Chetzemoka

Critical care nurse here. The answer is esophageal varices.

It’s the same physiological anomaly as hemorrhoids, except in your esophagus. Swollen, fragile veins caused by increased internal pressure. In the case of hemorrhoids, that pressure inside the veins is caused by straining too much when trying to poo. In esophageal varices, the increased pressure inside the esophageal veins comes from blood backing up from a swollen, scarred, and damaged liver. So we often see esophageal varices in end stage alcohol use disorder.

Horror stories abound in emergency departments and ICUs of having to do CPR on a patient massively hemorrhaging out of their mouth from esophageal varices. As soon as nurses I know saw this report, our immediate thought was, “Yep, varices.”

https://my.clevelandclinic.org/health/diseases/15429-esophageal-varices

Just did. Won our vote Wednesday night 💪

Yes, Massachusetts. I have a dual fuel heat pump with natural gas backup installed in 2020, so it’s a newer system. And I have one heat pump mini split in the least energy efficient, but most used room in my house (large, high ceilings, exterior walls on three sides, and a skylight).

The first couple of years I noticed when it got just below freezing, the central heat pump seemed to struggle to keep up. Then this year I replaced my windows and got new wall insulation in both of the main bedrooms and bathrooms (previous insulation was original from the 1960s and shredded to bits with huge gaps.)

After those improvements, I’ve been running my heat pump down to 20⁰F/-7⁰C so far without any issues at all. I’m excited to see how cold we can get and this system still keep up. I am still supplementing my one large room with the mini split, but that’s mostly because all my plants are in here, so I keep this room warmer than 68⁰F/20⁰C.

deleted by creator

I’d miss you guys. I’ve jumped in on conversations on your instance a couple of times and it always seems like a nice place

GOP death cult be like, “Hear me out, do you really NEED to live though?”

To me, it’s all about rational return on investment providing economic incentives to achieve what we want to achieve.

My favorite example to explain what I mean is my own personal health insurance. I have a chronic medical condition that requires constant medication, frequent visits to specialists, and expensive medical tests and procedures. There is simply zero chance that I will ever pay enough in a monthly premium to cover what I cost. Meaning I am always a net financial loss for a private, for-profit insurance company.

This gives a private company every incentive in the world to obstruct and deny my care in hopes that I’ll get frustrated and give up, or maybe even die and get off their books forever.

The government, on the other hand, has a positive financial incentive to keep me healthy. If I am healthy, I am working, paying taxes, buying goods and services that contribute to the economy, and hopefully contributing something beneficial to my community. Only the government (acting as a proxy for “society”) naturally profits from insuring my healthcare.

This is why I believe we should have fully socialized medical care. Because there are some specific things that only the government has natural positive economic incentives that align with what is beneficial for the general public.

Whatever those things are, they should be socialized. And generally those things are basic life sustaining things like food, housing, medicine, education, utilities.

I’m fine with privatized capitalism in a very restricted, heavily regulated niche form. But all the basic necessities should be socialized.

This is the one they were waiting for. There are several live cams trained on the area, and one of them caught the exact moment it erupted:

https://youtu.be/QcxaqCIon_Y?si=oLk4o29hIaSrv4WF

This kind of passive bigotry is necessary for genocides to occur. It is the foundation on which the mechanisms of genocide are built.

It’s not just no good; it’s terrifying.

My friend, ongoing ignorance IS malice. I’m sorry to be the one to break this to you, but your family are just plain old racist.

(I say that as a person from a family full of very friendly, very racist people.)

Glad I’m not the only one who has witnessed this insane behavior. I made the mistake of leaving a grocery bag with bread on the floor once and only once. My youngest cat went ape shit and I came back into the room to a bread massacre right through the plastic bag.

I have zero idea what drives this

Fresh episodes of X-Files and Star Trek: TNG every week.

Just that whole experience of something on television being a cultural zeitgeist because everyone had to watch it at the exact same time because that was the only time it existed. Sure, you could record it on VHS and watch later, but it wasn’t the same. Even being at home watching alone felt like participating in a social event.

Well There’s Your Problem
Black Box Down
This Podcast Will Kill You

Apparently, I like listening to stories about death and disaster

Gubbins is a fun, new kind of word game.

Nonogram is a fun puzzle game.

You need electricity to make hydrogen. Hydrogen maybe maybe could be part of the overall energy solution someday by providing a similar portable, fluid energy store as gasoline and diesel do now. But the technological challenges (like just getting the lightest gas in existence to stay in a container, for example) make it not the thing we should be investing large sums of money in right now.

We need to fix the underlying electricity generation problem before we can really even think about hydrogen as a fuel.

Christ how are people this ignorant? The ICIJ has several hundred people working for it.

https://www.icij.org/about/

And it wasn’t a foreign government. Caruana Galizia was MALTESE. She was investigating her own government.

Nothing at all bad happened to the two German journalists who published the Panama Papers. Bastian Obermayer and Frederik Obermaier are both very much alive and well, and have started a nonprofit organization in honor of their friend and colleague, Daphne Caruana Galizia, who was murdered by an operative of the Maltese government officials who she was investigating for corruption that was revealed in the Panama Papers.

The investigations and revelations produced by The Daphne Project are ongoing. These are journalists who refuse to be silenced by one woman’s murder.

But to understand that, you’d have to be interested in not being ignorant for five seconds instead of just parroting things you saw online because you think it makes you sound smart.

https://www.occrp.org/en/thedaphneproject/

As a person who has had many cats in my life, I am of the opinion that two cats is the best number of cats. If you can afford to care for and have space for a second cat, I’d say go for it.

If you’re not really experienced with cats, be aware that cats almost never get along immediately. It can take weeks of them seeming to hate each other before they become friendly. It’s helpful to put the new cat in a cage where the current cat can see and smell them, but can’t reach them with claws. That gives them a little space to get to know each other before the current cat feels like its territory is being invaded.

Hahaha, he’s great. Jimothy is one of his most common side characters. And he uses your naming convention for lots of his other side characters. Jimothy, Todrick, etc.

I believe you have been watching too many Dr. Glaucomflecken videos, my friend.