Unnamed: 0
int64 0
648
| id
stringlengths 7
7
| post
stringlengths 20
10k
| translation
stringlengths 11
6.54k
| label
int64 0
1
| cleaned_text
stringlengths 20
9.86k
| is_nltk_en
bool 1
class |
|---|---|---|---|---|---|---|
0
|
hcigq19
|
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.
|
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。
| 0
|
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.
| true
|
1
|
fs7g890
|
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"
|
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”
| 0
|
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"
| true
|
2
|
jjwzoao
|
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.
|
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。
| 0
|
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.
| true
|
3
|
egow8g8
|
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.
|
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。
| 0
|
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.
| true
|
4
|
ib8t2lc
|
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...
|
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......
| 0
|
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...
| true
|
5
|
fybxp8b
|
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.
|
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。
| 0
|
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.
| true
|
6
|
gg9d9cn
|
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.
|
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。
| 0
|
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.
| true
|
7
|
g9gc2rd
|
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.
|
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。
| 0
|
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.
| true
|
8
|
e0d3p60
|
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.
|
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。
| 0
|
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.
| true
|
9
|
gk3qfj8
|
# 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)
|
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)
| 0
|
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)
| true
|
10
|
fr9i0h9
|
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.
|
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。
| 0
|
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.
| true
|
11
|
eoayo7g
|
If the AI is better than the doctors, then how was the training and test data labelled accurately?
|
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？
| 1
|
If the AI is better than the doctors, then how was the training and test data labelled accurately?
| true
|
12
|
jjgky48
|
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.
|
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。
| 0
|
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.
| true
|
13
|
dg8kihu
|
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.
|
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。
| 0
|
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.
| true
|
14
|
dy128bk
|
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!
|
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！
| 0
|
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!
| true
|
15
|
h8slsxf
|
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.
|
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）。
| 1
|
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.
| true
|
16
|
do926n3
|
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.
|
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。
| 0
|
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.
| true
|
17
|
hrqftr9
|
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.
|
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。
| 0
|
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.
| true
|
18
|
hfo8yeb
|
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.”
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 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.
ADVERTISEMENT
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.
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 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.
ADVERTISEMENT
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.
ADVERTISEMENT
“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.
ADVERTISEMENT
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?
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 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.”
|
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。”
| 0
|
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.
| true
|
19
|
it8iwgb
|
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.
|
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。
| 1
|
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.
| true
|
20
|
id6ps4b
|
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!”
|
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！”
| 1
|
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!
| true
|
21
|
fhykbvm
|
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.
|
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。
| 0
|
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.
| true
|
22
|
hpkvbvu
|
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.
|
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。
| 0
|
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.
| true
|
23
|
jpz1ds6
|
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.
|
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。
| 0
|
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.
| true
|
24
|
jlj3zbc
|
>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.
|
>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。
| 0
|
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.
| true
|
25
|
ia10wd9
|
> How can I be happy with myself?
To get an idea of how bad it is, [here's a simple test](https://screening.mhanational.org/screening-tools/depression) that will test for depression (you get the answer directly and it doesn't take more than 5 minutes to take). Answer how you've felt in the last **TWO weeks** (not one). If you've scored over 10, you should take it more seriously.
[Here's a list of symptoms associated with depression](https://www.webmd.com/depression/guide/detecting-depression#1), so you can double check.
**If you have healthcare insurance**, then go see your doctor and ask for a referral. I'd recommend either a [psychotherapy or CBT](https://www.harleytherapy.co.uk/counselling/psychodynamic-psychotherapy-vs-cbt.htm) psychologist first (for therapy). If that doesn't work after a few months, don't have anything to talk about, or already tried a therapist, then find a psychiatrist (for medication).
**If you don't have healthcare insurance or want more help**, then here's a list of things that will help. Apply as many of them as you can.
Often there is a hidden cause for your depression, you might not like yourself or your life. The below advice addresses the symptoms and will reduce them, but you still need to fix the cause.
Some people don't know why they are depressed. A common reason is a lack of purpose. To live is to suffer, but it is possible to make that suffering bearable, if you do so while trying to achieve what you want more than anything else. **Let me know if you need help to find your purpose in life.**
For the below advice, take your phone and set repeating alarm clock reminders, with labels of what to do. Train yourself to either snooze or reschedule the reminders if you can't take action right away, but never to ignore them. The intention is [to condition yourself](https://www.cleverism.com/classical-conditioning), to build habits, so you will start healing yourself without having to think about it.
* **Sleep**: [There is a complex relationship](https://www.webmd.com/depression/guide/depression-sleep-disorder#1) between [sleep and depression](http://healthysleep.med.harvard.edu/need-sleep/whats-in-it-for-you/mood).
When you have days where you don't have to do anything, set an alarm clock. You really don't need more than 7 hours at most per night (a [little more](https://health.onehowto.com/article/how-many-hours-of-sleep-are-needed-per-night-by-age-8233.html) if you are under 18). If you can't fall sleep, try taking melatonin one hour before going to bed. It's [cheap](https://www.amazon.com/dp/B003JJ9TQA), OTC and [is scientifically proven](https://www.webmd.com/vitamins/ai/ingredientmono-940/melatonin) to help regulate your sleep pattern. [Also, rule](https://www.webmd.com/sleep-disorders/sleep-apnea/news/20120330/sleep-apnea-linked-depression) out [sleep apnea](https://www.healthcentral.com/article/sleep-apnea-treatment-resistant-depression). Up to 6% of people have this, [but not everyone knows](https://www.webmd.com/sleep-disorders/sleep-apnea/features/sleep-apnea-clues). If you find yourself awake at night, start counting. Don't grab your phone, don't do anything interesting. We're trying to *bore* you to sleep, not keep you entertained - sometimes it might *feel* like you've done it for hours and hours, but often it's really not long. Anytime your mind wanders away from the numbers, start over at 1. count at the speed of either your heartbeat or your breathing. Then both Alexa and Google Home can also play a range of sleep sounds if you ask them (rain or other white noise) and there are also free apps for both Android and Apple devices.
* **Go outside**: If you haven't been outside much lately, [you might just need some sunlight](https://www.healthline.com/health/depression/benefits-sunlight).
15 minutes two to three times a week is enough. This will fix serotonin levels as well as vitamin D deficiencies.
* **Meditate**: [Depressions can be significantly reduced by meditating](https://news.harvard.edu/gazette/story/2018/04/harvard-researchers-study-how-mindfulness-may-change-the-brain-in-depressed-patients/). The best types Of [Meditations For Depression Relief](https://www.thedailymeditation.com/meditation-depression).
Your attention is like a muscle. The more you train it, the better the control you have over it. [Mindfulness training](https://www.mindful.org/meditation/mindfulness-getting-started/) will help you gain better control over your mind. It doesn't take much effort, just 15 to 20 minutes a day of doing nothing but focus your attention is enough and is scientifically proven to work. As you become better at focusing your attention, it will become easier to force yourself to stop having negative thoughts, which will break the negative reinforcement cycle. Go here for more: r/Meditation
* **Exercise**: [The effect of exercise on depressions](https://www.mayoclinic.org/diseases-conditions/depression/in-depth/depression-and-exercise/art-20046495/)
If you have access to a gym, then start lifting weights. If you don't have access to a gym (or you don't like lifting), start running. If you can't run, then start walking. Just start small. 10 minutes three times a week is fine. You don't have to run fast, just run and then slowly build it up over time. Exercising does several things: It releases endorphins, it takes your mind of your negative thoughts and it will improve your overall health.
* **Give lots of hugs**: [Hugs release oxytocin](https://health.usnews.com/health-news/health-wellness/articles/2016-02-03/the-health-benefits-of-hugging), which improves your mood and relaxes you. So find people to hug. If you are single, hug your parents or friends. If you can't, see if a dog is an option. Most dogs love to hug. Another solution that provides the same benefit is a [weighted blanket](https://www.amazon.com/s?k=weighted+blanket) will provide a [similar positive effect at night](https://www.healthline.com/health/anxiety/do-weighted-blankets-work). [You should try to aim for 12 hugs a day](https://psychology-spot.com/brain-needs) (if you currently don't hug a lot, I suggest you slowly build it up over time).
* **Music**: [The right music can improve your mood](https://time.com/5254381/listening-to-music-health-benefits). The genre is not important as long as it is: *"Upbeat, rhytmic and energetic"*. What this means differs from person to person, depending on their music taste. I have a special playlist for this. One way to measure the effectiveness, of the songs is your ability to listen to it over and over (if you can listen to it hundreds of times it likely has the highest positive effect on your mood). The effect can be amplified by using headphones and playing it LOUD and can further be enhanced by closing your eyes (doi:10.1177/0305735617734627, doi:10.1093/jmt/50.3.198 and doi:10.1177/0305735617751050).
* **You are not your depression**: For some people (often those that have been depressed for a long time), their depression has become a part of who they are and they assume a victim role. But that is a big problem, you have to *will* yourself into someone that sees themselves as a person that is actively fighting their disease, that *no longer identifies* with it, or else you will *unconsciously obstruct your own healing process*. As Eckhart Tolle expressed it in A New Earth:
* > *A very common role is the one of victim, and the form of attention it seeks is sympathy or pity or others' interest in my problems, "me and my story." Seeing oneself as a victim is an element in many egoic patterns, such as complaining, being offended, outraged, and so on. Of course, once I am identified with a story in which I assigned myself the role of victim, I don't want it to end, and so, as every therapist knows, the ego does not want an end to its "problems" because they are part of its identity.*
* **Jordan Peterson**: [How To Deal With Depression](https://www.youtube.com/watch?v=Xm_2zmX6Akc) (50 minutes). Jordan Peterson is a clinical psychologist, that's specialized in mythology. This is a compilation focusing specifically on depression.
* **Practice gratitude**: Take 5 minutes every day [to practice gratitude.](https://www.pasadenavilla.com/2020/11/18/gratitude-and-depression)
* **Volunteer**: Study after study shows that helping others without expecting anything in return [will lessen depression and has other health benefits](https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/helping-people-changing-lives-the-6-health-benefits-of-volunteering). Let me know if you need some ideas.
**Highest rated books**:
* [Feeling Good: The New Mood Therapy](https://www.amazon.com/Feeling-Good-New-Mood-Therapy/dp/0380731762)
* [It's Not Supposed to Be This Way: Finding Unexpected Strength When Disappointments Leave You Shattered](https://www.amazon.com/Its-Not-Supposed-This-Disappointments/dp/0718039858)
[High quality free training provided by the Australian Health Service](https://www.cci.health.wa.gov.au/Resources/Looking-After-Yourself/Depression)
**Phone Apps**: Two popular free apps used to help fight depressions, are Wysa and [MoodTools](http://www.moodtools.org). These will track your mood, give you advice, even listen to your problems. The most popular meditation app is: Calm - Meditate, Sleep, Relax
Free support:
* r/KindVoice will match you up with a volunteer.
* [7 Cups of Tea](https://www.7cups.com/) has both a free trained volunteer service as well as $150 monthly licensed therapist option
* If you want to talk to a trained Crisis Counselor, text HOME to [741741](https://www.crisistextline.org/texting-in)
There are several subreddits, where you can post questions:
* r/depression
* r/depression_help
* r/depressed
|
>我怎样才能对自己感到满意？为了了解情况有多严重，[这里有一个简单的测试](https://screening.mhanational.org/screening-tools/depression)，它将测试抑郁症（您可以直接得到答案，并且不需要需要5分钟以上）。回答您在过去**两周**（没有一周）的感受。如果你的得分超过10分，你应该更加认真地对待它。 [这里列出了与抑郁症相关的症状](https://www.webmd.com/depression/guide/detecting-depression#1)，因此您可以仔细检查。 **如果您有医疗保险**，请去看您的医生并寻求转诊。我首先推荐[心理治疗或CBT](https://www.harleytherapy.co.uk/coun sell/psychodynamic-psychotherapy-vs-cbt.htm)心理学家（用于治疗）。如果几个月后不起作用，没有什么可谈论的，或者已经尝试过治疗师，那么就找一位精神科医生（药物治疗）。 **如果您没有医疗保险或需要更多帮助**，那么这里列出了一些可以帮助您的事项。尽可能多地应用它们。通常，你的抑郁症有一个隐藏的原因，你可能不喜欢自己或你的生活。以下建议可以解决症状并减轻症状，但您仍然需要解决原因。有些人不知道自己为什么会抑郁。一个常见的原因是缺乏目标。活着就意味着受苦，但如果你在努力实现你最想要的东西的同时，就有可能让这种痛苦变得可以忍受。 **如果您需要帮助找到人生目标，请告诉我。** 对于以下建议，请拿起您的手机并设置重复闹钟提醒，并附上要做什么的标签。如果您不能立即采取行动，训练自己暂停或重新安排提醒，但永远不要忽略它们。目的是[调节自己](https://www.cleverism.com/classical-conditioning)，养成习惯，这样你就会开始治愈自己，而无需考虑它。 * **睡眠**：[睡眠和抑郁](http://healthysleep. med.harvard.edu/need-sleep/whats-in-it-for-you/mood）。当你有不需要做任何事情的日子时，设置一个闹钟。实际上，每晚最多不需要超过 7 个小时（[多一点](https://health.onehowto.com/article/how-many-hours-of-sleep-are-needed-per-night -by-age-8233.html) 如果您未满 18 岁)。如果您无法入睡，请尝试在睡前一小时服用褪黑激素。它[便宜](https://www.amazon.com/dp/B003JJ9TQA)、OTC 和[经过科学证明](https://www.webmd.com/vitamins/ai/ingredientmono-940/melatonin) 可以提供帮助调节你的睡眠模式。 [此外，排除](https://www.webmd.com/sleep-disorders/sleep-apnea/news/20120330/sleep-apnea-linked-depression) [睡眠呼吸暂停](https://www.healthcentral. com/article/sleep-apnea-treatment-pressive-depression）。高达 6% 的人有这种情况，[但不是每个人都知道](https://www.webmd.com/sleep-disorders/sleep-apnea/features/sleep-apnea-clues)。如果您发现自己在晚上醒来，请开始数数。不要拿起手机，不要做任何有趣的事情。我们试图让你“无聊”入睡，而不是让你开心——有时你可能“感觉”好像你已经做了几个小时，但通常并不长。每当您的思绪偏离数字时，请从 1 重新开始。以您的心跳或呼吸速度数数。然后，如果您要求，Alexa 和 Google Home 也可以播放一系列睡眠声音（雨声或其他白噪音），并且还有适用于 Android 和 Apple 设备的免费应用程序。 * **出去走走**：如果您最近很少外出，[您可能只需要一些阳光](https://www.healthline.com/health/depression/benefits-sunlight)。每周 2 至 3 次，每次 15 分钟就足够了。这将修复血清素水平以及维生素 D 缺乏症。 * **冥想**：[通过冥想可以显着减少抑郁](https://news.harvard.edu/gazette/story/2018/04/harvard-researchers-study-how-mindativity-may-change-the -抑郁症患者的大脑/）。 [缓解抑郁的冥想](https://www.thedailymeditation.com/meditation-depression)的最佳类型。你的注意力就像肌肉。你训练得越多，你对它的控制就越好。 [正念训练](https://www.mindful.org/meditation/mindativity-getting-started/)将帮助您更好地控制自己的思想。这并不需要太多的努力，每天只需 15 到 20 分钟什么都不做，集中注意力就足够了，而且经科学证明是有效的。当你变得更善于集中注意力时，就会更容易强迫自己停止消极想法，从而打破消极强化循环。前往此处了解更多信息：r/冥想 * **锻炼**：[锻炼对抑郁症的影响](https://www.mayoclinic.org/diseases-conditions/depression/in-depth/depression-and-exercise/ art-20046495/) 如果您可以去健身房，那么就开始举重。如果您无法去健身房（或者您不喜欢举重），请开始跑步。如果你不能跑，那就开始步行。从小事做起。一周3次每次10分钟就可以了。你不必跑得很快，只要跑，然后随着时间的推移慢慢建立起来。锻炼有多种作用：它会释放内啡肽，消除你的消极想法，并且会改善你的整体健康。 * **多多拥抱**：[拥抱释放催产素](https://health.usnews.com/health-news/health-wellness/articles/2016-02-03/the-health-benefits-of-拥抱），这可以改善你的情绪并放松你。所以找人拥抱。如果你单身，拥抱你的父母或朋友。如果你不能，看看是否可以选择养狗。大多数狗喜欢拥抱。提供相同好处的另一种解决方案是[加权毯子](https://www.amazon.com/s?k=weighted+blanket) 将提供[在夜间类似的积极效果](https://www.healthline .com/health/anxiety/do-weighted-blankets-work）。 [你应该尝试每天拥抱12次](https://psychology-spot.com/brain-needs)（如果你目前拥抱的次数不多，我建议你随着时间的推移慢慢增加）。 * **音乐**：[合适的音乐可以改善你的心情](https://time.com/5254381/listening-to-music-health-benefits)。类型并不重要，重要的是：*“乐观、有节奏且充满活力”*。这意味着什么因人而异，取决于他们的音乐品味。我为此准备了一个特殊的播放列表。衡量歌曲有效性的一种方法是您一遍又一遍地听它的能力（如果您可以听数百次，它可能对您的情绪产生最大的积极影响）。使用耳机并大声播放可以放大效果，闭上眼睛可以进一步增强效果（doi:10.1177/0305735617734627、doi:10.1093/jmt/50.3.198 和 doi:10.1177/0305735617751050）。 * **你不是你的抑郁症**：对于一些人（通常是那些长期抑郁的人）来说，他们的抑郁症已经成为他们的一部分，他们承担了受害者的角色。但这是一个大问题，你必须“意志”自己成为一个将自己视为积极与疾病作斗争的人，“不再认同”疾病，否则你将“无意识地阻碍自己的康复过程” 。正如埃克哈特·托尔在《新地球》中所表达的那样：*> *一个非常常见的角色是受害者，它寻求的关注形式是同情或怜悯或其他人对我的问题的兴趣，“我和我的故事”。将自己视为受害者是许多自我模式的一个要素，例如抱怨、被冒犯、愤怒等等。当然，一旦我认同一个故事，在这个故事中我给自己分配了受害者的角色，我就不希望它结束，因此，正如每个治疗师都知道的那样，自我不希望结束它的“问题”，因为它们是其身份的一部分。* * **乔丹·彼得森**：[如何应对抑郁症](https://www.youtube.com/watch?v=Xm_2zmX6Akc)（50 分钟）。乔丹·彼得森是一位临床心理学家，专门研究神话。这是一本专门针对抑郁症的汇编。 * **练习感恩**：每天花 5 分钟[练习感恩。](https://www.pasadenavilla.com/2020/11/18/gratitude-and-depression) * **志愿者**：学习研究表明，帮助他人而不期望任何回报[将减轻抑郁症并具有其他健康益处]（https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/helping-people-changing-lives-志愿服务的 6 个健康益处）。如果您需要一些想法，请告诉我。 **评分最高的书籍**：* [感觉良好：新情绪疗法](https://www.amazon.com/Feeling-Good-New-Mood-Therapy/dp/0380731762) * [这不应该是这样：当失望让你心碎时找到意想不到的力量](https://www.amazon.com/Its-Not-Supposed-This-Disappointments/dp/0718039858)[澳大利亚卫生服务提供的高质量免费培训]( https://www.cci.health.wa.gov.au/Resources/Looking-After-Yourself/Depression) **电话应用程序**：用于帮助对抗抑郁症的两个流行的免费应用程序是 Wysa 和 [MoodTools]( http://www.moodtools.org）。这些将跟踪您的情绪，为您提供建议，甚至倾听您的问题。最受欢迎的冥想应用程序是：Calm - 冥想、睡眠、放松 免费支持：* r/KindVoice 将为您匹配志愿者。 * [7 Cups of Tea](https://www.7cups.com/) 提供免费的训练有素的志愿者服务以及每月 150 美元的许可治疗师选项 * 如果您想与训练有素的危机顾问交谈，请发短信 HOME 至 [ 741741](https://www.crisistextline.org/texting-in) 有几个 subreddits，您可以在其中发布问题： * r/depression * r/depression_help * r/depressed
| 0
|
gt; How can I be happy with myself? To get an idea of how bad it is, here's a simple test(https:screening.mhanational.orgscreening-toolsdepression) that will test for depression (you get the answer directly and it doesn't take more than 5 minutes to take). Answer how you've felt in the last TWO weeks (not one). If you've scored over 10, you should take it more seriously. Here's a list of symptoms associated with depression(https:www.webmd.comdepressionguidedetecting-depression1), so you can double check. If you have healthcare insurance, then go see your doctor and ask for a referral. I'd recommend either a psychotherapy or CBT(https:www.harleytherapy.co.ukcounsellingpsychodynamic-psychotherapy-vs-cbt.htm) psychologist first (for therapy). If that doesn't work after a few months, don't have anything to talk about, or already tried a therapist, then find a psychiatrist (for medication). If you don't have healthcare insurance or want more help, then here's a list of things that will help. Apply as many of them as you can. Often there is a hidden cause for your depression, you might not like yourself or your life. The below advice addresses the symptoms and will reduce them, but you still need to fix the cause. Some people don't know why they are depressed. A common reason is a lack of purpose. To live is to suffer, but it is possible to make that suffering bearable, if you do so while trying to achieve what you want more than anything else. Let me know if you need help to find your purpose in life. For the below advice, take your phone and set repeating alarm clock reminders, with labels of what to do. Train yourself to either snooze or reschedule the reminders if you can't take action right away, but never to ignore them. The intention is to condition yourself(https:www.cleverism.comclassical-conditioning), to build habits, so you will start healing yourself without having to think about it. Sleep: There is a complex relationship(https:www.webmd.comdepressionguidedepression-sleep-disorder1) between sleep and depression(http:healthysleep.med.harvard.eduneed-sleepwhats-in-it-for-youmood). When you have days where you don't have to do anything, set an alarm clock. You really don't need more than 7 hours at most per night (a little more(https:health.onehowto.comarticlehow-many-hours-of-sleep-are-needed-per-night-by-age-8233.html) if you are under 18). If you can't fall sleep, try taking melatonin one hour before going to bed. It's cheap(https:www.amazon.comdpB003JJ9TQA), OTC and is scientifically proven(https:www.webmd.comvitaminsaiingredientmono-940melatonin) to help regulate your sleep pattern. Also, rule(https:www.webmd.comsleep-disorderssleep-apneanews20120330sleep-apnea-linked-depression) out sleep apnea(https:www.healthcentral.comarticlesleep-apnea-treatment-resistant-depression). Up to 6 of people have this, but not everyone knows(https:www.webmd.comsleep-disorderssleep-apneafeaturessleep-apnea-clues). If you find yourself awake at night, start counting. Don't grab your phone, don't do anything interesting. We're trying to bore you to sleep, not keep you entertained - sometimes it might feel like you've done it for hours and hours, but often it's really not long. Anytime your mind wanders away from the numbers, start over at 1. count at the speed of either your heartbeat or your breathing. Then both Alexa and Google Home can also play a range of sleep sounds if you ask them (rain or other white noise) and there are also free apps for both Android and Apple devices. Go outside: If you haven't been outside much lately, you might just need some sunlight(https:www.healthline.comhealthdepressionbenefits-sunlight). 15 minutes two to three times a week is enough. This will fix serotonin levels as well as vitamin D deficiencies. Meditate: Depressions can be significantly reduced by meditating(https:news.harvard.edugazettestory201804harvard-researchers-study-how-mindfulness-may-change-the-brain-in-depressed-patients). The best types Of Meditations For Depression Relief(https:www.thedailymeditation.commeditation-depression). Your attention is like a muscle. The more you train it, the better the control you have over it. Mindfulness training(https:www.mindful.orgmeditationmindfulness-getting-started) will help you gain better control over your mind. It doesn't take much effort, just 15 to 20 minutes a day of doing nothing but focus your attention is enough and is scientifically proven to work. As you become better at focusing your attention, it will become easier to force yourself to stop having negative thoughts, which will break the negative reinforcement cycle. Go here for more: rMeditation Exercise: The effect of exercise on depressions(https:www.mayoclinic.orgdiseases-conditionsdepressionin-depthdepression-and-exerciseart-20046495) If you have access to a gym, then start lifting weights. If you don't have access to a gym (or you don't like lifting), start running. If you can't run, then start walking. Just start small. 10 minutes three times a week is fine. You don't have to run fast, just run and then slowly build it up over time. Exercising does several things: It releases endorphins, it takes your mind of your negative thoughts and it will improve your overall health. Give lots of hugs: Hugs release oxytocin(https:health.usnews.comhealth-newshealth-wellnessarticles2016-02-03the-health-benefits-of-hugging), which improves your mood and relaxes you. So find people to hug. If you are single, hug your parents or friends. If you can't, see if a dog is an option. Most dogs love to hug. Another solution that provides the same benefit is a weighted blanket(https:www.amazon.coms?kweightedblanket) will provide a similar positive effect at night(https:www.healthline.comhealthanxietydo-weighted-blankets-work). You should try to aim for 12 hugs a day(https:psychology-spot.combrain-needs) (if you currently don't hug a lot, I suggest you slowly build it up over time). Music: The right music can improve your mood(https:time.com5254381listening-to-music-health-benefits). The genre is not important as long as it is: "Upbeat, rhytmic and energetic". What this means differs from person to person, depending on their music taste. I have a special playlist for this. One way to measure the effectiveness, of the songs is your ability to listen to it over and over (if you can listen to it hundreds of times it likely has the highest positive effect on your mood). The effect can be amplified by using headphones and playing it LOUD and can further be enhanced by closing your eyes (doi:10.11770305735617734627, doi:10.1093jmt50.3.198 and doi:10.11770305735617751050). You are not your depression: For some people (often those that have been depressed for a long time), their depression has become a part of who they are and they assume a victim role. But that is a big problem, you have to will yourself into someone that sees themselves as a person that is actively fighting their disease, that no longer identifies with it, or else you will unconsciously obstruct your own healing process. As Eckhart Tolle expressed it in A New Earth: gt; A very common role is the one of victim, and the form of attention it seeks is sympathy or pity or others' interest in my problems, "me and my story." Seeing oneself as a victim is an element in many egoic patterns, such as complaining, being offended, outraged, and so on. Of course, once I am identified with a story in which I assigned myself the role of victim, I don't want it to end, and so, as every therapist knows, the ego does not want an end to its "problems" because they are part of its identity. Jordan Peterson: How To Deal With Depression(https:www.youtube.comwatch?vXm2zmX6Akc) (50 minutes). Jordan Peterson is a clinical psychologist, that's specialized in mythology. This is a compilation focusing specifically on depression. Practice gratitude: Take 5 minutes every day to practice gratitude.(https:www.pasadenavilla.com20201118gratitude-and-depression) Volunteer: Study after study shows that helping others without expecting anything in return will lessen depression and has other health benefits(https:www.mayoclinichealthsystem.orghometown-healthspeaking-of-healthhelping-people-changing-lives-the-6-health-benefits-of-volunteering). Let me know if you need some ideas. Highest rated books: Feeling Good: The New Mood Therapy(https:www.amazon.comFeeling-Good-New-Mood-Therapydp0380731762) It's Not Supposed to Be This Way: Finding Unexpected Strength When Disappointments Leave You Shattered(https:www.amazon.comIts-Not-Supposed-This-Disappointmentsdp0718039858) High quality free training provided by the Australian Health Service(https:www.cci.health.wa.gov.auResourcesLooking-After-YourselfDepression) Phone Apps: Two popular free apps used to help fight depressions, are Wysa and MoodTools(http:www.moodtools.org). These will track your mood, give you advice, even listen to your problems. The most popular meditation app is: Calm - Meditate, Sleep, Relax Free support: rKindVoice will match you up with a volunteer. 7 Cups of Tea(https:www.7cups.com) has both a free trained volunteer service as well as 150 monthly licensed therapist option If you want to talk to a trained Crisis Counselor, text HOME to 741741(https:www.crisistextline.orgtexting-in) There are several subreddits, where you can post questions: rdepression rdepressionhelp rdepressed
| true
|
26
|
furw6mj
|
Money is only a motivation up to a certain amount and that's like 75K A year.Money is not a true motivator. I would rather my doctor be motivated by Passion than money.For profit doctors are scandalous scumbags and swindlers who pushed drugs on you that you don't even need. None of the isms will work they will always lead to corruption. Greed and corruption are a product of money and lead to power over people . It's not human nature to be greedy its human behavior because of the system that were in. Just because you earn more does not give you the right to more resources than everyone else on this planet that's disgusting the Earth's resources are for everyone not just the rich Inventers inherently aren't motivated by money or motivated by a deep desire to one of fix things in tinker. Some people like a challenge some people don't Most jobs will be lost due to automation and technology and no we will not be able to learn to code. Money is an obsolete tool no longer necessary it holds us back in so many ways.
|
金钱只是达到一定数额的动机，比如每年 75K。金钱并不是真正的动机。我宁愿我的医生被激情所激励，而不是金钱。为了利润，医生是可耻的卑鄙者和骗子，他们向你推销你甚至不需要的药物。这些主义都行不通，它们总是会导致腐败。贪婪和腐败是金钱的产物，会导致对人的权力。由于当时的制度，贪婪的人类行为不是人性。仅仅因为你赚得更多并不意味着你就有权比这个星球上的其他人获得更多的资源，这是令人厌恶的地球资源是为每个人而不仅仅是富人提供的发明家本质上并不是出于金钱的动机，也不是出于修补东西的强烈愿望。有些人喜欢挑战，有些人不喜欢。由于自动化和技术，大多数工作都会消失，我们将无法学习编码。金钱是一种过时的工具，不再需要它，它在很多方面阻碍了我们。
| 0
|
Money is only a motivation up to a certain amount and that's like 75K A year.Money is not a true motivator. I would rather my doctor be motivated by Passion than money.For profit doctors are scandalous scumbags and swindlers who pushed drugs on you that you don't even need. None of the isms will work they will always lead to corruption. Greed and corruption are a product of money and lead to power over people . It's not human nature to be greedy its human behavior because of the system that were in. Just because you earn more does not give you the right to more resources than everyone else on this planet that's disgusting the Earth's resources are for everyone not just the rich Inventers inherently aren't motivated by money or motivated by a deep desire to one of fix things in tinker. Some people like a challenge some people don't Most jobs will be lost due to automation and technology and no we will not be able to learn to code. Money is an obsolete tool no longer necessary it holds us back in so many ways.
| true
|
27
|
hzf2ejb
|
I'm saying it's different possibilities on the same slippery slope of violating privacy.
Like: If someone is willing to sneak into someone elses kid's room, and access their computer without permission or solid evidence of anything, do you really think they're only going to look at game history? Isn't their credibility already destroyed at that point?
If not--and you consider a single aunt with no kids who doesn't even live in the house a "caretaker"--who else should take this kind of responsibility on themselves?: Uncles?; Teachers?; Nannies?; Doctors?; The cable guy? And what evidence should be needed in order to do so?: Chatter about weddings?; The simple fact that it happened to you?; A hunch?; Because the parents drink beers?; Because a 13 yo wants his own space and likes VR? They have no privacy at all?: Not even in the bathroom?
If that's not a slippery slope, where do you draw the lines?
Look, I'm all for stepping in when it's justified. This situation just doesn't strike me as a good reason at all. Plus, I find it very suspicious that when pressed, OP uncovered other reasons she wanted to break the family apart. I don't support that at all. I've seen enough custody battles to understand those types of games.
Sorry that happened to you, and I don't mean to drag this out, but I'll be damned before I let you twist my words and suggest I'm a creep like you did.
|
我的意思是，在侵犯隐私的同一个滑坡上有不同的可能性。例如：如果有人愿意潜入别人的孩子房间，并在未经许可或任何确凿证据的情况下访问他们的计算机，你真的认为他们只会查看游戏历史记录吗？到那时他们的信誉不就已经被摧毁了吗？如果不是——你认为一个没有孩子、甚至不住在房子里的单身阿姨是“看门人”——还有谁应该自己承担这种责任？：叔叔们？教师？;保姆？医生？有线电视人？为此需要什么证据？：谈论婚礼？；就这么简单的事实，这件事发生在你身上吗？一种预感？;因为父母喝啤酒？；因为 13 岁的孩子想要自己的空间并且喜欢 VR？他们根本没有隐私？：连浴室都没有？如果这不是一个滑坡，那么你在哪里划清界限呢？听着，我完全赞成在合理的情况下介入。在我看来，这种情况根本不是一个好的理由。另外，我觉得很可疑的是，当我追问时，OP发现了她想要拆散家庭的其他原因。我根本不支持这种做法。我已经看过足够多的监护权之争来理解这些类型的游戏。很抱歉发生在你身上，我并不是故意拖延这件事，但在我让你歪曲我的话并暗示我像你一样是个讨厌鬼之前，我就该死了。
| 0
|
I'm saying it's different possibilities on the same slippery slope of violating privacy. Like: If someone is willing to sneak into someone elses kid's room, and access their computer without permission or solid evidence of anything, do you really think they're only going to look at game history? Isn't their credibility already destroyed at that point? If not--and you consider a single aunt with no kids who doesn't even live in the house a "caretaker"--who else should take this kind of responsibility on themselves?: Uncles?; Teachers?; Nannies?; Doctors?; The cable guy? And what evidence should be needed in order to do so?: Chatter about weddings?; The simple fact that it happened to you?; A hunch?; Because the parents drink beers?; Because a 13 yo wants his own space and likes VR? They have no privacy at all?: Not even in the bathroom? If that's not a slippery slope, where do you draw the lines? Look, I'm all for stepping in when it's justified. This situation just doesn't strike me as a good reason at all. Plus, I find it very suspicious that when pressed, OP uncovered other reasons she wanted to break the family apart. I don't support that at all. I've seen enough custody battles to understand those types of games. Sorry that happened to you, and I don't mean to drag this out, but I'll be damned before I let you twist my words and suggest I'm a creep like you did.
| true
|
28
|
fhorgji
|
To be honest I understand his concern that he doesnt know who will do the prodcedure. But for the price you cant complain and their results are top notch. You find Tons of unbiased results on hairlossforums. If you really want a famous Doctor to perform your transplant you probably have to pay Double or thrice the amount of money.
I personally would only demand the Doctor to do the hairline because thats the hardest and most important work.
Extract follicles and adding density behind the hairline can even do a robot.
|
老实说，我理解他的担忧，因为他不知道谁会做这个手术。但就价格而言，你不能抱怨，而且他们的结果是一流的。您可以在脱发论坛上找到大量公正的结果。如果你真的想要一位著名的医生来进行移植手术，你可能需要支付双倍或三倍的钱。我个人只会要求医生做发际线，因为那是最难也是最重要的工作。提取毛囊并增加发际线后面的密度甚至可以做一个机器人。
| 0
|
To be honest I understand his concern that he doesnt know who will do the prodcedure. But for the price you cant complain and their results are top notch. You find Tons of unbiased results on hairlossforums. If you really want a famous Doctor to perform your transplant you probably have to pay Double or thrice the amount of money. I personally would only demand the Doctor to do the hairline because thats the hardest and most important work. Extract follicles and adding density behind the hairline can even do a robot.
| true
|
29
|
doghamu
|
Roast beef is a funny meme, I admit. But my high IQ won't let me actually buy that BS. A 'loose' woman isn't 'clenching,' aka contracting the same muscles she'd use to stop urinating mid-stream. The other problem is butterfly legs leaves a very wide and unpressured area. My guess is it would be great to do missionary with her that way so as to not be too much sensation for him while his mons pressuring her upper vulva-area would stimulate the clit both at the hood and the substructures around the left and right side of the vulva on the inside. I would imagine that, considering where the G-spot is on the front-inside of the canal, that her laying back and him taking a vertical position and long-stroking (but not too deep: cervix) would provide strong stimulation on the G-spot. Unfortunately since half or more of men in the US were surgically abused by their parents and doctors, artificial lubrication may be necessary at this juncture. I could then imagine as she's nearing her climax that she brings her thighs together more while clenching on her kegels and pushing him over the top in 30 seconds or less.
A pussy, from my internet sleuthing, is strong and resilient. You can do alot with it. There are some sensitive points you should be aware of, but it's not ancient delicate china you're going to break if you blow on it too hard. This is where most normgroid dudes and betatards fuck up, is that they don't know the mechanics of pussy stimulation and don't really bother to learn them. Also it doesn't help that chicks find 'teaching' to be a total turn-off by and large. Therefore, our only hope IF we win a yearly pity-jackpot is to fucking get a clue what to do so that *maybe* she'll come around at least a few more times because "hey, he's fat and fugly as shit but goddamn that's the fastest anyone's got me squirting (except Chad) and I'm bored tonight so why not..."
Yes, ladies. Some of us have spent many hours learning that code, almost as a prepper's survivalist tool, in the event we somehow find ourselves in your bushes. Obviously, that's a very rare occurrence; but hey, keep chasing æsthetics more than pleasure/skill, it's also your loss when you overlook us all the time.
|
我承认，烤牛肉是一个有趣的模因。但我的高智商不会让我相信那些废话。一个“放松”的女人并不是“紧握”，也就是收缩她用来停止中途排尿的肌肉。另一个问题是蝴蝶腿留下了一个非常宽且无压力的区域。我的猜测是，以这种方式与她一起做传教士会很棒，这样他就不会有太多感觉，而他的阴部压迫她的上外阴区域会刺激阴蒂的兜帽和左右两侧的下部结构外阴的内部。我想，考虑到 G 点位于运河前部内侧的位置，她向后躺着，而他采取垂直位置并长时间抚摸（但不要太深：子宫颈）会对 G 点提供强烈的刺激。 -点。不幸的是，由于美国有一半或更多的男性受到父母和医生的手术虐待，此时可能需要人工润滑。然后我可以想象，当她接近高潮时，她会更加将大腿并拢，同时握紧凯格尔运动，并在 30 秒或更短的时间内将他推过顶端。根据我在网上的调查，阴户是坚强而有弹性的。你可以用它做很多事情。有一些敏感点您应该注意，但如果您吹得太用力，您不会打破古老而精致的瓷器。这就是大多数正常人的家伙和贝塔塔兹搞砸的地方，因为他们不知道刺激阴户的机制，也懒得去学习它们。而且，小鸡们发现“教学”总体上是完全令人厌烦的，这也无济于事。因此，如果我们赢得了每年一次的怜悯大奖，我们唯一的希望就是他妈的知道该怎么做，这样*也许*她会至少再出现几次，因为“嘿，他又胖又丑，但该死的”这是让我潮吹最快的人（查德除外），我今晚很无聊，所以为什么不……”是的，女士们。我们中的一些人花了很多时间学习这些代码，几乎作为末日准备者的生存工具，以防万一我们发现自己身处你们的灌木丛中。显然，这种情况非常罕见。但是嘿，继续追求美学而不是快乐/技能，当你一直忽视我们时，这也是你的损失。
| 0
|
Roast beef is a funny meme, I admit. But my high IQ won't let me actually buy that BS. A 'loose' woman isn't 'clenching,' aka contracting the same muscles she'd use to stop urinating mid-stream. The other problem is butterfly legs leaves a very wide and unpressured area. My guess is it would be great to do missionary with her that way so as to not be too much sensation for him while his mons pressuring her upper vulva-area would stimulate the clit both at the hood and the substructures around the left and right side of the vulva on the inside. I would imagine that, considering where the G-spot is on the front-inside of the canal, that her laying back and him taking a vertical position and long-stroking (but not too deep: cervix) would provide strong stimulation on the G-spot. Unfortunately since half or more of men in the US were surgically abused by their parents and doctors, artificial lubrication may be necessary at this juncture. I could then imagine as she's nearing her climax that she brings her thighs together more while clenching on her kegels and pushing him over the top in 30 seconds or less. A pussy, from my internet sleuthing, is strong and resilient. You can do alot with it. There are some sensitive points you should be aware of, but it's not ancient delicate china you're going to break if you blow on it too hard. This is where most normgroid dudes and betatards fuck up, is that they don't know the mechanics of pussy stimulation and don't really bother to learn them. Also it doesn't help that chicks find 'teaching' to be a total turn-off by and large. Therefore, our only hope IF we win a yearly pity-jackpot is to fucking get a clue what to do so that maybe she'll come around at least a few more times because "hey, he's fat and fugly as shit but goddamn that's the fastest anyone's got me squirting (except Chad) and I'm bored tonight so why not..." Yes, ladies. Some of us have spent many hours learning that code, almost as a prepper's survivalist tool, in the event we somehow find ourselves in your bushes. Obviously, that's a very rare occurrence; but hey, keep chasing sthetics more than pleasureskill, it's also your loss when you overlook us all the time.
| true
|
30
|
dmqjgk3
|
That's all well and good, but "she lost the will to live" sure makes her sound like a wuss. Also, not the type of medical diagnosis I would expect from a robot programmed to doctor.
|
这一切都很好，但“她失去了生存的意志”确实让她听起来像个胆小鬼。而且，这也不是我所期望的由编程为医生的机器人提供的医疗诊断类型。
| 1
|
That's all well and good, but "she lost the will to live" sure makes her sound like a wuss. Also, not the type of medical diagnosis I would expect from a robot programmed to doctor.
| true
|
31
|
fzun9s3
|
To fix panicky aim, you have to do 3 things:
1) Go play a lot of spike rush (when deathmatchs comes, go play that instead). That will essentially gives you a place to practice against real people without panicking. If it doesn't work, keep playing until it does.
2) From what I read, your aim is actually good but your panicking and lack of confidence holds it back in live matches. Now, this is a problem I faced countless times and still improving on, when you know that you are going in for a gun fight (you know someone's place etc) make sure to remind yourself that your aim is good and panicking is what makes it trash, make yourself confident. Now, since I had a lot of bad matches last month, I felt that I was trash and couldn't hit shit. Now, I got rid of that mindset and I'm team MVP in 80% of my matches and match MVP in 50% of them.
If you can't do that, there is another solution. Don't think of anything. Just don't think about anything, don't think about your aim, your confidence etc. Play it like a robot, your unconscious self will take the gunfight while your conscious self is not focusing. That helps alot.
3) Now, sometimes you get a big clutch, or a hard 1v3 etc. I can't blame you for this, since most players experience this. You are going to panick and you'll have twitchy aim. It's very hard to calm down during the clutch, but after the clutch whether you won it or not, Remove your headset, drink some water and have a walk around your room. This will help you a lot to calm down after that round.
Panicking also worsens reflexes and a lot of things other than aim, so watchout.
BUT, since you mentioned wrist and elbow pain, I think you should go see a doctor. That will help prevent any major damages to your body, and makes your gameplay way better.
Good luck.
|
为了解决恐慌的目标，你必须做三件事：1）去玩很多尖峰冲刺（当死亡竞赛来临时，去玩）。从本质上来说，这将为您提供一个与真人练习的场所，而不必惊慌。如果不起作用，请继续玩，直到起作用为止。 2）据我所知，你的目标实际上很好，但你的恐慌和缺乏信心在现场比赛中阻碍了它。现在，这是我无数次遇到的问题，并且仍在改进，当你知道你要参加一场枪战时（你知道某人的位置等），请务必提醒自己，你的目标是好的，而恐慌才是造成这种情况的原因垃圾，让自己自信起来。现在，由于上个月我打了很多糟糕的比赛，我觉得自己很垃圾，打不了屎。现在，我摆脱了这种心态，我在 80% 的比赛中获得了球队 MVP，在 50% 的比赛中获得了比赛 MVP。如果你不能这样做，还有另一种解决方案。什么也别想。只是不要考虑任何事情，不要考虑你的目标，你的信心等。像机器人一样玩它，你的无意识的自我会采取枪战，而你的有意识的自我却无法集中注意力。这很有帮助。 3) 现在，有时你会遇到一个很大的离合器，或者一个艰难的 1v3 等。我不能为此责怪你，因为大多数玩家都经历过这种情况。你会惊慌失措，你的目标也会变得不稳定。在离合的过程中很难平静下来，但在离合之后，无论你是否获胜，摘下耳机，喝点水，在房间里走走。这将有助于您在那一轮之后平静下来。恐慌还会使反应能力和瞄准以外的许多事情恶化，所以要小心。但是，既然你提到手腕和肘部疼痛，我认为你应该去看医生。这将有助于防止对您的身体造成任何重大损害，并使您的游戏体验更好。祝你好运。
| 0
|
To fix panicky aim, you have to do 3 things: 1) Go play a lot of spike rush (when deathmatchs comes, go play that instead). That will essentially gives you a place to practice against real people without panicking. If it doesn't work, keep playing until it does. 2) From what I read, your aim is actually good but your panicking and lack of confidence holds it back in live matches. Now, this is a problem I faced countless times and still improving on, when you know that you are going in for a gun fight (you know someone's place etc) make sure to remind yourself that your aim is good and panicking is what makes it trash, make yourself confident. Now, since I had a lot of bad matches last month, I felt that I was trash and couldn't hit shit. Now, I got rid of that mindset and I'm team MVP in 80 of my matches and match MVP in 50 of them. If you can't do that, there is another solution. Don't think of anything. Just don't think about anything, don't think about your aim, your confidence etc. Play it like a robot, your unconscious self will take the gunfight while your conscious self is not focusing. That helps alot. 3) Now, sometimes you get a big clutch, or a hard 1v3 etc. I can't blame you for this, since most players experience this. You are going to panick and you'll have twitchy aim. It's very hard to calm down during the clutch, but after the clutch whether you won it or not, Remove your headset, drink some water and have a walk around your room. This will help you a lot to calm down after that round. Panicking also worsens reflexes and a lot of things other than aim, so watchout. BUT, since you mentioned wrist and elbow pain, I think you should go see a doctor. That will help prevent any major damages to your body, and makes your gameplay way better. Good luck.
| true
|
32
|
g1u1zrv
|
I've heard the davinci robots have a way worse outcome then if a surgeon just used their hands
|
我听说达芬奇机器人的效果比外科医生只用双手的效果还要糟糕
| 1
|
I've heard the davinci robots have a way worse outcome then if a surgeon just used their hands
| true
|
33
|
i6nepsa
|
I am curious as to how many doctors in the USA use the word "midlevel" as opposed to doctors who do not know what they are doing.
If I were a doctor, would I use "midlevel"? I will take it seriously as an educational tool for physicians.
Would I ever make that distinction? I feel like I'm just being polite and helpful here. Maybe it should have been mentioned in our bill.
Also, I understand when we put it out here as a way to help people better understand midlevels. We have a lot of great experts around the country, so it wouldn't be too hard to get rid of a few of them or create a system that would work.
However, if you are going to talk about something as basic as midlevel medicine, please don't pretend that you don't know it. I agree with all of your points about how physicians shouldn't have to learn from each other because it's not easy for a doctor to grow into that profession. If you really want to become a physician and work with a medical team then why would you not teach them everything you need to know to become a physician?
Anyway, I think you're missing the point.
|
我很好奇美国有多少医生使用“中级”这个词，而不是那些不知道自己在做什么的医生。如果我是一名医生，我会使用“中级”吗？我会认真对待它作为医生的教育工具。我会做出这样的区分吗？我觉得我只是在这里表现出礼貌和乐于助人。也许我们的账单中应该提到这一点。另外，我理解当我们把它放在这里是为了帮助人们更好地了解中层。我们在全国各地有很多优秀的专家，因此摆脱其中的一些人或创建一个可行的系统并不是太难。然而，如果你要谈论像中级医学这样基础的东西，请不要假装你不知道。我同意你关于医生不应该互相学习的所有观点，因为医生成长为这个职业并不容易。如果您真的想成为一名医生并与医疗团队一起工作，那么您为什么不教他们成为一名医生所需知道的一切呢？无论如何，我认为你没有抓住重点。
| 0
|
I am curious as to how many doctors in the USA use the word "midlevel" as opposed to doctors who do not know what they are doing. If I were a doctor, would I use "midlevel"? I will take it seriously as an educational tool for physicians. Would I ever make that distinction? I feel like I'm just being polite and helpful here. Maybe it should have been mentioned in our bill. Also, I understand when we put it out here as a way to help people better understand midlevels. We have a lot of great experts around the country, so it wouldn't be too hard to get rid of a few of them or create a system that would work. However, if you are going to talk about something as basic as midlevel medicine, please don't pretend that you don't know it. I agree with all of your points about how physicians shouldn't have to learn from each other because it's not easy for a doctor to grow into that profession. If you really want to become a physician and work with a medical team then why would you not teach them everything you need to know to become a physician? Anyway, I think you're missing the point.
| true
|
34
|
itk69bg
|
Yes. I am 🙋♂️.
Aside from the head to toe physical and physiological drain on your body. How the hell do you function? Sure, I know becoming a physician is grueling hours, that goes double for surgeons but just how? How do you not just collapse from exhaustion?
I mean we're not robots....but even they can have limitations so where does that our fleshy beings?
When is deemed unsafe to work because of lack of adequate rest for physicians?
|
是的。我是🙋♂️。除了从头到脚的身体和生理消耗之外。你到底是怎么运作的？当然，我知道成为一名医生是一件很辛苦的事情，对于外科医生来说，这要加倍，但究竟如何呢？怎样才能不因精疲力尽而倒下呢？我的意思是我们不是机器人……但即使它们也有局限性，那么我们的肉身生物在哪里呢？什么时候会因为医生缺乏足够的休息而被认为工作不安全？
| 0
|
Yes. I am . Aside from the head to toe physical and physiological drain on your body. How the hell do you function? Sure, I know becoming a physician is grueling hours, that goes double for surgeons but just how? How do you not just collapse from exhaustion? I mean we're not robots....but even they can have limitations so where does that our fleshy beings? When is deemed unsafe to work because of lack of adequate rest for physicians?
| true
|
35
|
gh0h9wx
|
The first few weeks after being diagnosed were absolutely the worst for me. After the lumpectomy was done, I felt a lot less of the impending doom and significant anxiety.
If you want to *do something*, you could ask your oncologist for either tamoxifen or an aromatase inhibitor to take between now and about a week before the surgery. From something I read, you want to be off the meds for any surgery (estrogen helps recovery, complication rates are higher for breast reconstruction, for example, while on AI)... You also don't want to be on during radiation, if you do that.
You could also use the time to line up support - friends, especially any breast cancer survivors, a therapist, etc. Or to have a fund experience, if you have time for that.
|
被诊断出来后的最初几周对我来说绝对是最糟糕的。肿瘤切除手术完成后，我对即将到来的厄运和焦虑的感觉减轻了很多。如果您想“做点什么”，您可以要求您的肿瘤科医生从现在到手术前大约一周服用他莫昔芬或芳香酶抑制剂。从我读到的内容来看，你想在任何手术中停止服用药物（雌激素有助于恢复，乳房重建的并发症发生率更高，例如，在接受人工智能治疗时）......你也不想在放射期间服用药物，如果你这样做。您还可以利用这段时间来寻求支持 - 朋友，尤其是乳腺癌幸存者、治疗师等。或者如果您有时间的话，也可以获得基金经验。
| 0
|
The first few weeks after being diagnosed were absolutely the worst for me. After the lumpectomy was done, I felt a lot less of the impending doom and significant anxiety. If you want to do something, you could ask your oncologist for either tamoxifen or an aromatase inhibitor to take between now and about a week before the surgery. From something I read, you want to be off the meds for any surgery (estrogen helps recovery, complication rates are higher for breast reconstruction, for example, while on AI)... You also don't want to be on during radiation, if you do that. You could also use the time to line up support - friends, especially any breast cancer survivors, a therapist, etc. Or to have a fund experience, if you have time for that.
| true
|
36
|
fv6ab28
|
There's so much ridiculousness with this comment that you either have to be arguing in bad faith, or just be incredibly young, inexperienced, and naive.
The Japanese spent hundreds of millions of dollars to try to get a robot into Fukishima to turn a single valve and have largely failed, and you want a robot with current technology to do incredibly delicate, fine articulation work on optical equipment that costs millions and cannot easily/quickly be replaced, the failure of which means an entire food processing plant, or cement plant, or pharmaceutical factory gets shut down until it is resolved......
What you're asking for isn't Elon landing a rocket booster on a flat surface, you're asking for a robot that can *design, program, construct, troubleshoot, and repair* the rocket booster to land on said surface, all with the meticulous care of a brain surgeon that cannot afford to lose a single patient to failed attempts. And you want this, something that has yet to be done *anywhere*, to be done not years or decades for now with billions in funding.... but right now, by virtually every industry in the country that is suffering financial loss.
If it's so easy to do, why don't you make such a robot? You'll be a billionaire overnight if you can do it, I promise you.
|
这个评论实在是太荒谬了，你要么是出于恶意而争论，要么就是太年轻、缺乏经验和天真。日本人花费了数亿美元试图让机器人进入福岛来转动单个阀门，但基本上失败了，而你想要一个具有当前技术的机器人在光学设备上完成令人难以置信的精细、精细的关节工作，而这需要花费数百万美元并且无法实现。很容易/很快被替换，一旦出现故障，就意味着整个食品加工厂、水泥厂、制药厂都将被关闭，直到问题得到解决……你要求的不是埃隆登陆火箭如果您将助推器放在平坦的表面上，您需要一个可以*设计、编程、建造、排除故障和修理*火箭助推器降落在所述表面上的机器人，所有这一切都需要脑外科医生的精心护理，不能失去单个患者尝试失败。你希望这件事在*任何地方*都还没有完成，现在不是几年或几十年，需要数十亿美元的资金来完成……而是现在，由该国几乎每个正在遭受财务损失的行业完成。如果这么容易做到，为什么不制作这样一个机器人呢？如果你能做到的话，我向你保证，你将在一夜之间成为亿万富翁。
| 0
|
There's so much ridiculousness with this comment that you either have to be arguing in bad faith, or just be incredibly young, inexperienced, and naive. The Japanese spent hundreds of millions of dollars to try to get a robot into Fukishima to turn a single valve and have largely failed, and you want a robot with current technology to do incredibly delicate, fine articulation work on optical equipment that costs millions and cannot easilyquickly be replaced, the failure of which means an entire food processing plant, or cement plant, or pharmaceutical factory gets shut down until it is resolved...... What you're asking for isn't Elon landing a rocket booster on a flat surface, you're asking for a robot that can design, program, construct, troubleshoot, and repair the rocket booster to land on said surface, all with the meticulous care of a brain surgeon that cannot afford to lose a single patient to failed attempts. And you want this, something that has yet to be done anywhere, to be done not years or decades for now with billions in funding.... but right now, by virtually every industry in the country that is suffering financial loss. If it's so easy to do, why don't you make such a robot? You'll be a billionaire overnight if you can do it, I promise you.
| true
|
37
|
frgy8p7
|
I'm not going to get into my health in a r/trump sub on reddit.
In regards to mask, I work in a hospital for a surgeon. As part of my job during all this, she had us learn about the risk associated with breathing. If someone that has covid breaths out normally, that breath can have like 2,000 copies of the virus in it. Obviously, if it's a deep exhale, that number goes up. A sneeze has like 50,000 copies.. Or something like that, I don't remember the exact numbers. If you're sitting outside at a table 6 feet away with the wind blowing gently, the exposure goes down. Breathing thru a mask does the same. It blocks the moisture. Even if it's a shitty mask, it's gonna block moisture.
Just like sneezing into your sleeve vrs sneezing directly into someone's face lol
|
我不会在 Reddit 上的 ar/trump sub 中谈论我的健康状况。关于口罩，我在一家医院为外科医生工作。作为我工作的一部分，她让我们了解了与呼吸相关的风险。如果感染新冠病毒的人正常呼气，那么呼出的气中可能含有大约 2000 个病毒副本。显然，如果是深呼气，这个数字就会上升。一个喷嚏大约有50,000份……或者类似的东西，我不记得确切的数字了。如果您坐在室外 6 英尺外的桌子旁，微风徐徐，曝光度就会下降。通过面罩呼吸也有同样的效果。它可以阻挡湿气。即使是再差的面膜，也能起到阻挡水分的作用。就像对着袖子打喷嚏和直接对着别人的脸打喷嚏一样，哈哈
| 0
|
I'm not going to get into my health in a rtrump sub on reddit. In regards to mask, I work in a hospital for a surgeon. As part of my job during all this, she had us learn about the risk associated with breathing. If someone that has covid breaths out normally, that breath can have like 2,000 copies of the virus in it. Obviously, if it's a deep exhale, that number goes up. A sneeze has like 50,000 copies.. Or something like that, I don't remember the exact numbers. If you're sitting outside at a table 6 feet away with the wind blowing gently, the exposure goes down. Breathing thru a mask does the same. It blocks the moisture. Even if it's a shitty mask, it's gonna block moisture. Just like sneezing into your sleeve vrs sneezing directly into someone's face lol
| true
|
38
|
ic2xvjs
|
This guy is saying stupid things to try and make a name for himself. Surely anyone hired at google knows these chat bots are trained to talk like humans, that’s sorta their point.
I’d guess this guy told google, google waived it off because it ridiculous, ran to any media outlet that would listen, will try to get on cable news, will write a book and basically try to become the AI is sentient pundit or even a evangelist of sorts that mixes religion in with it. Maybe
I might be prejudging this a bit but plenty of crazy things out there were a former [blank] thinks [crazy] where the blank is a government official, engineer, doctor, etc. plenty of conspiracy theories, pseudo science, etc have that and I’d guess this is where this leads.
|
这家伙为了出名而说些蠢话。当然，谷歌雇用的任何人都知道这些聊天机器人经过训练可以像人类一样交谈，这就是他们的观点。我猜这个人告诉谷歌，谷歌放弃了它，因为它很荒谬，跑到任何愿意倾听的媒体机构，会尝试收听有线电视新闻，会写一本书，基本上会尝试成为人工智能有感知力的专家，甚至某种将宗教与此融为一体的传教士。也许我可能有点预先判断，但有很多疯狂的事情，其中有一个前[空白]认为[疯狂]，其中空白是政府官员、工程师、医生等。很多阴谋论、伪科学等都有这样的说法。我猜这就是结果。
| 0
|
This guy is saying stupid things to try and make a name for himself. Surely anyone hired at google knows these chat bots are trained to talk like humans, thats sorta their point. Id guess this guy told google, google waived it off because it ridiculous, ran to any media outlet that would listen, will try to get on cable news, will write a book and basically try to become the AI is sentient pundit or even a evangelist of sorts that mixes religion in with it. Maybe I might be prejudging this a bit but plenty of crazy things out there were a former blank thinks crazy where the blank is a government official, engineer, doctor, etc. plenty of conspiracy theories, pseudo science, etc have that and Id guess this is where this leads.
| true
|
39
|
hprpy16
|
N
trying i
Incre
dle
school
wait, you
"i can
fix you
not g
"w
b'
al" is
G
getting overly
excited about
seeing an
ace flag in
public
"waitin
pub
experience
just never
mentioning
it to
anyone
robot
inhu
orite
characters
cter in
a show
someone
compares
you to a
plant
some
"c
ity,"
O
coming out
via 15+
minute
lecture or
powerpoint
skipping all
the ns
sce
bu only
online
"there's
a word
for
doctor
doesn't
understand
therapist
doesn't
understand
guys
weren't
joking?
sp
c
Bread
no one
believes
you
Feeling li
need t
of
Ionship
s
a
en
ou're a
legal adult
both ace
al
Ing
fake
surp
ding
end
buying a ring
once you're
"finally sure"
neve
m
s
Ing
ther
erson
owingly)
not he
a
asexuality in
sex ed
uncomfort
and bew•
att
tru
paranoia, etc
---
v0.3.0 | This message was posted by a bot. | [FAQ](https://www.reddit.com/r/TranscribersOfReddit/wiki/index) | [Source](https://github.com/GrafeasGroup/tor_ocr/) | Questions? [Message the mods!](https://www.reddit.com/message/compose?to=%2Fr%2FTranscribersOfReddit&subject=Bot%20Question&message=)
|
尝试我增加学校等待，你“我可以解决你不G”w b'al“是G变得过于兴奋在公共场合看到王牌旗帜“等待酒吧的经历只是从来没有向任何机器人提起它在a中的orite字符cter表明有人将你比作某个“城市”的植物，O 通过 15 分钟以上的讲座或 powerpoint 跳过所有 ns sce bu 仅在网上“有一个词是医生不明白治疗师不明白男人不明白”开玩笑？sp c面包没有人相信你感觉我需要Ionship sa，我们是一个合法的成年人，双方都是王牌假冒，一旦你“最终确定”neve女士英格瑟尔森，就结束购买戒指）不他是无性恋者，在性方面感到不舒服和bew• att tru paranoia等 --- v0.3.0 | 此消息是由机器人发布的。 | [常见问题解答](https://www.reddit.com/r/TranscribersOfReddit/wiki /index) | [来源](https://github.com/GrafeasGroup/tor_ocr/) | 有疑问吗？[给模组留言！](https://www.reddit.com/message/compose?to=%2Fr% 2FTranscribersOfReddit&subject=Bot%20Question&message=)
| 0
|
N trying i Incre dle school wait, you "i can fix you not g "w b' al" is G getting overly excited about seeing an ace flag in public "waitin pub experience just never mentioning it to anyone robot inhu orite characters cter in a show someone compares you to a plant some "c ity," O coming out via 15 minute lecture or powerpoint skipping all the ns sce bu only online "there's a word for doctor doesn't understand therapist doesn't understand guys weren't joking? sp c Bread no one believes you Feeling li need t of Ionship s a en ou're a legal adult both ace al Ing fake surp ding end buying a ring once you're "finally sure" neve m s Ing ther erson owingly) not he a asexuality in sex ed uncomfort and bew att tru paranoia, etc --- v0.3.0 This message was posted by a bot. FAQ(https:www.reddit.comrTranscribersOfRedditwikiindex) Source(https:github.comGrafeasGrouptorocr) Questions? Message the mods!(https:www.reddit.commessagecompose?to2Fr2FTranscribersOfRedditamp;subjectBot20Questionamp;message)
| true
|
40
|
gwczetk
|
Lol it’s health insurance w/ ai software for doctors
|
哈哈，这是为医生提供的带有人工智能软件的健康保险
| 1
|
Lol its health insurance w ai software for doctors
| true
|
41
|
dm01vco
|
This article is based on an abstract from a journal article (the only thing they quote, or even discuss, from the scientific journal). That journal article is behind a paywall, and when I try to access it through my university they say that it's not even available yet. Even then, it was only released 17 days ago, so I doubt any other climate scientists have even looked at the data. At this point, there's no reason to make any conclusions based on this study. Maybe after a couple months, after people are able to analyze and replicate the data, it'll prove significant.
That said:
1. [There's a 97% consensus among climate scientists that climate change is anthropogenic](http://iopscience.iop.org/article/10.1088/1748-9326/11/4/048002) (people have tried to refute that 97% number, but the way; this study is a follow up addressing all those concerns and reaffirming that 97% is an accurate representation of the field). 97% is a greater consensus than doctors in the 1980s who thought that cigarettes caused cancer. 97% is overwhelming. But what 97% means is that there are exceptions. There will always be a lot of noise when dealing with massive data sets like these, and so rare studies - 1 in 30 from climate scientists which got published in climate science publications - will find that climate change is not anthropogenic. In that sense, this study is nothing new: 1/30 of expert studies claimed climate change is not anthropogenic. And the sample from the 97% number was 2,412 papers that took a stance on the cause of climate change, so this study pushes the consensus down from 97% to ... 97%. The study cited by Brietbart is not news, especially when no one else has looked at the data yet.
2. They're not using any new data, they just fed existing data through a neural network. Neural networks are cool and sexy, recently, but without looking at the study I don't see why it would provide a more accurate measurement (again, this might be something that, once the article becomes available, we can make an informed judgement of, but at the moment we have no reason to think it does anything rather than represent existing data in a different way).
3. Claims about climate change are based on measurements of global temperatures, polar temperatures, sea levels, humidity over land masses, and many other factors. Based on the abstract, this study only looked at global temperatures, so even if it's found to be entirely accurate it only speaks to one aspect of climate change.
Finally, if there really was a conspiracy to invent climate change, then climate science journals wouldn't be publishing that 3% of papers that claim climate change is not human caused. The fact that there's disagreement in publications proves that there *is not* a conspiracy. The fact the disagreement is so rare means that we should treat the disagreement skeptically until we have strong reasons otherwise (other scientists looking at the data set to find if the results can be replicated, a common practice).
|
这篇文章基于期刊文章的摘要（他们从科学期刊中引用甚至讨论的唯一内容）。那篇期刊文章是付费墙后面的，当我尝试通过我的大学访问它时，他们说它甚至还没有提供。即便如此，该数据仅在 17 天前发布，因此我怀疑其他气候科学家是否看过这些数据。目前，没有理由根据这项研究得出任何结论。也许几个月后，当人们能够分析和复制数据后，它就会变得意义重大。也就是说： 1. [气候科学家有 97% 的共识认为气候变化是人为造成的](http://iopscience.iop.org/article/10.1088/1748-9326/11/4/048002)（人们试图反驳那个 97% 的数字，但是方式；这项研究是解决所有这些问题的后续研究，并重申 97% 是该领域的准确代表）。 97% 的人比 20 世纪 80 年代认为香烟致癌的医生更达成共识。 97%是压倒性的。但97%意味着也有例外。在处理这样的海量数据集时，总会有很多噪音，因此很少有研究——气候科学家在气候科学出版物上发表的研究中，有十分之一——会发现气候变化不是人为造成的。从这个意义上说，这项研究并不新鲜：1/30 的专家研究声称气候变化不是人为造成的。 97% 的样本中有 2,412 篇论文对气候变化的原因采取了立场，因此这项研究将共识率从 97% 降低到了……97%。 Brietbart 引用的这项研究并不是新闻，尤其是在还没有其他人查看这些数据的情况下。 2. 他们没有使用任何新数据，只是通过神经网络输入现有数据。最近，神经网络很酷很性感，但如果不看这项研究，我不明白为什么它会提供更准确的测量（同样，这可能是一旦文章可用，我们就可以做出明智的判断） ，但目前我们没有理由认为它除了以不同的方式表示现有数据之外还有其他作用）。 3. 关于气候变化的说法是基于对全球温度、极地温度、海平面、陆地湿度和许多其他因素的测量。根据摘要，这项研究仅关注全球气温，因此即使发现它完全准确，它也只说明了气候变化的一个方面。最后，如果真的存在发明气候变化的阴谋，那么气候科学期刊就不会发表声称气候变化不是人类造成的论文的 3%。出版物中存在分歧的事实证明“不存在”阴谋。事实上，这种分歧如此罕见，这意味着我们应该以怀疑的态度对待这种分歧，直到我们有充分的理由否则（其他科学家查看数据集以确定结果是否可以复制，这是一种常见的做法）。
| 0
|
This article is based on an abstract from a journal article (the only thing they quote, or even discuss, from the scientific journal). That journal article is behind a paywall, and when I try to access it through my university they say that it's not even available yet. Even then, it was only released 17 days ago, so I doubt any other climate scientists have even looked at the data. At this point, there's no reason to make any conclusions based on this study. Maybe after a couple months, after people are able to analyze and replicate the data, it'll prove significant. That said: 1. There's a 97 consensus among climate scientists that climate change is anthropogenic(http:iopscience.iop.orgarticle10.10881748-9326114048002) (people have tried to refute that 97 number, but the way; this study is a follow up addressing all those concerns and reaffirming that 97 is an accurate representation of the field). 97 is a greater consensus than doctors in the 1980s who thought that cigarettes caused cancer. 97 is overwhelming. But what 97 means is that there are exceptions. There will always be a lot of noise when dealing with massive data sets like these, and so rare studies - 1 in 30 from climate scientists which got published in climate science publications - will find that climate change is not anthropogenic. In that sense, this study is nothing new: 130 of expert studies claimed climate change is not anthropogenic. And the sample from the 97 number was 2,412 papers that took a stance on the cause of climate change, so this study pushes the consensus down from 97 to ... 97. The study cited by Brietbart is not news, especially when no one else has looked at the data yet. 2. They're not using any new data, they just fed existing data through a neural network. Neural networks are cool and sexy, recently, but without looking at the study I don't see why it would provide a more accurate measurement (again, this might be something that, once the article becomes available, we can make an informed judgement of, but at the moment we have no reason to think it does anything rather than represent existing data in a different way). 3. Claims about climate change are based on measurements of global temperatures, polar temperatures, sea levels, humidity over land masses, and many other factors. Based on the abstract, this study only looked at global temperatures, so even if it's found to be entirely accurate it only speaks to one aspect of climate change. Finally, if there really was a conspiracy to invent climate change, then climate science journals wouldn't be publishing that 3 of papers that claim climate change is not human caused. The fact that there's disagreement in publications proves that there is not a conspiracy. The fact the disagreement is so rare means that we should treat the disagreement skeptically until we have strong reasons otherwise (other scientists looking at the data set to find if the results can be replicated, a common practice).
| true
|
42
|
e1jge33
|
Sending you virtual hugs. You are incredibly brave and strong and i am so sorry you are going through this. What have you tried as far as natural remedies and supplements, if any? Are you open to those things? I am by no means implying they are a cure, but maybe could help. I have dealt with autoimmune responses too, although doctors can’t pinpoint the actual name, just a chronically elevated ANA. Going paleo and using supplements has helped keep it in remission, but I’ve been unsuccessful in completely eradicating my horrible pmdd....Which, like yours, is very closely tied to my AI issues.
|
给你发送虚拟拥抱。你非常勇敢和坚强，我很抱歉你正在经历这一切。您尝试过哪些自然疗法和补充剂（如果有）？你对这些事情持开放态度吗？我绝不是暗示它们可以治愈，但也许可以有所帮助。我也处理过自身免疫反应，尽管医生无法确定其真实名称，只是 ANA 长期升高。遵循旧石器时代并使用补充剂有助于缓解病情，但我一直未能成功根除我可怕的经前抑郁症……这和你的一样，与我的人工智能问题密切相关。
| 0
|
Sending you virtual hugs. You are incredibly brave and strong and i am so sorry you are going through this. What have you tried as far as natural remedies and supplements, if any? Are you open to those things? I am by no means implying they are a cure, but maybe could help. I have dealt with autoimmune responses too, although doctors cant pinpoint the actual name, just a chronically elevated ANA. Going paleo and using supplements has helped keep it in remission, but Ive been unsuccessful in completely eradicating my horrible pmdd....Which, like yours, is very closely tied to my AI issues.
| true
|
43
|
h4uqaos
|
With sub-par mathematical education, people will die
Directly: because we will have fewer or sub-par statisticians (helping us deal with COVID), engineers (designing safe buildings), and algorithm developers (creating medical AI software)
And indirectly: because with fewer or sub-par actuaries, bankers, and entrepreneurs, the country's economy and therefore purchasing power (e.g. to buy COVID vaccines, upgrade the safety of our trains, afford to pay doctors) will decline
p.s. I love your joke nevertheless!
|
如果数学教育低于标准，人们将会死亡 直接：因为我们将拥有更少或低于标准的统计学家（帮助我们应对新冠病毒）、工程师（设计安全建筑）和算法开发人员（创建医疗人工智能软件） 间接：因为如果精算师、银行家和企业家减少或低于标准，国家的经济和购买力（例如购买新冠疫苗、提高火车安全性、支付医生费用）将会下降 ps 尽管如此，我还是喜欢你的笑话！
| 0
|
With sub-par mathematical education, people will die Directly: because we will have fewer or sub-par statisticians (helping us deal with COVID), engineers (designing safe buildings), and algorithm developers (creating medical AI software) And indirectly: because with fewer or sub-par actuaries, bankers, and entrepreneurs, the country's economy and therefore purchasing power (e.g. to buy COVID vaccines, upgrade the safety of our trains, afford to pay doctors) will decline p.s. I love your joke nevertheless!
| true
|
44
|
doo0rxd
|
"What do you want?"
The man behind the reinforced window sneered at Tate as if he was looking at some roach he'd just stepped on. The distaste of his voice was quite evident even hearing it through the phones connecting attached to the sides of their booth.
"Do you... know who I am?" Tate asked nervously.
"I don't care much who the fuck you are, really. The guards wouldn't tell me. Are you supposed to cut me a deal or something? Get me to confess and make things easier on me?" The inmate spat at him, his spit trailing down the clear window down in front of Tate's face. "Well you could fuck off with those deals of yours! I know what I did, and I'm not gonna deny anything to it!"
He was just as crude and ill-mannered as the guards had told him, but Tate didn't let that bother him one bit.
"I'm Richard Cassidy's son," he said.
The inmate's hostility evaporated and his face showed a mix of various emotions. He seemed to finally settle on frowning, but his once threatening gaze was gone. It was like he couldn't bear to look at Tate.
"You... why are you here?" he asked, his tone softer than before. "Come to see the killer himself, have you? Or is it you want to make sure I get what I deserve first hand?" He shook his head. "No, I suppose you're here to curse me out. Here to vent your frustrations and anger on the evil man that had taken your father from you."
The inmate took a deep breath and hardened his face.
"Well?" he snarled. "Have at it then! I won't stop you."
"...Thank you."
The inmate's eyes widened in surprise. His lips parted slightly as the breath he'd been holding seemed to just leak out.
"What?"
"Thank you," repeated Tate sincerely. "You have my gratitude, and that of the rest of my family."
The inmate seemed unable to process this for a moment before slamming his hands down on the table. "Thank me?! Thank me for killing your father?!"
The loud boom of the inmate's voice unnerved the guards standing to the walls, but a man in a dark suit with a suitcase in hand kept them at bay.
"What are you thanking a murderer for, boy?!" the inmate demanded. "You should be cursing me, hating me with every fiber of your being! Your father was a good man, and I took that away from you!"
Tate sat unperturbed by the large man's outburst.
"He was a good man," he admitted. "An honest soul that lit the world around him. God bless him for all the things he's done for his family and those around him. The world is a lot less bright without him."
"Then why-"
"But he was a man of great faith." Tate smiled sadly. "He would never give up his own life, even as the pain that tortured him daily grew worse. Even though the pain caused him to sob and thrash in increasing intervals."
Tate's father had a degenerative disease that was literally eating him slowly away. His own body had turned against him. Many a doctor came to the same conclusion. An early death would be a mercy. However, it was a mercy he could not afford to pay with his soul.
The inmate lay silent, deflating to his chair. He'd seemed to lose all his energy.
"...I was never one for the religious sorts," he finally said after a while. "Hypocrites, the lot of them." His eyes shifted briefly to Tate. "Well, maybe not all of them."
"You don't have to mince words," nodded Tate. "It was one of the few things I didn't really care to learn much from my father. Quite complicated it is. Tends to make things such as death far more trouble than it ought to be."
They sat there staring at each other.
"I am not here to thank a murderer," said Tate. "I'm here to thank a true friend of my father's for giving him what he deserved: An easy and honest death."
|
“你想要什么？”强化窗户后面的那个人对泰特冷笑，就像在看他刚刚踩到的蟑螂一样。即使通过连接在他们展位两侧的电话听到他的声音也很明显。 “你知道我是谁吗？”泰特紧张地问道。 “我他妈的根本不在乎你是谁，真的。守卫不会告诉我。你是不是应该跟我做个交易什么的？让我坦白，让事情好办一些？”囚犯向他吐口水，他的口水顺着透明的窗户流到了泰特的面前。 “好吧，你可以滚蛋了！我知道我做了什么，我不会否认任何事情！”他就像警卫告诉他的那样粗鲁无礼，但泰特并没有让这困扰他一丁点。 “我是理查德·卡西迪的儿子，”他说。犯人的敌意烟消云散，脸上露出了复杂的情绪。他似乎终于决定皱起眉头，但那曾经充满威胁的目光却消失了。就好像他不忍心看泰特。 “你……你怎么在这里？”他问道，语气比之前更加柔和。 “来见凶手本人吧？还是你想确保我得到我应得的第一手资料？”他摇摇头。 “不，我想你来这里是为了诅咒我。来这里是为了向那个夺走你父亲的邪恶之人发泄你的挫败感和愤怒。”囚犯深吸了一口气，脸色变得严肃起来。 “出色地？”他咆哮道。 “那就这样吧！我不会阻止你的。” “...谢谢。”囚犯惊讶地睁大了眼睛。他的嘴唇微微张开，屏住的呼吸似乎就要漏出来。 “什么？” “谢谢你，”泰特真诚地重复道。 “我和我的家人都感谢你。”囚犯似乎一时无法接受这个事实，然后双手重重地拍在了桌子上。 “谢谢我？！谢谢我杀了你父亲？！”囚犯的大声说话让站在墙边的警卫感到不安，但一名身穿深色西装、手里拿着手提箱的男子阻止了他们。 “小子，你为什么要感谢一个杀人犯？！”犯人问道。 “你应该咒骂我，从心底里恨我！你父亲是个好人，我夺走了你的好人！”泰特坐在那儿，对这个大个子的爆发并不感到不安。 “他是一个好人，”他承认。 “一个诚实的灵魂照亮了他周围的世界。上帝保佑他为家人和周围的人所做的一切。没有他，世界就不那么光明了。” “那为什么——” “但他是一个有伟大信仰的人。”泰特悲伤地笑了笑。 “他永远不会放弃自己的生命，即使每天折磨他的疼痛越来越严重。尽管疼痛让他越来越频繁地抽泣和抽搐。”泰特的父亲患有一种退行性疾病，正在慢慢地吞噬他。他自己的身体已经与他作对了。许多医生得出了同样的结论。早点死去也是一种怜悯。然而，这是他无法用灵魂来偿还的恩惠。犯人静静地躺着，泄气地坐在椅子上。他似乎失去了所有的精力。 “……我从来都不是宗教人士，”过了一会儿他终于说道。 “伪君子，很多。”他的目光短暂地转向泰特。 “嗯，也许不是全部。” “你不必拐弯抹角，”泰特点点头。 “这是我不想从父亲那里学到太多东西的少数事情之一。它相当复杂。往往会让诸如死亡之类的事情变得比应有的麻烦得多。”他们坐在那里互相凝视。 “我来这里不是为了感谢凶手，”泰特说。 “我来这里是为了感谢我父亲的一位真正的朋友给了他应得的：轻松而诚实的死亡。”
| 0
|
"What do you want?" The man behind the reinforced window sneered at Tate as if he was looking at some roach he'd just stepped on. The distaste of his voice was quite evident even hearing it through the phones connecting attached to the sides of their booth. "Do you... know who I am?" Tate asked nervously. "I don't care much who the fuck you are, really. The guards wouldn't tell me. Are you supposed to cut me a deal or something? Get me to confess and make things easier on me?" The inmate spat at him, his spit trailing down the clear window down in front of Tate's face. "Well you could fuck off with those deals of yours! I know what I did, and I'm not gonna deny anything to it!" He was just as crude and ill-mannered as the guards had told him, but Tate didn't let that bother him one bit. "I'm Richard Cassidy's son," he said. The inmate's hostility evaporated and his face showed a mix of various emotions. He seemed to finally settle on frowning, but his once threatening gaze was gone. It was like he couldn't bear to look at Tate. "You... why are you here?" he asked, his tone softer than before. "Come to see the killer himself, have you? Or is it you want to make sure I get what I deserve first hand?" He shook his head. "No, I suppose you're here to curse me out. Here to vent your frustrations and anger on the evil man that had taken your father from you." The inmate took a deep breath and hardened his face. "Well?" he snarled. "Have at it then! I won't stop you." "...Thank you." The inmate's eyes widened in surprise. His lips parted slightly as the breath he'd been holding seemed to just leak out. "What?" "Thank you," repeated Tate sincerely. "You have my gratitude, and that of the rest of my family." The inmate seemed unable to process this for a moment before slamming his hands down on the table. "Thank me?! Thank me for killing your father?!" The loud boom of the inmate's voice unnerved the guards standing to the walls, but a man in a dark suit with a suitcase in hand kept them at bay. "What are you thanking a murderer for, boy?!" the inmate demanded. "You should be cursing me, hating me with every fiber of your being! Your father was a good man, and I took that away from you!" Tate sat unperturbed by the large man's outburst. "He was a good man," he admitted. "An honest soul that lit the world around him. God bless him for all the things he's done for his family and those around him. The world is a lot less bright without him." "Then why-" "But he was a man of great faith." Tate smiled sadly. "He would never give up his own life, even as the pain that tortured him daily grew worse. Even though the pain caused him to sob and thrash in increasing intervals." Tate's father had a degenerative disease that was literally eating him slowly away. His own body had turned against him. Many a doctor came to the same conclusion. An early death would be a mercy. However, it was a mercy he could not afford to pay with his soul. The inmate lay silent, deflating to his chair. He'd seemed to lose all his energy. "...I was never one for the religious sorts," he finally said after a while. "Hypocrites, the lot of them." His eyes shifted briefly to Tate. "Well, maybe not all of them." "You don't have to mince words," nodded Tate. "It was one of the few things I didn't really care to learn much from my father. Quite complicated it is. Tends to make things such as death far more trouble than it ought to be." They sat there staring at each other. "I am not here to thank a murderer," said Tate. "I'm here to thank a true friend of my father's for giving him what he deserved: An easy and honest death."
| true
|
45
|
jffvxbo
|
So, my sleep issues weren't caused by lion's mane but by covid. But they were very similar to the lion's mane insomnia described in this subreddit, I stufered from them for about a year and regular insomnia medication didn't work at all.
So what did work for me? **Trazodone, pregabalin and sleep restriction therapy.**
Trazodone and pregabalin are both mediations that are rarely used for sleep problems, but seem to be very effective for atypical sleep issues, especially when connected to anxiety caused by external things like lion's mane or covid.
Pregabalin severely down regulates the central neurological system, the opposite of what lion's mane does. It's like a dimmer switch for neurological activity. 150mg in the evening should seriously calm you down and make you sleepy.
Trazodone will give you uninterrupted sleep. Just 50mg is enough to get you from waking up every 2 hours to staying asleep for 6. It will also help you fall asleep easier.
Sleep restriction therapy - if you're interested, I can look for the resources I had about that, it also helped a lot. But in a nutshell - first you only allow yourself to rest for a short amount of time, about 6 hours a day, and can't stay in bed any longer. No lying in bed waiting to fall asleep, no naps, nothing. The body soon learns that it HAS to prioritize deep sleep to keep you alive and you'll get deeper sleep with higher quality as a result.
Bonus pro tip: **melatonin.** It's most people's go to thing to help them sleep, it's available over the counter and it *can* help, but there is one large issue with it that rarely gets mentioned - *you mustn't take more than 0.5-1mg a night.* At that dose it really does help, but anything beyond that gives the opposite effects - your sleep would be more disturbed, you would likely get nightmares, you would be more tired in the morning etc.
It grinds my gears that high doses of melatonin are often given to people who look for a way out of their insomnia...
P.S.: Sorry for a wall of text, but I've spent a year of my life going through this hell, sleeping only about 3 hours a night for months and running into doctors who wouldn't help and just thought that I'm making up stuff or something. As result, I read lots of papers on sleep science, tested just about about every thing available for better sleep... And since then, I hope that my experiences might help someone in a similar situation as I was back then - now I'm almost completely fine, knock on wood :)
|
所以，我的睡眠问题不是由狮鬃引起的，而是由新冠病毒引起的。但它们与这个 Reddit 子版块中描述的狮鬃失眠非常相似，我吃了它们大约一年了，常规的失眠药物根本不起作用。那么什么对我有用呢？ **曲唑酮、普瑞巴林和睡眠限制疗法。** 曲唑酮和普瑞巴林都是很少用于治疗睡眠问题的药物，但似乎对非典型睡眠问题非常有效，特别是当与外部事物（如狮子鬃毛或狮子鬃毛）引起的焦虑有关时。冠状病毒。普瑞巴林会严重下调中枢神经系统，这与狮鬃精的作用相反。它就像神经活动的调光开关。晚上 150 毫克应该能让你真正平静下来，让你昏昏欲睡。曲唑酮会让您获得不间断的睡眠。只需 50 毫克就足以让您从每 2 小时醒来一次到持续睡 6 个小时。它还能帮助您更容易入睡。睡眠限制疗法——如果你有兴趣，我可以寻找我拥有的相关资源，它也有很大帮助。但简而言之——首先你只允许自己休息很短的时间，每天大约6小时，并且不能再躺在床上。没有躺在床上等待入睡，没有小睡，什么都没有。身体很快就会知道，它必须优先考虑深度睡眠才能让您保持活力，因此您将获得更深质量的睡眠。额外的专业提示：**褪黑激素。**这是大多数人用来帮助睡眠的东西，它可以在柜台上买到，并且它*可以*有所帮助，但它有一个很少被提及的大问题 - *你不能'每晚服用的剂量不要超过 0.5-1 毫克。* 在这个剂量下，它确实有帮助，但超出这个剂量会产生相反的效果 - 你的睡眠会更加不安，你可能会做噩梦，早上会更累等等. 经常给那些寻求摆脱失眠之道的人服用高剂量的褪黑激素，这让我很苦恼... PS：抱歉有一堵文字墙，但我已经花了一年的时间经历这个地狱几个月来，每晚只睡大约 3 个小时，遇到的医生也无济于事，只是认为我在编造什么东西。结果，我读了很多关于睡眠科学的论文，测试了几乎所有可以改善睡眠的东西……从那时起，我希望我的经历可以帮助那些与我当时情况类似的人 - 现在我'我几乎完全没问题，敲木头:)
| 0
|
So, my sleep issues weren't caused by lion's mane but by covid. But they were very similar to the lion's mane insomnia described in this subreddit, I stufered from them for about a year and regular insomnia medication didn't work at all. So what did work for me? Trazodone, pregabalin and sleep restriction therapy. Trazodone and pregabalin are both mediations that are rarely used for sleep problems, but seem to be very effective for atypical sleep issues, especially when connected to anxiety caused by external things like lion's mane or covid. Pregabalin severely down regulates the central neurological system, the opposite of what lion's mane does. It's like a dimmer switch for neurological activity. 150mg in the evening should seriously calm you down and make you sleepy. Trazodone will give you uninterrupted sleep. Just 50mg is enough to get you from waking up every 2 hours to staying asleep for 6. It will also help you fall asleep easier. Sleep restriction therapy - if you're interested, I can look for the resources I had about that, it also helped a lot. But in a nutshell - first you only allow yourself to rest for a short amount of time, about 6 hours a day, and can't stay in bed any longer. No lying in bed waiting to fall asleep, no naps, nothing. The body soon learns that it HAS to prioritize deep sleep to keep you alive and you'll get deeper sleep with higher quality as a result. Bonus pro tip: melatonin. It's most people's go to thing to help them sleep, it's available over the counter and it can help, but there is one large issue with it that rarely gets mentioned - you mustn't take more than 0.5-1mg a night. At that dose it really does help, but anything beyond that gives the opposite effects - your sleep would be more disturbed, you would likely get nightmares, you would be more tired in the morning etc. It grinds my gears that high doses of melatonin are often given to people who look for a way out of their insomnia... P.S.: Sorry for a wall of text, but I've spent a year of my life going through this hell, sleeping only about 3 hours a night for months and running into doctors who wouldn't help and just thought that I'm making up stuff or something. As result, I read lots of papers on sleep science, tested just about about every thing available for better sleep... And since then, I hope that my experiences might help someone in a similar situation as I was back then - now I'm almost completely fine, knock on wood :)
| true
|
46
|
if9zphf
|
Mods if this is not allowed just delete it.
**Some doctors don’t like some patients**
*They leave health-care professionals feeling frustrated, resentful, defeated or inadequate. This affects quality of care. But steps can be taken to improve such issues.*
Perspective by Joan Naidorf
June 30, 2022 at 7:42 a.m. EDT
I was at my computer working when an emergency room nurse approached.
She told me that they were putting a patient in bed No. 6, and that “she’s having severe pain.”
I knew this was my cue to stop what I was doing and go see her. But I realized immediately that I had a conflict that could prevent this patient from getting the care and attention she deserved from an ER doctor: I didn’t like her.
I had already seen her twice before. She was always crying out in agony. She would inject drugs into her legs leading to multiple deep infections. There was poor intravenous access, and once we established an IV, she accepted some medications and signed out against medical advice. I resented that she did not fill any prescriptions and did not see a primary care physician outside the ER.
I didn’t like taking care of her and viewed all of our efforts as futile. Her underlying issues of substance abuse disorder, unemployment and some other undiagnosed or untreated psychiatric disorder could not be adequately addressed in the ER setting. It seemed to me like she was purposely making herself sicker while frustrating me and our nurses further. I sent the resident to see her.
I am not alone in thinking that way. A study in the Archives of Internal Medicine found that the internal medicine physicians in practice found 15 percent or more of their patients to be “difficult.”
For busy clinicians seeing 25 or more patients per shift, that is three to four times per day that they are left feeling frustrated, resentful, defeated or inadequate.
Don’t be a jerk when you see your doctor — it can affect your care.
Health-care professionals don’t like acknowledging these feelings. It can be unprofessional and contrary to the oaths we take when we graduate. That may be a reason this issue has not been well-studied or documented.
Intuitively, it would seem that mutual bad feelings between patients and their health-care team do not serve either party well.
‘Hateful patient’
In his groundbreaking article, “Taking Care of the Hateful Patient,” psychiatrist James E. Groves discussed the negative feelings and dread that physicians have toward some of their patients and how it affects both. “When the patient creates in the doctor feelings that are disowned or denied, errors in diagnosis and treatment are more likely to occur,” he wrote.
He noted that physicians taking care of these “hateful” patients were more likely to feel helpless, to unconsciously punish the patient, to punish themselves, to inappropriately confront the patient, or to avoid or remove them from the clinical setting. In other words, the doctors get more cynical and the patients get inferior care.
A study in the British Journal of Medicine documented that patients who believed that their doctors have compassion for them take their medications more consistently, follow through with treatments, experience better outcomes, rate their physicians higher and file fewer malpractice lawsuits, even when a mistake was made. It can be concluded then that the absence of compassion and perceived negative perceptions could lead to less compliance, less follow-through, poorer outcome and more patient complaints and lawsuits.
Critical care physician Rana Awdish, who serves as medical director of Care Experience for the Henry Ford Health System in Detroit, wrote about the problem of branding patients as difficult in her memoir, “In Shock: My Journey From Death to Recovery and the Redemptive Power of Hope.” As she faced critical illness herself, she was identified as “difficult” by her nurse.
What happens when doctors turn into patients?
Awdish writes: “We label patients. We label them as cooperative, or drug-seeking, realistic, or difficult. It functioned as an abridged report to our colleagues of what to expect. ‘Difficult’ was shorthand for ‘The patient is not going along with the plan. I have a good solid plan, and they weren’t on board.’ … We insisted on creating a dynamic in which one person wins and the other loses.”
Negativity bias
Health-care professionals judge patients one way or another because that is what humans do. Humans have a strong negativity bias and look for things that look wrong or dangerous. This tendency served our ancestors who had to be alert for danger well. We are experts at identifying what is wrong.
In addition, during training, I have heard teachers and colleagues use derogatory and demeaning language about patients who seem noncompliant, self-destructive and disagreeable. Thinking about some types of patients in negative ways becomes a terrible, habitual group way of thinking. Everyone in the medical workplace knows the “frequent fliers” — certain patients who return to the emergency department over and over again as their primary source of health care — and the “drug seekers” who show up every week.
There are several problems with all the harsh judgments that clinicians make so rapidly about patients.
We generally do not have all the information we need to formulate an accurate assessment. Because of confirmation bias, we tend to interpret new information as being supportive of the opinions we already hold. We search for things in the world that support the negative beliefs we already have. We also ignore evidence that disagrees with or does not confirm our preconceived beliefs.
In other words, we miss the actual diagnosis.
How to help
What can be done to address the issue from both sides?
For health-care workers, it is important to become more aware of the ways that we think and talk. We carry negative thoughts about some of our patients and that is a human and normal thing. Don’t beat yourself up about it. With awareness, you can redirect your thoughts. You can start by asking these questions:
- Can you imagine that the problems of your patients are your own? In that way, you can have compassion for their fear and anxiety about some symptom or a diagnosis that they do not yet understand.
- What else is true about this challenging person? Are they someone’s son or daughter? Do they have an undiagnosed or untreated psychiatric diagnosis?
- Could you be wrong about your plan? Are there other ways in which you could collaborate with the patient or the family of the pediatric patient to achieve your mutual goals?
- Can you give your patient or his family the benefit of the doubt? Can you consider what they might be thinking to make them feel and act in a “difficult” way?
Patients can also make their interactions with their health-care team less adversarial. They could understand that physicians are highly scrutinized as to the medications and treatments they prescribe, and each of us takes an oath to do our patients no harm. Patients can do these things:
- Bring a list of medical history, prior surgeries, medications and allergies. Reviewing these items are important safety issues.
- Prepare to report your symptoms (not suspected diagnoses) over and over again. Hearing a patient tell their own story is an important part of the physician’s evaluation.
- Allow yourself to be examined. A thorough physical exam is an important part of the diagnostic evaluation. Bring a support person or interpreter or ask for one to help with this.
- Avoid confrontation and threatening behavior. Health-care professionals tend to be organized and highly driven people who don’t like being manipulated, threatened or ordered around. Requests for medications and treatments are reasonable and patients can request explanations and expectations as needed.
- Explain to the physician and nurses any limitation in adhering to the plan: for example, lack of insurance, transportation or support system. The nurses and social workers can help provide more resources, but the staff cannot help unless they know the issues.
Joan Naidorf is a board-certified emergency physician, author and speaker based in Alexandria, Va. Her book, “Changing How We Think About Difficult Patients: A Guide for Physicians and Healthcare Professionals,” was published in January by the American Association for Physician Leadership.
|
如果mods不允许的话就删除它。 **有些医生不喜欢有些病人** *他们让医疗保健专业人员感到沮丧、怨恨、失败或能力不足。这会影响护理质量。但可以采取措施来改善此类问题。* Joan Naidorf 的观点 美国东部夏令时间 2022 年 6 月 30 日上午 7:42 我正在电脑前工作，这时一名急诊室护士走过来。她告诉我，他们正在把一名病人放在 6 号床上，“她感到剧烈疼痛。”我知道这是我停止手头的事情去见她的暗示。但我立即意识到我有一个冲突，可能会阻止这位患者从急诊室医生那里得到应有的护理和关注：我不喜欢她。我之前已经见过她两次了。她总是痛苦地哭泣。她会向腿部注射药物，导致多处深层感染。静脉通路很差，一旦我们建立了静脉注射，她就接受了一些药物，并违背医疗建议退出。我对她没有配任何处方，也没有在急诊室外去看初级保健医生感到不满。我不喜欢照顾她，并认为我们所有的努力都是徒劳的。她的药物滥用障碍、失业和其他一些未经诊断或未经治疗的精神障碍等根本问题无法在急诊室得到充分解决。在我看来，她似乎是故意让自己病情加重，同时进一步让我和我们的护士感到沮丧。我派居民去见她。我并不是唯一一个有这种想法的人。内科档案馆的一项研究发现，内科医生在实践中发现 15% 或更多的患者“很难相处”。对于忙碌的临床医生来说，每班接诊 25 名或更多患者，每天有三到四次他们感到沮丧、怨恨、挫败或能力不足。看医生时不要表现得像个混蛋——这会影响你的护理。医疗保健专业人员不喜欢承认这些感受。这可能是不专业的，并且违背我们毕业时的誓言。这可能是这个问题尚未得到充分研究或记录的原因。直觉上，患者与其医疗团队之间的相互不良情绪似乎对任何一方都没有好处。 “可恨的病人” 精神科医生詹姆斯·E·格罗夫斯（James E. Groves）在他的开创性文章“照顾可恨的病人”中讨论了医生对某些病人的负面情绪和恐惧，以及它如何影响两者。他写道：“当患者对医生产生否认或否认的感觉时，诊断和治疗中更容易出现错误。”他指出，照顾这些“可恨”患者的医生更有可能感到无助，无意识地惩罚患者，惩罚自己，不恰当地面对患者，或者避免或将他们从临床环境中剔除。换句话说，医生变得更加愤世嫉俗，而患者得到的护理也更差。 《英国医学杂志》上的一项研究表明，相信医生对他们有同情心的患者会更坚持服药、坚持治疗、获得更好的结果、对医生评价更高、提起医疗事故诉讼更少，即使是在错误发生的情况下。制成。由此可以得出结论，缺乏同情心和负面认知可能会导致依从性降低、后续行动减少、结果较差以及患者投诉和诉讼增多。底特律亨利·福特医疗系统护理体验医疗总监拉娜·奥迪什 (Rana Awdish) 的重症监护医师拉娜·奥迪什 (Rana Awdish) 在她的回忆录《震惊中：我从死亡到康复的旅程和救赎力量》中谈到了将患者视为困难的问题。希望的。”由于她自己病情危重，她被护士认定为“困难”。当医生变成病人时会发生什么？奥迪什写道：“我们给病人贴上标签。我们将它们标记为合作的、寻求毒品的、现实的或困难的。它的作用是向我们的同事提供一份关于预期结果的删节报告。 “困难”是“病人不同意计划”的简写。我有一个可靠的计划，但他们没有参与。” ......我们坚持创造一种动态，其中一个人获胜，另一个人失败。”消极偏见 医疗保健专业人员会以某种方式判断患者，因为这就是人类的行为。人类有强烈的消极偏见，会寻找看起来错误或危险的事物。这种倾向对我们的祖先很有帮助，他们必须对危险保持警惕。我们是识别问题的专家。此外，在培训期间，我听到老师和同事对那些看起来不顺从、自我毁灭和令人讨厌的患者使用贬义和贬低的语言。以消极的方式思考某些类型的患者会成为一种可怕的、习惯性的群体思维方式。医疗工作场所的每个人都知道“常旅客”——某些反复回到急诊科作为主要医疗保健来源的患者——以及每周出现的“吸毒者”。临床医生如此迅速地对患者做出严厉的判断存在几个问题。我们通常没有制定准确评估所需的所有信息。由于确认偏差，我们倾向于将新信息解释为支持我们已经持有的观点。我们在世界上寻找支持我们已有的消极信念的事物。我们还忽略不同意或不能证实我们先入为主的信念的证据。换句话说，我们错过了实际的诊断。如何提供帮助 双方可以采取哪些措施来解决问题？对于医护人员来说，更加了解我们的思考和谈话方式非常重要。我们对一些病人抱有消极的想法，这是人性的正常现象。不要为此自责。有了意识，你就可以改变你的想法。您可以首先提出以下问题： - 您能想象患者的问题是您自己的吗？这样，您就可以同情他们对某些他们尚不了解的症状或诊断的恐惧和焦虑。 - 这个富有挑战性的人还有哪些真实情况？他们是某人的儿子或女儿吗？他们是否有未经诊断或未经治疗的精神病诊断？ - 你的计划有可能是错的吗？您是否可以通过其他方式与患者或儿科患者家属合作以实现共同目标？ - 你能给你的病人或他的家人无罪推论吗？你能考虑一下他们可能在想什么，从而让他们感觉并以“困难”的方式行事吗？患者还可以减少与医疗团队的互动。他们可以理解，医生开出的药物和治疗方法都会受到严格审查，我们每个人都宣誓不伤害我们的病人。患者可以做以下事情： - 带上病史、既往手术、药物和过敏史清单。检查这些项目是重要的安全问题。 - 准备好一遍又一遍地报告您的症状（不是疑似诊断）。听病人讲述自己的故事是医生评估的重要组成部分。 - 让自己接受检查。彻底的体检是诊断评估的重要组成部分。请带一名支持人员或口译员，或请求一名支持人员或口译员来帮助解决此问题。 - 避免对抗和威胁行为。医疗保健专业人员往往是有组织性和高度干劲的人，不喜欢被操纵、威胁或指挥。对药物和治疗的要求是合理的，患者可以根据需要要求解释和期望。 - 向医生和护士解释遵守计划的任何限制：例如，缺乏保险、交通或支持系统。护士和社会工作者可以帮助提供更多资源，但工作人员除非了解问题，否则无法提供帮助。琼·奈多夫 (Joan Naidorf) 是弗吉尼亚州亚历山大市的一名获得委员会认证的急诊科医生、作家和演讲家。她的书《改变我们对困难患者的看法：医生和医疗保健专业人员指南》于 1 月由美国医师协会出版领导。
| 0
|
Mods if this is not allowed just delete it. Some doctors dont like some patients They leave health-care professionals feeling frustrated, resentful, defeated or inadequate. This affects quality of care. But steps can be taken to improve such issues. Perspective by Joan Naidorf June 30, 2022 at 7:42 a.m. EDT I was at my computer working when an emergency room nurse approached. She told me that they were putting a patient in bed No. 6, and that shes having severe pain. I knew this was my cue to stop what I was doing and go see her. But I realized immediately that I had a conflict that could prevent this patient from getting the care and attention she deserved from an ER doctor: I didnt like her. I had already seen her twice before. She was always crying out in agony. She would inject drugs into her legs leading to multiple deep infections. There was poor intravenous access, and once we established an IV, she accepted some medications and signed out against medical advice. I resented that she did not fill any prescriptions and did not see a primary care physician outside the ER. I didnt like taking care of her and viewed all of our efforts as futile. Her underlying issues of substance abuse disorder, unemployment and some other undiagnosed or untreated psychiatric disorder could not be adequately addressed in the ER setting. It seemed to me like she was purposely making herself sicker while frustrating me and our nurses further. I sent the resident to see her. I am not alone in thinking that way. A study in the Archives of Internal Medicine found that the internal medicine physicians in practice found 15 percent or more of their patients to be difficult. For busy clinicians seeing 25 or more patients per shift, that is three to four times per day that they are left feeling frustrated, resentful, defeated or inadequate. Dont be a jerk when you see your doctor it can affect your care. Health-care professionals dont like acknowledging these feelings. It can be unprofessional and contrary to the oaths we take when we graduate. That may be a reason this issue has not been well-studied or documented. Intuitively, it would seem that mutual bad feelings between patients and their health-care team do not serve either party well. Hateful patient In his groundbreaking article, Taking Care of the Hateful Patient, psychiatrist James E. Groves discussed the negative feelings and dread that physicians have toward some of their patients and how it affects both. When the patient creates in the doctor feelings that are disowned or denied, errors in diagnosis and treatment are more likely to occur, he wrote. He noted that physicians taking care of these hateful patients were more likely to feel helpless, to unconsciously punish the patient, to punish themselves, to inappropriately confront the patient, or to avoid or remove them from the clinical setting. In other words, the doctors get more cynical and the patients get inferior care. A study in the British Journal of Medicine documented that patients who believed that their doctors have compassion for them take their medications more consistently, follow through with treatments, experience better outcomes, rate their physicians higher and file fewer malpractice lawsuits, even when a mistake was made. It can be concluded then that the absence of compassion and perceived negative perceptions could lead to less compliance, less follow-through, poorer outcome and more patient complaints and lawsuits. Critical care physician Rana Awdish, who serves as medical director of Care Experience for the Henry Ford Health System in Detroit, wrote about the problem of branding patients as difficult in her memoir, In Shock: My Journey From Death to Recovery and the Redemptive Power of Hope. As she faced critical illness herself, she was identified as difficult by her nurse. What happens when doctors turn into patients? Awdish writes: We label patients. We label them as cooperative, or drug-seeking, realistic, or difficult. It functioned as an abridged report to our colleagues of what to expect. Difficult was shorthand for The patient is not going along with the plan. I have a good solid plan, and they werent on board. We insisted on creating a dynamic in which one person wins and the other loses. Negativity bias Health-care professionals judge patients one way or another because that is what humans do. Humans have a strong negativity bias and look for things that look wrong or dangerous. This tendency served our ancestors who had to be alert for danger well. We are experts at identifying what is wrong. In addition, during training, I have heard teachers and colleagues use derogatory and demeaning language about patients who seem noncompliant, self-destructive and disagreeable. Thinking about some types of patients in negative ways becomes a terrible, habitual group way of thinking. Everyone in the medical workplace knows the frequent fliers certain patients who return to the emergency department over and over again as their primary source of health care and the drug seekers who show up every week. There are several problems with all the harsh judgments that clinicians make so rapidly about patients. We generally do not have all the information we need to formulate an accurate assessment. Because of confirmation bias, we tend to interpret new information as being supportive of the opinions we already hold. We search for things in the world that support the negative beliefs we already have. We also ignore evidence that disagrees with or does not confirm our preconceived beliefs. In other words, we miss the actual diagnosis. How to help What can be done to address the issue from both sides? For health-care workers, it is important to become more aware of the ways that we think and talk. We carry negative thoughts about some of our patients and that is a human and normal thing. Dont beat yourself up about it. With awareness, you can redirect your thoughts. You can start by asking these questions: - Can you imagine that the problems of your patients are your own? In that way, you can have compassion for their fear and anxiety about some symptom or a diagnosis that they do not yet understand. - What else is true about this challenging person? Are they someones son or daughter? Do they have an undiagnosed or untreated psychiatric diagnosis? - Could you be wrong about your plan? Are there other ways in which you could collaborate with the patient or the family of the pediatric patient to achieve your mutual goals? - Can you give your patient or his family the benefit of the doubt? Can you consider what they might be thinking to make them feel and act in a difficult way? Patients can also make their interactions with their health-care team less adversarial. They could understand that physicians are highly scrutinized as to the medications and treatments they prescribe, and each of us takes an oath to do our patients no harm. Patients can do these things: - Bring a list of medical history, prior surgeries, medications and allergies. Reviewing these items are important safety issues. - Prepare to report your symptoms (not suspected diagnoses) over and over again. Hearing a patient tell their own story is an important part of the physicians evaluation. - Allow yourself to be examined. A thorough physical exam is an important part of the diagnostic evaluation. Bring a support person or interpreter or ask for one to help with this. - Avoid confrontation and threatening behavior. Health-care professionals tend to be organized and highly driven people who dont like being manipulated, threatened or ordered around. Requests for medications and treatments are reasonable and patients can request explanations and expectations as needed. - Explain to the physician and nurses any limitation in adhering to the plan: for example, lack of insurance, transportation or support system. The nurses and social workers can help provide more resources, but the staff cannot help unless they know the issues. Joan Naidorf is a board-certified emergency physician, author and speaker based in Alexandria, Va. Her book, Changing How We Think About Difficult Patients: A Guide for Physicians and Healthcare Professionals, was published in January by the American Association for Physician Leadership.
| true
|
47
|
h5cxeuv
|
Well real quick before I talk anime... failed to get Da Vinci in **FGO**. Still have 200SQ left that will be for Summer Carmilla. Here's hoping.
In better news, finally got the Top Operator tag in **Arknights** again and managed to get Skadi out of that so at least one game is nice to me! Then while trying to roll for Nian I got Magallan and Aak. Obviously not what I wanted but at least I get max rarity units in this game. Combine all that with Gravel's new outfit and I am pretty pleased with Arknights atm. But now I have nothing for Dusk or Saga...
Okay! **Summer anime season** time! Watching 12 anime this time! Will I keep up with that many? Absolutely not. Will I drop any? Probably not. But maybe one... more on that later!
---
**Mobile Suit Gundam: Hathaway's Flash** - First and foremost, I watched the first Hathaway's Flash movie. Set in U.C. 105, we are now post Unicorn and Narrative, but this movie is actually a sequel to Char's Counterattack because the novels are from '89 and '90. So none of that shit matters. Banagher WHO?! As the name suggests we are following our favorite shit kid, Hathaway! A new terrorist cell has sprung up and is causing trouble for the Feddies, and our Hathaway finds himself in the midst of the conflict!
Now I already know how this all ends, and went in with pre-established hate for Hathaway, but honestly he was good. Really started to turn around on him in the second half. Honestly, Hathaway >!being the leader of the terrorist cell and essentially a villain protagonist!< is super interesting to me. I also really liked the action sequences and that air raid was spectacular. Like that first bit of F91 but stretched out for nearly 20min. Honestly a lot of this movie is very pretty. I swear they had to have a whole team for just Gigi's hair!
My only issues are that some of the establishing shots have some pretty bad CG. Like one shot of a peninsula looked like Google Maps levels of detail. And the water in the ocean scenes just didn't match the boats and planes. Those are the only super noticeable scenes where I felt the CG was rough and there are very few. The CG for ships and mobile suits was solid and the effects were good too. Another gripe is I feel like you lose a bit of quality with the Netflix stream. Feel like a theater experience or bluray would be better. Mainly the dark scenes were hard to make out and I felt like I wasn't seeing it in its best light(heh). Maybe that was Netflix, maybe the movie is just that dark. Idk.
Story wise, my only issue is that Gigi seems...strange. Constantly changing moods early on, really unsure what her purpose is going to be. I'm unsure how I feel about the love triangle, but the scenes of >!Kenneth trying to take her away and cuck Hathaway!< were kind of funny.
But hey, Gundam is back! I feel like its been a down few years. IBO was the last serious entry and that ended in 2017. Everything since has been Build Fighters related. Or Narrative... Don't know how long until the next movie, but I hope its only a year or so.
**Kobayashi's Maid Dragon season 2** - The dragons waifus have returned and with that Kyoto Animation's return to seasonal anime! Hip hip, hooray! Boy did they come in swinging too! I always love when they just pop off with the fight animation in this show. Not much to say overall though. New season, more fun, new dragon girl. Really, its just great to see that Kyoto Animation has recovered and will continue onward, even after such a horrible tragedy. I still haven't seen the Violet Evergarden movie, but with it and this... [they are back!](https://youtu.be/BSfpoSrCGsQ?t=5)
**Reincarnated as a Slime season 2 part 2** - After a season break and a really great slice of life spin-off, Slime is back as well! Honestly I was pretty let down with the first half considering its pacing and constant recapping, so I have tempered my expectations with this one. I'm still excited for it and so far its been good, but they still love to show recap when they don't need to. I don't need to know how we got here every episode okay? You don't need to recap a fight that happened in the first half that you already recapped in the first half okay? Anyways... One of the things I like about Reincarnated as a Slime is the nation building aspects, and this season is going to have a lot of politicking, so that's something to look forward to.
**The Detective is Already Dead** - This show is fucking weird. Its like the author watched Monogatari, Bunny Girl Senpai, and like Charlotte, (all series where the main couples have good chemistry and back and forth dialogue) and thought "I can do this." Spoilers, they didn't. I was really looking forward to this one too because I saw quite a bit of promotion, but its just strange. I have no clue where the plot is going, the dialogue and character actions are just strange, the "mysteries" if you want to call them that are solved by people just knowing everything, or with nonsense.
So premise... Its in the name right? Our MC is a generic anime boy who is constantly finding himself in strange and unlucky situations. By virtue of this, he becomes acquainted with our quirky detective girl. We see a bit of their relationship before a timeskip where we learn she has died. No info as to how or why. Then after the timeskip and trying to live a normal life, our MC meets a new girl that is oddly similar to the detective.
After two episodes(and the first was double length), I do not have confidence in this plot and the characters aren't enough to pull me through it. Will watch one, maybe two more episodes, but I'll probably drop this one. And I almost never drop anime.
**The Case Study of Vanitas** - Probably my favorite anime of the season so far. From the creator of Pandora Hearts comes, hot vampire boys in 19th century Paris! Except they got magic and airships. It has been a long time since I read Pandora Hearts, but I remember liking it a lot as a teenager, so I'm pretty excited for this one. Studio Bones animating it and music is by Yuki Kajiura so that is dope. Definitely has that Madoka Magica style music to it.
Story is that vampires live among humans and they are all scared of a vampire named Vanitas that was born under a blue moon, who is said to want revenge on them all for some past beef. Our main character Noe is searching for Vanitas' magic tome and meets Vanitas but things aren't quite like the tales go... Vanitas is actually a doctor trying to help vampires that are losing their sanity and turning into monsters.
Pretty cool so far, and wonder if it will get as wild as I remember Pandora Hearts getting. But also Vanitas and Noe are cute as heck so ya know.
**The Duke of Death and His Maid** - This anime is about a young aristocrat who has been cursed by a witch and he kills anything he touches. This leads to him being outcast by his family and forced to live in an estate on his own. There is one person, however, that stays by his side always and its his beloved maid...that just loves to tease him. Its another entry in the teasing genre boys! Except this time... its basically an established couple. They both admit early on that they love one another and really the only thing preventing their love is the curse. Honestly this show is really cute, but it can also be a bummer.
Despite the animation being limited, and the characters being 3D(which doesn't really bother me), I think the comedy and voice acting make up for it. The backgrounds also have a painted canvas texture and I feel that helps as well. So far this has been one of my favorites this season and I'll probably check out the manga after.
**My Next Life as a Villainess season 2** - Bakarina is back! Outside of Ascendance of a Bookworm, this is probably one of my favorite isekai. Our heroine is isekai'd and finds herself as the villain in the otome game she used to play, and she knows that no matter what, her character gets the shit end of the stick! Objective: Survive.
Honestly just a really fun anime. Nothing too deep, but has a fun cast and a "so stupid you cant help but love her" protagonist. Technically a reverse harem, but we all know Maria is the one true romance.
**The Aquatope on White Sand** - Arguably the prettiest anime this season and one I'm very interested in.
Story is that our main girl is a former idol who quit after some trouble with her group and managers, and on her way back to her home town, she instead goes to Okinawa on a whim. Through some chance encounters, she finds herself at an aquarium where she meets the other main character, a teenage girl that is filling in as the director while her grandfather is out doing business. Taken away by the fishies, she asks if she can start working there. But oh no, there is trouble! The aquarium is on the verge of closing and if they cant turn this sucker around, its gone for good! And our heroine sucks at taking care of animals! So begins our journey of two girls trying to save the local aquarium!
Now within the opening minutes I started to think, "this feels similar to Sakura Quest." Well turns out both are made by P.A. Works. This one is just about saving an oceanside town's aquarium while Sakura Quest was saving a country town's tourism industry. Both starring girls that struck out in their respective industries and found themselves in a small town.
Still though, two episodes in and its been great. Very pretty. Not sure if the girls are going to kiss, but I won't complain if they do!
---
So yeah, thats anime. I am also going to check out **Sonny Boy**, **Madoka Magica Magia Record season 2**, and **The Great Jahy Will not Be Defeated**. Sonny Boy just came out so gotta watch it still and the other two are still weeks way.
And **Macadamia season 5** and **To Your Eternity** are continuing on. Still upset about Macadamia. To Your Eternity is still great.
|
好吧，在我谈论动漫之前，很快...未能让达芬奇进入 **FGO**。还剩下 200 平方米，供夏季卡米拉使用。这里有希望。更好的消息是，终于再次在 **Arknights** 中获得顶级干员标签，并设法让 Skadi 摆脱困境，所以至少有一款游戏对我来说很好！然后，当我试图为 Nian 滚动时，我得到了 Magallan 和 Aak。显然不是我想要的，但至少我在这个游戏中获得了最大的稀有单位。将所有这些与 Gravel 的新服装结合起来，我对 Arknights atm 非常满意。但现在我对《黄昏》或《传奇》一无所知……好吧！ **夏季动漫季**时间到了！这次看了12部动漫！我能跟得上那么多人吗？绝对不。我会放弃任何吗？可能不会。但也许稍后会详细介绍这一点！ --- **机动战士高达：闪光的海瑟薇** - 首先也是最重要的，我观看了第一部闪光的海瑟薇电影。以UC 105为背景，我们现在已经发布了《独角兽》和《叙事》，但这部电影实际上是《夏亚的逆袭》的续集，因为小说是89和90年的。所以那些狗屎都不重要了。巴纳吉是谁？！顾名思义，我们正在追随我们最喜欢的狗屎孩子，海瑟薇！一个新的恐怖组织如雨后春笋般涌现，给联邦警察带来了麻烦，而我们的海瑟薇发现自己陷入了冲突之中！现在我已经知道这一切是如何结束的，并且对海瑟薇怀有既定的仇恨，但说实话，他很好。下半场他真的开始扭转局面。老实说，海瑟薇>！是恐怖组织的头目，本质上是一个反派主角！<我觉得超级有趣。我也很喜欢其中的动作场面，那场空袭非常壮观。就像 F91 的第一部分，但延长了近 20 分钟。老实说这部电影的很多内容都非常漂亮。我发誓他们为了吉吉的头发就必须有一整个团队！我唯一的问题是一些定场镜头的 CG 相当糟糕。就像半岛的一张照片看起来就像谷歌地图的细节级别一样。而且海洋场景中的水与船只和飞机并不匹配。这是唯一一个超级引人注意的场景，我觉得CG很粗糙，而且很少。舰船和机动战士的CG很扎实，效果也很好。另一个抱怨是我觉得 Netflix 流媒体的质量有所下降。感觉剧院体验或蓝光会更好。主要是黑暗的场景很难辨认，我觉得我没有在最好的光线下看到它（呵呵）。也许那是Netflix，也许这部电影就是那么黑暗。我不知道。就故事而言，我唯一的问题是吉吉看起来……很奇怪。早期情绪不断变化，真的不确定她的目的是什么。我不确定我对三角恋的感觉如何，但是>！肯尼思试图带她走并给海瑟薇上床的场景！<有点搞笑。但是嘿，高达回来了！我感觉这几年已经没落了。 IBO 是最后一个严肃的赛事，于 2017 年结束。此后的一切都与《Build Fighters》相关。或者叙事......不知道下一部电影还有多久，但我希望只有一年左右。 **小林的龙女仆第 2 季** - 龙女仆们回来了，京都动画也回归季节性动画！太好啦！天哪，他们也来荡秋千了！我总是喜欢他们在这个节目中突然出现打斗动画。不过总体来说没什么好说的。新一季，更好玩，新龙女。真的，很高兴看到京都动画已经恢复并将继续前进，即使在经历了如此可怕的悲剧之后。我还没看过紫罗兰永恒花园电影，但是有了它和这个...... [他们回来了！](https://youtu.be/BSfpoSrCGsQ?t=5) **转生为史莱姆第2季第2部分** - 经过一个赛季的休整和一部精彩的生活衍生剧后，史莱姆也回来了！老实说，考虑到上半场的节奏和不断的重述，我对上半场感到非常失望，所以我对这一部分的期望有所降低。我仍然对此感到兴奋，到目前为止一切都很好，但他们仍然喜欢在不需要的时候进行回顾。我不需要知道每一集我们是如何来到这里的，好吗？你不需要回顾上半场发生的一场你已经在上半场回顾过的战斗，好吗？无论如何……我喜欢《转世为史莱姆》的一件事是国家建设方面，而这一季将会有很多政治活动，所以这是值得期待的。 **侦探已经死了** - 这个节目太他妈奇怪了。就像作者看了《物语》、《兔女郎学姐》和《夏洛特》（所有主要情侣都有良好化学反应和来回对话的系列）并认为“我可以做到这一点”。剧透，他们没有。我也很期待这个，因为我看到了很多促销活动，但这很奇怪。我不知道情节将走向何方，对话和角色动作很奇怪，如果你想称它们为“谜团”，则由人们知道一切或用废话来解决。所以前提...它的名字对吗？我们的MC是一个普通的动漫男孩，他经常发现自己处于奇怪和不幸的境地。凭借这个，他结识了我们古怪的侦探女孩。在我们得知她去世之前，我们看到了他们的一些关系。没有关于如何或为什么的信息。然后，在时间跳跃并试图过正常的生活之后，我们的主持人遇到了一个与侦探出奇相似的新女孩。两集之后（第一集是双倍长度），我对这个情节没有信心，角色也不足以让我完成它。会看一集，也许还会看两集，但我可能会放弃这一集。而且我几乎从不放弃动漫。 **Vanitas 的案例研究** - 可能是我本季迄今为止最喜欢的动漫。 《潘多拉之心》的创作者出品，19 世纪巴黎的性感吸血鬼男孩！除了他们有魔法和飞艇。我已经很久没有读《潘多拉之心》了，但我记得我十几岁的时候就非常喜欢它，所以我对这本书感到非常兴奋。 Studio Bones 为其制作了动画，音乐由梶浦由纪 (Yuki Kajiura) 创作，所以这很酷。绝对有魔法小圆风格的音乐。故事是，吸血鬼生活在人类中间，他们都害怕一个名叫瓦尼塔斯的吸血鬼，这个吸血鬼出生在蓝月下，据说他想为他们所有人报仇。我们的主角诺伊正在寻找瓦尼塔斯的魔法书，并遇到了瓦尼塔斯，但事情并不像故事中那样……瓦尼塔斯实际上是一名医生，试图帮助失去理智并变成怪物的吸血鬼。到目前为止还很酷，不知道它是否会像我记忆中的《潘多拉之心》那样疯狂。但 Vanitas 和 Noe 也很可爱，所以你知道。 **死亡公爵和他的女仆** - 这部动画讲述了一位年轻贵族被女巫诅咒，杀死任何接触到的东西的故事。这导致他被家人抛弃，被迫独自住在一处庄园里。然而，有一个人，一直陪伴在他身边，而且是他心爱的女仆……就是喜欢捉弄他。这是戏弄类型男孩的又一作品！只是这一次……基本上是一对既定的情侣了。他们都很早就承认他们彼此相爱，而真正阻止他们相爱的唯一因素就是诅咒。老实说，这个节目真的很可爱，但也可能很糟糕。尽管动画有限，而且角色是 3D 的（这并没有真正困扰我），但我认为喜剧和配音弥补了这一点。背景也有彩绘画布纹理，我觉得这也有帮助。到目前为止，这是我本季最喜欢的漫画之一，之后我可能会看看漫画。 **我的下辈子作为恶棍第二季** - 巴卡琳娜回来了！除了《书呆子的崛起》之外，这可能是我最喜欢的异世界之一。我们的女主角异世界了，发现自己是她以前玩的乙女游戏中的反派，她知道无论如何，她的角色都会受到惩罚！目标：生存。老实说，这是一部非常有趣的动漫。没什么太深奥的，但有一个有趣的演员阵容和一个“如此愚蠢，你无法不爱她”的主角。从技术上讲，这是一个反向后宫，但我们都知道玛丽亚是真正的浪漫主义者。 **白沙上的水生植物** - 可以说是本季最漂亮的动漫，也是我非常感兴趣的一部。故事是我们的主要女孩是一位前偶像，在与她的团队和经理发生一些麻烦后退出，并在她的路上回到家乡后，她一时兴起去了冲绳。通过一些偶然的机会，她发现自己在一家水族馆，在那里她遇到了另一个主角，一个十几岁的女孩，在她的祖父外出做生意时担任主管。她被鱼带走了，询问是否可以开始在那里工作。但是哦不，有麻烦！水族馆即将关闭，如果他们不能扭转这个局面，它就永远消失了！我们的女主角照顾动物很糟糕！两个女孩试图拯救当地水族馆的旅程就这样开始了！现在，在开场几分钟内，我开始思考，“这感觉与《樱花之旅》很相似。”事实证明，两者都是 PA Works 制作的。这部作品是为了拯救一个海滨小镇的水族馆，而《樱花探秘》则是为了拯救一个乡村小镇的旅游业。两位主演的女孩都在各自的行业中崭露头角，并发现自己身处一个小镇。尽管如此，还是看了两集，还是很棒的。很漂亮。不确定女孩们是否会接吻，但如果她们接吻我不会抱怨！ --- 是的，这就是动漫。我还将查看 **Sonny Boy**、**Madoka Magica Magia Record 第 2 季**和 **伟大的 Jahy 不会被击败**。桑尼男孩刚刚出来，所以还要看它，另外两个还有几周的时间。 **澳洲坚果第 5 季**和**致你的永恒**仍在继续。仍然对澳洲坚果感到不安。致你的永恒仍然很棒。
| 0
|
Well real quick before I talk anime... failed to get Da Vinci in FGO. Still have 200SQ left that will be for Summer Carmilla. Here's hoping. In better news, finally got the Top Operator tag in Arknights again and managed to get Skadi out of that so at least one game is nice to me! Then while trying to roll for Nian I got Magallan and Aak. Obviously not what I wanted but at least I get max rarity units in this game. Combine all that with Gravel's new outfit and I am pretty pleased with Arknights atm. But now I have nothing for Dusk or Saga... Okay! Summer anime season time! Watching 12 anime this time! Will I keep up with that many? Absolutely not. Will I drop any? Probably not. But maybe one... more on that later! --- Mobile Suit Gundam: Hathaway's Flash - First and foremost, I watched the first Hathaway's Flash movie. Set in U.C. 105, we are now post Unicorn and Narrative, but this movie is actually a sequel to Char's Counterattack because the novels are from '89 and '90. So none of that shit matters. Banagher WHO?! As the name suggests we are following our favorite shit kid, Hathaway! A new terrorist cell has sprung up and is causing trouble for the Feddies, and our Hathaway finds himself in the midst of the conflict! Now I already know how this all ends, and went in with pre-established hate for Hathaway, but honestly he was good. Really started to turn around on him in the second half. Honestly, Hathaway gt;!being the leader of the terrorist cell and essentially a villain protagonist!lt; is super interesting to me. I also really liked the action sequences and that air raid was spectacular. Like that first bit of F91 but stretched out for nearly 20min. Honestly a lot of this movie is very pretty. I swear they had to have a whole team for just Gigi's hair! My only issues are that some of the establishing shots have some pretty bad CG. Like one shot of a peninsula looked like Google Maps levels of detail. And the water in the ocean scenes just didn't match the boats and planes. Those are the only super noticeable scenes where I felt the CG was rough and there are very few. The CG for ships and mobile suits was solid and the effects were good too. Another gripe is I feel like you lose a bit of quality with the Netflix stream. Feel like a theater experience or bluray would be better. Mainly the dark scenes were hard to make out and I felt like I wasn't seeing it in its best light(heh). Maybe that was Netflix, maybe the movie is just that dark. Idk. Story wise, my only issue is that Gigi seems...strange. Constantly changing moods early on, really unsure what her purpose is going to be. I'm unsure how I feel about the love triangle, but the scenes of gt;!Kenneth trying to take her away and cuck Hathaway!lt; were kind of funny. But hey, Gundam is back! I feel like its been a down few years. IBO was the last serious entry and that ended in 2017. Everything since has been Build Fighters related. Or Narrative... Don't know how long until the next movie, but I hope its only a year or so. Kobayashi's Maid Dragon season 2 - The dragons waifus have returned and with that Kyoto Animation's return to seasonal anime! Hip hip, hooray! Boy did they come in swinging too! I always love when they just pop off with the fight animation in this show. Not much to say overall though. New season, more fun, new dragon girl. Really, its just great to see that Kyoto Animation has recovered and will continue onward, even after such a horrible tragedy. I still haven't seen the Violet Evergarden movie, but with it and this... they are back!(https:youtu.beBSfpoSrCGsQ?t5) Reincarnated as a Slime season 2 part 2 - After a season break and a really great slice of life spin-off, Slime is back as well! Honestly I was pretty let down with the first half considering its pacing and constant recapping, so I have tempered my expectations with this one. I'm still excited for it and so far its been good, but they still love to show recap when they don't need to. I don't need to know how we got here every episode okay? You don't need to recap a fight that happened in the first half that you already recapped in the first half okay? Anyways... One of the things I like about Reincarnated as a Slime is the nation building aspects, and this season is going to have a lot of politicking, so that's something to look forward to. The Detective is Already Dead - This show is fucking weird. Its like the author watched Monogatari, Bunny Girl Senpai, and like Charlotte, (all series where the main couples have good chemistry and back and forth dialogue) and thought "I can do this." Spoilers, they didn't. I was really looking forward to this one too because I saw quite a bit of promotion, but its just strange. I have no clue where the plot is going, the dialogue and character actions are just strange, the "mysteries" if you want to call them that are solved by people just knowing everything, or with nonsense. So premise... Its in the name right? Our MC is a generic anime boy who is constantly finding himself in strange and unlucky situations. By virtue of this, he becomes acquainted with our quirky detective girl. We see a bit of their relationship before a timeskip where we learn she has died. No info as to how or why. Then after the timeskip and trying to live a normal life, our MC meets a new girl that is oddly similar to the detective. After two episodes(and the first was double length), I do not have confidence in this plot and the characters aren't enough to pull me through it. Will watch one, maybe two more episodes, but I'll probably drop this one. And I almost never drop anime. The Case Study of Vanitas - Probably my favorite anime of the season so far. From the creator of Pandora Hearts comes, hot vampire boys in 19th century Paris! Except they got magic and airships. It has been a long time since I read Pandora Hearts, but I remember liking it a lot as a teenager, so I'm pretty excited for this one. Studio Bones animating it and music is by Yuki Kajiura so that is dope. Definitely has that Madoka Magica style music to it. Story is that vampires live among humans and they are all scared of a vampire named Vanitas that was born under a blue moon, who is said to want revenge on them all for some past beef. Our main character Noe is searching for Vanitas' magic tome and meets Vanitas but things aren't quite like the tales go... Vanitas is actually a doctor trying to help vampires that are losing their sanity and turning into monsters. Pretty cool so far, and wonder if it will get as wild as I remember Pandora Hearts getting. But also Vanitas and Noe are cute as heck so ya know. The Duke of Death and His Maid - This anime is about a young aristocrat who has been cursed by a witch and he kills anything he touches. This leads to him being outcast by his family and forced to live in an estate on his own. There is one person, however, that stays by his side always and its his beloved maid...that just loves to tease him. Its another entry in the teasing genre boys! Except this time... its basically an established couple. They both admit early on that they love one another and really the only thing preventing their love is the curse. Honestly this show is really cute, but it can also be a bummer. Despite the animation being limited, and the characters being 3D(which doesn't really bother me), I think the comedy and voice acting make up for it. The backgrounds also have a painted canvas texture and I feel that helps as well. So far this has been one of my favorites this season and I'll probably check out the manga after. My Next Life as a Villainess season 2 - Bakarina is back! Outside of Ascendance of a Bookworm, this is probably one of my favorite isekai. Our heroine is isekai'd and finds herself as the villain in the otome game she used to play, and she knows that no matter what, her character gets the shit end of the stick! Objective: Survive. Honestly just a really fun anime. Nothing too deep, but has a fun cast and a "so stupid you cant help but love her" protagonist. Technically a reverse harem, but we all know Maria is the one true romance. The Aquatope on White Sand - Arguably the prettiest anime this season and one I'm very interested in. Story is that our main girl is a former idol who quit after some trouble with her group and managers, and on her way back to her home town, she instead goes to Okinawa on a whim. Through some chance encounters, she finds herself at an aquarium where she meets the other main character, a teenage girl that is filling in as the director while her grandfather is out doing business. Taken away by the fishies, she asks if she can start working there. But oh no, there is trouble! The aquarium is on the verge of closing and if they cant turn this sucker around, its gone for good! And our heroine sucks at taking care of animals! So begins our journey of two girls trying to save the local aquarium! Now within the opening minutes I started to think, "this feels similar to Sakura Quest." Well turns out both are made by P.A. Works. This one is just about saving an oceanside town's aquarium while Sakura Quest was saving a country town's tourism industry. Both starring girls that struck out in their respective industries and found themselves in a small town. Still though, two episodes in and its been great. Very pretty. Not sure if the girls are going to kiss, but I won't complain if they do! --- So yeah, thats anime. I am also going to check out Sonny Boy, Madoka Magica Magia Record season 2, and The Great Jahy Will not Be Defeated. Sonny Boy just came out so gotta watch it still and the other two are still weeks way. And Macadamia season 5 and To Your Eternity are continuing on. Still upset about Macadamia. To Your Eternity is still great.
| true
|
48
|
flj5enr
|
The dead are never meant to come back. And yet, that didn't stop Zach's username from flashing across the bottom of my screen.
I almost didn't believe it. A trick of the eye, a dark side of total exhaustion. And yet, there it was. A pop-up notification, real as anything.
*New message from Zachadackary*
I blinked. Pulled my headphones off. I was up late, fucking around like usual, playing video games late deep into the night--even though the second I fell asleep, I'd be plunged into another video game all the same. Live and breathe that shit, I guess. My parents had plenty of reason to complain about my generation, as if they didn't end up in the same place every time they shut their eyes. As if they didn't delight in dressing up their avatars and playing shitty minigames just as much as the rest of us.
*Two new messages from Zachadackary*
*Three new--*
I clicked the notification. My belly lifted with hope and despair both. I wanted it to be him. Wanted it to be real. But it was probably some bot spam, grabbing his account from some hacked server or another. Imagine thinking it was my best friend's ghost, reaching out from beyond the grave, only to click and find a scripted catfish bot.
But this was no bot. No *heyyy what's up sexy* kinda bullshit.
The messages said:
[03:05 AM] **Zachadackary**: Hey dude, you up? This is serious
[03:05 AM] **Zachadackary**: I don't know how much time I have before they find me
[03:05 AM] **Zachadackary**: You gotta listen to me. DON'T GO TO SLEEP TONIGHT!! WHATEVER YOU DO!
Below the messages, the chat box said, impossibly, *Zachadackary is typing...*
I swallowed the bulge of tears in my throat and typed back:
[03:05 AM] **BenjaminButtonMash**: who the fuck is this?
Zach's profile picture flooded my screen as it read *Incoming voice call: Zachadackary*
I hesitated. My heart pulsed in my throat. I was half-convinced if I answered, I'd start crying. Zach had been my best friend as long as I could remember. In my earliest memories, he was there. We grew up across the street from each other and burned up so many summer nights sprawled on my trampoline, counting the stars. I never thought I'd see him again. Made my peace with it. Tried to bury him in my memory.
I clicked accept all the same.
"Ben!"
Zach's voice rushed across the line, staticky and crackling but unmistakably his.
Shit. Now I really was going to cry. I swallowed around the knot of emotion and said, "Am I dreaming?"
"No, thank Christ. And you better fucking not tonight. I don't know how long I've got. I found a utility terminal, but they'll be looking for me soon. They're probably already tracking this goddamn IP."
"What the fuck are you talking about, man?" I clutched my gamer headset, desperate to believe this was true just as much as I wanted it to be fake. I didn't know what I wanted more: Zach to be alive or me to be just going mental.
"The dreams. They're not what they say they are. They're harvesting us, man. They're *stealing* us. You gotta stop dreaming. That's how they're trapping us here. You gotta stay awake, stay--" Zach cut off, sharply. Garbled words sounded through the other end of the receiver. They sounded harsh, angry.
"Zach?" I whispered into the mic.
"Shit. Gotta go, buddy." He hesitated, his voice twisting with despair. "It sounds so stupid, but you know I love you, man. Just... if we don't speak again. Yeah. You'll always be my best friend."
Then, as suddenly as he appeared, he logged off. The voice call cut out. He plunged back into offline once more.
Maybe forever.
I clutched either side of my computer monitor, my pulse rabbiting against my skull. I called and called, but every call rang once before the chat client told me *Zachadackary is offline*.
I leaned back in my chair. Tried to keep the panic from dizzying me altogether. Ten years ago, when DreamCorps first unveiled their tech, it was a golden promise. A future free of sleep disorders, where we could all sleep as well as we should. It was meant to save our bodies and our minds, give us the REM sleep we needed to prepare for another day.
And eventually, none of us could sleep without the damn things.
"Fuck," I said. I slammed my fist against the desk. "*Fuck*."
I knew what he wanted, but I sure as hell didn't know what he meant.
I stared at my bed. At the dream headset I was so used to slipping on every night.
My parents were already snoring away down the hall. For once, the utopia of Dreamland seemed like a dark promise.
But I had to know what happened. I had to get him out. And I wasn't doing that standing out here like an asshole, trying to fight off the inevitable.
I stood up from my desk chair and plucked up the headset.
And then, I said to myself, "I love you too, buddy."
And I slipped it on. I shut my eyes, waiting for the cold fist of sleep to close over me. For the first time, I wondered if I'd ever open them again. If my parents would find me the way Zach's found him that morning: stone-cold and already stiff with death. The doctors had shrugged and scratched their heads when they autopsied him, dismissed it as a stroke, as if the average twenty-one-year-old has a stroke in his sleep, just like that.
I'd get Zach back. Even if I had to lose myself to do it.
***
[**Part 2**](https://www.reddit.com/r/nickofstatic/comments/fp7pp5/the_nightmare_games_parts_1_and_2/) is now up at /r/nickofstatic! :)
|
死去的人永远不会再回来。然而，这并没有阻止扎克的用户名在我的屏幕底部闪烁。我几乎不相信。眼睛的诡计，彻底疲惫的阴暗面。然而，它就在那里。弹出通知，真实存在。 *来自 Zachadackary 的新消息*我眨了眨眼。拔下了我的耳机。我很晚才起床，像往常一样胡闹，玩电子游戏到深夜——即使我一睡着，我还是会投入到另一个电子游戏中。我猜，生活和呼吸那种狗屎。我的父母有充分的理由抱怨我们这一代人，就好像他们每次闭上眼睛时都没有到同一个地方。好像他们不像我们其他人一样喜欢打扮自己的化身和玩糟糕的迷你游戏。 *来自 Zachadackary 的两条新消息* *三条新消息--* 我点击了通知。我的肚子因希望和绝望而起伏。我希望是他。希望它是真实的。但这可能是一些机器人垃圾邮件，从某个被黑的服务器或其他服务器上窃取了他的帐户。想象一下，我以为这是我最好朋友的鬼魂，从坟墓里伸出手来，结果点击并找到了一个脚本化的鲶鱼机器人。但这不是机器人。不*嘿，性感怎么了*有点废话。消息说：[03:05 AM] **Zachadackary**：嘿伙计，你起来了吗？这很严重 [03:05 AM] **Zachadackary**：我不知道他们找到我之前还有多少时间 [03:05 AM] **Zachadackary**：你必须听我的。今晚别去睡觉！不管你做什么！在消息下方，聊天框难以置信地说道：*Zachadackary 正在打字...* 我咽下喉咙里的泪水，然后打字回： [03:05 AM] **BenjaminButtonMash**：这他妈是谁？扎克的个人资料图片淹没了我的屏幕，上面写着“传入语音呼叫：Zachadackary”，我犹豫了。我的心提到了嗓子眼。我半信半疑，如果我回答的话，我会开始哭泣。从我记事起，扎克就是我最好的朋友。在我最早的记忆中，他就在那里。我们在街对面长大，在我的蹦床上数着星星，度过了无数个夏夜。我从没想过我会再次见到他。让我平静下来。试图将他埋葬在我的记忆中。我还是点击了接受。 “本！”扎克的声音冲过电话线，虽然有静电，但毫无疑问是他的声音。拉屎。现在我真的要哭了。我咽了咽口水，问道：“我是在做梦吗？” “不，谢天谢地。你他妈的今晚最好不要这么做。我不知道我还能坚持多久。我找到了一个公用终端，但他们很快就会来找我。他们可能已经在追踪这个该死的IP了”。 “你他妈的在说什么啊，伙计？”我紧紧抓住我的游戏耳机，拼命地相信这是真的，就像我希望它是假的一样。我不知道我更想要什么：扎克还活着，还是我只是发疯。 “梦想。它们并不像他们所说的那样。它们正在收割我们，伙计。它们正在“偷走”我们。你必须停止做梦。这就是他们如何将我们困在这里的。你必须保持清醒，保持清醒——”扎克尖锐地打断道。听筒的另一端传来乱码的声音。他们的声音听起来很刺耳，很愤怒。 “扎克？”我对着麦克风低声说道。 “该死。得走了，伙计。”他犹豫了，声音因绝望而扭曲。 “这听起来很愚蠢，但你知道我爱你，伙计。只是……如果我们不再说话。是的。你永远是我最好的朋友。”然后，就像他出现一样突然，他就退出了。通话声音断了。他再次陷入离线状态。也许永远。我紧紧抓住电脑显示器的两侧，我的脉搏在我的头骨上狂跳。我打了又打，但在聊天客户端告诉我“Zachadackary 离线”之前，每个电话都会响一次。我靠在椅子上。试图避免恐慌让我完全感到头晕。十年前，当 DreamCorps 首次推出他们的技术时，这是一个黄金般的承诺。一个没有睡眠障碍的未来，我们都可以睡得很好。它的目的是拯救我们的身体和思想，为我们提供快速眼动睡眠，为新的一天做好准备。最终，我们没有人能在没有这些该死的东西的情况下入睡。 “操，”我说。我用拳头猛击桌子。 “*他妈的*。”我知道他想要什么，但我绝对不知道他的意思。我盯着我的床。在梦想的耳机里，我已经习惯了每天晚上都戴着它。我的父母已经在走廊里打鼾了。这一次，梦境的乌托邦似乎是一个黑暗的承诺。但我必须知道发生了什么。我必须把他赶出去。我并没有像个混蛋一样站在这里，试图对抗不可避免的事情。我从办公椅上站起来，拿起耳机。然后，我对自己说：“我也爱你，伙计。”我把它穿上了。我闭上眼睛，等待睡眠冰冷的拳头将我抱住。我第一次想知道我是否还能再次打开它们。如果我的父母能像扎克那天早上找到他那样找到我：冰冷且已经因死亡而僵硬。医生们在对他进行尸检时耸耸肩，挠挠头，将其视为中风，就好像一般二十一岁的人在睡梦中都会中风一样。我会让扎克回来。即使我必须失去自己才能做到这一点。 *** [**第 2 部分**](https://www.reddit.com/r/nickofstatic/comments/fp7pp5/the_nightmare_games_parts_1_and_2/) 现已发布于 /r/nickofstatic！ :)
| 0
|
The dead are never meant to come back. And yet, that didn't stop Zach's username from flashing across the bottom of my screen. I almost didn't believe it. A trick of the eye, a dark side of total exhaustion. And yet, there it was. A pop-up notification, real as anything. New message from Zachadackary I blinked. Pulled my headphones off. I was up late, fucking around like usual, playing video games late deep into the night--even though the second I fell asleep, I'd be plunged into another video game all the same. Live and breathe that shit, I guess. My parents had plenty of reason to complain about my generation, as if they didn't end up in the same place every time they shut their eyes. As if they didn't delight in dressing up their avatars and playing shitty minigames just as much as the rest of us. Two new messages from Zachadackary Three new-- I clicked the notification. My belly lifted with hope and despair both. I wanted it to be him. Wanted it to be real. But it was probably some bot spam, grabbing his account from some hacked server or another. Imagine thinking it was my best friend's ghost, reaching out from beyond the grave, only to click and find a scripted catfish bot. But this was no bot. No heyyy what's up sexy kinda bullshit. The messages said: 03:05 AM Zachadackary: Hey dude, you up? This is serious 03:05 AM Zachadackary: I don't know how much time I have before they find me 03:05 AM Zachadackary: You gotta listen to me. DON'T GO TO SLEEP TONIGHT!! WHATEVER YOU DO! Below the messages, the chat box said, impossibly, Zachadackary is typing... I swallowed the bulge of tears in my throat and typed back: 03:05 AM BenjaminButtonMash: who the fuck is this? Zach's profile picture flooded my screen as it read Incoming voice call: Zachadackary I hesitated. My heart pulsed in my throat. I was half-convinced if I answered, I'd start crying. Zach had been my best friend as long as I could remember. In my earliest memories, he was there. We grew up across the street from each other and burned up so many summer nights sprawled on my trampoline, counting the stars. I never thought I'd see him again. Made my peace with it. Tried to bury him in my memory. I clicked accept all the same. "Ben!" Zach's voice rushed across the line, staticky and crackling but unmistakably his. Shit. Now I really was going to cry. I swallowed around the knot of emotion and said, "Am I dreaming?" "No, thank Christ. And you better fucking not tonight. I don't know how long I've got. I found a utility terminal, but they'll be looking for me soon. They're probably already tracking this goddamn IP." "What the fuck are you talking about, man?" I clutched my gamer headset, desperate to believe this was true just as much as I wanted it to be fake. I didn't know what I wanted more: Zach to be alive or me to be just going mental. "The dreams. They're not what they say they are. They're harvesting us, man. They're stealing us. You gotta stop dreaming. That's how they're trapping us here. You gotta stay awake, stay--" Zach cut off, sharply. Garbled words sounded through the other end of the receiver. They sounded harsh, angry. "Zach?" I whispered into the mic. "Shit. Gotta go, buddy." He hesitated, his voice twisting with despair. "It sounds so stupid, but you know I love you, man. Just... if we don't speak again. Yeah. You'll always be my best friend." Then, as suddenly as he appeared, he logged off. The voice call cut out. He plunged back into offline once more. Maybe forever. I clutched either side of my computer monitor, my pulse rabbiting against my skull. I called and called, but every call rang once before the chat client told me Zachadackary is offline. I leaned back in my chair. Tried to keep the panic from dizzying me altogether. Ten years ago, when DreamCorps first unveiled their tech, it was a golden promise. A future free of sleep disorders, where we could all sleep as well as we should. It was meant to save our bodies and our minds, give us the REM sleep we needed to prepare for another day. And eventually, none of us could sleep without the damn things. "Fuck," I said. I slammed my fist against the desk. "Fuck." I knew what he wanted, but I sure as hell didn't know what he meant. I stared at my bed. At the dream headset I was so used to slipping on every night. My parents were already snoring away down the hall. For once, the utopia of Dreamland seemed like a dark promise. But I had to know what happened. I had to get him out. And I wasn't doing that standing out here like an asshole, trying to fight off the inevitable. I stood up from my desk chair and plucked up the headset. And then, I said to myself, "I love you too, buddy." And I slipped it on. I shut my eyes, waiting for the cold fist of sleep to close over me. For the first time, I wondered if I'd ever open them again. If my parents would find me the way Zach's found him that morning: stone-cold and already stiff with death. The doctors had shrugged and scratched their heads when they autopsied him, dismissed it as a stroke, as if the average twenty-one-year-old has a stroke in his sleep, just like that. I'd get Zach back. Even if I had to lose myself to do it. Part 2(https:www.reddit.comrnickofstaticcommentsfp7pp5thenightmaregamesparts1and2) is now up at rnickofstatic! :)
| true
|
49
|
gyugenz
|
CBT (cognitive behavioral therapy) is SUCH a common “type” of therapy that unfortunately I can’t think of a specific website article or whatever that I could link up for you; however if you Google the term I guarantee you you will get a zillion results.
I would also suggest you search the term on YouTube & specifically and see if you can find videos by people with the authorized checkmark if you know what I’m talking about (that means they have been checked out by YouTube and are proven to be who they say they are whether it’s a celebrity, a doctor,a therapist etc. as of course it could be pretty dangerous to have somebody posing as a doctor and giving medical advice when in fact they are not a doctor at all.)
More specifically to the point after you learn a little bit about what CBT is, I would then specifically search for the term “CBT for chronic pain or chronic illness.”
Years before I was diagnosed with my chronic illnesses I’ve had problems with depression, eating disorders, anxiety, BPD some trauma and PTSD and other situations that I needed therapy and psychiatric treatment for. CBT was one of the multiple types of therapy I went through & it was very helpful, especially for depression & anxiety as it teaches you about reframing your thoughts, and in turn that can often lead to boosting your mood or lessen anxiety when you realize that situation X was not as bad as you initially thought. (It’s more complex than that but trying to explain basic point. And complex does not mean difficult-it’s an easy to understand concept-the hardest part is remembering the skills and applying them when you are in a difficult emotional state of mind).
That experience with CBT was completely unrelated to my chronic illnesses and my chronic pain as the pain was a non-issue at the time because it was years before I hurt my back and a couple years before my first chronic illness was diagnosed. developed/flared up enough to bother me to the point of finding a specialist getting diagnosed etc.
In 2019 I went through a 12 week group therapy class titled “CBT for Chronic Pain” and I know we’re talking about chronic illness here, but many CI cause pain & other symptoms and concept applies to both CP & CI.
I both understand and empathize with the fact that when we have a flare or a trigger etc. that causes us to have a really bad day, or series of days with our various illnesses. How it can lead to situations like having to cancel plans, feeling isolated, depressed and is an emotional drain as valid as the physical drain.
You’re totally correct in saying many of these things are out of our control, and flares just happen.
The main takeaway I learned in the CBT for chronic pain group was the deep connection between mind and body. Google “relationship between depression & chronic pain”....it’s a vicious cycle.
So, if we, as an example focus on stomach cramps and think about them, lie in bed curled in a ball ruminating our thoughts on the cramps, maybe talking to other people about our cramps. Those thoughts come automatically. And while the cramping is legitimate.....focusing on it that hard and allowing so much of our mental energy to be spent focusing on the negative experience just feeds that negative experience and can actually make the stomach cramps worse or perceived as worse than they are. Does that make any sense?
I also know and empathize that when we experience a bad day that it is extremely difficult to think about anything other than our symptoms because often times that means we need to take certain medications or other treatments, alter our food intake for the day or whatever is specific to the person and their condition. So thinking about it is inevitable (as well as important so that we can do things like take medication that can help).
It’s the dwelling over it that causes us so much strife. And not just dwelling on the physical issues but also thinking of about things like “I was so looking forward to seeing my friend and spending time with her today and I am so upset that my chronic illness forced me to cancel those plans.”
Again those kinds of thoughts are completely legitimate; however focusing on thoughts like that INCREASE depression, anxiety & other “negative feelings”. The mind-body connection is so real. My personal attitude when treating my illnesses, pain, visit one of my specialists is that I desire care for ME. And I am not just a physical body- I am a human being & health includes mind, body & soul.
I’m sorry; I think I got to talking about myself too much just then. I get so excited talking about CBT and the mind/body connection (which is backed up by SO much scientific data).
So CBT techniques is how I personally manage the emotional impact of my chronic illnesses & pain. Framing my thoughts differently. I have a written list of things to do that can distract me from pain, or use when I’m feeling really depressed and I need a lift.
The includes things for all five senses, it includes things that I can do in the middle of a flare from bed as well as things that I can do when I’m having a decent day and can do things more physical. I did not come up with this list on my own. It came out of one of my CBT workbooks, which is going to be one of my final pieces of advice on this very long reply.
So to summarize, my advice:take what appeals to you and leave the rest. Everyone is different and what works for me is going to look different than what works for you.
• If you don’t have a therapist, think about seeing one. It’s not for everybody, but I have seen how it has transformed my life for the positive and how profoundly it has helped some family and friends. And if you try it and don’t like it, stop, or try a different therapist.
•Look into support groups I live in a teeny tiny town and travel about 45 minutes to my hospital that is across the street from the building where several of my specialists are located and I have seen flyers in the elevator for chronic pain support groups. Hospitals might be a good place to check, and if you are receiving any disability services and have a case worker they could possibly point you in the direction of a support group. I get my mental health services through my county’s health services, that’s another resource to contact to find a therapist and/or group
•Online support groups: you’re here, obviously :-) & it’s great. There are CBT subreddits. Group therapy, like I mentioned above, can often be done via Zoom etc, especially when we are still fighting COVID. Seeing other people’s faces & hearing their voices is vastly different than just reading & writing text.
•Research CBT online. Then, go to Amazon (or wherever) and search for CBT books. There is an overwhelming amount of content out there. I personally recommend finding a book that has an accompanying workbook. Narrow it down if it’s too overwhelming and search “CBT pain”.
•Search it on social media (if you use social media). I follow some really great content creators on Facebook, YouTube, TickTock & Instagram. Instagram is one of my favorites as I am a very visual person, and many of the licensed therapists I follow (the blue check mark again shows you who is legit) post inspirational quotes; and quick therapy tips/‘tricks’ in a nice looking visual format. I save my favorites, and have actually had several 4x4 photographs printed from those saved images. I keep them together on my nightstand so they are easy to grab if I have a panic attack, for instance. I also have a magnetic white board that hangs above my nightstand, and I randomly grab one of those prints & “post it on my board” and change it out weekly.
I have to eat lunch, and I know this is crazy long, and maybe only you will read it. But if anyone is interested in some suggestions on people to follow on social media or whatnot, I’ll do my best to post some links.
|
CBT（认知行为疗法）是一种常见的治疗“类型”，不幸的是我想不出具体的网站文章或任何我可以为您链接的内容；然而，如果你用谷歌搜索这个词，我保证你会得到无数的结果。我还建议您在 YouTube & 上搜索该词。具体来说，如果你知道我在说什么的话，看看你是否可以找到带有授权复选标记的人的视频（这意味着他们已经被 YouTube 检查过，并且被证明是他们所说的人，无论是名人还是医生、治疗师等。当然，让某人冒充医生并提供医疗建议，而实际上他们根本不是医生，这可能是相当危险的。）更具体地说，在您了解了一些 CBT 的内容后是的，然后我会专门搜索术语“针对慢性疼痛或慢性疾病的 CBT”。在我被诊断出患有慢性疾病的几年前，我曾遇到过抑郁、饮食失调、焦虑、边缘性人格障碍、一些创伤和创伤后应激障碍以及其他需要治疗和精神治疗的情况。 CBT 是我经历过的多种治疗方法之一。这非常有帮助，特别是对于抑郁症和抑郁症患者。焦虑，因为它教会你重新构建你的想法，反过来，当你意识到情况 X 并不像你最初想象的那么糟糕时，这通常会提高你的情绪或减轻焦虑。 （它比这更复杂，但试图解释基本点。复杂并不意味着困难 - 这是一个容易理解的概念 - 最难的部分是记住技能并在你处于困难的情绪心理状态时应用它们）。 CBT 的经历与我的慢性疾病和慢性疼痛完全无关，因为疼痛当时不是问题，因为几年后我的背部受伤，几年前我的第一次慢性病被诊断出来。发展/爆发足以困扰我，以至于需要找专家进行诊断等。2019 年，我参加了为期 12 周的团体治疗课程，题为“慢性疼痛的 CBT”，我知道我们在这里谈论的是慢性病，但是许多 CI 会引起疼痛和疼痛。其他症状和概念适用于 CP 和 CP。 CI。我既理解也理解这样一个事实：当我们出现耀斑或触发因素等时，会导致我们度过非常糟糕的一天，或者连续几天患有各种疾病。它如何导致诸如不得不取消计划、感到孤立、沮丧等情况，并且是一种与身体消耗一样有效的情绪消耗。你说的很多事情都是我们无法控制的，而且耀斑就会发生，这是完全正确的。我在慢性疼痛认知行为治疗小组中学到的主要收获是身心之间的深层联系。谷歌“抑郁症与抑郁症之间的关系”慢性疼痛”……这是一个恶性循环。因此，举例来说，如果我们专注于胃痉挛并思考它们，那么躺在床上，蜷缩成一团，反复思考我们对痉挛的想法，也许可以与其他人谈论我们的痉挛。这些想法会自动出现。虽然痉挛是合理的……如此努力地专注于它，并让我们大量的精神能量花在消极的经历上，只会助长这种消极的经历，实际上会使胃痉挛变得更严重，或者被认为比胃痉挛更严重。他们是。这有任何意义吗？我也知道并理解，当我们经历糟糕的一天时，除了我们的症状之外，很难考虑任何事情，因为通常这意味着我们需要服用某些药物或其他治疗方法，改变当天的食物摄入量或其他任何事情具体到人和他们的情况。因此，思考这一点是不可避免的（而且很重要，这样我们就可以做一些事情，比如服用有帮助的药物）。正是因为它的住处，才导致了我们如此多的冲突。不仅要考虑身体问题，还要考虑诸如“我非常期待今天见到我的朋友并与她共度时光，但我很沮丧，因为我的慢性病迫使我取消了这些计划。”再说一遍，这些想法是完全合理的。然而，专注于这样的想法会增加抑郁、焦虑和抑郁。其他“负面情绪”。身心的联系是如此真实。在治疗我的疾病、疼痛、拜访我的一位专家时，我个人的态度是我渴望得到照顾。我不仅仅是一个肉体——我是一个人类&我是一个人。健康包括思想、身体和精神。灵魂。对不起;我想我当时谈论自己太多了。我非常兴奋地谈论 CBT 和身心联系（这是有大量科学数据支持的）。因此，CBT 技术是我个人管理慢性病和精神疾病的情绪影响的方法。疼痛。以不同的方式构建我的想法。我有一份书面要做的事情清单，可以分散我对疼痛的注意力，或者在我感到非常沮丧并且需要提神时使用。它包括所有五种感官的事情，包括我在床上休息时可以做的事情，以及当我度过愉快的一天时可以做的事情，并且可以做更多体力的事情。这份清单不是我自己想出来的。它来自我的一本 CBT 工作簿，这将是我对这个很长的回复的最后建议之一。总而言之，我的建议是：选择你感兴趣的，留下其余的。每个人都是不同的，对我有用的东西看起来会与对你有用的东西不同。 • 如果您没有治疗师，请考虑找一位治疗师。它并不适合所有人，但我已经看到它如何积极地改变了我的生活，以及它如何深刻地帮助了一些家人和朋友。如果您尝试后不喜欢，请停止或尝试其他治疗师。 •调查支持小组 我住在一个很小的小镇，大约需要 45 分钟才能到达我的医院，该医院位于我的几位专家所在大楼的街对面，我在电梯里看到了慢性疼痛支持小组的传单。医院可能是一个检查的好地方，如果您正在接受任何残疾服务并且有案例工作者，他们可能会为您指明支持小组的方向。我通过所在县的卫生服务机构获得心理健康服务，这是寻找治疗师和/或团体的另一种资源。 •在线支持团体：显然，你在这里:-) &这很棒。有 CBT 子版块。正如我上面提到的，团体治疗通常可以通过 Zoom 等方式完成，尤其是当我们仍在与新冠病毒作斗争时。看到别人的脸和听到他们的声音与仅仅阅读和阅读有很大不同。书写文字。 •在线研究CBT。然后，去亚马逊（或任何地方）搜索 CBT 书籍。那里有大量的内容。我个人建议找一本附带练习册的书。如果它太难以承受，请缩小范围并搜索“CBT 疼痛”。 •在社交媒体上搜索（如果您使用社交媒体）。我在 Facebook、YouTube、TickTock 和 Facebook 上关注一些非常出色的内容创作者。 Instagram。 Instagram 是我的最爱之一，因为我是一个非常注重视觉的人，我关注的许多持照治疗师（蓝色复选标记再次表明谁是合法的）都会发布鼓舞人心的名言；以及以美观的视觉格式呈现的快速治疗技巧/“技巧”。我保存了我最喜欢的图像，并且实际上用这些保存的图像打印了几张 4x4 照片。我把它们放在床头柜上，这样当我惊恐发作时就可以很容易地抓住它们。我的床头柜上方还挂着一块磁性白板，我随机抓起其中一张印刷品和一张照片。 “将其发布到我的板上”并每周更改一次。我得吃午饭了，我知道这篇文章太长了，也许只有你会读。但是，如果有人对在社交媒体或其他网站上关注的人的一些建议感兴趣，我会尽力发布一些链接。
| 0
|
CBT (cognitive behavioral therapy) is SUCH a common type of therapy that unfortunately I cant think of a specific website article or whatever that I could link up for you; however if you Google the term I guarantee you you will get a zillion results. I would also suggest you search the term on YouTube amp; specifically and see if you can find videos by people with the authorized checkmark if you know what Im talking about (that means they have been checked out by YouTube and are proven to be who they say they are whether its a celebrity, a doctor,a therapist etc. as of course it could be pretty dangerous to have somebody posing as a doctor and giving medical advice when in fact they are not a doctor at all.) More specifically to the point after you learn a little bit about what CBT is, I would then specifically search for the term CBT for chronic pain or chronic illness. Years before I was diagnosed with my chronic illnesses Ive had problems with depression, eating disorders, anxiety, BPD some trauma and PTSD and other situations that I needed therapy and psychiatric treatment for. CBT was one of the multiple types of therapy I went through amp; it was very helpful, especially for depression amp; anxiety as it teaches you about reframing your thoughts, and in turn that can often lead to boosting your mood or lessen anxiety when you realize that situation X was not as bad as you initially thought. (Its more complex than that but trying to explain basic point. And complex does not mean difficult-its an easy to understand concept-the hardest part is remembering the skills and applying them when you are in a difficult emotional state of mind). That experience with CBT was completely unrelated to my chronic illnesses and my chronic pain as the pain was a non-issue at the time because it was years before I hurt my back and a couple years before my first chronic illness was diagnosed. developedflared up enough to bother me to the point of finding a specialist getting diagnosed etc. In 2019 I went through a 12 week group therapy class titled CBT for Chronic Pain and I know were talking about chronic illness here, but many CI cause pain amp; other symptoms and concept applies to both CP amp; CI. I both understand and empathize with the fact that when we have a flare or a trigger etc. that causes us to have a really bad day, or series of days with our various illnesses. How it can lead to situations like having to cancel plans, feeling isolated, depressed and is an emotional drain as valid as the physical drain. Youre totally correct in saying many of these things are out of our control, and flares just happen. The main takeaway I learned in the CBT for chronic pain group was the deep connection between mind and body. Google relationship between depression amp; chronic pain....its a vicious cycle. So, if we, as an example focus on stomach cramps and think about them, lie in bed curled in a ball ruminating our thoughts on the cramps, maybe talking to other people about our cramps. Those thoughts come automatically. And while the cramping is legitimate.....focusing on it that hard and allowing so much of our mental energy to be spent focusing on the negative experience just feeds that negative experience and can actually make the stomach cramps worse or perceived as worse than they are. Does that make any sense? I also know and empathize that when we experience a bad day that it is extremely difficult to think about anything other than our symptoms because often times that means we need to take certain medications or other treatments, alter our food intake for the day or whatever is specific to the person and their condition. So thinking about it is inevitable (as well as important so that we can do things like take medication that can help). Its the dwelling over it that causes us so much strife. And not just dwelling on the physical issues but also thinking of about things like I was so looking forward to seeing my friend and spending time with her today and I am so upset that my chronic illness forced me to cancel those plans. Again those kinds of thoughts are completely legitimate; however focusing on thoughts like that INCREASE depression, anxiety amp; other negative feelings. The mind-body connection is so real. My personal attitude when treating my illnesses, pain, visit one of my specialists is that I desire care for ME. And I am not just a physical body- I am a human being amp; health includes mind, body amp; soul. Im sorry; I think I got to talking about myself too much just then. I get so excited talking about CBT and the mindbody connection (which is backed up by SO much scientific data). So CBT techniques is how I personally manage the emotional impact of my chronic illnesses amp; pain. Framing my thoughts differently. I have a written list of things to do that can distract me from pain, or use when Im feeling really depressed and I need a lift. The includes things for all five senses, it includes things that I can do in the middle of a flare from bed as well as things that I can do when Im having a decent day and can do things more physical. I did not come up with this list on my own. It came out of one of my CBT workbooks, which is going to be one of my final pieces of advice on this very long reply. So to summarize, my advice:take what appeals to you and leave the rest. Everyone is different and what works for me is going to look different than what works for you. If you dont have a therapist, think about seeing one. Its not for everybody, but I have seen how it has transformed my life for the positive and how profoundly it has helped some family and friends. And if you try it and dont like it, stop, or try a different therapist. Look into support groups I live in a teeny tiny town and travel about 45 minutes to my hospital that is across the street from the building where several of my specialists are located and I have seen flyers in the elevator for chronic pain support groups. Hospitals might be a good place to check, and if you are receiving any disability services and have a case worker they could possibly point you in the direction of a support group. I get my mental health services through my countys health services, thats another resource to contact to find a therapist andor group Online support groups: youre here, obviously :-) amp; its great. There are CBT subreddits. Group therapy, like I mentioned above, can often be done via Zoom etc, especially when we are still fighting COVID. Seeing other peoples faces amp; hearing their voices is vastly different than just reading amp; writing text. Research CBT online. Then, go to Amazon (or wherever) and search for CBT books. There is an overwhelming amount of content out there. I personally recommend finding a book that has an accompanying workbook. Narrow it down if its too overwhelming and search CBT pain. Search it on social media (if you use social media). I follow some really great content creators on Facebook, YouTube, TickTock amp; Instagram. Instagram is one of my favorites as I am a very visual person, and many of the licensed therapists I follow (the blue check mark again shows you who is legit) post inspirational quotes; and quick therapy tipstricks in a nice looking visual format. I save my favorites, and have actually had several 4x4 photographs printed from those saved images. I keep them together on my nightstand so they are easy to grab if I have a panic attack, for instance. I also have a magnetic white board that hangs above my nightstand, and I randomly grab one of those prints amp; post it on my board and change it out weekly. I have to eat lunch, and I know this is crazy long, and maybe only you will read it. But if anyone is interested in some suggestions on people to follow on social media or whatnot, Ill do my best to post some links.
| true
|
50
|
dxcxm4y
|
https://www.japantimes.co.jp/news/1999/12/22/national/jco-worker-succumbs-after-83-days/
> One of three JCO Co. workers exposed to massive radiation in September in the nation’s worst nuclear accident died of organ failure at a Tokyo hospital late Tuesday night, becoming the first fatality of his kind in Japan. Hisashi Ouchi, 35, was critically injured during an accident Sept. 30 at the JCO uranium processing plant in the village of Tokai, Ibaraki Prefecture, where hundreds were forced to evacuate or stay indoors as an uncontrolled chain reaction spewed forth radiative particles. The amount of energy that hit him is thought to be equivalent to that at the hypocenter of the Hiroshima atomic bombing. He died at 11:21 p.m., the Science and Technology Agency said. His death, which comes 83 days after the incident, is expected to rekindle opposition to the nation’s controversial nuclear power program, which has been tainted by a spate of accidents and coverup scandals in recent years. Ouchi is the second Japanese to die of acute radiation-related injuries since 1954, when U.S. fallout from thermonuclear testing in the Bikini Atolls of the Marshall Islands claimed 40-year-old Aikichi Kuboyama, who was exposed on the fishing boat Fukuryu-maru No. 5. Ouchi’s body was returned to his home in Kanasago, Ibaraki Prefecture, on Wednesday afternoon, accompanied by his wife, Chizuru. Several senior JCO officials were in attendance as the casket entered the house. A statement released by Prime Minister Keizo Obuchi expressed condolences to Ouchi’s family and pledged to strengthen nuclear safety measures and prevent further accidents. Tokai Mayor Tatsuo Murayama, however, portrayed Ouchi as the “victim of the safety myth” surrounding Japan’s nuclear energy program, now more than 40 years old. Ouchi was part of a crew that had sidestepped safety procedures and used a bucket to pour a highly excessive amount of uranium into a processing tank, triggering a self-sustained nuclear chain reaction that neither he, his company, nor the government had thought possible at such a facility. It is suspected that their actions were accepted, if not condoned. In a matter of minutes, Ouchi had been exposed to an estimated 17 sieverts of radiation, or about 17,000 times the maximum annual permissible exposure level set by the government. The accident effectively destroyed Ouchi’s immune system by sending his white blood cell count plummeting to nearly zero. As his condition worsened, the National Institute of Radiological Sciences in Chiba, Chiba Prefecture, transferred him to University of Tokyo Hospital, where he reportedly underwent the world’s first transfusion of peripheral stem cells on Oct. 6 and 7. Doctors kept Ouchi alive by pumping huge amounts of blood and fluids into him on a daily basis and treating him with drugs normally unavailable in Japan, indicating the high priority the government placed on his survival, observers said. A group of top experts was assembled from Japan and abroad to treat him, with some of the sources saying they felt “silent pressure” from no particular person or body to treat his quick death as a matter of national dignity. Many who were called in to help voiced surprise that the worker had managed to hang on, despite being perhaps the only person in the world to have ever been subjected to so much radiation so quickly. But despite the urgent efforts, his overall condition did not improve, and his heart failed for about 70 minutes on Nov. 27. Doctors managed to keep him alive, but a slight recovery afterward took a turn for the worse. He had been in critical condition since Sunday, and various drugs were being used just to maintain his blood pressure and pulse at adequate levels. His unstable blood pressure was probably caused by septicemia. Despite several skin transplants, however, he continued to lose body fluids through the pores of his skin. Doctors who treated Ouchi told a news conference Wednesday that they did not take special measures such as heart massage to resuscitate him after his heart failed. They said his family had wanted his death to come peacefully. Meanwhile, Ibaraki police said they plan to step up their investigation into the criminal liability of JCO and its parent company, Sumitomo Metal Mining Co., for the accident.
|
https://www.japantimes.co.jp/news/1999/12/22/national/jco-worker-succumbs-after-83-days/>九月份日本最严重的核事故中，三名 JCO Co. 工人受到大量辐射，其中一名工人周二深夜在东京一家医院因器官衰竭死亡，成为日本首例此类死亡事件。 9 月 30 日，茨城县东海村的 JCO 铀加工厂发生事故，35 岁的大内久 (Hisashi Ouchi) 受重伤，由于不受控制的连锁反应喷出辐射粒子，数百人被迫撤离或呆在室内。据认为，击中他的能量相当于广岛原子弹爆炸震源处的能量。科学技术厅表示，他于晚上 11 点 21 分去世。他的去世是在事件发生 83 天后，预计将重新引发对该国备受争议的核电计划的反对，该计划近年来因一系列事故和掩盖丑闻而受到污染。大内是自1954年以来第二位因急性辐射相关伤害而死亡的日本人，当时美国在马绍尔群岛比基尼环礁进行的热核试验导致40岁的洼山爱吉在福龙丸号渔船上受到辐射。 5. 周三下午，大内的遗体在妻子千鹤的陪同下被送回茨城县金城市的家中。当灵柩进入屋内时，几位 JCO 高级官员在场。日本首相小渊惠三发表声明，向大内先生的家人表示哀悼，并承诺加强核安全措施，防止再次发生事故。然而，东海市市长村山达男将大内描述为围绕日本核能计划的“安全神话的受害者”，该计划已有 40 多年的历史。大内是一名船员，他们回避了安全程序，用桶将过量的铀倒入处理罐中，引发了自我维持的核链式反应，他、他的公司和政府都认为这是不可能的。这样的设施。人们怀疑他们的行为即使不是纵容，也是被接受的。几分钟之内，大内就受到了估计 17 西弗的辐射，大约是政府规定的年度最大允许辐射水平的 17,000 倍。这次事故有效地破坏了大内的免疫系统，导致他的白细胞计数骤降到几乎为零。随着他的病情恶化，千叶县千叶国立放射线科学研究所将他转移到东京大学医院，据报道，他于10月6日至7日在那里接受了世界上首次外周干细胞输注。医生通过泵血维持了大内的生命。观察人士称，每天都会向他输入大量血液和液体，并使用日本通常无法提供的药物对他进行治疗，这表明政府对他的生存给予了高度重视。一组来自日本和国外的顶级专家聚集在一起对他进行治疗，其中一些消息人士称，他们感受到了来自任何特定个人或机构的“无声压力”，要求他将他的快速死亡视为国家尊严问题。许多被叫来帮忙的人都对这名工人能够坚持下来感到惊讶，尽管他可能是世界上唯一一个如此快地受到如此多辐射的人。但尽管采取了紧急措施，他的整体状况并没有好转，11月27日，他的心脏衰竭了约70分钟。医生设法让他活了下来，但随后稍稍恢复，病情却出现了恶化。自周日以来，他的病情一直处于危急状态，人们正在使用各种药物来维持他的血压和脉搏在适当的水平。他的血压不稳定很可能是败血症造成的。然而，尽管进行了多次皮肤移植，他的体液仍然通过皮肤毛孔流失。治疗大内的医生在周三的新闻发布会上表示，在他的心脏衰竭后，他们没有采取心脏按摩等特殊措施来让他复苏。他们说，他的家人希望他能够平静地去世。与此同时，茨城警方表示，他们计划加强对 JCO 及其母公司住友金属矿业公司在这起事故中的刑事责任的调查。
| 0
|
https:www.japantimes.co.jpnews19991222nationaljco-worker-succumbs-after-83-days gt; One of three JCO Co. workers exposed to massive radiation in September in the nations worst nuclear accident died of organ failure at a Tokyo hospital late Tuesday night, becoming the first fatality of his kind in Japan. Hisashi Ouchi, 35, was critically injured during an accident Sept. 30 at the JCO uranium processing plant in the village of Tokai, Ibaraki Prefecture, where hundreds were forced to evacuate or stay indoors as an uncontrolled chain reaction spewed forth radiative particles. The amount of energy that hit him is thought to be equivalent to that at the hypocenter of the Hiroshima atomic bombing. He died at 11:21 p.m., the Science and Technology Agency said. His death, which comes 83 days after the incident, is expected to rekindle opposition to the nations controversial nuclear power program, which has been tainted by a spate of accidents and coverup scandals in recent years. Ouchi is the second Japanese to die of acute radiation-related injuries since 1954, when U.S. fallout from thermonuclear testing in the Bikini Atolls of the Marshall Islands claimed 40-year-old Aikichi Kuboyama, who was exposed on the fishing boat Fukuryu-maru No. 5. Ouchis body was returned to his home in Kanasago, Ibaraki Prefecture, on Wednesday afternoon, accompanied by his wife, Chizuru. Several senior JCO officials were in attendance as the casket entered the house. A statement released by Prime Minister Keizo Obuchi expressed condolences to Ouchis family and pledged to strengthen nuclear safety measures and prevent further accidents. Tokai Mayor Tatsuo Murayama, however, portrayed Ouchi as the victim of the safety myth surrounding Japans nuclear energy program, now more than 40 years old. Ouchi was part of a crew that had sidestepped safety procedures and used a bucket to pour a highly excessive amount of uranium into a processing tank, triggering a self-sustained nuclear chain reaction that neither he, his company, nor the government had thought possible at such a facility. It is suspected that their actions were accepted, if not condoned. In a matter of minutes, Ouchi had been exposed to an estimated 17 sieverts of radiation, or about 17,000 times the maximum annual permissible exposure level set by the government. The accident effectively destroyed Ouchis immune system by sending his white blood cell count plummeting to nearly zero. As his condition worsened, the National Institute of Radiological Sciences in Chiba, Chiba Prefecture, transferred him to University of Tokyo Hospital, where he reportedly underwent the worlds first transfusion of peripheral stem cells on Oct. 6 and 7. Doctors kept Ouchi alive by pumping huge amounts of blood and fluids into him on a daily basis and treating him with drugs normally unavailable in Japan, indicating the high priority the government placed on his survival, observers said. A group of top experts was assembled from Japan and abroad to treat him, with some of the sources saying they felt silent pressure from no particular person or body to treat his quick death as a matter of national dignity. Many who were called in to help voiced surprise that the worker had managed to hang on, despite being perhaps the only person in the world to have ever been subjected to so much radiation so quickly. But despite the urgent efforts, his overall condition did not improve, and his heart failed for about 70 minutes on Nov. 27. Doctors managed to keep him alive, but a slight recovery afterward took a turn for the worse. He had been in critical condition since Sunday, and various drugs were being used just to maintain his blood pressure and pulse at adequate levels. His unstable blood pressure was probably caused by septicemia. Despite several skin transplants, however, he continued to lose body fluids through the pores of his skin. Doctors who treated Ouchi told a news conference Wednesday that they did not take special measures such as heart massage to resuscitate him after his heart failed. They said his family had wanted his death to come peacefully. Meanwhile, Ibaraki police said they plan to step up their investigation into the criminal liability of JCO and its parent company, Sumitomo Metal Mining Co., for the accident.
| true
|
51
|
f55gpf7
|
Most of my vets are proficient in their own discipline. Those that aren't, I expect the to stay in their own lane. Don't give me training or tack advice unless it is rooted in medical evidence.
I do expect them to be familiar with the demands of the job, the conditions under which most horses in that discipline are ridden (footing, length of shows, intensity, stalled, training practices, ect) and how that will effect them. Like how western usually has deeper footing and how that could effect suspensory injuries, ect. Reiners and stifle injuries, dressage and cervical arthritis, ect. Also other breed trends and how that effects health, ie gaited and saddle seat breeds are intentionally trimmed with long toes
Basic saddle fit.
I'd also expect a bit of familiarity with breed dispositions. You might be able to take a 3yr old QH from the field and put them on 30days stall rest, but a 3yrold hot warmblood will probably self destruct, even with drugs. Or when it comes to rehab, that sometimes it's downright dangerous to try and hand walk, but if the owner tacked the horse up and rode at the walk, they'd be much safer.
Not discipline related, but stay current on research. It irks me when vets are still operating on information from 20 years so . Vets recommending rotational deworming, not investigating causes of Not Quite Right lameness we are learning more about; Cervical Arthritis, SI issues, PSSM1 & 2, subacute suspensory strains, ect. Don't get sucked into alternative medicine and stuff that doesn't have any evidence.
If you can get good at stifle ultrasounds, everyone will love you. My clinic doesn't have anyone who can read stifle ultrasounds. It wasn't until I got a second opinion I found my horse's meniscus injury. It wasn't until the third opinion with a surgeon that we found the meniscus injuries in **both** stifles. Don't be afraid to refer out clients to specialists. It wasn't until almost a year into his lameness that I was presented with the option of sending him to the university for an appointment with the person who literally wrote the chapter on stifle injuries. I would have saved thousands of dollars in diagnostic and treatments if I'd gone there early.
|
我的大多数兽医都精通自己的学科。那些不是的，我希望他们留在自己的车道上。除非有医学证据，否则不要给我培训或应对建议。我确实希望他们熟悉这项工作的要求、该学科中大多数马匹的骑行条件（立足点、表演时长、强度、失速、训练实践等）以及这将如何影响他们。比如西方通常有更深的立足点以及这如何影响悬吊损伤等。驯马和膝关节损伤、盛装舞步和颈关节炎等。还有其他品种趋势及其对健康的影响，即步态和马鞍座品种有意修剪长脚趾基本马鞍贴合。我还希望对品种性格有一定的了解。你也许可以从野外带走一头 3 岁的 QH，让它们在摊位休息 30 天，但 3 岁的热血动物可能会自毁，即使使用药物也是如此。或者当谈到康复时，有时尝试用手走路是非常危险的，但如果主人把马拴起来并在步行时骑行，他们会安全得多。与学科无关，但保持研究最新状态。当兽医仍在根据 20 年前的信息进行操作时，我感到很恼火。兽医建议轮换驱虫，而不是调查我们正在了解的更多关于不完全正确跛行的原因；宫颈关节炎、SI 问题、PSSM1 和 PSSM1 2、亚急性悬浮株等。不要沉迷于替代医学和没有任何证据的东西。如果您擅长窒息超声检查，每个人都会喜欢您。我的诊所没有任何人可以读取窒息超声检查。直到我征求第二意见后，我才发现我的马的半月板受伤了。直到外科医生的第三次意见后，我们才发现**两个**膝关节都有半月板损伤。不要害怕将客户推荐给专家。直到他跛行近一年后，我才可以选择送他去大学，与真正写了有关窒息伤的章节的人会面。如果我早点去那里，我可以节省数千美元的诊断和治疗费用。
| 0
|
Most of my vets are proficient in their own discipline. Those that aren't, I expect the to stay in their own lane. Don't give me training or tack advice unless it is rooted in medical evidence. I do expect them to be familiar with the demands of the job, the conditions under which most horses in that discipline are ridden (footing, length of shows, intensity, stalled, training practices, ect) and how that will effect them. Like how western usually has deeper footing and how that could effect suspensory injuries, ect. Reiners and stifle injuries, dressage and cervical arthritis, ect. Also other breed trends and how that effects health, ie gaited and saddle seat breeds are intentionally trimmed with long toes Basic saddle fit. I'd also expect a bit of familiarity with breed dispositions. You might be able to take a 3yr old QH from the field and put them on 30days stall rest, but a 3yrold hot warmblood will probably self destruct, even with drugs. Or when it comes to rehab, that sometimes it's downright dangerous to try and hand walk, but if the owner tacked the horse up and rode at the walk, they'd be much safer. Not discipline related, but stay current on research. It irks me when vets are still operating on information from 20 years so . Vets recommending rotational deworming, not investigating causes of Not Quite Right lameness we are learning more about; Cervical Arthritis, SI issues, PSSM1 amp; 2, subacute suspensory strains, ect. Don't get sucked into alternative medicine and stuff that doesn't have any evidence. If you can get good at stifle ultrasounds, everyone will love you. My clinic doesn't have anyone who can read stifle ultrasounds. It wasn't until I got a second opinion I found my horse's meniscus injury. It wasn't until the third opinion with a surgeon that we found the meniscus injuries in both stifles. Don't be afraid to refer out clients to specialists. It wasn't until almost a year into his lameness that I was presented with the option of sending him to the university for an appointment with the person who literally wrote the chapter on stifle injuries. I would have saved thousands of dollars in diagnostic and treatments if I'd gone there early.
| true
|
52
|
h9hhdfr
|
Here is some positive writing from Hunter. He was 22 when he wrote this:
April 22, 1958
57 Perry Street
New York City
Dear Hume,
You ask advice: ah, what a very human and very dangerous thing to do! For to give advice to a man who asks what to do with his life implies something very close to egomania. To presume to point a man to the right and ultimate goal— to point with a trembling finger in the RIGHT direction is something only a fool would take upon himself.
I am not a fool, but I respect your sincerity in asking my advice. I ask you though, in listening to what I say, to remember that all advice can only be a product of the man who gives it. What is truth to one may be disaster to another. I do not see life through your eyes, nor you through mine. If I were to attempt to give you specific advice, it would be too much like the blind leading the blind.
“To be, or not to be: that is the question: Whether ’tis nobler in the mind to suffer the slings and arrows of outrageous fortune, or to take arms against a sea of troubles … ” (Shakespeare)
And indeed, that IS the question: whether to float with the tide, or to swim for a goal. It is a choice we must all make consciously or unconsciously at one time in our lives. So few people understand this! Think of any decision you’ve ever made which had a bearing on your future: I may be wrong, but I don’t see how it could have been anything but a choice however indirect— between the two things I’ve mentioned: the floating or the swimming.
But why not float if you have no goal? That is another question. It is unquestionably better to enjoy the floating than to swim in uncertainty. So how does a man find a goal? Not a castle in the stars, but a real and tangible thing. How can a man be sure he’s not after the “big rock candy mountain,” the enticing sugar-candy goal that has little taste and no substance?
The answer— and, in a sense, the tragedy of life— is that we seek to understand the goal and not the man. We set up a goal which demands of us certain things: and we do these things. We adjust to the demands of a concept which CANNOT be valid. When you were young, let us say that you wanted to be a fireman. I feel reasonably safe in saying that you no longer want to be a fireman. Why? Because your perspective has changed. It’s not the fireman who has changed, but you. Every man is the sum total of his reactions to experience. As your experiences differ and multiply, you become a different man, and hence your perspective changes. This goes on and on. Every reaction is a learning process; every significant experience alters your perspective.
So it would seem foolish, would it not, to adjust our lives to the demands of a goal we see from a different angle every day? How could we ever hope to accomplish anything other than galloping neurosis?
The answer, then, must not deal with goals at all, or not with tangible goals, anyway. It would take reams of paper to develop this subject to fulfillment. God only knows how many books have been written on “the meaning of man” and that sort of thing, and god only knows how many people have pondered the subject. (I use the term “god only knows” purely as an expression.) There’s very little sense in my trying to give it up to you in the proverbial nutshell, because I’m the first to admit my absolute lack of qualifications for reducing the meaning of life to one or two paragraphs.
I’m going to steer clear of the word “existentialism,” but you might keep it in mind as a key of sorts. You might also try something called Being and Nothingness by Jean-Paul Sartre, and another little thing called Existentialism: From Dostoyevsky to Sartre. These are merely suggestions. If you’re genuinely satisfied with what you are and what you’re doing, then give those books a wide berth. (Let sleeping dogs lie.) But back to the answer. As I said, to put our faith in tangible goals would seem to be, at best, unwise. So we do not strive to be firemen, we do not strive to be bankers, nor policemen, nor doctors. WE STRIVE TO BE OURSELVES.
But don’t misunderstand me. I don’t mean that we can’t BE firemen, bankers, or doctors— but that we must make the goal conform to the individual, rather than make the individual conform to the goal. In every man, heredity and environment have combined to produce a creature of certain abilities and desires— including a deeply ingrained need to function in such a way that his life will be MEANINGFUL. A man has to BE something; he has to matter.
As I see it then, the formula runs something like this: a man must choose a path which will let his ABILITIES function at maximum efficiency toward the gratification of his DESIRES. In doing this, he is fulfilling a need (giving himself identity by functioning in a set pattern toward a set goal), he avoids frustrating his potential (choosing a path which puts no limit on his self-development), and he avoids the terror of seeing his goal wilt or lose its charm as he draws closer to it (rather than bending himself to meet the demands of that which he seeks, he has bent his goal to conform to his own abilities and desires).
In short, he has not dedicated his life to reaching a pre-defined goal, but he has rather chosen a way of life he KNOWS he will enjoy. The goal is absolutely secondary: it is the functioning toward the goal which is important. And it seems almost ridiculous to say that a man MUST function in a pattern of his own choosing; for to let another man define your own goals is to give up one of the most meaningful aspects of life— the definitive act of will which makes a man an individual.
Let’s assume that you think you have a choice of eight paths to follow (all pre-defined paths, of course). And let’s assume that you can’t see any real purpose in any of the eight. THEN— and here is the essence of all I’ve said— you MUST FIND A NINTH PATH.
Naturally, it isn’t as easy as it sounds. You’ve lived a relatively narrow life, a vertical rather than a horizontal existence. So it isn’t any too difficult to understand why you seem to feel the way you do. But a man who procrastinates in his CHOOSING will inevitably have his choice made for him by circumstance.
So if you now number yourself among the disenchanted, then you have no choice but to accept things as they are, or to seriously seek something else. But beware of looking for goals: look for a way of life. Decide how you want to live and then see what you can do to make a living WITHIN that way of life. But you say, “I don’t know where to look; I don’t know what to look for.”
And there’s the crux. Is it worth giving up what I have to look for something better? I don’t know— is it? Who can make that decision but you? But even by DECIDING TO LOOK, you go a long way toward making the choice.
If I don’t call this to a halt, I’m going to find myself writing a book. I hope it’s not as confusing as it looks at first glance. Keep in mind, of course, that this is MY WAY of looking at things. I happen to think that it’s pretty generally applicable, but you may not. Each of us has to create our own credo— this merely happens to be mine.
If any part of it doesn’t seem to make sense, by all means call it to my attention. I’m not trying to send you out “on the road” in search of Valhalla, but merely pointing out that it is not necessary to accept the choices handed down to you by life as you know it. There is more to it than that— no one HAS to do something he doesn’t want to do for the rest of his life. But then again, if that’s what you wind up doing, by all means convince yourself that you HAD to do it. You’ll have lots of company.
And that’s it for now. Until I hear from you again, I remain,
your friend,
Hunter
|
以下是亨特的一些积极的文章。当他写下这篇文章时，他才 22 岁： 1958 年 4 月 22 日 纽约市佩里街 57 号 亲爱的休谟， 你问我的建议：啊，这是一件多么人性化又非常危险的事情啊！因为向一个询问自己的人生该做什么的人提供建议意味着非常接近于自大狂。妄想为一个人指明正确的最终目标——用颤抖的手指指向正确的方向，只有傻瓜才会这么做。我不是傻子，但我尊重你向我寻求建议的诚意。不过，我请你在听我说的话时记住，所有建议只能是提出建议的人的产物。对一个人来说是真理的东西对另一个人来说可能是灾难。我不是通过你的眼睛来看待生活，也不是通过我的眼睛来看待生活。如果我试图给你具体的建议，那就太像盲人给盲人带路了。 “存在还是不存在：这就是问题所在：在心灵上，是承受暴虐财富的箭矢，还是拿起武器对抗如海的麻烦，哪个更高尚……”（莎士比亚）事实上，那就是问题是：是随波逐流，还是为了目标而游动。这是我们一生中都必须有意识或无意识地做出的选择。明白这个道理的人太少了！想想你曾经做过的任何对你的未来有影响的决定：我可能是错的，但我不明白这怎么可能不是一个选择，无论多么间接——在我提到的两件事之间：漂浮或游泳。但如果没有目标，为什么不去漂浮呢？那是另一个问题了。毫无疑问，享受漂浮比在不确定中游泳更好。那么男人如何找到目标呢？不是星空中的城堡，而是真实可触的东西。一个人怎么能确定他不是在追求“大冰糖山”，即没有味道、没有实质内容的诱人糖目标？答案——从某种意义上说，这也是人生的悲剧——是我们试图理解目标而不是人。我们设定了一个目标，要求我们做一些事情：我们就会做这些事情。我们适应一个不可能有效的概念的要求。当你年轻的时候，假设你想成为一名消防员。我可以相当有把握地说你不想再当消防员了。为什么？因为你的观点已经改变了。改变的不是消防员，而是你。每个人都是他对经验的反应的总和。随着你的经历的不同和增加，你会成为一个不同的人，因此你的观点也会发生变化。这种情况一直持续下去。每一个反应都是一个学习的过程；每一次重要的经历都会改变你的观点。因此，根据我们每天从不同角度看到的目标的要求来调整我们的生活，不是很愚蠢吗？除了奔腾的神经症之外，我们还能指望完成什么事情呢？那么，答案一定不能涉及目标，或者无论如何，不能涉及有形的目标。要完成这个主题需要大量的纸张。天知道有多少本关于“人的意义”之类的书，也只有天知道有多少人思考过这个话题。 （我使用“只有上帝才知道”这个词纯粹是一种表达。）我试图用众所周知的概括来把它交给你是没有意义的，因为我是第一个承认我绝对没有资格减少生命的意义可以用一两段来表达。我将避开“存在主义”这个词，但你可能会记住它作为某种关键。您还可以尝试让·保罗·萨特（Jean-Paul Sartre）的《存在与虚无》（Being and Nothingness），以及另一本书《存在主义：从陀思妥耶夫斯基到萨特》（Existentialism: From Dostoyevsky to Sartre）。这些只是建议。如果你真的对自己的身份和所做的事情感到满意，那么就对这些书敬而远之。 （让睡狗撒谎。）但回到答案。正如我所说，将我们的信心寄托在切实的目标上似乎充其量是不明智的。所以我们不努力成为消防员，我们不努力成为银行家，也不努力成为警察，也不努力成为医生。我们努力做自己。但请不要误解我。我并不是说我们不能成为消防员、银行家或医生——而是说我们必须让目标符合个人，而不是让个人符合目标。在每个人身上，遗传和环境结合在一起，造就了具有一定能力和欲望的生物——包括一种根深蒂固的需要，使他的生活变得有意义。一个人必须成为某种东西；他必须很重要。在我看来，这个公式是这样的：一个人必须选择一条道路，让他的能力以最大效率发挥作用，以满足他的欲望。在这样做的过程中，他满足了一种需要（通过按照既定模式朝着既定目标运作，从而赋予自己身份），他避免了挫败他的潜力（选择一条不限制他自我发展的道路），并且他避免了恐惧当他接近目标时，他会看到自己的目标枯萎或失去魅力（他没有屈服于自己所寻求的要求，而是屈服于自己的目标以符合自己的能力和愿望）。简而言之，他并没有将一生奉献给实现预定目标，但他选择了一种他知道自己会喜欢的生活方式。目标绝对是次要的：重要的是实现目标的运作。说一个人必须按照他自己选择的模式行事，这似乎是荒谬的。因为让另一个人来定义自己的目标就等于放弃生命中最有意义的方面之一——使一个人成为一个个体的决定性的意志行为。假设您认为您可以选择八条路径（当然，所有路径都是预定义的）。我们假设您在这八个中看不到任何真正的目的。然后——这就是我所说的一切的本质——你必须找到第九条路。当然，这并不像听起来那么容易。你的生活相对狭窄，是垂直的而不是水平的。因此，不难理解为什么你会有这样的感觉。但是，一个在选择上拖延的人将不可避免地让环境为他做出选择。因此，如果你现在将自己归为幻灭者，那么你别无选择，只能接受事物的本来面目，或者认真地寻求其他东西。但要注意寻找目标：寻找一种生活方式。决定你想要如何生活，然后看看你能做些什么来以这种生活方式谋生。但你说：“我不知道该往哪里看；我不知道该寻找什么。”这就是症结所在。是否值得放弃我必须寻找的更好的东西？我不知道——是吗？除了你之外谁能做出这个决定？但即使决定去看看，你也已经在做出选择方面走了很长的路。如果我不停止这一切，我就会发现自己正在写一本书。我希望它不会像乍一看那样令人困惑。当然，请记住，这是我看待事物的方式。我碰巧认为它非常普遍适用，但你可能不适用。我们每个人都必须创造自己的信条——这恰好是我的信条。如果它的任何部分看起来没有意义，请务必引起我的注意。我并不是想送你“上路”去寻找瓦尔哈拉，而只是指出，没有必要接受你所知的生活赋予你的选择。事情远不止这些——没有人一生都可以做他不想做的事情。但话又说回来，如果这就是你最终要做的事情，请务必说服自己你必须这样做。你会有很多陪伴。现在就这样了。在我再次收到你的消息之前，我仍然是你的朋友，猎人
| 0
|
Here is some positive writing from Hunter. He was 22 when he wrote this: April 22, 1958 57 Perry Street New York City Dear Hume, You ask advice: ah, what a very human and very dangerous thing to do! For to give advice to a man who asks what to do with his life implies something very close to egomania. To presume to point a man to the right and ultimate goal to point with a trembling finger in the RIGHT direction is something only a fool would take upon himself. I am not a fool, but I respect your sincerity in asking my advice. I ask you though, in listening to what I say, to remember that all advice can only be a product of the man who gives it. What is truth to one may be disaster to another. I do not see life through your eyes, nor you through mine. If I were to attempt to give you specific advice, it would be too much like the blind leading the blind. To be, or not to be: that is the question: Whether tis nobler in the mind to suffer the slings and arrows of outrageous fortune, or to take arms against a sea of troubles (Shakespeare) And indeed, that IS the question: whether to float with the tide, or to swim for a goal. It is a choice we must all make consciously or unconsciously at one time in our lives. So few people understand this! Think of any decision youve ever made which had a bearing on your future: I may be wrong, but I dont see how it could have been anything but a choice however indirect between the two things Ive mentioned: the floating or the swimming. But why not float if you have no goal? That is another question. It is unquestionably better to enjoy the floating than to swim in uncertainty. So how does a man find a goal? Not a castle in the stars, but a real and tangible thing. How can a man be sure hes not after the big rock candy mountain, the enticing sugar-candy goal that has little taste and no substance? The answer and, in a sense, the tragedy of life is that we seek to understand the goal and not the man. We set up a goal which demands of us certain things: and we do these things. We adjust to the demands of a concept which CANNOT be valid. When you were young, let us say that you wanted to be a fireman. I feel reasonably safe in saying that you no longer want to be a fireman. Why? Because your perspective has changed. Its not the fireman who has changed, but you. Every man is the sum total of his reactions to experience. As your experiences differ and multiply, you become a different man, and hence your perspective changes. This goes on and on. Every reaction is a learning process; every significant experience alters your perspective. So it would seem foolish, would it not, to adjust our lives to the demands of a goal we see from a different angle every day? How could we ever hope to accomplish anything other than galloping neurosis? The answer, then, must not deal with goals at all, or not with tangible goals, anyway. It would take reams of paper to develop this subject to fulfillment. God only knows how many books have been written on the meaning of man and that sort of thing, and god only knows how many people have pondered the subject. (I use the term god only knows purely as an expression.) Theres very little sense in my trying to give it up to you in the proverbial nutshell, because Im the first to admit my absolute lack of qualifications for reducing the meaning of life to one or two paragraphs. Im going to steer clear of the word existentialism, but you might keep it in mind as a key of sorts. You might also try something called Being and Nothingness by Jean-Paul Sartre, and another little thing called Existentialism: From Dostoyevsky to Sartre. These are merely suggestions. If youre genuinely satisfied with what you are and what youre doing, then give those books a wide berth. (Let sleeping dogs lie.) But back to the answer. As I said, to put our faith in tangible goals would seem to be, at best, unwise. So we do not strive to be firemen, we do not strive to be bankers, nor policemen, nor doctors. WE STRIVE TO BE OURSELVES. But dont misunderstand me. I dont mean that we cant BE firemen, bankers, or doctors but that we must make the goal conform to the individual, rather than make the individual conform to the goal. In every man, heredity and environment have combined to produce a creature of certain abilities and desires including a deeply ingrained need to function in such a way that his life will be MEANINGFUL. A man has to BE something; he has to matter. As I see it then, the formula runs something like this: a man must choose a path which will let his ABILITIES function at maximum efficiency toward the gratification of his DESIRES. In doing this, he is fulfilling a need (giving himself identity by functioning in a set pattern toward a set goal), he avoids frustrating his potential (choosing a path which puts no limit on his self-development), and he avoids the terror of seeing his goal wilt or lose its charm as he draws closer to it (rather than bending himself to meet the demands of that which he seeks, he has bent his goal to conform to his own abilities and desires). In short, he has not dedicated his life to reaching a pre-defined goal, but he has rather chosen a way of life he KNOWS he will enjoy. The goal is absolutely secondary: it is the functioning toward the goal which is important. And it seems almost ridiculous to say that a man MUST function in a pattern of his own choosing; for to let another man define your own goals is to give up one of the most meaningful aspects of life the definitive act of will which makes a man an individual. Lets assume that you think you have a choice of eight paths to follow (all pre-defined paths, of course). And lets assume that you cant see any real purpose in any of the eight. THEN and here is the essence of all Ive said you MUST FIND A NINTH PATH. Naturally, it isnt as easy as it sounds. Youve lived a relatively narrow life, a vertical rather than a horizontal existence. So it isnt any too difficult to understand why you seem to feel the way you do. But a man who procrastinates in his CHOOSING will inevitably have his choice made for him by circumstance. So if you now number yourself among the disenchanted, then you have no choice but to accept things as they are, or to seriously seek something else. But beware of looking for goals: look for a way of life. Decide how you want to live and then see what you can do to make a living WITHIN that way of life. But you say, I dont know where to look; I dont know what to look for. And theres the crux. Is it worth giving up what I have to look for something better? I dont know is it? Who can make that decision but you? But even by DECIDING TO LOOK, you go a long way toward making the choice. If I dont call this to a halt, Im going to find myself writing a book. I hope its not as confusing as it looks at first glance. Keep in mind, of course, that this is MY WAY of looking at things. I happen to think that its pretty generally applicable, but you may not. Each of us has to create our own credo this merely happens to be mine. If any part of it doesnt seem to make sense, by all means call it to my attention. Im not trying to send you out on the road in search of Valhalla, but merely pointing out that it is not necessary to accept the choices handed down to you by life as you know it. There is more to it than that no one HAS to do something he doesnt want to do for the rest of his life. But then again, if thats what you wind up doing, by all means convince yourself that you HAD to do it. Youll have lots of company. And thats it for now. Until I hear from you again, I remain, your friend, Hunter
| true
|
53
|
jjho9gf
|
Along with:
- Playing soldier with a bunch of tech-hoarding, genocidal warmongers that failed to learn another reason for the Great War occurring
- Becoming a super-secret agent that’s part of the next “version” of the Underground Railroad that takes orders from a dozen-packs-a-day smoker, a doctor that makes Oscar the Grouch look bubbly in comparison, a borderline Human-hating supremacist that feels nothing about sacrificing other lives, a quasi-AI that was originally created to stop nuclear armageddon, and one of the most mysterious characters in the Commonwealth
- Cosplaying as a superhero that fights crime, eventually earning the ire of one of the most fearsome Raider bosses on the East Coast and having one of your buddies get taken hostage
- Helping a radio DJ and news reporter grow some balls by rescuing his friend and the a baseball-stadium-turned-town’s bartender with connections to various criminal organizations
- Investigating the start of an immortal family’s secret coming out and eventually coming to the realization that an alien civilization really DID help out Humanity in becoming a sapient species
- Teaming up with a modified sapient Assaultron to stop a mega-genius cosplayer from unwittingly unleashing a horde of homicidally-insane cyborg that lead a literal army of robots
- Investigating a missing person’s case that soon becomes merely the “launching point” of a mystery that threatens every man, woman, and child on mutagenic fog-enshrouded island and coming into contact with evidence that a deity that works through radiation may actually be real
- Building a Vault with the help of a borderline-sociopath Ghoul that threatens to use innocent men and women as test subjects in a variety of inhumane experiments for little purpose than continuing a morally-corrupt corporation that was also part of a Pre-War government conspiracy that eventually turned into a genocidal military dictatorship acting in the US government’s name
- Either becoming the leader of an extremely tenuous Raider “alliance” that enslaved a population of settlers and traders that occupied a Pre-War theme park that was also founded by the ethics-lacking inventor of a soda that also pursued immortality at the cost of other peoples’ lives
|
同时： - 与一群囤积技术、种族灭绝的战争贩子一起扮演士兵，他们未能了解第一次世界大战发生的另一个原因 - 成为一名超级特工，是下一个“版本”地下铁路的一部分，接受来自一个每天吸十几包烟的人，一个让爱发牢骚的奥斯卡相比之下显得很活泼的医生，一个对牺牲其他生命毫无感觉的边缘仇恨人类至上主义者，一个最初是为了阻止核世界末日而创造的准人工智能，以及英联邦最神秘的角色之一 - 角色扮演打击犯罪的超级英雄，最终激怒了东海岸最可怕的掠夺者老大之一，并让你的一个好友被扣为人质 - 帮助电台 DJ 和新闻记者通过营救他的朋友和一个与各种犯罪组织有联系的棒球场变成城镇的酒保来长出一些球 - 调查一个不朽家族的秘密曝光的开始，并最终意识到外星文明确实提供了帮助人类正在成为一个智能物种 - 与经过改造的智能 Assaultron 合作，阻止一位超级天才角色扮演者无意中释放了一群疯狂杀人的机器人，他们领导着一支名副其实的机器人军队 - 调查一起失踪人员案件，但很快就变成了“一个神秘事件的“发射点”，威胁着诱变迷雾笼罩的岛屿上的每个男人、女人和儿童，并接触到证据表明，通过辐射发挥作用的神可能实际上是真实的——在边缘反社会者的帮助下建造一个避难所食尸鬼威胁使用无辜的男人和女人作为各种不人道实验的测试对象，其目的只是继续一个道德败坏的公司，该公司也是战前政府阴谋的一部分，最终演变成一个种族灭绝的军事独裁政权。美国政府的名字 - 要么成为一个极其脆弱的掠夺者“联盟”的领导者，该联盟奴役了占领战前主题公园的一群定居者和商人，该公园也是由缺乏道德的苏打水发明者创立的，他也追求永生。他人生命的代价
| 0
|
Along with: - Playing soldier with a bunch of tech-hoarding, genocidal warmongers that failed to learn another reason for the Great War occurring - Becoming a super-secret agent thats part of the next version of the Underground Railroad that takes orders from a dozen-packs-a-day smoker, a doctor that makes Oscar the Grouch look bubbly in comparison, a borderline Human-hating supremacist that feels nothing about sacrificing other lives, a quasi-AI that was originally created to stop nuclear armageddon, and one of the most mysterious characters in the Commonwealth - Cosplaying as a superhero that fights crime, eventually earning the ire of one of the most fearsome Raider bosses on the East Coast and having one of your buddies get taken hostage - Helping a radio DJ and news reporter grow some balls by rescuing his friend and the a baseball-stadium-turned-towns bartender with connections to various criminal organizations - Investigating the start of an immortal familys secret coming out and eventually coming to the realization that an alien civilization really DID help out Humanity in becoming a sapient species - Teaming up with a modified sapient Assaultron to stop a mega-genius cosplayer from unwittingly unleashing a horde of homicidally-insane cyborg that lead a literal army of robots - Investigating a missing persons case that soon becomes merely the launching point of a mystery that threatens every man, woman, and child on mutagenic fog-enshrouded island and coming into contact with evidence that a deity that works through radiation may actually be real - Building a Vault with the help of a borderline-sociopath Ghoul that threatens to use innocent men and women as test subjects in a variety of inhumane experiments for little purpose than continuing a morally-corrupt corporation that was also part of a Pre-War government conspiracy that eventually turned into a genocidal military dictatorship acting in the US governments name - Either becoming the leader of an extremely tenuous Raider alliance that enslaved a population of settlers and traders that occupied a Pre-War theme park that was also founded by the ethics-lacking inventor of a soda that also pursued immortality at the cost of other peoples lives
| true
|
54
|
gz6d3f0
|
Any idea what range your estrogen and E2 levels sit at? Also, what dose is your trt and at what frequency? 550 ng/dL bloods are not what I would expect with a trt dose of testosterone and Clomid stacked on top of it. Higher frequency injections are best, at least 2x weekly, add an AI if needed. This frequency keeps all downstream hormones in check much better without ebb and flow of testosterone. I am not well versed with Ziprasidone but I know this class of drugs can alter sex drive and have a potential effect on erection quality. I would ask your physician and potentially change providers for your trt needs if necessary.
|
您知道您的雌激素和 E2 水平处于什么范围吗？另外，你的 trt 剂量是多少，频率是多少？ 550 ng/dL 的血液浓度并不是我所期望的，因为在其上叠加了 trt 剂量的睾酮和克罗米芬。最好进行更高频率的注射，至少每周 2 次，如果需要，可添加 AI。这种频率可以更好地控制所有下游激素，而不会导致睾丸激素的潮起潮落。我不太熟悉齐拉西酮，但我知道这类药物可以改变性欲并对勃起质量产生潜在影响。如果有必要，我会询问您的医生并可能更换提供者以满足您的 trt 需求。
| 0
|
Any idea what range your estrogen and E2 levels sit at? Also, what dose is your trt and at what frequency? 550 ngdL bloods are not what I would expect with a trt dose of testosterone and Clomid stacked on top of it. Higher frequency injections are best, at least 2x weekly, add an AI if needed. This frequency keeps all downstream hormones in check much better without ebb and flow of testosterone. I am not well versed with Ziprasidone but I know this class of drugs can alter sex drive and have a potential effect on erection quality. I would ask your physician and potentially change providers for your trt needs if necessary.
| true
|
55
|
go1frpt
|
Hey, if you don't hate medical school to the degree that you feel like committing suicide every day or something (I did, but I still finished school nonetheless), I'd say you should finish your degree first.
Why though? Two reasons:
1. Having an advanced degree opens up more opportunities in life, and it doesn't necessarily have to be clinical medicine. As I said I'm a physician myself, and I'm leaving medicine soon to pursue something entirely different. While I didn't enjoy clinical medicine very much and I'm definitely excited about trying out something different with my life, I don't think the transition would have been possible without my degree.
2. You're simply not ready to move to Japan or Korea. You can't speak Korean at all, and you're probably not *that* (i.e. business-level) fluent in Japanese either. This not only limits your career opportunities in Japan/Korea, but it also makes you unable to fully experience the country's culture. Your interactions with Japanese people will almost always remain extremely shallow - you definitely won't be having that wholesome anime moments (let's just pretend that real world Japan is just like anime, although it really isn't) if you can't hold any kind of conversation deeper than *konnichiwa nihongo jyouzudesune*. Heck, you will have a really hard time *surviving* in Japan let alone experience its culture - that's why there are so many clueless bitter unhappy foreigners on these Japan subreddits and why most of them leave the country after 2\~3 years of trying hard. If I were really fond of Japan (or at least its representation in pop culture), I would not let my hastiness destroy my one and only chance of *properly* living the dream.
Combine these two factors, and you get this solution:
1. Finish the degree, and while you're at it, study Japanese (or Korean, but choose one). Watching Youtube clips and anime is alright, but you should go far beyond that to actually learn the language. Aim for N1 level fluency - it's not going to be easy at all, but you're a medical student after all, *an expert in studying/memorizing*.
2. After getting your M.D., you can go to grad school in Japan before you move onto residency. It will give you a short (2 years or so) break without destroying your career and a chance to experience Japan in a safer position (i.e. as a student, as opposed to a depressed *salaryman*). Japanese national universities are not that expensive to begin with, and there are a bunch of scholarships for international students.
3. If you still like Japan after those couple years, you can finally plan out your career in Japan. If you're really fluent in Japanese by then, you can try getting licensed in Japan, but even if you can't you should have a bunch of options by then - research positions in universities, positions in multinational pharmaceuticals...the list goes on. You can even go back to your home country for residency and return to Japan as a clinical fellow. And trust me, *none* of these options would disappoint your mother as much as ditching medical school to become an English teacher in Japan.
|
嘿，如果你不讨厌医学院到每天都想自杀之类的程度（我就是这么做的，但我还是完成了学业），我想说你应该先完成你的学位。为什么呢？原因有两个： 1. 拥有高级学位可以开启更多的人生机会，而且不一定非得是临床医学。正如我所说，我自己就是一名医生，我很快就会离开医学界去追求完全不同的东西。虽然我不太喜欢临床医学，而且我对尝试不同的生活感到非常兴奋，但我认为如果没有我的学位，这种转变是不可能的。 2. 你还没有准备好搬到日本或韩国。你根本不会说韩语，而且你的日语可能也不是*那么*（即商务级别）流利。这不仅限制了你在日本/韩国的职业机会，也让你无法充分体验该国的文化。你与日本人的互动几乎总是非常肤浅——如果你不能抓住任何东西，你绝对不会拥有那些健康的动漫时刻（让我们假装现实世界的日本就像动漫一样，尽管事实并非如此）比 *konnichiwa nihongo jyouzudesune* 更深层次的对话。哎呀，你在日本“生存”会非常困难，更不用说体验它的文化了——这就是为什么在这些日本子版块上有这么多无能、苦涩、不快乐的外国人，以及为什么他们中的大多数人在尝试了 2~3 年之后就离开了这个国家。难的。如果我真的喜欢日本（或者至少喜欢它在流行文化中的代表），我不会让我的仓促毁掉我“正确”实现梦想的唯一机会。结合这两个因素，你会得到这个解决方案： 1. 完成学位，并在完成学位的同时学习日语（或韩语，但选择一个）。观看 Youtube 剪辑和动画是可以的，但要真正学习这门语言，你应该超越这些。以 N1 流利程度为目标 - 这一点都不容易，但你毕竟是一名医科学生，*学习/记忆专家*。 2. 获得医学博士学位后，您可以在日本读研究生，然后再进行住院医师实习。它会给你一个短暂的（2年左右）休息时间，而不会毁掉你的职业生涯，并且有机会以更安全的身份体验日本（即作为学生，而不是抑郁的*工薪族*）。日本国立大学的学费并不是那么昂贵，而且有很多针对国际学生的奖学金。 3.如果几年后你仍然喜欢日本，你终于可以在日本规划你的职业生涯了。如果到那时你的日语真的很流利，你可以尝试在日本获得许可，但即使你不能，到那时你也应该有很多选择——大学的研究职位、跨国制药公司的职位……清单继续。您甚至可以返回自己的祖国进行住院医师实习，然后以临床研究员的身份返回日本。相信我，这些选择中*没有一个*会像放弃医学院去日本当一名英语老师一样让你的母亲失望。
| 0
|
Hey, if you don't hate medical school to the degree that you feel like committing suicide every day or something (I did, but I still finished school nonetheless), I'd say you should finish your degree first. Why though? Two reasons: 1. Having an advanced degree opens up more opportunities in life, and it doesn't necessarily have to be clinical medicine. As I said I'm a physician myself, and I'm leaving medicine soon to pursue something entirely different. While I didn't enjoy clinical medicine very much and I'm definitely excited about trying out something different with my life, I don't think the transition would have been possible without my degree. 2. You're simply not ready to move to Japan or Korea. You can't speak Korean at all, and you're probably not that (i.e. business-level) fluent in Japanese either. This not only limits your career opportunities in JapanKorea, but it also makes you unable to fully experience the country's culture. Your interactions with Japanese people will almost always remain extremely shallow - you definitely won't be having that wholesome anime moments (let's just pretend that real world Japan is just like anime, although it really isn't) if you can't hold any kind of conversation deeper than konnichiwa nihongo jyouzudesune. Heck, you will have a really hard time surviving in Japan let alone experience its culture - that's why there are so many clueless bitter unhappy foreigners on these Japan subreddits and why most of them leave the country after 23 years of trying hard. If I were really fond of Japan (or at least its representation in pop culture), I would not let my hastiness destroy my one and only chance of properly living the dream. Combine these two factors, and you get this solution: 1. Finish the degree, and while you're at it, study Japanese (or Korean, but choose one). Watching Youtube clips and anime is alright, but you should go far beyond that to actually learn the language. Aim for N1 level fluency - it's not going to be easy at all, but you're a medical student after all, an expert in studyingmemorizing. 2. After getting your M.D., you can go to grad school in Japan before you move onto residency. It will give you a short (2 years or so) break without destroying your career and a chance to experience Japan in a safer position (i.e. as a student, as opposed to a depressed salaryman). Japanese national universities are not that expensive to begin with, and there are a bunch of scholarships for international students. 3. If you still like Japan after those couple years, you can finally plan out your career in Japan. If you're really fluent in Japanese by then, you can try getting licensed in Japan, but even if you can't you should have a bunch of options by then - research positions in universities, positions in multinational pharmaceuticals...the list goes on. You can even go back to your home country for residency and return to Japan as a clinical fellow. And trust me, none of these options would disappoint your mother as much as ditching medical school to become an English teacher in Japan.
| true
|
56
|
frhavvp
|
I'm glad you found a doctor who confirmed the side effects of mirena. It must have been a weight lifted to know you're not crazy. Even my own SO doesn't believe me.
My insertion was an absolute nightmare I'm sorry if the two doctors caused you unnecessary pain. A resident just learning to do IUD insertions did mine I can't believe it was allowed and I was naive at the time having done little research on experienced doctors. A doctor supervised the rookie. So rookie was doing the sound measurement when she couldn't initially get past my cervix, saying to the doctor I can't get in. So the doctor walks over and just shoves it in without warning. I dread the insertion more than pushing out a baby.
The doctors are also trying to pin it on my thyroid I have to do more blood work to confirm. I had tests done about 2 years ago with no thyroid problems I don't see how it would start giving me problems now.
The acne is starting to get worse I get these terrible deep pimples around my lips and chin and they're a b*tch to pop.
I've also been able to trace my mood swings about 2 weeks before my period and the exhaustion is constant. I had a dream yesterday about having it removed and quiting hormonal BC and being normal again haha.
|
我很高兴您找到一位确认曼月乐副作用的医生。知道自己没有疯一定是一种沉重的负担。就连我自己的SO也不相信我。我的插入绝对是一场噩梦，如果两位医生给您带来了不必要的痛苦，我很抱歉。一位刚刚学习放置宫内节育器的住院医生做了我的事，我不敢相信这是允许的，当时我很天真，对经验丰富的医生做了很少的研究。一名医生负责监督这名新秀。所以菜鸟在进行声音测量时，她一开始无法通过我的子宫颈，对医生说我无法进入。所以医生走过去，在没有任何警告的情况下将其推入。比起把婴儿推出来，我更害怕插入。医生还试图将其固定在我的甲状腺上，我必须做更多的血液检查才能确认。大约两年前我做了检查，没有发现甲状腺问题，我不知道现在它会如何开始给我带来问题。痤疮开始变得更严重，我的嘴唇和下巴周围出现了这些可怕的深痤疮，而且它们很难破裂。我还能够追踪到月经前两周左右的情绪波动，并且疲惫感持续存在。我昨天做了一个梦，梦见把它去掉，戒掉荷尔蒙BC，然后又恢复正常了，哈哈。
| 0
|
I'm glad you found a doctor who confirmed the side effects of mirena. It must have been a weight lifted to know you're not crazy. Even my own SO doesn't believe me. My insertion was an absolute nightmare I'm sorry if the two doctors caused you unnecessary pain. A resident just learning to do IUD insertions did mine I can't believe it was allowed and I was naive at the time having done little research on experienced doctors. A doctor supervised the rookie. So rookie was doing the sound measurement when she couldn't initially get past my cervix, saying to the doctor I can't get in. So the doctor walks over and just shoves it in without warning. I dread the insertion more than pushing out a baby. The doctors are also trying to pin it on my thyroid I have to do more blood work to confirm. I had tests done about 2 years ago with no thyroid problems I don't see how it would start giving me problems now. The acne is starting to get worse I get these terrible deep pimples around my lips and chin and they're a btch to pop. I've also been able to trace my mood swings about 2 weeks before my period and the exhaustion is constant. I had a dream yesterday about having it removed and quiting hormonal BC and being normal again haha.
| true
|
57
|
h6gblv0
|
Name: Samuel John R. Jalandoni
Age:17
Gender: male
Location: Dasmariñas, Cavite
Civil Status: Single
Nationality: Filipino
#09266080753
Facebook name(if any): Samuel John Jalandoni
Occupation: unoccupied/ med student
Do you speak fluent english? Yes, I do
Device to be used in playing Axie Infinity: Android Phone/ Personal Computer
Internet: WiFi w/210mbps and Data
Average SLP per day: 125-180
How many hours per day can you dedicate to playing Axie: approx. 6-10 hrs per day because besides Axie, i am reviewing for my Med career but i can manage
Do you already have experience playing Axie Infinity: [Yes/No] No, but i see my friends and watch streams
Hobbies: My hobbies are analyzing complex scenarios, playing strategy/rts games, cooking, solving problems(psych or math related), and fps games
How well do you know the Axie Game mechanics: by watching streams online
Reason why should we choose you: I am currently enrolled on a Med school but the tuition fee per semester costs 125k per sem, my parents are only store owners and the money that will be used for my tuition comes from the store that we own but it is not enough to pay and continue my study to become a med doctor in the future. I became interested in axie because i want to find a way where i can pay my tuition fee and help my parents to lessen their work day in and day out in order to just pay for the tuition and help me finish my med career. I am currently starting my pre med soon but due to lack of money, i may not be able to start my first year so i really hope that i will be chosen as a scholar. That's all and God bless manager/s
|
姓名：Samuel John R. Jalandoni 年龄：17 性别：男 地点：达斯马里尼亚斯，甲米地 公民身份：单身 国籍：菲律宾人 #09266080753 Facebook 名称（如果有）：Samuel John Jalandoni 职业：无业/医学生 您会说流利的英语吗？是的，我玩 Axie Infinity 时使用的设备： Android 手机/个人电脑 互联网： WiFi w/210mbps 和数据 每天平均 SLP： 125-180 您每天可以花多少小时玩 Axie： 大约 20 分钟。每天 6-10 小时，因为除了 Axie 之外，我还在回顾我的医学职业生涯，但我可以应付。您是否已经有玩 Axie Infinity 的经验：[是/否]否，但我会见我的朋友并观看直播。 爱好：我的爱好是分析复杂场景、玩策略/RTS 游戏、烹饪、解决问题（心理或数学相关）和 FPS 游戏 您对 Axie 游戏机制了解多少：通过在线观看直播 我们选择您的原因：我目前正在注册医学院，但每学期的学费为每学期125k，我的父母只是商店老板，用于我学费的钱来自我们拥有的商店，但不足以支付和继续我的学习成为未来是一名医学博士。我对 axie 产生了兴趣，因为我想找到一种方法，可以支付我的学费，并帮助我的父母减少日复一日的工作，以便只支付学费并帮助我完成我的医学生涯。我目前即将开始我的医学预科课程，但由于缺乏资金，我可能无法开始我的第一年，所以我真的希望我能被选为一名学者。这就是全部，上帝保佑经理
| 0
|
Name: Samuel John R. Jalandoni Age:17 Gender: male Location: Dasmarias, Cavite Civil Status: Single Nationality: Filipino 09266080753 Facebook name(if any): Samuel John Jalandoni Occupation: unoccupied med student Do you speak fluent english? Yes, I do Device to be used in playing Axie Infinity: Android Phone Personal Computer Internet: WiFi w210mbps and Data Average SLP per day: 125-180 How many hours per day can you dedicate to playing Axie: approx. 6-10 hrs per day because besides Axie, i am reviewing for my Med career but i can manage Do you already have experience playing Axie Infinity: YesNo No, but i see my friends and watch streams Hobbies: My hobbies are analyzing complex scenarios, playing strategyrts games, cooking, solving problems(psych or math related), and fps games How well do you know the Axie Game mechanics: by watching streams online Reason why should we choose you: I am currently enrolled on a Med school but the tuition fee per semester costs 125k per sem, my parents are only store owners and the money that will be used for my tuition comes from the store that we own but it is not enough to pay and continue my study to become a med doctor in the future. I became interested in axie because i want to find a way where i can pay my tuition fee and help my parents to lessen their work day in and day out in order to just pay for the tuition and help me finish my med career. I am currently starting my pre med soon but due to lack of money, i may not be able to start my first year so i really hope that i will be chosen as a scholar. That's all and God bless managers
| true
|
58
|
eyueymr
|
I'm not so sure about this. From what i see, ATMs meant less tellers. People don't need to go into a bank to get their money, so there is less foot traffic, meaning less staff required.
With the Doctor analogy, I disagree. But if anything, it means there are fewer higher paying jobs. A doctor becomes a simple technician or analyst which is a human interface between the patient and the AI computer that provides the diagnosis.
|
我对此不太确定。在我看来，自动取款机意味着柜员数量减少。人们不需要去银行取钱，因此人流量较少，意味着需要的员工也较少。对于医生的类比，我不同意。但如果说有什么不同的话，那就是高薪工作岗位减少了。医生成为一名简单的技术人员或分析师，是患者和提供诊断的人工智能计算机之间的人机界面。
| 1
|
I'm not so sure about this. From what i see, ATMs meant less tellers. People don't need to go into a bank to get their money, so there is less foot traffic, meaning less staff required. With the Doctor analogy, I disagree. But if anything, it means there are fewer higher paying jobs. A doctor becomes a simple technician or analyst which is a human interface between the patient and the AI computer that provides the diagnosis.
| true
|
59
|
iwyggee
|
I do feel for the ones that sound like they are genuinely unwell and aren't getting the treatment they need, but I didn't really have those cases in mind when I made that comment.
I'm more talking about the ones with vague and fairly benign symptoms whose posts essentially amount to "I've decided I have this disease. How can I get my doctor to diagnose me?" (Bonus points if they've included a laundry list of psychological issues to their symptoms).
I think because autoimmunity isn't that well understood in general - particularly for the average person, people attribute it to any mystery health issue they have. There are some I think are probably right to suspect AI, some are focusing on AI where they should be keeping an open mind to other illnesses, and others are using AI to feed into their hypochondria or Munchausen tendencies. There's just enough fogginess in the way its diagnosed to make it seem plausible for anyone who focuses too much on it.
Anyway, I don't want to be too much of a dick about it, because my situation wasn't *so* different, in that I've been on here asking about what could be up with me. But, diagnosis or not, I've been getting appropriate treatment since AI was suspected. I also can't see how anyone would want to be on some of these treatments unless you really had to.
TBH I'd always thought autoinflammatory and autoimmunity were the same thing until I read your other comment and looked into it a little bit. Hopefully you're on top of it.
|
我确实同情那些听起来确实身体不适并且没有得到所需治疗的人，但当我发表评论时，我并没有真正考虑到这些情况。我更多地谈论那些症状模糊且相当良性的人，他们的帖子基本上相当于“我已经确定我患有这种疾病。我怎样才能让我的医生诊断我？” （如果他们在症状中列出了一系列心理问题，那就加分了）。我认为，由于自身免疫总体上并没有得到很好的理解——特别是对于普通人来说，人们将其归因于他们所患有的任何神秘的健康问题。我认为有些人对人工智能的怀疑可能是正确的，有些人专注于人工智能，他们应该对其他疾病保持开放的态度，而另一些人则利用人工智能来助长他们的疑病症或孟乔森倾向。它的诊断方式有足够的模糊性，对于那些过于关注它的人来说，它看起来似乎是合理的。不管怎样，我不想对此表现得太过分，因为我的情况并没有“那么”不同，因为我一直在这里询问我会发生什么事情。但是，无论是否确诊，自从怀疑患有人工智能以来，我一直在接受适当的治疗。我也不明白为什么会有人愿意接受其中一些治疗，除非你真的必须这样做。说实话，我一直认为自身炎症和自身免疫是同一回事，直到我读到你的其他评论并进行了一些研究。希望你能做到这一点。
| 0
|
I do feel for the ones that sound like they are genuinely unwell and aren't getting the treatment they need, but I didn't really have those cases in mind when I made that comment. I'm more talking about the ones with vague and fairly benign symptoms whose posts essentially amount to "I've decided I have this disease. How can I get my doctor to diagnose me?" (Bonus points if they've included a laundry list of psychological issues to their symptoms). I think because autoimmunity isn't that well understood in general - particularly for the average person, people attribute it to any mystery health issue they have. There are some I think are probably right to suspect AI, some are focusing on AI where they should be keeping an open mind to other illnesses, and others are using AI to feed into their hypochondria or Munchausen tendencies. There's just enough fogginess in the way its diagnosed to make it seem plausible for anyone who focuses too much on it. Anyway, I don't want to be too much of a dick about it, because my situation wasn't so different, in that I've been on here asking about what could be up with me. But, diagnosis or not, I've been getting appropriate treatment since AI was suspected. I also can't see how anyone would want to be on some of these treatments unless you really had to. TBH I'd always thought autoinflammatory and autoimmunity were the same thing until I read your other comment and looked into it a little bit. Hopefully you're on top of it.
| true
|
60
|
i3vo8ml
|
Alanon is a great gathering to help you deal with AUD in your family. They typically do not discuss other modern treatments besides AA, but they are good people and provide good support. Better than just reporting him, share this medical treatment with him.
First I will say that you are not responsible for his condition or his recovery, but this information may help you understand what he is dealing with - these insane alcohol cravings. As you know, he has to want to quit or taper. You cannot do this for him. He most likely has tried to quit before but using willpower alone and the 100% abstinence model just increases cravings and sets people up for many relapses. Relapses are so unnecessary today. I found this method of tapering (using a safe, short-term medication) is the most effective and long lasting treatment
Do not overlook this method. I did and wasted 2 more years. Watch the groundbreaking TEDx talk on YouTube, then dig deeper into the subtle truth of this method. https://youtu.be/6EghiY\_s2ts The documentary called 'One Little Pill' on Amazon is worth your time also. TSM has a significant success rate for erasing the cravings associated with Alcohol Use Disorder. TSM is the GOTO treatment in Finland where it was discovered.
I also recommend reading the book by Dr. Roy Eskapa to get a feel for how important this science based treatment really is. IMO, the book is a godsend, especially for the extended family. It's very emotional to finally read the truth about AUD. For most people, AUD is NOT about personality defects, not lack of willpower, not lack of character, not lack of morals or spirituality ... it's often just about a person's particular brain biology, their DNA, their ancestry. Nothing to be ashamed about. Your DNA is not defective in the least, rather it is perfectly healthy DNA - just not rated for a poison like alcohol. You are not responsible for having this DNA by the way - any more than you are for the color of your eyes. The book describes this and the method to reverse this 'learned' addiction.
See the Margin/About in subgroup r/Alcoholism_Medication for more TSM resources
Learn all about TSM, but do not try to push it on him. He may be OK with watching a few things with you, but don't nag him or push too hard. That never works. By exposing the science to him, it might sink in over time. If it does not sink in, go to your Plan B.
www.cthreefoundation provides a list of TSM trained doctors all over the world and a free on-line support forum as does FB. Good luck.
|
Alanon 是一个很好的聚会，可以帮助您处理家庭中的澳元问题。除了 AA 之外，他们通常不会讨论其他现代治疗方法，但他们都是好人，并提供良好的支持。与其举报他，不如与他分享这种治疗方法。首先我要说的是，你对他的病情或康复不负有责任，但这些信息可能会帮助你了解他正在面对的是什么——这些疯狂的酒精渴望。如你所知，他必须想要退出或逐渐减少。你不能为他这样做。他很可能以前尝试过戒烟，但仅靠意志力和 100% 戒烟模式只会增加烟瘾，并导致人们多次旧病复发。今天，旧病复发是不必要的。我发现这种逐渐减少的方法（使用安全的短期药物）是最有效且持久的治疗方法，不要忽视这种方法。我这么做了，又浪费了两年时间。在 YouTube 上观看开创性的 TEDx 演讲，然后深入挖掘这种方法的微妙真相。 https://youtu.be/6EghiY\_s2ts 亚马逊上名为“一颗小药丸”的纪录片也值得您花时间。 TSM 在消除与酒精使用障碍相关的渴望方面具有显着的成功率。 TSM 是芬兰发现的 GOTO 疗法。我还建议您阅读 Roy Eskapa 博士的书，以了解这种基于科学的治疗方法到底有多么重要。在我看来，这本书是天赐之物，特别是对于大家庭来说。终于读到澳元的真相，我非常激动。对于大多数人来说，AUD 与人格缺陷、意志力缺乏、性格缺乏、道德或灵性无关……它通常只是与一个人特定的大脑生物学、他们的 DNA、他们的血统有关。没什么可羞耻的。你的 DNA 没有丝毫缺陷，而是完全健康的 DNA - 只是没有像酒精这样的有毒物质。顺便说一句，你对拥有这种 DNA 不负有任何责任，就像你对你眼睛的颜色不负有责任一样。这本书描述了这一点以及扭转这种“习得”成瘾的方法。有关更多 TSM 资源，请参阅子组 r/Alcoholism_Meduction 中的边际/关于 了解有关 TSM 的所有信息，但不要试图将其强加给他。他可能愿意和你一起看一些东西，但不要唠叨他或逼得太紧。那永远行不通。通过向他展示科学知识，随着时间的推移，它可能会被理解。如果它不明白，请转到您的 B 计划。 www.cthirdfoundation 提供了世界各地经过 TSM 培训的医生的列表，以及一个免费的在线支持论坛，就像 FB 一样。祝你好运。
| 0
|
Alanon is a great gathering to help you deal with AUD in your family. They typically do not discuss other modern treatments besides AA, but they are good people and provide good support. Better than just reporting him, share this medical treatment with him. First I will say that you are not responsible for his condition or his recovery, but this information may help you understand what he is dealing with - these insane alcohol cravings. As you know, he has to want to quit or taper. You cannot do this for him. He most likely has tried to quit before but using willpower alone and the 100 abstinence model just increases cravings and sets people up for many relapses. Relapses are so unnecessary today. I found this method of tapering (using a safe, short-term medication) is the most effective and long lasting treatment Do not overlook this method. I did and wasted 2 more years. Watch the groundbreaking TEDx talk on YouTube, then dig deeper into the subtle truth of this method. https:youtu.be6EghiYs2ts The documentary called 'One Little Pill' on Amazon is worth your time also. TSM has a significant success rate for erasing the cravings associated with Alcohol Use Disorder. TSM is the GOTO treatment in Finland where it was discovered. I also recommend reading the book by Dr. Roy Eskapa to get a feel for how important this science based treatment really is. IMO, the book is a godsend, especially for the extended family. It's very emotional to finally read the truth about AUD. For most people, AUD is NOT about personality defects, not lack of willpower, not lack of character, not lack of morals or spirituality ... it's often just about a person's particular brain biology, their DNA, their ancestry. Nothing to be ashamed about. Your DNA is not defective in the least, rather it is perfectly healthy DNA - just not rated for a poison like alcohol. You are not responsible for having this DNA by the way - any more than you are for the color of your eyes. The book describes this and the method to reverse this 'learned' addiction. See the MarginAbout in subgroup rAlcoholismMedication for more TSM resources Learn all about TSM, but do not try to push it on him. He may be OK with watching a few things with you, but don't nag him or push too hard. That never works. By exposing the science to him, it might sink in over time. If it does not sink in, go to your Plan B. www.cthreefoundation provides a list of TSM trained doctors all over the world and a free on-line support forum as does FB. Good luck.
| true
|
62
|
iwj3xg4
|
I'm Episcopalian, and one thing I've always liked about Jesus is that he speaks more about what to do than all the theory and theology. My job is to love people, which means understanding them and taking care of them as best I can. If they're hungry, feed them. If they're sick, take care of them. Of course, I can't take care of people as well as a doctor could, and if they're really sick I should get them to a doctor, or call 911 so experts can get them to a doctor, and so maybe my part of taking care of somebody is just that tiny little bit: see an accident, call 911, let the professionals do their job. It's still important and still needs to be done.
I'm still in college, so I'm also in the "using up resources" stage of life, and I refuse to feel guilty about that. When I was little, we planted a peach tree in the yard, and it was years before we actually got any peaches from it. I was at the age where I thought you'd plant the seed and get peaches the next day, but of course it doesn't work that way. My parents kept telling me I had to be patient and let the tree grow. And so that's how I think about me: I'm still growing, I have to be patient.
Besides, after I do graduate, I hope to work for years and years, and finish my life having put far more into the system than I took out.
At my home church, they do a food giveaway every month, and there's a bunch of people who do lots of work carrying boxes and moving stuff around and helping people get the food to their cars. (For people with no cars we have drivers who deliver it.) I'm little, and wouldn't be much use carrying boxes, so I work at a desk and help manage paperwork and keep track of things and try to ensure everybody gets the right stuff. You don't want to send baby food to a house with no babies, that would just be wasting it, especially when there are people with babies who need it. And even when I don't feel good about myself, knowing that I did some good in the world makes me feel like I'm not just a complete waste of space.
Maybe you can find some volunteer opportunities near you, and by doing something that really helps people you can get out of the "do nothing but consume resources" stage and start putting at least a little bit back into the system.
|
我是圣公会教徒，我一直喜欢耶稣的一件事是，他更多地谈论要做什么，而不是所有的理论和神学。我的工作是爱人，这意味着尽我所能理解他们并照顾他们。如果他们饿了，就喂他们。如果他们生病了，请照顾他们。当然，我不能像医生那样照顾别人，如果他们真的病了，我应该带他们去看医生，或者拨打 911，以便专家可以带他们去看医生，所以也许我的职责照顾某人只是那么一点点：看到事故，拨打 911，让专业人员完成他们的工作。这仍然很重要，仍然需要完成。我还在上大学，所以我也处于“耗尽资源”的人生阶段，我拒绝为此感到内疚。我小的时候，我们在院子里种了一棵桃树，过了很多年我们才真正从树上摘到桃子。在我那个年纪，我以为你会种下种子，第二天就会得到桃子，但当然这是行不通的。我的父母一直告诉我，我必须要有耐心，让树成长。这就是我对自己的看法：我还在成长，我必须要有耐心。此外，毕业后，我希望工作多年，并在我的一生中为系统投入的东西远远多于我拿出的东西。在我家的教堂，他们每个月都会赠送食物，有一群人做大量的工作，搬运箱子、搬运东西，帮助人们把食物送到他们的车上。 （对于没有汽车的人，我们有司机送货。）我很小，不会太多使用搬运箱，所以我在办公桌前工作，帮助管理文书工作并跟踪事情，并尽力确保每个人都得到对的东西。您不想将婴儿食品送到没有婴儿的房子，那只会浪费它，尤其是当有人有婴儿需要它时。即使当我对自己感觉不好时，知道我在世界上做了一些好事也会让我觉得我不仅仅是一个完全浪费空间的人。也许你可以在你附近找到一些志愿者机会，通过做一些真正帮助人们的事情，你可以摆脱“除了消耗资源什么也不做”的阶段，并开始至少向系统投入一点点。
| 0
|
I'm Episcopalian, and one thing I've always liked about Jesus is that he speaks more about what to do than all the theory and theology. My job is to love people, which means understanding them and taking care of them as best I can. If they're hungry, feed them. If they're sick, take care of them. Of course, I can't take care of people as well as a doctor could, and if they're really sick I should get them to a doctor, or call 911 so experts can get them to a doctor, and so maybe my part of taking care of somebody is just that tiny little bit: see an accident, call 911, let the professionals do their job. It's still important and still needs to be done. I'm still in college, so I'm also in the "using up resources" stage of life, and I refuse to feel guilty about that. When I was little, we planted a peach tree in the yard, and it was years before we actually got any peaches from it. I was at the age where I thought you'd plant the seed and get peaches the next day, but of course it doesn't work that way. My parents kept telling me I had to be patient and let the tree grow. And so that's how I think about me: I'm still growing, I have to be patient. Besides, after I do graduate, I hope to work for years and years, and finish my life having put far more into the system than I took out. At my home church, they do a food giveaway every month, and there's a bunch of people who do lots of work carrying boxes and moving stuff around and helping people get the food to their cars. (For people with no cars we have drivers who deliver it.) I'm little, and wouldn't be much use carrying boxes, so I work at a desk and help manage paperwork and keep track of things and try to ensure everybody gets the right stuff. You don't want to send baby food to a house with no babies, that would just be wasting it, especially when there are people with babies who need it. And even when I don't feel good about myself, knowing that I did some good in the world makes me feel like I'm not just a complete waste of space. Maybe you can find some volunteer opportunities near you, and by doing something that really helps people you can get out of the "do nothing but consume resources" stage and start putting at least a little bit back into the system.
| true
|
63
|
fyq9s2g
|
**Summary:**
The program aims at holding case-management discussions among doctors who are at the frontline in treating COVID-19 patients in hospitals and COVID facilities around the country.
Physicians who manage COVID-19 patients including those in the ICUs can raise queries, present their experience and share knowledge with other physicians and experts from AIIMS, New Delhi on this video platform.
The primary objective of these discussions is to reduce mortality from COVID-19 by learning from shared experience and strengthening best practices among hospitals with 1000 beds including isolation beds, oxygen supported and ICU beds. Four sessions have been held till date covering 43 institutions {Mumbai (10), Goa (3), Delhi (3), Gujarat (3), Telangana (2), Assam (5), Karnataka (1), Bihar (1), Andhra Pradesh (1), Kerala (1), Tamil Nadu (13)}.
Each of these sessions conducted through Video Conference span over 1.5 to 2 hours. The discussions have covered the entire range of issues related to management of COVID-19 patients.
Some of the important issues that have been stressed upon are the need for rational use of ‘Investigational Therapies’ like Remdesevir, convalescent plasma and Tocilizumab.
The treating teams have discussed the current indications and possible harm due to their indiscriminate use and the need to limit social-media pressure based prescriptions.
The use of proning, high flow oxygen, non-invasive ventilation and ventilator settings for advanced disease have also been a common discussion point. The role of various testing strategies in diagnosing COVID-19 has also been an important topic of shared learning.
Issues such as the need for repeat testing, admission and discharge criteria, management of post discharge symptoms, and return to work have been addressed.
Some of the other common concerns have been the methods of communication with patients, screening of health-care workers, managing new-onset diabetes, uncommon presentations such as stroke, diarrhoea and myocardial infarction etc. The team from AIIMS, New Delhi was able to act as a bridge for new knowledge from one group to the other at each VC, apart from advising from its own experience and the extensive literature reviews done by the domain experts.
The “e-ICU’ video consultation program in the coming weeks would cover ICU doctors from smaller healthcare facilities (i.e. those having 500 beds or more) across the country.
|
**摘要：** 该计划旨在在全国各地医院和 COVID 设施中处于治疗 COVID-19 患者第一线的医生之间举行病例管理讨论。管理 COVID-19 患者（包括 ICU 患者）的医生可以在此视频平台上与新德里 AIIMS 的其他医生和专家提出疑问、展示他们的经验并分享知识。这些讨论的主要目标是通过学习共享经验并加强拥有 1000 张床位（包括隔离床位、氧气支持床位和 ICU 床位）的医院的最佳实践，降低 COVID-19 死亡率。迄今为止已举办四次会议，涵盖 43 个机构{孟买 (10)、果阿 (3)、德里 (3)、古吉拉特邦 (3)、泰伦加纳 (2)、阿萨姆邦 (5)、卡纳塔克邦 (1)、比哈尔邦 (1) 、安得拉邦 (1)、喀拉拉邦 (1)、泰米尔纳德邦 (13)}。通过视频会议进行的每次会议都持续 1.5 至 2 小时以上。讨论涵盖了与 COVID-19 患者管理相关的所有问题。强调的一些重要问题是需要合理使用“研究疗法”，如瑞德塞韦、恢复期血浆和托珠单抗。治疗团队讨论了当前的适应症和由于滥用而可能造成的危害以及限制基于社交媒体压力的处方的需要。针对晚期疾病使用俯卧位、高流量吸氧、无创通气和呼吸机设置也是一个常见的讨论点。各种检测策略在诊断 COVID-19 中的作用也是共享学习的一个重要话题。重复检测的必要性、入院和出院标准、出院后症状的管理以及重返工作岗位等问题都已得到解决。其他一些常见问题包括与患者沟通的方法、医护人员的筛查、新发糖尿病的管理、中风、腹泻和心肌梗塞等不常见的症状。来自新德里 AIIMS 的团队能够除了根据自己的经验和领域专家所做的广泛文献综述提供建议之外，在每个风险投资中充当从一个团队到另一个团队的新知识的桥梁。未来几周的“e-ICU”视频咨询计划将覆盖全国小型医疗机构（即拥有 500 张或以上床位的医疗机构）的 ICU 医生。
| 0
|
Summary: The program aims at holding case-management discussions among doctors who are at the frontline in treating COVID-19 patients in hospitals and COVID facilities around the country. Physicians who manage COVID-19 patients including those in the ICUs can raise queries, present their experience and share knowledge with other physicians and experts from AIIMS, New Delhi on this video platform. The primary objective of these discussions is to reduce mortality from COVID-19 by learning from shared experience and strengthening best practices among hospitals with 1000 beds including isolation beds, oxygen supported and ICU beds. Four sessions have been held till date covering 43 institutions Mumbai (10), Goa (3), Delhi (3), Gujarat (3), Telangana (2), Assam (5), Karnataka (1), Bihar (1), Andhra Pradesh (1), Kerala (1), Tamil Nadu (13). Each of these sessions conducted through Video Conference span over 1.5 to 2 hours. The discussions have covered the entire range of issues related to management of COVID-19 patients. Some of the important issues that have been stressed upon are the need for rational use of Investigational Therapies like Remdesevir, convalescent plasma and Tocilizumab. The treating teams have discussed the current indications and possible harm due to their indiscriminate use and the need to limit social-media pressure based prescriptions. The use of proning, high flow oxygen, non-invasive ventilation and ventilator settings for advanced disease have also been a common discussion point. The role of various testing strategies in diagnosing COVID-19 has also been an important topic of shared learning. Issues such as the need for repeat testing, admission and discharge criteria, management of post discharge symptoms, and return to work have been addressed. Some of the other common concerns have been the methods of communication with patients, screening of health-care workers, managing new-onset diabetes, uncommon presentations such as stroke, diarrhoea and myocardial infarction etc. The team from AIIMS, New Delhi was able to act as a bridge for new knowledge from one group to the other at each VC, apart from advising from its own experience and the extensive literature reviews done by the domain experts. The e-ICU video consultation program in the coming weeks would cover ICU doctors from smaller healthcare facilities (i.e. those having 500 beds or more) across the country.
| true
|
64
|
h44kdw8
|
SCP: Secret Lab. A monster that snaps my neck if I don't look at it, a monster that tears me apart if I see its face, a plague doctor that turns people into zombies, a walking corpse that goes through doors and sends you to a torture dimension, two big reptiles that use echolocation to see and a murderous AI that controls all the doors in the facility. That's not even mentioning the prisoners, scientists, soldiers andattacking terrorists that are all around. Nobody survives THAT place for long, so I'm about as fucked as anyone can be. I just hope I'm lucky enough that someone recontaines SCP-106 and that I get access to the nuke control room, at least that way I'd be safe.
|
SCP：秘密实验室。一个如果我不看它就会折断我脖子的怪物，一个如果我看到它的脸就会把我撕碎的怪物，一个把人变成僵尸的瘟疫医生，一个穿过门把你送到酷刑维度的行尸走肉，两个使用回声定位来观察的大型爬行动物和一个控制设施中所有门的凶残人工智能。这还没有提到周围的囚犯、科学家、士兵和袭击的恐怖分子。没有人能在那个地方生存很久，所以我和其他人一样完蛋了。我只是希望我足够幸运，有人重新收容了SCP-106并且我可以进入核控制室，至少这样我就安全了。
| 0
|
SCP: Secret Lab. A monster that snaps my neck if I don't look at it, a monster that tears me apart if I see its face, a plague doctor that turns people into zombies, a walking corpse that goes through doors and sends you to a torture dimension, two big reptiles that use echolocation to see and a murderous AI that controls all the doors in the facility. That's not even mentioning the prisoners, scientists, soldiers andattacking terrorists that are all around. Nobody survives THAT place for long, so I'm about as fucked as anyone can be. I just hope I'm lucky enough that someone recontaines SCP-106 and that I get access to the nuke control room, at least that way I'd be safe.
| true
|
65
|
eazly69
|
BIRMINGHAM, England—Pioneering transplant surgeon Paolo Muiesan is returning to Italy after about 1,000 operations and 26 years in the U.K. The reason, he says, is Brexit.
“I’m disappointed that the European dream, of working and living in a borderless world, has failed,” he said.
The U.K.’s planned exit from the European Union in March next year is fueling an exodus of European workers from the U.K.—one of the outcomes sought by many of those who voted to leave in the 2016 referendum. Their departure highlights how Brexit is rippling through the U.K. economy, worsening labor shortages in critical industries where native Britons with the right skills are in short supply.
This squeeze is especially pronounced in health care, which is dominated by the National Health Service, the strained state-run system that is a pillar of British national life.
https://i.imgur.com/mjQEG0c.png
The effect has been felt acutely in some areas of specialist medicine. The number of surgeons who are, like Dr. Muiesan, citizens of another EU country is down 23% from its 2014 peak. The comparable number for obstetricians, in another example, has fallen 21%.
The Wall Street Journal obtained those figures through Freedom of Information requests from the U.K.’s General Medical Council, the body responsible for administering medical licenses in the country. They show the number of specialized doctors with non-U.K. EU citizenship has reached an eight-year low of 10,487 in 2018.
Around 10% of NHS doctors in 2017 were from elsewhere in the EU, according to the GMC. In some specialized roles, the percentage is higher. In ophthalmology, one in four doctors hails from elsewhere in the bloc; in surgery, it’s 18%.
Brexit is likely not the only factor encouraging doctors to return home. The GMC noted that economic improvements elsewhere in the EU may have tempted doctors to leave Britain, and an English-language test requirement introduced in 2014 may have discouraged some new entrants. But the declines across the board accelerated significantly in 2016, the year the U.K. voted to leave the EU.
The NHS has long drawn in highly skilled staff from Europe and beyond to fill expert posts in its 1.5 million-strong workforce. Widespread knowledge of English, the easy mutual recognition of qualifications, relatively good salaries and world-class research acted as magnets, doctors said. But now top doctors are quitting, threatening new strains in the creaking 70-year-old institution.
Dr. Muiesan’s unit has seen an outflow of at least five European doctors in recent years. Two of those, German nationals, said Brexit played a role in prompting them to return to their native Germany.
“It’s actually funny, the department is full of people from all over the world, and they are fantastic surgeons,” said Undine Gerlach, a transplant surgeon who worked at the same Birmingham hospital but is now working in Berlin.“That they could all leave, that would be such a loss.”
Dermatologist Anna Zampetti returned to Rome last year after living and working in Britain for five years. She says Brexit has pushed her home. Photo: Nadia Shira Cohen for The Wall Street Journal
The agreement British Prime Minister Theresa May has forged with the EU protects the rights of EU citizens already in Britain. But the deal faces strong opposition in Parliament for other reasons, and she has made it plain that EU citizens who arrive after Brexit won’t get privileged treatment compared with other foreigners.
A survey released in November by the British Medical Association said almost four out of five European doctors weren’t reassured by Mrs. May’s commitment to protect their rights in the event of a no-deal Brexit.
That concern isn’t limited to doctors. There were 132,000 fewer EU citizens employed in Britain in the third quarter of this year than during the same period a year ago, the largest such drop recorded since comparable records began in 1997, according to official figures. Factors besides Brexit have been at play, including the eurozone’s economic recovery and a post-referendum fall in the pound.
For the National Health Service, the outflow of skilled workers is intensifying a chronic staffing crunch that medical professionals expect to get worse. The NHS had a personnel shortage just shy of 110,000 in the first six months of this year, 11,500 of which were doctor positions. If nothing changes, the number of NHS vacancies is expected to climb to 190,000 by 2027, according to Health Education England, a state agency that aims to ensure high-quality health care.
The U.K. Department of Health, which oversees the NHS, has countered the GMC findings with its own numbers showing an increase in European doctors, but Parliament has contested the accuracy of those figures in several reports and cautioned against making comparisons with them. The department said it is taking steps to boost foreign staff recruitment and retention. Doctors and nurses have been excluded from visa quotas for non-EU skilled workers, it noted, while 167,000 EU health workers have been given priority access to apply for permanent residency. The department said is also adding 1,500 training places for doctors.
Still, concerns persist not only over specialists leaving Britain, but also that new ones aren’t coming.
“What we’re worried about is trainees, because a sizable proportion of those comes from Europe. We just don’t have enough,” said Eveline Internullo, a consultant cardiothoracic surgeon at University Hospital Bristol, Dr. Internullo, an Italian who has lived in the U.K. since 2011, said her department received no applications from non-British Europeans for the last senior-trainee posting it had open in August.
Oncologist Alfredo Addeo, who moved to the U.K. in 2010, left earlier this year for Geneva, Switzerland, closer to his native Italy. He worked at the same hospital as Dr. Internullo.
Brexit, he said, played an important role in his decision to abandon what he called a “British dream.” When he arrived in the U.K., strapped for cash, he slept on an air mattress; when he left he was a consultant oncologist, one of the most prestigious positions in the NHS.
“The U.K. was for me the prototype of multiculturalism and integration,” he said. “When Brexit happened, it was just a slap in the face.”
That sense of hopes betrayed is echoed by other foreign physicians. “Europeans in the U.K. have been treated like bargaining chips,” said Dr. Muiesan, who was the first in Europe to introduce a new procedure allowing organs to be harvested quickly from the deceased, speeding up and increasing transplants.
Some doctors say even patients’ attitudes changed after the referendum. Anna Zampetti, a consultant dermatologist who returned to Rome in 2017, said a patient in one of her last appointments asked where she came from. “‘Oh, so you’re Italian, you’re not an English consultant,’ they told me. It was glacial. The perception was just that we weren’t welcome anymore,” she said.
Miguel Panades, a Spanish-born consultant oncologist, works at Boston and Lincoln Hospitals in Lincolnshire, an area of the English Midlands that has large numbers of eastern European agricultural workers and that voted for Brexit by the greatest majority in the country.
“The migrant harvesting potatoes and I are the same thing,” Dr. Panades said. “You can’t cherry-pick. At the time of the referendum, that wasn’t explained.”
|
英国伯明翰——移植外科医生先驱保罗·穆耶桑 (Paolo Muiesan) 在英国呆了 26 年，进行了约 1,000 例手术后，即将返回意大利。他说，原因是英国脱欧。 “我对在无国界世界中工作和生活的欧洲梦想破灭感到失望，”他说。英国计划于明年 3 月退出欧盟，这将导致欧洲工人大量离开英国——这是许多在 2016 年公投中投票支持脱欧的人所寻求的结果之一。他们的离开突显了英国脱欧正在对英国经济产生怎样的影响，导致关键行业的劳动力短缺状况进一步恶化，而在这些行业中，拥有合适技能的英国本土人才供不应求。这种压力在医疗保健领域尤其明显，该领域由国家医疗服务体系主导，这是一个紧张的国营系统，也是英国国民生活的支柱。 https://i.imgur.com/mjQEG0c.png 在某些专科医学领域，这种影响已被强烈感受到。像 Muiesan 博士一样来自另一个欧盟国家的外科医生数量比 2014 年的峰值下降了 23%。另一个例子是，产科医生的可比人数下降了 21%。 《华尔街日报》通过英国总医学委员会（负责管理该国医疗执照的机构）的信息自由请求获得了这些数据。数据显示，2018 年，非英国欧盟公民的专科医生数量达到 8 年来的最低水平，为 10,487 人。根据 GMC 的数据，2017 年 NHS 医生中约有 10% 来自欧盟其他地区。在某些专业角色中，这一比例更高。在眼科领域，四分之一的医生来自欧盟其他地区；在手术中，这一比例为 18%。英国脱欧可能并不是鼓励医生回国的唯一因素。 GMC 指出，欧盟其他地区的经济改善可能会诱使医生离开英国，而 2014 年推出的英语测试要求可能会让一些新进入者望而却步。但 2016 年英国公投脱欧，全面下滑明显加速。 NHS 长期以来一直从欧洲及其他地区吸引高技能员工来填补其 150 万劳动力中的专家职位。医生们表示，广泛的英语知识、容易相互承认的资格、相对较高的薪水和世界一流的研究都是磁铁的作用。但现在顶级医生纷纷辞职，这家已经有 70 年历史的机构面临新的压力。近年来，Muiesan 医生的科室至少有五名欧洲医生外流。其中两名德国公民表示，英国脱欧在促使他们返回祖国德国方面发挥了作用。 “这实际上很有趣，这个部门挤满了来自世界各地的人，他们都是出色的外科医生，”曾在同一家伯明翰医院工作但现在在柏林工作的移植外科医生温迪娜·格拉赫 (Undine Gerlach) 说。“他们都可以离开的话，那就太损失了。”皮肤科医生安娜·赞佩蒂在英国生活和工作五年后，去年回到罗马。她说英国脱欧已经把她推回了家。照片：Nadia Shira Cohen for The Wall Street Journal 英国首相特雷莎·梅与欧盟达成的协议保护已经在英国的欧盟公民的权利。但由于其他原因，该协议在议会面临强烈反对，而且她明确表示，与其他外国人相比，英国脱欧后抵达的欧盟公民不会获得特权待遇。英国医学协会11月发布的一项调查显示，近五分之四的欧洲医生对梅女士在无协议脱欧情况下保护自己权利的承诺感到不安。这种担忧不仅限于医生。官方数据显示，今年第三季度在英国就业的欧盟公民比去年同期减少了 132,000 人，这是自 1997 年有可比记录以来的最大降幅。除英国脱欧外，欧元区经济复苏和公投后英镑下跌等因素也在发挥作用。对于国家医疗服务体系来说，技术工人的外流正在加剧长期的人员短缺，医疗专业人员预计这种情况会变得更糟。今年前六个月，NHS 人员短缺近 11 万人，其中 11,500 人是医生职位。据旨在确保高质量医疗保健的国家机构英国健康教育局称，如果不发生任何变化，到 2027 年，NHS 职位空缺数量预计将攀升至 19 万个。负责监管 NHS 的英国卫生部用自己的数据反驳了 GMC 的调查结果，该数据显示欧洲医生数量有所增加，但议会在几份报告中对这些数据的准确性提出了质疑，并警告不要与这些数据进行比较。该部门表示正在采取措施促进外国员工的招聘和保留。报告指出，医生和护士已被排除在非欧盟技术工人的签证配额之外，而167,000名欧盟卫生工作者已获得优先申请永久居留权。该部门表示还将增加 1,500 个医生培训名额。尽管如此，人们不仅对专家离开英国感到担忧，而且还担心新专家不会到来。 “我们担心的是实习生，因为其中很大一部分来自欧洲。布里斯托尔大学医院心胸外科顾问伊芙琳·因特努洛 (Eveline Internullo) 医生自 2011 年以来一直居住在英国。上一次高级实习生发帖是在八月份。肿瘤学家阿尔弗雷多·阿迪奥 (Alfredo Addeo) 于 2010 年移居英国，今年早些时候前往离他的祖国意大利更近的瑞士日内瓦。他与 Internullo 医生在同一家医院工作。他说，英国脱欧在他决定放弃他所谓的“英国梦”的过程中发挥了重要作用。当他抵达英国时，由于现金短缺，他睡在气垫上。当他离开时，他是一名肿瘤专家顾问，这是 NHS 中最负盛名的职位之一。 “对我来说，英国是多元文化和融合的原型，”他说。 “当英国脱欧发生时，这只是一记耳光。”这种希望被背叛的感觉也得到了其他外国医生的认同。 “在英国的欧洲人被当作讨价还价的筹码，”穆伊桑博士说。他是欧洲第一个引入新程序的人，该程序允许从死者身上快速摘取器官，从而加快并增加了移植。一些医生表示，公投后，甚至患者的态度也发生了变化。 2017 年返回罗马的皮肤科医生顾问安娜·赞佩蒂 (Anna Zampetti) 表示，在她最后一次就诊时，一名病人问她来自哪里。 “‘哦，所以你是意大利人，你不是英国顾问，’他们告诉我。这是冰川。人们的看法是我们不再受欢迎了，”她说。米格尔·帕纳德斯 (Miguel Panades) 是一位西班牙出生的肿瘤顾问医生，在林肯郡的波士顿和林肯医院工作。林肯郡是英国中部地区，拥有大量东欧农业工人，该国绝大多数人投票支持英国脱欧。 “收割土豆的移民和我是同一回事，”帕纳德斯博士说。 “你不能挑挑拣拣。在公投时，这一点还没有得到解释。”
| 0
|
BIRMINGHAM, EnglandPioneering transplant surgeon Paolo Muiesan is returning to Italy after about 1,000 operations and 26 years in the U.K. The reason, he says, is Brexit. Im disappointed that the European dream, of working and living in a borderless world, has failed, he said. The U.K.s planned exit from the European Union in March next year is fueling an exodus of European workers from the U.K.one of the outcomes sought by many of those who voted to leave in the 2016 referendum. Their departure highlights how Brexit is rippling through the U.K. economy, worsening labor shortages in critical industries where native Britons with the right skills are in short supply. This squeeze is especially pronounced in health care, which is dominated by the National Health Service, the strained state-run system that is a pillar of British national life. https:i.imgur.commjQEG0c.png The effect has been felt acutely in some areas of specialist medicine. The number of surgeons who are, like Dr. Muiesan, citizens of another EU country is down 23 from its 2014 peak. The comparable number for obstetricians, in another example, has fallen 21. The Wall Street Journal obtained those figures through Freedom of Information requests from the U.K.s General Medical Council, the body responsible for administering medical licenses in the country. They show the number of specialized doctors with non-U.K. EU citizenship has reached an eight-year low of 10,487 in 2018. Around 10 of NHS doctors in 2017 were from elsewhere in the EU, according to the GMC. In some specialized roles, the percentage is higher. In ophthalmology, one in four doctors hails from elsewhere in the bloc; in surgery, its 18. Brexit is likely not the only factor encouraging doctors to return home. The GMC noted that economic improvements elsewhere in the EU may have tempted doctors to leave Britain, and an English-language test requirement introduced in 2014 may have discouraged some new entrants. But the declines across the board accelerated significantly in 2016, the year the U.K. voted to leave the EU. The NHS has long drawn in highly skilled staff from Europe and beyond to fill expert posts in its 1.5 million-strong workforce. Widespread knowledge of English, the easy mutual recognition of qualifications, relatively good salaries and world-class research acted as magnets, doctors said. But now top doctors are quitting, threatening new strains in the creaking 70-year-old institution. Dr. Muiesans unit has seen an outflow of at least five European doctors in recent years. Two of those, German nationals, said Brexit played a role in prompting them to return to their native Germany. Its actually funny, the department is full of people from all over the world, and they are fantastic surgeons, said Undine Gerlach, a transplant surgeon who worked at the same Birmingham hospital but is now working in Berlin.That they could all leave, that would be such a loss. Dermatologist Anna Zampetti returned to Rome last year after living and working in Britain for five years. She says Brexit has pushed her home. Photo: Nadia Shira Cohen for The Wall Street Journal The agreement British Prime Minister Theresa May has forged with the EU protects the rights of EU citizens already in Britain. But the deal faces strong opposition in Parliament for other reasons, and she has made it plain that EU citizens who arrive after Brexit wont get privileged treatment compared with other foreigners. A survey released in November by the British Medical Association said almost four out of five European doctors werent reassured by Mrs. Mays commitment to protect their rights in the event of a no-deal Brexit. That concern isnt limited to doctors. There were 132,000 fewer EU citizens employed in Britain in the third quarter of this year than during the same period a year ago, the largest such drop recorded since comparable records began in 1997, according to official figures. Factors besides Brexit have been at play, including the eurozones economic recovery and a post-referendum fall in the pound. For the National Health Service, the outflow of skilled workers is intensifying a chronic staffing crunch that medical professionals expect to get worse. The NHS had a personnel shortage just shy of 110,000 in the first six months of this year, 11,500 of which were doctor positions. If nothing changes, the number of NHS vacancies is expected to climb to 190,000 by 2027, according to Health Education England, a state agency that aims to ensure high-quality health care. The U.K. Department of Health, which oversees the NHS, has countered the GMC findings with its own numbers showing an increase in European doctors, but Parliament has contested the accuracy of those figures in several reports and cautioned against making comparisons with them. The department said it is taking steps to boost foreign staff recruitment and retention. Doctors and nurses have been excluded from visa quotas for non-EU skilled workers, it noted, while 167,000 EU health workers have been given priority access to apply for permanent residency. The department said is also adding 1,500 training places for doctors. Still, concerns persist not only over specialists leaving Britain, but also that new ones arent coming. What were worried about is trainees, because a sizable proportion of those comes from Europe. We just dont have enough, said Eveline Internullo, a consultant cardiothoracic surgeon at University Hospital Bristol, Dr. Internullo, an Italian who has lived in the U.K. since 2011, said her department received no applications from non-British Europeans for the last senior-trainee posting it had open in August. Oncologist Alfredo Addeo, who moved to the U.K. in 2010, left earlier this year for Geneva, Switzerland, closer to his native Italy. He worked at the same hospital as Dr. Internullo. Brexit, he said, played an important role in his decision to abandon what he called a British dream. When he arrived in the U.K., strapped for cash, he slept on an air mattress; when he left he was a consultant oncologist, one of the most prestigious positions in the NHS. The U.K. was for me the prototype of multiculturalism and integration, he said. When Brexit happened, it was just a slap in the face. That sense of hopes betrayed is echoed by other foreign physicians. Europeans in the U.K. have been treated like bargaining chips, said Dr. Muiesan, who was the first in Europe to introduce a new procedure allowing organs to be harvested quickly from the deceased, speeding up and increasing transplants. Some doctors say even patients attitudes changed after the referendum. Anna Zampetti, a consultant dermatologist who returned to Rome in 2017, said a patient in one of her last appointments asked where she came from. Oh, so youre Italian, youre not an English consultant, they told me. It was glacial. The perception was just that we werent welcome anymore, she said. Miguel Panades, a Spanish-born consultant oncologist, works at Boston and Lincoln Hospitals in Lincolnshire, an area of the English Midlands that has large numbers of eastern European agricultural workers and that voted for Brexit by the greatest majority in the country. The migrant harvesting potatoes and I are the same thing, Dr. Panades said. You cant cherry-pick. At the time of the referendum, that wasnt explained.
| true
|
66
|
j9erabl
|
Thank you. I know I had doses of the husk cure in the meds cabinet and my doctor is always set to heal and rescue but evidently didn't cure him, are ai not good at noticing the parasite?
|
谢谢。我知道我的药柜里有几剂外壳治疗剂，我的医生总是准备治愈和救援，但显然没有治愈他，是人工智能不擅长注意到寄生虫吗？
| 0
|
Thank you. I know I had doses of the husk cure in the meds cabinet and my doctor is always set to heal and rescue but evidently didn't cure him, are ai not good at noticing the parasite?
| true
|
67
|
jjs7o3w
|
My dad recorded the TV movie with Paul McGann when it first showed, then showed it to me in 1999 (appropriate lol) when he deemed me old enough to watch Doctor Who.
The second episode I watched was either the 10th planet or Robot.
|
我父亲在电视电影首次放映时与 Paul McGann 一起录制了它，然后在 1999 年向我展示了它（适当的哈哈），当时他认为我已经足够大了，可以看《神秘博士》了。我看的第二集是《第十行星》或《机器人》。
| 0
|
My dad recorded the TV movie with Paul McGann when it first showed, then showed it to me in 1999 (appropriate lol) when he deemed me old enough to watch Doctor Who. The second episode I watched was either the 10th planet or Robot.
| true
|
68
|
fcvwcj5
|
Most of the training *is* medical expertise. Having a person read off facts to the patient is not the same as having a person who actually understands the material manage the patient. Again, when AI advances to the point that it can make accurate diagnoses and spits out recommendations, having physician assistant/nurse practitioner level staff for patient interaction with one supervising physician managing things is totally appropriate to interpret and guide decision making. When AI advances further that it can safely provide ethical decision making, you can start phasing out more staff.
We're not even close to that first step though. Radiology is my specialty and reading this article makes me pretty excited about the future of my field. I see another useful tool that can augment our capabilities for patient care. I don't see this replacing radiologists anytime soon though and this field is probably the most objective/data driven among medical specialties. But it's definitely something that needs further research and improvement.
I don't know why you have a strong and specific grudge against physicians and their pay. Salaries have only risen with inflation but tuition has grown much faster, loan interest rates have gone up, reimbursement rates have gone down and there's lost opportunity cost for spending 7 to 12 years in medical school and residency training. If you're smart enough to get into a competitive specialty but your goal is to make money, go into finance/business or anything corporate instead.
|
大部分培训都是*医疗专业知识。让一个人向患者宣读事实与让一个真正理解材料的人来管理患者是不同的。同样，当人工智能发展到可以做出准确诊断并提出建议的程度时，让医师助理/执业护士级别的工作人员与一名负责管理事务的主管医师进行患者互动是完全适合解释和指导决策的。当人工智能进一步发展到可以安全地提供道德决策时，您就可以开始逐步淘汰更多员工。但我们还没有迈出第一步。放射学是我的专业，阅读这篇文章让我对我的领域的未来感到非常兴奋。我看到了另一个有用的工具，可以增强我们的患者护理能力。不过，我认为这个领域不会很快取代放射科医生，而且这个领域可能是医学专业中最客观/数据驱动的领域。但这绝对是需要进一步研究和改进的事情。我不知道为什么你对医生和他们的工资有强烈而具体的怨恨。工资只会随着通货膨胀而上涨，但学费增长得更快，贷款利率上升，报销率下降，并且在医学院和住院医师培训上花费 7 至 12 年的机会成本损失了。如果你足够聪明，可以进入一个有竞争力的专业，但你的目标是赚钱，那就进入金融/商业或任何公司。
| 1
|
Most of the training is medical expertise. Having a person read off facts to the patient is not the same as having a person who actually understands the material manage the patient. Again, when AI advances to the point that it can make accurate diagnoses and spits out recommendations, having physician assistantnurse practitioner level staff for patient interaction with one supervising physician managing things is totally appropriate to interpret and guide decision making. When AI advances further that it can safely provide ethical decision making, you can start phasing out more staff. We're not even close to that first step though. Radiology is my specialty and reading this article makes me pretty excited about the future of my field. I see another useful tool that can augment our capabilities for patient care. I don't see this replacing radiologists anytime soon though and this field is probably the most objectivedata driven among medical specialties. But it's definitely something that needs further research and improvement. I don't know why you have a strong and specific grudge against physicians and their pay. Salaries have only risen with inflation but tuition has grown much faster, loan interest rates have gone up, reimbursement rates have gone down and there's lost opportunity cost for spending 7 to 12 years in medical school and residency training. If you're smart enough to get into a competitive specialty but your goal is to make money, go into financebusiness or anything corporate instead.
| true
|
69
|
ing19ap
|
> Ratted my suicidal best friend to the school counselor. Did I do the right thing?
It's really hard what you want to do, just be aware of that. You'll have to study quite a bit to be helpful with this.
>[Can I become depressed or happy](https://www.mentalhelp.net/blogs/is-my-depression-contagious/) if I am near someone who is depressed or happy?
[Does this mean you should](https://www.psychologytoday.com/us/blog/how-be-yourself/201606/is-depression-contagious) spend less time with the depressed people in your life? Only you can answer that, if you stay in contact, tell them they are loved, important to you, and deserving of feeling better. Encourage them to seek help, but know that it may take a a lot their part to take that first step. Also: You can't rescue your loved one by yourself. It's really hard and you might have to prioritize saving yourself. Depression can remove all motivation, making it hard to eat, shower or seek help.
[Who's more susceptible](https://www.healthline.com/health/is-depression-contagious#risk-factors) to 'catching' depression?
Learn to recognize emotional blackmail:
* https://www.powerofpositivity.com/4-signs-of-emotional-blackmail
* https://www.neilsattin.com/blog/2016/09/55-defeating-emotional-blackmail-and-manipulation-with-susan-forward
* https://goodmenproject.com/ethics-values/5-signs-youre-being-played-by-a-victim-fiff
Online guides:
* https://psychcentral.com/blog/9-best-ways-to-support-someone-with-depression/
* https://www.mayoclinic.org/diseases-conditions/depression/in-depth/depression/art-20045943
Most watched videos:
* [How to Convince A Troubled Loved-One to Get Mental Health Treatment](https://www.youtube.com/watch?v=2JVK1Kzlk2Y)
* [How to connect with depressed friends | Bill Bernat](https://www.youtube.com/watch?v=B43f89Y9f-A)
* [Love Someone Who Has Depression? This is What You Need to Know](https://www.youtube.com/watch?v=k5PRxE4yJpw)
Books on how to help *someone else*:
* [Talking to Depression](https://www.amazon.com/Talking-Depression-Connect-Someone-Depressed/dp/0451209869)
* [When Someone You Love is Depressed](https://www.amazon.com/When-Someone-You-Love-Depressed/dp/0684834073)
* [When Someone You Know Has Depression](https://www.amazon.com/When-Someone-You-Know-Depression/dp/1421420155)
**For your loved one:**
[Depression symptoms](https://www.webmd.com/depression/guide/detecting-depression)
**If you have healthcare insurance**, then go see your doctor. Either a [psychotherapy or CBT](https://www.harleytherapy.co.uk/counselling/psychodynamic-psychotherapy-vs-cbt.htm)(how to decide) specialized psychologist first (that's someone that tries to talk the problem away). If that doesn't start working after a few months, or you don't think you have any issues to talk about, or you already tried a therapist, then find a psychiatrist (that's someone that will give you pills to solve the issue).
Some people will be depressed, but don't know why. A common reason is that they don't have a purpose in life. To live is to suffer, but it is possible to make that suffering bearable, if you do so while trying to achieve what you want more than anything else.
Take your phone and set repeating alarm clock reminders, with labels of what to do. Train yourself to either snooze or reschedule the reminders if you can't take action right away, never ignore them. [Condition yourself](https://www.cleverism.com/classical-conditioning), to build habits, then you will heal yourself automatically.
* **Sleep**: [There is a complex relationship](https://www.webmd.com/depression/guide/depression-sleep-disorder#1) between [sleep and depression](https://www.healthline.com/health/healthy-sleep/depression-and-sleep).
When you have days where you don't have to do anything, set an alarm clock. You really don't need more than 7 hours at most per night (a [little more](https://health.onehowto.com/article/how-many-hours-of-sleep-are-needed-per-night-by-age-8233.html) if you are under 18). If you can't fall asleep, try taking melatonin one hour before going to bed. It's [cheap](https://www.amazon.com/dp/B003JJ9TQA), OTC and [is scientifically proven](https://www.webmd.com/vitamins/ai/ingredientmono-940/melatonin) to help regulate your sleep pattern. [Also, rule](https://www.webmd.com/sleep-disorders/sleep-apnea/news/20120330/sleep-apnea-linked-depression) out sleep apnea. Up to 6% of people have this, [but not everyone knows](https://www.webmd.com/sleep-disorders/sleep-apnea/features/sleep-apnea-clues). If you find yourself awake at night, start counting. Don't grab your phone, don't do anything interesting. Sometimes it might *feel* like you've done it for hours and hours, but often it's really not long. Anytime your mind wanders away from the numbers, start over at 1. count at the speed of either your heartbeat or your breathing. Then both Alexa and Google Home can also play a range of sleep sounds if you ask them (rain or other white noise) and there are also free apps for both Android and Apple devices.
* **Go outside**: [You might just need some sunlight](https://www.healthline.com/health/depression/benefits-sunlight).
15 minutes, three times a week is enough. This fixes serotonin as well as vitamin D deficiencies.
* **Meditate**: [Depressions can be significantly reduced by meditating](https://news.harvard.edu/gazette/story/2018/04/harvard-researchers-study-how-mindfulness-may-change-the-brain-in-depressed-patients/). The best types Of [Meditations For Depression Relief](https://www.thedailymeditation.com/meditation-depression).
Your attention is like a muscle. The more you train it, the better the control you have. [Mindfulness training](https://www.mindful.org/meditation/mindfulness-getting-started/) will help you gain better control over your mind. It doesn't take much effort, just 15 to 20 minutes a day of doing nothing but focus your attention is enough and is scientifically proven to work. As you become better at focusing your attention, it will become easier to force yourself to stop having negative thoughts, which will break the negative reinforcement cycle. Go here for more: r/Meditation
* **Exercise**: [The effect of exercise on depressions](https://www.mayoclinic.org/diseases-conditions/depression/in-depth/depression-and-exercise/art-20046495)
If you have access to a gym, then start lifting weights. If you don't have access to a gym (or you don't like lifting), start running. If you can't run, then start walking. Just start small. 10 minutes three times a week is fine. You don't have to run fast, just run and then slowly build it up over time. Exercising does several things: It releases endorphins, it takes your mind of your negative thoughts and it will improve your overall health.
* **Give lots of hugs**: [Hugs release oxytocin](https://health.usnews.com/health-news/health-wellness/articles/2016-02-03/the-health-benefits-of-hugging), which improves your mood and relaxes you. So find people to hug. If you are single, hug your parents or friends. If you can't, see if a dog is an option. Most dogs love to hug. Another solution that provides the same benefit is a [weighted blanket](https://www.amazon.com/s?k=weighted+blanket) will provide a [similar positive effect at night](https://www.healthline.com/health/anxiety/do-weighted-blankets-work). [You should try to aim for 12 hugs a day](https://psychology-spot.com/brain-needs) (if you currently don't hug a lot, I suggest you slowly build it up over time).
* **Music**: [The right music can improve your mood](https://time.com/5254381/listening-to-music-health-benefits). The genre is not important as long as it is: *"Upbeat, rhytmic and energetic"*. What this means differs from person to person, depending on their music taste. I have a special playlist for this. One way to measure the effectiveness, of the songs is your ability to listen to it over and over (if you can listen to it hundreds of times it likely has the highest positive effect on your mood). The effect can be amplified by using headphones and playing it LOUD and can further be enhanced by closing your eyes.
* **You are not your depression**: For some, their depression has become a part of who they are and they assume a victim role. But that is a big problem, you have to *will* yourself into someone that sees themselves as a person that is actively fighting their disease, that *no longer identifies* with it, or else you will *unconsciously obstruct your own healing process*. As Eckhart Tolle wrote:
* > *A very common role is the one of victim, and the form of attention it seeks is sympathy or pity or others' interest in my problems, "me and my story." Seeing oneself as a victim is an element in many egoic patterns, such as complaining, being offended, outraged, and so on. Of course, once I am identified with a story in which I assigned myself the role of victim, I don't want it to end, and so, as every therapist knows, the ego does not want an end to its "problems" because they are part of its identity.*
* **Practice gratitude**: Take 5 minutes every day [to practice gratitude.](https://www.pasadenavilla.com/2020/11/18/gratitude-and-depression)
* **Volunteer**: Study after study shows that helping others without expecting anything in return [will lessen depression and has other health benefits](https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/helping-people-changing-lives-the-6-health-benefits-of-volunteering). Let me know if you need some ideas.
**Highest rated books**:
* https://www.amazon.com/Feeling-Good-New-Mood-Therapy/dp/0380731762
* https://www.amazon.com/Its-Not-Supposed-This-Disappointments/dp/0718039858
**Phone Apps**: Depression: Wysa and MoodTools. Meditation: Calm - Meditate, Sleep, Relax
Free support:
* r/KindVoice
* https://www.7cups.com has a free service and a $150 monthly therapist option
* If you are in crisis text HOME to 741741
* r/depression
* r/depression_help
* r/depressed
|
>把我有自杀倾向的最好的朋友告发给学校辅导员。我做对了吗？你想做的事情真的很难，只要意识到这一点。你必须进行大量的学习才能对此有所帮助。 >[如果我靠近一个抑郁或快乐的人，我会变得抑郁或快乐吗](https://www.mentalhelp.net/blogs/is-my-depression-contagious/)？ [这是否意味着您应该](https://www.psychologytoday.com/us/blog/how-be-yourself/201606/is-depression-contagious)花更少的时间与生活中抑郁的人相处？只有你才能回答这个问题，如果你保持联系，告诉他们他们是被爱的，对你来说很重要，并且值得感觉更好。鼓励他们寻求帮助，但要知道他们可能需要付出很大的努力才能迈出第一步。另外：你无法独自拯救你所爱的人。这真的很难，你可能必须优先考虑拯救自己。抑郁症会消除所有动力，使人难以进食、洗澡或寻求帮助。 [谁更容易](https://www.healthline.com/health/is-depression-contagious#risk-factors)“感染”抑郁症？学习识别情感勒索：* https://www.powerofpositivity.com/4-signs-of-emotional-blackmail * https://www.neilsattin.com/blog/2016/09/55-defeating-emotional-blackmail -and-manipulation-with-susan-forward * https://goodmenproject.com/ethics-values/5-signs-youre-being-played-by-a-victim-fiff 在线指南：* https://psychcentral。 com/blog/9-best-ways-to-support-someone-with-depression/ * https://www.mayoclinic.org/diseases-conditions/depression/in-depth/depression/art-20045943 最观看视频： * [如何说服陷入困境的亲人接受心理健康治疗](https://www.youtube.com/watch?v=2JVK1Kzlk2Y) * [如何与抑郁的朋友联系|比尔·伯纳特](https://www.youtube.com/watch?v=B43f89Y9f-A) * [爱一个患有抑郁症的人？这是您需要了解的内容](https://www.youtube.com/watch?v=k5PRxE4yJpw) 有关如何帮助*其他人*的书籍：* [与抑郁症对话](https://www.amazon. com/Talking-Depression-Connect-Someone-Depressed/dp/0451209869) * [当你爱的人抑郁时](https://www.amazon.com/When-Someone-You-Love-Depressed/dp/0684834073) * [当您认识的人患有抑郁症时](https://www.amazon.com/When-Someone-You-Know-Depression/dp/1421420155) **对于您所爱的人：** [抑郁症症状](https: //www.webmd.com/depression/guide/detecting-depression) **如果您有医疗保险**，请去看医生。首先是[心理治疗或CBT](https://www.harleytherapy.co.uk/coun sell/psychodynamic-psychotherapy-vs-cbt.htm)(如何决定)专业心理学家(即试图通过谈话解决问题的人) ）。如果几个月后还没有开始起作用，或者你认为自己没有任何问题可以谈论，或者你已经尝试过治疗师，那么找一位精神科医生（他会给你药物来解决问题） 。有些人会感到沮丧，但不知道为什么。一个常见的原因是他们没有人生目标。活着就意味着受苦，但如果你在努力实现你最想要的东西的同时，就有可能让这种痛苦变得可以忍受。拿起你的手机，设置重复的闹钟提醒，并附上要做什么的标签。如果您不能立即采取行动，请训练自己暂停或重新安排提醒，切勿忽视它们。 【调理自己】(https://www.cleverism.com/classical-conditioning)，养成习惯，你就会自动治愈自己。 * **睡眠**：[睡眠与抑郁](https://www.webmd.com/depression/guide/depression-sleep-disorder#1)之间存在复杂的关系](https://www.webmd.com/depression/guide/depression-sleep-disorder#1) healthline.com/health/healthy-sleep/depression-and-sleep）。当你有不需要做任何事情的日子时，设置一个闹钟。实际上，每晚最多不需要超过 7 个小时（[多一点](https://health.onehowto.com/article/how-many-hours-of-sleep-are-needed-per-night -by-age-8233.html) 如果您未满 18 岁)。如果您无法入睡，请尝试在睡前一小时服用褪黑激素。它[便宜](https://www.amazon.com/dp/B003JJ9TQA)、OTC 和[经过科学证明](https://www.webmd.com/vitamins/ai/ingredientmono-940/melatonin) 可以提供帮助调节你的睡眠模式。 [另外，排除睡眠呼吸暂停](https://www.webmd.com/sleep-disorders/sleep-apnea/news/20120330/sleep-apnea-linked-depression)。高达 6% 的人有这种情况，[但不是每个人都知道](https://www.webmd.com/sleep-disorders/sleep-apnea/features/sleep-apnea-clues)。如果您发现自己在晚上醒来，请开始数数。不要拿起手机，不要做任何有趣的事情。有时可能“感觉”你已经做了几个小时了，但通常并不长。每当您的思绪偏离数字时，请从 1 重新开始。以您的心跳或呼吸速度数数。然后，如果您要求，Alexa 和 Google Home 也可以播放一系列睡眠声音（雨声或其他白噪音），并且还有适用于 Android 和 Apple 设备的免费应用程序。 * **出去**：[您可能只需要一些阳光](https://www.healthline.com/health/depression/benefits-sunlight)。每周 3 次，每次 15 分钟就足够了。这可以修复血清素和维生素 D 的缺乏。 * **冥想**：[通过冥想可以显着减少抑郁](https://news.harvard.edu/gazette/story/2018/04/harvard-researchers-study-how-mindativity-may-change-the -抑郁症患者的大脑/）。 [缓解抑郁的冥想](https://www.thedailymeditation.com/meditation-depression)的最佳类型。你的注意力就像肌肉。你训练得越多，你的控制力就越好。 [正念训练](https://www.mindful.org/meditation/mindativity-getting-started/)将帮助您更好地控制自己的思想。这并不需要太多的努力，每天只需 15 到 20 分钟什么都不做，集中注意力就足够了，而且经科学证明是有效的。当你变得更善于集中注意力时，就会更容易强迫自己停止消极想法，从而打破消极强化循环。前往此处了解更多信息：r/冥想 * **锻炼**：[锻炼对抑郁症的影响](https://www.mayoclinic.org/diseases-conditions/depression/in-depth/depression-and-exercise/ art-20046495) 如果您可以去健身房，那么就开始举重。如果您无法去健身房（或者您不喜欢举重），请开始跑步。如果你不能跑，那就开始步行。从小事做起。一周3次每次10分钟就可以了。你不必跑得很快，只要跑，然后随着时间的推移慢慢建立起来。锻炼有多种作用：它会释放内啡肽，消除你的消极想法，并且会改善你的整体健康。 * **多多拥抱**：[拥抱释放催产素](https://health.usnews.com/health-news/health-wellness/articles/2016-02-03/the-health-benefits-of-拥抱），这可以改善你的情绪并放松你。所以找人拥抱。如果你单身，拥抱你的父母或朋友。如果你不能，看看是否可以选择养狗。大多数狗喜欢拥抱。提供相同好处的另一种解决方案是[加权毯子](https://www.amazon.com/s?k=weighted+blanket) 将提供[在夜间类似的积极效果](https://www.healthline .com/health/anxiety/do-weighted-blankets-work）。 [你应该尝试每天拥抱12次](https://psychology-spot.com/brain-needs)（如果你目前拥抱的次数不多，我建议你随着时间的推移慢慢增加）。 * **音乐**：[合适的音乐可以改善你的心情](https://time.com/5254381/listening-to-music-health-benefits)。类型并不重要，重要的是：*“乐观、有节奏且充满活力”*。这意味着什么因人而异，取决于他们的音乐品味。我为此准备了一个特殊的播放列表。衡量歌曲有效性的一种方法是您一遍又一遍地听它的能力（如果您可以听数百次，它可能对您的情绪产生最大的积极影响）。使用耳机并大声播放可以放大效果，闭上眼睛可以进一步增强效果。 * **你不是你的抑郁症**：对于一些人来说，他们的抑郁症已经成为他们的一部分，他们扮演了受害者的角色。但这是一个大问题，你必须“意志”自己成为一个将自己视为积极与疾病作斗争的人，“不再认同”疾病，否则你将“无意识地阻碍自己的康复过程” 。正如埃克哈特·托尔 (Eckhart Tolle) 所写： * > *一个非常常见的角色是受害者，它寻求的关注形式是同情或怜悯或其他人对我的问题的兴趣，“我和我的故事”。将自己视为受害者是许多自我模式的一个要素，例如抱怨、被冒犯、愤怒等等。当然，一旦我认同一个故事，在这个故事中我给自己分配了受害者的角色，我就不希望它结束，因此，正如每个治疗师都知道的那样，自我不希望结束它的“问题”，因为它们是其身份的一部分。* * **练习感恩**：每天花 5 分钟[练习感恩]。(https://www.pasadenavilla.com/2020/11/18/gratitude-and-depression) * **志愿者**：一项又一项的研究表明，帮助他人而不期望任何回报[将减轻抑郁症并具有其他健康益处](https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/帮助人们改变生活志愿服务的六大健康益处）。如果您需要一些想法，请告诉我。 **评分最高的书籍**：* https://www.amazon.com/Feeling-Good-New-Mood-Therapy/dp/0380731762 * https://www.amazon.com/Its-Not-Supposed-This -失望/dp/0718039858 **手机应用程序**：抑郁症：Wysa 和 MoodTools。冥想：平静 - 冥想、睡眠、放松 免费支持：* r/KindVoice * https://www.7cups.com 提供免费服务和每月 150 美元的治疗选项 * 如果您处于危机中，请发送短信 HOME 至 741741 * r/depression * r/depression_help * r/抑郁
| 0
|
gt; Ratted my suicidal best friend to the school counselor. Did I do the right thing? It's really hard what you want to do, just be aware of that. You'll have to study quite a bit to be helpful with this. gt;Can I become depressed or happy(https:www.mentalhelp.netblogsis-my-depression-contagious) if I am near someone who is depressed or happy? Does this mean you should(https:www.psychologytoday.comusbloghow-be-yourself201606is-depression-contagious) spend less time with the depressed people in your life? Only you can answer that, if you stay in contact, tell them they are loved, important to you, and deserving of feeling better. Encourage them to seek help, but know that it may take a a lot their part to take that first step. Also: You can't rescue your loved one by yourself. It's really hard and you might have to prioritize saving yourself. Depression can remove all motivation, making it hard to eat, shower or seek help. Who's more susceptible(https:www.healthline.comhealthis-depression-contagiousrisk-factors) to 'catching' depression? Learn to recognize emotional blackmail: https:www.powerofpositivity.com4-signs-of-emotional-blackmail https:www.neilsattin.comblog20160955-defeating-emotional-blackmail-and-manipulation-with-susan-forward https:goodmenproject.comethics-values5-signs-youre-being-played-by-a-victim-fiff Online guides: https:psychcentral.comblog9-best-ways-to-support-someone-with-depression https:www.mayoclinic.orgdiseases-conditionsdepressionin-depthdepressionart-20045943 Most watched videos: How to Convince A Troubled Loved-One to Get Mental Health Treatment(https:www.youtube.comwatch?v2JVK1Kzlk2Y) How to connect with depressed friends Bill Bernat(https:www.youtube.comwatch?vB43f89Y9f-A) Love Someone Who Has Depression? This is What You Need to Know(https:www.youtube.comwatch?vk5PRxE4yJpw) Books on how to help someone else: Talking to Depression(https:www.amazon.comTalking-Depression-Connect-Someone-Depresseddp0451209869) When Someone You Love is Depressed(https:www.amazon.comWhen-Someone-You-Love-Depresseddp0684834073) When Someone You Know Has Depression(https:www.amazon.comWhen-Someone-You-Know-Depressiondp1421420155) For your loved one: Depression symptoms(https:www.webmd.comdepressionguidedetecting-depression) If you have healthcare insurance, then go see your doctor. Either a psychotherapy or CBT(https:www.harleytherapy.co.ukcounsellingpsychodynamic-psychotherapy-vs-cbt.htm)(how to decide) specialized psychologist first (that's someone that tries to talk the problem away). If that doesn't start working after a few months, or you don't think you have any issues to talk about, or you already tried a therapist, then find a psychiatrist (that's someone that will give you pills to solve the issue). Some people will be depressed, but don't know why. A common reason is that they don't have a purpose in life. To live is to suffer, but it is possible to make that suffering bearable, if you do so while trying to achieve what you want more than anything else. Take your phone and set repeating alarm clock reminders, with labels of what to do. Train yourself to either snooze or reschedule the reminders if you can't take action right away, never ignore them. Condition yourself(https:www.cleverism.comclassical-conditioning), to build habits, then you will heal yourself automatically. Sleep: There is a complex relationship(https:www.webmd.comdepressionguidedepression-sleep-disorder1) between sleep and depression(https:www.healthline.comhealthhealthy-sleepdepression-and-sleep). When you have days where you don't have to do anything, set an alarm clock. You really don't need more than 7 hours at most per night (a little more(https:health.onehowto.comarticlehow-many-hours-of-sleep-are-needed-per-night-by-age-8233.html) if you are under 18). If you can't fall asleep, try taking melatonin one hour before going to bed. It's cheap(https:www.amazon.comdpB003JJ9TQA), OTC and is scientifically proven(https:www.webmd.comvitaminsaiingredientmono-940melatonin) to help regulate your sleep pattern. Also, rule(https:www.webmd.comsleep-disorderssleep-apneanews20120330sleep-apnea-linked-depression) out sleep apnea. Up to 6 of people have this, but not everyone knows(https:www.webmd.comsleep-disorderssleep-apneafeaturessleep-apnea-clues). If you find yourself awake at night, start counting. Don't grab your phone, don't do anything interesting. Sometimes it might feel like you've done it for hours and hours, but often it's really not long. Anytime your mind wanders away from the numbers, start over at 1. count at the speed of either your heartbeat or your breathing. Then both Alexa and Google Home can also play a range of sleep sounds if you ask them (rain or other white noise) and there are also free apps for both Android and Apple devices. Go outside: You might just need some sunlight(https:www.healthline.comhealthdepressionbenefits-sunlight). 15 minutes, three times a week is enough. This fixes serotonin as well as vitamin D deficiencies. Meditate: Depressions can be significantly reduced by meditating(https:news.harvard.edugazettestory201804harvard-researchers-study-how-mindfulness-may-change-the-brain-in-depressed-patients). The best types Of Meditations For Depression Relief(https:www.thedailymeditation.commeditation-depression). Your attention is like a muscle. The more you train it, the better the control you have. Mindfulness training(https:www.mindful.orgmeditationmindfulness-getting-started) will help you gain better control over your mind. It doesn't take much effort, just 15 to 20 minutes a day of doing nothing but focus your attention is enough and is scientifically proven to work. As you become better at focusing your attention, it will become easier to force yourself to stop having negative thoughts, which will break the negative reinforcement cycle. Go here for more: rMeditation Exercise: The effect of exercise on depressions(https:www.mayoclinic.orgdiseases-conditionsdepressionin-depthdepression-and-exerciseart-20046495) If you have access to a gym, then start lifting weights. If you don't have access to a gym (or you don't like lifting), start running. If you can't run, then start walking. Just start small. 10 minutes three times a week is fine. You don't have to run fast, just run and then slowly build it up over time. Exercising does several things: It releases endorphins, it takes your mind of your negative thoughts and it will improve your overall health. Give lots of hugs: Hugs release oxytocin(https:health.usnews.comhealth-newshealth-wellnessarticles2016-02-03the-health-benefits-of-hugging), which improves your mood and relaxes you. So find people to hug. If you are single, hug your parents or friends. If you can't, see if a dog is an option. Most dogs love to hug. Another solution that provides the same benefit is a weighted blanket(https:www.amazon.coms?kweightedblanket) will provide a similar positive effect at night(https:www.healthline.comhealthanxietydo-weighted-blankets-work). You should try to aim for 12 hugs a day(https:psychology-spot.combrain-needs) (if you currently don't hug a lot, I suggest you slowly build it up over time). Music: The right music can improve your mood(https:time.com5254381listening-to-music-health-benefits). The genre is not important as long as it is: "Upbeat, rhytmic and energetic". What this means differs from person to person, depending on their music taste. I have a special playlist for this. One way to measure the effectiveness, of the songs is your ability to listen to it over and over (if you can listen to it hundreds of times it likely has the highest positive effect on your mood). The effect can be amplified by using headphones and playing it LOUD and can further be enhanced by closing your eyes. You are not your depression: For some, their depression has become a part of who they are and they assume a victim role. But that is a big problem, you have to will yourself into someone that sees themselves as a person that is actively fighting their disease, that no longer identifies with it, or else you will unconsciously obstruct your own healing process. As Eckhart Tolle wrote: gt; A very common role is the one of victim, and the form of attention it seeks is sympathy or pity or others' interest in my problems, "me and my story." Seeing oneself as a victim is an element in many egoic patterns, such as complaining, being offended, outraged, and so on. Of course, once I am identified with a story in which I assigned myself the role of victim, I don't want it to end, and so, as every therapist knows, the ego does not want an end to its "problems" because they are part of its identity. Practice gratitude: Take 5 minutes every day to practice gratitude.(https:www.pasadenavilla.com20201118gratitude-and-depression) Volunteer: Study after study shows that helping others without expecting anything in return will lessen depression and has other health benefits(https:www.mayoclinichealthsystem.orghometown-healthspeaking-of-healthhelping-people-changing-lives-the-6-health-benefits-of-volunteering). Let me know if you need some ideas. Highest rated books: https:www.amazon.comFeeling-Good-New-Mood-Therapydp0380731762 https:www.amazon.comIts-Not-Supposed-This-Disappointmentsdp0718039858 Phone Apps: Depression: Wysa and MoodTools. Meditation: Calm - Meditate, Sleep, Relax Free support: rKindVoice https:www.7cups.com has a free service and a 150 monthly therapist option If you are in crisis text HOME to 741741 rdepression rdepressionhelp rdepressed
| true
|
70
|
hnzmptv
|
robot saves goats/dogs/bunnies/whatever the fuck they are mixed into one from evil doctor
|
机器人拯救了山羊/狗/兔子/不管他们是从邪恶的医生那里混合在一起的
| 0
|
robot saves goatsdogsbunnieswhatever the fuck they are mixed into one from evil doctor
| true
|
71
|
iqe90e6
|
They do though, I’d put you in contact with my partner but that’d be weird. She doesn’t read my comments so don’t feel like she’s got a gun to my head. She definitely lacks in systemic disease but they learn pharmacology to a much deeper extent, they learn eye physiology to a much deeper extent, and eye pathology to a much deeper extent than anything in medical school or on steps.
And legit every comment is talking mad shit how they’re mid levels and not doctors lol read them
I mean I could say likewise? You gave examples and I gave an example. Am I biased, and looking at a smaller sample size, yeah.
Don’t get me wrong, I think they have a different place as well. I agree they shouldn’t do surgery but I just spoke to her and they denied laser as well which was licensed in Alaska after the lay person was shown it was so simple they could do it. I just straight disagree with the rabid hate for everything that’s not MD. What makes the most sense to me is OD into opthalmalogical surgery residency for 1-2-3 years. 4 years of med school for ophthalmology is ridiculous
|
不过，他们确实这样做了，我会让你与我的伴侣联系，但这会很奇怪。她没有读我的评论，所以不要觉得她拿枪指着我的头。她肯定缺乏全身性疾病，但他们比医学院或台阶上的任何东西都更深入地学习药理学，更深入地学习眼部生理学和眼部病理学。合法的每条评论都在谈论疯狂的狗屎，他们是中等水平，而不是医生，哈哈读他们我的意思是我可以说同样吗？你举了例子，我也举了例子。我是否有偏见，并着眼于较小的样本量，是的。别误会我的意思，我认为他们也有不同的地方。我同意他们不应该做手术，但我刚刚和她谈过，他们也拒绝了激光手术，在向非专业人士展示激光手术是如此简单，他们可以做到之后，激光手术在阿拉斯加获得了许可。我只是不同意人们对非医学博士的一切的狂热仇恨。对我来说最有意义的是 OD 进入眼科手术住院医师培训 1-2-3 年。眼科医学院四年是荒谬的
| 0
|
They do though, Id put you in contact with my partner but thatd be weird. She doesnt read my comments so dont feel like shes got a gun to my head. She definitely lacks in systemic disease but they learn pharmacology to a much deeper extent, they learn eye physiology to a much deeper extent, and eye pathology to a much deeper extent than anything in medical school or on steps. And legit every comment is talking mad shit how theyre mid levels and not doctors lol read them I mean I could say likewise? You gave examples and I gave an example. Am I biased, and looking at a smaller sample size, yeah. Dont get me wrong, I think they have a different place as well. I agree they shouldnt do surgery but I just spoke to her and they denied laser as well which was licensed in Alaska after the lay person was shown it was so simple they could do it. I just straight disagree with the rabid hate for everything thats not MD. What makes the most sense to me is OD into opthalmalogical surgery residency for 1-2-3 years. 4 years of med school for ophthalmology is ridiculous
| true
|
72
|
ekoqnaq
|
Again. My doctor is trying to kill me was meant as a joke. That is why I stated it was an over exaggeration and tagged it as sarcasm in the title so people would know it was clearly a joke.
What exactly is a pharmacology expert in your definition? Heck what do you consider an "expert"? Like in a court of law my doctor could be called as an expert witness to discuss the brain/neurological system. In fact like all docotors could be called to be a medical expert. What do you define as an expert? Have to be from a top hospital, ranked as best in the world? Your idea that docotors aren't experts makes no sense.
Also, no hes not an expert in pharmacology, however he is an expert in neurology and meds that affect the brain/neurological system. Of course he understands how these work. If he didn't he wouldn't be a neurologist and I wouldn't let him treat me.
I understand how drug interactions are more complicated than it appears. However, in this case it was inappropriate and dangerous. That's why I stated in the orgin post that it wasn't apporiate in my case. I know people take lexapro and cymbalta together all the time. This isnt their situation though. And my neurologist did a wonderful job of explaining and clarifying it for me, but since I don't have a medical degree or some insanely amazing memory I can't recite it back to you. Sorry?
You seem so intent on declaring that my neurologist is not a medical expert and implying that you know more than him about perscibing medications that again affect the brain (the thing he has devoted his life studying and understanding) since you want to say he was wrong in saying not to mix these medications the way they were perscibed in my case. Are you some kind of "pharmalogical expert"? Do you have some sort of credentials to act like you know more about drug overlap and interactions then him?
Edit: Also I have taken drugs that are strongly recommended to not be mixed because of cardiovascular risk before. But before my doctors would allow them to be mixed they made me get approval from my cardiologist because they all realize he is an expert in cardiology and these do have risk and that call needs to be made by my cardiologist. That's responsibly prescribing medication that is recommended to not be mixed.
I'm fairly certain my pain doctor just didn't think to check through my medication list because he knew what pain meds I was on and I don't come across as having mental illness (because it's controlled by the lexapro) so he probably didn't have anything that gave him a red flag to check for them and just forgot to do it.
|
再次。我的医生想杀了我只是个玩笑。这就是为什么我说这是过度夸张，并在标题中将其标记为讽刺，这样人们就会知道这显然是一个笑话。您定义的药理学专家到底是什么？哎呀，你认为什么是“专家”？就像在法庭上一样，我的医生可以被传唤为专家证人来讨论大脑/神经系统。事实上，就像所有医生都可以被称为医学专家一样。您对专家的定义是什么？必须来自世界上最好的顶级医院吗？你认为医生不是专家的想法毫无意义。另外，他不是药理学专家，但他是神经学和影响大脑/神经系统药物的专家。他当然明白这些是如何运作的。如果他不这样做，他就不会成为一名神经科医生，我也不会让他治疗我。我了解药物相互作用比看起来更复杂。然而，在这种情况下，这是不适当和危险的。这就是为什么我在原始帖子中指出这不适合我的情况。我知道人们总是将 lexapro 和 Cymbalta 一起服用。但这不是他们的情况。我的神经科医生为我做了很好的解释和澄清，但由于我没有医学学位或一些惊人的记忆力，我无法将其背诵给你。对不起？你似乎很想宣称我的神经科医生不是医学专家，并暗示你比他更了解影响大脑的药物（他一生致力于研究和理解的东西），因为你想说他错了说不要按照我的情况混合使用这些药物。您是某种“药理学专家”吗？你是否有某种资历让你表现得比他更了解药物重叠和相互作用？编辑：我之前也服用过因心血管风险而强烈建议不要混合使用的药物。但在我的医生允许它们混合之前，他们让我得到了心脏病专家的批准，因为他们都意识到他是心脏病学专家，这些确实有风险，需要由我的心脏病专家做出决定。这是负责任地开出建议不要混合使用的药物。我相当确定我的疼痛医生只是不想检查我的药物清单，因为他知道我正在服用什么止痛药，而且我没有表现出患有精神疾病（因为它是由 lexapro 控制的），所以他可能没有任何东西给他一个危险信号来检查它们，只是忘记了这样做。
| 0
|
Again. My doctor is trying to kill me was meant as a joke. That is why I stated it was an over exaggeration and tagged it as sarcasm in the title so people would know it was clearly a joke. What exactly is a pharmacology expert in your definition? Heck what do you consider an "expert"? Like in a court of law my doctor could be called as an expert witness to discuss the brainneurological system. In fact like all docotors could be called to be a medical expert. What do you define as an expert? Have to be from a top hospital, ranked as best in the world? Your idea that docotors aren't experts makes no sense. Also, no hes not an expert in pharmacology, however he is an expert in neurology and meds that affect the brainneurological system. Of course he understands how these work. If he didn't he wouldn't be a neurologist and I wouldn't let him treat me. I understand how drug interactions are more complicated than it appears. However, in this case it was inappropriate and dangerous. That's why I stated in the orgin post that it wasn't apporiate in my case. I know people take lexapro and cymbalta together all the time. This isnt their situation though. And my neurologist did a wonderful job of explaining and clarifying it for me, but since I don't have a medical degree or some insanely amazing memory I can't recite it back to you. Sorry? You seem so intent on declaring that my neurologist is not a medical expert and implying that you know more than him about perscibing medications that again affect the brain (the thing he has devoted his life studying and understanding) since you want to say he was wrong in saying not to mix these medications the way they were perscibed in my case. Are you some kind of "pharmalogical expert"? Do you have some sort of credentials to act like you know more about drug overlap and interactions then him? Edit: Also I have taken drugs that are strongly recommended to not be mixed because of cardiovascular risk before. But before my doctors would allow them to be mixed they made me get approval from my cardiologist because they all realize he is an expert in cardiology and these do have risk and that call needs to be made by my cardiologist. That's responsibly prescribing medication that is recommended to not be mixed. I'm fairly certain my pain doctor just didn't think to check through my medication list because he knew what pain meds I was on and I don't come across as having mental illness (because it's controlled by the lexapro) so he probably didn't have anything that gave him a red flag to check for them and just forgot to do it.
| true
|
73
|
gf2fovd
|
Hmm. A digital "pass" that could never ever be hacked into or forged? That would be a neat trick. All of this technology rises and falls on the fact that we don't get the vaccine via robot technology. There are already doctors who will sell you prescriptions for opioids, do you not think there would be doctors who'd make a bit of extra money selling fake credentials?
I'm counting on the economy to solve this issue. Airlines and the entertainment industry are hemorrhaging money. The idea that they will refuse to accept customers is not one I'm willing to believe now. Let them try to set up some system that they think they'll need forever.
|
唔。永远不会被黑客入侵或伪造的数字“通行证”？这将是一个巧妙的技巧。所有这些技术的兴衰都取决于我们不能通过机器人技术获得疫苗这一事实。已经有医生会向你出售阿片类药物的处方，你不认为还会有医生通过出售假证书来赚点外快吗？我指望经济来解决这个问题。航空公司和娱乐业正在大量流失资金。我现在不愿意相信他们会拒绝接受顾客的想法。让他们尝试建立一些他们认为永远需要的系统。
| 0
|
Hmm. A digital "pass" that could never ever be hacked into or forged? That would be a neat trick. All of this technology rises and falls on the fact that we don't get the vaccine via robot technology. There are already doctors who will sell you prescriptions for opioids, do you not think there would be doctors who'd make a bit of extra money selling fake credentials? I'm counting on the economy to solve this issue. Airlines and the entertainment industry are hemorrhaging money. The idea that they will refuse to accept customers is not one I'm willing to believe now. Let them try to set up some system that they think they'll need forever.
| true
|
74
|
eduugq4
|
Because there is a stigma, and I will admit that I am also a person that perpetuates that stigma. Therapy doesn't do anything except help YOU believe that YOU are capable of fixing yourself. The key part here is that everything is dependent on YOU. There are no external forces that therapy provides (i.e., like a doctor who fixes your leg or a surgeon that takes out a tumor) to help you heal.
&#x200B;
The idea of therapy is, to me, stupid. It implies that people cannot help themselves without some type of overpaid clown. Any friend, spouse, or confidant can do the same thing.
&#x200B;
Furthermore, it's not like a single suggestion (or perhaps prescription?) to help a person improve their life will work from one person to another, not like medicine will. Have a fever? Take acetaminophen. Constipated? Take Pepto. Sure, there are adverse reactions and one-offs that are more serious than something an over-the-counter pill will fix, but medicine is medicine. Therapy is not.
&#x200B;
How does one gauge how long it takes to mentally heal from a catastrophic event? You can't. Unlike your broken leg scenario, human bodies heal at a relatively standard rate. Yes, complications can happen as one-offs, but the body will do its job and heal, whether the person wants it to or not. How do you gauge mental healing, from say, a parent committing suicide? Is it different if the suicide takes place in front of you? Regardless of the mental trauma, it's up to the 'victim' to determine how fast s/he heals. And a Therapist is supposed to somehow help that?
&#x200B;
Typing this up makes me wonder: with the AI industry making its way into medical diagnosis, I think that a digital therapist would be the BEST test case for AI. All it needs to do it take input from a patient (i.e., the problems of the person, situation, etc), and then run those problems through algorithms that will determine the proper recommendations/suggestions to help improve that person's life. I mean, it ultimately is up to the patient to do the fixing, right? They just need someone to listen, ask the right questions, and offer meaningful solutions. I would very much LOVE to see the therapy profession be outsourced to the cloud, so that all those therapist clowns can go and find real jobs.
|
因为有一种耻辱，我承认我也是一个延续这种耻辱的人。治疗除了帮助您相信您有能力修复自己之外没有任何作用。这里的关键是一切都取决于你。治疗不提供任何外力（即，像医生修复你的腿或外科医生切除肿瘤）来帮助你治愈。 &#x200B;对我来说，治疗的想法是愚蠢的。这意味着如果没有某种类型的高薪小丑，人们就无法自助。任何朋友、配偶或知己都可以做同样的事情。 &#x200B;此外，帮助一个人改善生活的单一建议（或者也许是处方？）并不像药物那样对一个人有效。发烧了？服用对乙酰氨基酚。便秘？以佩托为例。当然，有些不良反应和一次性反应比非处方药更严重，但药物就是药物。治疗则不然。 &#x200B;一个人如何衡量从灾难性事件中恢复精神需要多长时间？你不能。与断腿的情况不同，人体的愈合速度相对标准。是的，并发症可能会一次性发生，但无论患者是否愿意，身体都会发挥其作用并治愈。你如何衡量父母自杀后的心理康复？如果自杀发生在你面前，会有什么不同吗？无论精神创伤如何，都由“受害者”决定他/她康复的速度。治疗师应该以某种方式提供帮助吗？ &#x200B;写下这些让我想知道：随着人工智能行业进入医疗诊断领域，我认为数字治疗师将是人工智能的最佳测试案例。它所需要做的就是获取患者的输入（即，患者的问题、情况等），然后通过算法来运行这些问题，从而确定适当的建议/建议，以帮助改善患者的生活。我的意思是，最终要由患者来进行修复，对吧？他们只需要有人倾听、提出正确的问题并提供有意义的解决方案。我非常希望看到治疗专业被外包到云端，这样所有那些治疗师小丑就可以去找真正的工作了。
| 1
|
Because there is a stigma, and I will admit that I am also a person that perpetuates that stigma. Therapy doesn't do anything except help YOU believe that YOU are capable of fixing yourself. The key part here is that everything is dependent on YOU. There are no external forces that therapy provides (i.e., like a doctor who fixes your leg or a surgeon that takes out a tumor) to help you heal. amp;x200B; The idea of therapy is, to me, stupid. It implies that people cannot help themselves without some type of overpaid clown. Any friend, spouse, or confidant can do the same thing. amp;x200B; Furthermore, it's not like a single suggestion (or perhaps prescription?) to help a person improve their life will work from one person to another, not like medicine will. Have a fever? Take acetaminophen. Constipated? Take Pepto. Sure, there are adverse reactions and one-offs that are more serious than something an over-the-counter pill will fix, but medicine is medicine. Therapy is not. amp;x200B; How does one gauge how long it takes to mentally heal from a catastrophic event? You can't. Unlike your broken leg scenario, human bodies heal at a relatively standard rate. Yes, complications can happen as one-offs, but the body will do its job and heal, whether the person wants it to or not. How do you gauge mental healing, from say, a parent committing suicide? Is it different if the suicide takes place in front of you? Regardless of the mental trauma, it's up to the 'victim' to determine how fast she heals. And a Therapist is supposed to somehow help that? amp;x200B; Typing this up makes me wonder: with the AI industry making its way into medical diagnosis, I think that a digital therapist would be the BEST test case for AI. All it needs to do it take input from a patient (i.e., the problems of the person, situation, etc), and then run those problems through algorithms that will determine the proper recommendationssuggestions to help improve that person's life. I mean, it ultimately is up to the patient to do the fixing, right? They just need someone to listen, ask the right questions, and offer meaningful solutions. I would very much LOVE to see the therapy profession be outsourced to the cloud, so that all those therapist clowns can go and find real jobs.
| true
|
75
|
dqzqzlc
|
"Now peter do you have anymore questions?"
"What if I don't like my companion?"
"Just have faith in the process peter." The scientist took his glasses from his head and began wiping them with a handkerchief from his lab coat. His nonchalant approach to this did nothing for my nerves.
"What if it... what if it -"
"It won't be an evil AI that fools you into helping destroy the human race." he placed them back onto the his nose where the red kidney shaped pattern was still visible. "Listen kid I have seen many people like you come through my experiments, down on their luck and ready for anything. You said in your mental state examination of a recent tragedy..." he flipped through the pages of a file in front of him. "Ahh there we are. Fiance left without explanation..." The reminder hung in the air like a bad smell. His detached tone continued echoing those four words inside my head. I didn't even catch the rest of his spiel until I heard a thud on the desk when he closed the file. "...and that about does it Peter, so there really is nothing to worry about, and this is a great way to move past the death of a loved one." The scientist said, extending a skinny hand across the desk. I looked at it as I threw his last sentence around in my head.
"I'm sorry, you caught me in a daze, what was that last part you said?"
"I was just saying how this is a great way to forget about emotional turmoil."
"No, no something about death of a loved one, I think," my hands were starting to sweat. The scientist furrowed his brows and shook his head. "Never mind," I added not wanting to stir anymore unfounded suspicion than there already was.
"Okay then, follow me to the procedure room”
As I stared at the ceiling whilst the injections were prepared I thought about Diane again. Not in a romantic way just memories that began flowing back to me.
"Before you plunge that ungodly needle into my arm, one last question, the AI personalities are donated by the deceased right?"
"Yes of course. That's how we get them so individual."
"So do you get any of their reality leaking into their programming?"
"Only if you ask about it," he replied pointedly, then gestured to the needle, well more like a plunger to me. I nodded. The needle pricked, and the scientist counted down from 10. The ceiling started warping and blurring. Diane somehow made it in there at just the last second then...
I awoke in a different room, sprawled out on a bed. Two different scientists were now looking down on me.
“We just have a few question about your companion” one with a clipboard and a pen stepped to me, but before I could answer I slipped back into unconsciousness. When I came to I was greeted by the soft voice of a female.
“Hey Petey.” The name struck me like a bag of cement, and although barely conscious I could feel the piercing shot of fear and shock traverse my spine. Hairs across my body raised the moment the sound hit my ears. “It is okay that I call you that right, Peter is just kind of… civilian you know”
“Y-yeah,” I managed to spit out between my shock.
“You kind of remind me of another Peter I knew.”
I still felt kind of dazed and detached from reality, like I was a ghostly body just floating about the world.
“Really, who was he?”
Before she could answer I heard the door to the room open again. I turned my head downwards to see them better. The two scientists were back.
“How is your companion?” The scientist asked, staring down at his clipboard, ready to take down the notes.
“He’s good”
“She’s good”
We both replied at the same time, overlapping each other’s response. The scientist looked down in confusion.
“He’s a joker I see” she said
“Yes it says here our systems matched your er… emotional recent history and mental state with a companion who’d take your mind off it.”
“He’s doing well so far.”
I felt like shouting out, but I wasn't sure what it was that was happening. I thought it was a dream, so I watched and waited to wake up again to the two scientists.
“Just for our files, what is your companion's name?” the empty handed scientist butted in
“Petey.”
“Diane,” I replied at the same time as her, perplexed the scientist jotted down something on his clipboard. I froze. Suddenly I felt trapped, enclosed. I looked down at my thin body stretched on the bed. *This isn't mine* I slowly made the connection. I went to ask but decided to find out for myself.
I flitted through scenes of her memories, like a omnipresent being I was seeing them all again. I was present in every single one. I caught glimpses of different scenes that sparked my own memories. I now saw both perspectives. I caught a glimpse of the time we first met, a glimpse of my proposal. She was looking down to me on one knee, the diamond shining like the sea in the glistening coastal sunset.
I stayed and watched it all unfold, a highlight reel of our best moments. I waited until the memory of that tragic day came up. Watching the relationship over again I realised just how much she put up with; how much we both did.
Like a reel of film the scenes kept cutting and changing into different ones, until it landed on the day.
She was sitting in our house, alone on the couch. She had her blanket and her pillow next to her. Tissues were strewn all over the living room. *What is going on* I thought to myself, I was there, I can’t have missed her. I was sitting in that seat on that same morning. *This can’t be the day*. I searched through the entire part of the scene that her point of view would allow, but I found no sign of myself. I watched on.
Moments later the scene spliced into another scene. The new one pushing the old one out of the way. The room was different, it was white, with a bed in the centre and various machines around it. I was lying on it with wires and tubing coming out of me like I was bionic. She walked up to me and grabbed my arm. Her point of view began to blur as tears clouded her eyes. She kissed my hand and pressed it to her face then ducked her head down next to mine and began whispering to me through frantic breaths that grew more desperate. She turned to the doorway where a doctor was standing with downcast eyes. Diane stepped towards him and he shook his head “We did all we could, but his heart went into arrest again. This time we couldn’t start it up. I’m, I’m sorry”
“Petey,” the voice called me softly, as if from a distance. “Petey,” it came again and this time I was yanked from her memories and back to her present. “You left us for a moment there. So hey I guess I’m stuck with you now. I see you already had the grand tour.”
“So was he who I reminded you of?”
“Yeah” She responded, sounding deflated. Right on cue she began fiddling with her fingers and tilting her head down.
“I’m sorry I remind you of him”
“No it's fine, you’re doing wonders to get my mind off it”
The irony hit me just as hard as the sadness.
“Happy to help,” I replied.
|
“彼得，你还有什么问题吗？” “如果我不喜欢我的同伴怎么办？” “只要对这个过程有信心，彼得。”科学家摘下头上的眼镜，开始用实验室外套上的手帕擦拭它们。他对此漠不关心的态度并没有让我紧张。 “如果它……如果它——”“它不会是一个邪恶的人工智能来欺骗你帮助毁灭人类。”他把它们放回鼻子上，红色肾形图案仍然可见。 “听着，孩子，我见过很多像你一样的人经历过我的实验，他们运气不佳，却做好了一切准备。你在最近发生的一场悲剧的精神状态检查中说……”他翻阅着面前的一份文件。他。 “啊啊，我们到了。未婚夫没有任何解释就走了……”这句话像难闻的气味一样悬在空气中。他那超然的语气继续在我的脑海里回荡着这四个字。我什至没听清他剩下的内容，直到他合上文件时我听到桌子上发出砰的一声。 “……彼得，所以真的没有什么可担心的，这是摆脱亲人去世的好方法。”科学家说着，将一只瘦弱的手伸出桌子。我一边看着它，一边将他的最后一句话抛在脑后。 “抱歉，你让我愣住了，你最后说的是什么？” “我只是说这是忘记情绪混乱的好方法。” “不，我想这不是关于亲人去世的事情，”我的手开始出汗。科学家皱起眉头，摇了摇头。 “没关系，”我补充道，不想激起更多毫无根据的怀疑。 “好吧，跟我去手术室。”当我在准备注射的时候盯着天花板，我又想起了黛安。不是以一种浪漫的方式，只是开始涌回我的记忆。“在你把那根不敬虔的针插入之前我的手臂，最后一个问题，人工智能人格是死者捐赠的吧？” “当然了。这就是我们如何让他们变得如此个性化。” “那么你是否将他们的现实泄漏到了他们的编程中？” “只有当你询问时，”他尖锐地回答道，然后指着针，对我来说更像是一个柱塞.我点点头。针刺痛了，科学家从 10 开始倒数。天花板开始变形和模糊。黛安不知何故在最后一秒才到达那里...我在另一个房间醒来，四肢伸开躺在床上……现在有两个不同的科学家俯视着我。“我们只是想问几个关于你同伴的问题”，其中一个拿着写字板和笔向我走来，但在我回答之前，我又陷入了昏迷。当我醒过来时，我已经昏迷不醒了。迎接她的是一个温柔的女性声音。“嘿，皮蒂。”这个名字就像一袋水泥一样击中了我，尽管我几乎没有意识，但我还是能感觉到恐惧和震惊的刺骨感觉穿过我的脊椎。当声音传入我的耳朵时，我浑身的汗毛都竖了起来。“我这样称呼你没关系。”是的，彼得只是个……平民，你知道的”“是的，”我在震惊中吐出一句，“你让我想起了我认识的另一个彼得。”我还是感觉有点茫然，脱离了现实，就像一具幽灵般的身体飘浮在世间。“真的，他是谁？”她还没来得及回答，我听到房间的门又打开了。我低下头，想看得更清楚。两位科学家回来了。“你的同伴怎么样？”科学家问道，低头盯着他的写字板，准备记下笔记。“他很好”“她很好”我们同时回答，彼此的回答重叠。科学家困惑地低下头。“他是个爱开玩笑的人，我瞧，”她说，“是的，这里说我们的系统将你的呃……最近的情绪历史和精神状态与一个能让你忘却这些的同伴相匹配。” “到目前为止他表现得很好。”我想大声喊出来，但我不确定发生了什么。我以为这是一个梦，所以我看着并等待着两位科学家再次醒来。“就我们的文件而言，你同伴的是什么？”姓名？”空手而归的科学家插嘴说：“皮蒂。” “黛安，”我和她同时回答，困惑这位科学家在他的剪贴板上写下了一些东西。我愣住了。突然我感到被困住了，被包围了。我低头看着我瘦弱的身体伸展在床上。*这不是我的*我慢慢地建立了联系。我去询问，但决定亲自找出答案。我掠过她记忆中的场景，就像一个无所不在的存在一样，我再次看到了它们。我出现在每一个记忆中。我瞥见了不同的场景激发了我自己的回忆。我现在看到了两个视角。我瞥见了我们第一次见面的时候，瞥见了我的求婚。她单膝跪着看着我，钻石闪闪发光，就像大海中的大海一样。闪闪发光的海岸日落。我留下来看着这一切展开，这是我们最美好的时刻的精彩片段。我等到那悲惨的一天的记忆浮现出来。再次观看这段关系，我意识到她忍受了多少；我们付出了多少就像电影胶片一样，场景不断切换并变换成不同的场景，直到它落地的那一天。她独自一人坐在我们家的沙发上。她旁边放着毯子和枕头。客厅里到处都是纸巾。 *发生了什么事*我心想，我就在那里，我不可能错过她。那天早上我就坐在那个座位上。 *这不可能是这一天*。我在她的视角允许的范围内搜索了整个场景，但没有发现我的踪迹。我看着。片刻之后，场景拼接成另一个场景。新的把旧的推开。房间不一样，是白色的，中央有一张床，周围是各种机器。我躺在上面，电线和管子从我身上伸出，就像我是仿生人一样。她走到我身边，抓住了我的手臂。她的视线开始模糊，泪水模糊了她的眼睛。她吻了我的手，把它按在脸上，然后把头低到我的旁边，开始用越来越绝望的疯狂呼吸对我低声说话。她转向门口，那里站着一位医生，眼神低垂。黛安朝他走来，他摇摇头，“我们已经尽力了，但他的心脏又停止了跳动。这次我们无法启动它。我，我很抱歉” “Petey，”那个声音轻柔地叫我，仿佛来自很远的地方。 “Petey，”它又来了，这一次我被从她的记忆中拉回到她的现在。 “你把我们留在那里一会儿了。所以嘿，我想我现在就和你在一起了。我看你已经完成了盛大的旅行。” “那他就是我让你想起的那个人吗？” “是啊”她回答道，听起来很沮丧。就在这个时候，她开始摆弄手指并低下头。 “很抱歉我让你想起了他”“不，没关系，你正在创造奇迹让我忘记它”这种讽刺和悲伤一样强烈地打击着我。 “很乐意帮忙，”我回答道。
| 0
|
"Now peter do you have anymore questions?" "What if I don't like my companion?" "Just have faith in the process peter." The scientist took his glasses from his head and began wiping them with a handkerchief from his lab coat. His nonchalant approach to this did nothing for my nerves. "What if it... what if it -" "It won't be an evil AI that fools you into helping destroy the human race." he placed them back onto the his nose where the red kidney shaped pattern was still visible. "Listen kid I have seen many people like you come through my experiments, down on their luck and ready for anything. You said in your mental state examination of a recent tragedy..." he flipped through the pages of a file in front of him. "Ahh there we are. Fiance left without explanation..." The reminder hung in the air like a bad smell. His detached tone continued echoing those four words inside my head. I didn't even catch the rest of his spiel until I heard a thud on the desk when he closed the file. "...and that about does it Peter, so there really is nothing to worry about, and this is a great way to move past the death of a loved one." The scientist said, extending a skinny hand across the desk. I looked at it as I threw his last sentence around in my head. "I'm sorry, you caught me in a daze, what was that last part you said?" "I was just saying how this is a great way to forget about emotional turmoil." "No, no something about death of a loved one, I think," my hands were starting to sweat. The scientist furrowed his brows and shook his head. "Never mind," I added not wanting to stir anymore unfounded suspicion than there already was. "Okay then, follow me to the procedure room As I stared at the ceiling whilst the injections were prepared I thought about Diane again. Not in a romantic way just memories that began flowing back to me. "Before you plunge that ungodly needle into my arm, one last question, the AI personalities are donated by the deceased right?" "Yes of course. That's how we get them so individual." "So do you get any of their reality leaking into their programming?" "Only if you ask about it," he replied pointedly, then gestured to the needle, well more like a plunger to me. I nodded. The needle pricked, and the scientist counted down from 10. The ceiling started warping and blurring. Diane somehow made it in there at just the last second then... I awoke in a different room, sprawled out on a bed. Two different scientists were now looking down on me. We just have a few question about your companion one with a clipboard and a pen stepped to me, but before I could answer I slipped back into unconsciousness. When I came to I was greeted by the soft voice of a female. Hey Petey. The name struck me like a bag of cement, and although barely conscious I could feel the piercing shot of fear and shock traverse my spine. Hairs across my body raised the moment the sound hit my ears. It is okay that I call you that right, Peter is just kind of civilian you know Y-yeah, I managed to spit out between my shock. You kind of remind me of another Peter I knew. I still felt kind of dazed and detached from reality, like I was a ghostly body just floating about the world. Really, who was he? Before she could answer I heard the door to the room open again. I turned my head downwards to see them better. The two scientists were back. How is your companion? The scientist asked, staring down at his clipboard, ready to take down the notes. Hes good Shes good We both replied at the same time, overlapping each others response. The scientist looked down in confusion. Hes a joker I see she said Yes it says here our systems matched your er emotional recent history and mental state with a companion whod take your mind off it. Hes doing well so far. I felt like shouting out, but I wasn't sure what it was that was happening. I thought it was a dream, so I watched and waited to wake up again to the two scientists. Just for our files, what is your companion's name? the empty handed scientist butted in Petey. Diane, I replied at the same time as her, perplexed the scientist jotted down something on his clipboard. I froze. Suddenly I felt trapped, enclosed. I looked down at my thin body stretched on the bed. This isn't mine I slowly made the connection. I went to ask but decided to find out for myself. I flitted through scenes of her memories, like a omnipresent being I was seeing them all again. I was present in every single one. I caught glimpses of different scenes that sparked my own memories. I now saw both perspectives. I caught a glimpse of the time we first met, a glimpse of my proposal. She was looking down to me on one knee, the diamond shining like the sea in the glistening coastal sunset. I stayed and watched it all unfold, a highlight reel of our best moments. I waited until the memory of that tragic day came up. Watching the relationship over again I realised just how much she put up with; how much we both did. Like a reel of film the scenes kept cutting and changing into different ones, until it landed on the day. She was sitting in our house, alone on the couch. She had her blanket and her pillow next to her. Tissues were strewn all over the living room. What is going on I thought to myself, I was there, I cant have missed her. I was sitting in that seat on that same morning. This cant be the day. I searched through the entire part of the scene that her point of view would allow, but I found no sign of myself. I watched on. Moments later the scene spliced into another scene. The new one pushing the old one out of the way. The room was different, it was white, with a bed in the centre and various machines around it. I was lying on it with wires and tubing coming out of me like I was bionic. She walked up to me and grabbed my arm. Her point of view began to blur as tears clouded her eyes. She kissed my hand and pressed it to her face then ducked her head down next to mine and began whispering to me through frantic breaths that grew more desperate. She turned to the doorway where a doctor was standing with downcast eyes. Diane stepped towards him and he shook his head We did all we could, but his heart went into arrest again. This time we couldnt start it up. Im, Im sorry Petey, the voice called me softly, as if from a distance. Petey, it came again and this time I was yanked from her memories and back to her present. You left us for a moment there. So hey I guess Im stuck with you now. I see you already had the grand tour. So was he who I reminded you of? Yeah She responded, sounding deflated. Right on cue she began fiddling with her fingers and tilting her head down. Im sorry I remind you of him No it's fine, youre doing wonders to get my mind off it The irony hit me just as hard as the sadness. Happy to help, I replied.
| true
|
76
|
j5adf1r
|
Hey u/New-Engine-5779
I'm probably going to come at this from a different angle so bear with me.
I'm an Englishman (white) who's cousin (white English) married a Indian guy they're living in the UK and they're happy (both doctors) he seems like a nice enough guy.
My grandfather was also born in India (other side of the family) and his family were colonialists but I'm in the process of applying for Indian overseas citizen permanent residency visa and have visited India a fair few times. I've spent a lot of time living all over the world in various countries.
Firstly 2 months is way way too short a time to visit and understand a country. You really aren't out of honeymoon phase (where you think everything in the country is great and exciting till 3-4 months in).
What passport(s) do you hold?
Have you lived with your bf outside of India for any period of time?
Why can't he live in your country? If you from Europe or the US you're both going to have a better life in the West and have better jobs.
Let me some up traditional Indian marriages for you.
The servant's (wife) family pay money (dowry) to the husband to have the servant move in with him and have sex with her.
I kid you not but that's what it breaks down to a lot of the time. Indian men are absolute mummy boys and will do anything she says. His mother's word will over rule yours.
If you do decide to move to India and marry the chap make sure you have a system set up (which your husband and his family are unaware of) so that if you don't make contact with your family for a month they know to send for help.
Also have a prearranged phrase with your parents which means I'm being kept against my will contact the Embassy.
Having a prepaid storage locker with a bug out bag in which contains colour photographs of you passport, has your embassy phone number, has a prepaid mobile phone, a battery charger and clothes.
This may sound over kill but if you're unhappy there's a real possiblity your mother in law won't allow you to leave.
Also if you do have kids with the chap for gods sake make sure you get the kids your citizenship. If you need to flee with them it will make your life a lot easier. India does not allow duel nationality.
As a woman you'll be treated as a second class citizen. The fact that you look Western may depending on region make people treat you better. I'd avoid trying to look Indian.
Good luck!
Oh as for AI jobs in India overwhelming they'll just be entry level labelling jobs. Work for a Western company remotely, better pay better conditions.
|
嘿 u/New-Engine-5779 我可能会从不同的角度来看待这个问题，所以请耐心等待。我是一个英国人（白人），他的表弟（英国白人）嫁给了一个印度人，他们住在英国，他们很高兴（都是医生）他看起来是一个足够好的人。我的祖父也出生在印度（家庭的另一边），他的家人都是殖民主义者，但我正在申请印度海外公民永久居留签证，并且已经访问过印度几次。我花了很多时间生活在世界各地的各个国家。首先，两个月的时间对于访问和了解一个国家来说太短了。你确实还没有脱离蜜月期（在这个阶段，你会认为这个国家的一切都很棒，令人兴奋，直到 3-4 个月）。您持有什么护照？您是否曾与男友在印度境外居住过一段时间？为什么他不能住在你们国家？如果你来自欧洲或美国，你都会在西方过上更好的生活，并拥有更好的工作。让我为您介绍一些传统的印度婚姻。仆人（妻子）的家人向丈夫付钱（嫁妆），让仆人搬来与他同住并与她发生性关系。我没有骗你，但这就是很多时候的情况。印度男人是绝对的木乃伊男孩，他们说什么都会做。他母亲的话会凌驾于你的话之上。如果您确实决定搬到印度并与小伙子结婚，请确保您建立了一个系统（您的丈夫和他的家人不知道），这样如果您一个月没有与家人联系，他们就会知道要发送求助。还要和你的父母预先安排好这句话，这意味着我被迫与大使馆联系。拥有一个带有防盗袋的预付费储物柜，其中包含您护照的彩色照片、大使馆电话号码、预付费手机、电池充电器和衣服。这听起来可能太过分了，但如果你不高兴，你的婆婆很可能不会允许你离开。另外，如果你确实和这个家伙有孩子，看在上帝的份上，确保你让孩子们获得公民身份。如果您需要与他们一起逃离，这将使您的生活变得更加轻松。印度不允许双重国籍。作为一名女性，您将被视为二等公民。事实上，你看起来像西方人，这可能会让人们对你更好，这取决于所在地区。我会避免尝试让自己看起来像印度人。祝你好运！哦，至于印度压倒性的人工智能工作，它们只是入门级的标签工作。在西方公司远程工作，工资更高，条件更好。
| 0
|
Hey uNew-Engine-5779 I'm probably going to come at this from a different angle so bear with me. I'm an Englishman (white) who's cousin (white English) married a Indian guy they're living in the UK and they're happy (both doctors) he seems like a nice enough guy. My grandfather was also born in India (other side of the family) and his family were colonialists but I'm in the process of applying for Indian overseas citizen permanent residency visa and have visited India a fair few times. I've spent a lot of time living all over the world in various countries. Firstly 2 months is way way too short a time to visit and understand a country. You really aren't out of honeymoon phase (where you think everything in the country is great and exciting till 3-4 months in). What passport(s) do you hold? Have you lived with your bf outside of India for any period of time? Why can't he live in your country? If you from Europe or the US you're both going to have a better life in the West and have better jobs. Let me some up traditional Indian marriages for you. The servant's (wife) family pay money (dowry) to the husband to have the servant move in with him and have sex with her. I kid you not but that's what it breaks down to a lot of the time. Indian men are absolute mummy boys and will do anything she says. His mother's word will over rule yours. If you do decide to move to India and marry the chap make sure you have a system set up (which your husband and his family are unaware of) so that if you don't make contact with your family for a month they know to send for help. Also have a prearranged phrase with your parents which means I'm being kept against my will contact the Embassy. Having a prepaid storage locker with a bug out bag in which contains colour photographs of you passport, has your embassy phone number, has a prepaid mobile phone, a battery charger and clothes. This may sound over kill but if you're unhappy there's a real possiblity your mother in law won't allow you to leave. Also if you do have kids with the chap for gods sake make sure you get the kids your citizenship. If you need to flee with them it will make your life a lot easier. India does not allow duel nationality. As a woman you'll be treated as a second class citizen. The fact that you look Western may depending on region make people treat you better. I'd avoid trying to look Indian. Good luck! Oh as for AI jobs in India overwhelming they'll just be entry level labelling jobs. Work for a Western company remotely, better pay better conditions.
| true
|
77
|
jieexlr
|
I was upgraded to 1a IDC grade 3 triple positive (100%x3) after SMX for 5cm dcis TN. My oncotype was 58 and ki67 was 52 so even though the idc was only 2mm it was beginning to spread aggressively. I ended up doing 12 weekly taxol/herceptin then every 3 weeks of herceptin boosters (for the her2+) and tamoxifen for 10yrs.
The first oncologist I met said I needed an oophorectomy, AI's and TCHP but I declined feeling it was overkill for 2mm. My family begged me to get a 2nd opinion so when the 2nd oncologist said low dose taxol and tamoxifen would give me the same recurrence reduction I agreed to treatment.
I also cold capped to save as much hair as possible and prevent permanent alopecia as well as froze my hands & feet to reduce neuropathy.
Hugs, you can do this!! I wish you the best on your journey 🌺
|
在 SMX 进行 5cm dcis TN 后，我升级至 1a IDC 3 级三重阳性 (100%x3)。我的 oncotype 是 58，ki67 是 52，所以尽管 idc 只有 2 毫米，但它已经开始急剧扩散。我最终每周服用 12 次紫杉醇/赫赛汀，然后每 3 周服用一次赫赛汀加强剂（针对 Her2+）和他莫昔芬，持续了 10 年。我遇到的第一位肿瘤科医生说我需要进行卵巢切除术、AI 和 TCHP，但我拒绝了，因为觉得 2 毫米的手术太过分了。我的家人恳求我听取第二意见，因此当第二位肿瘤科医生说低剂量紫杉醇和他莫昔芬可以给我带来同样的复发减少时，我同意治疗。我还冷帽以尽可能多地保留头发并防止永久性脱发以及冻住我的手和头发。足部以减少神经病变。抱抱，你可以的！！祝您旅途愉快🌺
| 0
|
I was upgraded to 1a IDC grade 3 triple positive (100x3) after SMX for 5cm dcis TN. My oncotype was 58 and ki67 was 52 so even though the idc was only 2mm it was beginning to spread aggressively. I ended up doing 12 weekly taxolherceptin then every 3 weeks of herceptin boosters (for the her2) and tamoxifen for 10yrs. The first oncologist I met said I needed an oophorectomy, AI's and TCHP but I declined feeling it was overkill for 2mm. My family begged me to get a 2nd opinion so when the 2nd oncologist said low dose taxol and tamoxifen would give me the same recurrence reduction I agreed to treatment. I also cold capped to save as much hair as possible and prevent permanent alopecia as well as froze my hands amp; feet to reduce neuropathy. Hugs, you can do this!! I wish you the best on your journey
| true
|
78
|
erqjfxn
|
Honestly is describes every canadian industry that pays 6 figures. Doctors in Canada and America’s basically have an identical education system where canadian doctors can easily move to the states and begin a practice. Why work in Canada for 75% of the pay and 30% more taxes whereas you can move to the states and have access to state of the art technology, drugs, treatments, and other experts
|
老实说，这描述了每一个支付六位数工资的加拿大行业。加拿大和美国的医生基本上拥有相同的教育体系，加拿大医生可以轻松移居美国并开始执业。为什么在加拿大工作只获得 75% 的工资和 30% 的税收，而您可以搬到美国并获得最先进的技术、药物、治疗和其他专家的帮助
| 0
|
Honestly is describes every canadian industry that pays 6 figures. Doctors in Canada and Americas basically have an identical education system where canadian doctors can easily move to the states and begin a practice. Why work in Canada for 75 of the pay and 30 more taxes whereas you can move to the states and have access to state of the art technology, drugs, treatments, and other experts
| true
|
79
|
fn00rix
|
**Here is the text for those who dont want to click the link**
>Crates of masks snatched from cargo planes on airport tarmacs. Countries paying triple the market price to outbid others. Accusations of “modern piracy” against governments trying to secure medical supplies for their own people.
>As the United States and European Union countries compete to acquire scarce medical equipment to combat the coronavirus, another troubling divide is also emerging, with poorer countries losing out to wealthier ones in the global scrum for masks and testing materials.
>Scientists in Africa and Latin America have been told by manufacturers that orders for vital testing kits cannot be filled for months, because the supply chain is in upheaval and almost everything they produce is going to America or Europe. All countries report steep price increases, from testing kits to masks.
>The huge global demand for masks, alongside new distortions in the private market, has forced some developing countries to turn to UNICEF for help. Etleva Kadilli, who oversees supplies at the agency, said it was trying to buy 240 million masks to help 100 countries but so far had managed to source only around 28 million.
>“There is a war going on behind the scenes, and we’re most worried about poorer countries losing out,” said Dr. Catharina Boehme, the chief executive of Foundation for Innovative New Diagnostics, which collaborates with the World Health Organization in helping poorer countries gain access to medical tests.
>In Africa, Latin America and parts of Asia, many countries are already at a disadvantage, with health systems that are underfunded, fragile and often lacking in necessary equipment. A recent study found that some poor countries have only one equipped intensive care bed per million residents.
>So far, the developing world has reported far fewer cases and deaths from the coronavirus, but many experts fear that the pandemic could be especially devastating for the poorest countries.
>Testing is the first defense against the virus and an important tool to stop so many patients from ending up hospitalized. Most manufacturers want to help, but the niche industry that produces the testing equipment and chemical reagents necessary to process lab tests is dealing with huge global demand.
>“There’s never really been a shortage of chemical reagents before now,” said Doris-Ann Williams, chief executive of the British In Vitro Diagnostics Association, which represents producers and distributors of the lab tests used to detect coronavirus. “If it was just one country with an epidemic it would be fine, but all the major countries in the world are wanting the same thing at the same time.”
>For poorer countries, Dr. Boehme said the competition for resources is potentially a “global catastrophe,” as a once-coherent supply chain has rapidly devolved into an arm-twisting exercise. Leaders of “every country” are personally calling manufacturing chief executives to demand first-in-line access to vital supplies. Some governments have even offered to send private jets.
>In Brazil, Amilcar Tanuri cannot offer private jets. Dr. Tanuri runs public laboratories at the Federal University of Rio de Janeiro, half of which are “stuck doing nothing,” instead of testing health workers, because he said the chemical reagents he needs are being routed to wealthier countries.
>“If you don’t have reliable tests, you are blind,” he said. “This is the beginning of the epidemic curve so I’m very concerned about the public health system here being overwhelmed very fast.”
>Brazil is Latin America’s hardest hit country so far, with more than 10,000 confirmed cases and a testing backlog of at least 23,000. It is also the region’s most controversial player in the pandemic, with a president, Jair Bolsonaro, who has been an outspoken skeptic of the risks posed by the coronavirus.
>But below the political noise, the country’s scientists began trying to ramp up testing hours after the country’s first case was announced.
>Yet within weeks, Dr. Tanuri was left to frantically call private firms on three continents, trying to source the chemical reagents needed for the 200 testing samples his labs receive every day — only to be told that the United States and Europe had already bought up months of production.
>“If we purchase something to arrive in 60 days, it’s too late,” he said. “The virus goes faster than we can go.”
>The situation is similar for some African countries.
>After reporting its first death on March 27, South Africa moved swiftly, introducing a strict lockdown and announcing ambitious house-to-house canvassing that has already seen 47,000 people tested. South Africa has more than 200 public labs, an impressive network that surpasses wealthier countries like Britain and was developed in response to past outbreaks of H.I.V. and tuberculosis.
>But, like Brazil, it is reliant on international manufacturers for the chemical reagents, and other equipment, needed to process the tests. Dr. Francois Venter, an infectious diseases expert who is advising the South African government, said the struggle to acquire the reagents was endangering the country’s overall response.
>“We have the capacity to do large testing, but we’ve been bedeviled by the fact the actual testing materials, reagents, haven’t been coming,” he said. “We’re not as wealthy. We don’t have as many ventilators, we don’t have as many doctors, our health system was in a precarious position before coronavirus.”
>“The country is terrified,” he added.
>To address the problem, South Africa’s National Health Laboratory Services has set up a “war room” of around 20 people who are continuously calling different suppliers — yet running into problems sourcing the test kits and protective equipment they need.
>“The suppliers are basically saying their production output does not meet the needs,” said Dr. Kamy Chetty, the director of the agency. “They are working flat out.”
>Experts say that the industry that produces test kits is quite small. Ms. Williams, the industry representative in Britain, said there was no shortage of chemical reagents but that delays were arising in the production process, including the necessary checks and approvals, because the huge demand was overwhelming the system.
>“Manufacturers don’t just want to sell to rich countries,” said Paul Molinaro, head of supply and logistics for the World Health Organization. “They want to diversify, but they’ve got all this competing demand from different governments.”
>He added: “When it comes to the sharp end of a hypercompetitive environment with price rises, these low- and middle-income countries are going to end up at the back of the queue.”
>Last week, President Trump invoked the Defense Production Act to prohibit the export of face masks to other countries and demand that American firms increase production of medical supplies.
>One American company that makes masks, 3M, responded by warning of “significant humanitarian implications” if it stopped supplying masks to Latin America and Canada. This week, the company and the Trump administration reached a deal that allows 3M to continue exporting to developing countries, while also providing the United States with 166 million masks over the next few months.
>Last month, Europe and China introduced their own export restrictions on tests and protective equipment.
>Some private firms, however, are putting profit aside to help developing countries with more fragile health systems.
>A British testing manufacturer, Mologic, has received government funding to develop a 10-minute home coronavirus test in partnership with Senegal that, if approved, would cost less than $1 to produce. It would not be reliant on labs, electricity or sourcing expensive supplies from global manufacturers.
>Mologic agreed to share its technology with Institut Pasteur de Dakar, a flagship lab in Dakar, to help produce the kit “at cost.” While the goal is to make it widely available, it is predominantly aimed at slowing the spread of the virus in Africa.
>For poorer countries, the supply problem is bigger than just testing.
>Zambia is at the very beginning of its epidemic curve with only one death so far, but it is already struggling to source masks, as well as testing materials like swabs and reagents, says Charles Holmes, a board member of the Centre for Infectious Disease Research in Zambia and the former chief medical officer for the Obama administration’s President’s Emergency Plan for AIDS Relief, known as PEPFAR.
>When Zambia tried to place an order for N95 masks, Dr. Holmes said, the broker tried to sell them for “five to 10 times” more than the usual cost, despite checks revealing the masks expired in 2016.
>“It’s difficult for countries or governments having those conversations with manufacturers, when much wealthier countries are having those same conversations,” he said. “The private sector is likely to respond to the highest bidder for many of these supplies, that’s just business.”
|
**这里是为那些不想点击链接的人准备的文字** >从机场停机坪上的货机上抢走的成箱口罩。一些国家支付三倍的市场价格来超越其他国家。对试图为本国人民获取医疗用品的政府提出“现代海盗行为”的指控。 >随着美国和欧盟国家竞相获取稀缺的医疗设备来对抗冠状病毒，另一个令人不安的分歧也正在出现，在全球口罩和检测材料争夺战中，较贫穷的国家输给了较富裕的国家。 >制造商告诉非洲和拉丁美洲的科学家，重要检测试剂盒的订单几个月内都无法完成，因为供应链正处于动荡之中，他们生产的几乎所有产品都流向美国或欧洲。所有国家都报告了从检测试剂盒到口罩的价格大幅上涨。 >全球对口罩的巨大需求，加上私人市场出现新的扭曲，迫使一些发展中国家向联合国儿童基金会寻求帮助。该机构负责监督供应的埃特勒瓦·卡迪利 (Etleva Kadilli) 表示，该机构正试图购买 2.4 亿个口罩来帮助 100 个国家，但到目前为止只成功采购了约 2800 万个。 >“一场战争正在幕后进行，我们最担心的是较贫穷的国家遭受损失，”创新新诊断基金会首席执行官 Catharina Boehme 博士说，该基金会与世界卫生组织在帮助较贫穷的国家获得医疗检查。 >在非洲、拉丁美洲和亚洲部分地区，许多国家已经处于不利地位，卫生系统资金不足、脆弱且往往缺乏必要的设备。最近的一项研究发现，一些贫穷国家每百万居民只有一张配备齐全的重症监护床位。 >到目前为止，发展中国家报告的冠状病毒病例和死亡人数要少得多，但许多专家担心，这种流行病可能对最贫穷的国家造成特别严重的破坏。 >检测是抵御病毒的第一道屏障，也是阻止如此多患者最终住院的重要工具。大多数制造商都想提供帮助，但生产实验室测试所需的测试设备和化学试剂的利基行业正在应对巨大的全球需求。 >“以前从未真正出现过化学试剂短缺的情况，”英国体外诊断协会首席执行官多丽丝-安·威廉姆斯说，该协会代表用于检测冠状病毒的实验室测试的生产商和分销商。 “如果只是一个国家出现疫情那还好，但世界上所有主要国家都在同时想要同样的事情。” >博姆博士表示，对于较贫穷国家来说，资源竞争可能是一场“全球灾难”，因为曾经连贯的供应链已迅速演变成一种强制行为。 “每个国家”的领导人都亲自致电制造业首席执行官，要求首先获得重要供应品。一些政府甚至提出派遣私人飞机。 >在巴西，Amilcar Tanuri 无法提供私人飞机。塔努里博士在里约热内卢联邦大学经营公共实验室，其中一半“无所事事”，而不是对卫生工作者进行检测，因为他说他需要的化学试剂正在被送往较富裕的国家。 >“如果你没有可靠的测试，你就是盲目的，”他说。 “这是流行病曲线的开始，所以我非常担心这里的公共卫生系统很快就会不堪重负。” >巴西是拉丁美洲迄今为止疫情最严重的国家，确诊病例超过1万例，检测积压至少2.3万例。它也是该地区在这场大流行中最具争议的参与者，其总统贾尔·博尔索纳罗(Jair Bolsonaro)一直直言不讳地对冠状病毒带来的风险表示怀疑。 >但在政治噪音之下，该国科学家在该国宣布首例病例数小时后开始尝试加大检测力度。 >然而几周之内，Tanuri 博士不得不疯狂地打电话给三大洲的私营公司，试图为其实验室每天收到的 200 个检测样本采购所需的化学试剂，结果却被告知美国和欧洲已经买下了几个月的生产量。 >“如果我们购买的东西要在 60 天内到达，那就太晚了，”他说。 “病毒的传播速度比我们的传播速度还要快。” >一些非洲国家的情况类似。 >在 3 月 27 日报告首例死亡病例后，南非迅速采取行动，实行严格封锁，并宣布开展雄心勃勃的挨家挨户排查，目前已对 47,000 人进行了检测。南非拥有 200 多个公共实验室，这是一个令人印象深刻的网络，超过了英国等富裕国家，并且是为了应对过去的艾滋病毒和结核病爆发而开发的。 >但是，与巴西一样，它依赖国际制造商提供进行测试所需的化学试剂和其他设备。为南非政府提供咨询的传染病专家弗朗索瓦·文特尔博士表示，获取试剂的困难正在危及该国的整体应对工作。 >“我们有能力进行大规模检测，但实际的检测材料、试剂还没有到来，这让我们感到困扰，”他说。 “我们没有那么富有。我们没有那么多的呼吸机，我们没有那么多的医生，我们的卫生系统在冠状病毒出现之前就处于不稳定的境地。” >“这个国家感到害怕，”他补充道。为了解决这个问题，南非国家卫生实验室服务中心设立了一个由大约 20 人组成的“作战室”，他们不断地给不同的供应商打电话，但在采购他们所需的检测试剂盒和防护设备时却遇到了问题。 >“供应商基本上都说他们的产量不能满足需求，”该机构主任卡米·切蒂博士说。 “他们正在全力以赴地工作。” >专家表示，生产检测试剂盒的行业规模相当小。英国行业代表威廉姆斯女士表示，化学试剂并不短缺，但生产过程中出现了延误，包括必要的检查和批准，因为巨大的需求使系统不堪重负。 >“制造商不仅仅想向富裕国家销售产品，”世界卫生组织供应和物流主管保罗·莫利纳罗 (Paul Molinaro) 表示。 “他们想要多元化，但他们面临着来自不同政府的所有竞争性需求。” >他补充道：“当谈到价格上涨的过度竞争环境的尖锐时刻时，这些低收入和中等收入国家最终将排在最后。” >上周，特朗普总统援引《国防生产法》，禁止向其他国家出口口罩，并要求美国企业增加医疗用品的生产。 >一家生产口罩的美国公司 3M 回应称，如果停止向拉丁美洲和加拿大供应口罩，将产生“重大人道主义影响”。本周，该公司与特朗普政府达成一项协议，允许3M继续向发展中国家出口，同时还在未来几个月内向美国提供1.66亿个口罩。 >上个月，欧洲和中国推出了各自的检测和防护设备出口限制。 >然而，一些私营公司正在留出利润来帮助卫生系统较为脆弱的发展中国家。英国检测制造商 Mologic 已获得政府资助，与塞内加尔合作开发一种 10 分钟的家庭冠状病毒检测，如果获得批准，生产成本将低于 1 美元。它不会依赖实验室、电力或从全球制造商那里采购昂贵的供应品。 >Mologic 同意与达喀尔巴斯德研究所（达喀尔旗舰实验室）分享其技术，以帮助“以成本价”生产该试剂盒。虽然目标是使其广泛可用，但主要目的是减缓病毒在非洲的传播。 >对于较贫穷的国家来说，供应问题不仅仅是测试。 >传染病中心董事会成员查尔斯·霍姆斯表示，赞比亚正处于疫情曲线的初期，迄今为止只有一例死亡，但该国已经在努力采购口罩以及棉签和试剂等检测材料。赞比亚疾病研究中心和奥巴马政府总统艾滋病紧急救援计划（PEPFAR）的前首席医疗官。 >霍姆斯博士说，当赞比亚试图订购 N95 口罩时，经纪人试图以比平常价格高“5 到 10 倍”的价格出售它们，尽管检查显示这些口罩已于 2016 年过期。>“这是对于国家或政府来说，与制造商进行这些对话是很困难的，而富裕得多的国家正在进行同样的对话，”他说。 “私营部门可能会对其中许多供应品的出价最高者做出反应，这就是生意。”
| 0
|
Here is the text for those who dont want to click the link gt;Crates of masks snatched from cargo planes on airport tarmacs. Countries paying triple the market price to outbid others. Accusations of modern piracy against governments trying to secure medical supplies for their own people. gt;As the United States and European Union countries compete to acquire scarce medical equipment to combat the coronavirus, another troubling divide is also emerging, with poorer countries losing out to wealthier ones in the global scrum for masks and testing materials. gt;Scientists in Africa and Latin America have been told by manufacturers that orders for vital testing kits cannot be filled for months, because the supply chain is in upheaval and almost everything they produce is going to America or Europe. All countries report steep price increases, from testing kits to masks. gt;The huge global demand for masks, alongside new distortions in the private market, has forced some developing countries to turn to UNICEF for help. Etleva Kadilli, who oversees supplies at the agency, said it was trying to buy 240 million masks to help 100 countries but so far had managed to source only around 28 million. gt;There is a war going on behind the scenes, and were most worried about poorer countries losing out, said Dr. Catharina Boehme, the chief executive of Foundation for Innovative New Diagnostics, which collaborates with the World Health Organization in helping poorer countries gain access to medical tests. gt;In Africa, Latin America and parts of Asia, many countries are already at a disadvantage, with health systems that are underfunded, fragile and often lacking in necessary equipment. A recent study found that some poor countries have only one equipped intensive care bed per million residents. gt;So far, the developing world has reported far fewer cases and deaths from the coronavirus, but many experts fear that the pandemic could be especially devastating for the poorest countries. gt;Testing is the first defense against the virus and an important tool to stop so many patients from ending up hospitalized. Most manufacturers want to help, but the niche industry that produces the testing equipment and chemical reagents necessary to process lab tests is dealing with huge global demand. gt;Theres never really been a shortage of chemical reagents before now, said Doris-Ann Williams, chief executive of the British In Vitro Diagnostics Association, which represents producers and distributors of the lab tests used to detect coronavirus. If it was just one country with an epidemic it would be fine, but all the major countries in the world are wanting the same thing at the same time. gt;For poorer countries, Dr. Boehme said the competition for resources is potentially a global catastrophe, as a once-coherent supply chain has rapidly devolved into an arm-twisting exercise. Leaders of every country are personally calling manufacturing chief executives to demand first-in-line access to vital supplies. Some governments have even offered to send private jets. gt;In Brazil, Amilcar Tanuri cannot offer private jets. Dr. Tanuri runs public laboratories at the Federal University of Rio de Janeiro, half of which are stuck doing nothing, instead of testing health workers, because he said the chemical reagents he needs are being routed to wealthier countries. gt;If you dont have reliable tests, you are blind, he said. This is the beginning of the epidemic curve so Im very concerned about the public health system here being overwhelmed very fast. gt;Brazil is Latin Americas hardest hit country so far, with more than 10,000 confirmed cases and a testing backlog of at least 23,000. It is also the regions most controversial player in the pandemic, with a president, Jair Bolsonaro, who has been an outspoken skeptic of the risks posed by the coronavirus. gt;But below the political noise, the countrys scientists began trying to ramp up testing hours after the countrys first case was announced. gt;Yet within weeks, Dr. Tanuri was left to frantically call private firms on three continents, trying to source the chemical reagents needed for the 200 testing samples his labs receive every day only to be told that the United States and Europe had already bought up months of production. gt;If we purchase something to arrive in 60 days, its too late, he said. The virus goes faster than we can go. gt;The situation is similar for some African countries. gt;After reporting its first death on March 27, South Africa moved swiftly, introducing a strict lockdown and announcing ambitious house-to-house canvassing that has already seen 47,000 people tested. South Africa has more than 200 public labs, an impressive network that surpasses wealthier countries like Britain and was developed in response to past outbreaks of H.I.V. and tuberculosis. gt;But, like Brazil, it is reliant on international manufacturers for the chemical reagents, and other equipment, needed to process the tests. Dr. Francois Venter, an infectious diseases expert who is advising the South African government, said the struggle to acquire the reagents was endangering the countrys overall response. gt;We have the capacity to do large testing, but weve been bedeviled by the fact the actual testing materials, reagents, havent been coming, he said. Were not as wealthy. We dont have as many ventilators, we dont have as many doctors, our health system was in a precarious position before coronavirus. gt;The country is terrified, he added. gt;To address the problem, South Africas National Health Laboratory Services has set up a war room of around 20 people who are continuously calling different suppliers yet running into problems sourcing the test kits and protective equipment they need. gt;The suppliers are basically saying their production output does not meet the needs, said Dr. Kamy Chetty, the director of the agency. They are working flat out. gt;Experts say that the industry that produces test kits is quite small. Ms. Williams, the industry representative in Britain, said there was no shortage of chemical reagents but that delays were arising in the production process, including the necessary checks and approvals, because the huge demand was overwhelming the system. gt;Manufacturers dont just want to sell to rich countries, said Paul Molinaro, head of supply and logistics for the World Health Organization. They want to diversify, but theyve got all this competing demand from different governments. gt;He added: When it comes to the sharp end of a hypercompetitive environment with price rises, these low- and middle-income countries are going to end up at the back of the queue. gt;Last week, President Trump invoked the Defense Production Act to prohibit the export of face masks to other countries and demand that American firms increase production of medical supplies. gt;One American company that makes masks, 3M, responded by warning of significant humanitarian implications if it stopped supplying masks to Latin America and Canada. This week, the company and the Trump administration reached a deal that allows 3M to continue exporting to developing countries, while also providing the United States with 166 million masks over the next few months. gt;Last month, Europe and China introduced their own export restrictions on tests and protective equipment. gt;Some private firms, however, are putting profit aside to help developing countries with more fragile health systems. gt;A British testing manufacturer, Mologic, has received government funding to develop a 10-minute home coronavirus test in partnership with Senegal that, if approved, would cost less than 1 to produce. It would not be reliant on labs, electricity or sourcing expensive supplies from global manufacturers. gt;Mologic agreed to share its technology with Institut Pasteur de Dakar, a flagship lab in Dakar, to help produce the kit at cost. While the goal is to make it widely available, it is predominantly aimed at slowing the spread of the virus in Africa. gt;For poorer countries, the supply problem is bigger than just testing. gt;Zambia is at the very beginning of its epidemic curve with only one death so far, but it is already struggling to source masks, as well as testing materials like swabs and reagents, says Charles Holmes, a board member of the Centre for Infectious Disease Research in Zambia and the former chief medical officer for the Obama administrations Presidents Emergency Plan for AIDS Relief, known as PEPFAR. gt;When Zambia tried to place an order for N95 masks, Dr. Holmes said, the broker tried to sell them for five to 10 times more than the usual cost, despite checks revealing the masks expired in 2016. gt;Its difficult for countries or governments having those conversations with manufacturers, when much wealthier countries are having those same conversations, he said. The private sector is likely to respond to the highest bidder for many of these supplies, thats just business.
| true
|
80
|
hzzdyjo
|
I completely get why you are scared, there are so many unknowns and I've at least found that Doctor's aren't all that great at explaining what things mean or even contacting you to discuss lab results. They complain when patients google things but they leave patients in the position that they have to google things.
The biggest thing I found out on this journey that really surprised me is that a positive test result doesn't mean you have anything wrong and a negative test doesn't mean that you don't have something wrong. Autoimmune is like a puzzle - it requires several different pieces to come together to create a picture of what is going on. It's not just the lab work, it's lab work plus family history and symptoms.
I have heard of people being diagnosed with negative tests but having symptoms and I've heard of people being diagnosed based off positive tests and no symptoms. Some tests for autoimmune will be positive for healthy people (ANA is one that is common for healthy people with no AI to test positive for) and a lot of the tests have a very high chance of a false positive (I tested positive for one of the scleroderma indicators, I do not have scleroderma and more than likely had a false positive).
Having a baby can throw things off, lyme disease can throw things off. There are so many factors that could be going on. It's worth looking into but not worth being overly stressed at this point. You will want to see a rheumatologist for further testing, You may also need to see a hepatic (liver) specialist to see what is going on there.
And just remember - even if there is something there, so many things are treatable and manageable.
|
我完全理解你为什么害怕，有这么多的未知数，我至少发现医生不太擅长解释事情的含义，甚至不擅长联系你讨论实验室结果。当病人用谷歌搜索东西时，他们会抱怨，但他们让病人处于必须用谷歌搜索东西的境地。在这次旅程中我发现的最令我惊讶的事情是，阳性检测结果并不意味着您有任何问题，阴性检测结果并不意味着您没有任何问题。自身免疫就像一个拼图 - 它需要将几个不同的部分组合在一起才能绘制出正在发生的事情的图片。这不仅仅是实验室工作，而是实验室工作加上家族史和症状。我听说过有人被诊断为阴性但有症状，我也听说有人被诊断为阳性但没有症状。一些自身免疫测试对健康人来说会呈阳性（ANA 是没有 AI 测试呈阳性的健康人中常见的一种测试），并且许多测试出现假阳性的可能性非常高（我对其中一项测试呈阳性）硬皮病指标，我没有硬皮病，很可能出现假阳性）。生孩子可能会让事情变得糟糕，莱姆病也会让事情变得糟糕。可能发生的因素有很多。这是值得研究的，但目前不值得过度紧张。您需要去看风湿病专家进行进一步的检查，您可能还需要去看肝脏专家以了解那里发生了什么。请记住 - 即使那里有什么问题，很多事情都是可以治疗和管理的。
| 0
|
I completely get why you are scared, there are so many unknowns and I've at least found that Doctor's aren't all that great at explaining what things mean or even contacting you to discuss lab results. They complain when patients google things but they leave patients in the position that they have to google things. The biggest thing I found out on this journey that really surprised me is that a positive test result doesn't mean you have anything wrong and a negative test doesn't mean that you don't have something wrong. Autoimmune is like a puzzle - it requires several different pieces to come together to create a picture of what is going on. It's not just the lab work, it's lab work plus family history and symptoms. I have heard of people being diagnosed with negative tests but having symptoms and I've heard of people being diagnosed based off positive tests and no symptoms. Some tests for autoimmune will be positive for healthy people (ANA is one that is common for healthy people with no AI to test positive for) and a lot of the tests have a very high chance of a false positive (I tested positive for one of the scleroderma indicators, I do not have scleroderma and more than likely had a false positive). Having a baby can throw things off, lyme disease can throw things off. There are so many factors that could be going on. It's worth looking into but not worth being overly stressed at this point. You will want to see a rheumatologist for further testing, You may also need to see a hepatic (liver) specialist to see what is going on there. And just remember - even if there is something there, so many things are treatable and manageable.
| true
|
81
|
jaldwxe
|
Motors are already way more powerful than battlebots can make use of in some cases. What is going to drive changes will be battery tech and possibly driver-assist automation. Batteries that can deliver higher current or have a higher capacity in the same weight and volume will allow for more powerful motors to be used, or for less weight to be spent on them to achieve the same performance as today's machines, allowing for heavier armor, tougher frames, and bigger weapons. Imagine something like Riptide spinning up in the time it takes for a much smaller weapon like Witch Doctor's, or if bots like Gigabyte and Bloodsport would get up to speed in that kind of time. That's what more peak power output looks like.
As far as driver assists, I would love to experiment with them if I had the time myself. The biggest one I can picture is something already used in loads of other competitive robotics events, a target lock. Even high-school teams are able to set up a camera or set of cameras with Tensor Flow to find their target, and keep the robot facing it while the driver does other things, and quite a few can even do the parallax calculation to get a rough range out of it.
I wouldn't go full Chomp or Honest Abe on it. (Honest Abe was a rejected shell spinner that would pilot itself towards the enemy with omni wheels and a lidar sensor on the top, but was rejected due to safety concerns over it targeting people.) But imagine if you could have something like Hypershock or Claw Viper that never misses the other robot when they charge in. The driver flicks a switch and the bot mixes steering inputs with the inputs needed to keep the other robot in the center of its FOV. That's a direct head-on every time if you get it dialed in.
|
在某些情况下，电机的威力已经比战斗机器人所能使用的要强大得多。推动变革的将是电池技术和可能的驾驶员辅助自动化。能够在相同重量和体积下提供更高电流或具有更高容量的电池将允许使用更强大的电机，或者花费更少的重量来实现与当今机器相同的性能，从而允许更重的装甲，更坚固的框架和更大的武器。想象一下像《激流》这样的东西在像巫医这样的小武器需要的时间内旋转起来，或者如果像 Gigabyte 和 Bloodsport 这样的机器人能够在那样的时间内加快速度。这就是更多峰值功率输出的样子。至于驾驶员辅助功能，如果我自己有时间的话，我很愿意尝试一下。我能想到的最大的一个是已经在许多其他机器人竞赛项目中使用的东西，即目标锁定。即使是高中团队也能够使用 Tensor Flow 设置一个或一组相机来寻找目标，并在驾驶员做其他事情时让机器人面向目标，相当多的团队甚至可以进行视差计算以获得目标大致范围在它之外。我不会全力以赴地咀嚼或诚实的阿贝。 （诚实的 Abe 是一个被拒绝的炮弹旋转器，它会用全向轮和顶部的激光雷达传感器引导自己飞向敌人，但由于其针对人类的安全问题而被拒绝。）但想象一下，如果你能有像 Hypershock 或 Claw 这样的东西Viper 在冲锋时绝不会错过其他机器人。驾驶员轻按开关，机器人会将转向输入与将另一个机器人保持在其视场中心所需的输入混合在一起。如果你拨通电话，每次都是直接正面交锋。
| 0
|
Motors are already way more powerful than battlebots can make use of in some cases. What is going to drive changes will be battery tech and possibly driver-assist automation. Batteries that can deliver higher current or have a higher capacity in the same weight and volume will allow for more powerful motors to be used, or for less weight to be spent on them to achieve the same performance as today's machines, allowing for heavier armor, tougher frames, and bigger weapons. Imagine something like Riptide spinning up in the time it takes for a much smaller weapon like Witch Doctor's, or if bots like Gigabyte and Bloodsport would get up to speed in that kind of time. That's what more peak power output looks like. As far as driver assists, I would love to experiment with them if I had the time myself. The biggest one I can picture is something already used in loads of other competitive robotics events, a target lock. Even high-school teams are able to set up a camera or set of cameras with Tensor Flow to find their target, and keep the robot facing it while the driver does other things, and quite a few can even do the parallax calculation to get a rough range out of it. I wouldn't go full Chomp or Honest Abe on it. (Honest Abe was a rejected shell spinner that would pilot itself towards the enemy with omni wheels and a lidar sensor on the top, but was rejected due to safety concerns over it targeting people.) But imagine if you could have something like Hypershock or Claw Viper that never misses the other robot when they charge in. The driver flicks a switch and the bot mixes steering inputs with the inputs needed to keep the other robot in the center of its FOV. That's a direct head-on every time if you get it dialed in.
| true
|
82
|
djs3sj9
|
What I can glean from the article suggests that they're using a scanner which is specifically built for diffusion tensor imaging. Most scanners can do DTI and as such it's been used for a while - however, because it requires changing the orientation of the magnetic field at relatively high frequencies, the machine shakes and judders quite a lot which constrains the resolution. When I last worked in that field, which was a few years ago, they were talking about some very basic modifications like uncoupling the table you lie on from the machine itself to try to mitigate it.
Being able to use more magnetic field orientations without constraining the resolution in that way means you can get better images like this even without using a high-powered scanner: most medical MRIs are around 3T but research scanners go up to 11T or so.
My work was feeding DTI data through some basic machine learning algorithms (it'd all be neural networks these days) to try to detect Parkinsons' disease. I got to about the same level of accuracy as an average clinician who has access to the patient's chart, behavioural studies and so on, just data from a normal scanner. With higher-quality data like this I suspect it would be better. There were a few papers out at that time doing similar things for a wide range of other mental disorders. For something like PD, it would be helpful because the symptoms are often pretty broad and the only gold standard test for it is an autopsy.
|
我从这篇文章中了解到，他们正在使用专门为扩散张量成像而构建的扫描仪。大多数扫描仪都可以进行 DTI，因此它已经使用了一段时间 - 然而，由于它需要以相对较高的频率改变磁场方向，因此机器会发生很大的震动和颤动，从而限制了分辨率。当我上次在这个领域工作时，也就是几年前，他们正在谈论一些非常基本的修改，比如将你躺着的桌子与机器本身分开，以试图缓解它。能够使用更多的磁场方向而不以这种方式限制分辨率意味着即使不使用高功率扫描仪也可以获得更好的图像：大多数医学 MRI 约为 3T，但研究扫描仪可达 11T 左右。我的工作是通过一些基本的机器学习算法（现在都是神经网络）输入 DTI 数据，以尝试检测帕金森病。我的准确度与普通临床医生大致相同，他们可以访问患者的图表、行为研究等，只需来自普通扫描仪的数据。有了像这样更高质量的数据，我怀疑会更好。当时有几篇论文针对广泛的其他精神障碍做了类似的事情。对于像帕金森病这样的疾病，这会很有帮助，因为症状通常非常广泛，唯一的黄金标准测试是尸检。
| 1
|
What I can glean from the article suggests that they're using a scanner which is specifically built for diffusion tensor imaging. Most scanners can do DTI and as such it's been used for a while - however, because it requires changing the orientation of the magnetic field at relatively high frequencies, the machine shakes and judders quite a lot which constrains the resolution. When I last worked in that field, which was a few years ago, they were talking about some very basic modifications like uncoupling the table you lie on from the machine itself to try to mitigate it. Being able to use more magnetic field orientations without constraining the resolution in that way means you can get better images like this even without using a high-powered scanner: most medical MRIs are around 3T but research scanners go up to 11T or so. My work was feeding DTI data through some basic machine learning algorithms (it'd all be neural networks these days) to try to detect Parkinsons' disease. I got to about the same level of accuracy as an average clinician who has access to the patient's chart, behavioural studies and so on, just data from a normal scanner. With higher-quality data like this I suspect it would be better. There were a few papers out at that time doing similar things for a wide range of other mental disorders. For something like PD, it would be helpful because the symptoms are often pretty broad and the only gold standard test for it is an autopsy.
| true
|
83
|
ine7v9z
|
>Malev War
It just didnt click for me. I wont say it was bad or anything but I am older now and working in computer science for a couple of decades so whenever I see stories about AI and such all I can see is plot holes. Kind of like how doctors cant watch fictional medical tv shows.
I will say that I enjoyed all the books (a lot) when I was in my teens. Valiant was, by far, my favorite publishers due to their story telling (Vertigo stuff was good too). They way they wrote was more detailed than the mainstream and characters felt more believable and even the art was great not because of adrenaline action shots or big guns or massive boobs and biceps, but for the detail. I remember reading a Shadowman book and the panels would have detail. Like there is a table. On the table there are random objects like a flower pot, with a flower in it. The pot has some design and there are shadows and some imperfections and so on. The mainstream books didnt care if you could even draw a hand or foot at that time. They just pumped out garbage and I just thought wow, this is someone who actually loves to draw. It may not be as exciting and in your face, but there is love to this otherwise insignificant panel and you wouldnt do that if you didnt love your craft. I loved that about the Valiant books.
Good old days.
|
>马列夫战争 它只是不适合我。我不会说这很糟糕或其他什么，但我现在年纪大了，在计算机科学领域工作了几十年，所以每当我看到有关人工智能的故事时，我所能看到的都是情节漏洞。有点像医生不能看虚构的医疗电视节目。我会说，当我十几岁的时候，我（非常）喜欢所有的书。到目前为止，Valiant 是我最喜欢的出版商，因为他们讲故事（Vertigo 的东西也很好）。他们的写作方式比主流更详细，人物感觉更可信，甚至艺术也很棒，不是因为肾上腺素动作镜头或大枪或巨大的胸部和二头肌，而是因为细节。我记得读过一本《影子人》的书，面板上有详细信息。就像有一张桌子一样。桌子上有一些随机的物体，比如花盆，里面有一朵花。该壶有一些设计，有阴影和一些瑕疵等。当时主流书籍根本不关心你是否会画手或脚。他们只是倒垃圾，我只是想哇，这是一个真正喜欢画画的人。它可能不那么令人兴奋并且在你的脸上，但是对这个微不足道的小组有爱，如果你不喜欢你的手艺，你就不会这样做。我喜欢《勇敢者》这本书。美好的过去。
| 0
|
gt;Malev War It just didnt click for me. I wont say it was bad or anything but I am older now and working in computer science for a couple of decades so whenever I see stories about AI and such all I can see is plot holes. Kind of like how doctors cant watch fictional medical tv shows. I will say that I enjoyed all the books (a lot) when I was in my teens. Valiant was, by far, my favorite publishers due to their story telling (Vertigo stuff was good too). They way they wrote was more detailed than the mainstream and characters felt more believable and even the art was great not because of adrenaline action shots or big guns or massive boobs and biceps, but for the detail. I remember reading a Shadowman book and the panels would have detail. Like there is a table. On the table there are random objects like a flower pot, with a flower in it. The pot has some design and there are shadows and some imperfections and so on. The mainstream books didnt care if you could even draw a hand or foot at that time. They just pumped out garbage and I just thought wow, this is someone who actually loves to draw. It may not be as exciting and in your face, but there is love to this otherwise insignificant panel and you wouldnt do that if you didnt love your craft. I loved that about the Valiant books. Good old days.
| true
|
84
|
gg6iwam
|
Beep boop! It looks like you're asking about purging!
- First: **no one can predict how long your purge will last!** Be patient, and accept this robot hug while you wait: [ ]. The purge can be tough but so many people have gotten through it - you can too!
- Second: **no one can predict whether or not you will purge!** If you don't currently have active acne, it's less likely but still possible.
- Third: If your purge lasts for longer than 6 months or seems really extreme, talk to your dermatologist!
- Lastly: We have a very [helpful wiki!](https://www.reddit.com/r/tretinoin/wiki/index) It contains lots of tips about starting out, including [everything your doctor should have told you.](https://www.reddit.com/r/tretinoin/wiki/tret-instructions) You can also post in the monthly help thread - it's stickied to the top of the sub every week!
*I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/tretinoin) if you have any questions or concerns.*
|
嘟嘟！看来你是在问清理问题！ - 第一：**没人能预测你的净化会持续多久！**要有耐心，在等待时接受这个机器人拥抱：[ ]。清洗可能很艰难，但很多人都挺过来了——你也可以！ - 第二：**没人能预测你是否会排毒！** 如果你目前没有活跃的痤疮，这种可能性较小，但仍然有可能。 - 第三：如果您的净化持续超过 6 个月或看起来非常极端，请咨询您的皮肤科医生！ - 最后：我们有一个非常[有用的维基！](https://www.reddit.com/r/tretinoin/wiki/index)它包含很多关于开始的提示，包括[你的医生应该告诉你的一切。 ](https://www.reddit.com/r/tretinoin/wiki/tret-instructions) 您还可以在每月帮助线程中发帖 - 它每周都会粘在子顶部！ *我是一个机器人，这个动作是自动执行的。如果您有任何问题或疑虑，请[联系此 subreddit 的版主](/message/compose/?to=/r/tretinoin)。*
| 0
|
Beep boop! It looks like you're asking about purging! - First: no one can predict how long your purge will last! Be patient, and accept this robot hug while you wait: . The purge can be tough but so many people have gotten through it - you can too! - Second: no one can predict whether or not you will purge! If you don't currently have active acne, it's less likely but still possible. - Third: If your purge lasts for longer than 6 months or seems really extreme, talk to your dermatologist! - Lastly: We have a very helpful wiki!(https:www.reddit.comrtretinoinwikiindex) It contains lots of tips about starting out, including everything your doctor should have told you.(https:www.reddit.comrtretinoinwikitret-instructions) You can also post in the monthly help thread - it's stickied to the top of the sub every week! I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit(messagecompose?tortretinoin) if you have any questions or concerns.
| true
|
85
|
i7flm7t
|
I agree if we could do it but I'm afraid our politicians are just too petty, greedy, stupid, or all of the above. There is a solution that allows for doctors to be paid appropriately for their services and schooling while allowing universal Healthcare. I think our education system is woefully underfunded. I think the way certain laws get passed is dumb. For example, the Repulican "don't say gay bill" would a fair compromise not be to add further funding to schools. Shorten summers, and then have a dedicated expert oversaw sexual education course? It's important for students to understand these issues but instead we pass a law that says you have to close your eyes, cover your ears and scream "LA LA LA LA LA" anytime a third grader or under might see a rainbow flag. But then on the flipped flipped have young teachers going on tiktok telling parents to get bent which only fuels their outrage and adds legitimacy to a problem of miscommunication. As an American, our biggest problem is our arrogance towards each other. It's like for fucks sake can we just talk things out like adults?
No
We are going to instead just repeal Roe V. Wade.
Which again had its issues in that it was passed through the Supreme Court and not Congress making its position almost a guaranteed temperorary thing (not saying anything could be done about this, that would take the Republicans growing the fuck up, for people who scream about not wanting a nanny state they sure do love babysitting people )
I know I'm ranting and I hope I didn't offend anyone but I'm just so fucking demoralized as a voter. I can't vote for the Republicans because the are against most of the stuff I'm for and I can't vote for the Democrats because I have lost all faith in their ability to govern.
And there I'd a bias which might be my fault I hold alot of resentment over the Afghanistan pullout because I feel like everything that we sacrificed there was wasted but that also leads me to believe that the democrats are just incapable of leadership.
The only thing thru could do now, is repeal the 22nd Amendment and have Barack Obama run with Susan Rice as VP.
Or just have Susan Rice run for President FFS at least she has proven she can't get shit done
|
如果我们能做到的话，我同意，但我担心我们的政客太小气、贪婪、愚蠢，或者以上兼而有之。有一个解决方案可以让医生获得适当的服务和教育报酬，同时允许全民医疗保健。我认为我们的教育系统资金严重不足。我认为某些法律的通过方式是愚蠢的。例如，共和党的“不要说同性恋法案”将是一个公平的妥协，而不是为学校增加更多资金。缩短暑假，然后有专门的专家监督性教育课程？对于学生来说，理解这些问题很重要，但我们却通过了一项法律，要求三年级或以下学生看到彩虹旗时必须闭上眼睛，捂住耳朵并尖叫“LA LA LA LA LA”。但随后，年轻的教师在抖音上告诉家长要弯曲，这只会激起他们的愤怒，并给沟通不畅的问题增加合法性。作为美国人，我们最大的问题是我们对彼此的傲慢。就好像我们可以像成年人一样把事情说出来吗？不，我们将废除罗伊诉韦德案。这也有它的问题，因为它是通过最高法院而不是国会通过的，这使得它的立场几乎是一个有保证的临时事情（没有说对此可以做任何事情，这会让共和党人长大，对于那些尖叫的人来说）不想要一个保姆州，他们确实喜欢照顾人）我知道我在咆哮，我希望我没有冒犯任何人，但作为一名选民，我真的太他妈的士气低落了。我不能投票给共和党，因为他们反对我所支持的大部分内容；我也不能投票给民主党，因为我对他们的执政能力失去了所有信心。在那里我有一个偏见，这可能是我的错，我对阿富汗撤军抱有很大的怨恨，因为我觉得我们在那里牺牲的一切都被浪费了，但这也让我相信民主党没有能力发挥领导作用。现在唯一能做的就是废除第 22 条修正案，让巴拉克·奥巴马 (Barack Obama) 与苏珊·赖斯 (Susan Rice) 一起竞选副总统。或者让苏珊·赖斯（Susan Rice）竞选 FFS 总统，至少她已经证明了她无法完成任务
| 0
|
I agree if we could do it but I'm afraid our politicians are just too petty, greedy, stupid, or all of the above. There is a solution that allows for doctors to be paid appropriately for their services and schooling while allowing universal Healthcare. I think our education system is woefully underfunded. I think the way certain laws get passed is dumb. For example, the Repulican "don't say gay bill" would a fair compromise not be to add further funding to schools. Shorten summers, and then have a dedicated expert oversaw sexual education course? It's important for students to understand these issues but instead we pass a law that says you have to close your eyes, cover your ears and scream "LA LA LA LA LA" anytime a third grader or under might see a rainbow flag. But then on the flipped flipped have young teachers going on tiktok telling parents to get bent which only fuels their outrage and adds legitimacy to a problem of miscommunication. As an American, our biggest problem is our arrogance towards each other. It's like for fucks sake can we just talk things out like adults? No We are going to instead just repeal Roe V. Wade. Which again had its issues in that it was passed through the Supreme Court and not Congress making its position almost a guaranteed temperorary thing (not saying anything could be done about this, that would take the Republicans growing the fuck up, for people who scream about not wanting a nanny state they sure do love babysitting people ) I know I'm ranting and I hope I didn't offend anyone but I'm just so fucking demoralized as a voter. I can't vote for the Republicans because the are against most of the stuff I'm for and I can't vote for the Democrats because I have lost all faith in their ability to govern. And there I'd a bias which might be my fault I hold alot of resentment over the Afghanistan pullout because I feel like everything that we sacrificed there was wasted but that also leads me to believe that the democrats are just incapable of leadership. The only thing thru could do now, is repeal the 22nd Amendment and have Barack Obama run with Susan Rice as VP. Or just have Susan Rice run for President FFS at least she has proven she can't get shit done
| true
|
86
|
fti5xg0
|
Egypt is made up of middle easterners. They speak ARABIC,trade with the Middle East, ally with middle eastern countries, disdain the rest of Africa, and are situated geographically in the corner of northeastern Africa right on the edge of Middle East. They are middle eastern in every way.
I’m not a white supremacist. In every way I think the African people COULD develop their societies like every other people on earth have, but they have refused to do so. After colonialism and slavery ended, there was no longer any reason to justify third world under developed BS for 300 years. They’re basically just lazy and doing nothing to develop now.
Take note that Africans in the US and Europe have become doctors and engineers and computer scientists. Why? Because there was a developed society there that facilitated this.
China dig themselves out of third world poverty despite slavery and feudalism and parasites and famines. Same for South Korea. Russia built a nation in the frozen wasteland because of socialism.
Why is it that everyone else except for the African continent has developed? Despite trillions being poured into Africa for decades, NOTHING has been developed? It’s because they’d rather waste the money than develop and build, or leave their country entirely by moving to another western society.
|
埃及是由中东人组成的。他们讲阿拉伯语，与中东贸易，与中东国家结盟，蔑视非洲其他地区，地理位置位于非洲东北部一角，紧邻中东边缘。他们在各个方面都是中东人。我不是白人至上主义者。我认为从各个方面来说，非洲人民都可以像地球上其他人民一样发展他们的社会，但他们拒绝这样做。殖民主义和奴隶制结束后，不再有任何理由为第三世界300年的发达BS辩护。他们基本上只是懒惰，现在没有做任何事情来发展。请注意，美国和欧洲的非洲人已成为医生、工程师和计算机科学家。为什么？因为那里有一个发达的社会，这促进了这一点。尽管存在奴隶制、封建主义、寄生虫和饥荒，中国还是摆脱了第三世界的贫困。韩国也一样。俄罗斯因为社会主义而在冰冻荒原上建立了国家。为什么除了非洲大陆以外其他地区都发达了？尽管数十年来向非洲注入了数万亿美元，但什么也没开发出来？这是因为他们宁愿浪费钱，也不愿开发和建设，或者完全离开自己的国家，搬到另一个西方社会。
| 0
|
Egypt is made up of middle easterners. They speak ARABIC,trade with the Middle East, ally with middle eastern countries, disdain the rest of Africa, and are situated geographically in the corner of northeastern Africa right on the edge of Middle East. They are middle eastern in every way. Im not a white supremacist. In every way I think the African people COULD develop their societies like every other people on earth have, but they have refused to do so. After colonialism and slavery ended, there was no longer any reason to justify third world under developed BS for 300 years. Theyre basically just lazy and doing nothing to develop now. Take note that Africans in the US and Europe have become doctors and engineers and computer scientists. Why? Because there was a developed society there that facilitated this. China dig themselves out of third world poverty despite slavery and feudalism and parasites and famines. Same for South Korea. Russia built a nation in the frozen wasteland because of socialism. Why is it that everyone else except for the African continent has developed? Despite trillions being poured into Africa for decades, NOTHING has been developed? Its because theyd rather waste the money than develop and build, or leave their country entirely by moving to another western society.
| true
|
87
|
fuo95v0
|
Money is most certainly the answer. Where money will come from is actually not the problem. Its getting those in power to okay the "creation" of it. We live off a fiat currency so its value is not tied to anything specific anymore. That gives us flexibility to work with the monetary supply to help solve problems. The smartest economics in the world say now is the time to go big. When your house is on fire you don't nitpick over how much water you use to put it out. From a cost benefit analysis you're actually more likely to recoup the cost by hitting the problem hard now compared to allowing it to be prolonged (like we already have).
At the start of the shutdown the fed dumped 1.5 trillion dollars into the market in an effort to stabilize things. That money simply disappeared into the void of companies and did nothing to stop the drop in the market. That 1.5 trillion alone could have been used to significantly improve our situation if it had been put to use in the correct ways.
I don't want to nor have time to go into a deep explanation but some quick points I'd make before referring you to some very informative podcast episodes.
1. Testing needs to be invested in WAY more than we already have. By some estimates, $250 billion at minimum would be required to build out / convert the infrastructure to produce and administer the number of tests we need to properly control the virus. You can't control something if you don't know where it is. Countries that got a strong grip on the outbreak at the start did it with great testing. Korea, Taiwan, etc. It is proven to work. We are just not setting our sights high enough for what is required. But how will these tests be administered? Pharmacies. They are an under utilized resource who are required by law to have as much training and schooling as doctors and are far more prevalent than hospitals or doctor offices in communities. All that is required to make this happen is a change in the laws (which are only there to begin with to protect large healthcare provider interests).
2. Proper PPE needs to be available, for free, to everyone. I cringe when I hear the CDC say they only now learned masks are beneficial to stopping spread. Asian countries have known this for more than a century and use then regularly to help stop the spread of pandemics and even just regular colds. Hell! even the US knew during 1918! We just forgot. This of course relies on people not being idiots and EVERYONE wearing their masks for it to provide benefits. We were in a shitty place to begin with because the national supply had been depleted and not replenished prior to the pandemic. If we used the defensive production act to produce PPE and tests instead of ventilators and other dumb things then it could be a big help to reaching this goal.
3. Contact tracing has been a big part of Korea's successes. We need to invest in our own capabilities either through manual hiring by the states / feds (which will help with jobs) or automation. Problem is people in US are paranoid of spying (with good reason) so this one is tough to do. This surprisingly is the hardest thing to solve. I'd possibly recommend following the lotto example below for this as well to incentivize people to participate.
4. The hardest thing will be incentivizing people to take the tests. This is called a negative externality. Why would I go and take a test if it uses up my precious time, put me at greater risk cuz I'm around other possibly sick people, and if I get a positive test I may end up quarantined and out of work? We want everyone to regularly get tested (weekly or more) and be happy to do it. You solve this with incentivization. Best idea I heard was to create a national lottery. You can call it the "Pandimillions" or something snazzy. Pump 1 Billion into it every week and the requirement for entry is a receipt / confirmation record of that weeks test results. To add to this, additional funding should be provided to those who are sick, not just everyone who is sheltering in place. If we could motivate sick people to stay home by providing say $2K a week while their test results return positive and require weekly retesting it would allow the rest of us to go back to work and live our lives like normal feeling comfortable that sick people are being cared for, compensated, monitored, and protected. Would there be abuse of a system like this? Yes. Will it be worse than what we are dealing with now with massive shutdowns and loss of business and loss of life? Absolutely not. The economy has billions in lost revenue every day. This would cost pennies to implement in comparison.
Those are just some of the ideas. They all require efficient and competent leadership and implementation which some may say makes them pipe dreams but the point is you asked and these are viable solutions. Pieces of them are actively being done by other countries around the world and all of the above would likely cost less than the $1.5 trillion that was thrown away in early March.
I highly recommend listening to these three episodes of freakonomics to hear more about the above and much much more.
[https://podcasts.apple.com/us/podcast/freakonomics-radio/id354668519?i=1000477507512](https://podcasts.apple.com/us/podcast/freakonomics-radio/id354668519?i=1000477507512)
[https://podcasts.apple.com/us/podcast/freakonomics-radio/id354668519?i=1000470260359](https://podcasts.apple.com/us/podcast/freakonomics-radio/id354668519?i=1000470260359)
[https://podcasts.apple.com/us/podcast/freakonomics-radio/id354668519?i=1000473094094](https://podcasts.apple.com/us/podcast/freakonomics-radio/id354668519?i=1000473094094)
|
金钱肯定是答案。钱从哪里来，其实并不是问题。它让当权者同意它的“创造”。我们靠法定货币生活，因此它的价值不再与任何特定的东西挂钩。这使我们能够灵活地利用货币供应来帮助解决问题。世界上最聪明的经济学者表示，现在是大干一场的时候了。当你的房子着火时，你不会挑剔到底用了多少水来扑灭它。从成本效益分析来看，与允许问题延长（就像我们已经有的那样）相比，现在通过努力解决问题实际上更有可能收回成本。在政府关门之初，美联储向市场投放了 1.5 万亿美元以稳定局势。这笔钱就这样消失在公司的空虚中，并没有阻止市场的下跌。如果以正确的方式使用，仅这 1.5 万亿美元就可以显着改善我们的状况。我不想也没有时间进行深入的解释，但在向您介绍一些内容非常丰富的播客剧集之前，我会先简单介绍一些要点。 1. 测试需要比我们现有的投入更多。据估计，至少需要 2500 亿美元来建造/改造基础设施，以生产和管理我们正确控制病毒所需的测试数量。如果你不知道某件事在哪里，你就无法控制它。一开始就强有力地控制了疫情的国家都通过了大量的测试来做到这一点。韩国、台湾等，已被证实有效。我们只是没有把我们的目标定得足够高来满足需要。但这些测试将如何进行？药房。他们是一种未得到充分利用的资源，法律要求他们接受与医生一样多的培训和教育，并且比社区中的医院或医生办公室更为普遍。要实现这一目标，所需要的只是改变法律（这些法律只是为了保护大型医疗保健提供者的利益）。 2. 需要向所有人免费提供适当的个人防护装备。当我听到疾病预防控制中心说他们现在才知道口罩有助于阻止传播时，我感到畏缩。亚洲国家一个多世纪以来就知道这一点，并经常使用它来帮助阻止流行病甚至普通感冒的传播。地狱！连美国在 1918 年都知道了！我们只是忘记了。当然，这取决于人们不是白痴，以及每个人都戴着面具才能提供好处。我们一开始就处于一个糟糕的境地，因为在大流行之前，国家供应已经耗尽并且没有得到补充。如果我们使用防御性生产法来生产个人防护装备和测试，而不是呼吸机和其他愚蠢的东西，那么这可能会对实现这一目标有很大帮助。 3. 接触者追踪是韩国成功的重要组成部分。我们需要通过州/联邦政府的人工招聘（这将有助于就业）或自动化来投资于我们自己的能力。问题是美国人对间谍活动有偏执（有充分的理由），所以这很难做到。令人惊讶的是，这是最难解决的问题。我可能会建议遵循下面的乐透示例，以激励人们参与。 4. 最困难的事情是激励人们参加测试。这称为负外部性。如果测试占用了我宝贵的时间，让我面临更大的风险，因为我周围有其他可能生病的人，而且如果我的测试结果呈阳性，我可能最终会被隔离并失业，为什么我要去参加测试呢？我们希望每个人都定期接受测试（每周或更多次）并乐意这样做。你可以通过激励来解决这个问题。我听到的最好的想法是创建全国彩票。你可以称其为“Pandimillions”或一些时髦的名字。每周投入 10 亿美元，进入的要求是该周测试结果的收据/确认记录。除此之外，还应该向生病的人提供额外的资金，而不仅仅是向每个就地避难的人提供资金。如果我们可以通过每周提供 2,000 美元来激励病人待在家里，同时他们的测试结果呈阳性并需要每周重新测试，那么我们其他人就可以像正常人一样回去工作和生活，并且对病人感到舒适受到照顾、补偿、监控和保护。这样的系统会被滥用吗？是的。情况会比我们现在面临的大规模停工、生意损失和人员伤亡更糟糕吗？绝对不。经济每天都有数十亿美元的收入损失。相比之下，实现这一点需要花费几美分。这些只是一些想法。它们都需要高效、称职的领导和实施，有些人可能会说这让它们成为白日梦，但重点是你问了，这些都是可行的解决方案。世界其他国家正在积极开展其中的部分工作，上述所有项目的成本可能低于 3 月初浪费的 1.5 万亿美元。我强烈建议您收听这三集怪异经济学，以了解更多有关上述内容以及更多内容。 [https://podcasts.apple.com/us/podcast/freakonomics-radio/id354668519?i=1000477507512](https://podcasts.apple.com/us/podcast/freakonomics-radio/id354668519?i=1000477507512) [https://podcasts.apple.com/us/podcast/freakonomics-radio/id354668519?i=1000470260359](https://podcasts.apple.com/us/podcast/freakonomics-radio/id354668519?i=1000470260359) [https://podcasts.apple.com/us/podcast/freakonomics-radio/id354668519?i=1000473094094](https://podcasts.apple.com/us/podcast/freakonomics-radio/id354668519?i=1000473094094)
| 0
|
Money is most certainly the answer. Where money will come from is actually not the problem. Its getting those in power to okay the "creation" of it. We live off a fiat currency so its value is not tied to anything specific anymore. That gives us flexibility to work with the monetary supply to help solve problems. The smartest economics in the world say now is the time to go big. When your house is on fire you don't nitpick over how much water you use to put it out. From a cost benefit analysis you're actually more likely to recoup the cost by hitting the problem hard now compared to allowing it to be prolonged (like we already have). At the start of the shutdown the fed dumped 1.5 trillion dollars into the market in an effort to stabilize things. That money simply disappeared into the void of companies and did nothing to stop the drop in the market. That 1.5 trillion alone could have been used to significantly improve our situation if it had been put to use in the correct ways. I don't want to nor have time to go into a deep explanation but some quick points I'd make before referring you to some very informative podcast episodes. 1. Testing needs to be invested in WAY more than we already have. By some estimates, 250 billion at minimum would be required to build out convert the infrastructure to produce and administer the number of tests we need to properly control the virus. You can't control something if you don't know where it is. Countries that got a strong grip on the outbreak at the start did it with great testing. Korea, Taiwan, etc. It is proven to work. We are just not setting our sights high enough for what is required. But how will these tests be administered? Pharmacies. They are an under utilized resource who are required by law to have as much training and schooling as doctors and are far more prevalent than hospitals or doctor offices in communities. All that is required to make this happen is a change in the laws (which are only there to begin with to protect large healthcare provider interests). 2. Proper PPE needs to be available, for free, to everyone. I cringe when I hear the CDC say they only now learned masks are beneficial to stopping spread. Asian countries have known this for more than a century and use then regularly to help stop the spread of pandemics and even just regular colds. Hell! even the US knew during 1918! We just forgot. This of course relies on people not being idiots and EVERYONE wearing their masks for it to provide benefits. We were in a shitty place to begin with because the national supply had been depleted and not replenished prior to the pandemic. If we used the defensive production act to produce PPE and tests instead of ventilators and other dumb things then it could be a big help to reaching this goal. 3. Contact tracing has been a big part of Korea's successes. We need to invest in our own capabilities either through manual hiring by the states feds (which will help with jobs) or automation. Problem is people in US are paranoid of spying (with good reason) so this one is tough to do. This surprisingly is the hardest thing to solve. I'd possibly recommend following the lotto example below for this as well to incentivize people to participate. 4. The hardest thing will be incentivizing people to take the tests. This is called a negative externality. Why would I go and take a test if it uses up my precious time, put me at greater risk cuz I'm around other possibly sick people, and if I get a positive test I may end up quarantined and out of work? We want everyone to regularly get tested (weekly or more) and be happy to do it. You solve this with incentivization. Best idea I heard was to create a national lottery. You can call it the "Pandimillions" or something snazzy. Pump 1 Billion into it every week and the requirement for entry is a receipt confirmation record of that weeks test results. To add to this, additional funding should be provided to those who are sick, not just everyone who is sheltering in place. If we could motivate sick people to stay home by providing say 2K a week while their test results return positive and require weekly retesting it would allow the rest of us to go back to work and live our lives like normal feeling comfortable that sick people are being cared for, compensated, monitored, and protected. Would there be abuse of a system like this? Yes. Will it be worse than what we are dealing with now with massive shutdowns and loss of business and loss of life? Absolutely not. The economy has billions in lost revenue every day. This would cost pennies to implement in comparison. Those are just some of the ideas. They all require efficient and competent leadership and implementation which some may say makes them pipe dreams but the point is you asked and these are viable solutions. Pieces of them are actively being done by other countries around the world and all of the above would likely cost less than the 1.5 trillion that was thrown away in early March. I highly recommend listening to these three episodes of freakonomics to hear more about the above and much much more. https:podcasts.apple.comuspodcastfreakonomics-radioid354668519?i1000477507512(https:podcasts.apple.comuspodcastfreakonomics-radioid354668519?i1000477507512) https:podcasts.apple.comuspodcastfreakonomics-radioid354668519?i1000470260359(https:podcasts.apple.comuspodcastfreakonomics-radioid354668519?i1000470260359) https:podcasts.apple.comuspodcastfreakonomics-radioid354668519?i1000473094094(https:podcasts.apple.comuspodcastfreakonomics-radioid354668519?i1000473094094)
| true
|
88
|
h985418
|
It really depends on what brought on the apocalypse. Disease? Doctor. WWIII or Zombies? Veteran. Robots? Engineer.
|
这实际上取决于带来世界末日的原因。疾病？医生。第三次世界大战还是僵尸？老将。机器人？工程师。
| 0
|
It really depends on what brought on the apocalypse. Disease? Doctor. WWIII or Zombies? Veteran. Robots? Engineer.
| true
|
89
|
f3hjera
|
Frankly, the fact that at 16 he still sleeps in his parents' bedroom for comfort suggests to me that there are deeper problems here that go well beyond grades.
I wouldn't be thinking about therapy or medication for this type of thing. I mean good God you'll just be handicapping him even more. I think the first step here is that he needs to develop the ability to sooth himself and not rely on mom and dads bedroom to calm himself. Stress is normal. Going to mom and dad's room to sleep at 16 is not a healthy or long term coping skill. You all need to recognize that. That's like step 1 in a multi-step process to becoming an independent adult, which is just as important as grades.
You need to parent as you see fit but consider this as one opinion on the matter. Now how he learns to soothe himself is something you need to give him an opportunity to figure out. I don't know your son or what the best approach is, but that's a pretty important skill.
Don't let your clearly bright child fall into the trap of relying on therapist and medication to manage stress.. at 16.. when he has an opportunity to use this to become better. Have some faith in the kid and give him an opportunity to learn how to not be bothered by these things.
The idea that you need to take him to the doctor for this is, in my opinion, crazy. The fact that your son sees this is to me, a very good sign. The fact that he resists this is probably an indicator that he can think for himself.. if he's not in any self harm situation which it doesn't at all sound like, I'd agree with him and not force him to do these things. I wouldn't let him sleep in my bedroom either.
Encourage him to go to the gym so wear himself out physically, not mentally. Literally anything he can do *himself* to get past it. Support his independence.
I'm not a psychiatrist or doctor. Just another parent, who was also a nervous child.
|
坦率地说，16 岁时他仍然睡在父母的卧室里寻求安慰，这一事实向我表明，这里存在着远远超出成绩的更深层次的问题。我不会考虑针对此类事情的治疗或药物治疗。我的意思是天哪，你只会让他更加困难。我认为第一步是他需要培养自我安慰的能力，而不是依靠爸爸妈妈的卧室来让自己平静下来。压力是正常的。 16 岁去爸爸妈妈的房间睡觉并不是一个健康或长期的应对技巧。你们都需要认识到这一点。这就像成为一个独立成年人的多步骤过程中的第一步，这与成绩一样重要。您需要按照自己认为合适的方式进行养育，但请将此视为对此事的一种看法。现在你需要给他一个机会去弄清楚他如何学会安抚自己。我不了解你的儿子，也不知道最好的方法是什么，但这是一项非常重要的技能。不要让你聪明的孩子陷入依赖治疗师和药物来控制压力的陷阱……在 16 岁时……当他有机会利用这一点变得更好时。对孩子有一些信心，给他一个机会学习如何不被这些事情困扰。在我看来，你需要带他去看医生的想法是疯狂的。你儿子看到这一点对我来说是一个非常好的迹象。他抵制这一点的事实可能表明他可以为自己思考……如果他没有处于任何自残的情况（听起来根本不像），我会同意他的观点，不会强迫他做这些事情。我也不会让他睡在我的卧室里。鼓励他去健身房，这样可以让他在身体上而不是精神上疲惫不堪。从字面上看，他“自己”可以做任何事情来克服它。支持他的独立。我不是精神科医生或医生。只是另一位家长，也是一个紧张的孩子。
| 0
|
Frankly, the fact that at 16 he still sleeps in his parents' bedroom for comfort suggests to me that there are deeper problems here that go well beyond grades. I wouldn't be thinking about therapy or medication for this type of thing. I mean good God you'll just be handicapping him even more. I think the first step here is that he needs to develop the ability to sooth himself and not rely on mom and dads bedroom to calm himself. Stress is normal. Going to mom and dad's room to sleep at 16 is not a healthy or long term coping skill. You all need to recognize that. That's like step 1 in a multi-step process to becoming an independent adult, which is just as important as grades. You need to parent as you see fit but consider this as one opinion on the matter. Now how he learns to soothe himself is something you need to give him an opportunity to figure out. I don't know your son or what the best approach is, but that's a pretty important skill. Don't let your clearly bright child fall into the trap of relying on therapist and medication to manage stress.. at 16.. when he has an opportunity to use this to become better. Have some faith in the kid and give him an opportunity to learn how to not be bothered by these things. The idea that you need to take him to the doctor for this is, in my opinion, crazy. The fact that your son sees this is to me, a very good sign. The fact that he resists this is probably an indicator that he can think for himself.. if he's not in any self harm situation which it doesn't at all sound like, I'd agree with him and not force him to do these things. I wouldn't let him sleep in my bedroom either. Encourage him to go to the gym so wear himself out physically, not mentally. Literally anything he can do himself to get past it. Support his independence. I'm not a psychiatrist or doctor. Just another parent, who was also a nervous child.
| true
|
90
|
h1kufza
|
[Here's a 2 minute test](https://psychcentral.com/quizzes/anxiety-quiz/) you can take, that will test you for anxiety. It let's you know roughly where you rank in severity (if it comes back relatively low, it might be social anxiety, for example).
[Here are a few things that you can do to help you with general anxiety](https://old.reddit.com/r/Anxiety/wiki/onlineresources). It comes down to meditation, breathing exercises and using phone apps to reduce your anxiety.
You can double check if it is indeed general anxiety here: [11 Signs and Symptoms of Anxiety Disorders](https://www.healthline.com/nutrition/anxiety-disorder-symptoms)
If you feel anxious right now, [open this image](https://i.imgur.com/Huou7Gh.gif) in a new tab and start breathing in and out in the rhythm of the image.
There are a *large* number of books that are aimed specifically at helping you, I've selected the most popular ones for you:
* [The Anxiety and Phobia Workbook](https://www.amazon.com/Anxiety-Phobia-Workbook-Edmund-Bourne/dp/1626252157/) (4.6 stars, 1200+ ratings)
* [Dare: The New Way to End Anxiety and Stop Panic Attacks](https://www.amazon.com/Dare-Anxiety-Stop-Panic-Attacks/dp/0956596258) (4.7 stars, 1600+ ratings)
* [Badass Ways to End Anxiety & Stop Panic Attacks! - A counterintuitive approach to recover and regain control of your life.: Die-Hard and Science-Based ... recover from Anxiety and Stop Panic Attacks](https://www.amazon.com/Badass-Ways-Anxiety-Panic-Attacks/dp/9090305262) (4.7 stars, 400+ ratings)
If you currently consume a lot of caffeine (in coffee or soft drinks), stop that. [Caffeine is known to cause anxiety](https://bebrainfit.com/caffeine-anxiety/)
The best and quickest way to deal with anxiety, is to face your fear if possible.
[If you always avoid situations that scare you](https://www.mentalhealth.org.uk/publications/overcome-fear-anxiety/), you might stop doing things you want or need to do. You won't be able to test out whether the situation is always as bad as you expect, so you miss the chance to work out how to manage your fears and reduce your anxiety. Anxiety problems tend to increase if you get into this pattern. Exposing yourself to your fears can be an effective way of overcoming this anxiety.
*[The experience of anxiety involves nervous system arousal.](https://www.psychologytoday.com/us/blog/insight-therapy/201009/overcoming-fear-the-only-way-out-is-through) If your nervous system is not aroused, you cannot experience anxiety. Understandably, but unfortunately, most people attempt to cope with feelings of anxiety by avoiding situations or objects that elicit the feelings. Avoidance, however, prevents your nervous system from habituating. Therefore, avoidance guarantees that the feared object or situation will remain novel, and hence arousing, and hence anxiety provoking. Moreover, avoidance tends to generalize over time. If you avoid the elevator at work, you will soon begin to avoid all elevators, and then all buildings that house elevators. Soon enough, you'll be living in a prison of avoidance.*
If your anxiety is situational and not too extreme, you can try to address it through exposure therapy. You slowly carefully expose yourself to situations that you know give you fear. Here are two easy to follow guides on that. The one regarding spiders, is a blue print. You can replace spider with anything. Fear of driving. Fear of using a phone.
* [How to Overcome the Fear of Spiders](https://www.wikihow.com/Overcome-the-Fear-of-Spiders) (wikihow)
* [How to Overcome Fear](https://www.wikihow.com/Overcome-Fear) (wikihow)
For all of the below advice, use technology to your advantage. Take your phone and set repeating alarm clock reminders, with labels of what to do. Train yourself to either snooze or reschedule the reminders if you can't take action right away, but never to ignore them. The intention is [to condition yourself](https://www.cleverism.com/classical-conditioning/), to build habits, so you will start healing yourself without having to think about it.
* **Sleep**: [Good sleep is very important when treating anxiety](https://www.anxiety.org/sleep-a-fundamental-cure-for-anxiety)
When you have days where you don't have to do anything, don't oversleep, set an alarm clock. You really don't need more than 7 hours at most per night (a [little more](https://health.onehowto.com/article/how-many-hours-of-sleep-are-needed-per-night-by-age-8233.html) if you are under 18). If you can't fall sleep, try taking melatonin one hour before going to bed. It's [cheap](https://www.amazon.com/dp/B003JJ9TQA/), OTC and [is scientifically proven](https://www.webmd.com/vitamins/ai/ingredientmono-940/melatonin) to help regulate your sleep pattern. [Also, rule](https://www.webmd.com/sleep-disorders/sleep-apnea/news/20120330/sleep-apnea-linked-depression#1) out [sleep apnea](https://www.healthcentral.com/article/sleep-apnea-treatment-resistant-depression). Up to 6% of people have this, [but not everyone knows](https://www.webmd.com/sleep-disorders/sleep-apnea/features/sleep-apnea-clues#1). If you find yourself often awake at night, start counting. Don't grab your phone, don't look at the clock, don't do anything interesting. We're trying to *bore* you to sleep, not keep you entertained - sometimes it might *feel* like you've done it for hours and hours, but often it's really not all that long. Anytime your mind wanders away from the numbers and starts thinking, start over at 1. count at the speed of either your heartbeat or your breathing, whatever you prefer. If that still doesn't work and you really want to sleep, [buy a dodow](https://www.amazon.com/Dodow-Device-300-000-Falling-Asleep/dp/B00ZFOB4BK/)($60) and/or a [white noise generator](https://www.amazon.com/Big-Red-Rooster-White-Machine) ($20).
* **Meditate**: [Anxiety can be reduced with meditation](https://bebrainfit.com/meditation-anxiety/). [10 minute meditation for anxiety](https://www.youtube.com/watch?v=O-6f5wQXSu8) (youtube).
Your attention is like a muscle. The more you train it, the better the control you have over it. [Mindfulness training](https://www.mindful.org/meditation/mindfulness-getting-started/) will help you gain better control over your mind. It doesn't take much effort, just 15 to 20 minutes a day of doing nothing but focus your attention is enough and is scientifically proven to work. As you become better at focusing your attention, it will become easier to force yourself to stop having negative thoughts, which will break the negative reinforcement cycle. Go here if you have specific questions: /r/Meditation
* **Exercise**: [The effect of exercise on anxiety](https://www.calmclinic.com/anxiety/treatment/exercising)
If you have access to a gym, then start lifting weights. If you don't have access to a gym (or you don't like lifting), start running. If you can't run, then start walking. Just start small. 10 minutes three times a week is fine. You don't have to run fast, just run and then slowly build it up over time. Exercising does several things: It releases endorphins, it takes your mind of your negative thoughts and it will improve your overall health.
* **Give lots of hugs**: [Hugs release oxytocin](https://health.usnews.com/health-news/health-wellness/articles/2016-02-03/the-health-benefits-of-hugging), which improves your mood and relaxes you. So find people to hug. If you are single, hug your parents or friends. If you can't, see if a dog is an option. Most dogs love to hug. Another solution that provides the same benefit is a [weighted blanket](https://www.amazon.com/s?k=weighted+blanket) will provide a [similar positive effect at night](https://www.healthline.com/health/anxiety/do-weighted-blankets-work#benefits). [You should try to aim for 12 hugs a day](https://psychology-spot.com/brain-needs/) (if you currently don't hug a lot, I suggest you slowly build it up over time).
[Here are specific instructions on when and how to get professional help.](https://www.reddit.com/r/Anxiety/wiki/gettinghelp)
Many healthcare providers now offer telehealth. Just contact your doctor's office or the phone number on your insurance card and ask what your options are.
Highest rated Youtube Videos:
* [Generalized anxiety disorder (GAD) - causes, symptoms & treatment](https://www.youtube.com/watch?v=9mPwQTiMSj8) (1.2M views)
* [3 Instantly Calming CBT Techniques For Anxiety](https://www.youtube.com/watch?v=JiDaTi_iQrY) (850K+ views)
* [5 Easy Tips to Beat Anxiety!](https://www.youtube.com/watch?v=0GgsV2nKL9w) (260K+ views)
Free support options:
* /r/KindVoice will match you up with a volunteer that will listen to you.
* [7 Cups of Tea](https://www.7cups.com/) has both a free trained volunteer service as well as $150 monthly licensed therapist option
* If you are in a crisis and want free help from a live, trained Crisis Counselor, text HOME to [741741](https://www.crisistextline.org/texting-in)
If you have any further questions, you should ask them here: /r/Anxiety
The best time to submit on Reddit is [early in the morning EST](https://thebetterwebmovement.com/choosing-best-time-post-to-reddit/).
|
您可以参加[这里有一个 2 分钟测试](https://psychcentral.com/quizzes/anxiety-quiz/)，它将测试您的焦虑程度。它可以让您大致了解您的严重程度排名（例如，如果返回相对较低，则可能是社交焦虑）。 [您可以采取一些措施来帮助缓解一般性焦虑](https://old.reddit.com/r/Anxiety/wiki/onlineresources)。归根结底是冥想、呼吸练习和使用手机应用程序来减少焦虑。您可以在这里仔细检查是否确实是一般性焦虑：[焦虑症的 11 种迹象和症状](https://www.healthline.com/nutrition/anxiety-disorder-symptoms) 如果您现在感到焦虑，[打开此图片](https://i.imgur.com/Huou7Gh.gif) 在新选项卡中，开始按照图像的节奏吸气和呼气。有大量专门旨在帮助您的书籍，我为您选择了最受欢迎的书籍：* [焦虑和恐惧症工作簿](https://www.amazon.com/Anxiety-Phobia -Workbook-Edmund-Bourne/dp/1626252157/)（4.6 星，1200+ 评分）* [敢于：结束焦虑和停止恐慌发作的新方法](https://www.amazon.com/Dare-Anxiety- Stop-Panic-Attacks/dp/0956596258)（4.7 星，1600+ 评分）* [结束焦虑和恐惧的坏方法]停止恐慌发作！ - 一种反直觉的方法来恢复和重新控制你的生活。：顽固和基于科学......从焦虑中恢复并停止恐慌发作]（https://www.amazon.com/Badass-Ways-Anxiety-Panic -Attacks/dp/9090305262)（4.7 星，400+ 评分）如果您目前摄入大量咖啡因（在咖啡或软饮料中），请停止摄入。 [众所周知，咖啡因会引起焦虑](https://bebrainfit.com/caffeine-anxiety/) 应对焦虑的最好、最快的方法是，如果可能的话，面对你的恐惧。 [如果你总是避免让你害怕的情况](https://www.mentalhealth.org.uk/publications/overcome-fear-anxiety/)，你可能会停止做你想做或需要做的事情。你将无法测试情况是否总是如你预期的那么糟糕，因此你错过了找出如何管理恐惧和减少焦虑的机会。如果你陷入这种模式，焦虑问题往往会增加。让自己暴露在恐惧之中可能是克服这种焦虑的有效方法。 *[焦虑的体验涉及神经系统的唤醒。](https://www.psychologytoday.com/us/blog/insight-therapy/201009/overcoming-fear-the-only-way-out-is-through)如果你的神经系统没有被唤醒，你就不会感到焦虑。可以理解，但不幸的是，大多数人试图通过避免引发焦虑感的情况或物体来应对焦虑感。然而，回避会阻止你的神经系统适应。因此，回避保证了恐惧的物体或情况将保持新奇，从而引起兴奋，从而引发焦虑。此外，随着时间的推移，回避往往会普遍化。如果你在工作时避开电梯，你很快就会开始避开所有电梯，然后是所有装有电梯的建筑物。很快，你就会生活在回避的监狱里。*如果你的焦虑是情境性的，而且不是太极端，你可以尝试通过暴露疗法来解决它。你慢慢地小心地将自己暴露在你知道会让你感到恐惧的情况下。这里有两个易于遵循的指南。关于蜘蛛的，是一个蓝图。你可以用任何东西代替蜘蛛。害怕开车。害怕使用手机。 * [如何克服对蜘蛛的恐惧](https://www.wikihow.com/Overcome-the-Fear-of-Spiders) (wikihow) * [如何克服恐惧](https://www.wikihow. com/Overcome-Fear）（wikihow）对于以下所有建议，请利用技术来发挥您的优势。拿起你的手机，设置重复的闹钟提醒，并附上要做什么的标签。如果您不能立即采取行动，训练自己暂停或重新安排提醒，但永远不要忽略它们。目的是[调节自己](https://www.cleverism.com/classical-conditioning/)，养成习惯，这样你就可以开始治愈自己，而无需考虑它。 * **睡眠**：[良好的睡眠在治疗焦虑时非常重要](https://www.anxiety.org/sleep-a-fundamental-cure-for-anxiety) 当您有不舒服的日子时做任何事，不要睡过头，定好闹钟。实际上，每晚最多不需要超过 7 个小时（[多一点](https://health.onehowto.com/article/how-many-hours-of-sleep-are-needed-per-night -by-age-8233.html) 如果您未满 18 岁)。如果您无法入睡，请尝试在睡前一小时服用褪黑激素。它[便宜](https://www.amazon.com/dp/B003JJ9TQA/)、非处方药和[经过科学证明](https://www.webmd.com/vitamins/ai/ingredientmono-940/melatonin)帮助调节您的睡眠模式。 [此外，规则](https://www.webmd.com/sleep-disorders/sleep-apnea/news/20120330/sleep-apnea-linked-depression#1) [睡眠呼吸暂停](https://www. healthcentral.com/article/sleep-apnea-treatment-pressive-depression）。高达 6% 的人有这种情况，[但不是每个人都知道](https://www.webmd.com/sleep-disorders/sleep-apnea/features/sleep-apnea-clues#1)。如果您发现自己经常在晚上醒来，请开始数数。不要拿起手机，不要看时钟，不要做任何有趣的事情。我们试图让你“厌烦”入睡，而不是让你开心——有时你可能“感觉”好像你已经做了几个小时，但通常并没有那么长。每当您的思绪离开数字并开始思考时，请从 1 重新开始。以您的心跳或呼吸速度数数，无论您喜欢什么。如果这仍然不起作用并且您真的想睡觉，[购买 dodow](https://www.amazon.com/Dodow-Device-300-000-Falling-Asleep/dp/B00ZFOB4BK/)(60 美元)和/或 [白噪声发生器](https://www.amazon.com/Big-Red-Rooster-White-Machine) (20 美元)。 * **冥想**：[通过冥想可以减少焦虑](https://bebrainfit.com/meditation-anxiety/)。 [10 分钟冥想缓解焦虑](https://www.youtube.com/watch?v=O-6f5wQXSu8) (youtube)。你的注意力就像肌肉。你训练得越多，你对它的控制就越好。 [正念训练](https://www.mindful.org/meditation/mindativity-getting-started/)将帮助您更好地控制自己的思想。这并不需要太多的努力，每天只需 15 到 20 分钟什么都不做，集中注意力就足够了，而且经科学证明是有效的。当你变得更善于集中注意力时，就会更容易强迫自己停止消极想法，从而打破消极强化循环。如果您有具体问题，请转到此处：/r/Meditation * **锻炼**：[锻炼对焦虑的影响](https://www.calmclinic.com/anxiety/treatment/exercising) 如果您可以访问健身房，然后开始举重。如果您无法去健身房（或者您不喜欢举重），请开始跑步。如果你不能跑，那就开始步行。从小事做起。一周3次每次10分钟就可以了。你不必跑得很快，只要跑，然后随着时间的推移慢慢建立起来。锻炼有多种作用：它会释放内啡肽，消除你的消极想法，并且会改善你的整体健康。 * **多多拥抱**：[拥抱释放催产素](https://health.usnews.com/health-news/health-wellness/articles/2016-02-03/the-health-benefits-of-拥抱），这可以改善你的情绪并放松你。所以找人拥抱。如果你单身，拥抱你的父母或朋友。如果你不能，看看是否可以选择养狗。大多数狗喜欢拥抱。提供相同好处的另一种解决方案是[加权毯子](https://www.amazon.com/s?k=weighted+blanket) 将提供[在夜间类似的积极效果](https://www.healthline .com/health/anxiety/do-weighted-blankets-work#benefits）。 [你应该尝试每天拥抱12次](https://psychology-spot.com/brain-needs/)（如果你目前拥抱次数不多，我建议你随着时间的推移慢慢增加）。 [以下是有关何时以及如何获得专业帮助的具体说明。](https://www.reddit.com/r/Anxiety/wiki/gettinghelp)许多医疗保健提供者现在提供远程医疗服务。只需联系您的医生办公室或保险卡上的电话号码，询问您有哪些选择。评分最高的 Youtube 视频：* [广泛性焦虑症 (GAD) - 原因、症状和症状治疗](https://www.youtube.com/watch?v=9mPwQTiMSj8)（120 万次观看）* [3 种即时缓解焦虑的 CBT 技巧](https://www.youtube.com/watch?v=JiDaTi_iQrY )（超过 85 万次观看次数）* [战胜焦虑的 5 个简单技巧！](https://www.youtube.com/watch?v=0GgsV2nKL9w)（超过 26 万次观看次数）免费支持选项：* /r/KindVoice 将为您匹配一个愿意听你讲话的志愿者。 * [7 Cups of Tea](https://www.7cups.com/) 既有免费的训练有素的志愿者服务，也有每月 150 美元的持照治疗师选项 * 如果您遇到危机并需要现场训练有素的免费帮助危机顾问，发短信 HOME 至 [741741](https://www.crisistextline.org/texting-in) 如果您还有任何其他问题，您应该在这里提问：/r/Anxiety 在 Reddit 上提交的最佳时间是 [美国东部时间清晨](https://thebetterwebmovement.com/choosing-best-time-post-to-reddit/)。
| 0
|
Here's a 2 minute test(https:psychcentral.comquizzesanxiety-quiz) you can take, that will test you for anxiety. It let's you know roughly where you rank in severity (if it comes back relatively low, it might be social anxiety, for example). Here are a few things that you can do to help you with general anxiety(https:old.reddit.comrAnxietywikionlineresources). It comes down to meditation, breathing exercises and using phone apps to reduce your anxiety. You can double check if it is indeed general anxiety here: 11 Signs and Symptoms of Anxiety Disorders(https:www.healthline.comnutritionanxiety-disorder-symptoms) If you feel anxious right now, open this image(https:i.imgur.comHuou7Gh.gif) in a new tab and start breathing in and out in the rhythm of the image. There are a large number of books that are aimed specifically at helping you, I've selected the most popular ones for you: The Anxiety and Phobia Workbook(https:www.amazon.comAnxiety-Phobia-Workbook-Edmund-Bournedp1626252157) (4.6 stars, 1200 ratings) Dare: The New Way to End Anxiety and Stop Panic Attacks(https:www.amazon.comDare-Anxiety-Stop-Panic-Attacksdp0956596258) (4.7 stars, 1600 ratings) Badass Ways to End Anxiety amp; Stop Panic Attacks! - A counterintuitive approach to recover and regain control of your life.: Die-Hard and Science-Based ... recover from Anxiety and Stop Panic Attacks(https:www.amazon.comBadass-Ways-Anxiety-Panic-Attacksdp9090305262) (4.7 stars, 400 ratings) If you currently consume a lot of caffeine (in coffee or soft drinks), stop that. Caffeine is known to cause anxiety(https:bebrainfit.comcaffeine-anxiety) The best and quickest way to deal with anxiety, is to face your fear if possible. If you always avoid situations that scare you(https:www.mentalhealth.org.ukpublicationsovercome-fear-anxiety), you might stop doing things you want or need to do. You won't be able to test out whether the situation is always as bad as you expect, so you miss the chance to work out how to manage your fears and reduce your anxiety. Anxiety problems tend to increase if you get into this pattern. Exposing yourself to your fears can be an effective way of overcoming this anxiety. The experience of anxiety involves nervous system arousal.(https:www.psychologytoday.comusbloginsight-therapy201009overcoming-fear-the-only-way-out-is-through) If your nervous system is not aroused, you cannot experience anxiety. Understandably, but unfortunately, most people attempt to cope with feelings of anxiety by avoiding situations or objects that elicit the feelings. Avoidance, however, prevents your nervous system from habituating. Therefore, avoidance guarantees that the feared object or situation will remain novel, and hence arousing, and hence anxiety provoking. Moreover, avoidance tends to generalize over time. If you avoid the elevator at work, you will soon begin to avoid all elevators, and then all buildings that house elevators. Soon enough, you'll be living in a prison of avoidance. If your anxiety is situational and not too extreme, you can try to address it through exposure therapy. You slowly carefully expose yourself to situations that you know give you fear. Here are two easy to follow guides on that. The one regarding spiders, is a blue print. You can replace spider with anything. Fear of driving. Fear of using a phone. How to Overcome the Fear of Spiders(https:www.wikihow.comOvercome-the-Fear-of-Spiders) (wikihow) How to Overcome Fear(https:www.wikihow.comOvercome-Fear) (wikihow) For all of the below advice, use technology to your advantage. Take your phone and set repeating alarm clock reminders, with labels of what to do. Train yourself to either snooze or reschedule the reminders if you can't take action right away, but never to ignore them. The intention is to condition yourself(https:www.cleverism.comclassical-conditioning), to build habits, so you will start healing yourself without having to think about it. Sleep: Good sleep is very important when treating anxiety(https:www.anxiety.orgsleep-a-fundamental-cure-for-anxiety) When you have days where you don't have to do anything, don't oversleep, set an alarm clock. You really don't need more than 7 hours at most per night (a little more(https:health.onehowto.comarticlehow-many-hours-of-sleep-are-needed-per-night-by-age-8233.html) if you are under 18). If you can't fall sleep, try taking melatonin one hour before going to bed. It's cheap(https:www.amazon.comdpB003JJ9TQA), OTC and is scientifically proven(https:www.webmd.comvitaminsaiingredientmono-940melatonin) to help regulate your sleep pattern. Also, rule(https:www.webmd.comsleep-disorderssleep-apneanews20120330sleep-apnea-linked-depression1) out sleep apnea(https:www.healthcentral.comarticlesleep-apnea-treatment-resistant-depression). Up to 6 of people have this, but not everyone knows(https:www.webmd.comsleep-disorderssleep-apneafeaturessleep-apnea-clues1). If you find yourself often awake at night, start counting. Don't grab your phone, don't look at the clock, don't do anything interesting. We're trying to bore you to sleep, not keep you entertained - sometimes it might feel like you've done it for hours and hours, but often it's really not all that long. Anytime your mind wanders away from the numbers and starts thinking, start over at 1. count at the speed of either your heartbeat or your breathing, whatever you prefer. If that still doesn't work and you really want to sleep, buy a dodow(https:www.amazon.comDodow-Device-300-000-Falling-AsleepdpB00ZFOB4BK)(60) andor a white noise generator(https:www.amazon.comBig-Red-Rooster-White-Machine) (20). Meditate: Anxiety can be reduced with meditation(https:bebrainfit.commeditation-anxiety). 10 minute meditation for anxiety(https:www.youtube.comwatch?vO-6f5wQXSu8) (youtube). Your attention is like a muscle. The more you train it, the better the control you have over it. Mindfulness training(https:www.mindful.orgmeditationmindfulness-getting-started) will help you gain better control over your mind. It doesn't take much effort, just 15 to 20 minutes a day of doing nothing but focus your attention is enough and is scientifically proven to work. As you become better at focusing your attention, it will become easier to force yourself to stop having negative thoughts, which will break the negative reinforcement cycle. Go here if you have specific questions: rMeditation Exercise: The effect of exercise on anxiety(https:www.calmclinic.comanxietytreatmentexercising) If you have access to a gym, then start lifting weights. If you don't have access to a gym (or you don't like lifting), start running. If you can't run, then start walking. Just start small. 10 minutes three times a week is fine. You don't have to run fast, just run and then slowly build it up over time. Exercising does several things: It releases endorphins, it takes your mind of your negative thoughts and it will improve your overall health. Give lots of hugs: Hugs release oxytocin(https:health.usnews.comhealth-newshealth-wellnessarticles2016-02-03the-health-benefits-of-hugging), which improves your mood and relaxes you. So find people to hug. If you are single, hug your parents or friends. If you can't, see if a dog is an option. Most dogs love to hug. Another solution that provides the same benefit is a weighted blanket(https:www.amazon.coms?kweightedblanket) will provide a similar positive effect at night(https:www.healthline.comhealthanxietydo-weighted-blankets-workbenefits). You should try to aim for 12 hugs a day(https:psychology-spot.combrain-needs) (if you currently don't hug a lot, I suggest you slowly build it up over time). Here are specific instructions on when and how to get professional help.(https:www.reddit.comrAnxietywikigettinghelp) Many healthcare providers now offer telehealth. Just contact your doctor's office or the phone number on your insurance card and ask what your options are. Highest rated Youtube Videos: Generalized anxiety disorder (GAD) - causes, symptoms amp; treatment(https:www.youtube.comwatch?v9mPwQTiMSj8) (1.2M views) 3 Instantly Calming CBT Techniques For Anxiety(https:www.youtube.comwatch?vJiDaTiiQrY) (850K views) 5 Easy Tips to Beat Anxiety!(https:www.youtube.comwatch?v0GgsV2nKL9w) (260K views) Free support options: rKindVoice will match you up with a volunteer that will listen to you. 7 Cups of Tea(https:www.7cups.com) has both a free trained volunteer service as well as 150 monthly licensed therapist option If you are in a crisis and want free help from a live, trained Crisis Counselor, text HOME to 741741(https:www.crisistextline.orgtexting-in) If you have any further questions, you should ask them here: rAnxiety The best time to submit on Reddit is early in the morning EST(https:thebetterwebmovement.comchoosing-best-time-post-to-reddit).
| true
|
91
|
j4zw09j
|
>Thanks a lot,I took the tests ,Depression (23),low self esteem (6),general anxiety (68),social anxiety (74)
Cheers buddy. Best to you.
Because it is possible you are depressed, here is what you should do next:
[Here's a list of symptoms associated with depression](https://www.webmd.com/depression/guide/detecting-depression#1), so you can double check.
**If you have healthcare insurance**, then go see your doctor and ask for a referral. I'd recommend either a [psychotherapy or CBT](https://www.harleytherapy.co.uk/counselling/psychodynamic-psychotherapy-vs-cbt.htm) psychologist first (for therapy). If that doesn't work after a few months, don't have anything to talk about, or already tried a therapist, then find a psychiatrist (for medication).
**If you don't have healthcare insurance or want more help**, then here's a list of things that will help. Apply as many of them as you can.
Often there is a hidden cause for your depression, you might not like yourself or your life. The below advice addresses the symptoms and will reduce them, but you still need to fix the cause.
Some people don't know why they are depressed. A common reason is a lack of purpose. To live is to suffer, but it is possible to make that suffering bearable, if you do so while trying to achieve what you want more than anything else. **Let me know if you need help to find your purpose in life.**
For the below advice, take your phone and set repeating alarm clock reminders, with labels of what to do. Train yourself to either snooze or reschedule the reminders if you can't take action right away, but never to ignore them. The intention is [to condition yourself](https://www.cleverism.com/classical-conditioning), to build habits, so you will start healing yourself without having to think about it.
* **Sleep**: [There is a complex relationship](https://www.webmd.com/depression/guide/depression-sleep-disorder#1) between [sleep and depression](https://www.healthline.com/health/healthy-sleep/depression-and-sleep).
When you have days where you don't have to do anything, set an alarm clock. You really don't need more than 7 hours at most per night (a [little more](https://health.onehowto.com/article/how-many-hours-of-sleep-are-needed-per-night-by-age-8233.html) if you are under 18). If you can't fall sleep, try taking melatonin one hour before going to bed. It's [cheap](https://www.amazon.com/dp/B003JJ9TQA), OTC and [is scientifically proven](https://www.webmd.com/vitamins/ai/ingredientmono-940/melatonin) to help regulate your sleep pattern. [Also, rule](https://www.webmd.com/sleep-disorders/sleep-apnea/news/20120330/sleep-apnea-linked-depression) out [sleep apnea](https://www.healthcentral.com/article/sleep-apnea-treatment-resistant-depression). Up to 6% of people have this, [but not everyone knows](https://www.webmd.com/sleep-disorders/sleep-apnea/features/sleep-apnea-clues). If you find yourself awake at night, start counting. Don't grab your phone, don't do anything interesting. We're trying to *bore* you to sleep, not keep you entertained - sometimes it might *feel* like you've done it for hours and hours, but often it's really not long. Anytime your mind wanders away from the numbers, start over at 1. count at the speed of either your heartbeat or your breathing. Then both Alexa and Google Home can also play a range of sleep sounds if you ask them (rain or other white noise) and there are also free apps for both Android and Apple devices.
* **Go outside**: If you haven't been outside much lately, [you might just need some sunlight](https://www.healthline.com/health/depression/benefits-sunlight).
15 minutes two to three times a week is enough. This will fix serotonin levels as well as vitamin D deficiencies.
* **Meditate**: [Depressions can be significantly reduced by meditating](https://news.harvard.edu/gazette/story/2018/04/harvard-researchers-study-how-mindfulness-may-change-the-brain-in-depressed-patients/). The best types Of [Meditations For Depression Relief](https://www.thedailymeditation.com/meditation-depression).
Your attention is like a muscle. The more you train it, the better the control you have over it. [Mindfulness training](https://www.mindful.org/meditation/mindfulness-getting-started/) will help you gain better control over your mind. It doesn't take much effort, just 15 to 20 minutes a day of doing nothing but focus your attention is enough and is scientifically proven to work. As you become better at focusing your attention, it will become easier to force yourself to stop having negative thoughts, which will break the negative reinforcement cycle. Go here for more: r/Meditation
* **Exercise**: [The effect of exercise on depressions](https://www.mayoclinic.org/diseases-conditions/depression/in-depth/depression-and-exercise/art-20046495/)
If you have access to a gym, then start lifting weights. If you don't have access to a gym (or you don't like lifting), start running. If you can't run, then start walking. Just start small. 10 minutes three times a week is fine. You don't have to run fast, just run and then slowly build it up over time. Exercising does several things: It releases endorphins, it takes your mind of your negative thoughts and it will improve your overall health.
* **Give lots of hugs**: [Hugs release oxytocin](https://health.usnews.com/health-news/health-wellness/articles/2016-02-03/the-health-benefits-of-hugging), which improves your mood and relaxes you. So find people to hug. If you are single, hug your parents or friends. If you can't, see if a dog is an option. Most dogs love to hug. Another solution that provides the same benefit is a [weighted blanket](https://www.amazon.com/s?k=weighted+blanket) will provide a [similar positive effect at night](https://www.healthline.com/health/anxiety/do-weighted-blankets-work). [You should try to aim for 12 hugs a day](https://psychology-spot.com/brain-needs) (if you currently don't hug a lot, I suggest you slowly build it up over time).
* **Music**: [The right music can improve your mood](https://time.com/5254381/listening-to-music-health-benefits). The genre is not important as long as it is: *"Upbeat, rhytmic and energetic"*. What this means differs from person to person, depending on their music taste. I have a special playlist for this. One way to measure the effectiveness, of the songs is your ability to listen to it over and over (if you can listen to it hundreds of times it likely has the highest positive effect on your mood). The effect can be amplified by using headphones and playing it LOUD and can further be enhanced by closing your eyes (doi:10.1177/0305735617734627, doi:10.1093/jmt/50.3.198 and doi:10.1177/0305735617751050).
* **You are not your depression**: For some people (often those that have been depressed for a long time), their depression has become a part of who they are and they assume a victim role. But that is a big problem, you have to *will* yourself into someone that sees themselves as a person that is actively fighting their disease, that *no longer identifies* with it, or else you will *unconsciously obstruct your own healing process*. As Eckhart Tolle expressed it in A New Earth:
* > *A very common role is the one of victim, and the form of attention it seeks is sympathy or pity or others' interest in my problems, "me and my story." Seeing oneself as a victim is an element in many egoic patterns, such as complaining, being offended, outraged, and so on. Of course, once I am identified with a story in which I assigned myself the role of victim, I don't want it to end, and so, as every therapist knows, the ego does not want an end to its "problems" because they are part of its identity.*
* **Jordan Peterson**: [How To Deal With Depression](https://www.youtube.com/watch?v=Xm_2zmX6Akc) (50 minutes). Jordan Peterson is a clinical psychologist, that's specialized in mythology. This is a compilation focusing specifically on depression.
* **Practice gratitude**: Take 5 minutes every day [to practice gratitude.](https://www.pasadenavilla.com/resources/blog/gratitude-and-depression)
**Highest rated books**:
* [Feeling Good: The New Mood Therapy](https://www.amazon.com/Feeling-Good-New-Mood-Therapy/dp/0380731762)
* [It's Not Supposed to Be This Way: Finding Unexpected Strength When Disappointments Leave You Shattered](https://www.amazon.com/Its-Not-Supposed-This-Disappointments/dp/0718039858)
[High quality free training provided by the Australian Health Service](https://www.cci.health.wa.gov.au/Resources/Looking-After-Yourself/Depression)
**Phone Apps**: Two popular free apps used to help fight depressions, are Wysa and [MoodTools](http://www.moodtools.org). These will track your mood, give you advice, even listen to your problems. The most popular meditation app is: Calm - Meditate, Sleep, Relax
Free support:
* r/KindVoice will match you up with a volunteer.
* [7 Cups of Tea](https://www.7cups.com/) has both a free trained volunteer service as well as $150 monthly licensed therapist option
* If you want to talk to a trained Crisis Counselor, text HOME to [741741](https://www.crisistextline.org/texting-in)
There are several subreddits, where you can post questions:
* r/depression
* r/depression_help
* r/depressed
|
>非常感谢，我参加了测试，抑郁（23），自卑（6），普遍焦虑（68），社交焦虑（74）干杯哥们。给你最好的。因为您可能患有抑郁症，所以您接下来应该执行以下操作：[以下是与抑郁症相关的症状列表](https://www.webmd.com/depression/guide/detecting-depression#1)，因此您可以仔细检查。 **如果您有医疗保险**，请去看您的医生并寻求转诊。我首先推荐[心理治疗或CBT](https://www.harleytherapy.co.uk/coun sell/psychodynamic-psychotherapy-vs-cbt.htm)心理学家（用于治疗）。如果几个月后不起作用，没有什么可谈论的，或者已经尝试过治疗师，那么就找一位精神科医生（药物治疗）。 **如果您没有医疗保险或需要更多帮助**，那么这里列出了一些可以帮助您的事项。尽可能多地应用它们。通常，你的抑郁症有一个隐藏的原因，你可能不喜欢自己或你的生活。以下建议可以解决症状并减轻症状，但您仍然需要解决原因。有些人不知道自己为什么会抑郁。一个常见的原因是缺乏目标。活着就意味着受苦，但如果你在努力实现你最想要的东西的同时，就有可能让这种痛苦变得可以忍受。 **如果您需要帮助找到人生目标，请告诉我。** 对于以下建议，请拿起您的手机并设置重复闹钟提醒，并附上要做什么的标签。如果您不能立即采取行动，训练自己暂停或重新安排提醒，但永远不要忽略它们。目的是[调节自己](https://www.cleverism.com/classical-conditioning)，养成习惯，这样你就会开始治愈自己，而无需考虑它。 * **睡眠**：[睡眠与抑郁](https://www.webmd.com/depression/guide/depression-sleep-disorder#1)之间存在复杂的关系](https://www.webmd.com/depression/guide/depression-sleep-disorder#1) healthline.com/health/healthy-sleep/depression-and-sleep）。当你有不需要做任何事情的日子时，设置一个闹钟。实际上，每晚最多不需要超过 7 个小时（[多一点](https://health.onehowto.com/article/how-many-hours-of-sleep-are-needed-per-night -by-age-8233.html) 如果您未满 18 岁)。如果您无法入睡，请尝试在睡前一小时服用褪黑激素。它[便宜](https://www.amazon.com/dp/B003JJ9TQA)、OTC 和[经过科学证明](https://www.webmd.com/vitamins/ai/ingredientmono-940/melatonin) 可以提供帮助调节你的睡眠模式。 [此外，排除](https://www.webmd.com/sleep-disorders/sleep-apnea/news/20120330/sleep-apnea-linked-depression) [睡眠呼吸暂停](https://www.healthcentral. com/article/sleep-apnea-treatment-pressive-depression）。高达 6% 的人有这种情况，[但不是每个人都知道](https://www.webmd.com/sleep-disorders/sleep-apnea/features/sleep-apnea-clues)。如果您发现自己在晚上醒来，请开始数数。不要拿起手机，不要做任何有趣的事情。我们试图让你“无聊”入睡，而不是让你开心——有时你可能“感觉”好像你已经做了几个小时，但通常并不长。每当您的思绪偏离数字时，请从 1 重新开始。以您的心跳或呼吸速度数数。然后，如果您要求，Alexa 和 Google Home 也可以播放一系列睡眠声音（雨声或其他白噪音），并且还有适用于 Android 和 Apple 设备的免费应用程序。 * **出去走走**：如果您最近很少外出，[您可能只需要一些阳光](https://www.healthline.com/health/depression/benefits-sunlight)。每周 2 至 3 次，每次 15 分钟就足够了。这将修复血清素水平以及维生素 D 缺乏症。 * **冥想**：[通过冥想可以显着减少抑郁](https://news.harvard.edu/gazette/story/2018/04/harvard-researchers-study-how-mindativity-may-change-the -抑郁症患者的大脑/）。 [缓解抑郁的冥想](https://www.thedailymeditation.com/meditation-depression)的最佳类型。你的注意力就像肌肉。你训练得越多，你对它的控制就越好。 [正念训练](https://www.mindful.org/meditation/mindativity-getting-started/)将帮助您更好地控制自己的思想。这并不需要太多的努力，每天只需 15 到 20 分钟什么都不做，集中注意力就足够了，而且经科学证明是有效的。当你变得更善于集中注意力时，就会更容易强迫自己停止消极想法，从而打破消极强化循环。前往此处了解更多信息：r/冥想 * **锻炼**：[锻炼对抑郁症的影响](https://www.mayoclinic.org/diseases-conditions/depression/in-depth/depression-and-exercise/ art-20046495/) 如果您可以去健身房，那么就开始举重。如果您无法去健身房（或者您不喜欢举重），请开始跑步。如果你不能跑，那就开始步行。从小事做起。一周3次每次10分钟就可以了。你不必跑得很快，只要跑，然后随着时间的推移慢慢建立起来。锻炼有多种作用：它会释放内啡肽，消除你的消极想法，并且会改善你的整体健康。 * **多多拥抱**：[拥抱释放催产素](https://health.usnews.com/health-news/health-wellness/articles/2016-02-03/the-health-benefits-of-拥抱），这可以改善你的情绪并放松你。所以找人拥抱。如果你单身，拥抱你的父母或朋友。如果你不能，看看是否可以选择养狗。大多数狗喜欢拥抱。提供相同好处的另一种解决方案是[加权毯子](https://www.amazon.com/s?k=weighted+blanket) 将提供[在夜间类似的积极效果](https://www.healthline .com/health/anxiety/do-weighted-blankets-work）。 [你应该尝试每天拥抱12次](https://psychology-spot.com/brain-needs)（如果你目前拥抱的次数不多，我建议你随着时间的推移慢慢增加）。 * **音乐**：[合适的音乐可以改善你的心情](https://time.com/5254381/listening-to-music-health-benefits)。类型并不重要，重要的是：*“乐观、有节奏且充满活力”*。这意味着什么因人而异，取决于他们的音乐品味。我为此准备了一个特殊的播放列表。衡量歌曲有效性的一种方法是您一遍又一遍地听它的能力（如果您可以听数百次，它可能对您的情绪产生最大的积极影响）。使用耳机并大声播放可以放大效果，闭上眼睛可以进一步增强效果（doi:10.1177/0305735617734627、doi:10.1093/jmt/50.3.198 和 doi:10.1177/0305735617751050）。 * **你不是你的抑郁症**：对于一些人（通常是那些长期抑郁的人）来说，他们的抑郁症已经成为他们的一部分，他们承担了受害者的角色。但这是一个大问题，你必须“意志”自己成为一个将自己视为积极与疾病作斗争的人，“不再认同”疾病，否则你将“无意识地阻碍自己的康复过程” 。正如埃克哈特·托尔在《新地球》中所表达的那样：*> *一个非常常见的角色是受害者，它寻求的关注形式是同情或怜悯或其他人对我的问题的兴趣，“我和我的故事”。将自己视为受害者是许多自我模式的一个要素，例如抱怨、被冒犯、愤怒等等。当然，一旦我认同一个故事，在这个故事中我给自己分配了受害者的角色，我就不希望它结束，因此，正如每个治疗师都知道的那样，自我不希望结束它的“问题”，因为它们是其身份的一部分。* * **乔丹·彼得森**：[如何应对抑郁症](https://www.youtube.com/watch?v=Xm_2zmX6Akc)（50 分钟）。乔丹·彼得森是一位临床心理学家，专门研究神话。这是一本专门针对抑郁症的汇编。 * **练习感恩**：每天花 5 分钟[练习感恩。](https://www.pasadenavilla.com/resources/blog/gratitude-and-depression) **评分最高的书籍**：* [感觉良好：新情绪疗法](https://www.amazon.com/Feeling-Good-New-Mood-Therapy/dp/0380731762) * [事情不应该是这样的：当失望离开你时找到意想不到的力量破碎](https://www.amazon.com/Its-Not-Supposed-This-Disappointments/dp/0718039858) [澳大利亚卫生服务中心提供的高质量免费培训](https://www.cci.health. wa.gov.au/Resources/Looking-After-Yourself/Depression) **电话应用程序**：用于帮助对抗抑郁症的两个流行的免费应用程序是 Wysa 和 [MoodTools](http://www.moodtools.org) 。这些将跟踪您的情绪，为您提供建议，甚至倾听您的问题。最受欢迎的冥想应用程序是：Calm - 冥想、睡眠、放松 免费支持：* r/KindVoice 将为您匹配志愿者。 * [7 Cups of Tea](https://www.7cups.com/) 提供免费的训练有素的志愿者服务以及每月 150 美元的许可治疗师选项 * 如果您想与训练有素的危机顾问交谈，请发短信 HOME 至 [ 741741](https://www.crisistextline.org/texting-in) 有几个 subreddits，您可以在其中发布问题： * r/depression * r/depression_help * r/depressed
| 0
|
gt;Thanks a lot,I took the tests ,Depression (23),low self esteem (6),general anxiety (68),social anxiety (74) Cheers buddy. Best to you. Because it is possible you are depressed, here is what you should do next: Here's a list of symptoms associated with depression(https:www.webmd.comdepressionguidedetecting-depression1), so you can double check. If you have healthcare insurance, then go see your doctor and ask for a referral. I'd recommend either a psychotherapy or CBT(https:www.harleytherapy.co.ukcounsellingpsychodynamic-psychotherapy-vs-cbt.htm) psychologist first (for therapy). If that doesn't work after a few months, don't have anything to talk about, or already tried a therapist, then find a psychiatrist (for medication). If you don't have healthcare insurance or want more help, then here's a list of things that will help. Apply as many of them as you can. Often there is a hidden cause for your depression, you might not like yourself or your life. The below advice addresses the symptoms and will reduce them, but you still need to fix the cause. Some people don't know why they are depressed. A common reason is a lack of purpose. To live is to suffer, but it is possible to make that suffering bearable, if you do so while trying to achieve what you want more than anything else. Let me know if you need help to find your purpose in life. For the below advice, take your phone and set repeating alarm clock reminders, with labels of what to do. Train yourself to either snooze or reschedule the reminders if you can't take action right away, but never to ignore them. The intention is to condition yourself(https:www.cleverism.comclassical-conditioning), to build habits, so you will start healing yourself without having to think about it. Sleep: There is a complex relationship(https:www.webmd.comdepressionguidedepression-sleep-disorder1) between sleep and depression(https:www.healthline.comhealthhealthy-sleepdepression-and-sleep). When you have days where you don't have to do anything, set an alarm clock. You really don't need more than 7 hours at most per night (a little more(https:health.onehowto.comarticlehow-many-hours-of-sleep-are-needed-per-night-by-age-8233.html) if you are under 18). If you can't fall sleep, try taking melatonin one hour before going to bed. It's cheap(https:www.amazon.comdpB003JJ9TQA), OTC and is scientifically proven(https:www.webmd.comvitaminsaiingredientmono-940melatonin) to help regulate your sleep pattern. Also, rule(https:www.webmd.comsleep-disorderssleep-apneanews20120330sleep-apnea-linked-depression) out sleep apnea(https:www.healthcentral.comarticlesleep-apnea-treatment-resistant-depression). Up to 6 of people have this, but not everyone knows(https:www.webmd.comsleep-disorderssleep-apneafeaturessleep-apnea-clues). If you find yourself awake at night, start counting. Don't grab your phone, don't do anything interesting. We're trying to bore you to sleep, not keep you entertained - sometimes it might feel like you've done it for hours and hours, but often it's really not long. Anytime your mind wanders away from the numbers, start over at 1. count at the speed of either your heartbeat or your breathing. Then both Alexa and Google Home can also play a range of sleep sounds if you ask them (rain or other white noise) and there are also free apps for both Android and Apple devices. Go outside: If you haven't been outside much lately, you might just need some sunlight(https:www.healthline.comhealthdepressionbenefits-sunlight). 15 minutes two to three times a week is enough. This will fix serotonin levels as well as vitamin D deficiencies. Meditate: Depressions can be significantly reduced by meditating(https:news.harvard.edugazettestory201804harvard-researchers-study-how-mindfulness-may-change-the-brain-in-depressed-patients). The best types Of Meditations For Depression Relief(https:www.thedailymeditation.commeditation-depression). Your attention is like a muscle. The more you train it, the better the control you have over it. Mindfulness training(https:www.mindful.orgmeditationmindfulness-getting-started) will help you gain better control over your mind. It doesn't take much effort, just 15 to 20 minutes a day of doing nothing but focus your attention is enough and is scientifically proven to work. As you become better at focusing your attention, it will become easier to force yourself to stop having negative thoughts, which will break the negative reinforcement cycle. Go here for more: rMeditation Exercise: The effect of exercise on depressions(https:www.mayoclinic.orgdiseases-conditionsdepressionin-depthdepression-and-exerciseart-20046495) If you have access to a gym, then start lifting weights. If you don't have access to a gym (or you don't like lifting), start running. If you can't run, then start walking. Just start small. 10 minutes three times a week is fine. You don't have to run fast, just run and then slowly build it up over time. Exercising does several things: It releases endorphins, it takes your mind of your negative thoughts and it will improve your overall health. Give lots of hugs: Hugs release oxytocin(https:health.usnews.comhealth-newshealth-wellnessarticles2016-02-03the-health-benefits-of-hugging), which improves your mood and relaxes you. So find people to hug. If you are single, hug your parents or friends. If you can't, see if a dog is an option. Most dogs love to hug. Another solution that provides the same benefit is a weighted blanket(https:www.amazon.coms?kweightedblanket) will provide a similar positive effect at night(https:www.healthline.comhealthanxietydo-weighted-blankets-work). You should try to aim for 12 hugs a day(https:psychology-spot.combrain-needs) (if you currently don't hug a lot, I suggest you slowly build it up over time). Music: The right music can improve your mood(https:time.com5254381listening-to-music-health-benefits). The genre is not important as long as it is: "Upbeat, rhytmic and energetic". What this means differs from person to person, depending on their music taste. I have a special playlist for this. One way to measure the effectiveness, of the songs is your ability to listen to it over and over (if you can listen to it hundreds of times it likely has the highest positive effect on your mood). The effect can be amplified by using headphones and playing it LOUD and can further be enhanced by closing your eyes (doi:10.11770305735617734627, doi:10.1093jmt50.3.198 and doi:10.11770305735617751050). You are not your depression: For some people (often those that have been depressed for a long time), their depression has become a part of who they are and they assume a victim role. But that is a big problem, you have to will yourself into someone that sees themselves as a person that is actively fighting their disease, that no longer identifies with it, or else you will unconsciously obstruct your own healing process. As Eckhart Tolle expressed it in A New Earth: gt; A very common role is the one of victim, and the form of attention it seeks is sympathy or pity or others' interest in my problems, "me and my story." Seeing oneself as a victim is an element in many egoic patterns, such as complaining, being offended, outraged, and so on. Of course, once I am identified with a story in which I assigned myself the role of victim, I don't want it to end, and so, as every therapist knows, the ego does not want an end to its "problems" because they are part of its identity. Jordan Peterson: How To Deal With Depression(https:www.youtube.comwatch?vXm2zmX6Akc) (50 minutes). Jordan Peterson is a clinical psychologist, that's specialized in mythology. This is a compilation focusing specifically on depression. Practice gratitude: Take 5 minutes every day to practice gratitude.(https:www.pasadenavilla.comresourcesbloggratitude-and-depression) Highest rated books: Feeling Good: The New Mood Therapy(https:www.amazon.comFeeling-Good-New-Mood-Therapydp0380731762) It's Not Supposed to Be This Way: Finding Unexpected Strength When Disappointments Leave You Shattered(https:www.amazon.comIts-Not-Supposed-This-Disappointmentsdp0718039858) High quality free training provided by the Australian Health Service(https:www.cci.health.wa.gov.auResourcesLooking-After-YourselfDepression) Phone Apps: Two popular free apps used to help fight depressions, are Wysa and MoodTools(http:www.moodtools.org). These will track your mood, give you advice, even listen to your problems. The most popular meditation app is: Calm - Meditate, Sleep, Relax Free support: rKindVoice will match you up with a volunteer. 7 Cups of Tea(https:www.7cups.com) has both a free trained volunteer service as well as 150 monthly licensed therapist option If you want to talk to a trained Crisis Counselor, text HOME to 741741(https:www.crisistextline.orgtexting-in) There are several subreddits, where you can post questions: rdepression rdepressionhelp rdepressed
| true
|
92
|
g6k5639
|
You can make it through, believe it! I was you, hell, maybe I still AM you, in a smarter phase of a long arc of injury. I used to get frequent knee and back pain for which I saw a physical therapist, chiropractor, general practitioner, etc. Went through years-long cycles of injury and activity since age 17. I'm now in the best place I've been in for 10 years.
Bodies are all different. Try your best to listen to yours, experiment gently, and really notice how you feel (I know, it's so frustrating to have to experiment on yourself when all you want is a clear diagnosis and direction). I'll share what has worked for me, knowing that your recipe for success might differ:
* Immediate rest when a mysterious twinge hits my knee or back. I pushed through these minor pains for a long time, but now I don't. "Rest" means walking at a gentle pace frequently and puttering around my apartment.
* Lots of walks and hikes. Completely counter-intuitive, but joints were made to move. I finally discovered that when my SI joint and low back started giving off painful warning shots, the worst thing I could do was sit still. Yet going on a slow, moderate-intensity hike would clear up the pain! Hiking has also helped me build the strength and responsiveness of the little stabilizing muscles in my knees and back (which is similar to the exercises the PT gave me for the same reason). I credit hard backpacking all summer with decreasing my running injuries.
* No over-striding. I've had to content myself with 11 min miles, but keeping an easy pace with short strides has let me complete a half marathon with no knee pain.
* Finding different chairs and taking frequent breaks from computer work. Crappy posture in a bad chair gives me crazy back-aches that will translate to injury if I'm not careful to balance it with walking and stretching.
Good luck, you're not alone!
|
你一定能挺过去的，相信！我就是你，天哪，也许我仍然是你，处于长距离伤害的一个更聪明的阶段。我曾经经常出现膝盖和背部疼痛，为此我去看了物理治疗师、脊椎按摩师、全科医生等。从 17 岁开始，我经历了长达数年的受伤和活动循环。我现在处于我经历过的最好的状态10年了。身体各不相同。尽力倾听你的声音，轻轻地进行实验，并真正注意你的感受（我知道，当你想要的只是一个明确的诊断和方向时，必须在自己身上进行实验是非常令人沮丧的）。我将分享对我有用的方法，因为我知道您的成功秘诀可能会有所不同： * 当我的膝盖或背部出现神秘的刺痛时立即休息。我很长一段时间都在忍受这些小痛苦，但现在我不再这样做了。 “休息”意味着经常以缓慢的步伐行走并在我的公寓里闲逛。 * 大量散步和远足。完全违反直觉，但关节是可以移动的。我终于发现，当我的骶髂关节和腰部开始发出痛苦的警告信号时，我能做的最糟糕的事情就是坐着不动。然而，缓慢、中等强度的徒步旅行会消除疼痛！徒步旅行还帮助我增强了膝盖和背部小稳定肌肉的力量和反应能力（这与 PT 出于同样原因给我做的练习类似）。我相信整个夏天的艰苦背包旅行减少了我的跑步损伤。 * 不可跨步。我不得不满足于 11 分钟的里程，但保持小步幅的轻松配速让我完成了半程马拉松，膝盖没有疼痛。 * 寻找不同的椅子并经常从电脑工作中休息一下。坐在糟糕的椅子上的糟糕姿势会让我感到疯狂的背部疼痛，如果我不小心在行走和伸展之间保持平衡，就会导致受伤。祝你好运，你并不孤单！
| 0
|
You can make it through, believe it! I was you, hell, maybe I still AM you, in a smarter phase of a long arc of injury. I used to get frequent knee and back pain for which I saw a physical therapist, chiropractor, general practitioner, etc. Went through years-long cycles of injury and activity since age 17. I'm now in the best place I've been in for 10 years. Bodies are all different. Try your best to listen to yours, experiment gently, and really notice how you feel (I know, it's so frustrating to have to experiment on yourself when all you want is a clear diagnosis and direction). I'll share what has worked for me, knowing that your recipe for success might differ: Immediate rest when a mysterious twinge hits my knee or back. I pushed through these minor pains for a long time, but now I don't. "Rest" means walking at a gentle pace frequently and puttering around my apartment. Lots of walks and hikes. Completely counter-intuitive, but joints were made to move. I finally discovered that when my SI joint and low back started giving off painful warning shots, the worst thing I could do was sit still. Yet going on a slow, moderate-intensity hike would clear up the pain! Hiking has also helped me build the strength and responsiveness of the little stabilizing muscles in my knees and back (which is similar to the exercises the PT gave me for the same reason). I credit hard backpacking all summer with decreasing my running injuries. No over-striding. I've had to content myself with 11 min miles, but keeping an easy pace with short strides has let me complete a half marathon with no knee pain. Finding different chairs and taking frequent breaks from computer work. Crappy posture in a bad chair gives me crazy back-aches that will translate to injury if I'm not careful to balance it with walking and stretching. Good luck, you're not alone!
| true
|
93
|
flmbhce
|
> The device, called the Wireless Assessment of Respiratory and Circulatory Distress (WARD), consists of a wristband and a patch on the patient's body, which constantly monitors heart rate, blood pressure, oxygen saturation, heartbeat and breathing.
> The measurements are sent to a central computer, which analyzes the body's data and warns nurses and doctors if something is wrong - and this, according to Eske K. Aasvang, can potentially save lives.
> Artificial intelligence dispels false alarms
>After the first WARD units are deployed next week, the system will need to be expanded within a month with artificial intelligence, which can sort out false alarms and alert the staff only if something indicates a serious problem.
>Up to 90 percent of intensive care unit alarms are false alarms. That's why health care professionals end up hearing them so often that they almost become deaf to them, says Eske K. Aasvang.
|
>该设备被称为呼吸和循环窘迫无线评估（WARD），由腕带和患者身体上的贴片组成，可持续监测心率、血压、血氧饱和度、心跳和呼吸。 >测量结果被发送到中央计算机，中央计算机会分析身体数据，并在出现问题时向护士和医生发出警告 - 据埃斯克·K·阿斯万 (Eske K. Aasvang) 称，这有可能挽救生命。 >人工智能消除误报>下周部署第一批WARD单元后，该系统将需要在一个月内通过人工智能进行扩展，人工智能可以消除误报，并仅在出现严重问题时才向工作人员发出警报。 > 高达 90% 的重症监护病房警报都是误报。艾斯克·阿斯万 (Eske K. Aasvang) 表示，这就是为什么医疗保健专业人员经常听到这些声音，以至于几乎对它们充耳不闻。
| 1
|
gt; The device, called the Wireless Assessment of Respiratory and Circulatory Distress (WARD), consists of a wristband and a patch on the patient's body, which constantly monitors heart rate, blood pressure, oxygen saturation, heartbeat and breathing. gt; The measurements are sent to a central computer, which analyzes the body's data and warns nurses and doctors if something is wrong - and this, according to Eske K. Aasvang, can potentially save lives. gt; Artificial intelligence dispels false alarms gt;After the first WARD units are deployed next week, the system will need to be expanded within a month with artificial intelligence, which can sort out false alarms and alert the staff only if something indicates a serious problem. gt;Up to 90 percent of intensive care unit alarms are false alarms. That's why health care professionals end up hearing them so often that they almost become deaf to them, says Eske K. Aasvang.
| true
|
94
|
fp3k6x9
|
No worries. In French
>Elles sont trois voix : l’archange saint Michel, sainte Catherine et sainte Marguerite.Michel lui serait apparu le premier pour lui apprendre à « soi gouverner ». Il lui sert d’ange gardien, mais il ne vient pas souvent : « Il y a bien quatre mois que je ne l’ai vu. » L’archange est le protecteur du royaume de Bourges et figure sur les drapeaux de Charles VII depuis 1420. Mais Jeanne le voit plutôt en ange (il figure comme tel sur son étendard) qu’en combattant, différent donc des drapeaux du roi, où il porte l’armure. Catherine d’Alexandrie est une fille de roi qui a comme Jeanne refusé le mariage, pour se retrouver dans une prison et lutter contre une assemblée de cinquante docteurs. Les juges de Jeanne ne sont-ils pas cinquante à certaines séances ? Catherine, dont les reliques reposent en Occident, principalement à Rouen, est la patronne de tous ceux qui sont maltraités ou rêvent de s’évader. Et Jeanne en rêve. Marguerite d’Antioche, qui resta vierge et fut bergère, est la plus discrète des voix de Jeanne. C’est la protectrice des femmes en couches, lourde responsabilité à une époque où une femme sur quatre meurt en mettant au monde son premier-né. Les voix réconfortent, guérissent, conseillent. En un sens, elles sont la vraie famille de Jeanne, ses frère et sœurs du Ciel, qui jamais ne l’abandonneront.
Rough translation
>There are three voices \[talking to Joan\] : the archangel Saint Michael, Saint Catherine and Saint Marguerite. Michael appeared to Joan first and tought her to "govern herself". He is her guardian angel, but he doesn't come often: "It's been four months since I last saw him". The archangel is the protector of the kingdom of Bourges and has appeared on the flag of Charles VII since 1420. But Joan sees him rather as an angel (he appears as such on her fanion) than in combat, therefore different from the flags of the king, where Michael wears the armor. Catherine of Alexandria is the daughter of a king who, like Joan, refused to marry, only to find herself in a prison and fighting against an assembly of fifty doctors. Are not Joan's judges fifty at certain sessions? Catherine, whose relics lie in Western Europe, mainly in Rouen, is the patron saint of all those who are mistreated or dream of escaping. And Jeanne dreams of it. Marguerite of Antioch, who remained a virgin and was a shepherdess, is the most discreet of Jeanne's voices. She is the protector of women in childbirth, a heavy responsibility at a time when one in four women dies while giving birth to their first child. The voices comfort, heal, advise hze. In a sense, they are the true family of Joan, her brothers and sisters in Heaven, who will never abandon her.
|
不用担心。法语里有三个声音：大天使圣米迦勒、圣凯瑟琳和圣玛格丽特。米歇尔会首先出现在他面前，教他“自我管理”。他是她的守护天使，但他并不经常出现：“自从我上次见到他以来已经有四个月了。 » 大天使是布尔日王国的保护者，自 1420 年起就出现在查理七世的旗帜上。但珍妮认为他更像是一位天使（在她的旗帜上是这样出现的）而不是一位战士，因此与国王的天使不同旗帜，他穿着盔甲的地方。亚历山大的凯瑟琳是一位国王的女儿，她像琼一样拒绝结婚，却发现自己被关进监狱，并与五十名医生组成的集会进行斗争。在某些会议上，珍妮的法官不是有五十名吗？凯瑟琳的遗物安放在西方，主要是鲁昂，她是所有遭受虐待或梦想逃跑的人的守护神。珍妮梦见了它。安条克的玛格丽特仍然是处女，也是一名牧羊女，她是贞德的声音中最谨慎的。她是分娩中妇女的保护者，在四分之一的妇女死于难产之际，她肩负着沉重的责任。声音安慰、治愈、建议。从某种意义上来说，他们是珍妮真正的家人，是她从天上来的兄弟姐妹，永远不会抛弃她。粗略翻译>有三个声音\[与贞德说话\]：大天使圣米迦勒、圣凯瑟琳和圣玛格丽特。迈克尔首先出现在琼面前，并教导她“自我管理”。他是她的守护天使，但他并不经常出现：“自从我上次见到他以来，已经有四个月了”。大天使是布尔日王国的保护者，自 1420 年以来一直出现在查理七世的旗帜上。但贞德认为他更像是一位天使（他出现在她的三角旗上）而不是战斗中的天使，因此与查理七世的旗帜不同国王，迈克尔穿着盔甲的地方。亚历山大的凯瑟琳是一位国王的女儿，她像琼一样拒绝结婚，却发现自己被关进监狱，并与五十名医生组成的集会作战。在某些会议上，琼的法官不是有五十名吗？凯瑟琳的遗骸位于西欧，主要在鲁昂，她是所有遭受虐待或梦想逃跑的人的守护神。珍妮也梦想着它。安条克的玛格丽特仍然是处女，也是一名牧羊女，她是珍妮声音中最谨慎的一个。她是分娩中妇女的保护者，在四分之一的妇女在生第一个孩子时死亡的情况下，她肩负着沉重的责任。安慰的声音，治愈，建议hze。从某种意义上说，他们是琼真正的家人，是她在天堂的兄弟姐妹，永远不会抛弃她。
| 0
|
No worries. In French gt;Elles sont trois voix : larchange saint Michel, sainte Catherine et sainte Marguerite.Michel lui serait apparu le premier pour lui apprendre soi gouverner . Il lui sert dange gardien, mais il ne vient pas souvent : Il y a bien quatre mois que je ne lai vu. Larchange est le protecteur du royaume de Bourges et figure sur les drapeaux de Charles VII depuis 1420. Mais Jeanne le voit plutt en ange (il figure comme tel sur son tendard) quen combattant, diffrent donc des drapeaux du roi, o il porte larmure. Catherine dAlexandrie est une fille de roi qui a comme Jeanne refus le mariage, pour se retrouver dans une prison et lutter contre une assemble de cinquante docteurs. Les juges de Jeanne ne sont-ils pas cinquante certaines sances ? Catherine, dont les reliques reposent en Occident, principalement Rouen, est la patronne de tous ceux qui sont maltraits ou rvent de svader. Et Jeanne en rve. Marguerite dAntioche, qui resta vierge et fut bergre, est la plus discrte des voix de Jeanne. Cest la protectrice des femmes en couches, lourde responsabilit une poque o une femme sur quatre meurt en mettant au monde son premier-n. Les voix rconfortent, gurissent, conseillent. En un sens, elles sont la vraie famille de Jeanne, ses frre et surs du Ciel, qui jamais ne labandonneront. Rough translation gt;There are three voices talking to Joan : the archangel Saint Michael, Saint Catherine and Saint Marguerite. Michael appeared to Joan first and tought her to "govern herself". He is her guardian angel, but he doesn't come often: "It's been four months since I last saw him". The archangel is the protector of the kingdom of Bourges and has appeared on the flag of Charles VII since 1420. But Joan sees him rather as an angel (he appears as such on her fanion) than in combat, therefore different from the flags of the king, where Michael wears the armor. Catherine of Alexandria is the daughter of a king who, like Joan, refused to marry, only to find herself in a prison and fighting against an assembly of fifty doctors. Are not Joan's judges fifty at certain sessions? Catherine, whose relics lie in Western Europe, mainly in Rouen, is the patron saint of all those who are mistreated or dream of escaping. And Jeanne dreams of it. Marguerite of Antioch, who remained a virgin and was a shepherdess, is the most discreet of Jeanne's voices. She is the protector of women in childbirth, a heavy responsibility at a time when one in four women dies while giving birth to their first child. The voices comfort, heal, advise hze. In a sense, they are the true family of Joan, her brothers and sisters in Heaven, who will never abandon her.
| true
|
95
|
fy9b4xj
|
Holodecks were new between TOS and TNG (well, they were retconned into the animated series, I think, but still...) - that's gotta be pretty culturally significant.
Similarly there were massive leaps in warp technology: going from 512c for the Constitution class, to 4354c for the Intrepid class - that's 8.5x faster.
And Federation artificial intelligence tech is clearly present - Data is pretty much proven to be sentient, and the Doctor is arguably more human than Data
|
全息甲板是 TOS 和 TNG 之间的新事物（嗯，我认为它们被重新编入动画系列，但仍然......） - 这在文化上肯定具有相当重要的意义。同样，曲速技术也发生了巨大的飞跃：从宪法级的 512c 到无畏级的 4354c，速度提高了 8.5 倍。联邦人工智能技术显然已经存在——数据几乎被证明是有感知的，而且医生可以说比数据更人性化
| 0
|
Holodecks were new between TOS and TNG (well, they were retconned into the animated series, I think, but still...) - that's gotta be pretty culturally significant. Similarly there were massive leaps in warp technology: going from 512c for the Constitution class, to 4354c for the Intrepid class - that's 8.5x faster. And Federation artificial intelligence tech is clearly present - Data is pretty much proven to be sentient, and the Doctor is arguably more human than Data
| true
|
96
|
h9ysxuz
|
I am a personal friend of the doctor who headed up the national Infectious Diseases department in South Africa when the HIV outbreak first started there and was gaining traction in the 80s. She is world-reknowned for her work on HIV and many other tropical and other infectious diseases, including TB. I would take her professional opinion over some Reddit user named "pooh" who purports to understand research papers. The fact that you call it an AIDs "virus" tells me that you are truly incapable of understanding the very basic classification, taxonomy or nomenclature of viruses. At its most BASIC level, HIV is a Lentivirus. It's known as the (H) human (I) immunodeficiency (V) virus - HIV. Humans can be infected by 2 species of Lentivirus. Lentiviruses are known for having loooooong incubation periods and are very clever in that they convert viral RNA into DNA (double stranded), as well as integrase. This inserts the viral DNA into your (the host) DNA. There, it divides along with host cell and the host cell is blind to it. So, over time this causes (A) acquired (I) immune (D) deficiency (S) syndrome - AIDS. AIDS is a gradual and progressive failure of our immune systems, which enables life-threatening infections to overwhelm the body. It also allows cancers to take hold. So ... the fact that you call AIDS a virus, tells me that you couldn't possibly understand more complex research.
Everybody is an expert because they "read it on the Internet". 🙄 Tell me you've studied virology and I MAY take you seriously.
|
我是一位医生的私人朋友，当艾滋病毒首次在南非爆发并在 80 年代愈演愈烈时，他是南非国家传染病部门的负责人。她因在艾滋病毒和许多其他热带疾病和其他传染病（包括结核病）方面的工作而闻名于世。我会听取她对一些名为“pooh”的 Reddit 用户的专业意见，该用户声称了解研究论文。你称其为艾滋病“病毒”，这一事实告诉我，你确实无法理解病毒最基本的分类、分类或命名。在最基本的层面上，HIV 是一种慢病毒。它被称为 (H) 人类 (I) 免疫缺陷 (V) 病毒 - HIV。人类可感染 2 种慢病毒。慢病毒以具有很长的潜伏期而闻名，并且非常聪明，它们可以将病毒 RNA 转化为 DNA（双链）以及整合酶。这会将病毒 DNA 插入您（宿主）的 DNA 中。在那里，它与宿主细胞一起分裂，而宿主细胞对它是看不见的。因此，随着时间的推移，这会导致（A）获得性（I）免疫（D）缺陷（S）综合症 - 艾滋病。艾滋病是我们的免疫系统逐渐衰竭的结果，它使危及生命的感染淹没了我们的身体。它还会导致癌症的发生。所以……你称艾滋病为病毒这一事实告诉我，你不可能理解更复杂的研究。每个人都是专家，因为他们“在互联网上阅读”。 🙄 告诉我你学过病毒学，我可能会认真对待你。
| 0
|
I am a personal friend of the doctor who headed up the national Infectious Diseases department in South Africa when the HIV outbreak first started there and was gaining traction in the 80s. She is world-reknowned for her work on HIV and many other tropical and other infectious diseases, including TB. I would take her professional opinion over some Reddit user named "pooh" who purports to understand research papers. The fact that you call it an AIDs "virus" tells me that you are truly incapable of understanding the very basic classification, taxonomy or nomenclature of viruses. At its most BASIC level, HIV is a Lentivirus. It's known as the (H) human (I) immunodeficiency (V) virus - HIV. Humans can be infected by 2 species of Lentivirus. Lentiviruses are known for having loooooong incubation periods and are very clever in that they convert viral RNA into DNA (double stranded), as well as integrase. This inserts the viral DNA into your (the host) DNA. There, it divides along with host cell and the host cell is blind to it. So, over time this causes (A) acquired (I) immune (D) deficiency (S) syndrome - AIDS. AIDS is a gradual and progressive failure of our immune systems, which enables life-threatening infections to overwhelm the body. It also allows cancers to take hold. So ... the fact that you call AIDS a virus, tells me that you couldn't possibly understand more complex research. Everybody is an expert because they "read it on the Internet". Tell me you've studied virology and I MAY take you seriously.
| true
|
97
|
fyfpeor
|
>Why don't we intervene before it gets to those levels? We can prevent a lot of people going through a lot of hardship.
It isn't increasing. It's been flat for 30+ years. It's not something I'm actively worrying about. If anything, it has been going down marginally as time goes on.
>I think OP is saying employers should make a bigger contribution to ensure the jobs of 'essential' workers are compensated according to their actual value to society.
If anything, that's a justification to pay people less. What is special about stacking shelves or serving people at counters? It's heartless coming from a family of box stackers, but it's not a special job that contributes much to society. Shelf stacking and grabbing robot has been around for decades.
What matters is supply and demand. There's more low-skilled workers, therefore it's only logical that they get paid less. They don't offer anything unique. Whereas jobs like accountants, doctors, lawyers require a specific element of thinking. The labour pool for those jobs is less, they're more in demand, it's only logical they get paid more.
>What problem are they, exactly?
The problem of printing money for asset purchases to drive down the value of the dollar. It makes petrol and various imports more expensive for the poor. We did just fine without any money printing in 2008.
>And it's still not enough!
It was a 40% increase in benefits if you're on Jobseekers. That's more than enough coming from a former beneficiary.
>The only people who will be a significant amount richer are already rich.
Under the current system, yes.
If you encouraged savings, smart investment and had good tax laws everyone would be richer for it. Just look at Australia and Singapore for what smart tax incentives can do. $521 KiwiSaver contributions aren't enough. In Australia, you can contribute tens of thousands of dollars to your own Super and reduce your own tax bill in the process.
By having those tax breaks there, Australians and Singaporeans have a higher net worth outside of property. NZ, outside of property, doesn't have much in the way of assets. Australians and Singaporeans control our companies because they have the savings and investment there to do it thanks to their tax system. We need to do the same.
|
>为什么我们不在达到这些水平之前进行干预呢？我们可以防止很多人经历很多困难。它没有增加。 30多年来一直持平。这不是我主动担心的事情。如果说有什么不同的话，那就是随着时间的推移，它一直在小幅下降。 >我认为OP是在说雇主应该做出更大的贡献，以确保“必要”工人的工作根据他们对社会的实际价值得到补偿。如果说有什么不同的话，那就是减少员工工资的理由。堆放货架或在柜台为人们服务有什么特别之处？来自堆箱工家庭，虽然很无情，但并不是一份对社会有多大贡献的特殊工作。货架堆垛和抓取机器人已经存在了几十年。重要的是供给和需求。低技能工人越来越多，因此他们的工资降低是合乎逻辑的。他们不提供任何独特的东西。而会计师、医生、律师等工作则需要特定的思维要素。这些工作的劳动力资源较少，但需求量更大，他们获得更高的薪水也是合乎逻辑的。 >它们到底是什么问题？印钞用于购买资产以压低美元价值的问题。这使得汽油和各种进口产品对穷人来说更加昂贵。 2008 年，我们在没有印钞的情况下过得很好。>但这还不够！如果您加入 Jobseeker，福利会增加 40%。来自前受益人的钱绰绰有余。 > 唯一会变得更加富有的人已经很富有了。在现行制度下，是的。如果你鼓励储蓄、明智的投资并制定良好的税法，每个人都会因此变得更加富有。只要看看澳大利亚和新加坡，就知道明智的税收激励措施可以发挥什么作用。 521 美元的 KiwiSaver 捐款还不够。在澳大利亚，您可以向自己的退休金存入数万澳元，并在此过程中减少自己的税单。通过那里的税收减免，澳大利亚人和新加坡人在财产之外拥有更高的净资产。新西兰除了财产之外没有太多资产。澳大利亚人和新加坡人控制着我们的公司，因为他们的税收制度让他们拥有储蓄和投资来做到这一点。我们也需要这样做。
| 0
|
gt;Why don't we intervene before it gets to those levels? We can prevent a lot of people going through a lot of hardship. It isn't increasing. It's been flat for 30 years. It's not something I'm actively worrying about. If anything, it has been going down marginally as time goes on. gt;I think OP is saying employers should make a bigger contribution to ensure the jobs of 'essential' workers are compensated according to their actual value to society. If anything, that's a justification to pay people less. What is special about stacking shelves or serving people at counters? It's heartless coming from a family of box stackers, but it's not a special job that contributes much to society. Shelf stacking and grabbing robot has been around for decades. What matters is supply and demand. There's more low-skilled workers, therefore it's only logical that they get paid less. They don't offer anything unique. Whereas jobs like accountants, doctors, lawyers require a specific element of thinking. The labour pool for those jobs is less, they're more in demand, it's only logical they get paid more. gt;What problem are they, exactly? The problem of printing money for asset purchases to drive down the value of the dollar. It makes petrol and various imports more expensive for the poor. We did just fine without any money printing in 2008. gt;And it's still not enough! It was a 40 increase in benefits if you're on Jobseekers. That's more than enough coming from a former beneficiary. gt;The only people who will be a significant amount richer are already rich. Under the current system, yes. If you encouraged savings, smart investment and had good tax laws everyone would be richer for it. Just look at Australia and Singapore for what smart tax incentives can do. 521 KiwiSaver contributions aren't enough. In Australia, you can contribute tens of thousands of dollars to your own Super and reduce your own tax bill in the process. By having those tax breaks there, Australians and Singaporeans have a higher net worth outside of property. NZ, outside of property, doesn't have much in the way of assets. Australians and Singaporeans control our companies because they have the savings and investment there to do it thanks to their tax system. We need to do the same.
| true
|
98
|
h04uk1d
|
Jesus.. I'm glad my insurance covers me. I pay $10/month for test and haven't touched an AI in a while. Have plenty of it though.
My doctor is shit though so I'm basically managing my own protocol
|
天哪..我很高兴我的保险涵盖了我。我每月支付 10 美元进行测试，并且已经有一段时间没有接触人工智能了。不过还是有足够的吧。不过我的医生很糟糕，所以我基本上是在管理自己的治疗方案
| 0
|
Jesus.. I'm glad my insurance covers me. I pay 10month for test and haven't touched an AI in a while. Have plenty of it though. My doctor is shit though so I'm basically managing my own protocol
| true
|
99
|
dwvazaa
|
I have been on 200 test c for close to a year now (doctor prescribed). This has kept me on the high end of normal for testosterone. It comes premixed with .5 mg anastrozole.
If some day i ever decided to run a real cycle, what do you think are the odds that I would need to increase the AI? If I just added 300 test for a beginner cycle would that automatically require an increase in AI?
|
我已经进行 200 test c 近一年了（医生规定）。这使我的睾酮水平保持在正常水平的高端。它与 0.5 毫克阿那曲唑预混合。如果有一天我决定运行一个真正的循环，你认为我需要增加人工智能的几率是多少？如果我只是为初学者周期添加 300 个测试，是否会自动需要增加 AI？
| 0
|
I have been on 200 test c for close to a year now (doctor prescribed). This has kept me on the high end of normal for testosterone. It comes premixed with .5 mg anastrozole. If some day i ever decided to run a real cycle, what do you think are the odds that I would need to increase the AI? If I just added 300 test for a beginner cycle would that automatically require an increase in AI?
| true
|
100
|
ew5nmv4
|
Some of us have never advised anyone to get a dashcam or helmet cam. The big difference is that whatever you record on your dashcam or helmet can is not searchable by law enforcement and they would need a warrant to acquire the data. Surveillance cameras operated by cities are collecting data on everyone... facial recognition, building a database on you of where you go, when you go there, who you are with. Algorithms are being developed to predict your activities, so that the ai will know where you are going before you even decide to go somewhere. If you don't mind a database somewhere recording your every interaction with every person and every place you go (including that doctor that specializes in ED) then by all means, give up your privacy. Some of us value our privacy.
|
我们中的一些人从未建议任何人购买行车记录仪或头盔摄像头。最大的区别在于，执法部门无法搜索到您在行车记录仪或头盔上记录的任何内容，并且他们需要搜查令才能获取数据。城市运行的监控摄像头正在收集每个人的数据……面部识别，建立一个数据库，记录你去哪里、何时去那里、和谁在一起。正在开发算法来预测你的活动，以便人工智能在你决定去某个地方之前就知道你要去哪里。如果您不介意某个数据库记录您与每个人以及您去过的每个地方（包括专门从事急诊科的医生）的每次互动，那么请务必放弃您的隐私。我们中的一些人重视我们的隐私。
| 0
|
Some of us have never advised anyone to get a dashcam or helmet cam. The big difference is that whatever you record on your dashcam or helmet can is not searchable by law enforcement and they would need a warrant to acquire the data. Surveillance cameras operated by cities are collecting data on everyone... facial recognition, building a database on you of where you go, when you go there, who you are with. Algorithms are being developed to predict your activities, so that the ai will know where you are going before you even decide to go somewhere. If you don't mind a database somewhere recording your every interaction with every person and every place you go (including that doctor that specializes in ED) then by all means, give up your privacy. Some of us value our privacy.
| true
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.