Clean hands, Cool head, Warm heart.

GP, Gardener, Radical progressive

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  • 26 Comments
Joined 1 year ago
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Cake day: May 7th, 2024

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  • I’m a GP, here’s my opinion

    Can’t have eaten/drank anything for the last half hour

    • in principle could alter your BP but I wouldn’t worry too much unless it’s quite a large meal

    Feet flat on the floor

    • yes, this is important

    Lying down but sitting up

    • for some purposes docs want lying/sitting/standing but for home measurements do them sitting

    Back against the chair

    • yes

    Don’t cross your legs/ankles

    • yes, feet flat on the floor

    Only use your left arm

    • myth, if there is a significant difference between your left and right arms there is something funky going on with your subclavian arteries

    Hand facing upward/downward

    • not super important

    Keep your arm down/raised

    • keep your arm relaxed, ideally resting on a table or desk at close to 90deg or hanging straight down

    Most important is be relaxed, sit still, don’t move your arm, if you get a high reading calm yourself and take it once more then leave it.

    When I’m taking a BP in clinic the most important thing I do most of the time is distract the patient from the machine with some patter as for most people the biggest confounding factor is stressing about what the reading will be, I don’t correct posture etc unless they are substantially moving their arm around.





  • Modern guns a extremely precisely engineered devices that are incredibly easy to use, for better or worse. I know modern sporting bows are also but it’s no contest in my opinion.

    I’ve shot both, bows as a complete amateur and relatively competent with a rifle. There is no question that a modern gun is way easier to pick up as an amateur and hit what you want to hit and I cannot possibly believe there are anything other than extremely niche uses where a bow is superior.



  • I understand why you are putting them together but I think only the CPI measures inflation, there are other indexes also but inflation has to do with the value of money decreasing over time.

    The supply of money is inextricably linked to inflation but an increasing money supply is not inflation, under certain circumstances you could have no, or negative inflation, with increasing money supply. If you had high demand for currency due to large volumes of exports for example.

    In short the terms you want are inflation and money supply.

    Disclaimer: I dropped out of an undergraduate economics degree about 2/3 through around 15 years ago. I believe this is correct but please anyone correct me if not.


  • I’m about to move further from the equator partially for this reason.

    If you can, swim 2-3 times per day, or at least a quick cold shower.

    At night it is at least a little more pleasant to be outdoors due to the sun not beating down and you’ll feel better for getting out and doing something.

    Also seek out indoor spaces with aircon or green spaces with shade that are much more pleasant, if you can.

    If you have to do manual work outdoors then god help you.

    But you do get a little more used to it over time, but very high temps are always unpleasant.



  • It obviously depends a lot on your relationship with them but what people usually need at times like this is to know you care, that they aren’t alone, and that you are there to help if needed.

    It’s also important to give them the option to opt out of anything you offer and allow them space.

    Something like ‘I know this must be a really hard time for you, you’ve been in my thoughts. Please let me know if there is anything I can do to help you out or even just talk’ then leave it at that unless they want to talk or need help. It acknowledges their grief, offers help, but crucially doesn’t make an obligation for them.


  • First off, I’m a huge housing first advocate and it is completely uncontroversial that for a wide range of outcomes housing first policies are vastly superior not to mention just that it is morally correct.

    Whether unsuitable housing/homelessness is directly implicated in suicidality is an interesting question so I did a little bit of digging.

    One study from Taiwan showed a relationship between housing affordability and suicidality but the effect is only present when using one measure of affordability and disappears when measuring affordability in other ways suggesting it may not be a real effect.

    Another, older, study from the EU found that lack of affordable housing had no impact on suicidality but the driving factor in the increase in suicide during the great recession was job loss.

    You could interpret this evidence as mixed but IMO unless more convincing evidence comes out I would have to say that at a societal level it isn’t a big factor.

    The impact of housing-price-related indices on suicide rates in Taiwan

    The findings revealed that higher housing rental index values were associated with increased suicide rates in young and middle-aged adults compared to the elderly population, regardless of sex. However, this association was not observed with the other two housing-price-related indexes (i.e. housing price index and housing price to income ratio).

    Economic shocks, resilience, and male suicides in the Great Recession: cross-national analysis of 20 EU countries

    BACKGROUND During the 2007-11 recessions in Europe, suicide increases were concentrated in men. Substantial differences across countries and over time remain unexplained. We investigated whether increases in unaffordable housing, household indebtedness or job loss can account for these population differences, as well as potential mitigating effects of alternative forms of social protection.

    And

    RESULTS Changes in levels of unaffordable housing had no effect on suicide rates (P = 0.32); in contrast, male suicide increases were significantly associated with each percentage point rise in male unemployment, by 0.94% (95% CI: 0.51-1.36%), and indebtedness, by 0.54% (95% CI: 0.02-1.06%).

    Effect of Housing First on Suicidal Behaviour: A Randomised Controlled Trial of Homeless Adults with Mental Disorders

    Compared to baseline, there was an overall trend of decreased past-month suicidal ideation (estimate = –.57, SE = .05, P < 0.001), with no effect of treatment group (i.e., HF vs. TAU; estimate = –.04, SE = .06, P = 0.51). Furthermore, there was no effect of treatment status (estimate = –.10, SE = .16, P = 0.52) on prevalence of suicide attempts (HF = 11.9%, TAU = 10.5%) during the 2-year follow-up period.




  • Okay, so the first thing to recognise is that terminology in left wing theory can be super confusing and the same words can be used to mean different things at different times or in different places, or sometimes in the same place at the same time.

    Communism however in modern usage is fairly straightforward as it is used almost exclusively as it is defined in conventional Marxist doctrine(and yes there are many branches of Marxism).

    That said big C Communism means a state of being that is achieved as the end point of societal evolution where there is no state, the means of production is controlled by the community and the needs of all are met.

    In conventional Marxist thought the way of achieving this is through a transitional stage of socialism where the means of production is controlled by a “Vanguard” state. Many states in history have claimed to be communist in ideology(they are working towards this stateless utopia) but none have claimed to have achieved communism, only to be in the process of transitioning to it.

    To all the leftist theory heads out there, don’t at me, I know this is a huge oversimplification, it is deliberate for someone who is obviously new to this.


  • Not the question asked, but relevant: When each individual enterprise considers its own transport needs, road transport is usually cheaper. However, when looking at the collective needs of an entire economy, rail is usually a way more efficient and cost-effective option.

    Private rail companies will only invest where there are epic amounts of cargo or passengers to move, which when left to the private sector leads to massive under investment and over-reliance on road transport. There is no coherent argument against having extensive government investment in rail.