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Anastasis

Certifiably Surly
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Everything posted by Anastasis

  1. A few bubbles in my bundt. I'll mark those up as rookie mistakes and hide behind some cream cheese glaze. Thanks for sharing the recipe.
  2. And off to delusional ad hominem land we go. Good talk y'all. Thanks for the @ Ant.
  3. Jay Bhattacharya to head NIH.
  4. Not really in the particular case we are discussing. You can't simultaneously argue that giving misoprostol is acceptable under the law and that doing D&C is not. They are treated the exact same by the statute. If a physician has met the legal and medical thresholds to administer misoprostol in the course of miscarriage management, they've met (at least the legal) threshold to do a D&C.
  5. I honestly don't think that miscarriage management should be a gray area. If it is, the legislation and related guidance from TMB needs to be even more explicit. The far greater gray areas that are problematic in the law imo are the areas related to elective abortions in cases where severe fetal complications exist.
  6. If there is anything in that post that they disagree with, they can certainly post it and we can discuss it.
  7. Glad this thread got bumped, cause I am going to make this tomorrow. I don't really bake, but let's give it a whirl.
  8. Lot of lift from a WSJ opinion piece. LOL.
  9. Maybe they should. I'd tell them to provide any needed miscarriage management care as directed by the treating OBGYN. The law draws no distinction between misoprostol and D&C wrt elective abortions, so administering misoprostol for miscarriage management and blaming the Texas abortion law for not progressing to D&C when medically warranted just doesn't logically hold together. Miscarriage management is explicitly excluded from the definition of abortion in the statute. If the law needs clarification such that facilities and providers are not hesitant to use D&C when medically necessary, TMA should work with legislators to fix that.
  10. The F35 program has been a massive boondoggle. https://www.gao.gov/blog/f-35-will-now-exceed-2-trillion-military-plans-fly-it-less
  11. That’s not really how personality disorders work. Might as well tell a schizophrenic that they make the choice to have aliens performing thought insertion.
  12. As stated in the link: But when Dr. Andrew Ryan Davis, the obstetrician on duty, finally arrived, he said it was the hospital’s “routine” to give a drug called misoprostol to help the body pass the tissue, Hope recalled. Hope trusted the doctor. Porsha took the pills, according to records, and the bleeding continued.
  13. You'd be better off @'ing the hospital administrators. The Texas law certainly has flaws. Shit, I don't think it's an issue that is best addressed through the legal system at all. But there is a common thread in most of these (extremely rare, but egregious) situations. The hospital systems are creating policies and protocols that are wrongheaded.
  14. @jimmyjazz would you mind reissuing your current recipe?
  15. I hunt a fairly similar setup as the red x situation. That’s where I’d put it.
  16. Anything is a taint if you try hard enough.
  17. I see “isarphilharmonie” on the wall.
  18. Please have a video of this.
  19. Miriam adelson’s hand picked foreign policy team should try it.
  20. It hasn’t even started yet. Y’all are gonna need to pace yourselves. And while someone is making a provisioning run for the ledge, try to find some opportunities for silver linings. Otherwise it is going to be a long four years and we are gonna run out of ssris and or bourbon.
  21. With each of these HHS appointments you get a bunch of good ideas counterweighted by something ranging from 10%-30+% batshit crazy with rfk at the top end. If they can keep the crazy in check, or at least redirect the crazy to something useful it will be interesting.
  22. Makary to FDA https://www.statnews.com/2024/11/22/trump-fda-nominee-marty-makary-surgeon-maha-ally-rfk-jr/ Trump picks Johns Hopkins surgeon Makary to run FDA Makary has made a name for himself by challenging status quo ideas in the medical establishment. By Lizzy Lawrence Nov. 22, 2024 FDA Reporter President-elect Trump has tapped Johns Hopkins surgeon Martin “Marty” Makary, who has made a name for himself by challenging status quo ideas in the medical establishment, to serve as the next commissioner of the Food and Drug Administration. Trump announced the pick on Truth Social, where he said Makary would guide the agency to address “harmful” chemicals and pharmaceuticals to combat childhood chronic illnesses. Makary will “restore FDA to the Gold Standard of Scientific Research, and cut the bureaucratic red tape at the Agency to make sure Americans get the Medical Cures and Treatments they deserve,” Trump said in a statement. Makary is a close ally of Robert F. Kennedy Jr., Trump’s pick for Health and Human Services secretary. Both positions require Senate confirmation. Makary and RFK Jr. are proponents of the “Make America Healthy Again” movement, which aims to end chronic disease by improving the nation’s food supply and rooting out corruption in health care. As leader of the FDA, Makary would be in charge of regulating food, drugs, medical devices, and tobacco products. He would answer to RFK Jr., whose FDA agenda, based on his public statements, might include loosening regulation of raw milk, applying extra scrutiny to vaccine safety data, and pushing to eliminate drug and device company user fees that help fund the agency. Those user fees are set by Congress. RFK Jr. has a long history of anti-vaccine advocacy, including through a nonprofit he founded called Children’s Health Defense. He and other MAHA members backed off more inflammatory anti-vaccine rhetoric recently, instead emphasizing their desire for more transparency and data around the products. It’s unclear exactly what data they are seeking. “What is scary and dangerous for health care is not RFK Jr.,” Makary told Fox News on Nov. 17. “It’s the food pyramid lie that’s been out there for 60 years. It’s the medical establishment that lied to us about opioids for 20 years saying that it was not addictive. It’s the vaccine mandates ignoring natural immunity.” Makary, a pancreatic surgeon, has been a celebrity in the medical world for years. He rose to prominence in the early 2000s fordeveloping a simple pre-operation routine to reduce surgical errors called “The Surgery Checklist.” Public health expert Atul Gawande popularized the approach in his 2009 book, “The Checklist Manifesto.” In addition to his role at Johns Hopkins, he’s the chief medical officer of the telehealth company Sesame and serves on the board of the ophthalmology company Harrow Health. Makary has criticized and researched various flaws in the U.S. health care system throughout his career, from investigating deaths due to medical errors to calling out drugmakers for exploiting the FDA’s rare disease drug program. He’s pushed for hospital price transparencyand for many nonprofit hospitals to pay taxes. Makary became a more controversial figure with the arrival of the Covid-19 pandemic. He aligned with traditional public health experts in some ways, supporting universal masking and the early doses of the Covid-19 vaccines. On the other hand, he called the practice of compulsory masking for children “abusive,” opposed Covid vaccine mandates, and questioned whether the potential risks for young people of Covid-19 shots, including myocarditis, outweighed mRNA vaccine benefits. ADVERTISEMENT In 2021, Makary criticized FDA leadership for not approving drugs quickly enough during the pandemic. Fellow MAHA advocates have more recently lambasted the agency for being too lenient on drug companies, with many pointing to the revolving door between FDA and industry as evidence of corruption. It’s unclear whether Makary will follow through on RFK Jr.’s promise to intimidate FDA career civil servants who he sees as “part of this corrupt system.” It’s also unclear how RFK Jr.’s vaccine skepticism would affect Makary’s approach to these products. As a doctor and health care researcher, Makary may have an easier path to confirmation compared with other MAHA members who were considered for the job. But both he and RFK Jr. will have to win over moderate Republicans, many of whom have stayed mumon how they will vote. The confirmation process for HHS and FDA leaders has been more like a battle in recent years, with just 50 senators voting for Biden’s HHS Secretary Xavier Becerra and for FDA Commissioner Robert Califf.
  23. I mean I guess some people are into the look.
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