Subsequent encounter means you’re seeing the doctor again for the same problem. So if you got sucked into a jet engine and lived somehow you’d probably be seeing the doctor a bunch of times, and the second doctor visit and all later visits would be encoded as “subsequent encounter”

I love weird icd 10 codes, my favorite is V91.07, burn due to water-skis on fire. Like has that ever actually happened? If so please post link, I must know.

I’ve never heard of urgent care requiring referral from a pcp, that wouldn’t make any sense as the whole point of urgent care is being seen more urgently than your primary physician can accommodate. And seeing people who don’t have a primary physician and keeping them out of the ed if not necessary. I would ask your insurance for that policy in writing, that can’t be right. And if it is it should be reported to that state insurance commission because that’s totally asinine. I mean never underestimate the dumbness of insurance companies but I think something might be being lost in translation here.

This is mildly infuriating, I can give you a little more context though if you’re interested. I don’t know exactly about contracts between insurance companies and CVS so I can’t speak to that definitely. Probably something related to how much insurance is willing to pay minute clinic for such a short visit, and what things are feasible to address in such a short visit (hence CVS only allowing certain complaints).

I think this is something to do with the concept of “uncomplicated” vs “complicated” uti. Complicated utis are when there’s an increased danger of serious complications from a uti or increased likelihood of failing a typical antibiotic therapy. Utis in men are much much rarer than women, and are considered to be an automatic “complicated” uti by many. The greater length of the urethra in men helps prevent bacteria from being able to travel up to the bladder, whereas in women the short distance allows for this to happen much more frequently. So when a male has a UTI there is a much greater chance there will be complicating factors like prostate issues, structural problems, kidney stones, kidney infection, catheter use, atypical bacteria, etc. If you look more into their info on utis, they also state if they suspect any of those things, even in women, they won’t treat it and will just refer you to someone else, probably the Ed or a real urgent care clinic. Since the odds of that are much greater in men, they probably aren’t allowed to have longer appointments in minute clinic based on what insurance will pay for what they’re providing, they just decided to not see that at all in minute clinic. Looks like they do see men for sexually transmitted infections though, which are actually the most common cause of utis in young men, so if that’s a concern looks like they would be able to see people for that.

But I totally agree with you, fuck insurance companies in general.

Really cool unique book. Certainly is going to depend on your tastes a little bit but I loved it. Also before reading I had someone kind enough to urge me, do not get the ebook! This is one book that just has to be the physical edition.

Yeah, sometimes you’re just innocently watching an anime and you’re like, oh no, this just went all facist imperialist Japan didn’t it. Lookin at you attack on titan.

Wait I’m lost, I did some calculus with my girl and now I can’t tell if she’s a wave or a particle

It was me, Dio!

Yeah, basically if you work for a paycheck you’re probably not the 1%. The venture capital firms buying up all the medical practices and hospital? Those guys are the 1%

Appreciate the funny post, but for anyone reading too much into this it’s misleading at best (also just barely passing at 60% only correct). It’s referencing a portion of the test with multiple choice questions. So that’s relatively easy for a language model, since it can predict an answer from a focused question. Please don’t ask chat gpt individualized questions about your health. It does decent for giving out some general information about medical topics, but you’d be better off at going to a reputable site like mayo clinic, Cleveland clinic, or all the resources at national library of medicine who maintain free very nice medical knowledge databases on tons of topics. It’s where chat gpt is probably scraping it’s answers from anyways, and you won’t have to worry about it making up nonsense that looks real and inserting it into the answer.

And if chat gpt comes up with sources in an answer, look them up yourself no matter how convincing they seem on their face. I’ve seen it invent doi numbers that don’t exist and all sorts of weird stuff.

Well that’s enough internet for today. Geeze. So glad these people are being tracked down so they can be brought to justice.

On the instances where hot is working, I think it does work pretty nicely for this. Hopefully it’ll be up and working everywhere very soon with the next update. When I’m on an account with an instance where it’s not working, I tend to switch between top-day and new. Going into individual communities as well you can easily see what was popular.

I think as an end user of a platform like reddit, it’s easy to just want to browse a site and look at some interesting content when you have a few minutes downtime and not think much of it. The vast majority of people on the site aren’t even really contributing to content in any way. I barely ever did until hearing about the fedverse.

What got me to care and take the effort to start up here wasn’t even really the recent reddit move specifically, like sure this was a crappy thing to do on their part and they’ve done a lot of bad stuff before too. But it was seeing all these social media platforms and web services in general go one after the other becoming worse and worse for the users and ever more invasive. I think it’s just clear now that a centralized social media isn’t sustainable and going to work, and will always have that end result.

What’s so appealing about the fedverse is I think it’s a model for how these problems can be avoided and services can still go forward. I think the best we can do is be active on the fedverse, make it an appealing place to be by contributing, with programming skills if we have them or fresh content if we don’t, and continue to point out how these big web companies continue to fail us.

Archive links get rid of the paywall but it doesn’t play nice with some dns settings apparently. Here is the actual link but it does have the paywall: https://www.nytimes.com/2023/06/19/business/gop-disinformation-researchers-2024-election.html:

No that was super funny. Crashing the UK economy seemingly overnight all in a bid to save the richest people in the country a few bucks? Now that’s not funny

Yes, it’s a medical emergency that can be very dangerous or even deadly. It can lead to seizures or a devestating condition called osmotic demyelination syndrome, which can cause a “locked in syndrome” or total body paralysis. There are certain medications that can make it more likely to happen. Severe psychiatric conditions make it more likely. It tends to happen pretty frequently to people with alcoholism too. It’s pretty rare for it to happen to people without risk factors for it because your kidneys are pretty good at keeping everything balanced even if you’re drinking a decent amount of water. Though one infamous example of that is the wee for a wii radio contest where people deliberately drank tons of water and were not allowed to pee to try and win a Nintendo wii. I believe someone died from the contest, and the organizers hadn’t realized how dangerous this was. In short, drink water when you’re thirsty, and pee when you need to pee.

Yeah not sure what that headline is about, I enjoyed splatoon and thought it was a pretty unique game. More games in the genre is good, spurs innovation and new ideas. No sleep lost unless someone has some toxic brand loyalty. I hope this game does well.

Well I did use sync, now using jerboa of course. Would be neat if sync or other apps could be remade for the fedverse. An app that could bridge different fedverse apps more easily like lemmy and mastadon for instance but keep everything easily readable and sortable would be cool.

Seems to be a bug, I think it happens most frequently when trying to subscribe to a community on a busy instance. It doesn’t seem to affect functionality though, I see new posts, vote and comment, etc. Sometimes if you refresh the page or try again it goes away and says subscribed, but I wouldn’t worry, doesn’t seem to change anything right now. Just assume it means subscribed. I think for this community right now it says “sub pending” for me actually.