@self_made_human's banner p

self_made_human

amaratvaṃ prāpnuhi, athavā yatamāno mṛtyum āpnuhi

14 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

				
				
				

				

					14 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


					
					
					
				

			


					

						
					



		

	

 











			
			

			
			

			




	


		

			
‎

			

				
				

					Hour
					Day
					
					Month
					Year
					All
				

			


			
‎

			

	
	

	 Hot Bump Top Bottom Old Controversial Comments
	



		

	






	

		
		

		
		
	

	

  







		

			
			
				Culture War Roundup for the week of February 2, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
Sounds good to me. We officially on?


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 9, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I feel like the cure is worse than the disease


– A sufferer


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 9, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I love a woman who will literally just kill me, then dance on my corpse.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 2, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I don't think we have juries here, but that's a nitpick. Those rules sound fine, though I'll note that I'd want the money myself instead of a donation to a charity, though I'd donate if necessary. And if that's the case, it has to be a charity that is legal to donate to in the UK, our free speech norms are a tad limited.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 2, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I'll eat my hat if they were anywhere a majority. I'm far more inclined to believe that polling would show something very close to Lizardman's constant.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Small-Scale Question Sunday for February 8, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
Man (pun not initially intended), I've never felt like "being" a man, nor have I ever felt tempted to become a woman. I wouldn't hit the magic button, I'm content the way I am.


I have a masculine personality and stereotypically male interests. I'm very good at the touchy-feel stuff when I can be arsed (I had a bunch of female friends, even if I had more male friends overall), but I prefer the way men talk to other men. Being a woman also comes with severe inconveniences in the form of periods. And here I was feeling bad for myself after getting migraines once every few months.


When I contemplate changing my body, I envision becoming taller, stronger or more handsome (and escaping from the prison of my flesh)—more masculine—I've never even desired to be twinkish, let alone feminine.


At the end of the day, I don't feel like I have some kind of pointer in my head that affirms my male personality. If I turned into a woman by means either magical or Indistinguishable From It Science, I'd just do the same things I already do. There's no gender dysphoria or euphoria, there just is.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 2, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					


any human




Does that include people with Down's Syndrome? Outright and obvious diseases aside, I can think of plenty of people who are so unpleasant/pointless to talk to that I'd speak to an AI any day instead. And even within AI, there are models that I'd prefer over the alternatives.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 2, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I've been... lazy in that regard. Far too much money in my account that's not accruing interest. But yes, that's a factor. I also earn an OOM more than I did back India, which definitely helps. If I was less lazy, I'd have put most of my money in the S&P500 by now, but I've already put myself in a much better place than if I'd been complacent about things.


I don't expect that this will necessarily make me rich in relative terms, I'm starting too low, too late. But I want enough of a safety net to survive in comfort for the (potential) period of unemployment when AI eats my profession whole, before we implement solutions such as UBI. Not starving, not dying in a riot, all of that is important to me.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 2, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I'm probably in the 99.99th percentile for doctors (or anyone else) when it comes to the use of AI in the workplace. I estimate I could automate 90% of my work (leaving aside the patient facing stuff and things that currently require hands and a voice) if I could.


The main thing holding me back? NHS IT, data protection laws and EMR software that still has Windows XP design language. This means I'm bottlenecked by inputting relevant informant into an AI model (manually trawling the EMR, copying and pasting information, taking screenshots of particularly intransigent apps) and also transferring the output into the digital record.


The AIs are damn good at medicine/psychiatry. Outside my own domain, I have a great deal of (justified) confidence in their capabilities. I've often come to take their side when they disagree with my bosses, though the two are usually in agreement. I've used them to help me figure out case presentations ("what would a particularly cranky senior ask me about this specific case?" and guess what they actually asked?), giving me a quick run-down on journal publications, helping me figure out stats, sanity checking my work, helping decide an optimal dose of a drug etc. There's very little they can't do now.


That's the actual thinky stuff. A lot of my time is eaten up by emails, collating and transcribing notes and information, and current SOTA models can do these in a heartbeat.


To an extent, this is an artifact of resident doctors often being the ward donkey, but I'm confident that senior clinicians have plenty to gain or automate away. The main reason they don't is the fact that they're set in their ways. If you've prescribed every drug under the sun, you don't need to pop open the BNF as often as a relative novice like me would - that means far less exploration of what AI can do for you. Yet they've got an enormous amount of paperwork and regulatory bullshit to handle, and I promise it can be done in a heartbeat.


Hell, in the one hospital where I get to call the shots (my dad's, back in India), I managed to cut down enormous amounts of work for the doctors, senior or junior. Discharges and summaries that would take half a day or more get done in ten minutes, and senior doctors have been blown away by the efficiency and quality gains.


Most doctors are at least aware of ChatGPT, even if the majority use whatever is free and easy. I'm still way ahead of the curve in application, but eventually the human in the loop will be vestigial. It's great fun till they can legally prescribe, at which point, RIP human doctors.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 2, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					


ChatGPT isn’t so different from, say, Jarvis in Iron Man (or countless other AIs in fiction), and the median 90-100IQ person may even have believed in 2007 that technology like that actually existed “for rich people” or at least didn’t seem much more advanced than what they had.




Eh? I'm very confident that's wrong. Normies might not appreciate the impact of ChatGPT and co to the same degree, but I strongly doubt that they literally believed that there was human-level AI in 2021. AGI was science fiction for damn good reason, it didn't exist, and very, very few people expected we'd see it or even precursors in the 2020s. Jarvis was scifi, and nobody believed that something like Siri was in the same weight-class.


To shift focus back to your main thesis: the normie you describe is accustomed and acclimatized to being average. Bitter experience has proven to them that they're never going to be an "intellectual" and that their cognitive and physical labor is commoditized. It's unlikely that being the smartest person in the room (or in spitting distance) is an experience they're familiar with. Hence they have less to lose from a non-human competitor who dominates them in that department.


On the other hand, their average Mottizen is used to being smart, and working in a role where it's not easy to just grab a random person off the street to replace them. That breeds a certain degree of discomfort at the prospect. I've made my peace, and I'm going to do what I can to escape the (potential) permanent underclass. It would be nice to have a full, accomplished career with original contributions to my professional field or the random topics I care about, but I'll take a post-scarcity utopia if I can get it.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Small-Scale Question Sunday for February 8, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
Call me an optimist, but if we're talking about a civilization capable of rendering the observable universe at our perceived level of fidelity, I think they've got that handled.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Small-Scale Question Sunday for February 8, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
Why not? The question was whether small tweaks in the sim parameters might have catastrophic effects. Being able to revert to an earlier save or checkpoint is useful either way.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Small-Scale Question Sunday for February 8, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
It's okay, I'm sure they've got rolling backups.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Small-Scale Question Sunday for February 8, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
The Culture series? The Golden Oecumene, for a slightly different take on a post-scarcity utopia.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for February 6, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I was visiting my psychiatrist uncle while his dad was over. As part of Standard Indian Hospitality, they tried offloading their spare wardrobe onto me. This included a pair of high-waisted grandpa trousers.


I'm sold. They're surprisingly comfy, look good on me, and go with everything. Highly recommend.


The incredibly loud and sequined suits? Less so, but you take the good with the bad.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 2, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I can nominate @ArjinFerman or @Corvos, if they're willing to accept. I'd be happy to not bother with an escrow if you're fine with it, given the lower sums involved.


My proposed terms are clear concessions on an acquittal or conviction, and if this somehow doesn't resolve in 2 years, a general throwing up of hands and acceptance that we're never getting to the bottom of this.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 2, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I don't see how this disagrees with anything I've said?


The hypothetical example you've presented is probably more cut-and-dry than anything we've seen here. I suspect that it would actually be more likely to end in a conviction than you think, judges do not regularly do Bayesian calcs in court.




A guilty verdict is very strong evidence of guilt. A verdict of 'not proven' is very weak evidence of factual innocence (as opposed to legal innocence).




I agree, in fact I alluded to the same. If a video came out showing an assault by the accused and without a conviction (as unlikely as that is), then I'd be willing to accept that in lieu of a favorable legal verdict.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 2, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					


keep in mind your original argument rested on nothing more than statements from the police, not official charges, or an actual convction




Hmm? I don't think that's the case. I also heavily stressed what can only be described as "local sentiment", perhaps priors, in addition to the official story. The locals (debatably including me) thought it's more likely than not.


For example:




My own priors, which seem to match those of most actual Scots I’ve spoken to, lean toward a more mundane explanation.








and how you portrayed anyone unconvinced by your arguments as unreasonable.




That is not true. I think I made a strong argument, but I also acknowledge:




I would like to believe that this clarification settles things, but I am also not naïve. If your epistemic filter is tuned to maximum paranoia, then the absence of evidence is merely further evidence of a cover-up. For everyone else, the police statement, local skepticism, and sociological context should nudge your priors at least a little.




In other words, as a Bayesian, my opinion is that you should at the very least be slightly swayed by the argument. That is not the same as thinking that anyone who disagrees with me is unreasonable. There are actual people (living breathing humans) who are immune to any argument, probably including divine intervention. My scorn is largely reserved for them.


Similarly, the article you shared has meaningfully moved my posteriors. Back then, I expect that if anyone asked, I'd say I'm 80-90% confident of a lack of guilt, and now I've moved down to 70%. That is precisely the kind of update in the face of new evidence that I endorse and respect. Hence why I do it myself.


I expect that if a conviction is secured, I'd jump to maybe a 90% certainty that I was wrong, and if they're acquitted, then back up to 90% confidence of being correct. Feel free to tag me if something happens, since I don't really read the BBC that often.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 2, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I'm not sure I trust you enough to hold up your end of the bargain. If, for the sake of example, it was @ArjinFerman offering, I'd take it, though I'd prefer smaller sums like £50:25 since I don't care that much. If you're willing to go through the hassle of finding someone to use as an escrow, while using crypto (which is hassle on my part), sure.


If not, I care about my reputation and epistemics to happily accept being proven wrong, if and when I'm proven wrong.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 2, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I agree that's a possibility, and if that's proven, I'd be more sympathetic. I personally disagree quite a bit with the UK's approach towards banning pretty much every form of self-defense.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 2, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I'm happy to concede if the prosecution ends in a conviction. I still think it's more likely than not that they're acquitted (if I had to put a number on it, 70%).


I'm also happy to acknowledge that acquittal doesn't necessarily mean a lack of guilt, but I don't think the British judicial system is so corrupt that it represents null evidence.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Friday Fun Thread for February 6, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I feel like it would be less hassle to take a heroic dose of viagra and then think of England.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Culture War Roundup for the week of February 2, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
"The AI doesn't hate you, it doesn't love you, but it knows you are made of atoms it can use for something else."


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Wellness Wednesday for February 4, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
About 2 years back, and at the time I'd perceived it as unilateral and I'd been in the midst of incredibly stressful exams while under a lot of pressure. That was also the case for the second episode a year later. I never had anything similar during my childhood or adolescence.


The scotoma was also very different from my impression of what a typical aura was like (not that I'm an expert on migraines) so the initial absence of headaches in addition to that had me never consider migraines as a cause.


				

				

						

							

								
							

						


						
					

				
			


			

	


			
			
				

			
		

	






		

			
			
				Wellness Wednesday for February 4, 2026
			
		

	

	

	

		
			

			

				

			

		

			


				

					
I used to have vision problems. They'd diagnosed me with central serous chorioretinopathy, which is one of those conditions that sounds scary but usually isn't. The main exception: sometimes it progresses to retinal detachment and you go blind. But this seemed unlikely enough that I wasn't too worried.


For years I'd get maybe one episode annually. Fine, whatever. Then a few months ago the frequency ramped up dramatically, and I started wondering if something was wrong.


I did what any reasonable person does when they suspect their diagnosis might be incorrect: I asked several AI models. They all said roughly the same thing: this doesn't look like CSCR. The visual field defects were appearing and resolving way too quickly. Plus I was getting headaches, eye pain, and nausea, though mostly just the scotoma by itself. None of this quite fit.


Today I had another episode and finally got myself to an ophthalmologist. I came prepared. I'd used an Amsler grid to map the exact coverage of the blind spot and tracked how it progressed over time. The smoking gun: this time I had clear evidence the scotoma was bilateral, affecting both eyes instead of just one.


ChatGPT (the 5 Thinking model) had been pretty insistent this was migraine with aura (and careful to exclude more concerning pathology like a TIA/amaurosis fugax). After the ophthalmologist spent several minutes blinding me with lights so bright they photobleached my retinas (and myrdriatics, couldn't read anything closer than two feet for a while afterwards, this is why I'd been putting off the appointment), guess what conclusion they reached?


Migraine with aura.


On one hand: relief. No risk of going blind after all. On the other hand: migraines suck, and I'm pretty annoyed that multiple doctors missed this. The symptoms appearing and disappearing so quickly should have raised immediate doubts about CSCR, which takes days to resolve. Even I started questioning it once the pain showed up, though admittedly I never jumped to migraines either. But my excuse is that I'm a psychiatrist, not an ophthalmologist.


Unfortunately, I was also diagnosed with ocular hypertension, which is a risk factor for glaucoma. Uh.. You win some, you lose some? And it's helpful for your clinician to run tests on you in person? Go see a doctor too, even if ChatGPT is very helpful. It sadly lacks thumbs.