Jump to content

blike

Administrators
  • Content Count

    3856
  • Joined

  • Last visited

  • Days Won

    1

Posts posted by blike


  1. 3 hours ago, Cap'n Refsmmat said:

    Unfortunately our domain name registration happened to expire on Wednesday, causing us to go down for about a day until the, uh, responsible party could be hunted down politely asked to renew the domain. We should be back now, though you may find it takes a few hours before different ISPs catch up and start letting you access the site. Sorry for the inconvenience.

    Fake news! It was a perfect renewal! Absolutely perfect.

    3 hours ago, Phi for All said:

    Something low-tech, like a calendar for blike's golf cart? 

    In a world where even my fridge can give me reminders, I still managed to forget. Luckily Capn was able to social engineer his way through my answering service who sent a page out to me stating "CAPN REFSMMAT -  RE: WEBSITE". They even listed a hospital he was calling from 😂. I wasn't on call today so when I heard my answering service text me I about lost my mind until I saw who it was.


  2. If that's true, it's hard to say anything can be blamed for the shooting besides his own mental state. If he was delusional, anything could be the cause.

    His youtube videos seem to suggest paranoid-type schizophrenia.


  3. What with the current war on salt, I was wondering if a simple way to reduce sodium would be to just drink lots of water. As I understand it, it will reduce your electrolytes of which sodium is one of the major ones. What with all the people who are dehydrated it might have other beneficial side-effects, rather than the more dubious side effects "normal" drugs have.

    You can actually take in so much free water that you drop your serum sodium level. In fact there is a condition called primary polydypsia (also called psychogenic polydypsia) in which this occurs.

     

    Serum sodium levels, however, are carefully regulated by your kidneys. It's very difficult to outpace a healthy set of kidneys (as John noted).


  4. Blike, at any point does a physician have a duty to step in, and stop family members from demanding or withholding treatment? If they do is do they really have an course of action in this matter?

    In my opinion the only time a physician has the duty to do so is when the physician knows and has documentation that said treatment is against the wishes of the patient, or in the case of withholding treatment from children. These are the only two circumstances I have ever seen physicians act against the wishes of a family. And believe it or not, even in the case of children, it usually goes through ethics committee channels first. Physicians rarely act solo on these matters unless its an urgent decision.

     

    I worked at a dialysis clinic for a number of years where I saw a woman in her 80s brought in from the nursing home three times a week for treatments which caused her to scream her lungs out.
    The senile old woman at the dialysis clinic I was discussing had no living relatives and was being kept alive by orders of the chief of nephrology

    And there is the missing piece of the puzzle. A senile woman is not competent to make her own medical decision, and since she has no living relatives, there is no one to make the decision to stop using the life-saving intervention. You would be hard pressed to find a physician who would actively stop this life-sustaining treatment just because it was uncomfortable for her. That is very shaky grounds. There is also the question of whether or not she chose to start dialysis while she was competent, or whether or not some relative at some point made the decision to start dialysis. In that case, the physician may be ethically obligated to keep providing treatments.


  5. At many universities and on various hospital ethical committees, you will find that the resident 'medical ethicists,' who have to have an extremely sophisticated understanding of the legal, philosophical, psychological, and social issues involved in the ethical problems arising in medicine, have training only in medicine. While they may have the technical expertise from their training to know what can be done and what can't be done with the available medical technology, it is typically the case that years of purely technical training -- memorizing biochemic pathways rather than thinking creatively, devoting all their energies to competing fanatically to get into medical school when other undergraduates were busy growing up; and then thinking they know everything about medical ethics because they have extensive experience in the arrogant, uncritical, careless way ethical issues are dealt with in hospitals and clinics -- have combined to make them utterly naive with respect to sophisticated ethical decisionmaking.

     

    First let me say that I am a physician, so I do have person experience with ethics committees, ethical issues in medicine, being utterly naive with respect to "sophisticated decision making", competing fanatically to get into medical school and not "growing up" in the process, being wholly uncreative, and hating human beings in general (as evidenced by your anecdotes which most certainly represent all physicians).

     

    Many ethical committees, including the one at my own training university / hospital system, are composed of multidisciplinary teams which include a physician, nurse, chaplain, lawyer, somebody specifically trained in medical ethics, and often times a member of the community; plus or minus other disciplines which are situation dependent. If a case actually goes before an ethics committee, it is discussed by this multidisciplinary team and any recommendations or advisories that come from the committee represent the collective opinion of these members, not the point of view of the physician on the committee. That being said, ethical committees are generally considered fairly toothless. In my personal experience, and in the experience of many of those I work with, they rarely come out with a clear answer to a proposed question. And at the end of the day, after all the philosophizing is over with, a physician still has to write the order and is wholly liable for the decision made, regardless of the ethics committee position. Thus, the system is set up such that a physician will always act in what he or she feels is the best decision.

     

    And in the United States, the best decision for the physician is heavily influenced by family wishes happen to be. I currently work in the medical intensive care unit, which as I'm sure you are aware, involves treating very sick individuals usually with life-sustaining treatments. Recently I cared for a young lady with end-stage liver disease. She was intubated, unresponsive, her blood is so thin that she is bleeding from her eyes, her ears, her vagina and rectum, the capillaries in her skin are leaking blood, every mucous membrane in her body is oozing blood. She requires blood transfusions twice a day. Her blood pressure is so low that we have to use medications to augment her blood pressure -- were we to stop them she would die. We are pouring fluid into her to help keep her blood pressure up, but the fluid leaks out of her blood vessels into her tissues because she's lost all of the oncotic pressure (the liver is responsible for many of the proteins which maintain this pressure). This means that she was swollen up like a water balloon. Even her conjunctiva was edematous. She had a raging bacterial blood infection because her gallbladder was necrotic. Her pancreas had already failed. Her liver had failed. Her lungs had failed. Her kidneys were beginning to fail -- it was multisystem organ failure and there was no way she was going to survive. Yet the family firmly believed she would walk out of the ICU one day. And for this reason they wanted us to dialyze her.

     

    We did. We put a massive shiley catheter in her leg and ran her blood through our machine, despite the fact that it was futile care. We did despite the fact that the ventilator, the ICU bed, the blood, the dialysis machine, and the personel are all finite resources. In fact, we used a medication that costs $20,000USD for a single dose to thicken her blood for a few hours to buy enough time to put in the required lines for her dialysis. That was an expensive 5 hours for the patient's family, for the hospital, and for the US taxpayer, all of who will bear the cost of that. My own personal opinion is that this was futile care and this woman should have been allowed to die. If it was my mother she would have been allowed to die a lot earlier. But she wasn't my mother. She was my patient. And the patients family wished to keep going. This is the story all over the United States. Physicians are not often willing to weigh in on an ethical decision for fear of a massive lawsuit.

     

    As to your anecdotes, they are merely that: anecdotes. For every one you can produce about some physician who knew nothing about human emotion and human suffering, I can produce three anecdotes of the opposite. I, and most other physicians, have cried for and with my patients. We are humans too.


  6. The launch pad was constructed for about $60 total. Instead of using a launch rod, we used an 8020 aluminum rail system. This is basically a slotted rail, which launch buttons that are attached to the rocket can slide into. The launch rail was bolted into PVC, and a PVC base was constructed. We weren't happy with the stability of the PVC base alone, so we added some steel struts for stabilization. The blast shield is aluminum. I'm curious to see how it holds up under the heat.

    stand_1.jpg

    stand_2.jpg

    stand_3.jpg


  7. The motor mount was made from a cardboard tube. We took some plywood and cut out three fins. After several simulations we determined that the fin shape isn't that critical, as long as they fall within certain parameters. The centering rings (which center the motor mount in the main body tube) were made from epoxy. These epoxy centering rings were epoxied on the in front of and behind the fins, to add stability. Because the PVC motor didn't fit exactly into the motor mount, several layers of poster paper were glued into a tube, which filled the gap. Fin slots were then cut into the bottom of the main body tube, and everything was epoxied into place.

    DSC01231.JPG

    DSC01234.JPG

    DSC01235.JPG

    DSC01238.JPG

    DSC01239.JPG


  8. We built this device to measure thrust from a standard bicycle pump. The hose and bottom portion was removed and replaced with a pressure gauge. The pump was then filled with water and mounted to a piece of plywood. The motor was then fixed such that it could push against the pump handle. The pressure gauge was filmed during a test fire, and the PSI was plotted against time. Knowing the area of the piston, PSI was converted to pounds of thrust, and ultimately into average and total thrust. Attached is the thrust profile of our second motor (the first went unmeasured). A little disappointing as we are aiming for an "I" class motor (71.93-143.83 lbf·s). For the next motor we will use sorbitol instead of sucrose/karo mix as the fuel, as well as extending the length of the grain by 4 more inches.

    DSC01269.JPG

    thrust_profile_1.jpg


  9. Nozzle:

     

    We spent two weekends coming up with a workable motor nozzle design that was both practical to make and able to be made consistently from motor to motor. A well designed nozzle can add to the amount of thrust a rocket engine is able to generate, but for our purposes the small inaccuracies in our convergence/divergence angles from ideal models are insignificant.

     

    We made the main divergence nozzle from epoxy which was cast into a waffle cone (yes, a waffle cone). It was sanded down and remove the ridges formed by the cone. The throat mold was also cast from epoxy which was poured into a small tube of wax paper. The throat mold was glued onto the divergence nozzle mold to form our main casting mold.

     

    A hole the size of the maximum diameter of our divergence nozzle mold was cut into a PVC endcap. The entire mold is then centered in the hole in the PVC endcap, drenched in WD-40, and concrete is poured over the mold. Two steel washers are then pushed down over the throat mold in order to reinforce the concrete in the high-flow area of the nozzle. A standard golf ball is then pushed down into the concrete to rest on the throat mold, completing the mold. Once the concrete is semi-set, the golfball and epoxy molds are removed, leaving a nice concrete nozzle.

     

    Fuel:

    The rocket fuel is cast from potassium nitrate (oxidizer), sucrose (fuel), and karo syrup. The ingredients are measured out in specific proportions and dissolved completely in water. The water is then boiled out of the mix, leaving a thick dough-like propellant. The propellant is then cast into three separate inhibitor sleeves which are made from poster paper (see picture). The inhibitor sleeves are necessary to prevent the outside of the grains from igniting prematurely, which would result in the motor pressure exceeding the safety limits of PVC and causing a catastrophic motor failure (likely involving the endcap). A centered "coring rod" is pressed through the middle of each grain to hollow out cores in the grains. These grains are then stacked into a PVC pipe and the nozzle end cap is glued into place.

    Nozzle Mold.jpg

    DSC01237.JPG

    DSC01250.JPG

    DSC01251.JPG

    vlcsnap-00011.png


  10. For the past two months my brother-in-law and I have been working on a scratch built high-powered rocket. (By scratch built I mean it was not built from a kit.) It is 100% designed and constructed by us. I did purchase a few pre-fabricated parts: the nosecone, body tubes, the altimeter, and electronics bay.

     

    The motor was designed by us, though we initially started by experimenting with some designs on the internet and modified it with trial and error. The rocket fuel is homemade as well. It will have a dual-deployment recovery system (i.e. a drogue chute will deploy at apogee, and a main will deploy at a preset altitude) as well as an onboard video camera. Target altitude for the first flight is about 1.5km; with the ultimate goal being a 3km flight (or higher, as permitted by local law). Most of the rocket is designed and built already, but I chronicled the build with photographs.

     

    Edit: I'll be posting the pictures soon.


  11. I admit it -- I have a nasty habit of arguing with fundies of various sorts on the internet. There is a particular breed of fundie on a particular forum in a particular thread who keep going on and on about relativity just being an issue with the clocks (i.e. gravity is some how affecting the clocks, not time). Unfortunately my knowledge of relativity is really very superficial, and so despite my best efforts, I'm running into brick walls left and right because I really don't have a good grip on the math involved.

     

    The essence of their argument boils down to:

     

    The change in gravity affected the clock. Much the same way as gravity would influence a water clock being carried up a mountain. Much the same way as a change in gravity affects everything of mass.

     

    .....

     

    Two clocks show different times at different altitudes.

     

    The majority assumes relativity, records the difference and uses it to calibrate the clocks for any gravitational change.

     

    Pastor Enyart's article states that it is just as valid to assume gravity affected the clock.

     

    This alternative assumption does not remove the ability to do the exact same calculations and it has the advantage of being testable.

    and

    None of this does anything except to show that the clocks were effected. It does not show that time itself acts differently. And the clocks were not going to remain in perfect unison. Not with that significant change in gravity.

     

    This is, of course, in reference to the famous clocks on a mountain experiment. Any guidance from our resident physicists?


  12. How is this supposed to be any different from the renegotiation of contracts which we forced on autoworkers in Detroit? That's a big source of disconnect for me. We not only thought it was a good thing, but we mandated it with the union employees. Now, with AIG, I'm supposed to get all in a tizzy at the mere suggestion of renegotiation?
    I think there should have been renegotiation of the contracts with AIG, but it should have been done before the money was given to them.

     

    The two main issues I'm tryint explore here are a) if bonuses are not contingent on company performance, then the person who wrote the contract is a complete and total moron who needs to have his ass handed to him
    I agree.

     

    Had someone been doing their job (and I'm not pointing any fingers or implying any specific person), this wouldn't have happened.


  13. In nearly every company on the planet, employee bonuses are directly contingent on company performance.
    Apparently not in AIG.

     

    Why in the name of Zeus should a company that was failing so badly that it needed government help just to survive be "sharing the wealth" with its employees?
    Because when said employees signed up to work for AIG, they were contracted to receive the bonus apparently irregardless of AIG's financial situation. A company should honor its contracts, right?

     

    but bonuses are something which are not supposed to be offered unless the company is doing well and making money.
    There is no "supposed to". A company is allowed to make its own compensation rules.

     

    I have absolutely no problem with AIG honoring it's employee contracts. This would be a non-issue had it been considered before throwing taxpayer money around. But it was an emergency.


  14. http://www.breitbart.com/article.php?id=D971964O1&show_article=1

     

    WASHINGTON (AP) - Acting with lightning speed, the Democratic-led House has approved a bill to slap punishing taxes on big employee bonuses from firms bailed out by taxpayers.

     

    The vote was 328-93.

     

    Said House Speaker Nancy Pelosi: "We want our money back and we want our money back now for the taxpayers."

     

    Republicans called it a legally questionable ploy to paper over Obama administration missteps.

     

    -----------

     

    Yes, Speaker Pelosi, I'd like my money back.


  15. If I was contracted to build a bridge, and should it be completed on time I'd get a big bonus by contract...which I met - at which time the bridge collapsed due to my own endorsing huge risks that failed to pay off, caused the company I worked for to face bankruptcy only to have it saved due to state intervention and causing misery and hardship to huge numbers of people....
    If you were contracted to receive a bonus by completing the project early without any stipulations regarding the safety of the final product, then you would deserve your money. It doesn't matter that you royally screwed the project up and flushed your company down the toilet. Contracts don't have to be "pay for good performance" -- if that's what the company and/or government wanted, they should have attached those stipulations to the money. I don't think it would have been a problem to ask AIG renegotiate its executive contracts before throwing more money at them.

     

    Furthermore, you assume that all the executives did a bad job and personally drove the company into the ground. The reality may be that some of those executives actually worked very hard and did a great job, and as such they feel no qualms about expecting their bonuses. Even more, is AIG completely to blame for it's own failure? Sure, they could have leveraged their equity more reasonably, but ultimately their business model was working great until the subprime disaster. Do you assign personal blame to the executives for this? Investment always involves a risk, and when a company is built on investments there is always a risk that circumstances beyond what the company can control will bring it down. AIG was not alone in missing the signs here. Just about everyone else did too. So just like your mutual fund manager still gets paid his commission regardless of how crappy your mutual fund is performing (it's the stock market, right?), AIG executives still expect their contracts to be honored regardless of how their investment decisions turn out.


  16. The executives have every right to their bonus as guaranteed by their contractual agreement with AIG regardless of past, present, or future performance. If I were an AIG executive, I would fight tooth and nail for my bonus, as should anyone who thinks that a company should honor any of its contracts.

     

    Obama is just mouthing off. There is nothing he or congress can do about the fact that, in their short sighted rush to throw billions of taxpayer dollars at these failing giants, they neglected to add stipulations regarding the use of taxpayer money for company bonuses. Obama knows this. Congress knows this. Cuomo knows this. Naturally, they have to pay lip service to the taxpayer outrage. Maybe next time they'll be a little bit more responsible with my money. Better yet, maybe the taxpayers are outraged enough that there won't be a next time.

     

    In the wise words of Sen. Charles Schumer: "Why quibble over $200 million?"


  17. I looked it and my reason doesn't violate the rules, it's not spam, advertising or violation. So i probably can't get it deleted. Sorry for the trouble. I'll just put an addendum on the thread asking people to ignore it.

     

    Thanks.

    You can always ask one of us to take a look at it anyways and provide your reasoning. We're pretty reasonable people :)
×
×
  • Create New...

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.