GET https://kbin.spritesserver.nl/m/memes@lemmy.world/t/18577/We-don-t-accept-insurance/comment/181051/votes/down

Response
200 OK
IP
18.191.233.13
Profiled on
Token
0e8b6e

Security

Token

There is no security token.

Firewall

main Name
Security enabled
Stateless

Configuration

Key Value
provider security.user.provider.concrete.app_user_provider
context main
entry_point App\Security\KbinAuthenticator
user_checker App\Security\UserChecker
access_denied_handler (none)
access_denied_url (none)
authenticators 
[
  "two_factor"
  "remember_me"
  "App\Security\KbinAuthenticator"
  "App\Security\FacebookAuthenticator"
  "App\Security\GoogleAuthenticator"
  "App\Security\GithubAuthenticator"
  "App\Security\KeycloakAuthenticator"
]

Listeners

Listener Duration Response 
Symfony\Component\Security\Http\Firewall\ChannelListener {#723
  -map: Symfony\Component\Security\Http\AccessMap {#722 …}
  -logger: Monolog\Logger {#783 …}
  -httpPort: 80
  -httpsPort: 443
}
 0.00 ms (none) 
Symfony\Component\Security\Http\Firewall\ContextListener {#706
  -tokenStorage: Symfony\Component\Security\Core\Authentication\Token\Storage\TokenStorage {#1017 …}
  -sessionKey: "_security_main"
  -logger: Monolog\Logger {#783 …}
  -userProviders: Symfony\Component\DependencyInjection\Argument\RewindableGenerator {#705 …}
  -dispatcher: Symfony\Component\EventDispatcher\Debug\TraceableEventDispatcher {#747 …}
  -registered: false
  -trustResolver: Scheb\TwoFactorBundle\Security\Authentication\AuthenticationTrustResolver {#780 …}
  -sessionTrackerEnabler: Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage::enableUsageTracking(): void {#703 …}
}
 0.15 ms (none) 
Symfony\Component\Security\Http\Firewall\AuthenticatorManagerListener {#584
  -authenticatorManager: Symfony\Component\Security\Http\Authentication\AuthenticatorManager {#595 …}
}
 0.00 ms (none) 
Scheb\TwoFactorBundle\Security\Http\Firewall\TwoFactorAccessListener {#582
  -twoFactorFirewallConfig: Scheb\TwoFactorBundle\Security\TwoFactor\TwoFactorFirewallConfig {#842 …}
  -tokenStorage: Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage {#1018 …}
  -twoFactorAccessDecider: Scheb\TwoFactorBundle\Security\Authorization\TwoFactorAccessDecider {#581 …}
}
 0.06 ms (none) 
Symfony\Component\Security\Http\Firewall\AccessListener {#579
  -tokenStorage: Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage {#1018 …}
  -accessDecisionManager: Symfony\Component\Security\Core\Authorization\TraceableAccessDecisionManager {#937 …}
  -map: Symfony\Component\Security\Http\AccessMap {#722 …}
}
 0.00 ms (none) 
Symfony\Component\Security\Http\Firewall\LogoutListener {#786
  -tokenStorage: Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage {#1018 …}
  -options: [
    "csrf_parameter" => "_csrf_token"
    "csrf_token_id" => "logout"
    "logout_path" => "app_logout"
  ]
  -httpUtils: Symfony\Component\Security\Http\HttpUtils {#841 …}
  -csrfTokenManager: Symfony\Component\Security\Csrf\CsrfTokenManager {#1015 …}
  -eventDispatcher: Symfony\Component\EventDispatcher\Debug\TraceableEventDispatcher {#747 …}
}
 0.00 ms (none)

Authenticators

No authenticators have been recorded. Check previous profiles on your authentication endpoint.

Access Decision

affirmative Strategy
# Voter class
1 
"Symfony\Component\Security\Core\Authorization\Voter\AuthenticatedVoter"
2 
"Scheb\TwoFactorBundle\Security\Authorization\Voter\TwoFactorInProgressVoter"
3 
"Symfony\Component\Security\Core\Authorization\Voter\RoleHierarchyVoter"
4 
"Symfony\Component\Security\Core\Authorization\Voter\ExpressionVoter"
5 
"App\Security\Voter\EntryCommentVoter"
6 
"App\Security\Voter\EntryVoter"
7 
"App\Security\Voter\MagazineVoter"
8 
"App\Security\Voter\MessageThreadVoter"
9 
"App\Security\Voter\MessageVoter"
10 
"App\Security\Voter\NotificationVoter"
11 
"App\Security\Voter\OAuth2UserConsentVoter"
12 
"App\Security\Voter\PostCommentVoter"
13 
"App\Security\Voter\PostVoter"
14 
"App\Security\Voter\UserVoter"

Access decision log

# Result Attributes Object
1 DENIED ROLE_USER 
null
 
"Scheb\TwoFactorBundle\Security\Authorization\Voter\TwoFactorInProgressVoter"
 ACCESS ABSTAIN 
"Symfony\Component\Security\Core\Authorization\Voter\RoleHierarchyVoter"
 ACCESS DENIED 
"App\Security\Voter\EntryCommentVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\EntryVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\MagazineVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\MessageThreadVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\MessageVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\NotificationVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\OAuth2UserConsentVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\PostCommentVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\PostVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\UserVoter"
 ACCESS ABSTAIN
Show voter details
2 DENIED moderate 
App\Entity\EntryComment {#1365
  +user: Proxies\__CG__\App\Entity\User {#1378 …}
  +entry: App\Entity\Entry {#1810 …}
  +magazine: App\Entity\Magazine {#313
    +icon: Proxies\__CG__\App\Entity\Image {#294 …}
    +name: "memes@lemmy.world"
    +title: "memes"
    +description: """
      Community rules\n
      ---------------\n
      \n
      1. Be civilNo trolling, bigotry or other insulting / annoying behaviour\n
      \n
      2. No politicsThis is non-politics community. For political memes please go to [!politicalmemes@lemmy.world](https://lemmy.world/c/politicalmemes)\n
      \n
      3. No recent repostsCheck for reposts when posting a meme, you can only repost after 1 month\n
      \n
      4. No botsNo bots without the express approval of the mods or the admins\n
      \n
      5. No Spam/AdsNo advertisements or spam. This is an instance rule and the only way to live.\n
      \n
      \n
      \n
      Sister communities\n
      ------------------\n
      \n
      - [!tenforward@lemmy.world](https://lemmy.world/c/tenforward) : Star Trek memes, chat and shitposts\n
      - [!lemmyshitpost@lemmy.world](https://lemmy.world/c/lemmyshitpost) : Lemmy Shitposts, anything and everything goes.\n
      - [!linuxmemes@lemmy.world](https://lemmy.world/c/linuxmemes) : Linux themed memes\n
      - [!comicstrips@lemmy.world](https://lemmy.world/c/comicstrips) : for those who love comic stories.
      """
    +rules: null
    +subscriptionsCount: 1
    +entryCount: 1112
    +entryCommentCount: 22597
    +postCount: 0
    +postCommentCount: 0
    +isAdult: false
    +customCss: null
    +lastActive: DateTime @1729581796 {#323
      date: 2024-10-22 09:23:16.0 +02:00
    }
    +markedForDeletionAt: null
    +tags: null
    +moderators: Doctrine\ORM\PersistentCollection {#285 …}
    +ownershipRequests: Doctrine\ORM\PersistentCollection {#281 …}
    +moderatorRequests: Doctrine\ORM\PersistentCollection {#270 …}
    +entries: Doctrine\ORM\PersistentCollection {#228 …}
    +posts: Doctrine\ORM\PersistentCollection {#186 …}
    +subscriptions: Doctrine\ORM\PersistentCollection {#248 …}
    +bans: Doctrine\ORM\PersistentCollection {#165 …}
    +reports: Doctrine\ORM\PersistentCollection {#151 …}
    +badges: Doctrine\ORM\PersistentCollection {#129 …}
    +logs: Doctrine\ORM\PersistentCollection {#119 …}
    +awards: Doctrine\ORM\PersistentCollection {#108 …}
    +categories: Doctrine\ORM\PersistentCollection {#95 …}
    -id: 78
    +apId: "memes@lemmy.world"
    +apProfileId: "https://lemmy.world/c/memes"
    +apPublicUrl: "https://lemmy.world/c/memes"
    +apFollowersUrl: "https://lemmy.world/c/memes/followers"
    +apInboxUrl: "https://lemmy.world/inbox"
    +apDomain: "lemmy.world"
    +apPreferredUsername: "memes"
    +apDiscoverable: true
    +apManuallyApprovesFollowers: null
    +privateKey: null
    +publicKey: null
    +apFetchedAt: DateTime @1728743545 {#317
      date: 2024-10-12 16:32:25.0 +02:00
    }
    +apDeletedAt: null
    +apTimeoutAt: null
    +visibility: "visible             "
    +createdAt: DateTimeImmutable @1699084255 {#316
      date: 2023-11-04 08:50:55.0 +01:00
    }
  }
  +image: null
  +parent: null
  +root: null
  +body: """
    Unfortunately doctors have no magic fixes for back pain related to muscular strains or degenerative disease/arthritis, which is most back pain. Treatments are basically physical therapy and nsaid medications. Surgery for low back pain from degenerative disease/arthritis alone has poor evidence with most randomized trials suggesting no difference. Even opiates fail to show any superiority over nsaids (like ibuprofen or naproxen) for back pain. Not saying don’t see your doctor about bad persistent back pain, there’s always edge cases or bizarre causes that may need addressing. But unfortunately no magic bullet for the vast majority of typical low back pain.\n
    \n
    Review on surgery indications in back pain ncbi.nlm.nih.gov/pmc/articles/PMC10107811/#mja251…\n
    \n
    Randomized trial of opioid and nsiads in back pain, hip pain, and knee pain from degenerative disease/arthritis [pubmed.ncbi.nlm.nih.gov/29509867/](https://pubmed.ncbi.nlm.nih.gov/29509867/)\n
    \n
    Also, I know it’s a meme, but the billing code doctors use for even the most complicated of visits going over an hour and involving multiple potentially life threatening conditions or treatments isn’t anywhere close to $3000. Let alone a visit for routine back pain which wouldn’t qualify for anything like the highest billing codes.
    """
  +lang: "en"
  +isAdult: false
  +favouriteCount: 5
  +score: 0
  +lastActive: DateTime @1702376325 {#1605
    date: 2023-12-12 11:18:45.0 +01:00
  }
  +ip: null
  +tags: [
    "mja251"
  ]
  +mentions: [
    "@Stamets@startrek.website"
  ]
  +children: Doctrine\ORM\PersistentCollection {#1370 …}
  +nested: Doctrine\ORM\PersistentCollection {#1375 …}
  +votes: Doctrine\ORM\PersistentCollection {#2424 …}
  +reports: Doctrine\ORM\PersistentCollection {#1898 …}
  +favourites: Doctrine\ORM\PersistentCollection {#1841 …}
  +notifications: Doctrine\ORM\PersistentCollection {#2354 …}
  -id: 181051
  -bodyTs: "'/29509867/](https://pubmed.ncbi.nlm.nih.gov/29509867/)':132 '/pmc/articles/pmc10107811/#mja251':112 '3000':171 'address':88 'alon':38,173 'also':133 'alway':79 'anyth':185 'anywher':168 'back':8,20,33,63,75,101,108,120,178 'bad':73 'basic':24 'bill':142,189 'bizarr':83 'bullet':93 'case':81 'caus':84 'close':169 'code':143,190 'complic':150 'condit':163 'degen':15,36,128 'differ':48 'disease/arthritis':16,37,129 'doctor':2,71,144 'edg':80 'even':49,147 'evid':41 'fail':51 'fix':6 'go':153 'highest':188 'hip':122 'hour':156 'ibuprofen':59 'indic':106 'involv':158 'isn':166 'knee':125 'know':135 'let':172 'life':161 'like':58,186 'low':32,100 'magic':5,92 'major':97 'may':86 'medic':29 'meme':139 'multipl':159 'muscular':12 'naproxen':61 'ncbi.nlm.nih.gov':111 'ncbi.nlm.nih.gov/pmc/articles/pmc10107811/#mja251':110 'need':87 'nsaid':28,57 'nsiad':118 'opiat':50 'opioid':116 'pain':9,21,34,64,76,102,109,121,123,126,179 'persist':74 'physic':25 'poor':40 'potenti':160 'pubmed.ncbi.nlm.nih.gov':131 'pubmed.ncbi.nlm.nih.gov/29509867/](https://pubmed.ncbi.nlm.nih.gov/29509867/)':130 'qualifi':183 'random':44,113 'relat':10 'review':103 'routin':177 'say':66 'see':69 'show':53 'strain':13 'suggest':46 'superior':55 'surgeri':30,105 'therapi':26 'threaten':162 'treatment':22,165 'trial':45,114 'typic':99 'unfortun':1,90 'use':145 'vast':96 'visit':152,175 'wouldn':181"
  +ranking: 0
  +commentCount: 0
  +upVotes: 0
  +downVotes: 0
  +visibility: "visible             "
  +apId: "https://sopuli.xyz/comment/5025209"
  +editedAt: DateTimeImmutable @1702338494 {#1377
    date: 2023-12-12 00:48:14.0 +01:00
  }
  +createdAt: DateTimeImmutable @1701356738 {#1927
    date: 2023-11-30 16:05:38.0 +01:00
  }
}
 
"Scheb\TwoFactorBundle\Security\Authorization\Voter\TwoFactorInProgressVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\EntryCommentVoter"
 ACCESS DENIED 
"App\Security\Voter\EntryVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\MagazineVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\MessageThreadVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\MessageVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\NotificationVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\OAuth2UserConsentVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\PostCommentVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\PostVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\UserVoter"
 ACCESS ABSTAIN
Show voter details
3 DENIED edit 
App\Entity\EntryComment {#1365
  +user: Proxies\__CG__\App\Entity\User {#1378 …}
  +entry: App\Entity\Entry {#1810 …}
  +magazine: App\Entity\Magazine {#313
    +icon: Proxies\__CG__\App\Entity\Image {#294 …}
    +name: "memes@lemmy.world"
    +title: "memes"
    +description: """
      Community rules\n
      ---------------\n
      \n
      1. Be civilNo trolling, bigotry or other insulting / annoying behaviour\n
      \n
      2. No politicsThis is non-politics community. For political memes please go to [!politicalmemes@lemmy.world](https://lemmy.world/c/politicalmemes)\n
      \n
      3. No recent repostsCheck for reposts when posting a meme, you can only repost after 1 month\n
      \n
      4. No botsNo bots without the express approval of the mods or the admins\n
      \n
      5. No Spam/AdsNo advertisements or spam. This is an instance rule and the only way to live.\n
      \n
      \n
      \n
      Sister communities\n
      ------------------\n
      \n
      - [!tenforward@lemmy.world](https://lemmy.world/c/tenforward) : Star Trek memes, chat and shitposts\n
      - [!lemmyshitpost@lemmy.world](https://lemmy.world/c/lemmyshitpost) : Lemmy Shitposts, anything and everything goes.\n
      - [!linuxmemes@lemmy.world](https://lemmy.world/c/linuxmemes) : Linux themed memes\n
      - [!comicstrips@lemmy.world](https://lemmy.world/c/comicstrips) : for those who love comic stories.
      """
    +rules: null
    +subscriptionsCount: 1
    +entryCount: 1112
    +entryCommentCount: 22597
    +postCount: 0
    +postCommentCount: 0
    +isAdult: false
    +customCss: null
    +lastActive: DateTime @1729581796 {#323
      date: 2024-10-22 09:23:16.0 +02:00
    }
    +markedForDeletionAt: null
    +tags: null
    +moderators: Doctrine\ORM\PersistentCollection {#285 …}
    +ownershipRequests: Doctrine\ORM\PersistentCollection {#281 …}
    +moderatorRequests: Doctrine\ORM\PersistentCollection {#270 …}
    +entries: Doctrine\ORM\PersistentCollection {#228 …}
    +posts: Doctrine\ORM\PersistentCollection {#186 …}
    +subscriptions: Doctrine\ORM\PersistentCollection {#248 …}
    +bans: Doctrine\ORM\PersistentCollection {#165 …}
    +reports: Doctrine\ORM\PersistentCollection {#151 …}
    +badges: Doctrine\ORM\PersistentCollection {#129 …}
    +logs: Doctrine\ORM\PersistentCollection {#119 …}
    +awards: Doctrine\ORM\PersistentCollection {#108 …}
    +categories: Doctrine\ORM\PersistentCollection {#95 …}
    -id: 78
    +apId: "memes@lemmy.world"
    +apProfileId: "https://lemmy.world/c/memes"
    +apPublicUrl: "https://lemmy.world/c/memes"
    +apFollowersUrl: "https://lemmy.world/c/memes/followers"
    +apInboxUrl: "https://lemmy.world/inbox"
    +apDomain: "lemmy.world"
    +apPreferredUsername: "memes"
    +apDiscoverable: true
    +apManuallyApprovesFollowers: null
    +privateKey: null
    +publicKey: null
    +apFetchedAt: DateTime @1728743545 {#317
      date: 2024-10-12 16:32:25.0 +02:00
    }
    +apDeletedAt: null
    +apTimeoutAt: null
    +visibility: "visible             "
    +createdAt: DateTimeImmutable @1699084255 {#316
      date: 2023-11-04 08:50:55.0 +01:00
    }
  }
  +image: null
  +parent: null
  +root: null
  +body: """
    Unfortunately doctors have no magic fixes for back pain related to muscular strains or degenerative disease/arthritis, which is most back pain. Treatments are basically physical therapy and nsaid medications. Surgery for low back pain from degenerative disease/arthritis alone has poor evidence with most randomized trials suggesting no difference. Even opiates fail to show any superiority over nsaids (like ibuprofen or naproxen) for back pain. Not saying don’t see your doctor about bad persistent back pain, there’s always edge cases or bizarre causes that may need addressing. But unfortunately no magic bullet for the vast majority of typical low back pain.\n
    \n
    Review on surgery indications in back pain ncbi.nlm.nih.gov/pmc/articles/PMC10107811/#mja251…\n
    \n
    Randomized trial of opioid and nsiads in back pain, hip pain, and knee pain from degenerative disease/arthritis [pubmed.ncbi.nlm.nih.gov/29509867/](https://pubmed.ncbi.nlm.nih.gov/29509867/)\n
    \n
    Also, I know it’s a meme, but the billing code doctors use for even the most complicated of visits going over an hour and involving multiple potentially life threatening conditions or treatments isn’t anywhere close to $3000. Let alone a visit for routine back pain which wouldn’t qualify for anything like the highest billing codes.
    """
  +lang: "en"
  +isAdult: false
  +favouriteCount: 5
  +score: 0
  +lastActive: DateTime @1702376325 {#1605
    date: 2023-12-12 11:18:45.0 +01:00
  }
  +ip: null
  +tags: [
    "mja251"
  ]
  +mentions: [
    "@Stamets@startrek.website"
  ]
  +children: Doctrine\ORM\PersistentCollection {#1370 …}
  +nested: Doctrine\ORM\PersistentCollection {#1375 …}
  +votes: Doctrine\ORM\PersistentCollection {#2424 …}
  +reports: Doctrine\ORM\PersistentCollection {#1898 …}
  +favourites: Doctrine\ORM\PersistentCollection {#1841 …}
  +notifications: Doctrine\ORM\PersistentCollection {#2354 …}
  -id: 181051
  -bodyTs: "'/29509867/](https://pubmed.ncbi.nlm.nih.gov/29509867/)':132 '/pmc/articles/pmc10107811/#mja251':112 '3000':171 'address':88 'alon':38,173 'also':133 'alway':79 'anyth':185 'anywher':168 'back':8,20,33,63,75,101,108,120,178 'bad':73 'basic':24 'bill':142,189 'bizarr':83 'bullet':93 'case':81 'caus':84 'close':169 'code':143,190 'complic':150 'condit':163 'degen':15,36,128 'differ':48 'disease/arthritis':16,37,129 'doctor':2,71,144 'edg':80 'even':49,147 'evid':41 'fail':51 'fix':6 'go':153 'highest':188 'hip':122 'hour':156 'ibuprofen':59 'indic':106 'involv':158 'isn':166 'knee':125 'know':135 'let':172 'life':161 'like':58,186 'low':32,100 'magic':5,92 'major':97 'may':86 'medic':29 'meme':139 'multipl':159 'muscular':12 'naproxen':61 'ncbi.nlm.nih.gov':111 'ncbi.nlm.nih.gov/pmc/articles/pmc10107811/#mja251':110 'need':87 'nsaid':28,57 'nsiad':118 'opiat':50 'opioid':116 'pain':9,21,34,64,76,102,109,121,123,126,179 'persist':74 'physic':25 'poor':40 'potenti':160 'pubmed.ncbi.nlm.nih.gov':131 'pubmed.ncbi.nlm.nih.gov/29509867/](https://pubmed.ncbi.nlm.nih.gov/29509867/)':130 'qualifi':183 'random':44,113 'relat':10 'review':103 'routin':177 'say':66 'see':69 'show':53 'strain':13 'suggest':46 'superior':55 'surgeri':30,105 'therapi':26 'threaten':162 'treatment':22,165 'trial':45,114 'typic':99 'unfortun':1,90 'use':145 'vast':96 'visit':152,175 'wouldn':181"
  +ranking: 0
  +commentCount: 0
  +upVotes: 0
  +downVotes: 0
  +visibility: "visible             "
  +apId: "https://sopuli.xyz/comment/5025209"
  +editedAt: DateTimeImmutable @1702338494 {#1377
    date: 2023-12-12 00:48:14.0 +01:00
  }
  +createdAt: DateTimeImmutable @1701356738 {#1927
    date: 2023-11-30 16:05:38.0 +01:00
  }
}
 
"Scheb\TwoFactorBundle\Security\Authorization\Voter\TwoFactorInProgressVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\EntryCommentVoter"
 ACCESS DENIED 
"App\Security\Voter\EntryVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\MagazineVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\MessageThreadVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\MessageVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\NotificationVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\OAuth2UserConsentVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\PostCommentVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\PostVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\UserVoter"
 ACCESS ABSTAIN
Show voter details
4 DENIED moderate 
App\Entity\EntryComment {#1365
  +user: Proxies\__CG__\App\Entity\User {#1378 …}
  +entry: App\Entity\Entry {#1810 …}
  +magazine: App\Entity\Magazine {#313
    +icon: Proxies\__CG__\App\Entity\Image {#294 …}
    +name: "memes@lemmy.world"
    +title: "memes"
    +description: """
      Community rules\n
      ---------------\n
      \n
      1. Be civilNo trolling, bigotry or other insulting / annoying behaviour\n
      \n
      2. No politicsThis is non-politics community. For political memes please go to [!politicalmemes@lemmy.world](https://lemmy.world/c/politicalmemes)\n
      \n
      3. No recent repostsCheck for reposts when posting a meme, you can only repost after 1 month\n
      \n
      4. No botsNo bots without the express approval of the mods or the admins\n
      \n
      5. No Spam/AdsNo advertisements or spam. This is an instance rule and the only way to live.\n
      \n
      \n
      \n
      Sister communities\n
      ------------------\n
      \n
      - [!tenforward@lemmy.world](https://lemmy.world/c/tenforward) : Star Trek memes, chat and shitposts\n
      - [!lemmyshitpost@lemmy.world](https://lemmy.world/c/lemmyshitpost) : Lemmy Shitposts, anything and everything goes.\n
      - [!linuxmemes@lemmy.world](https://lemmy.world/c/linuxmemes) : Linux themed memes\n
      - [!comicstrips@lemmy.world](https://lemmy.world/c/comicstrips) : for those who love comic stories.
      """
    +rules: null
    +subscriptionsCount: 1
    +entryCount: 1112
    +entryCommentCount: 22597
    +postCount: 0
    +postCommentCount: 0
    +isAdult: false
    +customCss: null
    +lastActive: DateTime @1729581796 {#323
      date: 2024-10-22 09:23:16.0 +02:00
    }
    +markedForDeletionAt: null
    +tags: null
    +moderators: Doctrine\ORM\PersistentCollection {#285 …}
    +ownershipRequests: Doctrine\ORM\PersistentCollection {#281 …}
    +moderatorRequests: Doctrine\ORM\PersistentCollection {#270 …}
    +entries: Doctrine\ORM\PersistentCollection {#228 …}
    +posts: Doctrine\ORM\PersistentCollection {#186 …}
    +subscriptions: Doctrine\ORM\PersistentCollection {#248 …}
    +bans: Doctrine\ORM\PersistentCollection {#165 …}
    +reports: Doctrine\ORM\PersistentCollection {#151 …}
    +badges: Doctrine\ORM\PersistentCollection {#129 …}
    +logs: Doctrine\ORM\PersistentCollection {#119 …}
    +awards: Doctrine\ORM\PersistentCollection {#108 …}
    +categories: Doctrine\ORM\PersistentCollection {#95 …}
    -id: 78
    +apId: "memes@lemmy.world"
    +apProfileId: "https://lemmy.world/c/memes"
    +apPublicUrl: "https://lemmy.world/c/memes"
    +apFollowersUrl: "https://lemmy.world/c/memes/followers"
    +apInboxUrl: "https://lemmy.world/inbox"
    +apDomain: "lemmy.world"
    +apPreferredUsername: "memes"
    +apDiscoverable: true
    +apManuallyApprovesFollowers: null
    +privateKey: null
    +publicKey: null
    +apFetchedAt: DateTime @1728743545 {#317
      date: 2024-10-12 16:32:25.0 +02:00
    }
    +apDeletedAt: null
    +apTimeoutAt: null
    +visibility: "visible             "
    +createdAt: DateTimeImmutable @1699084255 {#316
      date: 2023-11-04 08:50:55.0 +01:00
    }
  }
  +image: null
  +parent: null
  +root: null
  +body: """
    Unfortunately doctors have no magic fixes for back pain related to muscular strains or degenerative disease/arthritis, which is most back pain. Treatments are basically physical therapy and nsaid medications. Surgery for low back pain from degenerative disease/arthritis alone has poor evidence with most randomized trials suggesting no difference. Even opiates fail to show any superiority over nsaids (like ibuprofen or naproxen) for back pain. Not saying don’t see your doctor about bad persistent back pain, there’s always edge cases or bizarre causes that may need addressing. But unfortunately no magic bullet for the vast majority of typical low back pain.\n
    \n
    Review on surgery indications in back pain ncbi.nlm.nih.gov/pmc/articles/PMC10107811/#mja251…\n
    \n
    Randomized trial of opioid and nsiads in back pain, hip pain, and knee pain from degenerative disease/arthritis [pubmed.ncbi.nlm.nih.gov/29509867/](https://pubmed.ncbi.nlm.nih.gov/29509867/)\n
    \n
    Also, I know it’s a meme, but the billing code doctors use for even the most complicated of visits going over an hour and involving multiple potentially life threatening conditions or treatments isn’t anywhere close to $3000. Let alone a visit for routine back pain which wouldn’t qualify for anything like the highest billing codes.
    """
  +lang: "en"
  +isAdult: false
  +favouriteCount: 5
  +score: 0
  +lastActive: DateTime @1702376325 {#1605
    date: 2023-12-12 11:18:45.0 +01:00
  }
  +ip: null
  +tags: [
    "mja251"
  ]
  +mentions: [
    "@Stamets@startrek.website"
  ]
  +children: Doctrine\ORM\PersistentCollection {#1370 …}
  +nested: Doctrine\ORM\PersistentCollection {#1375 …}
  +votes: Doctrine\ORM\PersistentCollection {#2424 …}
  +reports: Doctrine\ORM\PersistentCollection {#1898 …}
  +favourites: Doctrine\ORM\PersistentCollection {#1841 …}
  +notifications: Doctrine\ORM\PersistentCollection {#2354 …}
  -id: 181051
  -bodyTs: "'/29509867/](https://pubmed.ncbi.nlm.nih.gov/29509867/)':132 '/pmc/articles/pmc10107811/#mja251':112 '3000':171 'address':88 'alon':38,173 'also':133 'alway':79 'anyth':185 'anywher':168 'back':8,20,33,63,75,101,108,120,178 'bad':73 'basic':24 'bill':142,189 'bizarr':83 'bullet':93 'case':81 'caus':84 'close':169 'code':143,190 'complic':150 'condit':163 'degen':15,36,128 'differ':48 'disease/arthritis':16,37,129 'doctor':2,71,144 'edg':80 'even':49,147 'evid':41 'fail':51 'fix':6 'go':153 'highest':188 'hip':122 'hour':156 'ibuprofen':59 'indic':106 'involv':158 'isn':166 'knee':125 'know':135 'let':172 'life':161 'like':58,186 'low':32,100 'magic':5,92 'major':97 'may':86 'medic':29 'meme':139 'multipl':159 'muscular':12 'naproxen':61 'ncbi.nlm.nih.gov':111 'ncbi.nlm.nih.gov/pmc/articles/pmc10107811/#mja251':110 'need':87 'nsaid':28,57 'nsiad':118 'opiat':50 'opioid':116 'pain':9,21,34,64,76,102,109,121,123,126,179 'persist':74 'physic':25 'poor':40 'potenti':160 'pubmed.ncbi.nlm.nih.gov':131 'pubmed.ncbi.nlm.nih.gov/29509867/](https://pubmed.ncbi.nlm.nih.gov/29509867/)':130 'qualifi':183 'random':44,113 'relat':10 'review':103 'routin':177 'say':66 'see':69 'show':53 'strain':13 'suggest':46 'superior':55 'surgeri':30,105 'therapi':26 'threaten':162 'treatment':22,165 'trial':45,114 'typic':99 'unfortun':1,90 'use':145 'vast':96 'visit':152,175 'wouldn':181"
  +ranking: 0
  +commentCount: 0
  +upVotes: 0
  +downVotes: 0
  +visibility: "visible             "
  +apId: "https://sopuli.xyz/comment/5025209"
  +editedAt: DateTimeImmutable @1702338494 {#1377
    date: 2023-12-12 00:48:14.0 +01:00
  }
  +createdAt: DateTimeImmutable @1701356738 {#1927
    date: 2023-11-30 16:05:38.0 +01:00
  }
}
 
"Scheb\TwoFactorBundle\Security\Authorization\Voter\TwoFactorInProgressVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\EntryCommentVoter"
 ACCESS DENIED 
"App\Security\Voter\EntryVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\MagazineVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\MessageThreadVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\MessageVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\NotificationVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\OAuth2UserConsentVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\PostCommentVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\PostVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\UserVoter"
 ACCESS ABSTAIN
Show voter details
5 DENIED edit 
App\Entity\Magazine {#313
  +icon: Proxies\__CG__\App\Entity\Image {#294 …}
  +name: "memes@lemmy.world"
  +title: "memes"
  +description: """
    Community rules\n
    ---------------\n
    \n
    1. Be civilNo trolling, bigotry or other insulting / annoying behaviour\n
    \n
    2. No politicsThis is non-politics community. For political memes please go to [!politicalmemes@lemmy.world](https://lemmy.world/c/politicalmemes)\n
    \n
    3. No recent repostsCheck for reposts when posting a meme, you can only repost after 1 month\n
    \n
    4. No botsNo bots without the express approval of the mods or the admins\n
    \n
    5. No Spam/AdsNo advertisements or spam. This is an instance rule and the only way to live.\n
    \n
    \n
    \n
    Sister communities\n
    ------------------\n
    \n
    - [!tenforward@lemmy.world](https://lemmy.world/c/tenforward) : Star Trek memes, chat and shitposts\n
    - [!lemmyshitpost@lemmy.world](https://lemmy.world/c/lemmyshitpost) : Lemmy Shitposts, anything and everything goes.\n
    - [!linuxmemes@lemmy.world](https://lemmy.world/c/linuxmemes) : Linux themed memes\n
    - [!comicstrips@lemmy.world](https://lemmy.world/c/comicstrips) : for those who love comic stories.
    """
  +rules: null
  +subscriptionsCount: 1
  +entryCount: 1112
  +entryCommentCount: 22597
  +postCount: 0
  +postCommentCount: 0
  +isAdult: false
  +customCss: null
  +lastActive: DateTime @1729581796 {#323
    date: 2024-10-22 09:23:16.0 +02:00
  }
  +markedForDeletionAt: null
  +tags: null
  +moderators: Doctrine\ORM\PersistentCollection {#285 …}
  +ownershipRequests: Doctrine\ORM\PersistentCollection {#281 …}
  +moderatorRequests: Doctrine\ORM\PersistentCollection {#270 …}
  +entries: Doctrine\ORM\PersistentCollection {#228 …}
  +posts: Doctrine\ORM\PersistentCollection {#186 …}
  +subscriptions: Doctrine\ORM\PersistentCollection {#248 …}
  +bans: Doctrine\ORM\PersistentCollection {#165 …}
  +reports: Doctrine\ORM\PersistentCollection {#151 …}
  +badges: Doctrine\ORM\PersistentCollection {#129 …}
  +logs: Doctrine\ORM\PersistentCollection {#119 …}
  +awards: Doctrine\ORM\PersistentCollection {#108 …}
  +categories: Doctrine\ORM\PersistentCollection {#95 …}
  -id: 78
  +apId: "memes@lemmy.world"
  +apProfileId: "https://lemmy.world/c/memes"
  +apPublicUrl: "https://lemmy.world/c/memes"
  +apFollowersUrl: "https://lemmy.world/c/memes/followers"
  +apInboxUrl: "https://lemmy.world/inbox"
  +apDomain: "lemmy.world"
  +apPreferredUsername: "memes"
  +apDiscoverable: true
  +apManuallyApprovesFollowers: null
  +privateKey: null
  +publicKey: null
  +apFetchedAt: DateTime @1728743545 {#317
    date: 2024-10-12 16:32:25.0 +02:00
  }
  +apDeletedAt: null
  +apTimeoutAt: null
  +visibility: "visible             "
  +createdAt: DateTimeImmutable @1699084255 {#316
    date: 2023-11-04 08:50:55.0 +01:00
  }
}
 
"Scheb\TwoFactorBundle\Security\Authorization\Voter\TwoFactorInProgressVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\EntryCommentVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\EntryVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\MagazineVoter"
 ACCESS DENIED 
"App\Security\Voter\MessageThreadVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\MessageVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\NotificationVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\OAuth2UserConsentVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\PostCommentVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\PostVoter"
 ACCESS ABSTAIN 
"App\Security\Voter\UserVoter"
 ACCESS ABSTAIN
Show voter details