I am furious with @PayPal - maybe they’ll actually fix this issue if I complain about it publicly.
I ordered my mom a present through PayPal and bought three of the item. After a couple of weeks I was sent shipping info that didn’t have any actual info. 1/
Two months later there is still no info and the items have not arrived. I contact the seller on two emails and get no response. I file a dispute and PayPal reached out to the seller who just told me it was shipped. 2/
I keep waiting and it shows up except there is only one of the three items I bought! So I contact the seller again with no response. I open another dispute with PayPal and after a while they tell me I have to file a formal crime report. 3/
So I waste more time doing that and send them the documentation. Nearly a week later they say they have a resolution - I can get a refund if I just ship the one item I received all the way back to Vietnam at MY cost. 4/
This is of course ridiculous as I shouldn’t have to spend more money to just get what I ordered or to get a refund. So I log back into the resolution center and there is no way to contact PayPal to discuss this. 5/
It’s either throw more money away and hope I get the rest of the refund or just deal with the money I already lost. I either want the other two items I ordered or want a refund of them. This is not that hard - just give me what I paid for or refund it! 😡 6/6
Update: They told me I had to pay to send back the one item but they could pay $30 toward the shipping.
After more arguing they finally agreed to give me a refund. So it wasted a ton of my time, but at least PayPal helped in the end!
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At the request of several people, here is a thread on acute liver failure and decompensated cirrhosis in the ICU. Disclaimer: This is a broad overview of some key issues, but I am not a hepatologist. 1/
Let's start with a definition of acute liver failure (different from decompensated cirrhosis): It is characterized by acute liver injury, hepatic encephalopathy, and an elevated INR in a patient without cirrhosis or preexisting liver disease. 2/
Let's talk about variceal hemorrhage. It has a 15-20% 30 day mortality. Note that portal hypertensive gastropathy is common, but is uncommonly a cause of significant bleeding. EGD for PHG shows friable mucosa with diffuse mucosal oozing. 3/
Well, friends, today was my last shift in NYC after 5 weeks. I’ve worked 28 12-hour shifts in the last 33 days. I head home tomorrow completely exhausted. I am so excited to see my pets & play my piano & ride my bike, but I will miss my new friends & my patients here dearly. 1/
Things have calmed down a lot since I started here, but I’ve still only cared for a handful of patients without COVID. The ICUs are still full and I was in a pop-up ICU the last few weeks. I am worried about people relaxing and allowing a second wave. 2/
These hospitals will still be full with these patients for a long time due to the prolonged courses of COVID, and they will not be able to accommodate a second wave. 3/
Great keynote address at the @APCCMPD virtual conference this morning by Dr. Robert Arnold on "Teaching Fellows Communication Skills: How to Fit It in a Busy Practice." See the thread below for some tips! 1/
What does it take to learn? 1. Deliberate practice (and safe failure). 2. Repetitive retrieval 3. Spaced learning
2/
What have we learned about teachers? 1. Concern for learner experience ("I didn't want her to feel bad/diminished") 2. Want to give tools ("Here is a way to approach bad news") 3. Feel responsible to give feedback ("How will they improve otherwise?")
3/
So, I’ve been reading “Grit: The Power of Passion and Perseverance” and was thinking about doing a “book club” of sorts, for those of you who are interested in reading along, or simply learning some of the lessons I glean from the book. Please follow this thread and grow with me!
In the preface @angeladuckw talks about how her father commented frequently on how she wasn’t a genius, but ultimately she found that grit overcame this perceived intellectual gap and she went on to win the MacArthur Genius Grant.
In chapter 1 she discusses the rigors of the “Beast” training at Westpoint. They found that those who completed the training were not more talented, but grittier and had a “never give up” attitude.