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Cake day: July 19th, 2023

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  • The joke is that Tony depends on exploiting lower class, working people. Hulk is suggesting investing in society, the poor. The next panel is Hulk launched into space (which happens for a different reason in the movies), because Tony doesn’t want Hulk to be listened to, because Tony would lose money.


  • I’m glad you took the time to respond, even if I’m not sure how many dive into these comments.

    I agree completely with you. I read the article and thought, I really don’t think anyone in healthcare really truly thinks the diagnoses are simple illnesses with an organic cause anymore. But the frameworks are helpful to direct what treatment options we have/as guidelines.

    I find patients themselves want a name for what they’re experiencing, even if it is an approximation of what’s going on with them.

    But at the end of the day, it’s no surprise people are depressed, anxious, etc when there are so many fundamentally broken things in the world.


  • You’re right that it’s frustrating, but it’s a no win situation (I’m a GP myself, btw).

    • There aren’t enough GPs, there just aren’t, so time is scarce. All the surgeries are overloaded.
    • each issue NEEDS time. People feel very confident of what they need sometimes, but that isn’t how medicine works. We need to assess, get the details, to give a right diagnosis and treatment
    • every extra little thing, borrowed minute, carries forward. An extra 10 minutes at every other appointment turns into hours by the end of the day - unacceptable delays for patients and the staff.
    • there is so much added paperwork for each of these things. Most of us finish our clinic at 4-5 and then still have a couple of hours of paperwork.
    • most of us are so very burnt out at this point, and appointments becoming more complicated, demands getting higher, pushes us further towards giving up.

    It isn’t the patient’s fault, but it is the reality. People fall through the cracks, important things gets missed, we know this and hate it too. We call it moral injury, the phenomenon of building pain because we can’t actually meet people’s needs or fully do what is right.

    I hope the reply is clear that this isn’t push back. We wish we had more time with each patient. We wish we didn’t need to reign it in, but we’re already stretched too thin. We know it’s frustrating. We’re frustrated too