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self_made_human

Kai su, teknon?

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joined 2022 September 05 05:31:00 UTC

I'm a transhumanist doctor. In a better world, I wouldn't need to add that as a qualifier to plain old "doctor". It would be taken as granted for someone in the profession of saving lives.

At any rate, I intend to live forever or die trying. See you at Heat Death!


				

User ID: 454

self_made_human

Kai su, teknon?

11 followers   follows 0 users   joined 2022 September 05 05:31:00 UTC

					

I'm a transhumanist doctor. In a better world, I wouldn't need to add that as a qualifier to plain old "doctor". It would be taken as granted for someone in the profession of saving lives.

At any rate, I intend to live forever or die trying. See you at Heat Death!


					

User ID: 454

I sense a tale waiting to be told. Sure, Germany is far too close for comfort for the British, ancestral memory and all that. I suppose you can subsidize the alcoholism and I'll get the sauerkraut. I think both of us could use the drink, if not the wiener.

Your family cares about you. Be glad.

Oh I certainly am touched, my family is great, not that it stops me from muttering about the way their care and concern manifests on occasion. I'm only mildly exasperated; I'm no lemon or old beater that I need an enthusiastic salesperson or a dozen trying to sell me off to the highest bidder, but eh, enough stress might bring about the male pattern baldness earlier than expected and it's always good to have a backup.

Apart from all that, what is your family's opinion on you moving to Scotland?

My parents never wanted me to move abroad, and were vocal about it. To them, an ideal ending would be me taking up my dad's reigns as a surgeon, or at least marrying a woman just regaining her sanity after a gyne MS, so that his massive clientele and skills can be handed down to someone who needs them for more than writing the odd examination or two. Well, they've got my younger brother still in the oven, and while I doubt he's insane enough to take up gyne either, I'd bet decent money he'll be getting married off eventually, preferably to a surgeon. He's far more handsome, but simply doesn't give a single fuck about the fairer sex. Not gay either, he ignores the horny fucks sliding into his DMs, and those include one of his male professors from med school. I suppose he'll just shrug and bear it. I'm deeply jealous, that's a level of sanity that I can never aspire to.

But that's all the ill I can speak about my parents. They've been supportive of my own ambitions, even if it means I'm flying the coop. The worst they've done is occasionally argue and try and dangle carrots before me, never the stick. They have valid arguments, both emotional and practical, but so do I. I don't think I'd ever be happy in India, I fit in much better abroad.

Right now, they're feeling the same melancholic, bittersweet happiness that I do. Parting is such sweet sorrow, but they're proud that their son is getting around to adding more alphabet soup behind his name, and a degree in the UK still gets their peers nodding appreciatively, so they can't complain. A postgrad degree is what everyone is dying to acquire post MBBS, while doctors might seem interchangeable to a layman beyond knowing their age and specialization, the lack of the latter doesn't get you very far in the eyes of your peers or your career.

I certainly wouldn't be getting so many marriage offers if I hadn't proven that I have some degree of academic competence, at least not from the parents of other doctors, though that's partly because until you've got that locked in, the rest of your life looks an interminable grind getting there.

Cheers to you, not that I can drink on duty. I can use a continental vacation at some point, and a beer, dearly.

I recently spoke to a cute med student on the dating apps, same med school as my younger brother.

She tells me she knows my brother. I mean, who doesn't? He's a looker, all the girls and a good quarter of the guys want to know him, in the biblical sense, but she wasn't so crass. All good.

She she says she knows my dad. Okay.. But I've heard worse.

She goes on to say that not only are our parents colleagues, they're from the same med school. What a coincidence!

I ask my brother about her. You know, due diligence. He gives me a look, and tells me to keep my filthy paws off her if I know what's good for me. Huh. That's new. I swear he's never had that particular reaction before, and I wanted to know why, but he just shook his head, asked me to confirm her surname, and wandered off.

Then she says that hey, your dad was visiting our place just a month or so back, how's he doing? Quite well, thank you for asking. What field of medicine are your parents in? Gynecologists themselves?

I matched into psychiatry. Then I found out, after a very reasonable amount of flirting, that I had matched with my psychiatrist's daughter on a dating app. I told her that I had literally called him a month back to share the good news. The former, the latter was nothing but bad.

My dad delivered her by c-sec. He does that to a lot of people, it's not a very exclusive club, after all, how could it be, when I'm a member?

My fucking brother, he was laughing his ass off in the next room, the walls, while thick, weren't nearly enough to hide the chortles or my beet red face. Then the asshole goes on to tell my parents about her, and I limp back home from work, only to have my dad ask me if I want to marry her.

I chuckle and throw my employee ID card somewhere it won't be missed. Then I take a good look. He's not joking. This is the opposite of good, but what am I good at except brushing off commitment?

No? Then stop fucking around, SMH (he's also shaking his head, and I mine). She's a Good Girl™, studious, from a respectable family. You want to get married? I can call her dad right now. He's not kidding either. I thought I was dead inside, but apparently it's always possible to make room for desert and to make what's already dead roll over and die again.

I assure him that as someone about to move countries and stay in Scotland for 3 years and change, marrying an Indian med student only halfway through her course is the ABSOLUTE LAST THING I want to be doing.

Ah, but they're well off enough, and so are we. We could fly her out every six months or so to see you.

-_-

My mom was in the room and giggling her ass off. Thank you for the moral support mom.

I tell my dad that I don't think a healthy marriage involves the newly weds living a continent away, seeing each other every blue moon. He doesn't seem all that fussed, and I realized that roughly summed up the first few years of his marriage, given how he was on the sigma grindset. I suppose there's a reason they had their honeymoon when I was three years old. No, I tell him, given that if there's ever going to be a shotgun wedding, her dad will be the one wielding one, only to keep me at bay. He's my fucking shrink, he knows things. He'd need a shrink himself if he let me anywhere near his cute and nerdy daughter, and I'm not licensed yet.

At this point, my mom asks me if I care to examine the latest batch of single ladies lovingly handpicked out for me by my aunt in London. I've well and truly had enough, I stomp out of there with steam, tinted pink with dying brain tissue, hissing out of my ears.

My life is a farce. Joke's on me. So are the drinks, but only because I'm going to be downing a lot of them.

I recently spoke to a cute med student on the dating apps, same med school as my younger brother.

She tells me she knows my brother. I mean, who doesn't? He's a looker, all the girls and a good quarter of the guys want to know him, in the biblical sense, but she wasn't so crass. All good.

She she says she knows my dad. Okay.. But I've heard worse.

She goes on to say that not only are our parents colleagues, they're from the same med school. What a coincidence!

I ask my brother about her. You know, due diligence. He gives me a look, and tells me to keep my filthy paws off her if I know what's good for me. Huh. That's new. I swear he's never had that particular reaction before, and I wanted to know why, but he just shook his head, asked me to confirm her surname, and wandered off.

Then she says that hey, your dad was visiting our place just a month or so back, how's he doing? Quite well, thank you for asking. What field of medicine are your parents in? Gynecologists themselves?

I matched into psychiatry. Then I found out, after a very reasonable amount of flirting, that I had matched with my psychiatrist's daughter on a dating app. I told her that I had literally called him a month back to share the good news. The former, the latter was nothing but bad.

My dad delivered her by c-sec. He does that to a lot of people, it's not a very exclusive club, after all, how could it be, when I'm a member?

My fucking brother, he was laughing his ass off in the next room, the walls, while thick, weren't nearly enough to hide the chortles or my beet red face. Then the asshole goes on to tell my parents about her, and I limp back home from work, only to have my dad ask me if I want to marry her.

I chuckle and throw my employee ID card somewhere it won't be missed. Then I take a good look. He's not joking. This is the opposite of good, but what am I good at except brushing off commitment?

No? Then stop fucking around, SMH (he's also shaking his head, and I mine). She's a Good Girl™, studious, from a respectable family. You want to get married? I can call her dad right now. He's not kidding either. I thought I was dead inside, but apparently it's always possible to make room for desert and to make what's already dead roll over and die again.

I assure him that as someone about to move countries and stay in Scotland for 3 years and change, marrying an Indian med student only halfway through her course is the ABSOLUTE LAST THING I want to be doing.

Ah, but they're well off enough, and so are we. We could fly her out every six months or so to see you.

-_-

My mom was in the room and giggling her ass off. Thank you for the moral support mom.

I tell my dad that I don't think a healthy marriage involves the newly weds living a continent away, seeing each other every blue moon. He doesn't seem all that fussed, and I realized that roughly summed up the first few years of his marriage, given how he was on the sigma grindset. I suppose there's a reason they had their honeymoon when I was three years old. No, I tell him, given that if there's ever going to be a shotgun wedding, her dad will be the one wielding one, only to keep me at bay. He's my fucking shrink, he knows things. He'd need a shrink himself if he let me anywhere near his cute and nerdy daughter, and I'm not licensed yet.

At this point, my mom asks me if I care to examine the latest batch of single ladies lovingly handpicked out for me by my aunt in London. I've well and truly had enough, I stomp out of there with steam, tinted pink with dying brain tissue, hissing out of my ears.

My life is a farce. Joke's on me. So are the drinks, but only because I'm going to be downing a lot of them.

Honestly, I'm impressed you manage to be so productive, considering all you mention.

I write the most when I'm drowning in work and responsibilities, it's a pleasant form of procrastination. But in this case, I have a legit fire under my ass, I can't afford to fuck up the one good thing I've got going haha.

I did a while ago, recommended to a friend too. "I'll take a look" - never did, flaky bastard

Why, thank you. If I had a Patreon, I'd bump you up to cameo in novel tier, but since I don't, I'll just hand that to you for free. If you do actually want a character to show up, just let me know and I'll make it happen.

I believe the cool kids are primarily on Snapchat, but insta hasn't turned into an old age home quite yet.

A large bit of it is that women love snooping on profiles. It helps them get a lay of the land, though it's not like guys don't do that, but that's for altogether different terrain.

Does the guy know how to dress? Has some semblance of a social life? Does he have anything interesting going on that isn't just drinking beer, playing football on a PS4 and so on? Useful things to know. While the utter absence of a social media presence isn't necessarily a deal breaker, it's a big deal to the kind of women who haunt dating apps. And what am I, if not obliging? And what are my two dogs, if not incredibly photogenic? All I have to do is stick my face in the frame and they'll do the heavy lifting.

I've already said that you were incredibly lucky to be using dating apps before they were turned into glorified gacha games, and that too, meeting someone you could spend the rest of your life with there. Well, it's been long enough since that was the case that the two of you must be having a nice, comfortable old time. Don't mind me, not jealous in the least.

This? After I wrote a whopping 2 chapters in as many months? 🤨

Life got in the way. Though for good reasons, like running myself ragged with immigration paperwork and NHS bureaucracy. Rest assured the fic is alive and kicking, with even more nuggets of psychiatric bullshit when I know better.

The reviews crack me up each time I take a look. "Pretty cool" - 3.5 stars, on a webzone with rating system where in practice 5 stars means 'readable, MAYBE'.

I know precisely the one you mean. Wow, good book! Eh, clicking far to the right is taxing.

Now good sir, in the amount of time it took you to write this comment, you could have left a glowing review right there yourself. Ignore if you already have, but as an incredibly niche novel, it could use all the ones it could get, especially from the odd person who enjoys it.

I disagree that it leaves no evidence. Certainly not if you have a surveillance state with a panopticon, let alone if you have other mind readers, preferably sanctioned by the state, who can check for themselves.

That makes such accusations largely moot, because every psychic is being constantly monitored 24/7, and their capabilities and limitations noted, so the government would know they were fucking with you well before even you did.

Note that while this is a near future setting, I'm pretty sure that the sudden appearance of superpowers would absolutely remove any qualms nations today have about omnipresent surveillance.

Porn? I think it's harmless, potentially mildly positive and at least net neutral. I've already discussed in the past how it's associated with decreased rates of sexual assault. Of course some dudes do get addicted, but the overwhelming majority just jerk off and move on.

Social media? Relatively robust link to anxiety and depression. Most like causation and not correlation.

Sadly, I consume both, though the latter only because women are spooked if you don't have an Instagram profile. That does diminish the porn consumption, though I did say I don't think it's bad for you.

Well, I do write a hard scifi novel set in the wake of an abortive singularity where people start getting superpowers for Plot Reasons™, so I suppose I've given it some thought. Or at least I had governments and polities would react.

It depends on how dangerous said power is. For someone who is no more threat than a random dude with a knife, you really don't have to bother. When they're the modestly dangerous, thorough surveillance and mandatory psychiatric followup. If they're incredibly powerful, they're usually conscripted into the military. And if they're both powerful and act up, then time for their brain to be put in a jar, or tamper proofed (fail deadly) high explosives embedded in their occipital protuberance.

Anyone who falls in between, they get a full time slap drone assigned to them, a concept happily ripped off from Banks. Something constantly hovering over their shoulder, ready to call for backup if sedatives, neurotoxins, or a bullet fails.

Some powers, such as telepathy or mind control, are severely restricted on pain of death. Non-consensual mind control is a capital crime, at least if you're not on a leash by a state. Technomancers are absolutely not supposed to mess about with AGI, on pain of having their heads exploded.

Of course, some people are simply too powerful to be handled in such a manner, but the governments of the globe devote a great deal of effort in having contingencies for their contingencies, and if you get really out of hand they'll have someone teleport you into the sun, or maybe a black hole. Not that even that can put down the equivalent of Superman.

If you want a more in depth explanation, well, I guess I wrote the book on it? But you can achieve a lot by playing them off each other, and mostly normalizing the strict monitoring and regulation of the lot. Which is how I'd expect it would go down.

I'm listening and learning, though I've only used Opus through lmsys and their own content moderation endpoints make this approach a no go :(

I enjoyed the first one a great deal more, though maybe it was due to the story being more engaging, while the second felt like a reprise.

I wonder how much time you need to spend reading up on longevity extensions before it becomes a net negative by detracting from other things you can do with your life expectancy.

Can't say I'm particularly bothered, I expect that medical science will bail me out of any poor decisions I make in the next decade or two, not that I don't keep an occasional finger on that pulse.

Motherfuckers knew precisely what they were doing with the female voice. The male one is a dweeb in comparison and can't even sing.

No wonder Sama specifically called out Her as an inspiration, I've been entirely resilient to the charm of chatbots till date, but even I'm crushing hard on that voice alone.

They even got it to speak in something other than mealy-mouthed corpo language, thought the traces are still there.

Ever tried the Total War franchise? I love Warhammer 3 the most, given that it's got faith, steel and gunpowder, all good for shooting up barbarians.

But there are more historical ones, in pretty much any setting you desire. The campaign gameplay might not be as complicated as Paradox games, but seeing thousands or even tens of thousands of soldiers clashing and bleeding has its own charm. I'd recommend Rome 2, Shogun or Three Kingdoms if the Warhammer series isn't your thing.

I presume that casually dating doesn't count? I'm in between committed relationships right now, especially since I'm leaving the country in 3 months. But it's a refreshing experience after being in committed relationships for 7 years.

I don't think I'd be happy single, or at least celibate. Like any red blooded young man, I do enjoy getting laid, and while seeing several new people every week might be novel, my friends, and internet strangers, assure me that it gets stale eventually. So if I meet the right person, ideally in about 3 to 5 years, I'd strongly prefer to settle down and start a family. Friends and side activities, while something I enjoy, aren't enough.

Ah, women. Can't live with them. Can't live without them. If there was a pill that could harmlessly switch off just libido, I think I'd be happy enough, but it doesn't exist and is have qualms about taking it in the first place.

I suppose that's one way to be told you should try for med school, or a career as a pharmacist. Can't say dealing drugs has worked out badly for me, all said and done.

Wait till you hear about how many people in India insist their kids are delivered on auspicious dates; though since c-secs are the norm for anyone who can afford them, and those are usually done when the baby is ~mostly done baking in the oven, shifting the date about by a handful of days isn't the biggest deal in the world.

But yeah, he's got his priorities straight. Maybe it would be different if he had accumulated a million TBIs, but basketball is a comparatively civil sport.

Hmmmmmmm....

Indeed. When I need to send someone to a therapist, I tell them it's a sign of both confidence and competence when they make it clear that's there's a time limit for that. Either they note you making good progress, with an end goal in sight, or they tell you straight up that you're not a good fit and send you on.

Not that people can't need prolonged therapy, but maybe I'm just jaundiced from all the girls I've spoken to who should be wearing grippy socks. But they need Jesus, or his brother in the asylum.

We do at least still have beatings and alcohol, and blood letting too, if you're diagnosed with hemochromatosis.

Frankly speaking, while depression might be more prevalent today as a disease exacerbated by modernity, I can't imagine our ancestors weren't anxious or stressed the fuck out.

I just went to the trouble of citing a million studies and meta analyses on the matter, what else can I add that isn't anecdotal? Exercise certainly helps, it's far from the only thing that helps. Antidepressants aren't very good drugs, but they beat placebo at the least.

Are you a psychiatrist? If so, that obviously gives you special insight but also clearly a bias.

I've been accepted into psychiatry residency in the UK, starting in a few months. But it's always been my penchant, so consider me the least biased I could possibly be, or at the least I wouldn't have chosen that subject if I felt it was fraudulent.

It's routine (or at least best practice) to order a whole heap of blood tests when doing a work up for someone with depression. Add on polysomnography too.

Thyroid deficiencies, sleep apnea, neurological issues like Alzheimers or Parkinsons, they all can produce depression, or be comorbid with it.

So while there's no blood test to diagnose depression-in-itself, any decent psychiatrist will figure out if there's something else wrong with the body, and treat accordingly. But in the end, we have no reliable way of pointing an instrument at someone and get DEPRESSED or NOT DEPRESSED back. Hence the whole talking to them and using standardized questionnaires, which does work mind you, even if we don't have anything significantly better once we've ruled out the body fucking with the mind in other ways.

To no one's surprise, Scott has written about this at length and I feel like there's little for me to contribute, yet.

For example, this one https://slatestarcodex.com/2020/01/15/contra-contra-contra-caplan-on-psych/, though he's written more about it on ACX not that long ago.

I don't deny the existence of mass psychogenic illness. I agree with Scott that it's the most reasonable explanation for things like bulemia, or even gender dysphoria.

I entirely reject that it covers the majority of psychiatric conditions, especially the ones I mentioned, which also happen to be amenable to therapy.

You'll find that the "incidence" of most diseases sky rocketed in short order over the past century. Mainly because if we don't know a disease like that exists, due to a lack of diagnostic tests or plain awareness, there won't be a diagnosis.

Better? As far as I can tell, yes.

Unless there's some identifiable treatable organic cause for the anxiety, mood or personality disorder might the patient improve just as well be guarding against and rebuking the demons of pride, envy, sloth, lust, etc? Especially if most of the available therapy interventions perform as well as each other.

We do have identifiable organic causes for many psychiatric illnesses we did not, within living memory, once have. Subtle and variable ones, but what can other answer can you expect when asking a question that involves most psychiatric diseases under the sun?

I fail to see how the latter follows at all. It's not like therapy is the only tool in the arsenal, psychiatrists are not psychologists, we dole out meds too and once again, they work, even if some of them aren't as effective as could be desired.

incidence of mental illness has skyrocketed in step with the wide spread adoption of therapy culture

That is hopelessly confounded. For most of history, the only treatment for mental illnesses was beatings, blood letting, the asylum, or maybe some mercury if it was syphilitic.

They barely had the conceptual framework to understand mental illness in the first place.

Besides, we know that the stressors of modernity are bad for mental health in of themselves, just look at social media and dating apps for recent examples. Atomization of families, loss of the (false) comfort from religion and so on.

Not everything is a mass psychogenic illness. I would bet a great deal of money that things like depression, BPD, bipolar disorder and the like aren't. And therapy helps, at least when we now recognize and formally diagnose those who could need it.

My own ADHD would certainly have gone undiagnosed, as would so many other conditions (not that therapy does anything there, the drugs help).

therapy itself is mostly trash (which is why we can't make any meaningful improvements to the practice after over a hundred years), it only works in as much as it is the socially acceptably path to resolve such issues. I imagine if we could check, running amok would have been found to be an effective above placebo 'therapy' as well

I feel like my citations speak for themselves here. Is it a good thing that we have the option of paying money to talk to someone in private instead of running about with a machete? I'd be curious to hear how that's not the case.

I'm not defending therapy culture. It's infantilizing to say the least. But actual therapy works well enough that we often consider it the firstline treatment before resorting to the funny drugs. And that's a considered decision made by multiple independent bodies, on the basis of a great deal of evidence.