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tsoukase commented on Undisclosed financial conflicts of interest in DSM-5 (2024)   bmj.com/content/384/bmj-2... · Posted by u/renameme
moi2388 · 3 days ago
Then I sure hope somebody with HIV never goes to the doctor with a runny nose, since I’m pretty sure staying in bed a week doesn’t solve the underlying issue.
tsoukase · a day ago
In clinical medicine you follow correlations. A positive HIV test and a running nose mean red alarm. If you know that from sole past observations or by reading about immunosuppression plays no role in giving the indicative treatment. In research mechanisms are, of course, mandatory everywhere.
tsoukase commented on Undisclosed financial conflicts of interest in DSM-5 (2024)   bmj.com/content/384/bmj-2... · Posted by u/renameme
moi2388 · 4 days ago
The DSM is a bunch of nonsense. As long as they don’t provide physical mechanisms for disorders, it’s worthless. It clusters symptoms without knowing the underlying causes.

It’s like going to the doctor with a runny nose, who the claims it’s influenza, due to the runny nose, without testing for Covid.

tsoukase · 4 days ago
You are wrong. Medicine does not need physical mechanisms for any diagnosis or therapy. It is preferable but not obligatory. A mere grouping of a symptom cluster forms a diagnosis as well as a therapeutic target.
tsoukase commented on Undisclosed financial conflicts of interest in DSM-5 (2024)   bmj.com/content/384/bmj-2... · Posted by u/renameme
tsoukase · 4 days ago
I am doctor recieving financial support for over two decades. This is a weak and fragile correlation between unspecified financial support and a specific role of a doctor.

1) the support might be given for totally different purposes

2) how much directed material value can a _Diagnostic_ suggestion bring? Follow the editors of therapeutic protocols and you might find something

3) there are a dozen other more problematic arguments about DSM. Eg the choice of the panel comes before any support.

tsoukase commented on Standard Thermal: Energy Storage 500x Cheaper Than Batteries   austinvernon.site/blog/st... · Posted by u/pfdietz
tsoukase · 5 days ago
My basement without any heating/cooling. External/Basement temp in C: -10/12, 40/24
tsoukase commented on Paracetamol disrupts early embryogenesis by cell cycle inhibition   academic.oup.com/humrep/a... · Posted by u/XzetaU8
tsoukase · 6 days ago
Embryonic development is so sensitive, especially that if nervous system. I suggest to my patients total drug avoidance. Even peeling off the tomatoes.
tsoukase commented on Living with Williams Syndrome, the 'opposite of autism' (2014)   bbc.com/news/health-26888... · Posted by u/colinprince
shazbotter · 14 days ago
> People with WS are empathetic, social, friendly and endearing but they tend to have a low IQ, making tasks such as counting money difficult.

> They can feel anxious over stimuli such as the buzzing of a bee, or the texture of food.

Plenty of autistic folks are empathetic, social, and friendly. And many experience stimuli that cause anxiety.

The whole "it's the opposite of autism" doesn't actually help anyone understand and, IMO, reinforces the incorrect idea that autistic people are asocial, emotionless automata.

tsoukase · 13 days ago
I think I fall under the autistic umbrella (spectrum). I definitely show empathy but "it is not enough", as my wife usually says. I am responding, it might not be enough but that is all my soul gives 100%.
tsoukase commented on Living with Williams Syndrome, the 'opposite of autism' (2014)   bbc.com/news/health-26888... · Posted by u/colinprince
austin-cheney · 14 days ago
Not the same, but another genetic disorder that also impacts intelligence and social reasoning is Fragile X. https://en.wikipedia.org/wiki/Fragile_X_syndrome
tsoukase · 13 days ago
Intelligence is extremely sensitive to all chromosome abnormalities (eg all trisomies, Klinefelter syndrom)
tsoukase commented on Living with Williams Syndrome, the 'opposite of autism' (2014)   bbc.com/news/health-26888... · Posted by u/colinprince
akk0 · 14 days ago
This is the opposite of autism like dogs are the opposite of cats.
tsoukase · 13 days ago
Especially we can say, all dogs are autistic and all cats have William's.
tsoukase commented on Living with Williams Syndrome, the 'opposite of autism' (2014)   bbc.com/news/health-26888... · Posted by u/colinprince
magicalhippo · 14 days ago
> one friend can't leave the house without checking multiple times that the stove is off (I would consider that a mild case of ocd but not autistic)

Friend of the family was the same. One day they were very late for the a opera, and for once his wife managed to convince him he didn't need to check so they didn't get even more delayed.

Once out of the opera, he sees countless missed calls. Turned out they had left the stove on with a pot on it, and the massive amounts of smoke had triggered the alarm. The alarm company had alerted the fire brigade which had resolved it.

According to the firemen their house was saved by the fact that lid was on. Otherwise the flames would have gotten to the fat in the range hood and since their home was mostly made of wood that would have been real bad.

So, the one time he skips his check, their house almost burns down. Guess what he kept on doing...

tsoukase · 13 days ago
The suggesting therapy for OCD is to let the patient check the relevant fact once and only once, not none.
tsoukase commented on US national debt reaches a record $37T, the Treasury Department reports   apnews.com/article/treasu... · Posted by u/atombender
tsoukase · 17 days ago
It would be nice if the whole NY stock exchange is used to pay up the national debt bill. It would bring US financial status back to its glorious beginnings and continue from there. A restart is needed...

u/tsoukase

KarmaCake day148June 4, 2018
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Physician - Specialized in Neuropsychiatry
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