Surgeon here, in private practice. Agree with the article - all the stressors he mentions are typical of both residents and staff physicians. The hour crunch for me is better post residency but overall the stress is unchanged. Probably higher after training with the added responsibilities & risks.
My sense is that the field developed in the era of independent/private practice, where the grueling hours worked was justified by high pay and minimal bureaucratic/administrative burden. Add decades of stagnant/falling pay plus death by a thousand administrative cuts and the profession no longer justifies the difficult working conditions as convincingly. Some practices are still good, others terrible. Look at the rate of physician turnover to see which is which.
Oh and the “provider” discussion is worth paying attention to. Your doctor has this calculus worked out - years & energy invested, work environment & income expected, then the only viable option in your city is to be employed by a large hospital system (because hospitals get paid at least double for the same work, outcome is as expected.) But wait there’s more: you are now called “provider” by your large hospital employer who hires 2x NP employees to do the “same” work as you and pay half. Guess what direction the pricing pressure is going. In the future expect few MDs to stay in primary care because the system does not support that path. Specialty training is the future for MDs who invest time, energy, & money to excel in their field.
I’m so glad I’m not alone in noticing this “provider” bs. Peel back the creepy Orwellian doublespeak and all you find is cynical ploy to save money by creating a false equivalence of doctors’ work with non-doctors. The health care industry is just the latest home of the money-grubbing vampire squid of finance. Sickens me.
Is there something unique to your application beyond the parameters I’d expect are typical for mech keyboard use? Buy one, use daily, and expect to work indefinitely?
Extra lubrication of keyboard switches using Krytox oil/grease lubricants enhances the feel and sound of Cherry MX-like keyboard switches. The downside is it can dry up over time, get contaminated with dust, and actually result in a worse experience. I wasn't planning on ever lubricating the particular custom keyboard ever again, so it's for this reason I considered molybdenum disulfide, a dry lubricant that's been used for Alps keyboard switches. Molybdenum disulfide is used for dust-prone Alps switches because dust contamination will not impact the dry lubricant's performance.
We live in America. We have an old house (>100 yrs). One bathroom had a tub. We renovated the bathroom to incorporate a shower head. Turns out we couldn't purchase a new tub that fit the old dimensions, as new tubs are smaller, reportedly to meet new efficiency standards. So we had to frame in a smaller recess to fit the new, smaller tub. Wah wah, I guess the answer is, old tubs used to be more adult sized, and new ones aren't because of efficiency / climate change trends? As others have pointed out, you can still get big tubs but they're more like jacuzzi or whirlpool types that take up more space.
Our new home came with a pre-installed freestanding bathtub in the master bathroom. Fits an adult easily. But I don’t think you can fit one through the door - it would have to be taken apart for sure. It’ll be a big reno project.
Measure the height. They often just barely fit if coming in sideways.
But the large “one piece” bathtub/shower combos you see at the hardware stores definitely are installed early and won’t fit in the door. They are more leakproof but they sell remodel versions that come in multiple parts.
Japan has the solution to this. Tubs are connected to a smart system and you can start your bath from, say, the living room via a panel. You can specify what time you want it filled up at and at what temp and it does the rest.
Some tubs even support re-heating the existing water, so you can re-use the same bathwater the next day or later in the evening for other family members. (in Japan it's assumed you're going to shower and clean your body throughly before entering the bath, like in a hot spring/public pool, so the water doesn't get so gross)
FWIW, my spouse works in rehab hospital settings and says tub accessibility is a big problem with lots of the much older and more modern freestanding tubs. Relatively thin, high sides are an injury risk for a lot of people. It's one reason many tubs are shorter and have wide flat sides.
Curious paragraph at the very end of the NYT’s article on this:
“ On average, it takes 28 flights per week to cover a 1,750-square-mile region, according to the state Food and Agriculture Department. To combat the Leimert Park outbreak, officials said they would divert two flights per week to target the affected neighborhoods.
Strict procedures are now in place to prevent another accidental release of fertile flies, Dr. Leathers said. “We really need to make sure there’s a lot more sterile flies out there, than the wild flies,” he said, “to make it more likely to work.””
Thats the end of the article. No mention of accidental release of fertile flies elsewhere in the article. Article burying the lede?
They're presumably referencing a major fruit fly fuckup from back in 1981. In 1981, there was an outbreak of "medfly," the mediterranean fruit fly. It was a big economic disaster for California. The reaction was crazy. People were up in arms. The state started spraying chemicals on everything. But environmentalists were like "hey, um, maybe spraying a bunch of pesticide on everything isn't great" and the governor was like "yeah, I'm gonna not aerially spray everywhere." But then the Federal government stepped in and ordered we spread it everywhere. The medfly thing was bonkers. Years later, there would be a whole insane side plot where a terrorist "medfly breeders" group would send notices to newspapers that they were secretly breeding more medflies.
Anyway, during this insane hullaballoo, one of the alternatives to spraying that they tried was releasing a bunch of "sterile" male flies that they somehow got from Peru. I have no idea what Peru reportedly did to sterilize them (maybe they had a different breed?), but whatever it was was wrong, and California ended up dumping a few hundred thousand perfectly virile male flies out.
No, they aren't. Aerial spraying is used in agriculture, by crop-dusting planes flown at low altitude. This is how pesticides are delivered, in small and large treatments.
Contrails are real. They're a cloud formation caused by engine exhaust at high altitude.
Chemtrails are a stupid conspiracy theory wherein contrails are imagined to be chemical sprays. If spraying was done at such high altitudes in California, most of it would end up in the ocean, or perhaps the Rocky Mountains.
The conspiracy theory "works" because it conflates an unintuitive physical phenomenon with a known-bad prior government action. But in reality, it relies on deep ignorance of physics.
"""Contrails — the thin, white lines you sometimes see behind airplanes — have a surprisingly large impact on our climate. The 2022 IPCC report noted that clouds created by contrails account for roughly 35% of aviation's global warming impact, over half the impact of the world’s jet fuel."""
One unique difficulty arose in 2003 when the radiation apparatus that sterilized screwworm flies malfunctioned, resulting in the accidental release of fertile flies in Panama. Although this was a significant setback in the screwworm eradication program in Central America, Dr. Welch and others from the USDA worked tirelessly to correct this error
