For fatigue, I’m not sure. Multiple things are happening that give rise to migraines. But fatigue is commonly reported by people before a migraine starts.
https://americanmigrainefoundation.org/resource-library/timeline-migraine-attack/
Absolutely, and they don’t have to look the same for sure, or even involve visual parts of the brain at all for some people. I don’t get them, but I think the various illustrations of them are quite interesting.
Brain blackout is kind of a dramatic word. I’m pretty sure the article is trying to refer to cortical spreading depression.
https://www.nature.com/articles/nrneurol.2013.192
This is a wave of decreased activity going across the brain. It’s not the whole brain though, just a portion, and it tends to happen more often in the posterior brain than anterior. That’s why visual and other sensory auras (posterior brain) auras are more common than motor/weakness auras (anterior brain). The visual aura itself is the spreading wave of decreased activity going across the brain. It happens in primary visual cortex, primarily dealing with lines and colors. Visual space is represented radially on the brain, so it can often be circular. The “fortifications” or lines on the edges some people see come from the fact that it’s neurons that deal with line detection. Pain usually follows shortly after, but we aren’t exactly sure how that works, and this article was posing a possible mechanism to help link these. The main bulk of the visual aura where it’s grey, blurry, and indistinct is the decreased activity itself in the visual cortex. The area can get larger as the wave spreads.
Deja vu or jamais vu have been reported with migraines, though that’s a very rare aura in comparison. It’s all depending on what parts of the brain are involved with the cortical spreading depression for that migraine aura for that person in terms of what symptom will happen. Deja vu would be more temporal lobe. Temporal lobe is the most common localization for focal epilepsies. So deja vu as a symptom of a neurologic disease would more commonly be seen with seizures (focal seizures are sometimes called auras too, which gets confusing but are inherently different from what is happening in a migraine). But don’t worry, most deja vu is nothing to worry about.
That is an impressive amount of LPS (lies per sentence), even by Trump standards. Some of them have layers, like a nesting doll of lies where each lie has even more lies inside when examined closely.
Some states have open primaries, you just vote in whatever one you want. Not every state requires registering with a party to vote in the primary.
They do leave the body over time, but the half life is very long, like 3-10 years depending on the specific one.
Blood levels of many of them have fallen a lot since the year 2000ish as some were phased out, though of course there’s dangers of more being made.
https://www.atsdr.cdc.gov/pfas/health-effects/us-population.html
There’s also new rules going in effect 2025 to require them to be removed from tap water if present, using a different process called ion exchange. The method described in the article is a way of destroying them once they’re removed, so a way to treat high pfa level waste basically.
https://www.atsdr.cdc.gov/pfas/health-effects/us-population.html
Horrible how multiple companies like 3M and Dupont were covering up their dangers for years. $10 billion doesn’t seem like nearly enough in damages.
https://time.com/6289893/3m-forever-chemical-pfas-settlement/
Especially when the costs of keeping it out of affected drinking water systems alone is expected to be $1.5 billion, per year.
This is bizarre, I looked and Rochester Minnesota has multiple high speed providers, including two that offer fiber.
And the isp you have is a wireless isp that doesn’t even list Rochester as within its coverage area, they’re intended to serve more rural areas west of the city. On their map it gets close to but not quite in Rochester, but maybe they’re still able to access it (slowly) since it’s a wireless provider.
I’m guessing this is a whoever owns your Airbnb problem rather than a Rochester Minnesota problem. I don’t understand why they would be paying for this rather than use any of the readily available high speed options there.
The problem is there is no recourse like in a normal job. It’s not like you can just say, working conditions here are bad I’m going somewhere else. Working conditions are miserable everywhere for residents, 80 hour weeks are a norm not an exception, and switching to other programs is near impossible. There’s a specific exception in US anti trust law that helps keep this all going and make it so programs effectively don’t need to compete with each other on things like pay and benefits. If a resident were to leave their program, they’d be saddled with 6 figure student loan debt, be unable to use their degree for the most part, and be very unlikely to be picked up by any other program. And if they did, it’d likely be an even worse situation (why else would the position be open?). Though some programs may be better than others, even the best case scenarios are ridiculous and unsafe to any reasonable person looking at them. It’s this bizarre case of group insanity where people figure it must be reasonable if so many people put up with it, but anyone outside of medicine would be horrified. The entire residency system is broken, has been from the start, and all the external incentives on the residency system are pushing it to get even worse, not better. Need change forced by law from above, the monopoly ended, or resident unions, all three really.
I understand the sentiment but it’s not really helpful. They’re still the ones on call, they need to talk to you, and will be writing your orders and things anyways. Not really like they can just say, oh yeah I am tired I’ll just go home and sleep and abandon all these patients here, why didn’t I think of that?
Helpful things would be writing congressmen and senators about reform to the residency system, supporting unionization efforts. Change will only come if forced from above or if residents get more of a say. Ideal situation in my mind would be a more typical work schedule capped at closer to 50 hours a week, maybe with increased residency training time overall and increased pay during that time to compensate (need to keep up with cripplingly high student loan debt for those who didn’t have wealthy parents who payed for medical school).
Even attending physicians will really need to start unionizing if they don’t want to get totally lost in the shuffle, since they’re mostly employed directly now instead of running their own practices or specialty group, they get very little say in how things are done.
Unfortunately a common experience. While they don’t tell you to lie, the system is set up to make that the only reasonable option. And even if they were holding to 80 hour max (open secret this limit is broken many places) it would still be too much for any job, let alone something high risk like a doctor in training. If you were on a plane with a pilot in training who’d worked almost 80 hrs and been up for 20 hours straight already, you’d rightfully be very concerned.
Don’t forget mandatory resiliency lectures after your 24 hr shift to really rub it in and gaslight you that all of this is somehow your fault.
Residents in the US have 80 hours with maximum of 28 hour shifts, not a ton better. Though average salary is better at 58,000. Still, considering the hours worked and 8 years of schooling up to that point, ugh.
Residency is just a terrible idea through and through, absolutely insane. Where else could you start a job and be told “right so you’re new here, this is life and death decision making, we’d like you to stay up working for 28 hrs straight doing this. Alright, get to work!”
If a resident gets two days off, it’s called a “golden weekend.” What most people refer to as, a weekend. It’s just exploitation. Even more so when you consider Medicare pays for residents (and they even pay the hospitals more than the resident’s actual salary! So the hospital pockets that difference and benefits from all the direct value the residents generate too). There’s even an exception in US anti trust law to make the system legal. Glad more residents are unionizing here as well. Residency is horrible and needs to go.
https://www.acgme.org/globalassets/pfassets/programrequirements/cprresidency_2023.pdf
There’s even this lovely line:
The program, in partnership with its Sponsoring Institution, must ensure adequate sleep facilities and safe transportation options for residents who may be too fatigued to safely return home
So, so tired not even safe to return home (which I mean they’re right, it is not safe to be driving after staying up 24 hours straight) but continue doing patient care while you’re that impaired, it’s fine.
In a prospective study, new medical interns went from 3.9% meeting criteria for major depressive disorder to 25% after starting. And depression was linked with increased medical errors to boot. Of course mean work hours was a major association of depression too.
https://jamanetwork.com/journals/jamapsychiatry/article-abstract/210823
Totally asinine, a whole enormous meat grinding machine that needs to go, but is stuck in place by historical inertia and current profits for large hospitals.
You’re right it’s an article about Georgia, but Florida seems to have beat Georgia to it and done this already. Unfortunately it’s a trend across many Republican run states.
https://www.politico.com/news/2023/10/31/florida-conservative-national-library-ala-00124516
Kind of? They call it that sometimes but it doesn’t look like a true no first use policy in the same vein as China’s and India’s. Putin also threatens nuclear weapons if NATO troops were to get involved in Ukraine, and openly questions the policy.
https://www.cnn.com/2022/12/09/europe/russia-putin-nuclear-weapons-intl/index.html
I’m not sure any nuclear country would stick to these policies if they truly faced an existential threat, whether that threat was nuclear or not. Russia’s policy has a carve out for any existential threat including conventional weapons. US and Russian policies are pretty close, basically okay to use for any existential threat. Doesn’t hurt to try and negotiate more no first use policies and reinforce the norm though.
Looks like the UK, France, and Pakistan also lack no first use policies.
https://en.m.wikipedia.org/wiki/No_first_use
As far as I can tell the article is correct, China and India are the only current nuclear powers with true no first use policies. If that’s incorrect happy to learn more though. Israel not on here cause officially not a nuclear power, but hey we weren’t born yesterday.
And this one wasn’t even a country per se, but a company. Though NASA has some experiments they out on the craft.
Like all those terrible political books by candidates which are then bought en mass by super PACs and others to funnel money into the campaign.
An annual screening mammogram is automatically covered. If it’s a “diagnostic” mammogram following up some specific issue or complaint, then it would then fall into whatever normal policy rules you have with your insurance company for imaging tests. That’s more likely the case here since this person had to go on to have an ultrasound as well.
If you have insurance but get billed for an annual screening mammogram, it’s possible it was coded improperly by billers and you should definitely check up on that before paying.
Forer’s motion will likely face legal hurdles, because the law only permits lawmakers to be expelled for racist incitement or for supporting armed struggle against Israel, and it is not clear whether Cassif’s actions meet these two conditions.
That’s quite the stretch. It would just be extra judicial facist nonsense if they actually go through with this.
“Lose weight and rejuvenate dry leg skin with this one weird trick!”
Not some home brew theory. And it is very convoluted, but it’s bascially more “one China” policy word games.
The Taiwanese president unofficially stated in 1991 they do not claim mainland China, but this was never affirmed by courts and there’s no force of law behind it. They cannot officially do this currently without greatly antagonizing China. China’s view is that Taiwan limiting its borders to include only Taiwan and not all of China, would signal the end of the “one China” policy and be a precursor to Taiwanese independence. If Tawain were to declare different national borders that include only the island itself, then China would view it as a violation of their anti secession law passed in 2005, which threatens military force in retaliation. In China’s view, they are another government still within China and still in civil war, without the authority to re-define national borders.
https://en.m.wikipedia.org/wiki/Anti-Secession_Law
Continuing to claim mainland China as part of the same country is continuing the current status quo, any deviations from that would be viewed as an attempted separation of “indivisable” China. So the claim to the mainland at this point in history is primarily to not antagonize China and continue the status quo situation.
“The charges include market manipulation, conspiracy to commit money laundering, and wire fraud, which can lead to sentences of up to 20 years”
SEC also has a press release
https://www.sec.gov/newsroom/press-releases/2024-166