Skin examination reveals a dark pigmented irregular lesion R anterior shin. Noticed for the first time after a morning of yard work. Previous dermatology history includes a large Becker’s nevus L scapula, several small hematomas, multiple mocha colored age spots and solar keratoses. Patient has never consulted Dermatology and has never been followed medically for his Becker’s nevus. No family history of skin cancers.
The skeptical cardiologist was asked to give a lecture in July on diet to the cardiology fellows in our training program at Saint Louis University. Needless to say, I didn’t hew to current recommendations from the American Heart Association or the Dietary Guidelines for Americans. For example, these recommendations are still promoting the narrative that…
What is the Optimal Diet for the Prevention of Atherosclerotic Cardiovascular Disease? — The Skeptical Cardiologist
Great lecture. Thank you Dr. Pearson.
HT to Barry Rithotlz at https://ritholtz.com/ for finding and posting cool charts.
I pass them along because they’re scary.
How’s your 529 plan doing?
There are about 940,000 real doctors in the US and 12% of them quit last year. That’s a lot.
117,000 Doctors Left Their Jobs in 2021 — Authentic Medicine
For a deeper dive read this article https://www.advisory.com/daily-briefing/2022/10/25/workplace-departures
Yes, change is the basic law of nature. But the changes wrought by the passage of time affects individuals and institutions in different ways. According to Darwin’s Origin of Species, it is not the most intellectual of the species that survives; it is not the strongest that survives; but the species that survives is the one that is able best to adapt and adjust to the changing environment in which it finds itself. Applying this theoretical concept to us as individuals, we can state that the civilization that is able to survive is the one that is able to adapt to the changing physical, social, political, moral, and spiritual environment in which it finds itself.
From a speech delivered in 1963 by a Louisiana State University business professor Leon C. Megginson at the convention of the Southwestern Social Science Association. The text of his address was published in the quarterly journal of the association. — https://quoteinvestigator.com/2014/05/04/adapt/
The quote above cites Darwin as the source of the phrase in bold.
Darwin never said it. https://www.darwinproject.ac.uk/people/about-darwin/six-things-darwin-never-said
Oh shit.
Read the entire article https://mishtalk.com/economics/there-is-only-25-days-of-diesel-supply-the-lowest-since-2008
Now where are all of those electric 18-wheelers to transport goods in a virtually non-existent network of charging stations all dependent upon an aging electric grid prone to failure gonna get here?
Just don’t forage for food unless you know your mushrooms – Fatal Fungi.
The once-sleepy little town has gone in the same direction. After the influx of peripheral hippies that I was part of came the yuppies, Gen Xers, millennials, and more recently hipsters with their big beards, flannel shirts, and skinny jeans; many of them are the kind that move to a town with dirt streets because they think it’s charming, and then complain about the dust.
John Gierach – Dumb Luck and the Kindness of Strangers
lifeunderwriter.net 
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