Throwaway05
6d ago
He is the goat (of web serials).
I wouldn't say this, he's very rationalist fiction with struggles with relatable character writing (Thresholder is the worst for this) and noodly writing about powers. This causes normies to bounce off a lot but obviously anyone here is likely to like him.
Goat status is probably going to go to something like Mother of Learning, Worm, or The Wandering Inn.
Throwaway05
6d ago
So, now we know they lied - which we knew for a long time - and now we have an undeniable proof they lied.
As usual life is a bit more complicated than that. The medical experts still don't believe in the lab leak, and they have explanations when asked that sound convincing but I don't have the expertise to evaluate. You don't have to believe, and it's entirely possible they were told what to think and are now rationalizing it, but that doesn't change that their is a counter narrative to this explanation which is still present, and is quite potent.
I doubt the truth is particularly simple.
This means that anything as rock solid as "undeniable proof they lied" is unlikely to apply to most, and those it does apply to it would be impossible to prove.
I agree that a lab leak seems like a great explanation, but I don't have the expertise to evaluate if that's more likely than normal transmission explanation and we have to take a beat and admit to ourselves that a lot of devotion to the lab leak hypothesis stems from frustration that it wasn't allowed to be considered in the moment, not from the fact that it honestly seems more epistemically reasonable.
Throwaway05
7d ago
and my body started learning discipline meds-or-not.
Yes!
People with a good enough "life" (genetics, money, family support, intellectual reserve, whatever) can often do well or age out with enough time to establish "normal" life patterns and for some general brain development.
Even anti-socials often age out of a lot of the bad behavior.
Institutions that help with this can work! ...but are not always worth the costs.
Throwaway05
7d ago
I mean I'm just here to say it works SOMETIMES.
I suspect that part of the problem is the refusal to give up on anybody leaving everyone behind, as is common elsewhere.
Throwaway05
8d ago
Personally, I've never seen one.
I've seen a few of these in my life (both personally and as a treating physician) and have a few coworkers who meet this description. The classic example is boys who are a little too male for our current teaching paradigms. Think poor behavioral regulation or ADHD. If they have a supportive home environment and intellectual reserve it is very possible they'll stay out of just enough trouble/troubling behavioral patterns for their frontal lobe to develop and adequate coping skills/treatment to come into play.
Then they end up being productive members of society.
The American problem is the lack of sufficient home support for this to gracefully happen, then they fall out of society. School alone is pretty ineffective at covering that but you do need both.
Throwaway05
8d ago
The morality on display was virtually amorality
It's worth dialing in on this. They weren't amoral, they had morality - it is just alien to us.
For example SKILL was moral virtue. As opposed to unselfishness, which is often what we use these days.
See: https://en.wikipedia.org/wiki/Arete
Lots of Ancient Greek myths and cultural output make more sense if you go back and think about it this way.
Dialing in on this and its implications is a big piece of what Nietzsche is about and importantly this kinda stuff still lives with us today a little bit in other moral systems and countries (....could this explain woeness????).
However the general Judeo-Christian/Western ethical system is so baked into our lives and culture that it often results in a bit of "this is water" type problems.
Throwaway05
13d ago
Theo Dalrymple
Highly recommend "Life at the Bottom" by him if you haven't read it. A bit dated now but important for people who have mostly theoretical exposure to the underclass.
Throwaway05
13d ago
Second this.
I'm kinda surprised by the confusion TBH, but maybe that is from having read him - although I do wonder if the mistake would have been made 20 years ago? I can kinda see it today, maybe.
Throwaway05
18d ago
Even famously poor charisma politicians like Al Gore will totally eat the ego of an average person, especially if the meeting is accompanied by the accoutrements.
Throwaway05
19d ago
I saw something about non-invasive mechanical ventilation, not quite the same (although medical reporting is always ass). Basically he probably has a mask on, not the same as intubated and likely sedated.
However he might get an infection from his recent misadventure.
Throwaway05
19d ago
You know I thought he might have been intubated which would have been seriously bad news but it sounds like that isn't the case which is indeed positive.
Throwaway05
20d ago
That....is not good.
Throwaway05
21d ago
Look at the literature that came out later after everyone calmed down, even if it had some lab impacts it didn't seem to have a useful clinical impact.
It's probably at best very similar to Tamiflu.
Throwaway05
21d ago
I can tell you ivermectin literally works by making the cells inner PH less conductive to fully forming the viral capsid.
How often have we cured cancer in a lab but when you apply the thing to real life clinical practice it isn't helpful?
It's nearly all the time, in fact it's the majority of medical research.
Throwaway05
21d ago
Not really off hand, I'd want to do a lit review for that to have some certainty (although I think the answer is not high risk). You can do that yourself though! Yes it would be a bit dry but if you search "pubmed lung cancer black mold" you can probably get a reasonable impression for a pretty narrow question like this.
Throwaway05
21d ago
I do enjoy that the one I linked has a correction haha.
Throwaway05
21d ago
While I am exaggerating the amount of growth is still pretty rapid - compare the size of First Aid now with 20 years ago. You'd be shocked at how much has changed since the early 90s, especially with respect to over specialization.
Throwaway05
21d ago
They used to have less shit they could do so it was easy to have everything memorized aka we used to do jack shit, especially overnight (and reference textbooks are a thing!).
Also like 50 medications total lol.
Reminder that the treatment for a heart attack used to be ETOH and that was the better option than the alternative (bedrest).
Throwaway05
21d ago
The USMLE is necessary but not sufficient, other stuff is required to be a competent doctor (and NPs/PAs certainly become doctors without passing the USMLE, and while not actually good enough certainly make some people comfortable).
Preparation side of things gets weird, these days most applicants use uniformly the same few "best in class" test prep resources like Sketchy and First Aid, hypothetically someone could pass the USMLE without the structure and context of course work but it would be nearly impossible because of the sheer amount of crap you need to know.
As you know but the other poster likely doesn't, a lot of what is involved in being a good doctor involves practical experience doing shit in the hospital (sometimes physical skills and the like) with training wheels for awhile before you do it on your own.
You don't want your first time doing X to be doing it by yourself with no supervision, it's a terrifying thought.
Incidentally some states in the U.S. do allow lawyers to became barred without law school but I don't know the details of that.
Can't really do that in the same way for medicine.
Lastly it's entirely possible to pass USMLE and be ass as a physician for a variety of reasons including skills atrophying and laziness.
Throwaway05
22d ago
Throwaway05
22d ago
One of the things you learn in medical school realllllll fucking fast is that most people are shockingly honest with their doctors. Some topics are tough but many topics you think people would lie about (like drug use, or wanting to murder someone) are often whole heartedly endorsed.
It's more of a problem for families, and for often good reasons (I didn't want the kids to think smoking was cool!!).
Throwaway05
22d ago
The existences of spots does not equal the existence of good spots.
Throwaway05
22d ago
Some people smoke but don't want other people to know about it, a common sample motivation is because they know it's bad but don't want their kids/relatives to pick up the habit.
Throwaway05
22d ago
I don't know that much about this because its obviously not relevant to my life but my understanding is that they mostly exist badly underserved areas (like Kentucky) and are vulnerable to legislators abruptly changing them and then you are trapped with no ability to work (or move out of state).
Viable for some but have caution.
Also Step is a lot of work, although it does cater toward foreign medical education in some ways (at least the earlier Steps, later not as much).
Absolutely agree with most of this - suppression happened and was a problem, but just because of that doesn't mean we for sure have a consensus/lies.
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