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Flour and water, meemaw. Flour and water.

I’ve had it with these motherfucking Quetzalcoatls on this motherfucking airship.

You wouldn’t expect more (or less) primary causes if more secondary causes were reported in multifactorial deaths. I’d imagine the fact that in the US CMS adopted ICD-10 in 2015 and the rapid rise after would make that obvious enough. Unless you believe there’s some pre-COVID etiology for malnutrition that explains the jump I’m not seeing.

Dunno. I’m a US nurse. I don’t know how France does their death certificates. Wouldn’t surprise me that they’re more granular though.

Be aware, very old people die from this as a secondary cause from a primary of Alzheimer’s and other dementias. They just stop eating. It’s a misleading statistic to use to identify poverty based malnutrition. It’s a very common diagnosis in terminal patients. And the way US billing works, getting the most diagnosis codes recorded is important for reimbursement. It’s likely the cause for this disparity.

Edit: yeah 2015 is when ICD-10 adoption and cms billing changes went into play. And then the rate quadrupled. This is an artifact of the US’s dumb private/public insurance model for end of life as more people gamed the system for reimbursement. The spread of billing practices over time.

I have certainly experienced epididymal hypertension before and can assure you it’s a real thing that feels like getting kicked in the nuts. But it only happened once.

Trollfoot.

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And nurses I guess.

Which is great, but realize the implications of industrial self milking: even if you can still produce milk for a bit after weening time with hormone supplements you will run dry until you have another kid. They’re just popping them out to keep up their milk production.

Smell your own cooking.

Sex number.

Compared to what, a member of the Walton family?

Depends on the grocery store and how loss leader they’re playing. Giant eagles fried chicken remains an incredible deal for such an overpriced store. Wegmans by comparison ain’t going to save you a buck on prepared food but it’ll usually be pretty good.

Man I used to really love going to cinnabon and orange Julius

I prefer calling them genocidaires.