me from playing with them and forced my friend to only play with them for a couple months. I went deep into a depression after that, and almost quit playing entirely. I pushed through, though, and eventually she felt I had improved enough to play with the rest of the group. The group still didn't like me for whatever reason, and still kept doing the things my friend wanted to do, but only when I was on. Eventually, my friend texts me and says she's been kicked out of the FC's Discord because she called them out on some shady behavior, and that I probably was, too. I looked and, sure enough, the Discord was gone. We were all still in the FC itself, though, because the leader had some weird thing about not kicking people. It turns out, the leader had asked my friend to do higher level content to teach the rest of the group the mechanics, but then got jealous that she was progressing so much and complained that she does everything solo now, her brother-in-law was getting angry at literally everything (I guess he refused to go to a doctor to check up on his hormone therapy and his testosterone levels were out of whack), and the other main gal just went along with everything (she was super nice and generally avoided conflict, but got roped into the whole scheme). My friend called them out on their controlling nature and double standards, particularly the jealousy and planning on harassing people that told one of their other healers that they were bad at it (she was actually bad at it, worse than I was). They didnt take it so well, and kicked her and everyone she invited out of Discord. A couple days later, we demolished our rooms, left the FC, and we went without for a time. We just recently made our own FC, and just yesterday got to rank 5. Already, the two of us are more accomplished than the two co-leaders of the old FC, with her getting her crown and our guild actually growing in rank while theirs remains stagnant. Petty? Definitely. But it feels so much better to be part of an FC that cares about your progress instead of just their own egos.
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If the AI is better than the doctors, then how was the training and test data labelled accurately?
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如果人工智能比医生更好,那么训练和测试数据是如何准确标记的呢?
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If the AI is better than the doctors, then how was the training and test data labelled accurately?
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jjgky48
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It's systemic so we have to change systems and incentives. 4 day work week where 32hours is full time across the board. Any public company must have at minimum 55-60% of shares be owned by employees with no single employee having more than 10%. And of course labor gets to be on the board. Any industry "too big to fail" gets nationalized. We spend a lot of time at work so we need to make it more bearable and fund the safety nets so yes. Progressive tax rates, not to mention people need time to recover and go be social.
Cities, we need to build our cities under the idea they are for *people* and not cars. Suburbia is a hell scape and people are pretending to love it out of fear. Rural living will improve since you won't need to clear out areas for parking lots and ant farms.
We can model the Nordic countries for this, they don't have highways going through cities, things should be condensed and walkable. So our zoning laws will have to accommodate this. Fuck your HoA fuck your NYMBY, seriously go play in traffic since you love it so much. The value of a house is living in it not an investment.
Also, any house beyond your primary house that is single family housing gets taxes at ohhhhh 60%? Fuck it, tax it so much you're better off selling it to an individual. We can discuss the detail later, I know it's possible we made up this system we can make up a better one.
With people leas isolated in their suburban area with no "Third places" a la walking distant cafes or public no cost spaces people isolate.
Now yes social media does fuck with us but, I think it's more of a symptom than a cause because we've had so many social opportunities taken from us because people hanging out can't be monetized as easily.
Which final point, make "News" a protected term like doctor. If you're not unbiased news you cannot be tied to that network, you must be labeled entertainment. Same way with journalism. How do we decide what's unbiased? Same way we decide whats medicine and what is snake oil. Experts in their fields that help avoid implicit or explicitly bias and keep to what is basically boring news. If you need a pundit riling you up, you're too immature to vote anyway.
Yea so a few things, wasn't super clearly laid out but your get the idea. TLDR, more walkable cities, less incentive to feed you propaganda and better work life balance.
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这是系统性的,所以我们必须改变系统和激励措施。每周工作 4 天,其中 32 小时全部为全职工作。任何上市公司的员工必须拥有至少 55-60% 的股份,且单一员工的持股比例不得超过 10%。当然,劳工也可以加入董事会。任何“大而不能倒”的行业都会被国有化。我们花了很多时间在工作上,所以我们需要让工作变得更容易忍受,并为安全网提供资金,所以是的。累进税率,更不用说人们需要时间来恢复和社交。城市,我们需要按照“人”而不是汽车的理念来建设我们的城市。郊区是一个地狱般的景象,人们出于恐惧而假装喜欢它。农村生活将会改善,因为您不需要清理停车场和蚂蚁农场的区域。我们可以效仿北欧国家,他们没有穿过城市的高速公路,东西应该是浓缩的、适合步行的。因此,我们的分区法必须适应这一点。操你的HoA,操你的NYMBY,认真地去玩交通吧,因为你非常喜欢它。房子的价值在于居住而不是投资。另外,除了您的主要住房之外,任何单户住房的税收都为 ohhhhh 60%?去他妈的,征那么多税,你最好把它卖给个人。我们可以稍后讨论细节,我知道我们有可能构建这个系统,我们可以构建一个更好的系统。人们在郊区被隔离,没有“第三个地方”,比如步行远处的咖啡馆或公共免费空间,人们被隔离。现在,是的,社交媒体确实困扰着我们,但我认为这更多的是一种症状,而不是原因,因为我们失去了很多社交机会,因为人们不能轻易地通过闲逛来赚钱。最后一点,让“新闻”成为像医生一样受保护的术语。如果你不是公正的新闻,你就不能与该网络联系在一起,你必须被贴上娱乐的标签。新闻业也是如此。我们如何决定什么是公正的?同样,我们决定什么是药物,什么是蛇油。各自领域的专家有助于避免隐性或显性的偏见,并保留基本无聊的新闻。如果你需要一位专家来激怒你,那么你还太不成熟,无法投票。是的,有一些事情,并没有非常清楚地列出,但你明白了。 TLDR,更适合步行的城市,更少的宣传动力和更好的工作与生活平衡。
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It's systemic so we have to change systems and incentives. 4 day work week where 32hours is full time across the board. Any public company must have at minimum 55-60 of shares be owned by employees with no single employee having more than 10. And of course labor gets to be on the board. Any industry "too big to fail" gets nationalized. We spend a lot of time at work so we need to make it more bearable and fund the safety nets so yes. Progressive tax rates, not to mention people need time to recover and go be social. Cities, we need to build our cities under the idea they are for people and not cars. Suburbia is a hell scape and people are pretending to love it out of fear. Rural living will improve since you won't need to clear out areas for parking lots and ant farms. We can model the Nordic countries for this, they don't have highways going through cities, things should be condensed and walkable. So our zoning laws will have to accommodate this. Fuck your HoA fuck your NYMBY, seriously go play in traffic since you love it so much. The value of a house is living in it not an investment. Also, any house beyond your primary house that is single family housing gets taxes at ohhhhh 60? Fuck it, tax it so much you're better off selling it to an individual. We can discuss the detail later, I know it's possible we made up this system we can make up a better one. With people leas isolated in their suburban area with no "Third places" a la walking distant cafes or public no cost spaces people isolate. Now yes social media does fuck with us but, I think it's more of a symptom than a cause because we've had so many social opportunities taken from us because people hanging out can't be monetized as easily. Which final point, make "News" a protected term like doctor. If you're not unbiased news you cannot be tied to that network, you must be labeled entertainment. Same way with journalism. How do we decide what's unbiased? Same way we decide whats medicine and what is snake oil. Experts in their fields that help avoid implicit or explicitly bias and keep to what is basically boring news. If you need a pundit riling you up, you're too immature to vote anyway. Yea so a few things, wasn't super clearly laid out but your get the idea. TLDR, more walkable cities, less incentive to feed you propaganda and better work life balance.
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13
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dg8kihu
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If we're talking "generally" here, it was The Twin Dilemma that came bottom of Doctor Who Magazine's poll of all episodes. Critically speaking, there are ones I've enjoyed less and ones I could pick more holes in (plot, VFX, acting, dialogue), as well as one or two that just annoyed the living bejeezus out of me more (I may even skip Robot of Sherwood every time I rewatch series eight), but the general consensus is provably for The Twin Dilemma.
This makes Colin Baker sad, so we really should be having more upbeat discussions.
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如果我们在这里“一般”谈论的话,那么《神秘博士》杂志对所有剧集的民意调查中,《双胞胎困境》垫底。批判性地说,有些内容我不太喜欢,有些内容我可以挑出更多漏洞(情节、视觉特效、表演、对话),还有一两个让我更加恼火的内容(我什至可能会跳过)每次我重看第八季时都会看到《舍伍德的机器人》),但普遍的共识是《双胞胎困境》。这让科林·贝克感到难过,所以我们真的应该进行更乐观的讨论。
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If we're talking "generally" here, it was The Twin Dilemma that came bottom of Doctor Who Magazine's poll of all episodes. Critically speaking, there are ones I've enjoyed less and ones I could pick more holes in (plot, VFX, acting, dialogue), as well as one or two that just annoyed the living bejeezus out of me more (I may even skip Robot of Sherwood every time I rewatch series eight), but the general consensus is provably for The Twin Dilemma. This makes Colin Baker sad, so we really should be having more upbeat discussions.
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14
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dy128bk
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Of course there should be disparities in the economy!
Why would anyone expect any form of outcomes to be similar? Your roommate is not assuming people are anything resembling...well...*people*. They are assuming something that I would think of as identically designed and manufactured robots or other machines. Which, from a 19th-century perspective, wasn't far off, because business hadn't really evolved to take advantage of our human ability to specialize yet.
> and everyone should be treated fairly, and equally with equal income.
Really. I hope your roommate is content with being forcibly removed from university, to spend their required month working as a janitor. Because if everyone gets paid equally, then everyone should also be required to suffer equally, too.
Kind of like how in Uzbekistan, everyone is treated equally by being forced to pick cotton - a difficult, dangerous, painful, work, including terrible living and working conditions. This is called 'service to society', because the community keeps the revenue from the cotton sales. It's really no different than paying taxes. They recently stopped calling up 11-15 years olds to ~~serve their country~~ ~~pay taxes~~ risk their lives in the fields. But they still interrupt schools and colleges, forcing professionals, even including physicians, to quit their jobs to pick cotton. *That's what a society looks like with equal outcomes.*
People who work dangerous or unpleasant jobs deserve to get paid more. Or perhaps this is reflected in other ways, like it being easier to get a job in that field, or that people can work without having to endure a long training program.
Prices are a big factor in addressing so many other social ills, too. Is the workplace dangerous? Employees are going to demand extra pay. Maybe the employer can save money by *making their workplace safer?* It's neat how the free market actually provides incentives for all sorts of human rights!
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当然经济上也应该有差距!为什么有人会期望任何形式的结果都是相似的?你的室友并没有假设人们与……嗯……*人*有任何相似之处。他们假设的东西我认为是相同设计和制造的机器人或其他机器。从 19 世纪的角度来看,这并不遥远,因为商业还没有真正发展到能够利用人类的专业化能力。 >每个人都应该受到公平、平等的对待,收入平等。真的。我希望你的室友对被强行从大学退学、去当门卫度过他们规定的一个月感到满意。因为如果每个人都得到平等的报酬,那么每个人也应该受到平等的痛苦。有点像在乌兹别克斯坦,每个人都受到平等对待,被迫采摘棉花——这是一项困难、危险、痛苦的工作,包括恶劣的生活和工作条件。这被称为“为社会服务”,因为社区保留了棉花销售的收入。这其实和纳税没有什么区别。他们最近停止招募 11-15 岁的孩子~~为国家服务~~纳税~~冒着生命危险在田里干活。但他们仍然中断学校和大学的工作,迫使专业人士,甚至包括医生,辞去工作去采摘棉花。 *这就是一个结果平等的社会。*从事危险或不愉快工作的人应该得到更多的报酬。或者这可能反映在其他方面,比如在该领域更容易找到工作,或者人们可以工作而不必忍受长期的培训计划。价格也是解决许多其他社会弊病的一个重要因素。工作场所危险吗?员工将要求额外报酬。也许雇主可以通过*让他们的工作场所更安全来省钱?*自由市场实际上为各种人权提供了激励,这真是太巧妙了!
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Of course there should be disparities in the economy! Why would anyone expect any form of outcomes to be similar? Your roommate is not assuming people are anything resembling...well...people. They are assuming something that I would think of as identically designed and manufactured robots or other machines. Which, from a 19th-century perspective, wasn't far off, because business hadn't really evolved to take advantage of our human ability to specialize yet. gt; and everyone should be treated fairly, and equally with equal income. Really. I hope your roommate is content with being forcibly removed from university, to spend their required month working as a janitor. Because if everyone gets paid equally, then everyone should also be required to suffer equally, too. Kind of like how in Uzbekistan, everyone is treated equally by being forced to pick cotton - a difficult, dangerous, painful, work, including terrible living and working conditions. This is called 'service to society', because the community keeps the revenue from the cotton sales. It's really no different than paying taxes. They recently stopped calling up 11-15 years olds to serve their country pay taxes risk their lives in the fields. But they still interrupt schools and colleges, forcing professionals, even including physicians, to quit their jobs to pick cotton. That's what a society looks like with equal outcomes. People who work dangerous or unpleasant jobs deserve to get paid more. Or perhaps this is reflected in other ways, like it being easier to get a job in that field, or that people can work without having to endure a long training program. Prices are a big factor in addressing so many other social ills, too. Is the workplace dangerous? Employees are going to demand extra pay. Maybe the employer can save money by making their workplace safer? It's neat how the free market actually provides incentives for all sorts of human rights!
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15
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h8slsxf
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This is where computers, AI, and e-prescribing come in. It eliminates or significantly reduces human errors. I work in healthcare software and have close relationships with a lot of pharmacists, radiologists, and informaticists (licensed clinicans working in IT). IMO pharamcy and radiology are going to be the main/first areas affected by AI/automation.
There's already systems in place where the AI is an "aid" to the physicians, and they just confirm or put their own spin on the interpretation. With medications, there's huge national databases that track all of the interactions, dosages, recommendations, etc that the pharmacists are using manually, or in some EMR's it's doing a lot of that automatically and the pharmacist just signs off on it. Allergies are tracked and flagged automatically as well.
There's many systems in place that don't even let a physician place an order if it doesn't match up w/ the standards of care or if there is a more suitable order for the patient per whatever algorithm is running, without putting in why they are choosing that order/medication vs. the more suitable ones.
I'm telling you, these 2 fields are going to see significant reduction in necessary staff over the next 10 years. All of the groundwork is already laid out (discrete electronic documentation, national standard drug databases, medication checks/validation algorithms, etc) more than any other field of medicine.
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这就是计算机、人工智能和电子处方发挥作用的地方。它消除或显着减少了人为错误。我从事医疗保健软件工作,与许多药剂师、放射科医生和信息学家(从事 IT 工作的持照临床医生)有着密切的关系。 IMO 制药和放射学将成为受人工智能/自动化影响的主要/首要领域。已经有一些系统可以让人工智能为医生提供“帮助”,他们只是确认或对解释做出自己的解释。对于药物,有巨大的国家数据库可以跟踪药剂师手动使用的所有相互作用、剂量、建议等,或者在某些电子病历中,它会自动完成很多工作,药剂师只需在上面签字即可。过敏也会被自动跟踪和标记。有许多系统甚至不允许医生下订单,如果它与护理标准不匹配,或者根据正在运行的任何算法有更适合患者的订单,而不说明原因他们正在选择该订单/药物与更合适的药物。我告诉你,未来10年这两个领域的必要人员将会大幅减少。与任何其他医学领域相比,所有基础工作都已经完成(离散电子文档、国家标准药物数据库、药物检查/验证算法等)。
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This is where computers, AI, and e-prescribing come in. It eliminates or significantly reduces human errors. I work in healthcare software and have close relationships with a lot of pharmacists, radiologists, and informaticists (licensed clinicans working in IT). IMO pharamcy and radiology are going to be the mainfirst areas affected by AIautomation. There's already systems in place where the AI is an "aid" to the physicians, and they just confirm or put their own spin on the interpretation. With medications, there's huge national databases that track all of the interactions, dosages, recommendations, etc that the pharmacists are using manually, or in some EMR's it's doing a lot of that automatically and the pharmacist just signs off on it. Allergies are tracked and flagged automatically as well. There's many systems in place that don't even let a physician place an order if it doesn't match up w the standards of care or if there is a more suitable order for the patient per whatever algorithm is running, without putting in why they are choosing that ordermedication vs. the more suitable ones. I'm telling you, these 2 fields are going to see significant reduction in necessary staff over the next 10 years. All of the groundwork is already laid out (discrete electronic documentation, national standard drug databases, medication checksvalidation algorithms, etc) more than any other field of medicine.
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16
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do926n3
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Lasers and Feelings, major homebrew rules added for needless complexity.
I am the GM, it's the final session, the players have spent at least 6 months IRL and in game time to get to this point in the story, two out of the three PCs are on board the small-moon sized Colony Ship of the Hive Armada, stealthed into the inner court chambers of that colony's queen assisted by a rogue AI and wielding a magic stick that will cause whomever is traded the stick to give the PC their most valuable possession.
The Pilot and the Doctor realize they need a distraction. So, what does the android doctor do?
Strips his pants off, runs out to the center and yells directly to the 18m tall Bird/Bee/Alien/mech Queen creature. "I WILL SEDUCE YOU!"
Pilot opens YouTube up real quickly IRL to play mariachi music and he starts dancing. I give him insane disadvantages when rolling for this to work.
IT WORKED. IT WORKED WITH FLYING COLORS.
Pilot has open shot to hand the stick to Her Royal Highness, and gains control of the galactic superpower with the condition that the queen follow her true love, the doctor.
The Engineer, meanwhile on board the ship did a total 180 from loving the idea of the seduction strategy, to being instantly adverse and hostile to the Pilot being the God King of the Hive Armada.
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激光和情感,主要的自制规则增加了不必要的复杂性。我是GM,这是最后一关,玩家们在现实生活中花费了至少6个月的时间,在游戏时间里才达到故事的这一点,三台PC中的两台都在小月亮大小的殖民船上蜂巢无敌舰队,在流氓人工智能的协助下潜入该殖民地女王的内廷房间,并挥舞着一根魔法棒,这将使任何被交易棒的人将最有价值的财产交给PC。飞行员和医生意识到他们需要分散注意力。那么,安卓医生是做什么的呢?脱掉裤子,跑到中心,直接对着18m高的鸟/蜜蜂/外星人/机甲女王生物大喊。 “我会勾引你!” Pilot 在现实生活中很快打开 YouTube 播放墨西哥流浪乐队音乐,然后他开始跳舞。当我为这个工作而滚动时,我给了他疯狂的劣势。有效。它的表现非常出色。飞行员已经空位将棍子交给了公主殿下,并获得了银河超级大国的控制权,条件是女王追随她的真爱医生。与此同时,船上的工程师从喜欢诱惑策略的想法,到立即反对和敌视作为蜂巢舰队神王的飞行员,一共做了 180 个动作。
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Lasers and Feelings, major homebrew rules added for needless complexity. I am the GM, it's the final session, the players have spent at least 6 months IRL and in game time to get to this point in the story, two out of the three PCs are on board the small-moon sized Colony Ship of the Hive Armada, stealthed into the inner court chambers of that colony's queen assisted by a rogue AI and wielding a magic stick that will cause whomever is traded the stick to give the PC their most valuable possession. The Pilot and the Doctor realize they need a distraction. So, what does the android doctor do? Strips his pants off, runs out to the center and yells directly to the 18m tall BirdBeeAlienmech Queen creature. "I WILL SEDUCE YOU!" Pilot opens YouTube up real quickly IRL to play mariachi music and he starts dancing. I give him insane disadvantages when rolling for this to work. IT WORKED. IT WORKED WITH FLYING COLORS. Pilot has open shot to hand the stick to Her Royal Highness, and gains control of the galactic superpower with the condition that the queen follow her true love, the doctor. The Engineer, meanwhile on board the ship did a total 180 from loving the idea of the seduction strategy, to being instantly adverse and hostile to the Pilot being the God King of the Hive Armada.
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17
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hrqftr9
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I was attracted to my boyfriend without ever seeing his face because he’s intelligent and caring. The fact that he’s attractive is just a bonus. I genuinely don’t give a shit what a person looks like as long as we get along and can have meaningful conversations. Beauty is quite literally only skin deep and we all end up ugly and wrinkled anyways. There’s literally no point in only being with attractive people if that feature is going to wrinkle over time.
Even ‘attractive’ people can be repulsive if they have a horrible personality, and I don’t care what my doctors look like as long as they’re a good doctor. My last doctor was fucking hot, but he was an absolute jackass and I left his clinic crying. Now I’m repulsed every time I think of him because he was a despicable person.
Also so what if you’re autistic? I have yet to be tested for it, but I’m fairly certain I’m on the spectrum too. That doesn’t mean you’re not worthy of love, it just means that you think differently. Lots of people won’t like or understand you, but people who will understand and love you do exist. I genuinely mean it when I say that you should focus on loving yourself more. You can’t change the physical things about you that you don’t like, but you can learn to accept them and love the positive things about yourself.
Like dude, I’m a 23 year old unemployed recently widowed ADHD (likely autistic) anime obsessed fuck who draws all day, plays video games, watches Netflix, and survives off of hot pockets, ramen, and sandwiches. I was engaged as a 5’2 215lb fatass who could barely do dishes or the laundry because of my untreated ADHD. If I could find someone to marry my traumatized broke weeb ass, and find another person to actually date me after, then I think you can find someone out there too. Stop hating yourself, do the things you love, try and meet people who like similar things, and trust me someone will end up loving you for YOU.
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我虽然没看到男朋友的脸,但还是被他所吸引,因为他聪明又体贴。他的吸引力只是一个额外的好处。我真的不在乎一个人长什么样,只要我们相处得好并且能够进行有意义的对话。美丽实际上只是表面的,无论如何我们最终都会变得丑陋和皱纹。如果这种特征随着时间的推移而逐渐消失,那么仅仅与有魅力的人在一起就没有意义了。即使是“有吸引力”的人,如果他们的性格很糟糕,也会令人厌恶,而且我不在乎我的医生长什么样,只要他们是个好医生。我的上一位医生非常性感,但他绝对是个混蛋,我哭着离开了他的诊所。现在我每次想起他都会感到厌恶,因为他是一个卑鄙的人。另外,如果你患有自闭症怎么办?我还没有接受过测试,但我相当确定我也属于这个谱系。这并不意味着你不值得爱,只是意味着你的想法不同。很多人不会喜欢或理解你,但理解你、爱你的人确实存在。当我说你应该更多地爱自己时,我是真心实意的。你无法改变自己不喜欢的外表,但你可以学会接受它们并热爱自己积极的一面。就像老兄一样,我是一个 23 岁的失业者,最近丧偶,患有多动症(可能是自闭症),痴迷动漫,整天画画,玩电子游戏,看 Netflix,靠热口袋、拉面和三明治生存。我订婚时是一个身高 5 英尺 2 英寸、体重 215 磅的胖子,由于我的多动症未经治疗,几乎无法洗碗或洗衣服。如果我能找到一个人来娶我那受过创伤的破碎的屁股,并找到另一个人来真正和我约会,那么我想你也可以在那里找到一个人。停止讨厌自己,做你喜欢的事情,尝试结识喜欢类似事情的人,相信我,最终会有人为你而爱你。
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I was attracted to my boyfriend without ever seeing his face because hes intelligent and caring. The fact that hes attractive is just a bonus. I genuinely dont give a shit what a person looks like as long as we get along and can have meaningful conversations. Beauty is quite literally only skin deep and we all end up ugly and wrinkled anyways. Theres literally no point in only being with attractive people if that feature is going to wrinkle over time. Even attractive people can be repulsive if they have a horrible personality, and I dont care what my doctors look like as long as theyre a good doctor. My last doctor was fucking hot, but he was an absolute jackass and I left his clinic crying. Now Im repulsed every time I think of him because he was a despicable person. Also so what if youre autistic? I have yet to be tested for it, but Im fairly certain Im on the spectrum too. That doesnt mean youre not worthy of love, it just means that you think differently. Lots of people wont like or understand you, but people who will understand and love you do exist. I genuinely mean it when I say that you should focus on loving yourself more. You cant change the physical things about you that you dont like, but you can learn to accept them and love the positive things about yourself. Like dude, Im a 23 year old unemployed recently widowed ADHD (likely autistic) anime obsessed fuck who draws all day, plays video games, watches Netflix, and survives off of hot pockets, ramen, and sandwiches. I was engaged as a 52 215lb fatass who could barely do dishes or the laundry because of my untreated ADHD. If I could find someone to marry my traumatized broke weeb ass, and find another person to actually date me after, then I think you can find someone out there too. Stop hating yourself, do the things you love, try and meet people who like similar things, and trust me someone will end up loving you for YOU.
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18
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hfo8yeb
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To identify the specific brain activity pattern linked to Sarah’s depression, researchers conducted an intensive 10-day exploration of Sarah’s brain, placing multiple electrodes in it and asking about her feelings when they applied stimulation to different locations in varying doses.
“One person’s depression might look very different from another person’s depression,” said Dr. Katherine Scangos, a researcher on a new study using deep brain stimulation as a personalized treatment.
Sarah remembers an “aha moment” when she felt like “the Pillsbury Doughboy,” emitting a “giant belly laugh,” which she said was “the first time I spontaneously laughed and smiled” in five years. Another feeling resembled “being in front of a warm fire and reading a comforting book,” while a negative sensation felt like “nails on a chalkboard.”
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Eventually, the team identified a specific pattern of electrical activity that coincided with Sarah becoming depressed.
The exploratory phase guided the researchers to place the stimulation device in Sarah’s right brain hemisphere linked to electrodes in two regions. One was the ventral striatum, involved in emotion, motivation and reward, where stimulation “consistently eliminated her feelings of depression,” and the other the amygdala, where changes could “predict when her symptoms were most severe,” Dr. Scangos said.
While deep brain stimulation is typically delivered continuously, Sarah’s device is set to supply only a six-second burst when it recognizes her depression-linked brain activity pattern.
The goal, said Dr. Dougherty, is that stimulation will disrupt or shift the neural activity to produce a healthier pattern that will ease depressive symptoms.
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Sarah has continued taking psychiatric medications, and the stimulation hasn’t eliminated depression-causing activity in her brain. But she can manage her illness much better, she said, instead of being unable to make even the smallest decisions, like what to eat.
Now, “you’re experiencing that whole negative, depressive, whatever the triggering thing is, and then it’s like suddenly the ultra-rational side of you comes on and those emotions can be separated,” she said in an interview, wearing a T-shirt that said “Take it easy lemon squeezy.”
That separation helps her productively use tools from talk therapy, like staying calm and maintaining perspective.
About 30 percent of people with depression don’t respond to standard treatments or find the side effects intolerable. Deep brain stimulation wouldn’t be appropriate for all because it costs tens of thousands of dollars and brain surgery to implant the device carries risks like infection. But if the new attempts work, it might help a significant number, experts said. Dr. Chang said the research may also lead to noninvasive approaches that would help more people.
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“Our job now is really to figure out what is it that identifies who needs this kind of intervention,” said Dr. Helen Mayberg, director of the Center for Advanced Circuit Therapeutics at the Icahn School of Medicine in New York City, who pioneered the concept of deep brain stimulation for depression nearly 20 years ago.
Dr. Mayberg uses a different method of individualization. With imaging, she finds the location in each person’s brain where four white matter bundles intersect near a key depression-related region. After implanting electrodes and a stimulation device, “we pretty much set it and forget it,” delivering stimulation continuously, while also helping patients with conventional therapy.
Neural activity is monitored “to learn the brain signature that heralds an impending depressive relapse or need for a dose adjustment or just indicates that the person is just having a bad week,” Dr. Mayberg said. She led one of the halted trials, but her work has also allowed patients to experience improvements that continue for years if stimulation is sustained.
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In another approach, Dr. Sameer Sheth, an associate professor of neurosurgery at Baylor College of Medicine, and colleagues study a patient’s specific brain activity pattern to identify which of billions of combinations of stimulation characteristics, like frequency and amplitude, improve that patient’s depression.
He then tunes electrodes in two regions and applies that specific combination as continuous stimulation.
Dr. Sheth said the first patient, given the device in March 2020, “is remarkably well” now, maintaining a relationship and becoming a father. To test for a placebo effect, researchers gradually stopped stimulation to one brain region without the patient knowing when. His depression “got worse and worse” said Dr. Sheth, until he needed “rescue.” After stimulation restarted, he improved, suggesting the effect “is definitely stimulation-related.”
Several months ago, Sarah needed a rescue too. Shortly after she entered a study phase where the device is either turned off or left on for six weeks without the participant knowing which, “the suicidal thoughts were back,” Sarah said. Her family tried to get her hospitalized, but the hospitals were full. “Things were really bad,” Sarah said.
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“She did have a very severe worsening of her depression,” said Dr. Scangos. She said she couldn’t disclose whether stimulation had been off or on, but said a device company technician was sent to Sarah’s home to “make a rescue change.”
Afterward, Sarah said, she improved again.
Over the year, the number of times a day that Sarah’s device has detected depression-linked brain activity and delivered stimulation has decreased somewhat, but is still substantial, Dr. Scangos said. Still, some days Sarah doesn’t need the maximum amount the device is set to provide: 300 times or 30 total minutes daily. (It automatically stops around 6 p.m. because evening stimulation made her too alert to sleep.)
Longer-term and more detailed data on Sarah will be published later, said the researchers, who have two other participants so far.
The device is intentionally tuned so Sarah cannot feel the stimulation, but she believes she knows that it’s occurred because she subsequently develops a sense of “emotional distance” that keeps negative feelings “compartmentalized,” she said.
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Also, “I feel alert,” she said. “I feel present.”
That’s “a really good sign,” said Dr. Dougherty, who is considering using a similar approach for depression and possibly addiction. “The emotions are still there, but instead of sticking like mud, it’s running off like water.”
To help researchers correlate brain activity with emotional states, two or three times a day, Sarah holds a doughnut-shaped magnet to her head, triggering the device to save the next 90 seconds of neural activity, and she completes a mental health survey. She’s been encouraged to pick moments “when she’s in a very good mood or a bad mood,” Dr. Scangos said. Also, twice daily, 12 minutes of neural data are automatically relayed to the device company and researchers.
One question, experts said, is whether Sarah’s results support the theory that stimulating briefly whenever depression begins works because it keeps the brain from becoming accustomed to the treatment. Or, Dr. Sheth asked, does Sarah’s need for many daily doses after a year suggest continuous stimulation would be as or more effective?
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Another question is whether the therapy can prompt lasting brain changes to eventually avert depression with little or no continuing stimulation.
Researchers, several of whom consult for device companies or have patents related to deep brain stimulation, expect it will take years to learn if individualized approaches are effective enough to be approved. Different methods might work for different people’s depression, and individualized stimulation might eventually help other psychiatric disorders, researcher say.
The most elemental things have improved for Sarah, who said she’s started to “relearn my life” and that “hobbies I used to distract myself from suicidal thoughts suddenly became pleasurable again.”
When depressed, Sarah, a passionate cook and foodie, had such slow reflexes and trouble functioning that she’d cut or burn herself in the kitchen and doctors told her it wasn’t safe to cook anymore. Foods had little flavor. But after receiving the device, she ate Vietnamese pho in the hospital cafeteria and was thrilled she could taste “the brightness and the herbs,” she said.
While being driven home from the hospital, she saw the marshes and exclaimed: “God, the color differentiation is gorgeous.” Now, she said, she’s “seeing things that are beautiful in the world, and when I was in the depths of depression, all I saw was what was ugly.”
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为了确定与莎拉抑郁症相关的特定大脑活动模式,研究人员对莎拉的大脑进行了为期 10 天的深入探索,在其中放置了多个电极,并询问当他们对不同位置施加不同剂量的刺激时她的感受。 “一个人的抑郁症看起来可能与另一个人的抑郁症非常不同,”凯瑟琳·斯坎戈斯博士说,她是一项使用深部脑刺激作为个性化治疗的新研究的研究员。莎拉记得一个“顿悟时刻”,当时她感觉自己就像“皮尔斯伯里面团小子”,发出“捧腹大笑”,她说这是五年来“我第一次自发地笑起来”。另一种感觉就像“在温暖的炉火前阅读一本令人安慰的书”,而消极的感觉就像“黑板上的钉子”。最终,研究小组发现了一种与莎拉抑郁同时出现的特定电活动模式。探索阶段引导研究人员将刺激装置放置在莎拉的右脑半球中,并与两个区域的电极相连。斯坎戈斯博士说,一个是腹侧纹状体,涉及情绪、动机和奖励,刺激“始终消除她的抑郁感”,另一个是杏仁核,那里的变化可以“预测她的症状何时最严重”。虽然深层大脑刺激通常是连续进行的,但莎拉的设备在识别出她与抑郁症相关的大脑活动模式时仅提供六秒的脉冲。多尔蒂博士说,我们的目标是刺激会扰乱或改变神经活动,从而产生更健康的模式,从而缓解抑郁症状。莎拉继续服用精神药物,这种刺激并没有消除她大脑中引起抑郁的活动。但她说,她可以更好地控制自己的疾病,而不是无法做出哪怕是最小的决定,比如吃什么。现在,“你正在经历整个消极、抑郁的情绪,无论触发因素是什么,然后你的超理性的一面突然出现,这些情绪就可以被分开,”她在接受采访时说道。 - 衬衫上写着“别着急,挤柠檬汁。”这种分离有助于她有效地使用谈话疗法中的工具,例如保持冷静和保持观点。大约 30% 的抑郁症患者对标准治疗没有反应或发现副作用无法忍受。深部脑刺激并不适合所有人,因为它需要花费数万美元,并且植入该设备的脑部手术会带来感染等风险。但专家表示,如果新的尝试奏效,可能会帮助很多人。张博士说,这项研究还可能导致非侵入性方法的出现,从而帮助更多的人。纽约市伊坎医学院高级回路治疗中心主任海伦·梅伯格博士说:“我们现在的工作实际上是弄清楚什么可以确定谁需要这种干预。”近 20 年前,人们提出了深部脑刺激治疗抑郁症的概念。梅伯格博士使用了一种不同的个体化方法。通过成像,她找到了每个人大脑中四个白质束在与抑郁症相关的关键区域附近相交的位置。植入电极和刺激装置后,“我们几乎设置好后就忘记了”,持续提供刺激,同时也帮助患者进行常规治疗。梅伯格博士说,监测神经活动“是为了了解预示抑郁症即将复发或需要调整剂量的大脑信号,或者只是表明该人刚刚度过了糟糕的一周”。她领导了一项被暂停的试验,但她的工作也让患者体验到改善,如果持续刺激,这种改善会持续多年。在另一种方法中,贝勒医学院神经外科副教授 Sameer Sheth 博士和同事研究了患者的特定大脑活动模式,以确定数十亿种刺激特征(例如频率和幅度)组合中的哪一种可以改善患者的抑郁症。然后,他调整两个区域的电极,并将该特定组合应用为连续刺激。 Sheth 博士表示,第一位患者在 2020 年 3 月接受了该设备,现在“状况非常好”,维持了恋爱关系并成为了父亲。为了测试安慰剂效应,研究人员在患者不知道何时的情况下逐渐停止对某一大脑区域的刺激。谢思博士说,他的抑郁症“变得越来越严重”,直到他需要“救援”。刺激重新开始后,他的情况有所改善,这表明这种效果“肯定与刺激有关”。几个月前,莎拉也需要救援。莎拉说,在她进入研究阶段后不久,在参与者不知道的情况下,设备要么关闭,要么打开六周,“自杀念头又回来了”。她的家人试图让她住院,但医院已经人满为患。 “事情真的很糟糕,”莎拉说。 “她的抑郁症确实严重恶化了,”斯坎戈斯博士说。她说她无法透露刺激是关闭还是开启,但表示一名设备公司技术人员被派往莎拉的家中“进行救援改变”。莎拉说,后来她又进步了。斯坎戈斯博士说,一年来,莎拉的设备每天检测到与抑郁症相关的大脑活动并提供刺激的次数有所减少,但仍然很大。不过,有时 Sarah 并不需要设备设置的最大数量:每天 300 次或总共 30 分钟。 (它会在下午 6 点左右自动停止,因为晚上的刺激使她过于警觉而无法入睡。)研究人员表示,有关莎拉的更长期、更详细的数据将在稍后公布,目前他们还有另外两名参与者。该设备经过有意调整,使莎拉无法感受到刺激,但她相信自己知道这种情况发生了,因为她随后产生了一种“情感距离”感,使负面情绪“区分开”,她说。此外,“我感到警觉,”她说。 “我感觉自己在场。”多尔蒂博士说,这是“一个非常好的迹象”,他正在考虑使用类似的方法来治疗抑郁症和可能的成瘾症。 “情绪仍然存在,但不再像泥土一样粘在一起,而是像水一样流走。”为了帮助研究人员将大脑活动与情绪状态联系起来,莎拉每天两次或三次将一个甜甜圈形状的磁铁放在头上,触发该设备以保存接下来 90 秒的神经活动,然后她完成了一项心理健康调查。斯坎戈斯博士说,她被鼓励选择“心情非常好或心情不好的时候”。此外,每天两次,12 分钟的神经数据会自动转发给设备公司和研究人员。专家说,一个问题是,莎拉的研究结果是否支持这样一种理论,即每当抑郁症开始时短暂刺激就会起作用,因为它可以让大脑不习惯这种治疗。或者,谢思博士问道,一年后莎拉每天需要多次服用药物,这是否表明持续刺激会同样有效或更有效?另一个问题是,这种疗法是否可以在很少或没有持续刺激的情况下促使大脑发生持久的变化,从而最终避免抑郁症。研究人员中的一些人为设备公司提供咨询或拥有与深部脑刺激相关的专利,他们预计需要数年时间才能了解个性化方法是否足够有效并获得批准。研究人员表示,不同的方法可能对不同人的抑郁症有效,而个性化的刺激最终可能有助于其他精神疾病。对于莎拉来说,最基本的事情已经得到了改善,她说她已经开始“重新学习我的生活”,并且“我用来分散自己自杀念头的爱好突然又变得令人愉快。”莎拉是一位充满热情的厨师和美食家,当她情绪低落时,她的反应速度很慢,功能也很困难,以至于她会在厨房里割伤或烧伤自己,医生告诉她做饭不再安全了。食物没什么味道。但收到设备后,她在医院食堂吃了越南河粉,很高兴能尝到“亮度和草药”,她说。从医院开车回家的路上,她看到了沼泽地,惊叹道:“天哪,颜色的区分真漂亮。”她说,现在她“看到了世界上美丽的事物,而当我陷入抑郁的深渊时,我看到的只是丑陋的东西。”
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To identify the specific brain activity pattern linked to Sarahs depression, researchers conducted an intensive 10-day exploration of Sarahs brain, placing multiple electrodes in it and asking about her feelings when they applied stimulation to different locations in varying doses. One persons depression might look very different from another persons depression, said Dr. Katherine Scangos, a researcher on a new study using deep brain stimulation as a personalized treatment. Sarah remembers an aha moment when she felt like the Pillsbury Doughboy, emitting a giant belly laugh, which she said was the first time I spontaneously laughed and smiled in five years. Another feeling resembled being in front of a warm fire and reading a comforting book, while a negative sensation felt like nails on a chalkboard. ADVERTISEMENT Eventually, the team identified a specific pattern of electrical activity that coincided with Sarah becoming depressed. The exploratory phase guided the researchers to place the stimulation device in Sarahs right brain hemisphere linked to electrodes in two regions. One was the ventral striatum, involved in emotion, motivation and reward, where stimulation consistently eliminated her feelings of depression, and the other the amygdala, where changes could predict when her symptoms were most severe, Dr. Scangos said. While deep brain stimulation is typically delivered continuously, Sarahs device is set to supply only a six-second burst when it recognizes her depression-linked brain activity pattern. The goal, said Dr. Dougherty, is that stimulation will disrupt or shift the neural activity to produce a healthier pattern that will ease depressive symptoms. ADVERTISEMENT Sarah has continued taking psychiatric medications, and the stimulation hasnt eliminated depression-causing activity in her brain. But she can manage her illness much better, she said, instead of being unable to make even the smallest decisions, like what to eat. Now, youre experiencing that whole negative, depressive, whatever the triggering thing is, and then its like suddenly the ultra-rational side of you comes on and those emotions can be separated, she said in an interview, wearing a T-shirt that said Take it easy lemon squeezy. That separation helps her productively use tools from talk therapy, like staying calm and maintaining perspective. About 30 percent of people with depression dont respond to standard treatments or find the side effects intolerable. Deep brain stimulation wouldnt be appropriate for all because it costs tens of thousands of dollars and brain surgery to implant the device carries risks like infection. But if the new attempts work, it might help a significant number, experts said. Dr. Chang said the research may also lead to noninvasive approaches that would help more people. ADVERTISEMENT Our job now is really to figure out what is it that identifies who needs this kind of intervention, said Dr. Helen Mayberg, director of the Center for Advanced Circuit Therapeutics at the Icahn School of Medicine in New York City, who pioneered the concept of deep brain stimulation for depression nearly 20 years ago. Dr. Mayberg uses a different method of individualization. With imaging, she finds the location in each persons brain where four white matter bundles intersect near a key depression-related region. After implanting electrodes and a stimulation device, we pretty much set it and forget it, delivering stimulation continuously, while also helping patients with conventional therapy. Neural activity is monitored to learn the brain signature that heralds an impending depressive relapse or need for a dose adjustment or just indicates that the person is just having a bad week, Dr. Mayberg said. She led one of the halted trials, but her work has also allowed patients to experience improvements that continue for years if stimulation is sustained. ADVERTISEMENT In another approach, Dr. Sameer Sheth, an associate professor of neurosurgery at Baylor College of Medicine, and colleagues study a patients specific brain activity pattern to identify which of billions of combinations of stimulation characteristics, like frequency and amplitude, improve that patients depression. He then tunes electrodes in two regions and applies that specific combination as continuous stimulation. Dr. Sheth said the first patient, given the device in March 2020, is remarkably well now, maintaining a relationship and becoming a father. To test for a placebo effect, researchers gradually stopped stimulation to one brain region without the patient knowing when. His depression got worse and worse said Dr. Sheth, until he needed rescue. After stimulation restarted, he improved, suggesting the effect is definitely stimulation-related. Several months ago, Sarah needed a rescue too. Shortly after she entered a study phase where the device is either turned off or left on for six weeks without the participant knowing which, the suicidal thoughts were back, Sarah said. Her family tried to get her hospitalized, but the hospitals were full. Things were really bad, Sarah said. ADVERTISEMENT She did have a very severe worsening of her depression, said Dr. Scangos. She said she couldnt disclose whether stimulation had been off or on, but said a device company technician was sent to Sarahs home to make a rescue change. Afterward, Sarah said, she improved again. Over the year, the number of times a day that Sarahs device has detected depression-linked brain activity and delivered stimulation has decreased somewhat, but is still substantial, Dr. Scangos said. Still, some days Sarah doesnt need the maximum amount the device is set to provide: 300 times or 30 total minutes daily. (It automatically stops around 6 p.m. because evening stimulation made her too alert to sleep.) Longer-term and more detailed data on Sarah will be published later, said the researchers, who have two other participants so far. The device is intentionally tuned so Sarah cannot feel the stimulation, but she believes she knows that its occurred because she subsequently develops a sense of emotional distance that keeps negative feelings compartmentalized, she said. ADVERTISEMENT Also, I feel alert, she said. I feel present. Thats a really good sign, said Dr. Dougherty, who is considering using a similar approach for depression and possibly addiction. The emotions are still there, but instead of sticking like mud, its running off like water. To help researchers correlate brain activity with emotional states, two or three times a day, Sarah holds a doughnut-shaped magnet to her head, triggering the device to save the next 90 seconds of neural activity, and she completes a mental health survey. Shes been encouraged to pick moments when shes in a very good mood or a bad mood, Dr. Scangos said. Also, twice daily, 12 minutes of neural data are automatically relayed to the device company and researchers. One question, experts said, is whether Sarahs results support the theory that stimulating briefly whenever depression begins works because it keeps the brain from becoming accustomed to the treatment. Or, Dr. Sheth asked, does Sarahs need for many daily doses after a year suggest continuous stimulation would be as or more effective? ADVERTISEMENT Another question is whether the therapy can prompt lasting brain changes to eventually avert depression with little or no continuing stimulation. Researchers, several of whom consult for device companies or have patents related to deep brain stimulation, expect it will take years to learn if individualized approaches are effective enough to be approved. Different methods might work for different peoples depression, and individualized stimulation might eventually help other psychiatric disorders, researcher say. The most elemental things have improved for Sarah, who said shes started to relearn my life and that hobbies I used to distract myself from suicidal thoughts suddenly became pleasurable again. When depressed, Sarah, a passionate cook and foodie, had such slow reflexes and trouble functioning that shed cut or burn herself in the kitchen and doctors told her it wasnt safe to cook anymore. Foods had little flavor. But after receiving the device, she ate Vietnamese pho in the hospital cafeteria and was thrilled she could taste the brightness and the herbs, she said. While being driven home from the hospital, she saw the marshes and exclaimed: God, the color differentiation is gorgeous. Now, she said, shes seeing things that are beautiful in the world, and when I was in the depths of depression, all I saw was what was ugly.
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Doctors will end up the same position in awhile. Maybe not the next decade but probably over the next century. They already have trained ai to identify different diseases with incredible accuracy. And honestly considering how shitty most of the doctors I've had were I would be okay with some ai assistance.
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医生很快就会处于同样的位置。也许不是下一个十年,但可能是下个世纪。他们已经训练人工智能以令人难以置信的准确度识别不同的疾病。老实说,考虑到我所见过的大多数医生有多糟糕,我会接受一些人工智能的帮助。
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Doctors will end up the same position in awhile. Maybe not the next decade but probably over the next century. They already have trained ai to identify different diseases with incredible accuracy. And honestly considering how shitty most of the doctors I've had were I would be okay with some ai assistance.
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I think most recently with the doctor sweetchat robot. When the robot was talking and Scotty was dying laughing and screamed “we can’t understand what you’re saying!”
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我想最近是与医生 Sweetchat 机器人。当机器人说话时,斯科蒂笑得要死,尖叫道:“我们听不懂你在说什么!”
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I think most recently with the doctor sweetchat robot. When the robot was talking and Scotty was dying laughing and screamed we cant understand what youre saying!
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I would agree that for some college is not a good financial investment, in fact, this [link](https://apple.news/AJHrlM3z2QIi2ZQOHZDmH3w) article I read today seems to support the conclusion that it can be a bad investment for many!
That said, what you have stated hasn’t changed my view. The way I see it is in terms of opportunity cost. It seems unjust to ask tax payers to foot the large bill for students who are not suited or motived to learn purely because they are in need of money and have the free opportunity. The public could invest that money in more research, more materials for those who are committed to learn. They could invest that money in paying primary teachers a higher salary! In terms of personal experience since that is what your arguments are based on, I paid for the majority of my college expenses but come from a family that wouldn’t qualify for financial aid. Despite being a student who wants to learn, I would have to pay (go into debt) while taxpayers could theoretically support students who aren’t really committed to learning but since it’s free, why not.
So naturally we should consider a merit system, right? If the process became more competitive due to higher demand as many people have said here, that would only prohibit more people from getting access to education (assuming constant supply given the new disincentive to open new colleges and an increasing population). Then wouldn’t we would have even more injustice as primary education and consequently family wealth would play a far more powerful role in the ability to qualify to go to college through more rigorous applications? Perhaps your 2.25 wouldn’t get you into any college.
The whole point of my post is that I believe learning outside the classroom deserves more attention and financial support. And I don’t think you should have to depend on corporations to pay for that. If you want to learn and have the independence and intelligence to do it yourself, it should be free, accessible, promoted. At very least, it would be less of a public burden than free college for everyone.
Maybe you got lucky with your choice of college but I definitely don’t have any sort of lifetime subscription to those services.
If you could, please support with sources or further explain what you said about how needing to continue to learn is so adamantly false. I want my doctor to know the latest medical breakthrough. I want the freelance coder to be able to learn about the newest innovations. I want the writers to be able to access the latest materials. The environmentalists to know what’s happening to the environment right now. The voters to be critically and academically informed. They shouldn’t have to pay for those services. And if you can’t trust news, at least we should be able to depend on and access academics. I do not understand your argument, but I want to!
To address your capstone, I actually took a machine learning class a couple years ago as part of my major. I found it incredibly interesting and cutting edge. It would be awesome if I could freely and easily access quality, reputable, peer reviewed material to see how that rapidly evolving field has changed since then. Perhaps it would make it easier to contribute to making what you predict a reality, though I do not necessarily like the idea of a society functioning on a skeleton of comprehension.
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我同意,对于某些大学来说,这不是一项好的财务投资,事实上,我今天读到的这篇[链接](https://apple.news/AJHrlM3z2QIi2ZQOHZDmH3w)文章似乎支持这样的结论:对于许多人来说,这可能是一项糟糕的投资!也就是说,你所说的并没有改变我的观点。我的看法是从机会成本的角度来看。要求纳税人为那些不适合或没有动力学习的学生支付巨额费用,纯粹是因为他们需要钱和有免费的机会,这似乎是不公平的。公众可以将这笔钱投入到更多的研究中,为那些致力于学习的人提供更多的材料。他们可以用这笔钱来支付小学教师更高的工资!就个人经历而言,因为这是你的论点的基础,我支付了大部分大学费用,但来自一个没有资格获得经济援助的家庭。尽管我是一个想要学习的学生,但我必须付费(负债),而纳税人理论上可以支持那些并不真正致力于学习的学生,但既然它是免费的,为什么不呢?那么我们自然应该考虑绩效制度,对吗?如果正如许多人在这里所说的那样,由于需求增加,该过程变得更具竞争性,这只会阻止更多的人接受教育(假设由于开设新大学的新抑制因素和人口不断增加,供应持续存在)。那么,作为初等教育,我们是否会面临更多的不公正,因此家庭财富将在通过更严格的申请获得大学资格方面发挥更强大的作用?也许你的 2.25 无法让你进入任何大学。我这篇文章的重点是,我相信课堂外的学习值得更多的关注和财政支持。我认为你不应该依赖公司来支付费用。如果你想学习并拥有独立性和智慧来自己学习,那么它应该是免费的、可访问的、可推广的。至少,与每个人免费上大学相比,这不会成为公共负担。也许你很幸运选择了大学,但我绝对没有任何形式的终身订阅这些服务。如果可以的话,请提供消息来源支持或进一步解释您所说的“需要继续学习”是多么错误的说法。我想让我的医生了解最新的医学突破。我希望自由编码员能够了解最新的创新。我希望作家能够获得最新的材料。环保主义者知道现在环境发生了什么。选民要获得批判性和学术性的信息。他们不应该为这些服务付费。如果你不能相信新闻,至少我们应该能够依赖和接触学术界。我不明白你的论点,但我想!为了解决你的问题,几年前我参加了机器学习课程,作为我专业的一部分。我发现它非常有趣且前沿。如果我能够自由、轻松地访问高质量、有信誉的、同行评审的材料,看看这个快速发展的领域自那时以来发生了怎样的变化,那就太棒了。也许这会让你更容易为使你的预测成为现实做出贡献,尽管我不一定喜欢社会在理解框架上运作的想法。
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I would agree that for some college is not a good financial investment, in fact, this link(https:apple.newsAJHrlM3z2QIi2ZQOHZDmH3w) article I read today seems to support the conclusion that it can be a bad investment for many! That said, what you have stated hasnt changed my view. The way I see it is in terms of opportunity cost. It seems unjust to ask tax payers to foot the large bill for students who are not suited or motived to learn purely because they are in need of money and have the free opportunity. The public could invest that money in more research, more materials for those who are committed to learn. They could invest that money in paying primary teachers a higher salary! In terms of personal experience since that is what your arguments are based on, I paid for the majority of my college expenses but come from a family that wouldnt qualify for financial aid. Despite being a student who wants to learn, I would have to pay (go into debt) while taxpayers could theoretically support students who arent really committed to learning but since its free, why not. So naturally we should consider a merit system, right? If the process became more competitive due to higher demand as many people have said here, that would only prohibit more people from getting access to education (assuming constant supply given the new disincentive to open new colleges and an increasing population). Then wouldnt we would have even more injustice as primary education and consequently family wealth would play a far more powerful role in the ability to qualify to go to college through more rigorous applications? Perhaps your 2.25 wouldnt get you into any college. The whole point of my post is that I believe learning outside the classroom deserves more attention and financial support. And I dont think you should have to depend on corporations to pay for that. If you want to learn and have the independence and intelligence to do it yourself, it should be free, accessible, promoted. At very least, it would be less of a public burden than free college for everyone. Maybe you got lucky with your choice of college but I definitely dont have any sort of lifetime subscription to those services. If you could, please support with sources or further explain what you said about how needing to continue to learn is so adamantly false. I want my doctor to know the latest medical breakthrough. I want the freelance coder to be able to learn about the newest innovations. I want the writers to be able to access the latest materials. The environmentalists to know whats happening to the environment right now. The voters to be critically and academically informed. They shouldnt have to pay for those services. And if you cant trust news, at least we should be able to depend on and access academics. I do not understand your argument, but I want to! To address your capstone, I actually took a machine learning class a couple years ago as part of my major. I found it incredibly interesting and cutting edge. It would be awesome if I could freely and easily access quality, reputable, peer reviewed material to see how that rapidly evolving field has changed since then. Perhaps it would make it easier to contribute to making what you predict a reality, though I do not necessarily like the idea of a society functioning on a skeleton of comprehension.
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hpkvbvu
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Over Thanksgiving my entire family got COVID. My parents had to be hospitalized and my aunt is still having a hard time breathing after nearly a month. The kids are all fine, of course. Of the adults, only two of us didn't get absolutely rekt by the virus: Me, a healthy twenty-something asthmatic and a 90-year-old frail woman with immune system problems and a colostomy bag.
Guess who was vaccinated? I had a sore throat and a mild cough for a week and some minor tingling in my hands. The old woman didn't even feel it.
My parents are still complaining about being exhausted and how horrible COVID is. I haven't done the I-told-you-so thing or anything because I didn't want them to die with me rubbing it in...but recently I finally said in exasperation, "Yes, I *know* it's horrible! I have a degree in this stuff, I work with doctors who are actual experts and I spend time learning about it on my own! I've been telling you it's horrible for two years and that you'd be hit hard by it if you weren't vaccinated! You refused and said I was being silly, do you have any idea how much it sucks to do everything you can to help your parents avoid an obvious serious risk to their lives, and they trust talk show hosts more than their own son who is actually qualified to have an opinion?"
This entire pandemic has been extremely frustrating. Anybody who actually understands what's going on is ignored, because everybody either thinks it's no big deal or that it's an enormous risk to literally anybody who gets the virus. It's so, so frustrating. I think I have an idea about how somebody working in environmental science must feel--seeing everything falling apart because people are ignorant, short-sighted, and confidently wrong in ways that even a modest search would reveal is incorrect.
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感恩节期间,我全家都感染了新冠病毒。我的父母不得不住院,近一个月后我的阿姨仍然呼吸困难。当然,孩子们都很好。在成年人中,只有我们两个人没有完全受到病毒的影响:我,一个二十多岁的健康哮喘患者,和一个免疫系统有问题、带着结肠造口袋的 90 岁虚弱妇女。猜猜谁接种了疫苗?我的喉咙痛和轻微咳嗽持续了一周,手部有轻微刺痛感。老太婆甚至没有感觉到。我的父母仍在抱怨精疲力尽,以及新冠病毒有多么可怕。我没有做我告诉过你的事情或任何事情,因为我不想让他们死在我的摩擦中......但最近我终于愤怒地说,“是的,我*知道*这太可怕了!我有这方面的学位,我和真正的专家医生一起工作,我花时间自己学习!两年来我一直告诉你这太可怕了,如果你你没有接种疫苗!你拒绝了,还说我很傻,你知道竭尽全力帮助你的父母避免生命面临明显的严重风险是多么糟糕吗?他们更信任脱口秀主持人他们自己的儿子,居然有资格发表意见?”整个大流行非常令人沮丧。任何真正了解正在发生的事情的人都会被忽视,因为每个人要么认为这没什么大不了的,要么认为这对任何感染病毒的人来说都是巨大的风险。真是太令人沮丧了。我想我对从事环境科学工作的人的感受有一个想法——看到一切都分崩离析,因为人们无知、短视,并且自信地犯了错误,即使是适度的搜索也会发现这是不正确的。
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Over Thanksgiving my entire family got COVID. My parents had to be hospitalized and my aunt is still having a hard time breathing after nearly a month. The kids are all fine, of course. Of the adults, only two of us didn't get absolutely rekt by the virus: Me, a healthy twenty-something asthmatic and a 90-year-old frail woman with immune system problems and a colostomy bag. Guess who was vaccinated? I had a sore throat and a mild cough for a week and some minor tingling in my hands. The old woman didn't even feel it. My parents are still complaining about being exhausted and how horrible COVID is. I haven't done the I-told-you-so thing or anything because I didn't want them to die with me rubbing it in...but recently I finally said in exasperation, "Yes, I know it's horrible! I have a degree in this stuff, I work with doctors who are actual experts and I spend time learning about it on my own! I've been telling you it's horrible for two years and that you'd be hit hard by it if you weren't vaccinated! You refused and said I was being silly, do you have any idea how much it sucks to do everything you can to help your parents avoid an obvious serious risk to their lives, and they trust talk show hosts more than their own son who is actually qualified to have an opinion?" This entire pandemic has been extremely frustrating. Anybody who actually understands what's going on is ignored, because everybody either thinks it's no big deal or that it's an enormous risk to literally anybody who gets the virus. It's so, so frustrating. I think I have an idea about how somebody working in environmental science must feel--seeing everything falling apart because people are ignorant, short-sighted, and confidently wrong in ways that even a modest search would reveal is incorrect.
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First one would have to Define what civilization is to them. I think personally that people are more forced into things from an early age because of their parents or family members not wanting others to think less of them as parents if they have a child that isn't as successful as the next person's child. Times and people have changed so much since I was young. A lot of our parents allowed us to be in the decision of furthering education to become some sort of profession. I honestly have more admiration for the people that still become successful at what most people would seem to be a mediocre job. The kind of people that work their asses off but still make something out of themselves by paying attention to different influences of people around them and and not just sitting in a classroom every single . just say a mechanic that has now opened their fifth shop around the state they live in and never once stepped into a higher education for mechanics other than what they learned from their fathers, grandfather's, Neighbors, or High School shop class. They learned off their own experiences and paying attention to someone they admire for how much they know about vehicles and the mechanics of them. I'm not saying this because of Any education personally because I did want to further my education and my parents were encouraging of it. But it doesn't matter how successful I am or how much money I make I find people are more robotic than civilized and that maybe they should be taught more about the mediocre jobs that most people look down on because the world was built by non-professionals or as a lot of people call them the little man. I love that personally I'm an individual that beats to my own drum and that I encouraged and expected my girls to get good grades but I also was there biggest cheerleader no matter what they decided to do as far as Higher Learning After High School. They both chose College and both have rewarding careers. But not long ago we actually sat down and one of them thanked me for raising them the way that I did. I was very strict but I never missed any activity they were involved in. I worked but did have the pleasure of only three 12-hour days a week which opened up for more family time than most. But all of that happened because of the choice I made for myself and not what others made for me. I've I've had many people throughout my life that have told me about their admiration for me because I was doing it all on my own but I never complained. And they admire me for being more encouraging for the younger generation to do what they feel is best for themselves and to not judge them whether they went to a higher education or not. I know doctors who have went to all those years of school only to lose everything in one bad decision and have either ended up homeless or they have ended their own lives. So I personally wish that there would be people like me who encourage individualism than being a robot or what people call more civilized. And I don't know if anyone else understands this or agrees with it or not but I believe that everyone is entitled to their own opinions about Society, civilization, finding things out the hard way and on their own or they're own definitions of civilized living means.
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首先必须定义文明对他们来说意味着什么。我个人认为,人们从很小的时候就更被迫去做一些事情,因为他们的父母或家庭成员不希望别人在他们的孩子不如下一个人的孩子那么成功的情况下,轻视他们作为父母。自从我年轻以来,时代和人们都发生了很大的变化。我们的很多父母都允许我们决定继续教育,成为某种职业。老实说,我更钦佩那些在大多数人看来平庸的工作中仍然取得成功的人。这类人拼尽全力工作,但仍然通过关注周围人的不同影响而不是仅仅坐在教室里来创造自己的成就。就说一个机械师,现在在他们居住的州开设了第五家商店,除了从父亲、祖父、邻居或高中车间课程中学到的知识之外,从未接受过机械师的高等教育。他们学习自己的经验,并关注他们钦佩的人对车辆及其机械知识的了解程度。我这么说并不是因为我个人接受过任何教育,因为我确实想继续深造,而且我的父母也对此表示鼓励。但无论我多么成功,或者我赚了多少钱,我发现人们更像是机器人而不是文明人,也许他们应该更多地了解大多数人瞧不起的平庸工作,因为世界是由非人建立的。专业人士,或者很多人称他们为“小人物”。我个人喜欢我是一个按自己的节奏行事的人,我鼓励并期望我的女儿们取得好成绩,但无论她们决定高中毕业后做什么,我也是最大的啦啦队长。他们都选择了大学,并且都有着有价值的职业。但不久前,我们真正坐下来,其中一位感谢我以我的方式抚养他们。我非常严格,但我从来没有错过他们参与的任何活动。我工作,但确实每周只有三天 12 小时的工作时间,这比大多数人有更多的家庭时间。但这一切的发生都是因为我为自己做出的选择,而不是别人为我做出的选择。在我的一生中,有很多人告诉我他们对我的钦佩,因为这一切都是我自己做的,但我从不抱怨。他们钦佩我更加鼓励年轻一代去做他们认为对自己最有利的事情,而不是评判他们是否接受过高等教育。我认识一些医生,他们上学这么多年,却因为一个错误的决定而失去了一切,要么无家可归,要么结束了自己的生命。所以我个人希望有像我这样的人鼓励个人主义,而不是成为一个机器人或人们所说的更文明的人。我不知道是否还有其他人理解这一点或同意这一点,但我相信每个人都有权对社会、文明有自己的看法,通过自己的艰难方式找到问题,或者他们自己的定义文明生活的手段。
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First one would have to Define what civilization is to them. I think personally that people are more forced into things from an early age because of their parents or family members not wanting others to think less of them as parents if they have a child that isn't as successful as the next person's child. Times and people have changed so much since I was young. A lot of our parents allowed us to be in the decision of furthering education to become some sort of profession. I honestly have more admiration for the people that still become successful at what most people would seem to be a mediocre job. The kind of people that work their asses off but still make something out of themselves by paying attention to different influences of people around them and and not just sitting in a classroom every single . just say a mechanic that has now opened their fifth shop around the state they live in and never once stepped into a higher education for mechanics other than what they learned from their fathers, grandfather's, Neighbors, or High School shop class. They learned off their own experiences and paying attention to someone they admire for how much they know about vehicles and the mechanics of them. I'm not saying this because of Any education personally because I did want to further my education and my parents were encouraging of it. But it doesn't matter how successful I am or how much money I make I find people are more robotic than civilized and that maybe they should be taught more about the mediocre jobs that most people look down on because the world was built by non-professionals or as a lot of people call them the little man. I love that personally I'm an individual that beats to my own drum and that I encouraged and expected my girls to get good grades but I also was there biggest cheerleader no matter what they decided to do as far as Higher Learning After High School. They both chose College and both have rewarding careers. But not long ago we actually sat down and one of them thanked me for raising them the way that I did. I was very strict but I never missed any activity they were involved in. I worked but did have the pleasure of only three 12-hour days a week which opened up for more family time than most. But all of that happened because of the choice I made for myself and not what others made for me. I've I've had many people throughout my life that have told me about their admiration for me because I was doing it all on my own but I never complained. And they admire me for being more encouraging for the younger generation to do what they feel is best for themselves and to not judge them whether they went to a higher education or not. I know doctors who have went to all those years of school only to lose everything in one bad decision and have either ended up homeless or they have ended their own lives. So I personally wish that there would be people like me who encourage individualism than being a robot or what people call more civilized. And I don't know if anyone else understands this or agrees with it or not but I believe that everyone is entitled to their own opinions about Society, civilization, finding things out the hard way and on their own or they're own definitions of civilized living means.
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>Pleasantly surprised by the prices and a gleaming white robot distributing free caffe lattes, on a whim, I signed up to one of the deals there and then. For around £170, I could have a battery of blood tests and a 45-minute face-to-face consultation with a family doctor; more time than I’ve had with an NHS GP in the past five years. I paid by contactless and was whisked away by a nurse. Minutes later, I was back outside in the scorching sun, minus three phials of my blood, last seen being barcoded and dropped down a chute.
How lovely for those people who can just splurge £170 on a blood test and a chat with the GP. Oh and a latte of course.
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>对价格和一个闪闪发光的白色机器人分发免费拿铁咖啡感到惊喜,一时兴起,我当场签署了其中一项交易。花费大约 170 英镑,我可以进行一系列血液检查,并与家庭医生进行 45 分钟的面对面咨询;比我过去五年看 NHS 全科医生的时间还要多。我通过非接触式付款,然后被护士带走了。几分钟后,我在烈日下回到了外面,身上少了三瓶血液,最后一次看到时,我的血液被贴上了条形码,并被扔进了一个斜槽。对于那些可以花 170 英镑进行验血和与全科医生交谈的人来说,这真是太可爱了。哦,当然还有拿铁咖啡。
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gt;Pleasantly surprised by the prices and a gleaming white robot distributing free caffe lattes, on a whim, I signed up to one of the deals there and then. For around 170, I could have a battery of blood tests and a 45-minute face-to-face consultation with a family doctor; more time than Ive had with an NHS GP in the past five years. I paid by contactless and was whisked away by a nurse. Minutes later, I was back outside in the scorching sun, minus three phials of my blood, last seen being barcoded and dropped down a chute. How lovely for those people who can just splurge 170 on a blood test and a chat with the GP. Oh and a latte of course.
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