Well, I am an orthopaedic surgeon, and it sounds like you're having insurance problems, as well as some other issues. First of all do you have an HMO? - If you do get rid of it and get a PPO - costs more, but any doctor will take it. Second of all if you're just having some tenderness in your mouse hand, it may just be tendonitis - an overuse injury which is best treated by rest, NSAIDS(ibuprofen, naproxen, etc.) and improving your ergonomics.
Carpal tunnel syndrome (CTS) is usually characterized by numbness/pain of the thumb, index, middle and the thumb-half of your ring finger. People often report waking up inthe night to "shake out" their sleepy hand, they also may report pain radiating from their hand to their elbow/shoulder. Risk factors include; being a diabetic, pregnant and thyroid problems. Computer keyboarding has NOT, I repeat, NOT been shown or linked to cause CTS. I know that this goes against what most of you have heard, but there are million of people using keyboards, and there are certainly not anywhere near that many people with CTS.
You need to see a hand surgeon - preferably an orthopaedic trained one. Just a small warning - workers compensation patients have an interesting stigma - they typically do worse than non-workers comp patients in all aspects of medicine, for many diferent reasons, i.e. secondary gain, etc.
So go see a hand surgeon in person who knows the facts and don't listen too much to your co-workers (they didn't go to bus driving school - so they don't get to drive the bus). If your hand surgeon does indicate surgery for you, he really should send you for an electromyelogram (EMG) to first to rule out any other causes for your hand problems. EMG's check the nerves in your hand and make sure that the problem is in your wrist, and not in your elbow/shoulder or neck. EMGs hurt like hell (you get shocked with needles in various places), but it's definetely worth it.
I remember when TeamFortress was THE GAME!. It was the first on-line team style game. Now of course there are many games- namely Counter-Strike, Americas Army, to name some of the bigger ones. They are essentially what TF2 was supposed to be.
I hope that Valve remembers WHY everyone played TF - they played it 'cause it was fun. Not because of the ultra-uber graphics, realistic looking maps/scenarios or other features.
just ignore me.. THe parent has some good insight. Why bother to reinvent the wheel, there is a reason that many people used water powered wheels on slow moving rivers.
The Susquehanna river is located in the Eastern USA, namely Pennsylvania, and it might also start in NY and end up in Delaware and Maryland. (New)Jersey may even see part of it.
Computing power is very cheap these days. I don't think that the electrical cost and waste of running a separate computer to serve up MP3s in your home office, is a benefit to the environment.
It may even be a equally evil choice, more toxic trash in the dump if you chuck the 'puter, or more toxic crap in the air from using extra electricity.
Nah, I'm an American -it's just a weird quirk that we tend to use the "a" in the spelling, I guess it's kinds like a secret handshake to show who's in the club.
I am an Orthopaedic surgeon and I do play video games, although maybe only for 30 min a night. I probably played more than my co-residents and it benefitted me during arthroscopic surgery (looking into knees/ankles/hips). I was cleary known as the best 'scoper in my residency. Maybe I just had better "hands" than my class mates, but right off the bat I was much better at it than the rest of the guys my year.
To me it's a no-brainer, people who practise at stuff tend to be more familar and dextrous at doing it. As the parent post points out - does this lead to a lower mortality rate? Probably not, but I would bet that a correlation exists(albeit low) between functional outcomes or decreased morbidity and video games and laparoscopic/arthroscopic surgery. i.e. the surgeon is more likely to cleanly cut the vessel, or more able to repair the ligament nicely.
N.B. it has been shown that longer OR times are related to higher incidences of infection, so a faster surgeon might have a lower infection rate.
This could be SOoooo useful in many different ways.. This could be used for (unscientific) polls, surveys, rating of areas, other types of multiplayer games (everyone in times square could play a deathmatch)
This stuff is the beginning of univeral interactivity/connectivity. You could play The possibilities seem endless to me - I'm getting excited about the future again..
I never said my cousin didn't pay taxes you a-hole. Some of the workers he temporarily hired were aliens. Do you naively think that any of the produce in this country would be possible without illegal aliens?, how about every single waiter and bartender, and a lot of construction jobs - all under the table.
Anyway, his company was legit after 2 years. Sounds like you're jealous cause he has a nicer house than yours. The taxes on the house alone were enough to "pay" for anything he got out of this country for his first 2 years here. So shut your pie hole and use your mind before you post crap like that.
Willy Sutton (a bank robber) was asked "why do you rob banks?" "'Cause that's where the money's at!" Almost every MD knows that if you want to make money, then Wall Street/finance, etc is a better way to go.
I'm a surgeon, and I hapened to ask my graduating medschool class (this was 7 years ago) what they would do if they won the lottery. About 90% said they would continue to practice medicine, only 2 guys said they would quit medicine. I don't think my school is an anomaly either
As far as the NYC doctor strike in the 1970s. All the sick people went elsewhere (NJ, Conn, etc), so of course if you remove the sick people the death rate will go down.
That person in Florida who had the "wrong" leg amputated, needed BOTH legs amputated for infection/gangrene. The surgeons didn't want to do both in one operation (too much surgery for the guy), so they arbitrarily scheduled one leg first. The media just made it's own news again as usual.
Neonates have weird immune systems that aren't fully developed - it's much easier to make this mistake with them.
People routinely die from vaccines! Would you rather have 3-5 people die per year from polio vaccines, or have 10,000 children crippled and 3000-5000 die per year from polio related lung failures. Mercury containing preservatives are quite common(contact lens solution, etc) - it just sounds bad to uneducated ears.
I haven't heard of the anesthesiologist/coke story, but that action would result in loss of license and very likely jail time. However, I know of NO surgeon who would let the anesthesiologist leave the room in the middle of a case - it doesn't happen
I'm an orthopaedist - unfortunately it's regular and normal for bone to have weather related symptoms. Not everyone who has a bone marrow biopsy has this pain, but it's a known, unpredictable, unavoidable risk for bone marrow biopsies.
Bone is pressure sensitive, and it's highly unlikely that your doctor did anything wrong.
We have our own well which was tapped into the underground aquafier 200 ft down, so I have no loss at all! The water is a little hard, so I soften it a little to keep it from clogging the pipes, but I prefer to drink it BEFORE the softener - since all the minerals in it tastes WAY better than any "bottled" (prolly tap) water that you buy in the store.
The down side of it is that since it isn't fluoridated , my kids definetely had more cavities (seven among three kids) than my brothers kids (none!! among three), who have fluoridated water, so I have to admit that "city" water does have a few advantages. My bro and my Mom, however, also prefer the way our water tastes (yes!), so every week I drop off a few gallons for them to drink "right out of the ground!"
Oh, yeah, I live in New Jersey, about 30 minutes from NYC, up in the hills. It's tested and it's VERY clean - no PCB's/organics/heavy metals, etc so hold your horses before making the stupid Jersey jokes. Newark airport and the Turnpike is not what Jersey is all about
My cousins came off the boat about 7 years ago from Poland, lived in my granmothers basement and started his own landscaping service (and worked like a FIEND 6am to 8PM in the summer)). He and his son plus another guy or two worked their asses off and in 4 years he built a $350,000+ house (granted they live in New Jersey which has some of the highest housing prices in the country & some/all of the stuff was "off the books").
The lesson is that the American dream is still alive - if you work like a M-Fer you can still make some decent money. Most people can't/won't work that hard.
Get yourself a timer on your coffee pot and make it the night before. Or you can do what I do - coffee quickly degrades in flavor when left on heat, so I always TURN OFF my warmer after I've made my coffee. When I want a second cup I just microwave it to reheat it - it tastes much better that way. Coffee left on the warmer for more than 30 minutes really starts to taste off, cool coffee keeps its flavor much longer. Try it, you might like it.
Don't get caught up in getting crap to achieve an identity. Your life will be much more rewarding if think about this.
Instead of buying the latest DVD/whatever player for $400, get a cheap used accoustic guitar for $50 and learn how to play it - much more fun/rewarding in the long run - bring it to the beach (chicks LOVE this, join a band, etc.
Don't let Madison avenue define who you are by what crap you own, you are much more than just that.
That's where most surgeon operate, and that's where efficiency experts found that people are most effectively are able to work. Get a tall chair so that when you sit the bench remains at the same relationship to your elbows when you sit or stand. I'm 6'4" too and I would love to have a "higher" house/workshop too, the kitchen sink is just too low.
Find out how much you need on a regular basis to function - you should be able to just wake up before the alarm clock goes off. Are you screwing around on the 'puter late at night?- turn it off- for a week!
2 Why do you oversleep? Are you not getting into trouble enough at work if you show up late?
3 Avoid snooze buttons - they get you used to ignoring the alarm, and eventually sleeping through it. When the alarm goes off, that's it - you must wake up then - no snoozing - it's wasted sleep time anyway.
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This can actually work in some cases, but only if the carpal tunnel synd hasn't been going on for too long. See my long post on CTS
Carpal tunnel syndrome (CTS) is usually characterized by numbness/pain of the thumb, index, middle and the thumb-half of your ring finger. People often report waking up inthe night to "shake out" their sleepy hand, they also may report pain radiating from their hand to their elbow/shoulder. Risk factors include; being a diabetic, pregnant and thyroid problems. Computer keyboarding has NOT, I repeat, NOT been shown or linked to cause CTS. I know that this goes against what most of you have heard, but there are million of people using keyboards, and there are certainly not anywhere near that many people with CTS.
You need to see a hand surgeon - preferably an orthopaedic trained one. Just a small warning - workers compensation patients have an interesting stigma - they typically do worse than non-workers comp patients in all aspects of medicine, for many diferent reasons, i.e. secondary gain, etc.
So go see a hand surgeon in person who knows the facts and don't listen too much to your co-workers (they didn't go to bus driving school - so they don't get to drive the bus). If your hand surgeon does indicate surgery for you, he really should send you for an electromyelogram (EMG) to first to rule out any other causes for your hand problems. EMG's check the nerves in your hand and make sure that the problem is in your wrist, and not in your elbow/shoulder or neck. EMGs hurt like hell (you get shocked with needles in various places), but it's definetely worth it.
I hope that Valve remembers WHY everyone played TF - they played it 'cause it was fun. Not because of the ultra-uber graphics, realistic looking maps/scenarios or other features.
just ignore me.. THe parent has some good insight. Why bother to reinvent the wheel, there is a reason that many people used water powered wheels on slow moving rivers.
The Susquehanna river is located in the Eastern USA, namely Pennsylvania, and it might also start in NY and end up in Delaware and Maryland. (New)Jersey may even see part of it.
It may even be a equally evil choice, more toxic trash in the dump if you chuck the 'puter, or more toxic crap in the air from using extra electricity.
Nah, I'm an American -it's just a weird quirk that we tend to use the "a" in the spelling, I guess it's kinds like a secret handshake to show who's in the club.
To me it's a no-brainer, people who practise at stuff tend to be more familar and dextrous at doing it. As the parent post points out - does this lead to a lower mortality rate? Probably not, but I would bet that a correlation exists(albeit low) between functional outcomes or decreased morbidity and video games and laparoscopic/arthroscopic surgery. i.e. the surgeon is more likely to cleanly cut the vessel, or more able to repair the ligament nicely.
N.B. it has been shown that longer OR times are related to higher incidences of infection, so a faster surgeon might have a lower infection rate.
This could be used for (unscientific) polls, surveys, rating of areas, other types of multiplayer games (everyone in times square could play a deathmatch)
This stuff is the beginning of univeral interactivity/connectivity. You could play The possibilities seem endless to me - I'm getting excited about the future again..
We have a septic system(like much of the country does), so the water goes back into the ground
Anyway, his company was legit after 2 years. Sounds like you're jealous cause he has a nicer house than yours. The taxes on the house alone were enough to "pay" for anything he got out of this country for his first 2 years here. So shut your pie hole and use your mind before you post crap like that.
I'm a surgeon, and I hapened to ask my graduating medschool class (this was 7 years ago) what they would do if they won the lottery. About 90% said they would continue to practice medicine, only 2 guys said they would quit medicine. I don't think my school is an anomaly either
As far as the NYC doctor strike in the 1970s. All the sick people went elsewhere (NJ, Conn, etc), so of course if you remove the sick people the death rate will go down.
That person in Florida who had the "wrong" leg amputated, needed BOTH legs amputated for infection/gangrene. The surgeons didn't want to do both in one operation (too much surgery for the guy), so they arbitrarily scheduled one leg first. The media just made it's own news again as usual.
Neonates have weird immune systems that aren't fully developed - it's much easier to make this mistake with them.
People routinely die from vaccines! Would you rather have 3-5 people die per year from polio vaccines, or have 10,000 children crippled and 3000-5000 die per year from polio related lung failures. Mercury containing preservatives are quite common(contact lens solution, etc) - it just sounds bad to uneducated ears.
I haven't heard of the anesthesiologist/coke story, but that action would result in loss of license and very likely jail time. However, I know of NO surgeon who would let the anesthesiologist leave the room in the middle of a case - it doesn't happen
Bone is pressure sensitive, and it's highly unlikely that your doctor did anything wrong.
The down side of it is that since it isn't fluoridated , my kids definetely had more cavities (seven among three kids) than my brothers kids (none!! among three), who have fluoridated water, so I have to admit that "city" water does have a few advantages. My bro and my Mom, however, also prefer the way our water tastes (yes!), so every week I drop off a few gallons for them to drink "right out of the ground!"
Oh, yeah, I live in New Jersey, about 30 minutes from NYC, up in the hills. It's tested and it's VERY clean - no PCB's/organics/heavy metals, etc so hold your horses before making the stupid Jersey jokes. Newark airport and the Turnpike is not what Jersey is all about
The lesson is that the American dream is still alive - if you work like a M-Fer you can still make some decent money. Most people can't/won't work that hard.
KDE Ktook kthe kletter k kalready
4 "years" of Med school (typically 2-3x the work load of what most colleges will limit students)
3-6 "years" of residency (again working 80-130 hrs/week - one-two days off a month so it's equivalent to 10-15 years job experience)
Most surgeons I know work 80 hours/week(think of it as 2 jobs) and are on beeper call 24/7 to their patients, except on rare ocasions.
I'll bet he's jacking something in there if he has a computer in there..
I bet it is
Godzuki?
So I propose the new name for Firebird to be...
Mozuki !!!!
Get yourself a timer on your coffee pot and make it the night before. Or you can do what I do - coffee quickly degrades in flavor when left on heat, so I always TURN OFF my warmer after I've made my coffee. When I want a second cup I just microwave it to reheat it - it tastes much better that way. Coffee left on the warmer for more than 30 minutes really starts to taste off, cool coffee keeps its flavor much longer. Try it, you might like it.
Instead of buying the latest DVD/whatever player for $400, get a cheap used accoustic guitar for $50 and learn how to play it - much more fun/rewarding in the long run - bring it to the beach (chicks LOVE this, join a band, etc.
Don't let Madison avenue define who you are by what crap you own, you are much more than just that.
That's where most surgeon operate, and that's where efficiency experts found that people are most effectively are able to work. Get a tall chair so that when you sit the bench remains at the same relationship to your elbows when you sit or stand. I'm 6'4" too and I would love to have a "higher" house/workshop too, the kitchen sink is just too low.
2 Why do you oversleep? Are you not getting into trouble enough at work if you show up late?
3 Avoid snooze buttons - they get you used to ignoring the alarm, and eventually sleeping through it. When the alarm goes off, that's it - you must wake up then - no snoozing - it's wasted sleep time anyway.