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self_made_human

amaratvaṃ prāpnuhi, athavā yatamāno mṛtyum āpnuhi

15 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!

Friends:

A friend to everyone is a friend to no one.


				
User ID: 454


				
				
				

			

		

	














	


		


			



	

		

			

			

				

					

						

							
						

						

							
							

								
self_made_human


								

								

								
								
									
								
								
								
								

								
							
					
 
				


				
amaratvaṃ prāpnuhi, athavā yatamāno mṛtyum āpnuhi

				
				
				

				

					15 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!



				

				
					
Friends:

					
A friend to everyone is a friend to no one.


				

				

				

				

					

					

					
					
					

					
User ID: 454


					
					
					
				

			


					

						
					



		

	

 











			
			

			
			

			




	


		

			
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				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
Be the American the Japanese imagine you to be.


redtail_hawk.wav


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
Probably? It's a reasonably diplomatic way of saying so. I'd also assume they meant that you are functional and successful despite the diagnosis.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I do not think that being a nerdy (possibly) autistic boy in an actual ghetto is ever a fun time, so I'm sorry you had to go through that but very happy you made it out intact.


I wouldn't even particularly advise you to go get a formal assessment done, at least if you don't see a need for it. Other than closure, for someone like you, all we can really offer is a label and (perhaps) a stronger case for workplace adjustments. If you're already doing fine and feel functional, what's the point?


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I fucked around and found out. Being charitable to myself, it was a learning experience.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
Sigh. I guess it's time for me to look at foreskin reconstruction options.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					


When I got diagnosed a few years back, the practitioner said that I had "a lot of well developed coping strategies".




There are only so many sincere compliments we can give without running afoul of the code of conduct. I'd take it.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
Quite the opposite. It's most commonly seen in depression, though anabolic steroid abuse does lead to depression, sometimes.


Basically, you know the intuition that depressed people seem to move and speak slower? It's quite true, at least when the depression is severe enough.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
Seriously? Because in the UK, it's still the most common term (with only a minority opting for psychomotor slowdown). I don't think I've ever seen anyone get PC over it so far IRL.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					


Well, try telling them that.




My time and patience for arguing with people being idiots is, sadly, quite limited. Especially when I'm not getting paid to do it. I don't recall an actual patient who showed up and demanded that something out of the ordinary be done for them because they have both diseases, but it's early days yet.




Even worse are the people who apparently have diagnosed (or suspected?) BPD, and then openly brag about it. Even on dating profiles.




Even worse? My man, that's even better. In the sense that I will selfishly give them points for being honest and waving a red flag at onlookers. I can tell you from experience that you do not want to know what it's like to date a BPD woman, especially one who was undiagnosed and wouldn't accept my suggestion that she get assessed for it. If people express their most obnoxious personality traits and then are proud of it, anyone still lets them into their life is too dumb to deserve much sympathy. Or perhaps they really value passionate hate sex, I can't judge too harshly.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of March 30, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					


torquentes labia moverunt caput




If she tells you her labia's gone kaput from too much torque, you're either doing it very wrong or very right. I hope they her calling you a runt and asking you to move was expressed with affection too.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
In the sense that that it recognizes {no intellectual deficit plus some generic autism traits} as a sub-category? Yes. But Aspergers was handy. We got rid of it without a handy epithet to replace it.


It would be like replacing "mild depression" with "depression without suicidality, severe anhedonia, psychomotor retardation..." You have replaced a convenient and pragmatically helpful diagnosis with a more unwieldy one, with no clear benefit.




I am obviously am not an illustrious doctor




Don't worry, neither am I. At least the illustrious part.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I think 38% German is a very respectable amount: it corresponds to me being punctual (mostly, don't @ me @fttg) and generically responsible. Any higher and I'd lose the sense of humor, and what else do I have going for me?


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					


The correct answer would be D, of course




I did not know that you graduated from casual competitive misogyny to homosexuality, but that is hardly uncommon either. Ah, the things I've heard catty gay men say about women... if I said half as much, I'd be in the lockup (not that I want to, I think women are pretty and caring and smell nice, and I constantly fraternize with the enemy).


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					


I will also interpret the autism score as indisputable proof that ADHD should not be placed anywhere near the autism spectrum.




I mean, that's the standard psychiatric consensus. And an opinion I share. They are very distinct clinical entities, though there definitely exist large numbers of people who are "AuDHD" in the sense they have both conditions. But that isn't special or worthy of a distinct diagnosis, anymore than someone with ADHD and depression has ADepressionHD.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
Very German/autistic of you. I'm glad everything is working as expected.


(I would have enjoyed that too, albeit probably only 1/6th as much)


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
Entirely within my expectations, ngl. I do think Aspergers deserves a place in modern psychiatric taxonomy, when up to 80% of people with autism have learning disabilities, then it at least served as a convenient shorthand for those of normal or above average intelligence. Well, I don't get consulted on either the ICD or the DSM, at least not yet.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I was thinking of tagging you, but the bit works best when you show up of your own volition.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I think it would be handy to have a per-user list too, and I am too broke/cheap to pay for Max.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
"Am I German or Autistic?"


http://german.millermanschool.com/


(I am neither German nor autistic, but it's good to confirm, through a psychometrically validated instrument that I'm a regular dude. Uh, I don't remember my results but I think it was 38% German and like 10% autistic?)


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for April 3, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I don't think you, or the general user, can do that. It's in the mod log and our per user moderation history, but even there it'll lump multiple AAQCs together if they were in the same month.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of March 30, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
Would "all they did do" make you happier? Because that is clearly true. The EU couldn't afford serious bloodshed over Greenland or war with the US. If Trump wasn't held back by domestic factors, they would have been almost entirely powerless to stop the annexation. You think Macron really wants to start a nuclear war, despite being the most hawkish leader, leading a country with a doctrine of first use?


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of March 30, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
Less likely? Yes. But most people genuinely don't know how common accidental motion is during sleep. And I wouldn't consider it strong evidence of intentional abuse, even if he's got a reputation as a sneaky abuser.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of March 30, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I never said they lost. I said they made a symbolic protest, and that was sufficient. I am not excusing the vagaries of the current administration, merely pointing out the power dynamics at play.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of March 30, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
The US can't entirely ignore Europe without serious ramifications (as seen by the rather disinterested response to Trump's call for support in Iran), but we all know who wears the pants in that relationship. The US can't entirely ignore that continent, but it can get away with bullying, intimidation and what can be charitable described as "tough love".


It's worth keeping in mind that the leaders of European countries, on average, do not behave in a way that is representative of public sentiment. It costs nothing for a Berlin or London art hoe to go on a Free Palestine march, Berlin and London themselves are not nearly as keen on the prospect. This also applies to the relationship with the US, the EU is not going to entirely cut ties, even if things cooled significantly. Even the deployment to Greenland was more of a symbolic/shambolic affair that would make for an excellent comedy.


Consider that. The most powerful power in the world is slamming you with indiscriminate sanctions, not significantly different to what it uses against its most hostile enemies. It threatens to annex Greenland, and all you can do is make press statements to "express concern" and send like a platoon of dudes off to get their balls cold. Which, in a way, is reasonable. I doubt Trump could have actually annexed Greenland by force without a serious risk of his own supporters making a runner. Why would the EU need to do more than save face?


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Wellness Wednesday for April 1, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
The whole point of the drug development pipeline is to minimize the unknown unknowns. Sure, it's not perfect, but there is no good reason to spend very much time worrying about Knightian uncertainty in a clinic. While your claims are true, I genuinely don't think it changes anything in practice. Statins have been around for ages, and even semaglutide has had its safety established to a degree where I am more than comfortable putting my mom on it and taking myself, sometimes.




If the doctor says "you have to do it, or you're going to be in serious trouble, the pills are the only way" - fine, do it. But if they say "you may try to change your lifestyle, or if it sounds too hard there are pills, your choice" I'd personally choose to try the non-pills way first.




And that's fine, no issues there. But when the pills are pretty close to a free lunch? I'm not advocating for him starting warfarin or anything that would make me sit up and think thrice before the recommendation.