is Democratic ticket a nightmare for physicians!!!

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many in our profession sell their souls to devils

employing PAs instead of Doctors,
testifying against other Doctors to make some stupid 15k while helping the lawyer make 7 to 8 million per bang.....

I believe the philosophical ground from which this is all based is seriously wrong...

I know physicians who support the cause of PAs because they married one...loook the type of reason...what a group of stupid people......

we need to have some measure on our actions..
Think before acting nefariously....

Have some self-respect...besides jumping on the bandwaggon of quick buck...

I do understand the cringe on underservec and all that but med students number one obligations is to study....to learn....be competent Physician not jumping like brainless monkeys for some dream like national health care plan...

let;s face this...patients are ready and willling to spend more on the wheels of their vehicles than on their own health...something is wrong about their attitude....

Insurance companies also had created a false illusion that health care is free.

As far as I am concerned nothing is free..at least the student loan notices i get tells me my medical education was little over 200k....so it is free huh????

Oh brother.......let me pop a sierra nevada and think little more about this crisis...hahahaha
 
hey vukken, could you do me a favor and write in complete sentences. thanks.
 
oh I forgot to say...don't drink and drive guys....

I know residents who got kicked out because of this
and I know Physicians who had lost their licences because of DWI...
 
i imagine a world free of people who don't cut into physicians professionalism

focus, we need to focus

vukken for president

a world run by physicians, for physicians, with all the power to stop all the menacing powers that be strip us of our powers

trial lawyers forced to drive school buses

PA's jailed for their crude independence streak and alterior motives to launch the healthcare insurgency, aimed at toppling the altruistic vukken healthcare regime

glory for physicians, the smartest most gifted people in the entire universe, who are threatened at every step of their careers by everyone around them

we must unite, vukken for president, you decide 2004
 
Celiac Plexus said:
Do you think that either party is going to be able to push any tort reform through?

Kerry sure as hell isn't going to make it an issue.

And Bush, though he made an attempt at it, failed as well. Thanks to the trial lawyer lobby. Besides, he is going to have to spend all of his time on Iraq. He is not going to have any political capital left to try to protect all of us "rich, Mercedes-driving doctors" with malpractice caps.

Either way, malpractice reform is not gonna happen.

So I wouldn't even consider it as a deciding factor.

You are wrong. Something will happen when things get bad enough. Do you think Americans will continue to watch their healthcare premiums rise and rise and rise without doing something? At some point they will be unable to pay and the politicians will be forced to take action. What action will they take? It depends largely on the president. Maybe implement socialized medicine. Maybe sweeping tort reform. When the public gets mad enough it will "give" the president and legislature enough political capital to take whatever action they want on the issue. That's why it is important for us as physicians to elect politicians favorable to our interests and not the trial lawyers.
 
Well...

I would like to organize a not for profit grassroot organization by physicians for physicians.....

To rid the evil out of this profession...

I really do feel that we need to be united from med stud level to physician level
 
Astroman said:
Yeah, those gosh-darned trial lawyers... it's ALL THEIR FAULT.

Gimme a break.

Umm, it largely is. Wake up and see the big picture.
 
Umm, sounds like you have tons of experience to base this opinion upon. Wake up and get a new user name so that you can better hide behind your lack of reference on these topics.

Gimme a break again.
 
hahaha, CJMPreMed can be vukkens running mate
 
doctalaughs said:
You are wrong. Something will happen when things get bad enough. Do you think Americans will continue to watch their healthcare premiums rise and rise and rise without doing something? At some point they will be unable to pay and the politicians will be forced to take action. What action will they take? It depends largely on the president. Maybe implement socialized medicine. Maybe sweeping tort reform. When the public gets mad enough it will "give" the president and legislature enough political capital to take whatever action they want on the issue. That's why it is important for us as physicians to elect politicians favorable to our interests and not the trial lawyers.

Something will have to happen, and this is why the entire medical community should get behind Dr. Bill Frist now to start gaining support for him. When Bush finishes his next four years, Dr. Frist is the top republican candidate to run in the next election.
 
i also heard that rudy guliani(spelling) might run as well..

Do you guys know that in florida coming up on the ballot there is a amendment that they want to pass that will not let any doctor practice medicine if they have been involved in 3 lawsuits.. whether they are won or lost, whatever. My preceptor in FP this month is going to vote for this law! He thinks that by voting for it, so many doctors will not be able to work and it will force the issue in the state of florida and show how rediculous the malpractice crisis is and the toll it has taken on the state..
 
Many cases these days are settle out even though there was no wrong doing...

That is a ridiculous proposition....

I would definitely make sure I would never go practice in Florida...

I met a neurosurgeon who had to fleed florida's insane situation.
He said a surgeon got sued and he went bankrupt so fast......

Yes, I agree...if florida wants to beg for physicians then hey go ahead...do whatever....

I AM DEFINITELY STAYING AWAY FROM CRAZY STATES LIKE THAT.......

maybe i would go for a nice vacation in the keys but not more nonsense....
 
Heh! I have worked with two OB/GYNs that were practicing in Orlando, FL. They moved their practice to Mississippi. That's like jumping from the frying pan into the oven. At least Mississippi has taken steps towards rectifying the situation in this state. It may not seem like much, but it is a start even if the governor of the State has caused a recent outcry among the State's many medicaid patients with his new medicaid bill.
 
Astroman said:
Umm, sounds like you have tons of experience to base this opinion upon. Wake up and get a new user name so that you can better hide behind your lack of reference on these topics.

Gimme a break again.

Yes, because actually being a physician is a prerequisite for having any sort of valid opinion on the matter. No. Unlike you, I don't base my estimation of my own intellect, or that of others, on the degree I or they hold, and so I realize that I am intelligent enough to both grasp the pertinent issues surrounding this and come to a sensible conclusion. Trial lawyers and insurance companies are the bane of the medical community (along with myopic, pandering politicos and "the sky isn't falling" quacks such as yourself). To think otherwise is pure folly.
 
Well, Mr. Pre-Med, that really gave me (and everyone else in the call-room) a good laugh. Quack?? Pure folly??... Good stuff, man. Good stuff (and great vocabulary, too. I surrender. You must be really smart).

But you were right about one thing: Insurance companies have a hand in the disaster, too. A big hand. To blame the crisis ALL on the "trial lawyers" is, as you would say, "pure folly."
 
I think that the cost of defensive medicine is actually way underestimated. Physicians are trained now, and have been for the last decade or so, to automatically order X Y and Z if they see specific symptoms. You can't rely on clinical judgement anymore but instead must order every test in the book to make sure you aren't missing something out of the ordinary. In addition PCPs must make sure to refer everything to a specialist in order not to get sued.

Think how many unecessary MRIs and CT scans are ordered. If there is a 1% chance of something you must order the scan... that's where the rising costs are going.
 
Astroman said:
Well, Mr. Pre-Med, that really gave me (and everyone else in the call-room) a good laugh. Quack?? Pure folly??... Good stuff, man. Good stuff (and great vocabulary, too. I surrender. You must be really smart).

But you were right about one thing: Insurance companies have a hand in the disaster, too. A big hand. To blame the crisis ALL on the "trial lawyers" is, as you would say, "pure folly."

Lord knows what you all were laughing at, considering that I'm (at least partially) correct. Lawyers and insurance companies have contributed to the downfall of modern medicine more than any other two factions- agree or disagree? If you disagree, then please identify the other groups who've caused the system to deteriorate so; I certainly know it isn't physicians (as a group; individual rascals notwithstanding), or nurses. I would also say that unreasonable societal expectations re: the medical community's capabilities and obligations (as alluded to above by doctalaughs) have played a large role.

And yes, I am "really smart". 😛 Your biting sarcasm is not appreciated. 😉
 
the insurance system in america is truly monopolizing indeed....

Look how they got their market down....
a blue cross and blue shield would not accept to be their physician unless u have insurance policy...why is that really?? think for a moment...

Insurance guys help another insurance guys...
NOw insurance companies can turn any physician down for coverage at their will
they call this "underwriting priviledges" it is like a small mafia.....

Be aware of the phenomena called GAP in insurance..
If you ever have a GAP in insurance, you will have mostly hard time getting another insurance to cover you...even if you don't have any malpractice history.. It is really crazy...

They make sure you buy insurance that is how they make money...

Lawyers off course draft all their policies and rules..and protect the interest of the almighty insurance company...

It is a largest battle we will ever encounter....and I don't think Physicians will win...

People want insurance because they think it makes the cost of care more affordable but patients are given a very falso notion that health care is free or something....as far as I know nothing is free in life....

Extremely complex issue this is....
 
Quick question for you guys:

Is it standard practice to just vote for the candidate who can help you out personally? I don't have any numbers in front of me, but something tells me that a physician paying outlandishly high malpractice insurance is still probably better off than Army Nat'l Guard Pvt. Joe Bagodonuts getting shot at for $450/week and no pension.

I'm not trying to be self-righteous or anything, but there are more important things to vote for than malpractice reform. Granted I'm only a 2nd yr med student, currently serving in the Guard, so take my opinion with a grain of salt.

HamOn
122nd FW, FW IN
 
agree IN FULL with the above comment, look at little outside the box that you all live in. i am not saying discount your own personal circumstances, but consider the broader picture. do you want your kids potentially drafted in a few years?

you guys are leaving out one of the biggest players in rising healthcare costs too, pharmaceuticals...
 
Yes, I also agree IN FULL. Like I said at the top of this thread, PRIORITIZE. Thanks Ham and Hatch.
 
We have to be practical...

You guys are still in training or schooling.

I am already working...

I am going to post an website where I would download copies of few articles from local medical societies where I practice...

You guys think I am bringing this out of some remote planet but this is really a very serious issue...

I have friends in surgery residency who are still dreaming that things are rosy..
They are not.....
 
damn vukker. did you actually read the posts above or do you just spout mental diarrhea spontaneously? i think we all acknowledge that the state of health care and the practicing physician is extremely compromised, but there are OTHER issues at stake in the world beyond our own salaries. i know things must be very hard as practicing physician, but do you have as much to moan about as the rest of america. get a grip.
 
vukken, just because someone is in training still does not mean they have not worked or lived a real life. i have plenty of experience outside of school working in pharmaceuticals (not a rep either) as well as preclinical toxicology, as well as volunteer work in nonmedical areas. i base my opinions not just on the moment, but my life experiences as well as the world around me. you and i are tiny fish in one big old pond; to view it otherwise is simply shortsited and selfish (pure folly if you will). my life is more than being a doctor, its also being a husband, future father, american, etc...
 
Vukken is just... bizzare. 😕
 
Well don't cry later.....

Like all those guys in southwest and florida and other crazy states.....

Just don't say I did not warn you guys...

Bizarre??? so am I a Bizarre Troll???
wow I should open up a T shirt brand named Bizarre Troll...
 
Thanks man. I'll look back on this moment years from now and bang my head against the wall, thinking why didn't I listen to that ***** who thinks he has all the answers...if only I was as smart as he apparently thinks he is.
 
I do miss residency years when I used to torture medical students....every q6am..

Okay son what was the Urine output in this patient the last 24hr???
Okay so what is the normal urine output???

What is the H/H....don't tell me you don't know that...
What operation did this patient have...you are not sure...you have time to doze off and you don't have time to examine nor read their chart...
"I am sorry but I am not sure if you are the biggest lazy ***** graduating from your medical school."

"okay you are graduating in 2 months Okay stitch this guy's lac."
Well I don't know how to do it...wait a minute you are going to ER you said and you don't know how to stitch a simple Lac????

You are not interested in learning how to stitch is that what it is?
Shame on you....don't tell me you did your core surgery and they did not teach you how to stitch.....shame on you and on those who supervised you during your rotation ...Come here let me show you.....

So tell me about this CXR.....you doing medicine right okay so show me how to read this CXR well I am not sure.......Okay wait something fundamental you had forgotten before doing anything...is this X-ray from the same patient we are talking about...okay last thing you need reading someone else's X-ray and you dc home.

Okay Jim, can you come help out in the ER..I got five consults and three going to OR...Oh wait wake up the intern too will yah cuz he needs to do that preop...and listen you keep my beeper and take all the messages while I am in OR....Okay stud...later..
 
everyone else...i'd like you all to take a moment and truly appreciate that kerouac-esque stream of consciousness above. still trying to decipher the meaning, and the heading don't help.
in all seriousness...i appreciate views of the above posters. as one of the truly compassionate professions, i think we doctors should pay a tribute to our profession consistently by looking to the interests of others in politics, patient care and many other areas of debate. at the same time we should strive to improve the system and our ability to deliver care within it. but i feel we should never direct our effort in our own material interests, that's not the nature of our job.
 
Vukken99 said:
I do miss residency years when I used to torture medical students....every q6am..

And now you just torture the rest of us qALLTHEFREAKINGTIME
 
I know this was a while back in the thread, but I just couldn't let the NIH bashing go by without a little commentary. In addition to it's basic science role, the NIH has played a crucial role in the advancement of surgical knowledge and it's accomplishments should be lauded. Through NIH funding, the NSABP (National Surgical Adjuvant Breast and Bowel Project) has been answering key surgical questions that have greatly influenced how we care for our patients.

flighterdoc said:
And the reason that the pharma companies aren't funding basic research is because someone else is doing it. Arguing that the government has to do it is specious - others can and will do basic research, if necessary. As it should be.

A couple of quick examples of the types of research that would never be funded by anyone but groups like the NIH...these were/are groundbreaking studies. In regards to breast cancer...

NSABP B-04 showed that there was no difference in survival between a Halsted radical mastectomy and a total mastectomy for cancer.

NSABP B-06 demonstrated the effectiveness of breast conservation therapy.

NSABP B-32 dealt with the development of the sentinal lymph node biopsy as an adequate staging procedure compared to the standard axillary node disection.

The studies above would not have merited any funding from pharma companies because there was no money to be had. Well, maybe SLN biopsy equipment makers, but they couldn't have afforded the research until it was proven that it was effective. IMHO, the NIH provides an invaluable service to us surgeons and our patients.
 
BUSH 2004!!!!!!!!!!!!!!! 👍 👍 👍
 
Astroman said:
I'm a democrat. I'm a physician. I will, without a doubt, vote for Kerry/Edwards NO MATTER WHAT THEIR POSITION IS ON MEDICAL MALPRACTICE. Gotta prioritize.

And isn't it at least remotely possible that Edwards sued some really BAD doctors?? We all know at least a few...

And what about Bush's stance AGAINST stem cell research, fellow physicians?? *****ic. (thanks to Ashcroft and the Patriot Act, I'll likely soon have Secret Service agents at my door for that comment).

Dubya doesn't deserve another 4 years. What a disaster...
Completely agree. Will vote the same way.
 
gotta vote for dubya!!!!!!!!!


👍 BUSH 2004 👍
 
zensurg said:
as one of the truly compassionate professions, i think we doctors should pay a tribute to our profession consistently by looking to the interests of others in politics, patient care and many other areas of debate. at the same time we should strive to improve the system and our ability to deliver care within it. but i feel we should never direct our effort in our own material interests, that's not the nature of our job.

As one of the truly compassionate professions, we have continually let our interests get pushed to the wayside. Reimbursements are crappy...and getting crappier. Malpractice rates are skyrocketing. Respect has gone down the toilet. If we never stand up for ourselves, who is going to stand up for us?

There is a difference between being idealistic and realistic. If physicians are ever going to have some say in the way that things happen around them, we have to provide a uniform front against those forces that have being assailing our profession for years. We've stood by for way too long and watched this unfold around us. Tort reform is just one step towards helping us take back some control.
 
This election year has caused me an enormous amount of stress and consternation. I've been a Democrat my whole life and have never voted for a Republican before, but Kerry choosing John Edwards sealed my support for Bush.

Edwards' specialty in medical malpractice was the infamous "birth injury/brain trauma" cerebral palsy deal. He destroyed the careers of OB's who practiced evidence based medicine and the standard of care. He paraded paralyzed children by the juries, and relied on junk science to sway the emotions of people who didn't have the type of training or intelligence to engage in real critical thinking. In addition, in an interview with Chris Matthews, he clearly stated that he was against caps on non economic damages. Every state that has instituted the $250K cap has seen malpractice premiums fall.

There is a very real medical malpractice crisis in many states. As trauma centers close due to neurosurgeons and trauma surgeons paying unaffordable premiums, the "golden hour rule of trauma" will be missed in more and more cases. End result: Patients die.

The thought of all that money from the trial lawyers going to the Kerry/Edwards campaign is scary enough... The thought of Edwards being one heartbeat away from the presidency is truly beyond frightening.
 
i'd rather vote for al sharpton than george bush. hello, maybe you dont think kerry and edwards are the best choice for physicians, but the election is not about physicians-- last time i checked it was about the country. maybe bush is a better option when it comes to malpractice, but he's done a lot of shady things with respect to healthcare. like cancelling funding for any group that provides medical care in third world countries if they provide or even cousel women on abortion. what a loser. besides, as a physician in the US, you're still making more money than 90% of the world's population, what right do you even have to complain about malpractice insurance? consider yourself lucky that you'll be able to support your family and live in a decent home, and then vote for the man who can do that for those people in our country and in the rest of the world who are not lucky enough to be in our position-- and i garauntee you that man is not bush. there are plenty of doctors with morals in the right place who are voting for kerry-- trust me, this is a hot debate in the hospital these days. i suggest those of you who think bush is the answer to all the problems healthcare is having spend some serious time really figuring out why you think that. shame on you.
 
raspberry swirl said:
besides, as a physician in the US, you're still making more money than 90% of the world's population, what right do you even have to complain about malpractice insurance? consider yourself lucky that you'll be able to support your family and live in a decent home

This is perhaps the biggest load of bull**** I've ever seen on these boards. Typical communist tripe.

"OH TEH NOES! Nobody has any right to complain until we're all starving like they do in Africa." Grab some logic, please. I'd dissect your "argument", but then I don't want to embarrass you. 🙄

You're quick to invoke the rhetoric of "rights" (e.g., you have no "right" to complain etc.), but allow me to ask you to precisely define what a "right" is, and also to define the exact conditions which would permit one to express a scintilla of grief over their own circumstance. If you fail to do so, I will gladly search for all of your posts and turn your own shoddy logic back on you when I see you complaining in the slightest about ANYTHING. Well, actually, I won't, because I don't care that much.

But please learn to employ some critical thinking skills before you spout such nonsense in the future.
 
raspberry swirl said:
i'd rather vote for al sharpton than george bush. hello, maybe you dont think kerry and edwards are the best choice for physicians, but the election is not about physicians-- last time i checked it was about the country. maybe bush is a better option when it comes to malpractice, but he's done a lot of shady things with respect to healthcare. like cancelling funding for any group that provides medical care in third world countries if they provide or even cousel women on abortion. what a loser. besides, as a physician in the US, you're still making more money than 90% of the world's population, what right do you even have to complain about malpractice insurance? consider yourself lucky that you'll be able to support your family and live in a decent home, and then vote for the man who can do that for those people in our country and in the rest of the world who are not lucky enough to be in our position-- and i garauntee you that man is not bush. there are plenty of doctors with morals in the right place who are voting for kerry-- trust me, this is a hot debate in the hospital these days. i suggest those of you who think bush is the answer to all the problems healthcare is having spend some serious time really figuring out why you think that. shame on you.

Oh. You mean the kind of morals that supports a couple of queers getting married. The kind of morals that supports murder, which is exactly what abortion is. The kind of morals that want to take any reference to God out of everything.

Liberals and morals in the same sentence is an oxymoron. They simply don't go together. The foundation of the liberal platform is nothing but immoral.
 
please, as if the conservatives somehow have the lock on morals and values. give me a break. i absolutely love how hypocritical the conservatives are. as is none of the gop are cheating on their spouses, beating their children, or other such bs. of course, they rail about such 'immoral beahvior' in public, but their private lives are another matter... 🙄

while i am certainly concerned about edwards background as a trial lawyer, there are many issues that concern me in this election. tort reform is way down on the list. does this mean i do not care about my future in medicine? not in any way. the state of the general economy will have a much bigger impact on our profession than tort reform. i think the bigger issue, raised by earlier posters, is how does each party respond to health care as a whole? bush hasn't done a whole lot for physicians besides giving us a tax cut. his policies towards the scientific establishment are atrocious.
 
communists eh, lol, you living the mc carty era all over again in your head??? you sound like a very openminded person, good luck in medicine dealing with patients who don't always have the same point of view as you. your ability to argue is, well, as good as our foreign policy is currently...
 
Keith,
"... a couple of queers getting married"????? Man, are you serious??? How did you get into medical school??? You must've used some restraint and kept your troubling views about other HUMAN BEINGS quiet during your interview... maybe you should practice some of that much needed restraint here (and from now on). Very scary...

Reminds me: I took care of a homosexual patient the other day with HIV. He was a really nice guy. Hope he never comes under your "care."
 
It is so nice to try and post rational though about a subject and have a second year medical student who is what? in their first month of clinicals, mouth off to me.

Hey newbie, read my post again. People have and will continue to DIE thanks to frivilous medical malpractice lawsuits being pushed by immoral money grubbers like the potential VP. Tell a neurosurgeon who went through seven years of residency that he shouldn't complain about paying $125K for malpractice. Maybe if a loved one of yours dies because the golden hour is missed, you'll feel differently. And then again maybe, just maybe after you have slaved through a few years of 80-100hr weeks, you might have a little problem with jerks telling you how YOU have no right to complain.
 
Ratch said:
communists eh, lol, you living the mc carty era all over again in your head??? you sound like a very openminded person, good luck in medicine dealing with patients who don't always have the same point of view as you. your ability to argue is, well, as good as our foreign policy is currently...


our foreign policy is perfect right now
👍 BUSH 2004 👍
 
Ratch said:
communists eh, lol, you living the mc carty era all over again in your head??? you sound like a very openminded person, good luck in medicine dealing with patients who don't always have the same point of view as you. your ability to argue is, well, as good as our foreign policy is currently...

I sincerely hope you weren't addressing me with that comment, seeing as how I'm the only one who mentioned the word "communist". I'm openminded in that I'll listen to what somebody has to say and genuinely consider it, but do you really think it takes long to discount something as asinine as what she posted? I also doubt that my sociopolitical views will come up when I'm talking to my patients, seeing as how I've never had that sort of conversation with any of my physicians. As for my ability to argue, well, you can choose to mock it at your own peril-- or you can step up to the plate and answer the questions I posed to her yourself, and then you'll see just how good my "argumentation" skills are.

But this is not a pissing match, and I don't desire to embarrass you any more than I did her, which is why I gave her the opportunity to "clarify" her stance a bit and hopefully evade some of the logically- and ethically-challenged implications of her post. Forgive me my antagonism, but I take issue with those who would attempt to impugn the goodness of my character just because I happen to have strong, well-founded opinions on certain matters.


So feel free to answer the questions I posed to her, and we'll see where you come out in that argument. Because it's easy for you to come in here and simply criticize, which is all you did. "Openmindedness" and tolerance are virtues as far as they go, but not beyond; unfortunately, folks such as yourself are often blinded by your own permissiveness. I'll forgive you, though-- just answer the questions. Define precisely what a "right" is, and then delineate the specific circumstances under which one would be justified in even slightly complaining about the hand they've been dealt. Until you do so, kindly keep your vacuous musings about peace, love, happiness, and my supposed "inability to argue" to yourself. 🙄
 
it is misguided notion to assume physicians are making 90% more than the rest of world population.

Making a living in medicine is becoming harder.

Some real estate agents or plummers make more money.

Look at the tax laws in our country. Physicians are not allowed to form
general corporations. We are bound to form Professional corporation or PC, and the tax rate in this level is about 35%. The General Corporation or any other type of business only pay about 15%. At the end, PCs formed by Doctors are paying 20% more than the rest. Does this mean we are making more than other businesses? Not necessarily!

And, Pretty much, We are mandated to keep a malpractice insurance. And, in a way, it has become like a car insurance mandate, you got to have a policy.

If you want to blast Physicians as rich and selfish, then I am puzzled you are seeking a medical degree.

When, you are in practice, in many times you provide free care, and this occurs even in the private practice. You do it for the wellbeing of patients.

But, many greedy people out there want to suck physicians' hard earned money by simply suing us.

And, it is not right to say there are many bad Doctors allowing lawsuits without merit is okay. Just like cops, there are few bad apples in every crowd.
 
talk about generalities without any merit 👎

i am quite confused by your post paulista. it is very easy to say that docs are in the top 90% of world wide wage earners. they are in the top 10% in the US, so naturally they would be in the top 10% worldwide. while it may be true that it is harder to earn the big bucks in medicine, it by no means is harder to "earn a living."

as far as the few bad apples comment, give me a break. yes, there are bad doctors, but we as a profession oftentimes turn a blind eye to this behavior. is it still about the well being of the patient?
 
CJMPre-Med,
Again, and to answer an earlier question of yours to me- What is so funny about you is the way you write (do you talk like that, too?). You come across as very overbearing. Take it easy... and have a friend write your personal statement for med school.

BTW: It was "vacuous musings" this time... Most normal people just don't talk like that.
 
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