#you try explaining things to an illiterate 80 year old man in 2 minutes at the end of a consultation | Explore Tumblr Posts and Blogs

eirianerisdar · 1 year

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I think I’m done.

I’ve written many posts about my experience as a doctor. Some of them are funny, some of them sad. Some of them poignant.

But I think I’m done being a doctor in the current public healthcare system where I live.

I’m a Family Medicine resident. I rotated through two and a half years of hosptial residencies, and I’m in my first year of clinic-only practice. It should sound good; no more 26-38 hour shifts on top of 12 hour workdays.

But I’m currently seeing 33-37 patients from 9-1 pm daily and 24 patients from 2-5 pm daily. I also sometimes work 6-10 pm. Each of these clinic sessions also includes a solid 1.5 inches of seperate lab results I’m expected to screen during consultation time. I work Monday through to half of Saturday. Im expected to also complete a dermatology university diploma on top of this. I have exams in family medicine this year, the year after that, and two years after. Three and a half years more at least until I’m a specialist.

I can’t do it. I can’t keep giving each patient only 5 minutes of time as I’m doing now. I didn’t become a doctor to have to balance whether I should see my patient’s third complaint or ask them to book another session so I can have time to pee and eat.

Peeing and eating is like…the lowest level of Maslow’s hierarchy of needs. I’ve spent all of my adult working years, from 23 years of age til now, chasing that. The right to pee and eat and drink.

The department head has his head so far up his ass with bootlicking the government that last quarter he pulled workforce away from chronic cases for half-full covid clinics and made us each therefore have to review 56 cases per four hour session. When we raised the issue of patient safety one of his associate consultants said, “I know it’s hard! Let’s get through this together!”

He is famed for picking on whether residents punctuate the numbering of their past medical history lists with brackets or periods.

Nope. Nope. Nope.

This afternoon between patients, I suddenly realised I had lost my voice. I’d been speaking too much. Moreover, I think my autistic brain had finally clicked over into the “dude you better go non verbal or you’ll die” function. Of course, I couldn’t actually afford to be non verbal. I plowed through the remaining cases so dissociated I nearly blacked out.

If I pass these next two years’ exams, I become senior resident. I will have the privilege of not being entrusted with 33 cases every four hours, but 40.

40 cases; all of them episodic patients, not chronic. This means all of them come in with new complaints, as in multiple. Time per patient gets knocked down to four minutes.

Respectfully, Fuck That.

I’m waiting until I get contract gratuity this summer, do the damn exam that everyone agrees is insane, and then I’ll apply to a plethora of private clinics in September and kiss this bloody department goodbye.

I want to be able to spend more than two minutes comforting a crying patient, dammit.

If I don’t leave soon I’ll break, and that’ll compromise patient safety over anything else.

#medblr #medicine #doctor #medical happenings #my post #every time we ask if they can cut the quota so each patient gets better care they’re like oh we’re serving the community #dude we operate in the most underprivileged area of our city #you try explaining things to an illiterate 80 year old man in 2 minutes at the end of a consultation #our chief of service is a lunatic #personal

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republicstandard · 6 years

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Dear Liberals: It’s not "Rednecks" who are Inbred

The Inspector General (IG)’s latest report, capturing exchanges from as many as five FBI agents under investigation, exposed the intense hatred and contempt that the Deep State has not just for President Trump, but for the average American who voted for him. A sample exchange:

Agent One: “I find anyone who enjoys [this job] an absolute f---ing idiot. If you don’t think so, ask them one more question. Who are you voting for? I guarantee you it will be Donald Drumpf.” Agent Five: “I forgot about Drumpf…that’s so sad and pathetic if they want to vote for him. Someone who can’t answer a question. Someone who can’t be professional for even a second.” Agent Five: “I’m trying to think of a ‘would I rather’ instead of spending time with those people.” Agent One: “stick your tongue in a fan??” Agent Five: “I would rather have brunch with Trump and a bunch of his supporters like the ones from Ohio that are retarded.” (sic)

That last comment from Agent Five is the smug refrain of coastal cosmopolitans that America’s rednecks are incestuous retards, but the reality is quite different. You see, it’s not the working class whites -who actually make the country go- with average IQs literally at or below clinical mental retardation. The much-maligned “hicks” of West Virginia have an average IQ of almost 99. There are two population groups —one of them quite prominent in the media and entertainment industries committed to perpetuating such a portrayal of America’s working class— who have serious genetic issues related to inbreeding.

For point of reference, here is a list of the countries with average IQs at or below 70, which has been considered to be a marker of "definite feeble-mindedness" or "mild mental retardation": Sudan, Sierra Leone, the Congo, Zimbabwe, Senegal, St. Vincent and the Grenadines, Jamaica, the Central African Republic, Tanzania, Antigua and Barbuda, Benin, Botswana, Rwanda, Togo, Burundi, Ivory Coast, Ethiopia, Malawi, Niger, Angola, Burkina Faso, Chad, Haiti, Djibouti, Somalia, Swaziland, Dominica, Guinea, Guinea-Bissau, Lesotho, Liberia, St. Kitts and Nevis, Sao Tome and Principe, the Gambia, Cameroon, Gabon, Mozambique, St. Lucia, East Timor, Ghana, and Equatorial Guinea. Nigeria would also qualify if you removed the Igbo. Does anything stick out to you?

Regarding inbreeding, globally about half of all Muslim marriages are consanguineous (blood related), usually between first cousins or an uncle and niece, while the rate is about 1% in Europe (largely attributable to the “migrants”) and 0.2% in the US. Carlisle du Rozel reports:

According to Bengali ex-Muslim essayist Abul Kaseem, the product of rampant phenomena of inbreeding in Islam is due to several things, but two stick out in particular: 1) interpretations of the Qu’ran which permits a Muslim man to marry and have intercourse with his daughter born out of wedlock (usually 8 or 9 years old), and 2) the popular and widely accepted practice of cousin-marriage initiated by the Prophet Muhammed himself, who infamously had relations with his cousins outside of marriage (Tirmidhi 5.3214).

The consequences can be severe. Medical data shows that while British Pakistanis are 3 percent of all births, they account for over 30 percent of children in the UK born with genetic illnesses, costing the NHS at least about 600 million pounds per annum. A 2005 BBC survey found that 55% of Britain’s Pakistani population was married to a first cousin; in Pakistan itself, 70% of all marriages are consanguineous. British scientist Steve Jones explains:

It is common in the Islamic world to marry your brother’s daughter, which is actually closer than marrying your cousin. We should be concerned about that as there can be a lot of hidden genetic damage. Children are much more likely to get two copies of a damaged gene.

Consanguineous marriages result in an average IQ deficit of about 15 points. The risk for having an IQ lower than 70 increases by 400% among the offspring of first cousin marriages. It also increases aggression, lowers impulse control, and dramatically elevates the risk of a whole host of medical disorders. The Danish “migrant” community offers another illuminating case study. From the newspaper Jydskevestkysten:

Immigrant children are clearly overrepresented in Copenhagen’s schools for retarded children and children with physical handicaps. … 51 percent of the children in the three schools in Copenhagen for children with physical and mental handicaps have an immigrant background and in one of the schools the amount is 70 percent. … These amounts are significantly higher than the share of immigrant children in the municipality, which is 33 percent. The many handicapped children provide clear evidence that there are many intermarried parents in the immigrant families.

From B.T.:

Disabled immigrant children costs Danish municipalities millions. In Copenhagen County alone, the number of disabled children has increased 100 percent in 10 years…[Social worker] Meredith Lefelt has contacted 330 families with disabled children in Copenhagen. She estimates that one third of their clients have a foreign cultural background.

The Rockwool Foundation Research Unit found that:

Those who speak Arabic with their parents have an extreme tendency to lack reading abilities - 64 percent are illiterate. ... No matter if it concerns reading abilities, mathematics or science, the pattern is the same: The bilingual (largely Muslim) immigrants’ skills are exceedingly poor compared to their Danish classmates.

From Kristeligt Dagblad:

In Sct. Hans Hospital, which has the biggest ward for clinically insane criminals in Denmark, more than 40 percent of the patients have an immigrant background.

In Denmark, the number of inbred Muslims ranges from Pakistanis at 40% to Turks at 15%. The rate of inbreeding in Turkey itself is about 25-30%. For Islam, this is pretty low. While in India the Muslim rate of cousin marriage is 22%, the rate spikes to 40% in Jammu and Kashmir. Between 20-28% of Morocco’s marriages are of the cousin variety. 35-50% of sub-Saharan African marriages are estimated to be between blood relations, with Nigeria’s rate highly variable depending on the tribe: Hausas (percentage unknown) and Yorubas (51.2%) practice it; Igbos ban it. 34% of all marriages in Algieria are consanguine, with Tunisia at 39% and Syria at 40%. About 40% of the population marries a cousin in Egypt, according to a 2016 report in The Economist. “Rates are thought to be even higher in tribal countries such as Iraq and the Gulf states of Saudi Arabia, Yemen and Kuwait,” says the Economist.

Statistical research on Muslim-majority countries shows that up to 42% of all marriages in Lebanon are consanguine (blood related), as are 45% in Yemen, 46% in Bahrain, 47% in Mauritania, 48% in Libya, 54% in Qatar, 54% in the United Arabic Emirates, 56% in Oman, 60% in Iraq, 63% in Sudan, 64% in Jordan, 64% in Kuwait, 66% in Palestine, 68% in Saudi Arabia, and 80% in Nubia. Arabs have one of the world’s highest rates of genetic disorders, with 66% of the abnormalities linked to cousin marriage. A Saudi study discovered that “90% of couples detected as carriers did not follow the advice they were given and went ahead with their marriages.” Executive Director of the Prince Salman Center for Disability Research, geneticist Dr. Stephen R. Schroeder, stated:

Saudi Arabia is a living genetics laboratory. Here you can look at 10 families to study genetic disorders, where you would need 10,000 families to study disorders in the United States.

In Afghanistan, where 46% of the marriages are consanguineous, Danish psychologist Nicolai Sennels discusses some of the consequences:

A study from Kabul, Afghanistan, based on autopsies of the remains of suicide bombers, shows that close to 90 percent were suffering from severe illnesses or deficiencies such as blindness, cancer, missing limbs or leprosy. Many Muslim societies, including that of Afghanistan, have a low social acceptance of handicaps and mental illness. Being physically handicapped or mentally retarded often leads to exclusion. Becoming a martyr may be the only chance of achieving social recognition and honor. Some cases of Down’s syndrome may be another unpleasant effect of inbreeding and al-Qaeda has been known to use people afflicted with it. People with low intelligence may also be more easily convinced that Islam, with its promise of 72 virgins to Muslims who die fighting for their religion, is true.

The numbers for consanguinity in some Muslim nations such as Indonesia, Niger, Djibouti, Somalia, and Bangladesh are woefully incomplete, though we do know that 17.6% of marriages in the Teknaf region of Bangladesh are consanguineous. 37.5% of Iran’s marriages are consanguineous, as are 69% of Burkina Faso’s Fulani and 27% of Mali’s (admittedly a small sample at just 600 persons). We do not know the percentage of Azerbaijani marriages of this kind, but there is a tradition of inter-marriage, and a prevalence of certain diseases and disorders common to this practice. 30-35% of birth defects in Tajikistan are attributable to kin marriage. Dr. Bill Warner writes:

Think about this, Islam says it is destined to rule the world, and if it does inbreeding will be everywhere and humanity will actually devolve. And this can’t be changed, because the Sharia is Allah’s law. But why are we silent about Sharia, suffering? Why can’t we educate about this harm? How can we go about trying to show that this is wrong? Oh wait a minute, we can’t do this because this would be offensive to Muslims. So we won’t be including incest in part of the explanation about the beauty of Islam in our schools. Can we find a Muslim who will say that inbreeding is wrong, will he abjure this because science agrees it is wrong? Can we run a social program to educate immigrants who come here about genetic damage? Well, as good as that sounds, because it would reduce suffering, that would be Islamophobic. How evil does something have to get before we can talk about it? I want to prevent a crime against the next generation. Am I a bigot to talk, and are you afraid to talk? This is a serious problem and it needs to be addressed.

As Winston Churchill said, “The influence of [Islam] paralyzes the social development of those who follow it. No stronger retrograde force exists in the world.” It also retards —literally— the development of not just the next generation, but generations henceforth. The data bears this out. In addition to actually being incestuous, the Muslim world is intellectually incestuous, contributing precious little to the advancement of human knowledge and understanding outside of its own religious texts. The UN Arab Human Development Reports (AHDR) records that roughly the same number of books are translated within the country of Spain annually as have been translated into Arabic in the last 1,200 years. Eugene Rogan notes:

The Arab world translates about 330 books annually, one fifth of the number that Greece translates. The cumulative total of translated books since the Caliph Maa’moun’s time (813-833 AD) is about 100,000, almost the average that Spain translates in one year.

From the Nature International Journal of Science:

In 2003, the world average for production of articles per million inhabitants was 137, whereas none of the 47 OIC countries for which there were data achieved production above 107 per million inhabitants. The OIC average was just 13.

On the other side of the consanguineous coin, all Ashkenazi Jews are descended from the same group of 330-350 people who lived in the Middle Ages, a hybrid population of Levantine males and European females who ultimately turned inward and bred with each other in closed communities for centuries. This intense inbreeding has paradoxically had the opposite effect of cognitive impairment that’s afflicted the Middle East and Africa. The Jews are wildly overrepresented in terms of their intellectual contributions. From JINFO.org:

At least 201 Jews and people of half- or three-quarters-Jewish ancestry have been awarded the Nobel Prize, accounting for 23% of all individual recipients worldwide between 1901 and 2017, and constituting 37% of all US recipients during the same period. In the scientific research fields of Chemistry, Economics, Physics, and Physiology/Medicine, the corresponding world and US percentages are 26% and 39%, respectively. Among women laureates in the four research fields, the Jewish percentages (world and US) are 33% and 50%, respectively.

This is not to say, however, that the inbreeding amongst the Ashkenazim hasn’t been without consequence. Jews are twenty times more likely than the average person to suffer from schizophrenia, and they are predisposed to higher rates of breast and ovarian cancer. There are a number of gene mutations found exclusively amongst their population that are attributable to the prevalence of other diseases, primarily Tay-Sachs.

The evidence is clear: the cousin diddling isn’t so much a West Virginia thing as it is an after-madrassa and shtetl thing.

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