Wiener

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I do see it fairly regularly with spinal cord injuries, couple a year.

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At least the spinal cord injury priapisms are high flow and don't require drainage.

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Side note: is there anything more universally funny to both men and women than calling a penis a weiner in a joking fashion? Basically any time it's referred to that in real life or TV I can look over at my wife and she's audibly giggling

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More testing is needed.

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One interesting factoid about ACA/ObamaCare: Prior to implementation, only about 35% of physicians were employed. Now over 77% are. Regardless of political affiliation, these are the facts and show the power of this piece of legislation to fundamentally alter the US health system. The shift in reimbursement models, increased regulation, increased power of insurance companies in their ability to vertically integrate has killed the private practice model in the US.

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This cannot be overstated. The AHA lobbied hard against physician ownership of medical facilities and won. They've used that leverage to kill private practice and bring physicians under their control. The funny part is they've used the employed model to recreate the scenario they created fear of - self referrals because you own the hospital.

If your physician seems more detached these days, they're probably reminded daily that they're just an easily replaceable cog in the machine the AHA lobbied to turn medicine into.

There's a reason hospital systems are metastasizing like wildfire now.

Why are you doing it now?

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What are odds of him beating it?

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We do not have a cure for metastatic prostate cancer, but we can manage it fairly well. A lot of the prognosis depends on the degree of spread and labs at time of diagnosis, which we don't know.

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That’s not treatment, that’s watchful waiting.

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Correction, that's active surveillance.

The amount of replies that believe in this makes me think of this book excerpt:

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"A fire-breathing dragon lives in my garage"

Suppose I seriously make such an assertion to you. Surely you'd want to check it out, see for yourself. There have been innumerable stories of dragons over the centuries, but no real evidence. What an opportunity!

"Show me," you say. I lead you to my garage. You look inside and see a ladder, empty paint cans, an old tricycle — but no dragon.

"Where's the dragon?" you ask.

"Oh, she's right here," I reply, waving vaguely. "I neglected to mention that she's an invisible dragon."

You propose spreading flour on the floor of the garage to capture the dragon's footprints.

"Good idea," I say, "but this dragon floats in the air."

Then you'll use an infrared sensor to detect the invisible fire.

"Good idea, but the invisible fire is also heatless."

You'll spray-paint the dragon and make her visible.

"Good idea, but she's an incorporeal dragon and the paint won't stick."

And so on. I counter every physical test you propose with a special explanation of why it won't work.

Now, what's the difference between an invisible, incorporeal, floating dragon who spits heatless fire and no dragon at all? If there's no way to disprove my contention, no conceivable experiment that would count against it, what does it mean to say that my dragon exists? Your inability to invalidate my hypothesis is not at all the same thing as proving it true. Claims that cannot be tested, assertions immune to disproof are veridically worthless, whatever value they may have in inspiring us or in exciting our sense of wonder. What I'm asking you to do comes down to believing, in the absence of evidence, on my say-so.

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I also dislike private equity's involvement in hospitals, as I tend to think that trying to derive profit or excessive profit from medical care can lead to some really perverse incentives.

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This is something that blows my mind. Physicians are not allowed to own hospitals now due to conflicts of interest.

The alternative we've moved forward with is that groups whose sole purpose is to generate profit are now taking ownership. With physicians, it was a potential problem, but with private equity, it's the stated goal.

Middle Eastern religious superstitions.

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These clowns look like such fools playing dress up for Rodeo every year.

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They should go to Mardi Gras instead and dress up like real clowns!

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Spoke with a nurse not long after that and she confirmed that surgeons love removing it cause it’s a quick payday with minimal risk.

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Oh good, a nurse confirmed it. I'm sure she's up to date on the evidence regarding recurrence rates.