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golden_valley

Member Since 02 February 2012 - 12:55 PM
Offline Last Active Dec 14 2019 04:04 PM
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Topics I've Started

Remote Emergency Rooms

17 November 2019 - 02:56 PM

Rural communities that have no ER doctors are turning to docs that are well equipped with cameras but who are in an office park somewhere. The pressure on PAs and nurses in the communities must be intense. The intubations being performed under a remote doctors guidance struck me as particularly terrifying.

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During his own bedside shifts at the hospital in Sioux Falls, a city of 180,000, Skow had performed dozens of similar intubations under what he had come to think of as the standard conditions of an urban trauma center. He usually had another emergency physician nearby to provide backup, plus a trauma surgeon, a cardiologist, an anesthesiologist, and a team of up to 20 residents, ER nurses, and paramedics competing for space at the patient’s bedside. But now on the screen in rural Montana, Skow counted a total of five people in the room. None were doctors. None had significant experience performing emergency intubations.

Still it's better than trying to transport patients to actual ERs miles and miles away...I guess.

A look into the interplay of water & greed in the CA nut industry

29 September 2019 - 11:43 AM

Written in early 2018 by Mark Arax who writes a lot on agriculture in the lower Central Valley, this long form article gives insight into the growing of nuts and pomegranates by the "PomWonderful" people. The movement of water, the 5 year drought, a company town, the employees, the Lady Bountiful...it's all here. It looks nothing like the farming of row crops that many associate with big agriculture.

Talk Radio Made Today's Republican Party

21 August 2019 - 02:45 PM

This Atlantic article traces the behavior of talk radio (and later tv) hosts over the years.

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In its early phases, conservative talk radio had exhibited a pragmatic streak that would sound foreign today. In 1994, Limbaugh cautioned against singl- issue voting. He advised television viewers—he had a TV program from 1992 to 1996—not to oppose Mitt Romney, the Republican then running as a moderate against the liberal senator Ted Kennedy in Massachusetts. As Limbaugh explained, electing Romney, despite his lack of conservative fervor, would be a step “in the right direction.”
Hosts never loved moderates, and never hesitated to criticize them for actions out of step with hosts’ vision for the country. But they understood that such figures were crucial to securing a majority, without which their preferred agenda had no shot.
But this detente started to break down as the 2000s progressed. In one 2005 harangue prompted by Republicans who voted against oil drilling in the Arctic National Wildlife Refuge, Limbaugh declared, “There’s no such thing as a moderate. A moderate is just a liberal disguise, and they are doing everything they can to derail the conservative agenda.” He deemed such behavior “unacceptable” and read listeners the names of those Republicans voting no. Even so, Limbaugh still crucially refrained from calling for those Republicans to lose.


But as time went on:

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In the fight for a devoted audience, allies became foes. Former House Speaker John Boehner explained what that meant for Republicans, telling Politico, “‘I always liked Rush [Limbaugh]. When I went to Palm Beach I would always meet with Rush and we’d go play golf. But you know, who was that right-wing guy, [Mark] Levin?”—Levin launched in New York in 2002 and entered national syndication in 2006—“He went really crazy right and got a big audience, and he dragged [Sean] Hannity to the dark side. He dragged Rush to the dark side. And these guys—I used to talk to them all the time. And suddenly they’re beating the living shit out of me.”


Talk radio sucks...and Fox "News" too.

President is a little displeased with Fox News

30 July 2019 - 05:17 PM

All is not well in the mutual admiration society:

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The president has also told multiple associates that he sees Fox mogul Rupert Murdoch’s sons as “very liberal” and has quizzed former and current Fox personalities about what they think of them and if the Murdoch kids can be trusted. (Rupert Murdoch also doubles as a prominent informal adviser to Trump, often taking calls from the 45th president.)

I guess he's upset when people like Chris Wallace give Mick Mulvaney a hard time about racist comments about Baltimore.

It's official. Gerrymandering based on political party affiliation is ok.

27 June 2019 - 10:54 AM

Roberts, writing for the majority didn't quite put it that way, but the practical impact of the 5-4 decision is simply that.

It is up to people in the states to use the initiative process, if they have one, to institute rules guiding redistricting and maybe an independent redistricting body. States that are narrowly blue or purple might have legislatures that have the will to do the same thing.