It's very easy to obtain massive quantities if you're allowed to get the stuff; it's a giant pain if you're not. Most hospitals use a med dispensing system that requires a login (and you're not going to be able to sit there and shoulder-surf a code). You'd need a sledgehammer.
That would probably work, except that most people are going to have a bit of trouble tracking down 4 mg Xanax, let alone 20-25 mg of Dilaudid IV. Be warned: hypoxia can leave one hell of a mess. Bowel and bladder emptying are not unusual reactions to severe hypoxia, regardless of what drugs are on board.
You're quite lucky. The risk from mains current isn't that 120VAC at some small amperage will cook you; it's that 60Hz AC will throw your heart into ventricular fibrillation. A foot-to-foot connection poses no real risk other than pain, while a hand-to-left-foot circuit very well may kill you.
So much for that quaint anacronysm, "Assumed innocent until proven guilty."
I said convicted. As in, a jury would convict you. You would have a very difficult time convincing a jury that you didn't know your phone's password. It's not like trying to remember the password you used on Amazon or Monoprice or Newegg six months ago; it's the one you use every time you unlock your phone.
They'll ask you for it, not let you type it yourself. And if you give a slightly wrong answer five times in a row, they will probably successfully convict you of tampering with evidence.
The Kindle is a low-budget, low-performance e-reader. The iPad is a high-budget, high-performance e-reader with a ton of extra capability. As in, it's a tablet computer.
No, the Kindle is a purpose-built book substitute, while the iPad is a tablet-format computer. If I want to read a book, I'm much more likely to reach for my Kindle than my iPad - it's lighter (you didn't mention this, but if you've got both, you know how true it is), its battery life is better, the screen is much easier to read in variable light situations, and the 3G is free. If I could only take one device, it would be the iPad, because it can do much more. Then again, I'm a lot better off than the average Joe, and if you only had $700 to spend I'm not sure that iPad is a better thing than a netbook + a Kindle.
Don't confuse anti-intellectualism with opposition to learning - Americans still highly value practical knowledge. However, the US has always had a strong anti-intellectualism. This is nothing new. More importantly, it's a valuable cultural trait. Resistance to intellectual ideals is not always bad.
In 250 years, the US has had two major wars on its territory. Both led to significant increases in liberty. By contrast, communism turned the 20th century into a worldwide bloodbath. The ideas pouring out of the academy in the 50s and 60s turned decolonization into a nightmare that dragged hundreds of millions of people down into the abyss, where many of them languish to this day.
Most people aren't smart enough to really understand statistics. As a default position for them, "statistics are usually crap" is a much better standard than "believe the latest academic fad".
Hospitals love surgeons because they bring in patients who accrue not only normal room, nursing, and medication fees, but also the facilities fees for the OR and all the imaging. They are very, very deferential to surgeons as a result - a successful surgical practice, especially in orthopedics, can quite literally make or break a hospital's OR facilities.
They operate quite often. There's also an issue of parity; who wants to be the guy who always takes call on Friday night? Conversely, the guy who takes Thursday calls gets a three-day weekend every single week. And what do you do when one of you goes on vacation?
In general, physicians are a pretty bright lot. There's no call schedule you can think of that someone hasn't already tried. We keep coming back to a straight rota.
Now, in really immense groups, you can have some flexibility. My last anesthesia practice (academic center) had 35 anesthesiologists. We had a night float system with two people on call each night. One guy worked nights every other week, effectively taking a fourth of the department's call by himself. A few people didn't take call (in return for a pay cut). The rest of us did four weeks of nights a year, and four weekends of day shift a year. Part of the reason that works is that almost nobody cares who their anesthesiologist is - it would not work for most surgical practices.
The difference is nobody cares who delivers their packages or flies their airplanes. People care who their surgeon is. And you're going to have to find some way to pay the surgeons who work nights - as it currently works, physicians make money from seeing patients and doing procedures, not from being at the hospital doing nothing.
This doesn't happen because days to operate and nights of call aren't equal; operative time on Monday or Tuesday, for example, is quite valuable because almost all patients that have to be admitted after surgery will be discharged by Friday, meaning that you don't have to come in and round on them on the weekend. On Fridays, you want to do your outpatient cases. Assuming you have no inpatients, Thursday calls are more desirable than others, because you get an effective three-day weekend.
It's illegal for hospitals to pay independent physicians to admit more patients there. Most surgeons want privileges at multiple hospitals in order to service different groups of patients, so they have an incentive not to become a hospital employee - after all, if there's a noncompete clause in the contract, and you've got a well-established practice, and the hospital administration decides it's time for you to take a $50k pay cut... what do you do, if you can't just tell them to bugger off?
It doesn't. My point is that it is unpredictable just how bad a call will be, and so it's hard to know when someone will really need the day off. The "best way" is probably to have the surgeon have a guaranteed hellish call, knowing they will not be there the next day, but then patient handoffs start to be a real problem.
Because if Captain Jones can't fly today, you don't really care if Captain Smith does so, as long as you get to your destination on time. But if Dr. Jones isn't available to do your surgery, most people don't really want Dr. Smith doing it.
Really not that big of a deal. The abuse issue is a perennial favorite, but people get found out pretty quickly - one of my former partners was using fentanyl, but the incredibly high rate of habituation to the stuff meant that he triggered a pharmacy investigation less than three months into the habit.
The rate of abuse is primarily an issue of access: we hold the keys to the candy store. If you were a high-functioning individual who liked using drugs, what would you choose? Pediatrics, where you get all the cherry-flavored Tylenol you want? Or anesthesiology, where you get the good stuff?
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I get your point, but we're talking about a password that has to be entered every time you want to use your phone.
It's very easy to obtain massive quantities if you're allowed to get the stuff; it's a giant pain if you're not. Most hospitals use a med dispensing system that requires a login (and you're not going to be able to sit there and shoulder-surf a code). You'd need a sledgehammer.
That would probably work, except that most people are going to have a bit of trouble tracking down 4 mg Xanax, let alone 20-25 mg of Dilaudid IV. Be warned: hypoxia can leave one hell of a mess. Bowel and bladder emptying are not unusual reactions to severe hypoxia, regardless of what drugs are on board.
You're quite lucky. The risk from mains current isn't that 120VAC at some small amperage will cook you; it's that 60Hz AC will throw your heart into ventricular fibrillation. A foot-to-foot connection poses no real risk other than pain, while a hand-to-left-foot circuit very well may kill you.
So much for that quaint anacronysm, "Assumed innocent until proven guilty."
I said convicted. As in, a jury would convict you. You would have a very difficult time convincing a jury that you didn't know your phone's password. It's not like trying to remember the password you used on Amazon or Monoprice or Newegg six months ago; it's the one you use every time you unlock your phone.
They'll ask you for it, not let you type it yourself. And if you give a slightly wrong answer five times in a row, they will probably successfully convict you of tampering with evidence.
Crime lab never has to show up to discuss under oath
Er, yes they do. Your scenario is hearsay.
The Kindle is a low-budget, low-performance e-reader. The iPad is a high-budget, high-performance e-reader with a ton of extra capability. As in, it's a tablet computer.
No, the Kindle is a purpose-built book substitute, while the iPad is a tablet-format computer. If I want to read a book, I'm much more likely to reach for my Kindle than my iPad - it's lighter (you didn't mention this, but if you've got both, you know how true it is), its battery life is better, the screen is much easier to read in variable light situations, and the 3G is free. If I could only take one device, it would be the iPad, because it can do much more. Then again, I'm a lot better off than the average Joe, and if you only had $700 to spend I'm not sure that iPad is a better thing than a netbook + a Kindle.
Shit, it's three - forgot 1812. Point stands.
The AC was suggesting that Michigan considers prenups void. Are you speaking to Michigan law directly?
This is purely curiosity; I'm not a Michigan resident, nor am I looking to get divorced for cause.
More or less correct, except that there's a guaranteed loss of revenue vs a chance of a hellish call and an unrested surgeon.
he wanted to repatriate blacks back to africa, not give them freedom in the US
Well, a lot of Northerners didn't want them up there, and considered them to be grossly inferior to whites. So what? They still got liberated.
Don't confuse anti-intellectualism with opposition to learning - Americans still highly value practical knowledge. However, the US has always had a strong anti-intellectualism. This is nothing new. More importantly, it's a valuable cultural trait. Resistance to intellectual ideals is not always bad.
In 250 years, the US has had two major wars on its territory. Both led to significant increases in liberty. By contrast, communism turned the 20th century into a worldwide bloodbath. The ideas pouring out of the academy in the 50s and 60s turned decolonization into a nightmare that dragged hundreds of millions of people down into the abyss, where many of them languish to this day.
Most people aren't smart enough to really understand statistics. As a default position for them, "statistics are usually crap" is a much better standard than "believe the latest academic fad".
Resting time is unpaid. That's the ultimate problem.
Perhaps. Don't count on it.
Hospitals love surgeons because they bring in patients who accrue not only normal room, nursing, and medication fees, but also the facilities fees for the OR and all the imaging. They are very, very deferential to surgeons as a result - a successful surgical practice, especially in orthopedics, can quite literally make or break a hospital's OR facilities.
More like an Engadget success story.
They operate quite often. There's also an issue of parity; who wants to be the guy who always takes call on Friday night? Conversely, the guy who takes Thursday calls gets a three-day weekend every single week. And what do you do when one of you goes on vacation?
In general, physicians are a pretty bright lot. There's no call schedule you can think of that someone hasn't already tried. We keep coming back to a straight rota.
Now, in really immense groups, you can have some flexibility. My last anesthesia practice (academic center) had 35 anesthesiologists. We had a night float system with two people on call each night. One guy worked nights every other week, effectively taking a fourth of the department's call by himself. A few people didn't take call (in return for a pay cut). The rest of us did four weeks of nights a year, and four weekends of day shift a year. Part of the reason that works is that almost nobody cares who their anesthesiologist is - it would not work for most surgical practices.
The difference is nobody cares who delivers their packages or flies their airplanes. People care who their surgeon is. And you're going to have to find some way to pay the surgeons who work nights - as it currently works, physicians make money from seeing patients and doing procedures, not from being at the hospital doing nothing.
This doesn't happen because days to operate and nights of call aren't equal; operative time on Monday or Tuesday, for example, is quite valuable because almost all patients that have to be admitted after surgery will be discharged by Friday, meaning that you don't have to come in and round on them on the weekend. On Fridays, you want to do your outpatient cases. Assuming you have no inpatients, Thursday calls are more desirable than others, because you get an effective three-day weekend.
People are realizing that there are actually benefits to living in a city.
Well, that, and the cities got a lot safer. Go watch some 70s movies set in New York, and the predominant theme is dirty and dangerous.
It's illegal for hospitals to pay independent physicians to admit more patients there. Most surgeons want privileges at multiple hospitals in order to service different groups of patients, so they have an incentive not to become a hospital employee - after all, if there's a noncompete clause in the contract, and you've got a well-established practice, and the hospital administration decides it's time for you to take a $50k pay cut... what do you do, if you can't just tell them to bugger off?
It doesn't. My point is that it is unpredictable just how bad a call will be, and so it's hard to know when someone will really need the day off. The "best way" is probably to have the surgeon have a guaranteed hellish call, knowing they will not be there the next day, but then patient handoffs start to be a real problem.
ABCs of anesthesia: Airway, Break, Coffee.
Because if Captain Jones can't fly today, you don't really care if Captain Smith does so, as long as you get to your destination on time. But if Dr. Jones isn't available to do your surgery, most people don't really want Dr. Smith doing it.
Really not that big of a deal. The abuse issue is a perennial favorite, but people get found out pretty quickly - one of my former partners was using fentanyl, but the incredibly high rate of habituation to the stuff meant that he triggered a pharmacy investigation less than three months into the habit.
The rate of abuse is primarily an issue of access: we hold the keys to the candy store. If you were a high-functioning individual who liked using drugs, what would you choose? Pediatrics, where you get all the cherry-flavored Tylenol you want? Or anesthesiology, where you get the good stuff?