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🧵 Thread (23 tweets)

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UltimApe@ultimape• over 6 years ago

I thought this was actually about having the baby contact your vaginal bacteria to avoid stuff like autism. But it turns out it may be about inducing breastfeeding. Apparently after going under an operation, it might be challenging to ensure this happens? https://t.co/wcMljpjaOH https://t.co/QdpgX3CQmi

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

I would expect they don't charge you for it if you haven't gone thru a C-section? Researching it now. Its interesting to read the clinical trial on this topic; https://t.co/65j1fb6IKY

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

Neonatal Pain Scale looks... weird. Given what I know about the failures in raiting autistic/non-verbal individuals in pain scales, the idea that they use a simlar facial proxy for pain in infants bothers me quite a bit.https://t.co/BhjZc0PEN5

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

Another oddity in infant pain rating system is use of 'cry' and 'expression'.From what understand, we don't know a lot on the topic of autistic cries, b/c detection in infant is hard."It’s unclear if the human ear is sensitive enough to detect this."https://t.co/tcpaghpkBn

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

That photograph of the skin-to-skin charge is from 2016https://t.co/XaiJrLc5W9

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

Second comment on the Reddit post that is from is telling. TL;DR: people don't understand how medical billing systems work, and how documenting procedures via billing reciept is just how these systems are set up.https://t.co/civi1QdGHF https://t.co/cpwNWB9n1N

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

So, perhaps not so much a nail in the side of capitalism, but more just how fucking shitty our medical billing systems are. https://t.co/AuZxvmT16B

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

This speaks volumes about how misinformation and ideological framing thru narration of the downfall of western society. A reddit post, turned story from 2016, based on a misinterpretation of how medical coding works, is reparroted in 2019 to boost an meme about capitalism. 😅 https://t.co/Iv5Q9qI3sU

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

What's fun, the fuck who posted that intentionally cut off the dates. Here's the other half. https://t.co/ca67y8hMTo

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

Don't get me wrong, I'm not saying that what's happening in that image is kosher or ok. If anything I do agree with it being shitty, but not 'because capitalism', or rather, I think that is poor simplification.My thinking aligns with this:https://t.co/zFh5FgTBko

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

Mostly I just don't like feeling manipulated. The framing of this seems disingenuous, and combined with the nebulousness of medical billing practices its just a recipe for misinformation. Solving problems in society isn't going to happen if we don't understand them accurately.

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

I don't even think this is intentional by @benkling, at least not directly. His tweet feed is full of memes & renarrativization of stale memes - making jokes. This one just happened to hit a zeitgeist / 'big mood'.I wonder how many RTs are bots trying to target controversy.

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

I suspect that image's cropping itself was done somewhere upstream of where it was sourced. A lot of times these things are passed around in subreddits / back-and-forth among tumblr until one of the memes hits a nerve.It's this effect in action: https://t.co/pjOaH6v0GL

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

Found another reddit post with a similar cropping.https://t.co/cIEL26xkgD but it was posted a ~day after the twitter one? (not confident in how twitter and reddit timezone reinterpretations mesh)So it's gone full circle. 🔄

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

I've seen worse things in billing systems. I'd bet money the charge is there because of a workaround for an crufty report generator code that doesn't let you put on a line item unless it has a quantity and rate? I smell ancient JAVA, COBOL or MUMPs monstrosity with shit database.

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

Hmm, I still can't tell if it's for logging or actually an extra charge."the additional services are typically added to the claim using internally developed 'charge codes' rather than ICD or CPT procedure codes."https://t.co/2ws1mW4swcvia https://t.co/BTss7UhWWe https://t.co/i16AhnNjaV

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

That it is an "itemized statement of services" suggests to me that they are using it as a receipt of sorts. Logging that a certain action was done (such as skin-to-skin) makes a bit of sense.

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

Welp."Utah Valley Hospital spokesperson Janet Frank clarified that the $39 charge was for an extra supervising nurse in the operating room and not for Grassley to hold his son up to his wife’s neck and chest during the skin-to-skin contact process."https://t.co/JEkxAuW9zD

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

haha, he raided $145 on a gofundme.https://t.co/5NaPslDYwmThe irony is that most of his bill (88%) was covered by the insurance. He effectively only paid $4.82 to have the nurse there to take his picture and supervise.

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

A quick look online suggest that a midwife charges upwards of $5000 on top of about $800 in supplies.IMHO, the real issue here that no one really notices is the difficulty of having insurance pay for midwives.https://t.co/p2GTX3GITp

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

You can have your baby delivered in panama for like $200 at a hospital w/ no insurance. They're a capitalist / free market economy.This isn't really a capitalism thing. It's a shitty american medical system thing.

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

This is adorable.https://t.co/M4Sbf3NuIy

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3/12/2019
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UltimApe@ultimape• over 6 years ago
Replying to @ultimape

I wonder how much harssment this guy gets. I know I'm not the only one who can do this research.I think the kids going to be alright."Gonna have to raise the price on hugs for this kid."https://t.co/fBGeTjypmk

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3/12/2019