He recieves pre and postnatal care like any other preggo person?
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I assume that depends upon what variety of male is involved. Was he born with a penis, testicles, and Y chromosome? Or was he born with a vagina, D-cups, and two X chromosomes? If the former, itāll be quite amazing; if the latter, not so much.
Itās kind of like when a gender-fluid(or whatever term is preferred and accepted) athlete dominates a sport, but the opposite way. You know? Itād be amazing if a vagina and double-X chromosome haver dominated a menās sport, but itās not quite as amazing when testicularly-gifted Y-chromosome-haver dominates a female sport.
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Is that a fact?
Well, they just did it.
The official document from the New York State Dept. of Health:
https://coronavirus.health.ny.gov/system/files/documents/2021/12/prioritization_of_mabs_during_resource_shortages_20211223_1000_0.pdf
What was that you said?
Well it is nowā¦
Okay, fair enough.
Considering that this examination has made things much worse with race and gender relations, I disagree. I have never seen race relations worse in my life time and neither have the previous generation.
I think you are a far more rare vessel than you think. Even Bill Maher gets groans and booās now when he attacks wokism.
I disagree, CNN for decades was just news for the most part with opinion shows, for opinions. Zucker is a reality TV producer and he remade CNN in that image. MSNBC is at least open about it.
It does, thanks.
I have sources, I just posted them but I will again.
Left leaning:
https://news.yahoo.com/york-says-prioritize-non-white-171224095.html
Yeah, distributing life saving care based on raceā¦ That happened faster than I thought. They usually announce it, let the hubbub die down and then increment it in. Here, they just say it.
Lest you think this is just news bias:
You can find the official document that caused the uproar here.
https://coronavirus.health.ny.gov/system/files/documents/2021/12/prioritization_of_mabs_during_resource_shortages_20211223_1000_0.pdf
So can we now concede that introducing wokeness into hospitals is a really bad idea and that people may in fact die because they were the wrong color? Wokeness is racism incarnate.
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Only opiate/opioid painkillers to my knowledge, which an addict really shouldnāt be taking unless theyāre in hospital and/or a chronic pain patient.
How so? The likelihood of SAE is very low. Iām in agreementā¦ when youāve tapered off and youāre clean you donāt need to be on naloxone.
However an addict should probably always have narcan on handā¦ if they relapse and feel as if theyāre slipping out, this will save them if they realise theyāre about to OD before nodding out.
But why not? Aside from blocking the effect of opiates they donāt interact with other meds (to my knowledge). Oral naloxone as seen in buprenorphine/naloxone or oxycodone/naloxone is hardly active, it ONLY exists to deter people from crushing and injecting the meds as it will bypass first pass metabolism and thus not be prone to hepatic breakdown.
Oral naloxone > First pass effect > 3% bioavailabilityā¦ if that. Itās not dangerous and there are no interactions associated with the tiny smidgen of naloxone present in these formulations
If I recall correctly one would have to take EIGHT 10mg oxycodone/naloxone tablets Orally before the drug becomes active.
There are people who do thisā¦ there are people who take far more than this, but stillā¦ 80mg oxycodone = 120mg morphineā¦ thatās a hefty dose, enough to kill someone without a tolerance who doesnāt use these meds.
Depression, crying spells, epic diarrhea, and perpetual headaches are the most common problems linked to long term naloxone use.
Hey Mods, can you please move these comments back to the COVID-19 Vaccine Side Effects thread?
Pat, you were saying before that they couldnāt treat an African American differently than a white person because they would have to assume we are all genetically the same.
Now you are posting evidence that they are using race to tailor medical treatments.
Which one is it?
Extremely uncommon
Naloxone has been trialled to treat various types of neuropathic pain/chronic pain disordersā¦ long term use appears safe and effective
Look up fluoxetineā¦ or atorvastatinā¦ or metformin
All CAN have devastating side effects associated with long term use, but such outcomes are incredibly rare. Naloxone is a relatively risk free med, Iād prefer an addicts preparation be formulated in a manner that is abuse resistant.
It would depend on whether or not race is legitimately a risk factor for severe illness with Covid.
There are absolutely illnesses that are tied more to black people than the population at large. Sickle Cell immediately comes to mind. Data & Statistics on Sickle Cell Disease | CDC If the incidence of severe illness via Covid is positively correlated to race, then you would want to adjust your treatment as such, whether itās because of genetic or social conditions. If black people are dying at a higher rate from Covid than white people, the medical community should probably take that into account, just as they have to take into account other risk factors like obesity, pulmonary conditions, etc. Now, whether or not the data DOES actually bear that out is not something I really want to get into, Iām just saying that the idea of considering race when it comes to medical conditions IN GENERAL is not outrageous. Itās been done forever.
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Weāve busted so many people over the last 5 years crushing suboxone and snorting it. The Substance Abuse Professionals keep insisting that it canāt be abused, but the 50 or so people weāve busted snorting it off of toilet tanks would disagree.
Subs can be insufflatedā¦ naloxone bioavailability is higher when insufflated, but not to the extent that it renders this route of administration useless when one is looking for a high
When INJECTED however, there is enough naloxone active to block the opiate effect almost entirely.
In terms of perceived pleasureā¦ it goes like this
Oral > insufflation > smoked > injected.
Buprenorphine is prone to abuseā¦ all opiates are, even tramadol. But as buprenorphine only has partial affinity, there is a ceiling to the euphoria that can be elicited and at that, the āgood feelingā elicited from buprenorphine isnāt nearly as āgoodā relative to oxycodone, morphine, hydromorphone, fentanyl and heroin.
In the 1920s maintenance therapy for an addict wasnāt a controversial subjectā¦ it was something medical professionals found ethically acceptable, Iām not sure why there is such a push back to it nowadays.
If done properly, it can allow the addict to wean off and eventually come clean entirely.
How? You mean youāve walked in on them doing it? Or found paraphernalia like straws or rolled up notes?
Nvm, just sawā¦ toilet
No one is saying buprenorphine canāt be abused, but to compare buprenorphine to heroin or morphine in terms of abuse potential is disingenuous. Youāre dealing with opiate addicts here, theyāll extract codiene out of tyneol 3ās to get a highā¦ theyāll do anything to feel āthat wayā again.
For the average Joe for sayā¦ postoperative pain management, send him home with a script for oxycodone, tranadol or buprenorphine.
The danger goes as follows
Tramadol > buprenorphine > oxycodone.
Even then, it is highly unlikely one becomes hooked with a 2-3 day supply of pain meds used to get over the worst of the worst in terms of discomfort. Iām giving an analogy. Not all opiates are the same, just as pot isnāt as addictive as methamphetamine despite both being schedule I illicit substances.
Iāve taken hundreds of tablets throughout my lifetime with a prescription (talking about opiate pain medication) and Iām not addicted or dependent. These meds get a bad rap because theyre FREQUENTLY abused by people looking for a high, but they do have legitimate medicinal properties.
When a patient requires pain relief in this manner, there are opiates/opioid pain meds that are riskier than others. Thereās a reason oxycodone is falling out of favour within outpatient settings.
The preferred route of pain management if opiates are required in Australia appears to be
- tapentadol SR
- buprenorphine patch
- codeine/APAP, though many docs donāt like prescribing codiene anymore due to variation in response mediated by cyp2d6 polymorphology
Drugs like oxycodone, fentanyl and morphine are seldom prescribed for non cancer pain/outside of inpatient services and palliative careā¦ unless youāre old, Iāve noticed old people get a free pass.
Nice try, context is important. Obviously, people of different genetic back grounds have different proclivities then other people with their particular genetic background.
Since I donāt know what statement I supposedly said or the context of it, you are talking about, I have no idea what you are referring to. People are the same in most facets, they differ in some. Thatās just factual.
Not in long term use, itās pretty common. Especially headaches and diarrhea. I would say a year or more would be considered long term.
Thatās not what is said in the document. Itās saying race should be a determining factor for who gets treatment first, according to the recommendations of the NY Dept. of Health.
Obviously, the conditions for treatment should be determined by severity and highest risk of death, not race. Should not matter what race a person is when determine who gets what treatment. Medical need should be the only determining factor. Including race as a category is social engineering, not medical necessity.
Youāre still working under the assumption that race is not a risk factor with these statements.
Iāll put it this way: If black people die at a significantly higher rate than white people upon contracting covid, is race then a risk factor?
Earlier in this thread youāve said that āblack people and white people are genetically the sameā, which just absolutely isnāt true. There are specific genetic sequences that are more common in black people vs the general population (obviously, because skin color isnāt the only trait most black people share), and we have plenty of evidence that said genetic sequences can leave black people, in general, more susceptible to certain illnesses. I assume we can agree on this general point at face value, if not, tell me.
So, if we know this is true, and we also know that black people, in general, are having worse medical outcomes than people of other races with Covid, then yes, skin color is a real risk factor, because it indicates that a person with that skin color is more likely to become severely ill or die after contracting Covid. Which means treatment protocols should be adjusted accordingly. There is a clear medical reason to do so. Just like we have clear medical reasons to test black people for sickle cell at a higher rate than we do white people. Thatās not racist, is it?
Tell me where Iām wrong.
No I am not. If said person has an underlying condition that is common to his race, then obviously that should be considered. But on the basis of medical need, not race. If the doctors are concerned about sickle cell, for instance, because of the higher risk of that demographic, and they test for it and find it and that presents a higher risk factor for that person, then that person gets treatment according to his need, not his race.
You explanation is how it should be done, but that is not what the NY Dept. of Health says. You are interpreting it in the best possible light, but mentioning race is not necessary to do that. And they specifically did that. Need, availability, risk factors, under lying conditions, you know, medical reasons, should be the only determinate factor in who gets treatment and what kind of treatment.
I didnāt inject race into this, the NY Dept. of Health did. This is about the risks of using social engineernig pressures to consider medical treatment. Thatās wrong. It was wrong in the past and itās wrong now. Just because the colors flipped doesnāt make it right.
It says it ^^^^ right there! āAs long standing systemic health and social inequities have contributed to an increased risk of severe illness and death from COVID-19.ā ā That statement is not a medically based decision. How can you determine someoneās risk factors without the patient in front of you? The whole letter is a bunch of bunk. Itās vile and discriminatory. Retributive medical policy for sins of the past is kind of evil, donāt you think? After all, sins of the father shall not be counted on the son. Are we not all on the same page with this?
Okay, challenge accepted.
Out of context. I am not going to look for what I said, but I know what I mean when I say such things. Ben is the one who brought it up, but if you want to be super literal, then, fine. Nobody is technically genetically the same, identically. I never said identical. Since I have to obviously spell it out, then what I mean in such a statement is that in everyway genetics makes a homo-sapien a homo-sapien, people of all races are virtually the same. Hell, homo-sapiens share 70% genetic similarity to a banana, that doesnāt make us mostly a banana.
An Natives are susceptible to different things and Germans are susceptible to things the French arenāt and so on. I donāt see what point singling out race as a determinant factor for who gets what treatment makes any sense. Medical tests can make those determinations without considering someoneās appearance.
And what are you basing this on? Are they having worse outcomes? And are those outcomes specifically because of the color of their skin? You are going to have to come at me with some evidence. And this evidence must show that all else being equal, a person with darker skin will tend to have a worse outcome than a person with a lighter skin tone at greater rates than the margin of error.
False equivalency. I am not even sure we test black people for sickle cell, specifically because of their race. Rather the opposite is true, because of testing black people have shown a greater tendency towards having sickle cell. We should still test everybody, should we not? At least everybody with symptoms, regardless of race. If we disproportionately test black people for sickle cell than people of other races, we wonāt have reliable data, it will be skewed. It shouldnāt be because of skin color you test. You test because of symptoms.
The data can be used to show a tendency, but it cannot and should not be used to make a universal group diagnosis. You donāt test based on race, you test based on symptoms. Otherwise you cannot make a determination from the dataset as it will be massively skewed.
Well, yes, thatās definitely a thing. Because doctors know that black people are FAR more likely to have sickle cell, and weāre talking literally orders of magnitude more, this isnāt just a āwell black people get tested more so it just looks like they get it moreā thing, when a patient has symptoms, sickle cell will be closer to the top of the list of possible conditions to rule out, as compared to other races. This is really basic stuff, you can ask any doctor familiar with the condition and theyāll tell you the same thing.
Iām not going to go back to covid with you on this, because youāre already convinced that the basic concept of having race influence medical practice is bad. Thereās no reason to go back and forth anymore if youāve already decided that as a concrete fact.
I am convinced that having race select one person over another for treatment is racist. And if you believe in the Civil Right Act of 1964 and that skin color should not be a determinant factor in who gets live saving treatment, you should too.
What you cannot do is convince me that this policy instituted by the NY State Dept. pf Health is not a racist, policy.
This is not a theoretical discussion on illnesses prevalence across races. This is a direct policy order on doling out treatment, donāt conflate the actual with the theoretical.
The normal medical community acknowledges differences in races. I have argued the same further up thread. I also mentioned sickle cell.
The woke medical community and CRT argues that there are no differences between races based in genetics or biology. They believe that differences are caused by the oppression and systemic racism of white people.
All the links including the AMA ones I have posed show that.
Giving priority to people of color is not based on science but, what they believe is correcting injustice. It is stupid, racist, and will result in sickness and/or death.
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Read the NY Dept. of health policy I posted. It directly indicates race as a decision factor for who gets life-saving treatment. Itās not theoretical, its actual.