Hey, I’m a provider at a hospital who uses MyChart everyday and would like to offer perspective from the other side.

because it’s showing in MyChart as a former address but I’m not sure other places have the information. The problem is the address is associated with that psychiatric facility and may show in my chart as “Mental Health Behavior Modification Hospital,”

In Mychart I’m sure it stores previous addresses somewhere, but I have no idea where I would even find this information, and can basically guarantee no one else is going to be looking for it.

so doctors may refuse to treat me without a release of those records, leading to lots of hours billed talking about mental health instead of seeing if I have cancer.

Part of HIPPA is that we can only access information that is pertinent to your current treatment as a provider. A specialist like someone who works at a cancer clinic would have no reason to access or question you about a previous treatment in a mental health facility unless you have something like a brain tumor.

Also in MyCharts certain notes containing sensitive information like metal health treatment or sexual assault are usually automatically locked out unless additional consent is given by patients, or unless it is directly associated with the current providers treatment plan.

leading to lots of hours billed talking about mental health instead of seeing if I have cancer.

Healthcare visits are not reimbursed by time, but by visit type. It doesn’t matter if I spend 10 min or an hour with a patient. If the visit type is for a specific treatment they are reimbursed at the same rate. The affordable care act highly regulated how facilities are reimbursed for care, wether they are insured or lack coverage. And for the most part providers at hospitals have little to no control on how the hospital charges patients.

I also will refuse any mental health screenings/questionnaires, etc., and so it may result in them refusing to care for me.

I haven’t really heard of anyone refusing care because someone didn’t fill out a mental health screening. I specialize in orthopedics and rehabilitation, so that’s not exactly pertinent to my field. But we have people who refuse to fill out paperwork all the time, and i don’t really care unless it’s pertinent to my current treatment plan.

For me to refuse my services the hospital requires me to have a really good reason why, like attempting to assault me or the staff.

If someone asks you about your previous treatment at the facility and it has nothing to do with your current appointment, I would just ask them how it pertains to your current visit. If they try and make a big deal about it, I would just ask for their manager, and ask them why the provider asked about sensitive information that doesn’t have anything to do with your current treatment.

I build and fit orthotics and prosthetics…this is mainly just a marketing gimmick. The myoelectric sensors that feed the data to the terminal device are built into the socket of the prosthetic. There’s no real reason to wear the socket without the hand, and you can’t operate the hand without the socket.

The hard connections from the end of the socket and the hand are very durable, and they typically don’t really have any issues with wear. I don’t think fidelity is a big issue because there’s not a ton of information being transferred, the myoelectric sensors haven’t really changed a bunch in the last 40 years and the amount of information being sent is minimal.

The biggest downside I foresee is that if you had different terminal devices, you’re probably going to have to pair them to the socket whenever you want to switch. When the traditional hard connection is just plug and play. That and you are just adding extra things to break in devices that are built to take a beating.

The sad thing is that a good amount of these guys aren’t actually working for the state. A lot of them are actually immigrants who left Russia for more opportunities, but are still rampant nationalist attempting to damage the countries that gave them a new home.

[email protected]

[email protected]

Are another two just off the top of my head.

Yep, a lot of people forget that feminism is in fact an important tenet of leftism. Been seeing a lot of male chauvinism across Lemmy on both sides of the political divide, kinda sad really.

This is nothing, on hexbear there’s a person pretending to be like half a dozen different Palestinians with different fraudulent GoFundMe. They cook up a new persona like every other week using pictures they scrape from the media and then run it through an AI filter.

Lol, not even trying anymore. That’s cool, projection is a helluva drug.

could ask you why liberal trolls all have the same script too.

Yes, everyone who is critical of a pretend campist is a liberal… At least you’re not even denying that you’re just a Russian nationalist.

Have a good one

There’s no fundamental difference between Russian and western oligarchs having influence over Ukraine.

That’s a non sequitur from the discussion we were talking about.

Yeah, that’s not what happened.

I guess it’s inarguable since you said it with such conviction…

Claiming that these people represent majority of Ukrainians is the height of intellectual dishonesty

“As for the conflict itself, over 50% sided with the protesters and volunteers. More than half of the respondents discountenanced the authorities and pro-government anti-Maidan protesters. The main adversary of the Euromaidan was Viktor Yanukovych and his closest allies, 71% of the pollees believe.”

It’s fairly unanimous that the protest were mainly against Viktor Yanukovych.

Not surprisingly, you’re once again making statements at odds with the basic facts of the situation.

Wow, such a good argument. How can anyone compete with the sophisticated rebuttal of “not uh”.

guess you’ll just keep repeating this like baby Goebbels

Hmmm… I can’t refute this fact, I guess I’ll just call anyone who disagrees with me a Nazi. Big brain move.

The substack points to plenty of sources to substantiate the argument.

First of all, half of the links in that substack are dead. Secondly, just because you claim a piece of evidence substanciates your argument doesn’t make it true. Having a link saying 6 people from America went and observed an election, doesn’t mean they were part of an overall conspiracy to overthrow a country. Especially considering the people in that country attribute the actual rebellion as a response to Yanukovych sicking the police on a peaceful protest.

I’m not attacking the “evidence” in the substack, I’m attacking the overall narrative that run counter to reality.

Nobody said they’re solely responsible for regime change.

You haven’t offered any other reasoning…

to put more effort into your trolling to make it less transparent at least.

Lol, anytime anyone disagrees with you it’s trolling.

US is capitalizing on it and has done so since 2014.

By taking away the wealth of the oligarchs who supposedly handed over power to the US in the first place? Sure.

Maybe learn a bit about the subject you’re attempting to debate as not to make a clown of yourself in public.

Man, you really are just a broken record. What is your obsession with clowns?

Why is it that all Russian nationalist argue in the same exact way?

I wouldn’t bother too much, he’s not arguing in good faith. He’s just a Russian nationalist pretending to be a campist. Capitalist imperialism is a disease and needs to be stomped out…except for in Russia, which is totally going to be socialist any day now.

didn’t have any actual point to make here.

Being purposely obtuse is not a rebuttal…

was independent in a sense of having sovereign domestic policy which it lost after the coup by the west.

Just because the people of Ukraine overthrew a government that was being controlled by the benefactors of Russian capital for a government controlled by people who want to take loans from the US and Western Europe does not mean there was a “coup by the west”.

Not surprisingly you are stripping any sense of autonomy from the people of Ukraine. Could it be that the people of Ukraine were just tired of being the poorest nation in Europe despite their size, agricultural output, and mineral wealth?

Ukraine was allowed to stay independent then the war would not have happened

Meaning if Ukraine had continued to be controlled by oligarchs loyal to Russia, Russia wouldn’t have had to invade. Sure.

We’ve already established that it’s actually that the west that wants to maintain control over Ukrainian politics as was evidenced by the west overthrowing the government in Ukraine.

I don’t think posting the substack of an author who works for the Russian media is really enough to establish anything. The guy is clearly not a reliable narrator, and his “evidence” is hardly sufficient to validate his claims.

shred of intellectual integrity.

Lol, the pot calling the kettle black.

Literally that org that is known for doing regime change around the world.

Every powerful nation in the world has lobbying groups of a similar order. Saying that they are solely responsible for regime change all over the world is just reductionist and ignores the autonomy of the people in those nations.

The whole western proxy war is backfiring right now as well.

So America is so powerful they can overthrow a nation with a ngo, but so weak they can’t capitalize on it… curious.

As opposed to the oligarchic system in the west?

Did I deny that the west had its own oligarchic system? No, it wasn’t pertinent because we were talking about Ukraine prior to 2014.

Your claim was that Ukraine was “independent”, when in reality the majority of the wealth was held by Ukrainian oligarchs with deep ties to Russian capital.

Russia wanting to maintain economic relations with Ukraine isn’t the conspiracy theory you seem to think it is.

Russia wanting to maintain control of Ukrainians politics through the wealth of their oligarchs is literally a conspiracy. I’d say it’s a lot more influential than a US backed org like freedom radio or what have you.

The credit goes to the US and it’s pretty well documented at this point https://kitklarenberg.substack.com/p/anatomy-of-a-coup-how-cia-front-laid

Ahh, yes… The national endowment fund… So powerful they could take over the government by funding… Independent Journalism?

Surely having a few people control 80% of the countrys wealth has nothing to do with people being upset at the status quo…

certain oligarchs in Ukraine decided to throw their lot with the US

Yeah, because that worked out for them…

November 2023 there were only two billionaires left in Ukraine, these being Rinat Akhmetov ($6.59 billion) and Viktor Pinchuk ($1.72 billion).[7] In November 2022 they had counted nine billionaires.[7] The February 2022 Russian invasion of Ukraine and its negative impact on the economy of Ukraine led to the decline in billionaires.[8]

What actually happened was that the west was not ok with Ukraine being independent and instigated a coup there.

By independent, you mean controlled by the same oligarchic system as the Russian federation?

While you are correct that Russia really didn’t need the minerals in Ukraine, they did want to maintain relations with the oligarchs that controlled the majority of Ukraine wealth. They especially wanted to maintain relations with the oligarchs like Akhmetov, Kolomoisky, Pinchuk, and Firtash. Who were responsible for mediating Russian gas sales to Ukraine.

Of course the US has their fingers in geopolitics around the globe, but giving them credit for the revolution in 2014 is a bit generous imo. I mean, when is the last time America did anything at this scale with any kind of competency?

In 2008, the combined wealth of Ukraine’s 50 richest oligarchs was equal to 85% of Ukraine’s GDP.[3] In November 2013, this number was 45% (of GDP).[

In reality this is the reason for the revolution. It’s also the same reason why America’s billionaire president is now supporting Russia. The ultra wealthy have long craved the control Russia’s oligarchy has over the state.

It is not an appeal to authority… It’s called a rebuttal. If someone makes a claim that no real smart person can do x, an easy way to prove them wrong is to provide an example of a smart person doing x.

Have you never heard of intersex before? It’s not even that rare of a condition, roughly 1 out of a 1000 children born have abnormal primary sex organs that make determining sex medically difficult.

Lol, way to contribute to the discussion.

Btw I am just a dude, not trans or anything. I’m just not a whiny fuck about addressing people how they wish to be addressed. It’s just a respectful and polite thing to do, and requires little to no effort.

Okay, gotta explain empathy I guess. Has any kind of descriptor ever been used to hurt your feelings? A slur, name calling, or even an unflattering description of your looks or personality?

Well when a nonbinary person is misgendered they feel bad. What you are telling people to do is just accept that they will feel bad when being discussed in their workplace.

It’s not about how the person presents themselves, it’s about how they prefer to be recognized.

My condolences, dealing with shitty parents is always hell. He sounds like a real piece of shit.

My partner’s father has a similar second family scenario going on still and he’s like in his late 70s. Never understood how these dudes found the energy to be that much of an asshole.

Ouch, would have imagined they had already separated. This screams divorced man energy.

Also as Yogthos alluded to, China doesn’t have eminent domain, they can’t just take your house like in America. This has lead to people who refuse to sell having highways diverted around their house, parking lots, and in 1 case, a shopping center surrounding the house.

They don’t have eminent domain because their legal system isn’t designed off of common law. They do however have forced evictions and land expropriations, which basically boils down to the same thing.

It’s just academically dishonest to claim that the Chinese government can’t just take your home, as that is by far the most common reason for organized protest in the country.

1993-2003, Shanghai From 1993 to 2003, 2.5 million people were evicted in the city of Shanghai.[9]

2008, Beijing Olympics In preparation for the 2008 Summer Olympics in Beijing, many of Beijing’s densely populated neighborhoods were torn down in order to make way for new developments and infrastructure projects. The Center on Housing Rights and Evictions estimated that 1.5 million people in and around Beijing were forced from their homes, often with inadequate compensation. Chinese authorities maintained only 6,000 families were relocated, and that all received proper compensation.[10]

1995-2005, Chongqing Three Gorges Dam From 1995 to 2005, an average of 86,754 people were evicted annually in connection to the Three Gorges Dam,[9] totaling an estimated 1.4 million people.[11] Recalcitrant residents in the city of Chongqing had their water and electricity turned off in order to force them to move; the residents said they had not yet left because proper resettlement hadn’t been arranged.[12]

2013-present, Beijing “Limited Property Right” houses From 2013 to present, 108 communities that are listed as “limited property right” houses, with over ten thousands households are forced evicted. At the same time, thousands of households with “limited property right” due to historical reason, which are not included in the 108 communities list are also being evicted illegally, such as XiangTang village and JiuhuaYuan community eviction. During the winter of 2020, the city of Beijing and government of Xiaotangshan township cut off water and electricity of the residents, and send unpermitted security guards to the community, in order to force the residents to leave. The security guards and excavators go to residents’ house when they go out for food and water, and demolish their home without any negotiation or arranging settlement.

Every government that has transitioned to an industrialized economy has some sort of way of land procurement for public works. One of China’s main economic advantages compared to the west is this procurement can be done at scale via a centralized apparatus of the government.

To say there is no way for the government to procure “private property” is either very ignorant or very dishonest. Especially considering that the procurement and sales of rural property is a large part of how local governments create funding in China.

I personally see nothing wrong with governments procuring private property for public works, it’s just part of securing economic growth for the nation. However, claiming that it doesn’t happen at all is just inaccurate.

enact genocidal policies like the US still does on the indigenous peoples of the mainland and occupied Hawai’i which has been gentrified and settled to the point of being unlivable for most of the locals.

And the same has been said about tibet, inner Mongolia, and xinjiang. I mean you can look at Chinas own census data and see that han Chinese are migrating to cities in xinjiang, displacing ethnic minorities to move away from their cultural cities.

The claims of China’s abuse of ethnic minorities are a scam espoused by the same people profitting off the genocide in Palestine. Anybody who takes the evidence seriously instead of treating accusations as trustworthy because of the volume of them doesn’t understand (or chooses to ignore) how the US propaganda machine has always worked.

You are conflating the accusations of genocide in one region with the accusations of ethnic discrimination. Even in that grey zone article it is conflating the study from some weird neocon group with all investigations into ethnic discrimination in China.

Han chauvinism is an established concept that even Mao took aims to curtail. Something they are still combating considering there has only been one ethnic minority to serve in the central committee in the last 35 years.

An actual criticism that I have about Xi is that he is a bit culturally conservative. The belt and road initiative utilized a lot of han centric language and the current central committee is notably the first committee that has no women serving on it in the last +25 years.