Throwaway05
23hr ago
Can you summarize the last couple of books? I'm curious what the deal with the "gods" is but didn't enjoy it enough to finish.
Throwaway05
1d ago
suicidal gestures"
It's the term for it.
Two additional factors -
- Cluster-b personality disorders with more female prevalence (chiefly borderline) involve suicidal thought content and gestures.
- Men tend to have more access to and use more lethal means, like guns. Men also have less aesthetic concerns so they don't mind throwing themselves off a building or into a train as much where women like to preserve themselves and will overdose more, which can be hard to get right.
Throwaway05
1d ago
I mean I think Israel is a good idea and most of what they do wrong is forced on them by their adversaries. Add that to not me blaming Jews anymore than any other white group arguing for anti-white policies and then you have me going "I don't get it."
And I don't!
As I'm sure others don't get my distaste taste for low class urban black culture.
And Jew haters really fucking hate Jews. Many do so more than the a guy who watched an illegal Mexican run over his neighbors kid.
It should take more than "those guys are in the academic institutions with the wokeness!!!!" to generate that much anger/hate/distaste.
Throwaway05
1d ago
Kind of shocked by this. Breaking Bad is a low attention span normie's idea of the greatest TV show. It's good! ...But Better Call Saul is probably "better." And I'm not going to say that anything is wrong with liking "lower" brow entertainment that is faster paced or more superficially enjoyable (plenty of action shows and comedies are great!), but The Sopranos and The Wire are probably both consensus top three shows for nearly everyone credible and being out of the top five is probably grounds for not being a reliable rater.
I think it's okay to not like the classics, plenty of people complain about Shakespeare, but you have to understand why they are great and interrogate yourself on your likes, dislikes, and your relationship with art if you feel you have appropriate taste but don't like "the best."
In the case of The Wire it demands your attention and is often deliberately paced (although perhaps not truly slow) and at the same time it is truly literary, it's authentic, it says something, and it is beautiful constructed in ways that are often only noticeable in retrospect.
It is okay not to value these things but I think it's important to understand that they are there.
I've found this sort of examination at times helpful in making me enjoy things I wouldn't have otherwise. For instance I disliked Kpop because of the inauthenticity and somewhat disturbing process but managed to just embrace the fact that some of the songs are bangers and my life is richer for it.
For you taking the time to slowly watch some of those "greats" may bring that richness to your life. Maybe start with some of the British shows like Slow Horses which are a lower time commitment.
Throwaway05
1d ago
Yeah I don't understand why some people blame jews for social justice bullshit. Plenty of non-white people and non-jew white people are all about identity politics.
You can find plenty of thought leaders of any demographics advocating both for and against this stuff, and tactically it seems like a bad move because the anti-Israel component was inevitable and is now incredibly strong.
If this was some sneaky conspiracy it wasn't a genius one.
Throwaway05
1d ago
I think at best this is a scissor.
I can understand why people start to hate a poor behaving minority or a growing and supplanting immigrant group. I can understand why countries that have been in opposition hate each other like in the Middle East and Asia.
I don't understand hatred of Jews. For a minority group they are generally considered well behaved, they are successful and if you want to be jealous that's an angle - but their aren't a huge amount of them so who cares.
Throwaway05
2d ago
This is a good point, but the things pointed out right now (like overrepresentation in Hollywood and Journalism) ...those are new? What the fuck were they doing other than not being Christian before? Or is it just that they survived when the Druids got wiped out or whatever.
Throwaway05
2d ago
It's not just Koreans - a lot of my Asian friends of all stripes are into KBBQ and Hot Pot.
It may also be The Fashion among "Wordly" types to imitate the style.
And of course the margins are probably great - you can probably charge a lot to the "oh fuck we didn't get enough pork belly" crowd.
...this is probably a sign of the decline of humanity though (just plan better ffs).
Throwaway05
2d ago
Not Asian but I suspect it's because of Hot Pot culture.
It's a whole social thing that replaces drinking or goes in addition to drinking for some Asian communities.
Throwaway05
2d ago
Yes please. This is not meant to be bait and I am happy to take the discussion into DM if it helps me improve my mental model of those with these priorities.
Throwaway05
2d ago
because he knew what the word game was that they were playing with him.
To dial in on this bit, one thing I learned working in a forensic setting is that bad people and those who don't really care don't really understand what they did was wrong. That's obvious right? But they know that certain words causes problems, you don't use the words and describe the behaviors....no problem right?
This sounds a bit obvious and definitely applies more to low intellect/education types, but everyone can probably identify someone in their life who is say, against "beating their wife" but has no problem with "showing her who is the boss."
Once you start looking for this...omg it's everywhere.
Throwaway05
2d ago
My guy, can you tell me what it is about the Jews?
I've never been able to figure this out. Take the mask off a bit and tell me why them.
You had me nodding along and then it is abruptly about Jews and I check out.
Yes Jews are in the pile that is causing these problems but they are a rounding error in comparison with say, HR dog moms, or X actual ethnic/racial demographic that supports the spoils system instead.
Did a Jew bully you in school, get your dad fired, close your favorite restaurant?
I don't know where this stuff comes from and I earnestly want to.
White anti-black racism has a straight line from perceived degradation of communities to the feeling, accurate or not.
I don't know where anti-semitism comes from.
Throwaway05
3d ago
Some causes (usually it is one or more of these):
-You are older and your body sucks now (and did not before).
-You are dehydrated.
-You don't move your body enough.
-Your diet doesn't have enough fiber.
-You are fat.
-Your bowel habits suck in some other way that is catching up with you (like holding things in too long, you might need a squatty potty, etc.).
-Weirder stuff like psychiatric stuff, hormones.
-Serious medical conditions (may be worth getting stuff checked).
-Other substances that impact bowels. Too much or too little caffeine (or withdrawal from the same).
Usually common sense adjustments for these things will help. See a doctor. Only after that is it worth something like PEG, Senna, etc.
Usual high fiber stuff like Metamucil, Prunes, Fiber soda whatever.... all of this is sustainable.
Also important to get this addressed early to rule out serious conditions, and perhaps to prevent things like hemorrhoids, fissures, diverticulitis.
Throwaway05
5d ago
I'd suggest caution with this, the rules vary state by state and hospital by hospital. Some almost always go "eh" when people don't pay. Some will fuck you.
Throwaway05
6d ago
Sorry, I had heard at work that more stuff came out but I misunderstood and it's just the house vote.
Some mainstream media coverage in the last few days has been attempting to figure out when people are going to jump in front of stuff, with Summers seemingly being one of the first (ineffectively, apparently).
I'd consider Trump approving the release evidence that nothing serious is in the files, but of course he could be relying on the justice department to stone wall.
Dershowitz has publicly speculated that any true bombshells would be hidden in FBI files that wouldn't be impacted by any of the political nonsense.
And of course Trump has explicitly noted that no matter what he releases people won't be satisfied and will assume there is more. I don't think he is wrong.
Throwaway05
6d ago
Interesting. Anything actually in the emails about him? I know Warren was saying he should fuck off prior to the recent release so I'm curious if it's because she had more information or if because he was getting pressure from her (and thus others).
Throwaway05
8d ago
The impression I've gotten from writings of Cim and others is that Epstein was clearly a sex addict who mostly got up to stuff in his personal life and that's it.
And at the same time there's a small amount of information out to suggest that he did get up to some shady business with a few people.
You'll see a few credible people in the political and news class who have claimed to see specific lists of people but they won't go on record because they are 100% sure they'd get sued to death (Mark Halperin has talked about this for example).
Likely a large piece of this is that the information available isn't smoking guns but is instead lists and manifests that don't give enough proof to separate from the dinner parties and other social events Epstein famously held quite often.
But to give an example - that would include for instance, Bill Gates. You can see some actual news coverage on how this might be related to his divorce but I also know some people who don't have first hand knowledge but are in the same social class who think that's real.
Circling back to your original question you can expect that as soon as something gives them actual cover you'll see a punch of journalists punch out with already planned and researched stories. Since we haven't seen anything......doubt it, just the Trump bullshit.
Throwaway05
8d ago
Maybe we have the capacity to do a more laissez-faire model based on reputation? It’s more plausible now than in the Yellow Pages era.
I don't think it is, even within the field with expert level knowledge it's hard for me to know if a doctor I'm seeing is good before I go, and depending on my knowledge of the speciality it's also hard afterwards.
Patient surveying and other mechanisms of assessing doctor quality tend to zero in on customer service which is important but is often the opposite of what you need for an actual quality doctor.
In smaller tighter knit communities you were more likely to get to "he was gruff but I think he caught things others wouldn't."
I have a friend in primary care who picked up most of the local population of a specific ethnic group. He's a good doctor but they don't know that, he was just nice to them and understood their culture so they all came.
They don't know that he's not making mistakes other PCPs would make.
Throwaway05
10d ago
Then there are the stupid questions:
I feel like I have stepped into the role of nagging elder relative at this point buttttttttttttt.
Medical board exam questions usually come in two flavors: 1. "We are required by weight of history and other requirements to put this in here" (which usually involves historically important acknowledge of ye old white men and deprecated theories, as well as political drivel), and 2. "No really I need to know you know this for practice" (at times especially because people aren't actually doing it).
Vitals monitoring is common for a ton of meds some of which isn't really that important some of which really really is (like say venlafaxine). In the times of Telehealth reminding doctors they actually should be doing this is kinda important. Depending on clinical specifics cardiac monitoring is also not unreasonable for ADHD meds. Granted the necessity of this is probably a bit reduced in a less.....um, lawsuit laden? environment but that doesn't mean that on paper you shouldn't be doing these things.
Perhaps most importantly they told you that none wasn't an answer so that tells you that there is something you misunderstood, didn't know, or that they were hiding behind "most likely." It's not worth fighting them about in your own head, especially because you were able to figure out the trick.
Likewise yes yes we don't really know how anti-depressants work, but you can just say the receptor of interest and move on with your life lol.
Anyway bitching like this is usually a sign that you passed, and these exams are mostly designed to make you feel like "wtf" walking out after them.
Throwaway05
12d ago
Yet they can't do long division which only requires repeating four simple steps.
Holy crap, I just realized I don't know how to do long division anymore.
I'm not sure how I feel about this.
Throwaway05
12d ago
"All of the above" should be the default answer for any medical multiple choice questions, It Is Known.
Throwaway05
16d ago
I walk past a middle school in a major blue city on the way to work now and I am constantly seeing kids smoking and selling pot and other shit right in front of the school. It's ridiculous.
Throwaway05
22d ago
I had a friend from Medical School. Beautiful Korean girl, super introverted, super quiet. People would just talk to her, explain things about their life. You'd figure they'd hit on her, but no, instead she got unsolicited information. I told her she'd be a good psychiatrist, guess what she ended up doing?
And at the same time, seeing her years later..... she looks more like a psychiatrist now.
I think it's a little bit of natural temperament and a certain kind of charisma that does something very specific, and at the same time the training and practice takes any innate character and accentuates it.
To some extent I figure this applies to all physicians - once you get used to people telling you about their anal leakage that changes how you interact with others in a big way.
Throwaway05
23d ago
While I do agree that ADHD in children is probably over diagnosed, it's worse in adults because of people motivated by the diagnosis.
This also applies to children to some extent - parents looking for an easy answer, medications, etc.
They can then shop around until they get the answer they want.
Sorry, I don't mean to imply that you have bad taste, and from my readings of your writings I suspect you have good taste.
At the same time I figure you should truly try those (sounds like you have!) and maybe also force it to see if you can extract the meaning and see if anything about your interests changes.
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