1) What
…is the meaning of this #[0], #[1], and #[2]. 😂🤣
ffs…just finish wrapping up managing a stroke and look over to see my phone on 🔥
Discussion
⚡️
Haha the logical progression…
1) take care of potential stroke patient
2) have a stroke yourself from all the zaps ⚡️⚡️⚡️
Hope you are doing well doc, keep those humans alive!
😊🫂⚡
shit…I can’t tell who did what and how much. I DEMAND YOU TELL ME SO THAT I MIGHT ⚡️ BACK DAMNIT
🤣🤣 we knew you couldn’t add it all up..that was the whole point of it 🤣🤣
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I simply cannot believe that you didn’t use the word ‘degenerate’ in this thread 🤣
Zapping you *because* you used the word ‘degenerate’
It’s a good word. 😂
No don’t zap me, zap the 🐸 🤣
I’ve been doing it off and on for a couple of hour since i saw you and #[3] playing. 🤣😂
Oh ok then good job! What happened to 🐸…has he disappeared from all the ⚡️🤣
Too much for him!🤣
Gave 🐸 heart attack
#[2] you here?
Got into a drunk Bitcoin convo with a colleague. He’s not orange pilled yet, but working on it.
I’m back!
This is the way.
Did you at least purple pill them?
One at at a time…. I even offered to show him why LN is awesome and he said “I don’t want Bitcoin yet” so it’s def a work in progress lol
And that’s ok too. Bitcoin is hard to understand.
It is! We had a great discussion. It was helpful for me, where I could reinforce my conviction because he offered some viable criticisms and I had to think hard in order to answer them.
In some ways, the hard sceptics are better Bitcoin convos
Some people sadly are just not ready for it…yet
Been working on him since December - not gonna give up 🤙
He’s a smart guy. One of our lead devs. But also well-steeped in standard narratives, so it’s a challenge.
Bring. It.
They may not be ready now, but it takes time every convo chisels a bit. There's been a lot of crypto baggage, but the seed is planted - just needs time to grow
Absolutely true. I try to assuage people’s’ worries in these conversations by dropping in “don’t get me wrong - crypto is almost ALWAYS a scam, but Bitcoin is special, and here’s why…”
But the chisel and slab is a great analogy 🤙
Im not math genius. And I’ll often be the first to put up my hand 🤚 to ask question. No shame in not understanding, or to learn. And 💯 correct.. those that question are better adept, cause it means they are critically thinking though the logic space
Way this ithat drbk
I love whatever you just said 😂
feelin that urge to join you in tipsy town ser
I’m leaning Italian
im learning……bottom shelf whatever I don’t throw up 🤷♂️
Orange pill this bartender right now team
Please and thank you
Unripenumeric41@walletofsatoshi.com
Adding #[6] and #[7] for a stretch 🤙
Am I too late. Srry, jus read now..
Neeee neerrrr neeee neerrrr. Booo hoooo
O yea no I’m not done I just got distracted
🐸 fren we been going hard since like 5pm est
ya jerks
Ummm that’s degenerate jerks sir 🤣🤣
nope
#[2] = degenerate
#[3] = massive degenerate
#[4] = financially responsible kind soul that probably owns mostly bonds
I know what you’ve been doing for the past 30mins or so…desperately trying to add up all our zaps ⚡️🤣🤣
uh oh I think I pissed off the upside down person
Just getting my rhythm back and ready for the zapathon this week 🤣
good joke 😅
💜💜💜💜💜💜💜💜💜💜
Yo #[4] and #[5] what gives?! You bros shoot me?! I thought we were allies?!
Ummm you missed my note frog 🐸
Et tu #[7]?!?
😂
Guys Im about to drop a TV commercial for the NOSTR community… do you know which # hashtags I should use. Made with lots of love by your friend 🙏😂🙌
#plebchain 🐶🐾🫡⛓️
Coming right up!!! 🫡
#footstr
I’m lost……😂
Welcome to the family of lost zappers! 🐶🐾🤣😂🤲🏻🫂
Might as well……⚡️⚡️⚡️ for no known reason 😂
🐶🐾😂⚡️🙏🏻 definitely a zapaholic! 🐶🐾🤣😂🫂🤲🏻
Hello….I’m MonKota and I’m a ⚡️
Where’s the coffee.
Right here! 🐶🐾🫡🫂😂
And awarded! 🐶🐾🫡🎖️
🖐️
I you sure you want to join this club of degenerates who zaps everything they have and more? I would love to leave it myself so I can actually stack some, instead of unstacking! Asking last time! 🐶🐾🫡🫂
do me too.......?
Damnit…I thought this was a zapaholics anonymous meeting for a min.
Now it is! 🐶🐾🤣
You got it
😭 you made me relapse
Noooooo
Stop god dam it
🤔
NOOOOOOOOOOO
I refuse to play your childish games I’m keeping the sats and zapping other people. That will teach you the concept of restraint
……..ok
🖕
I like this energy. Keeps frog in his wheelchair. Followed 🫡
🫂………..and ⚡️
I just nuked his ass. He is now on the floor in pain
Ouchie
After the last nuke no peep out of the frog. It’s been 5 minutes. He is now dead. As per the rules of engagement I win 🥳🎉🍺
🐶🐾🫡⚡️🎉
Not dead. DED.
Still no peep from frog. It’s a double confirmation. I’m outa here while I still can. Go to go. Be back later. Oh and frog🖕
ribbit
rawr
🧡
mini
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🤣🤣💣
Ive got a love nuke right here
💥❤️😂😳
#[3] You’re a sweetheart ❤️🙏🙌 May your blessings multiply!!!
That was a baby. Kiloton nuke inbound. That will finish you
a lil tickle
nbd
🖕🐸🖕
🤷♂️
After recount I’m still up I win. 💪 so I take it you give up
I have to bounce. Let your bazookas cool down mate. Will return in a few hours. Been fun zapping 100k zaps.
My phone is on fire because of y’all!!! 😂😂😂🔥🔥🔥
Oh lord Jesus it’s a fire
😂😂😂😂😱😱😱😱
Hahah who said I dont have a sense of humor!?!
If he can walk on water he can definitely put this fire out 🤣
Gotta do the rain dance with my friends!!!
Wake up in the morning and its raining ☔️🎶
Hmmm, does the audio work for you? 🤔
No audio for me
Welcome! AA not anonymous
👀 this. 🤣🤣
Ugh…strong work man.
Few understand how heavy such a task is to the clinician.
I’ve only pushed TPA once as a rural medicine overnight ED locums doc as a radiology resident (rural MN…there are a few hospitals in driving distance of a famous clinic in SW MN where I trained). While uneventful & straightforward, it was a harrowing decision.
Yes, that’s why we ⚡️ ing & 🫂 ing 🐸 so much today. Tough stuff.
Sadly not that fixable kind of CVA.
Ooooo frog 🐸🥺😢 🫂
Yeah, neither was mine. TPA didn’t help didn’t hurt. Bought me a helicopter though, which was almost a community event :)
I had a CT PE study put it the ED. Indication “chest wound.”
Massive exophytic & ulcerative breast cancer with regional nodal Mets and widespread nodal, pulmonary, & bone mets. So sad…
Wow, hearing this makes me even more grateful and thankful every single day 🫂
cancer EVERYFUCKINGWHERE it seems these days 😭
That is not good😔
Rural med revs up the nerves no doubt!
I had a kid with a benign but locally aggressive intra-orbital mass…and a metric shit-ton of medical bills.
I sold 100 bitcoin to make a mortgage payment and started locums to make ends meet during residency.
Fuck man. I’m sorry about your baby. Fuck the 🌽 that’s what it’s for. That’s rough seeing any kid go through that but especially your own. 🫂
$4 drug at Walmart fixed it.
https://www.nejm.org/doi/full/10.1056/NEJMc0708819
I had to take her to Chicago after the clinic wouldn’t treat her with what was then new medicine.
But as this $4 drug destroyed many careers in pediatric ophthalmology & neuro-ophthalmology, they had to invent some bullshit syndrome just in time to justify almost $100,000 in cardiology and radiology imaging to compensate themselves for lost surgery revenue.
OMG insane 👀
Everything relating to the modern healthcare system scares me so much. Sad to say that my default is not to trust a single word that any healthcare professional says until they prove to me that they are actually logically discerning what is best for patients. So much corruption, and often it seems there are many good individuals that are stuck in a backwards system where they don’t realize how much they are impeding real health advice and treatments
Welcome to medicine. Where money cloud judgements & institutions
A decent physician should be able to communicate the rationale and level of certainty for any diagnosis & treatment regimen.
For my daughter, the recommendation was intralesional vincristine injection…the rationale for rejecting propranolol was only 2 years of global experience with the drug…we thanked them for their opinion and left for an institution with better thought’s & recommendations…albeit they fleeced us.
Luckily you understood it all, to the normal plebs like us..what the hell do we know!
The tought of your child requiring « Intralesional vincristine » must have cause many a nightmare. 🙏🏻
Well, it was the small chance of bilateral blindness that was terrifying.
We were willing to tell the famous docs that we were going to a less known children’s hospital for newer and therefore less well tested care. But the totally obvious superiority of propranolol clearly didn’t have double blind placebo controlled proof…a good example of “proof” not being necessary when obvious.
OMG that must have been so difficult! hope your baby is ok now 🙏🏻
She is fine. $100,000 in medical charges, most of which I realize now was total bullshit, which cost me just shy of $15,000 due to in and out of network charges for three insurance plan-years in an 8 month span (…doctor years start July 1 and generally don’t do internship at the same institution as radiology residency)…
Today she’s beautiful, sees great from both eyes, and just turned 12 on a family trip to Israel this past summer.
I’d be about 100 btc richer had it not been for being fleeced by my future peers as a poor resident, but I wasn’t so stupid as to part with all my mined coin…
A sick child is one of the worse experiences in life 💔
Indeed, for the past 10 years my company and I have committed to raising funds for the our local paediatrics department at our local hospital. My son has been there years ago so it feels good to be able to give back to the community and kids 💜
Hello fellow docs. Well that isn't quite true. Trained as a medic but decided to become a software developer.