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User: aldwin

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Comments · 48

  1. Re:Exactly on Doctors Are Creating Too Many Patients · · Score: 1

    Actually, expanding your point further, prostate cancers vary in how aggressive they are, and some are very slow growing. For low grade prostate cancers on biopsy, especially in patients who are likely to die of something else well before the prostate cancer would get them (which is rather a lot of the time), urologists are now often advising "watchful waiting" - checking the PSA levels 6 monthly or so, and only looking at going further if they start to rise fast. By screening regularly, investigating those with raised levels but offering appropriate treatment based on the results, you catch more of the nastier prostate cancers earlier, and don't over-treat the slow growing ones.

  2. Re:From a doctor on Doctors Are Creating Too Many Patients · · Score: 1

    Firstly, either you're seeing bad doctors, or you have a seriously warped perception of how the doctors are approaching things. I work in general (family) practice, and see far more children and adults with viral infections that I give symptomatic advice (and often a certificate for work) than I do apparent bacterial infections that I give antibiotics for. I do have a lot of people ask for antibiotics where I think it's unnecessary, and they don't get scripts.

    Secondly, I don't answer questions via email for a few reasons. Most email is not secure enough to meet the standards required for confidentiality/privacy (although a lot of doctors are using specific, approved secure email systems to send letters/reports). Legally I could be on "interesting" ground if I gave you advice regarding a condition without seeing or examining (as appropriate) you. Finally, with the system in my country I get paid exactly nothing for any time spent on emails - which would be in addition to all the unpaid time I currently spend fielding phone calls from patients and other doctors they may be seeing, dealing with paperwork, etc. Mercenary I know, and I'm happy to do a degree of work that's unpaid, but emails would add significantly to it and add in other concerns.

  3. Re:Symptomatic on Doctors Are Creating Too Many Patients · · Score: 1

    Too true, I see too many diabetics (mostly middle-aged guys) who get serious once they lose a toe or two. Actually, I've found that emphasizing the stroke risk over the MI risk works better, a lot of people think "meh, the heart attack will just kill me ... but the stroke will actually seriously screw up my life"

  4. Re:Symptomatic on Doctors Are Creating Too Many Patients · · Score: 1

    My favorite was 3am while working in a rural hospital in a common vacation area - you had testicular pain for 3 days, came on holidays then decided to see me at 3am?! Ah, I was so glad to get back to suburban practice ...

  5. Re:sorry, but Ubuntu failed hard this release on Next Ubuntu Linux To Be a Maverick · · Score: 1

    One thing I've found with k/ubuntu (had it with both, for the last several releases) is that they use up all of a CD. To the point where a lot of CD-Rs (esp if cheap) have issues booting/installing the LiveCDs. My solution is to burn it onto cheap DVDs, works like a treat.

  6. Re:I Guess That's About All That's Left on Star Wars To Air As Animated Sitcom · · Score: 1

    If you haven't already, you might want to check out the new series of Doctor Who, the new companion is a rather attractive and feisty young redhead. While she doesn't wear a slave outfit, her policeman's uniform is decidedly not regulation ....

  7. Re:I could have told you that. on Studies Reveal Why Kids Get Bullied and Rejected · · Score: 1

    My wife was a teacher for a few years. She started in a (admittedly difficult) public school, but left after a year because of all the fighting between students and other disruptive behavior.

    She got a job at what was supposed to be a really good private school. There she found less physical bullying ..... but a hell of a lot more psychological bullying, some of it really nasty stuff.

    The real problem was the private school had no real disciplinary back-up ... she'd send a kid to the time-out room, where they'd get a slap on the wrist. Because the parents were paying so much for their kid to go there, if their kid got more that a slap on the wrist they'd march in there and start yelling about how their poor little innocent was wrongly punished.

    My wife is no longer a teacher.

  8. Re:reasons this may not catch on in the US on Electric Bicycles Surging In Popularity · · Score: 1

    Know what motorcyclists are called in emergency departments?

    Organ donors.

  9. Re:reasons this may not catch on in the US on Electric Bicycles Surging In Popularity · · Score: 1

    Well, the only time I've ever been in a car/bicycle collision the cyclist was on the footpath. My car was completely stationary at the time, I was sitting in my driveway waiting to turn onto heavy traffic, and had been for a few minutes. The cyclist rode almost a block uphill before hitting my car and sprawling across the bonnet, surprising and amusing myself and my wife.

    He didn't even see my car .... thanks to the girl in the short skirt on the opposite footpath.

  10. Re:Time to bury the N word on The US Economy Needs More "Cool" Nerds · · Score: 1

    It works if we clarify the difference between "geek" and "nerd" and then use them appropriately. As a friend puts it, a geek is a nerd who's "gettin some"

  11. Re:Review - yes. Score - no. on Review Scores the "Least Important Factor" When Buying Games · · Score: 1

    I have a step 4: see if this guy has reviewed it.

    His style is very critical and sarcastic, but I find it usually gives a very good idea of a games strengths and weaknesses. I've bought games that he's trashed, but knowing why he's trashed them and having a different opinion on what style of games are fun. It's especially useful to weed-out the games that are "good concept, buggy as hell"

  12. Re:Hackers Diet FTW. on Why Doesn't Exercise Lead To Weight Loss? · · Score: 1

    Yes, but less weight will hopefully reduce how quickly they get even more fucked

    YIAAD

  13. Re:They should go through my collection... on Going Head To Head With Genius On Playlists · · Score: 1

    I'd also suggest Tame Impala - another Aussie band with an old-style rock sound, with influences from Cream, Led Zep and the Beatles.

    http://www.youtube.com/watch?v=xHu62ASuoOg

  14. Re:Microsoft's done itself a lot of damage lately on Vista Share Drops for the First Time In Two Years · · Score: 1

    Uh, Windows 2000 definitely had plug-and-pray.

    There, fixed that for you

  15. Re:Stupied Fucking Vista on Vista Share Drops for the First Time In Two Years · · Score: 1

    Having shifted from XP to Ubuntu 3 years ago (and now on Kubuntu) I was as you describe, hating Vista before actually using it.

    Then last year we visited my sister-in-law in the US, and I left my laptop behind as I didn't want to risk having it taken at the border. While there I had the choice between using a brand-new, reasonably powerful laptop running Vista, or an ancient, virus-laden desktop running Win98.

    After quite a while trying to use the laptop, I eventually just used the desktop for the rest of our stay. It was faster than trying to deal with the Vista UI.

  16. Re:In a movie on Artificial Heart Recipient Has No Pulse · · Score: 1

    Our two main checks are pulse, breathing and pupillary reaction to light .... hang on, I'll come in again ....

  17. Re:We need an open platform / open source PDA. Now on The Kafka-esque Nightmare of Palm App Submission · · Score: 1

    What about Maemo?

    Based on Debian, access to root via a terminal, and soon to be available on what looks to be a rather nice smartphone.

  18. Re:Well Then on In Britain, Better Not Call It Bogus Science · · Score: 1

    As a doctor, who has worked in and has quite an interest in Palliative Medicine (end of life care), I can tell you that study after study has shown that most doctors overestimate how long terminal patients have, often by quite a margin.

    Personally, I try not to give a specific length of time (ie 6 months) but rather a general time-frame (weeks to a few months or hours to a couple of days). I think this is both more honest and more useful to patients and their families.

  19. Re:I disagree on Linus Calls Microsoft Hatred "a Disease" · · Score: 1

    Perhaps, but deep seated hate can also help you focus.

    Hate ... leads to suffering

  20. Re:Umm... why the fuss? on Palm Pre "iTunes Hack" Detailed By DVD Jon · · Score: 1

    I agree. I love my T5, and I would have replaced it with a smartphone by now .... if any of them had a similar screen size, and graffiti.

    I just hope that someone integrates similar software into Android. On something like the upcoming Samsung I7500 or the HTC Magic, that could rock.

  21. Re:A Message From a Loyal Fan on Is a $72.5m Opening Weekend Enough For Star Trek? · · Score: 1

    I loved enterprise because it was gritter, the ship broke when anyone sneezed, and the humans got their asses kicked at every turn. Plus willing to cross the line into "kind'a-evil" in order to get the mission completed is very human.

    Out of control, ruled by emotion, ready shoot aim... THAT"S humanity. and that makes for a better trek storyline.

    You know, it sounds to me like you just described Firefly. I agree completely that a "grittier" style makes for a more interesting story, I just felt that it didn't work so well shoehorned into the Star Trek universe

  22. Aussie beers on Designing DNA Circuits To Brew Tastier Beer · · Score: 1

    My brother-in-law (I'm Australian, but I married an American) found that a co-op shop in Boise Idaho sells Coopers (real aussie ale) .... that made him happy ....

    Oh, and I second the vote that Fosters is Australian for horse piss.

  23. Re:Bah on Beware the Perils of Caffeine Withdrawal · · Score: 1

    My favourite homebrew: coffee wine

    Actually, I've found if you make it the right way and let it age a few years, it turns into a sort of coffee port. I gave it to one friend, and the sounds she was making ... I swear, she orgasmed right there and then.

  24. Re:Curious... on Beware the Perils of Caffeine Withdrawal · · Score: 1

    What you actually want is roughly one part lemonade to three parts water.

    When you're dehydrated, the ideal fluid is one that is isotonic to that in your own system. Even better if a large part of that is sugar, because a) your body likely needs it and b) the gut absorbs it quickly, pulling the water through quicker. This is essentially the same as pedilite/gastrolite etc ... and a hell of a lot tastier.

    Yes, IAAD

  25. Re:A$2,022 for every man, woman, and child? on Australia To Build Fiber-To-the-Premises Network · · Score: 1

    I think you have it arse-backwards; Canberra has the pornography industry it does because of the concentration of politicians.