DirtyWaterHotDog
in an abusive relationship with you lot
No bio...
User ID: 625
Edit: saw the post below. Thanks
A summary or link would help.
The general understanding is that supply for doctors is artificially constrained. The bottleneck maybe residencies, credentialing bodies or just cost of entry.....but they're artificial barrier regardless.
For starters.
- Why isn't medicine an undergrad course
- Why is it near impossible to transfer medical credentials from 3rd countries to the US
- Why can't AI be used to empower NPs and PAs handle minor cases. Here, the specialists can serve as reviewers and rubber-stampers.
At this point, anyone who thinks AI can't disrupt knowledge work has their head in the sand. It may still work out, given the strength of the cartel. But that'd be a case of deliberate sabotage, not inadequacy on part of the AI.
DirtyWaterHotDog
in an abusive relationship with you lot
2d ago
This is gold.
I find it useful as a yardstick, not an absolute. Generally agree with the article.
For starters, I think there’s a pretty large kernel of truth to the general idea of “effective reps.” I think the “hard” version of the idea (“the last 5 reps before failure are all the matters”) has major problems, but a “soft” version of the idea is almost self-evidently true. To maximize hypertrophy on a per-set basis, you do almost certainly have to get somewhat close to failure, in basically any context I can think of. If you can do 12 reps with a certain weight, doing 3 sets of 10 is almost guaranteed to get you more growth than doing 3 sets of 3.
unsurprisingly, stopping each set REALLY far from failure did compromise hypertrophy.
Altogether, these studies support the idea that in order to maximize growth on a per-set basis, you do need to be reasonably close to failure, but actually reaching failure probably isn’t necessary, especially for trained lifters.
Yeah, that's good advice.
DirtyWaterHotDog
in an abusive relationship with you lot
3d ago
I like AthleanX's 'effective reps' concept
you can do something called effective reps. This style of workout is highly intense and ensures that you are not only going to, but you are going through failure as well. You start with an ignition set of 10-12 reps then you rest up to 30 seconds and start your reps again to failure. Now, you will find that the number of reps you can do in a set will come down from 10-12 to about 7-9. Once you reach failure, you will again rest up to 30 seconds before you start your reps again to failure. Now, you might only get 4 or 5, then maybe 2 or 3 after that. You keep going in this fashion until your targeted number of effective reps are reached
tl;dr: Every set should have a few reps that feel hard. If you aren't grinding out the last few reps, then that isn't a hard set.
My definition of grinding out a rep = Proper grimace, rep needs perfect breathing and a few optional groans.
The only exception is RDLs (or any deadlift), where I stay below failure to avoid breaking my back.
Another exception is hack-squats (or any squat). Here, the 1st set is never that hard and the last set feels like death regardless.
DirtyWaterHotDog
in an abusive relationship with you lot
5d ago
"Never let a good crisis go to waste"
TSA workers should stay fired. Replace them with overt surveillance and heavily promote CLEAR+ and TSA-Pre. TSA has been an over-funded albatross around the neck of global aviation since 9/11. About time we upgraded to something automated and effective.
The shutdown gives solid political cover to both parties. Both parties can blame the other while TSA workers find employment elsewhere. Once the shutdown eases, they can evaluate whether to rehire individuals or let technology fill in the gaps.
DirtyWaterHotDog
in an abusive relationship with you lot
5d ago
It's ironic. The conspiracy theory would be valid if it were applied to another person instead : Mojtaba Khamenei
Iran's new Supreme Leader is either maimed, on his death bed, or already dead.
He hasn't made a public appearance since his appointment, in person or on video. We know that he was injured in some capacity. There are plausible-ish reports that he has been flown over to Russia for emergency medical care.
Frankly, Netanyahu's death would be a nothing burger when compared to Trump or the Khamenei family's death. It would also be impossible to hide given the democratic nature of Israel. The attacks on Iran have unanimous support from Jews in Israel (~93% approval). Netanyahu would be replaced by a caretaker govt, with a Likud placeholder, Yair Lapid, or Benny Gantz as a temporary face. The attacks would continue.
Before Oct 7th, Israel had a diverse political landscape spanning everything from the far left to the far right. Oct 7th collapsed the Overton window to only tolerate the center-to-center right. That's it. Unlike the decades prior, Netanyahu's actions have bipartisan support and a new leader would merely change the pace of Israel's offensive, not much else. The war is a foregone conclusion.
Lastly, the gulf states and the US now have more at stake than Israel. Rising oil prices will decide Trump's midterm fate, and he risks looking like a loser if he pulls out early. After Iran's drone tantrum, the gulf is now brought into Israel's framing of Iran's military capabilities as an existential threat. They will want Iran's nuclear efforts and dirty weapons manufacturing capacities to stay dismantled for good.
DirtyWaterHotDog
in an abusive relationship with you lot
7d ago
Not far flung, but...
Been enjoying French Afro-pop - Vegedream (Ramenez la coupe à la maison) and Dadju (Mwasi wa Congo). French roommate introduced me to it, and they're proper ear-worms. It's poppy but rhythmically complex. Fun to play on drums.
Ayy, Congrats.
I saw it on here the other day - https://old.reddit.com/r/MediaSynthesis/comments/1rrhart/do_not_render_your_counterfactuals_selfmadehuman/
It was good one too. Read it way back, and the cosmic horror comes through.
Embarrassingly, I did not heed the advice, and asked ChatGPT to create hypothetical kids for my girlfriend and I.
/r/gwern : you are an approved user on this subreddit.
🥲
DirtyWaterHotDog
in an abusive relationship with you lot
10d ago
Iran is a dangerous oppressive shit hole
You are wrong.
There are levels to shit holes. It around the levels of modern day Egypt, and would be doing better if it hadn't been sanctioned into the ground. In the 2010s (well into the Ayatollah's regime), they were around 80th in GDP per capita. That's solidly middle-economy alongside nations like Thailand, Malaysia and South Africa. China only surpassed them in 2012-13.
You can't call every non-OECD nation a shit-hole. Iran still sits above China in the HDI index at a comfortably above average number.
Have you seen photos of their major cities ? They look more developed than many tier-2 American cities. 1 2 3
If I could be a architecture nerd for a second, their modernist brick work is some of the prettiest & most original of the recent past. [4] 5.
that has sustained terrorism over the last several decades
As do many of US's allies. UAE is funding genocide in Sudan. The US itself was happy to fund the Mujaheddin as long as they were terrorists allied with the US. Pakistan's entire thing is to fund terrorists, and the US has continued being friendly.
Maybe they have a great history (I have severe doubts on historical accuracy)
Oh yeah, we're about to start doubting if Persia was ever a great empire.
Left leaning detractors left this forum. The moderate ones are emotionally spent. Right leaning posters are keeping quiet because Trump 2 hasn't delivered the outcomes and they know gloating can backfire.
Modern wars are about limited objectives. You either achieve it within days or pack up and leave. Great powers have great egos. They never pack up and leave, so you get ugly protracted struggles. The Iran war has all the characteristics of a quagmire. The objective is unclear. There are no secondary power structures to take over. It's a giant mountainous landmass that can't exactly be invaded. A protracted struggle will be ugly.
And what's the point of this invasion anyway? What's the limited objective ? Earlier strikes to nuclear sites made sense. Limited objective, achieved overnight. You want the Ayatollah gone ? Who's going to replace him. Will it be someone from the highly trained 200k strong IRGC cadre or a disgraced crown Prince who has never lived in the country ? Who will rise up ? You expect urban Iranians to accept kurdish separatists as their saviors ? You think civilians will take kindly to bombing mosques and schools ?
I believe Trump fired everyone with nuanced views of the middle east, and the remaining bunch now pattern match from events in the wider Asian region. "Iran had protests, just like the Arab spring. If we provide outside support like Obama did, then protestors will overthrow the Ayatollah. Nepal and Bangladesh had 'student protests' that morphed into regime change, maybe we can coax Iran into the same. Pitting rival tribes against each other has worked in Iraq, maybe we could pit the Kurds against the Ayatollah and make it work."
No, you idiots! Iran is one of the world's great civilizations. It's a unified ethno-lingustic-religious identity that's stayed independent for 500 years. Very few countries can claim a stronger internal sense of being a people united. I'm projecting, but this administration's 4chan roots are leaking. "Everywhere outside of OECD+China is a shit hole. All browns are Pajeets and all middle easterners are Muhameds." Yes, it's a straw man. But I've tried looking for a steel man. I can't find one.
Personally, I find myself increasingly frustrated at American policy, and emotional responses don't make for good writing or reading. As a result, I've reduced my engagement on this forum.
DirtyWaterHotDog
in an abusive relationship with you lot
19d ago
Should be doable. Use claude code or codex.
Use one that allows you to host the game in local with fast compile times. AI improves via feedback loops. It is much easier to guide it when it can do a quick compile -> view -> fix -> repeat. Given the popularity of Unity, LLMs would be most comfortable developing with it. Don't take on a large change by itself. AIs are best at getting some demo in, and then iterating on it.
I hate C# (and all Java family languages), but Unity sounds like the easiest way to get started.
DirtyWaterHotDog
in an abusive relationship with you lot
28d ago
I've spent years using both Ubuntu and windows on different occasions. Ubuntu is never as simple as it's touted to be. It has many of the same jankiness problems of windows while having odd driver & config problems that screw you over when you aren't looking.
I liked windows 7 because it was stable and there was 1 way to do most things. Windows 8 introduced the Tile UX, app store and touch apps which turned windows into 3 operating systems in a trench coat.
I dislike Ubuntu & Linux as an end user because there are a million ways to do things. That's just a million ways to break things. App store, snap, apt, flat pack....fuck off. The laptop is a tool. It should do what I need it to, reliably.
I have since moved to mac, and it correctly understands the assignment. I still miss window's workspace management, screen splitting and the explorer experience. Finder is trash. Screen management and workspaces in mac are unintuitive. But, that I can work with.
DirtyWaterHotDog
in an abusive relationship with you lot
29d ago
Vscode was a breath of fresh air when it released.
Microsoft teams was quite good at release. They made it progressively worse, but its V1 was pretty good. Then they added the telemetry.
Windows 7 was excellent.
Github copilot was an excellent V1. They failed to capitalize on it, conceding ground to cursor and later Claude code. But, the first release was magical.
Linkedin has stayed good-ish. For a platform that was meant to be corporate-slop by design, it has stayed inoffensive. Compared to the decline of Reddit, Tumblr, Facebook & Twitter, Linkedin is the only era-1 social network that still functions the way it is supposed to.
Head of XBox role is closest to a producer role.
Your job is to be a ruthless bean counter while individual studios focus on the core creative pursuit. This is especially true for Microsoft, which unlike Nintendo isn't as strongly coupled to its 1st party IP. Zenimax, Bethesda, Activision & Blizzard will probably keep doing their own thing.
Xbox should not be driving forward with vision. It should be funding game directors with vision, and keeping them on a leash of the correct length.
Todd Howard has maintained control over Bethesda, Sam Houser still runs Rockstar. Still no Elderscrolls 6 or GTA 6. Despite being run by 'capital G gamers', AAA Game studios are dysfunctional frankenstiein's monsters.
The primary thing that gives me pause about Asha's Linkedin is
VP Product & Engineering
Meta
Head of Product across Messenger + Instagram Direct and GM of calling, video, + kids experiences. Previously: Director, Social Impact Products
hmm.....
Sounds like a convenient way to set an arbitrary bar that limits the supply of doctors. Lawyers went through a rapid expansion in supply, and it did not reduce the quality of law. If anything, allowing the competition to take place in the open has increased the bar for getting into elite law-schools. But now, there is also a sufficient supply of mediocre lawyers who fulfill mundane legal duties.
I apologize for sounding harsh, but that is a bad justification. More so on a forum that prides itself in identifying collective incompetence and blind-spots in elite circles. This is the common excuse of Bureaucrats & careerists who love abstractions more than action.
Don't the abusive conditions of residency have a lot to do with why people drop out ?
Aren't mid-levels explicitly 'not cardiologists'. My understanding is that majority of issues are obvious and having a mediocre individual take care of it is a correct allocation of resources. I have a heart problem I have looked at by a cardiologist every 2 years (back in India). The most valuable thing he does is to look at my ultra sound. The ECG is taken by a mid-level and he does the ultrasound because I am long time customer, but a mid-level could do that too. The highest value thing he does is review the ultra sound, and then tell me that my heart is still okay and I am good to go.
His resources are best used for the last part of my checkup (the review) and to spend majority of his time on real emergencies. What's wrong with that ?
eh, I disagree on both points. The ethical problems have never been an issue in the US. Brain-gain is a fundamental national value. Practically, the USMLE + residency matching is hellish for international candidates. I'll let @self_made_human chime in, but it USMLE qualified doctors being incompetent is setting off a bullshit alarm for me.
If I had to speculate, the bottleneck for international candidates is the residency. And it is easiest to get residency slots in the least-desirable towns and cities. It's possible that top international candidates would never agree to waste 3 extra years in the middle of bumfuck nowhere, and therefore only mediocre candidates apply. Top candidates are in competitive fields like cardiology, which needs them to waste about 6-7 extra years in bumfuck nowhere, making it more unlikely that they'll apply."
You'd be surprised. The cutting edge of AI (complex agent swarms) is years ahead of what people think is the cutting edge. (chatgpt subscription).
For example, a chatgpt subscription is 20$/month. I routinely burn 100s of dollars/day in LLM costs. The strongest models are capable of insane things, but it feels like only people in some small circles have realized it so far.
It's still not ready yet, but objects in the mirror are closer than they appear.
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