This is the mindset I have to keep myself in while working in medicine. I can’t save every patient. Some of them will die in my care, but that won’t stop me from trying to help the next one.

These are incredibly important reports to publish and spread awareness of…but I kind of wish I hadn’t read them today.

That’s why it’s a disagreement. I’m not necessarily saying their opinions are factually incorrect, just that they are devoid of empathy, morally reprehensible, and antithetical to the teachings of the religious figure that they are statistically likely to claim to be faithful to. A lack of empathy should not be rewarded.

Typically, the things I disagree with are the things like bad faith arguments, lies, rudeness, or bigoted ideals that purport that not all humans deserve equal rights, etc.

Usually, when I disagree with something, it is because it is incorrect, lying, or particularly mean-spirited. I disagree with people that do not think that every human deserves the same rights. I disagree with people that push for ideologies that would strip other humans of their rights, or that would inflict needless suffering. I don’t downvote people when I disagree with what media they think is good or something. I downvote those that express ideas that are antithetical to what I see as basic human decency or that are factually incorrect.

Personally, I use downvotes to say “I disagree with this and/or it is a stupid/bad/bigoted/etc take, but I do not wish to spend the time and effort to respond and get dragged into a text-based mudfight with someone who is unlikely to speak to me politely, no matter how polite I try to be in my rebuttal.”

I like having a way to say “no, bad, stop that” without having to spend time trying to explain things or engage with someone who I think is beyond convincing anyways.

It’s variable, but some people have one where the upper lip connects to the gums and another one for the bottom lip. So an AMAB can have up to 4 of them.

Mine does that sometimes, but there’s plenty of times when it’s just being a glitchy pile of garbage. I’ve got a fully updated pixel 8 pro and a 2021 Subaru Crosstrek, but sometimes they just don’t like to talk to each other correctly. It’ll also do this fun thing where it just fails to turn on the mic for phone calls until I reboot the phone and the car before reconnecting them.

If Android Auto is active, it blocks me from opening Google Maps on my phone and I have to mess with the touchscreen interface a bunch before it offers to let me use my phone’s keyboard while stopped. It would be less annoying if the voice search option and the search interface on the car’s touchscreen was less bad.

Yes! I fucking love buttons and dials! And maybe Android Auto can just heckin’ let me use my phone keyboard when I’m stopped.

Bullets are a lot more expensive than bandages most of the time.

(Edit: that is not to say that this is a reasonable allocation of resources in this situation. The appropriate ratio would be zero bullets and a couple dozen new, fully equipped hospitals and several hundred well-stocked kitchens.)

Thank you! I didn’t know where to find that setting and I didn’t know exactly what term to search in the settings to find it.

I was just looking for a game like this earlier today. This is perfect!

I was sweaty as heck and completely winded by the end of it, but the notion that you are currently responsible for a person’s life and brain with their family in the hallway outside makes for good motivation.

I’m still intensely proud of myself for the one time I caved a guy’s sternum in and he woke up to complain about it.

I was an ER tech at the time and he coded in CT (it’s always in CT). So there was a nurse riding the gurney doing compressions while they brought him to the resuscitation bay where I took over compressions. I cracked his sternum on the third compression because, despite having about 75 pounds on me and being on top of the guy, the nurse hadn’t cracked a rib or gotten perfusion. Unfortunately, someone had lost the CPR stool in the resus bay, and I was the only person tall enough to do compressions, so I did it for the full 11 minutes or so of the code in full isolation gear (because Covid). On the second round of amiodarone and defibrillation, he woke up and started fighting the tube that had been placed a few minutes prior. The first thing he said when he came to was that his chest hurt.

He was awake and talking to his family a couple hours later when I took him up to the ICU after all the admission paperwork and whatnot was done.

Fun fact: you can get narcan to carry as a first aid measure from almost any pharmacy, and many local health departments host narcan trainings and give it out for free. Giving someone narcan when they don’t need it won’t do anything at all, so the worst you’re doing is nothing, and the best case scenario, you can save a life.

That was my thought too. A portal hypertensive crisis following exertion leading to rupture of varices. I can’t think of much else that would present like that besides maybe Ebola Zaire or something, but that would have a noticeable prodrome and “coffee grounds” in the emesis.