The Sly Cooper Trilogy +/- Thieves in Time

This is incorrect. You just can’t switch manufacturers easily if you’re stable on one. But that’s not a brand vs generic thing, that’s an any manufacturer to any-other manufacturer thing. Same with warfarin, narrow-therapeutic index antiepileptics, etc.

No idea unfortunately, but definitely not to release pressure. You don’t get air in your brain, it’s all fluid. Outside of the hospital, all the drains drain to somewhere internal, usually the abdominal cavity

Am doctor. Outside of very rare and specific causes of headache, no this wouldn’t fix anything, just put you at risk for infections.

Am a doctor, this wasn’t actually a migraine and is not how migraines happen. Shunts are placed for elevated intracranial pressure, which can occur for a number of reasons, and do cause headaches. But it’s a very uncommon cause of headaches and a shunt will not fix your actual migraines or tension headaches.

Cellular insulin resistance is the definition of Type II diabetes

Statistically? Cancer or heart disease.

It’s not that we don’t use mode, there are definitely times mode is used. It’s just that mean (and median as well) contain a lot more useful information about distributions that we often care about. For a normal distribution mean, median, and mode should all be identical. So why do we use mean? Because mathematically, the mean is what underpins the formula for the normal distribution, not median or mode, and when you’re talking about doing math with normal distributions mean is the thing to talk about (along with standard deviation).

We use median a lot too, you probably just don’t hear it called median very often. The median is useful in non-normal distributions, and it defines the 50th percentile, so along with the 25%-ile and 75%-ile you’ve got your quartile distributions. We use these all the time to talk about grades in schools, or when we talk about home prices distributions in a given area, or salaries within a given field.

We use mode too, again just by a different name most of the time. Any time you’ve asked “what’s the most common blank” you’re basically asking for a mode. When we talk about “average” income in a country, we’re usually actually talking about median or mode. Favorite animal? Answered as a mode.

You have to use the right statistical tool for your question: unfortunately English doesn’t do a good job of conveying this without math jargon.

I’m sorry you’re getting downvotes. I’m betting the bulk are because you’re in c/askscience saying you don’t have any evidence to support your question, but that’s kinda the whole reason to ask a question. You weren’t speculating in a top level comment so I think it’s rude to be downvoting. As far as I can tell you’re asking genuine questions which is kinda the whole point of this community. Fuck the haters, ask questions when you’re curious!

It’s awesome that you’re already setting some stuff up. Feel free to DM me if you’ve got any questions!

I’m putting in my rank list for EM right now. Some people certainly have some…peculiar…ideas about health and healthcare.

But most animals don’t leave it intact. They chew through it shortly after birth. You can’t really have a tissue that is sturdy enough to survive tension during fetal development and vaginal delivery that then instantly falls apart, so it has to be manually severed after delivery. The vast majority of mammals don’t let it stay attached for long at all, because their offspring are pretty mobile immediately after birth. From my reading of some of the random websites that recommend this, apparently it was based on the observations of a single species of higher ape (a chimp I think) that doesn’t sever the umbilical cord quickly. But when we have been severing cords as a species for generations and the vast majority of other mammals sever the cord with their teeth, I think the evolutionary biology evidence points towards severing the cord quickly.

Now evolutionary biology isn’t a solid basis for medical practice, but we don’t really have much scientific data at all to base this on at this point. There have been reports of increased rates of serious infections from the practice, which has face validity with the fact that you’re leaving a devascularized piece of tissue attached to the vascular system of neonate with an immature immune system. Outside of infection, there has been some case reports of polycythemia (excessively high red blood cell count) and jaundice in these infants. This makes sense physiologically. While attached to the placenta there is a greater intravascular volume available to the infant, which is the entire basis behind delayed cord cutting. It stands to reason that continuing to allow that extra blood volume to enter the infant would result in polycythemia and jaundice.

I’m not intimately familiar with the foundational literature by which the standard DCC cutoffs of 1 minutes or cessation of umbilical pulsatility were founded upon. There could be a very real argument for saying, should the time be 2 minutes? 5 minutes instead of 1? Or should we at least study it if it hasn’t been already?

In summary, we have a piece of dead/dying tissue attached to a physiologically stressed neonate with an immature immune system. Leaving it attached for days is in contradiction to the vast majority of other mammalian labor behaviors, is inconsistent with the majority of human’s labor history, and has a clear pathological mechanism by which the commonly reported complications can be easily explained. Without some legitimate evidence to actually support benefits or disprove the risks, I think this practice should be discouraged by healthcare professionals.

Well they don’t eat it to get it off of the baby. While I’m not a vet or a zoologist, my understanding is they eat it for the nutrients as well as to help remove the scent, and newborn animals are easy prey and targeted by predators.

Doesn’t actually belong to the baby, it’s a hybrid organ that contains DNA and tissue that comes from both the mother and the fetus.

I personally wouldn’t recommend it, I’ve seen babies die miserable deaths of sepsis and it’s heartbreaking. But I’m not going into pediatrics or OBGYN so thankfully this isn’t gonna be a discussion I have to have.

To somewhat play devil’s advocate, what’s wrong with a minute? What benefit are you expecting from leaving it on longer?

The long and the short is Delayed Cord Clamping is really the only thing we have data for, and that’s what we should do without evidence something else is better.

This is an alternative birth method called “lotus birth” or more formally “umbilical non-severance” in which babies are left tethered to the delivered placenta until their cord desiccates and detaches from their body on its own, usually in 3-10 days, while applying salt to the placenta to increase the speed at which it dries. It will eventually fall off, however, after its delivery the placenta is no longer being supplied with the oxygenated blood it needs to survive, and becomes necrotic (dead). This can act as an easy entry point for infectious organisms to enter the neonate, and can result in life-threatening infections. Neither the American College of Obstetrics or the American Academy of Pediatrics have explicit guidance statements as to whether this should be recommended against. AAP has published that there have been multiple case reports of severe infections with various bacteria secondary to this practice.

This should not be confused/conflated with Delayed Cord Clamping, which is waiting 30-60 seconds after the baby’s delivery for some of the residual fetal blood in the placenta to be delivered to the baby’s circulation to prevent anemia. This has good evidence for benefit to the baby, is recommended by ACOG, and is basically standard of care in the US.

Source: ACOG and AAP publications, also I’m a 4th year medical student that has completed OBGYN rotations

Oh, absolutely, there was going to have to be a discussion well before I would be willing to do that. I’d never take unilateral control of a player’s character like that

My table tends to not metagame at all, even in situations I really wish they would. I think of all the answers I’ve gotten, this is the most reasonable and actionable answer. Just remind the player more often. I’m gonna have to come up with a good way to not sound like a condescending asshole because this is the only player I’m going to have to do it to. It just sucks cause it’s one more thing I’ve gotta do while running combat. But that’s life I guess

That’s a really cool narrative way to go about fixing this, though it does feel kinda rail-roady. I’ll give it some thought.