#mortality risk

[manuelnunezmd]

The 80/20 Rule That Could Save Lives: A Doctor's Guide

Learn how physicians can apply the Pareto Principle to identify the leading preventable causes of death and help patients modify behaviors for substantial reductions in mortality risk.

As physicians, we strive to provide the best care to help our patients live long, fulfilling lives. But with countless diseases and interventions to consider, how can we simplify and focus our limited time during appointments on what matters most? Photo by Oleksandr P on Pexels.com What is the Pareto Principle? The Pareto Principle, also known as the 80/20 rule, is a mathematical concept that…

[starry-bi-sky]

on a completely separate note; shizun luo binghe with a disciple shen yuan who fell into the abyss??? *thinks about LBH canonically stealing SQQ's corpse for 5 years* he'd hallucinate i think. like, like visual and audial hallucinations.

Keeps thinking he's seeing SQQ in the corner of his eyes, or wandering between the trees, amongst a group of disciples. Thinks he hears him calling for him, but its just the wind or another disciple.

Gets Xiu Ya reforged but patently fucking refuses to make a sword mound. Because his disciple Is Not Dead :))) There was No Body. He's Not Dead. And If You keep Insisting That He Is, He's Gonna Skewer You :). He's holding onto Xiu Ya so he can return his most favored disciple's sword when he returns. It's on his hip right next to Zheng Yang where it's supposed to be.

Also this motherfucker?? does not sleep btw. He has the image of SQQ, wide eyed and hysterical and standing at the mouth of the abyss burned into his fucking eyelids. Can't use the dreamscape to escape it either because he keeps trying to save him and either he does and it's an incredibly cruel trick to wake up to, or he doesn't and he gets his heart broken in several different pieces again.

There is no convincing this man that Shen Qingqiu is dead. Absolutely nothing at all. He is buried so deep in denial that moles would be jealous of how deep he is. He keeps making tea for two in the bamboo house only to remember that it's just him. SQQ's fans are hiding everywhere, little reminders of his presence. He goes to wake up SQQ on the mornings he sleeps in-- only to find the room empty.

[smilesrobotlover]

FD is just tryna make him breakfast 😭

[cromulentreader]

Do y'all also think about how Cardan went from telling Jude she was destined to and deserving of death to being like Jude dies over my dead body? Or are you normal?

[copyofszalamireaktor]

sorry for all the shenanigansposting on main. here's a stupid meme I made a year ago to balance it out

[epiphainie]

this is one of those fic ideas i wanted to write for every ship i've ever been into so it will probably never happen but i'd like to have a silly story with 40 yo, single, lonely tommy kinard who's been down on his luck all his life - like i'm talking ridiculous levels of mom dying at childbirth, dad being terrible, horrifically unfortunate experience of the military, a series of failed jobs, a series of failed relationships, friendships never sticking for long, risks he takes always going south, somehow getting paper cuts through chainmail gloves, missing the bus while trying to avoid his daily encounter with the neighbor's dog etc. - one day opening the door of his downtrodden studio apartment to this beautiful man who stands there like a fucking angel. who looks at tommy with big apologetic eyes, red cheeks of shame, and twiddling thumbs of guilt and stutters, "so, uhm, i wish you didn't have to learn it this way but hi, i'm the guardian angel who, as it turns out, misplaced your files about four decades ago, and so uhm it just resurfaced, haha, and like yeah, i've been banished here for penance. i'll take the couch, it's fine."

[ditoob]

The fact that Perseus was willing to fight a sea-monster and possibly die in an unmarked grave for the chance to marry Andromeda lives in my head rent-free btw

[ruins-of-tragedy]

I just watched the bonus animatic RWBY ending. And it boggles my mind how much good their actions left behind. They just don't know it yet.

Nora may be taking on the weight of the world, but it is helping her come into her own. She is becoming the person she wants to be. Oscar and Ozpin are trying their best to fight the merger. Though the former isn't sure who he is, he hasn't allowed the confusion to take over his kind heart. Lie is moving forward with great empathy and extending it to all those around. Holding on and holding it for everyone. Winter can't shrug off the survivor guilt. Yet is being the best maiden she can be. Emerald is always there in the background. Lending a hand where they need it. Qrow has grown and is assisting Willow with her alcoholism. Misses them all terribly, but has hope now.

There's still the bad. Of course there is. Emotions are going haywire. People are suffering. The kids are working themselves to the ground. Tyrian and Mercury paid the jails a visit and broke some prisoners out. Winter has passive martyr ideation tendencies. Vale is no more. Oobleck isn't hyper now. Some folks defaced the memorial stone. The grief is debilitating.

Throughout it all though, they are still trying. Together. To build again and do more. Following into the footsteps of the people they lost. It just makes me wonder; how many folks in our own lives don't know they changed us for the better?

I have been seeing posts like these a lot. One of our life's greatest tragedies is, we will never truly know how much we are loved. What forever bothers me? It's a revocable slight.

Seldom do people return from a fall RWBY and Jaune experienced. Heck, Rubes herself almost didn't. All of this to say, tell the people you love how much you love them. It will be too late someday. And someday can be a lot closer than we realise.

We may only die once, but more often than not it's permanent. People have their own personal battles and demons to combat. We never know who might need the kind words we do think, but still keep locked inside our heads.

Forces like Salem are ever present in our world as well. Just waiting around the corner to strike. Lighting fires where they weren't before. Let's never forget what matters most.

We all have the potential to live anew with each passing second. For ourselves, and for others. That, I think, can be our saving grace. Cheers!

PS: Raven gets our heroes to their friends and Qrow. So, she must have been the figure from the cliffhanger the creators decided to cut. Does this mean Ruby already interrogated her over what happened with Summer?

[spiderin-space]

Salamander?? Sillymander 😩

[mercymaker]

also, thanks to the chat with @tadpole-apocalypse we had at like.. 3am, my mind's been absolutely infested by thoughts of feral astarion

his vampirism showing its claws when he just.. relaxes and forgets about the need to pretend. when he's just being a lil undead freak. super still. eyes like two beads glimmering in the dark, focused solely on his beloved. on their blood.

no thoughts in his head, just the instinct. to bite and tear and feed. to feel the warmth of the blood against his cool skin, against his tongue. to feel it rush down his esophagus to fill his belly. warm and tasty and full of life.

how he lies awake at night, listening to his lover's heartbeat, focuses on their pulse. how sweet it would be to feel it against his skin. as he wraps his arms around them, the predator instinct kicking in, restraining, holding, suffocating...

how he clings to the last traces of his humanity, but the temptation to give in is always there. and how it goes hand in hand with his insatiable hunger. the gnawing deep within his stomach. the endless pursuit of relief.

and when mal stands at the side of the bed at night, washing her face in the basin of water, her back turned against him.. astarion watches her naked form in the dark. her skin seems so pale against the darkness of the room. except for a little line, a black snake slithering its way down her inner thigh. she's unaware of it just yet, but astarion? it's all that exists in that moment. the smell, the sight, the temptation of her moonblood... the unexpected reminder of that sweet blood that she's full of. the blood he could spill and release and bathe him. how all it would take is one pounce. catching her unawares. he could tear her neck right open, just this one time. a prize he's been denied for so so long. or maybe he could wait? let her drift back into slumber, right next to him. watch the calm rise and fall of her chest before he brings his fangs to her throat. maybe she wouldn't even wake..

[icebitezart]

Mithrix (Risk of Rain 2) Mortal Kombat 1 intro concepts. ^^)n

[brainrotcharacters]

So. Porter and Treasure reconciled.

[pinkniz]

I like to believe Raiden was very fond of zaterrans because they were the first intelligent race of Earthrealm

(Also he and Fujin absolutely loved dinosaurs)

[vipier]

people think they want tristan to have like ... a moral code or something to fight for other than saving his skin, enjoying the chaos, or " [insert person he grudgingly cares about here] said i had to " but really think about what it would mean. he's stubborn and impossible enough when he doesn't give a single shit. do we really think he would somehow become easier to deal with if he found a moral cause to rally for? ABSOLUTELY NOT. if anything, he'd become worse because he actually gives a shit and is therefore invested in the outcome of what he does beyond simply making sure he and perhaps his chosen few people make it out. anyway that's why devoted rebel tristan is actually way more difficult and insufferable than freelancer tristan, and former senator tristan with a list a mile long of proverbial debts to collect takes the cake.

[primordialruin]

My blog's main plot will have Lilith as an antihero from here on out. She'll be on a quest to find out more about the evil Heaven tried to keep at bay. Her intentions for this will be to learn about that evil, and to figure out a way to subdue it enough (possibly through a deal) or through figuring out whether there are certain portals leading into the source that she could use as a threat against Heaven in order for Hell to gain its independence from it.

Essentially, she's looking for a nuclear bomb & hoping to be enough of a threat to never have her realm become subjected to the abuse of extermination. What started as a means to find out a way to expand Pride in order to house more sinners, became something far more sinister than anyone would expect.

The secondary plot will be my Dealing Notes verse, where she decided to become her people's common enemy in order for them to stop making an enemy of each other & decide to work on growing Hell into a prosperous society. Lilith will have either been the one that suggested the exterminations, or came to agree to it either prior to the first one, or after it became an established event.

[sshbpodcast]

Character Spotlight: Neelix

By Ames

At some point, the Star Trek fan base decided the worst main character of the franchise is Neelix – he’s obnoxious, his jokes don’t land, he’s dating a two-year-old, he looks like that. But if you actually, I dunno, watch the show, your hosts here at A Star to Steer Her By found that Neelix might be one of the most complex, consistent, and realistic characters on the show. Even Caitlin, who started our Voyager watchthrough disliking him, ended it bathed in the Talaxian love.

So get off the hate train and give the guy the open mind he deserves. He’s only trying to help the friends he met in the Delta Quadrant while battling some of the harshest mental demons the show has given to a character. Not to mention that Ethan Phillips gets to show his dramatic range show by show, comic relief one day, and emotionally destroyed the next. Check out both sides of the Neelix character below – the good and the bad – listen to our debate on this week’s podcast episode (stroll over to 51:16), and make your own decision! We’ll see you in the mess hall!

[Images © CBS/Paramount]

Best moments

Now I am become death, destroyer of Talaxians The first season of Voyager is already digging deep into Neelix’s tragic backstory when “Jetrel” reveals that his whole family was taken out by the titular character’s metreon cascade. The whole episode is Neelix facing the man who killed so many Talaxians, and also facing his own deep guilt. When he forgives the dying Jetrel, he’s really forgiving himself and finally moving on.

There’s nothing like a family reunion We’ll have more to say about “Parturition” in our next section, but we start to see Neelix the caregiver in his interactions with the newly hatched dino puppet. Not only do we see an end to the entirely stupid love triangle between Neelix, Kes, and Tom, but we glimpse how much Neelix puts other people before himself when he pushes to save the baby monster thing.

I’m going to have plenty of material for tomorrow’s Briefing With Neelix Neelix’s nosiness, while frequently one of his more annoying traits, ends up paying off in “Investigations” when he uncovers the mole who’s been making contact with Seska and those wily Kazons. Not only does Neelix put himself at risk by going undercover, but he also ends up murdering that saboteur Jonas by throwing him into a plasma fire like a badass!

The 299th Rule of Acquisition: Whenever you exploit someone, it never hurts to thank them Ethan Phillips sure knows how to play a Ferengi, having portrayed Farek in “Ménage à Troi.” But Neelix himself also plays a damn good Ferengi, totally pulling off the Grand Proxy / Holy Pilgrim in “False Profits.” He initially fools Arridor and Kol with his quick thinking and improv, and when the game is rumbled, succeeds in protecting the Takarians from their Ferengi ploy.

What’s this week’s legend, Olmec? While overall we found “Sacred Ground” to be an unfocused and confounding mess, Neelix is still strong in it nonetheless! He does everything in his power to support the effort to get Kes out of her supernatural coma. Most importantly, he figures out the loophole via an old anecdote about an ancient king requesting an audience with the spirits, which Janeway pounces on.

I’m tired of being the target of all your hostility Sure, most of the time, you can view Neelix’s interactions with Tuvok as insufferable and tone deaf (much like I frequently find Archer’s constant needling of T’Pol in Enterprise), but it comes from a place of love and respect. It takes Tuvok several seasons to reciprocate this and it all starts in “Rise” when Neelix finally stands up for himself to the tactless Vulcan.

Intergalactic House of Pancakes As the Voyager’s morale officer, Neelix commonly goes out of his way to support his fellow crew members. It’s something a ship’s counselor should be doing, but we don’t have one of those. So Neelix takes it upon himself to offer comfort food (like blood pie in “Day of Honor” and banana pancakes in “Extreme Risk”), a shoulder to cry on, or his body in the form of a punching bag.

Flotter and the Crashed Shuttlepod We get more of caregiver Neelix in his relationship with Naomi Wildman throughout the show. As the girl’s godfather, he’s the only one who can get her to bed at night, with stories of the Great Forest in “Mortal Coil.” But he truly shines in “Once Upon a Time” when his impulse is to protect her from the possibility her mother could die, but it ends with both he and Naomi growing when he learns that being honest with her will help them better survive trauma together.

When is a Vulcan no longer a Vulcan? We loved the vulnerable, un-Vulcan Tuvok in “Riddles” and we love Neelix in this episode even more. Once again, he shows what a great caregiver he is by selflessly caring for others. It’s even more personal because the Tuvok-Neelix relationship has built over the show, so Neelix’s support of his friend really pulls at your heartstrings, especially with the heart-wrenching ending.

See anyone you know? Neelix gets two different farewell scenes with Kes in Voyager. The first is a touching goodbye in “The Gift” when they know Kes is transcending to a new type of Ocampan. The second might be the only good moment from the deeply problematic “Fury” in which a tormented Kes is rampaging around the ship but Neelix treats her with the affection and empathy he always has.

She’s a fine specimen of Klingon womanhood I ran out of room in the EMH post to include how uncomfortable I felt when he insists Harry Kim bang Officer Ch’Rega in “Prophecy” even though it’s clear Kim doesn’t consent. But you know who’s down to clown with a Klingon mistress? Neelix! He successfully gets the tall drink of bloodwine off of Harry’s ass and onto his own. Everyone wins! Qapla’!

Coming full circle Neelix’s character gets the perfect ending in “Homestead.” See above how we started the series with Neelix feeling guilty that he wasn’t there during the Talaxian-Haakonian war and accepting that he’ll never go home again. And here we see him off after he’s saved a lost Talaxian colony and gets to rejoin his people. It’s the most complete character arc of the show.

—

Worst moments

Always let your scavenger be your guide This isn’t all to say Neelix is a perfect angel. We first meet him when he’s scavenging around in “Caretaker,” and the very first thing he does is trick the Voyager into helping him free Kes from the Kazons who have captured her. Which is admirable, mind you, but he goes about it through deception and cunning. Not the best impression to make for the first time we encounter him.

Your ceiling is hideous This is one of those moments that isn’t entirely Neelix’s fault, but is definitely bad for him. What’s a better way to respond to having your lungs stolen from you as his were in “Phage”? I’m not sure, but it’s probably not constantly whining, wallowing in self pity, and accusing Kes of having an affair with Tom. Not a good look, though I certainly can’t say I’d handle it much better.

You don’t know where I was the night Rinax was destroyed As we said above, Neelix’s backstory that comes out in “Jetrel” really deepens his character. It’s also where we learn that he dodged the draft during the Talaxian-Haakonian war. I can’t judge him for hiding from a war he doesn’t believe in, but I sure can judge him for lying for many years that he was actually in the defense forces because he was ashamed for being a coward.

Get the cheese to sickbay This one’s just silly. What a strange development that it turns out the reason the ship is malfunctioning all over the place in “Learning Curve” is because the brill cheese Neelix whipped up to attempt to make macaroni and cheese. The schplict that Neelix brings on board infects the bio-neural circuitry of the ship, and it feels like a joke more than anything else.

Order the diapers. We’re about to become parents. Let’s put aside the “Kes is only two years old!” argument that we’ve had on the podcast myriad times, and instead have the “Neelix is a possessive and selfish partner” argument that’s actually warranted. In “Elogium,” when Kes is going through a traumatic life stage that forces her to decide if she’s ready to have children, Neelix somehow makes it all about him, which is gross.

How do you know where everyone’s quarters are? Speaking of Neelix being a bad boyfriend, he continues to be a controlling, jealous piece of shit in “Twisted.” Not only does he whine when Tom gives Kes a birthday present, but he also accuses her of being the town pump because her eidetic memory makes her remember where everyone’s quarters are. And then he vanishes randomly and we never get an apology!

Food fight! Most of these bad Neelix moments are clumped in the first couple of seasons, and that’s because it’s here at “Parturition” that the writers realized they needed to stop leaning on the jealous boyfriend trope and fix the Neelix-Paris relationship. It really was that bad. They were such children, starting a food fight over Kes and acting like animals during mating season.

No bone about it Remember how we gave Chakotay credit for not going out of his way not to desecrate a gravesite in “Emanations”? Apparently Neelix has no such qualms. He’s really gung ho to make some tools out of some humanoid bones he and Hogan find in “Basics.” And sadly for us, it ends up with Hogan getting killed by whatever monster or other left those bones there!

None of us knows what’s coming This episode would have made way more sense if it happened a season earlier. By “Fair Trade,” midway through season three, Neelix should know better that he doesn’t have to prove himself around his found family on the Voyager. But instead, he throws Tom and Chakotay under the bus and threatens his own life so he can get a map and continue to be the quadrant expert.

You sound as though you’re saying goodbye It’s not often that you’ll find one of our moments be a scene that didn’t happen. When Neelix resorts to a certainly suicidal plan to trick the black market dealers in “Fair Trade,” he thinks he’s going to die, but he never has a scene with Kes. I can’t forgive the writers for cutting a scene of him saying goodbye to Kes, who has ONE inconsequential line in the whole episode.

I want to hear about the Great Forest again If we can give Torres shit for how poorly she deals with trauma in “Extreme Risk,” then we can also share the disapproval for Neelix with how abysmally he deals with his mortality in “Mortal Coil,” as he nearly spaces himself. This is another reason why it’s clear the Voyager needs a counselor because even if the crew knew how to ask for help (they don’t), there’s no one to ask.

All we need now is a mark Being such a people person, Neelix also gets himself into trouble by being way too trusting. He easily falls for Dala’s nun story in “Live Fast and Prosper” like an absolute rube. And then when he and Tom are trying to prove they’re not rubes, Neelix picks the EMH to play a shell game against, who is absolutely the wrong mark. What a couple of rubes.

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We’ve already had two helpings of Leola root and it’s time for dessert. Join us for more character spotlights as we continue through the Voyager manifest next week, and also keep following as we near the end of our Enterprise watch over on SoundCloud or wherever you get your podcasts. You can also join us in the mess hall over on Facebook and Twitter, and give Neelix the credit he deserves!