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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?

10 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

This one caught a couple reports for "Boo outgroup", but while I think there's slight consensus building and some of the former, I don't see anything worth warning you for.

I only write this mod hat on to point out that while your comment is hardly ideal, a polite reminder and not a formal warning will hopefully suffice.

Edit: I'm afraid I didn't see that this was a top level post in the main thread. We expect more effort and less heat in that context, so consider this a warning to avoid this in the future.

I fucking hate it. They removed the anime cartoon style and replaced it with something that is NOT Pokemon. Now I just look like some kindergartener who bites people at school

My gut hurts from laughing, but to be fair, I think the kind of 10 year old willing to go engage in dog-fights and clobber wild animals senseless probably did bite people at school.

Well, as a pure form of nicotine it's even less likely to cause any harm as compared to vaping, which is already reasonably close to net neutral in terms of effects on your health.

I prefer vaping for the convenience, but if I knew I was going to go through nicotine withdrawals, I'd buy some gum or buccal formulations. Otherwise, I don't really see the appeal myself.

Please note the edit/update.

In general, the mods take more pains to police top-level comments more, and enforce the standards most strictly there. Something buried a mile deep gets more slack. Not infinitely more so, certainly, but this would have passed under my threshold if buried in a comment chain 5 replies deep.

I was under the impression that this wasn't a top level comment, and in context of wider discussion, and at that point, it would have deserved a tut-tut more than a formal warning.

Sadly, I've been disabused of that notion, and this doesn't fly as a top level comment. He doesn't have any previous mod record, hence a warning to knock it off suffices.

I MADE IT

FUCK THE HATERS

Ahem. Sorry. Got a bit too hyped up, but I've gotta be my own hype man, it's 11 pm at the hospital.

@Throwaway05, @TheDag, @AhhhTheFrench, @faul_sname, @whoeveritmayfuckingconcern (there's a lot of people who've egged me on over the years, I'll get to you all):

I got a match offer in psychiatry! While Scotland might be a little bit on the dreary side, well, endless exams are even drearier.

I was in an awkward position. If I'd done a lot better, I'd be confident in an offer. If I'd done way worse, I could have washed my hands of it and resolved to grit my teeth to prep yet another year of my short life. But I did well, but not so good that I wasn't on tenterhooks.

Most British doctors don't match on their first try, barring the least craved options like GP.

But psychiatry went from having a competition ratio lower than 1, to 9:1.

The exam got ten times harder since I began planning for it. Doubled in the span of a year. Yet I beat it. Beat all the bastards.

No more wannabe psychiatrist, upgraded to shrink-in-training. Then, barring an act of Satan, a bona fide shrink and not a LARPer

I might hold the current offer in the (mildly vain) hope that I get an upgrade to somewhere less rural, but I'll still take it. (Hmm, it seems that the hold window is already over, it seems to be take it or leave it, but I'll still ask around)

Fuck yeah. Gonna drink a lot of scotch and fuck a lot of bitches. I'm getting out.

Now, it's shame I've got 9 hours left at work, and while its going to be a slow night, I'd rather not lose my Indian license by drinking on duty. That can wait till the morning.

I tried to come up with a cogent counterargument and find I'm coming up short.

Look, they weren't all that bad. The psychologist will presumably recover, once she stops screwing her ex. The fashion designer, well, she's doing better. There were definitely better dates, plenty, though I can't really commit with the whole leaving the country thing ahead. But I make sure they know that, I would despise myself for leading someone on.

There are certainly several more who I can pass off as sane, but there's not much to say about them, barring some flirting and early morning goodbyes. It's the crazies, the damaged ones I remember the most, mostly because they had me feverishly leafing through my textbooks to figure out if I was the one going insane.

Here's hoping that Scottish girls are notably less psychotic on average, but I'll be honest, it feels nice to help people who desperately need it, though as you can tell, even I have my boundaries and soon enough, a justified fear of losing my license, so said boundaries only get tighter. At the very least I know that I am very good at the whole counseling and talking people into doing what's good for them thing, even if I can't prescribe more than SSRIs and benzos (and wouldn't want to, I send them to more qualified psychiatrists most of the time). At worst, I know my voice can lull them to sleep, which is worth something I guess. I'm not kidding when I said one of them was actively suicidal and about to do something awful, but thankfully it seemed to be more of a single isolated episode on a background of severe depression, so yeah, probably saved her.

Whereas the thought of an arranged marriage just makes me depressed. I can't always fix them, but I'm happy to let them make me worse.

I definitely have tendencies in that direction, but you have to stretch to get to 5/9

So you have borderline Borderline Personality Disorder?

Look, it's not personal, I'm not one to blame people for their mental disorders or personality problems. Mainly because it doesn't help, or make a difference. But trust me and my far more senior colleague @Throwaway05 that people with BPD can be dangerous. The severity of the symptoms can vary greatly, but even with my proclivities towards waltzing into people's lives with my sleeves rolled up and eager to help, that would be a moth heading right for a naked flame.

When they're good, they're great. When they're not, well, the risk of them ruining your life is frankly unacceptable, and one of them already had a good crack at that from a full degree of separation, didn't even get the crazy good sex bit as compensation.

The more flagrant cases have my profound pity, as do people with certain other mental issues, like my buddy with schizophrenia (as I mentioned elsewhere, it was him who was dating the chick, and I've already mentioned how I had to save him from a suicide attempt not that long ago). I'm more than happy to see people like that in a consultation room, but not in my personal life.

Worst part is that, as far as I'm aware, medical and psychological intervention doesn't make much of a difference. It's largely just the way they are, for factors out of their and my control. All I can do from my end, especially when looking for dates and not patients, is keep them several miles away.

Redacted: Bad faith posting: main intent is clearly holocaust denial Redacted: quality-contribution Redacted: Single issue poster

Sigh. This post was entirely unobjectionable till you made it obvious that you clearly wanted to use a modestly interesting prelude about recent events to lead into yet another screed on how improbable the Holocaust was.

Despite having AAQCs, you've been warned repeatedly for single issue posting, and you were doing better on that front too, until, well, this.

While I'd have been inclined to just warn, for now, I'm going to send you to the cold, uncaring Outside for 48 hours, so you know that the warnings aren't just a rap on the wrist you can evade by being better for a bit, partially because this doozy is in your mod log:

more Jew-posting, trying to be sneakier about it, admitted he deliberately posted as a reply in another thread to avoid catching a ban. Recommend ban next time.

Enjoy the timeout, and please for the love of Yahweh find something else to post about on more occasions.

You need to provide a submission statement for a frontpage post. A video title doesn't suffice.

You don't have to summarize the whole thing, merely point out what it's about and why it deserves space here instead of one of the many threads we have.

Eh, while Indians are hardly at the top of the totem pole, I hardly do badly (trivia, the bottom of the pole is allegedly more prestigious).

Sure, the salary sucks, and NHS doctors are henpecked and taken for granted by a populace used to not paying for showing up at the ER with sniffles.

But I do fine. If you think the girls on dating apps are crazy, wait till you see the kind of screenshots I've been sent about the guys. The very existence of Indians as Model Minorities and often the highest earners by ethnicity is proof that group differences can be overcome by an individual. I'm not the average Indian, or even the average British Indian.

On a more serious note, I've noticed that men who are having decent success (in terms of lots of matches) on dating apps seem to run into a lot of crazies, and it's unsurprising that psych med students have the worst ratio of all. Having "doctor/psych trainee" in your dating app bio kind of screams "do therapy for free, but you can tip me with sex". Neurotypical women also don't really want to date, they want to have a stable relationship, so they spend as little time as possible on these apps, so you're already oversampling from a biased sample.

When I made my account, post breakup, I had genuinely lost hope I'd match (into psych) at all. I was looking for something more serious, but at least half the nutters came from that short period. At that point, it was just "doctor at [reputable hospital]". And I expected to be here for significantly longer, losing my mind in other ways from the terror of bullshit exams. I was advertising a stable relationship, for the little good that did.

At any rate, I do do therapy for free, and find it an enjoyable reprieve from my own problems, including on this very board, though sadly nobody has offered to pay me back with sex quite yet. Upvotes and sincere praise are enough really. But yeah, people dating online are being sampled from the kind of people who are less likely to make it offline, even if it's become normalized and the predominant way people date. Even more so in the West, so the odds of running into the utterly deranged should be lower from a more representative sampling.

So far, I remain convinced that the primary reason therapy, in all its myriad forms, beats placebo, even for the most retarded forms, is because it's a decent substitute for having a nonjudgemental and perceptive friend, the kind who'll keep your secrets to themselves. I'm pretty good at that, even for women I sincerely would not approach without a syringe loaded full of haloperidol or lorazepam. Instead, I just vent to online strangers with more identifiable information redacted.

I'll shill my own hard scifi novel Ex Nihilo, Nihil Supernum

I assure you it has juicy space combat, and is about as hard scifi as I can write with my theoretical degree in physics. Even my lack of interest in calculating orbital transfers is explained by the fact that in this post-abortive singularity setting, we've got some serious torch ships, so brachistochrone orbits it is baby.

I find the accent endearing, and I understand them well enough, though some scotch makes it even better.

You seem to be good at spotting the dysfunctional ones, and they get extremely dysfunctional

I suppose this is a plus, given that I'm working as a psych trainee there for the next 3 years. It would kinda suck for me to end up somewhere where everyone is sane, though I'd be very happy for them lol.

What concerns me is that a lot of these women hide their issues from a shrink, and only open up to a flirtatious yet good at getting people to talk guy like me. For example, the law student, and another lawyer (we were old acquaintances before running into each other on Bumble, and now I'm an unpaid relationship counselor for her too), disclose maybe 5% of what the fuck is going on to their psychiatrists and therapists.

Now, I'd call myself perceptive, but I'm not a mind reader, so I'm groaning at the notion of teasing these things out from actual patients, especially since flirting with them is off the cards.

Also, Highland Scots drive like particularly suicidal third worlders, so you'll be well-prepared for them

Understandable. If you run into someone on a narrow country lane, there can only be one (someone has to drive in reverse).

Never, ever, EVER, sleep with someone you can diagnose with BPD easily. You're welcome. cries

Duly noted, good sir, but in my particular case I didn't have to even sleep with them for one to take a very good shot at ruining my life. That one was the ex of my own best friend at the time (and I ended up catching his schizophrenia in med school myself).

Excuse me what the fuck with that head bleed.

23 yo M med student, final year. No comorbidities is a mild exaggeration, since he had borderline hypertension. His dad was a captain in the Merchant Marine, out at sea when this all went down, but just a week prior, had gotten his son a full checkup, including a then highly unnecessary NCCT brain. All squeaky clean.

Kid was slightly obese, we had some issues getting a line in the EJ.

Anyway, he was in between his written exams and OSCEs, when he was at home with his mom and developed a splitting headache. Got taken to a GP, who told him not to think so much about exams or women, and to sleep it off with a paracetamol.

Face started drooping shortly after, was brought to the ER convulsing, immediately sedated and intubated, rolled into the ICU, then SICU, bleed considered too small for neurosurgery at the time.

I counseled his family, or rather his mom, his friends, most of them from non-medical backgrounds barring the girl, who wouldn't know what a pontine hemorrhage was if it hit her in the head

The senior consultant, the rest of the hangers on, none of them could convince his mom who was having a fully justified meltdown to go home. She wanted to spend the entire night shivering on a bench (no separate accomodations for the family of an ICU patient). I spent about two hours coaxing, cajoling, arguing, bribing and finally convincing the poor lady to go home after everyone else failed.

The dude was actually improving for the first week, with spontaneous eye opening, some degree of following of commands. Then he had said rebleed, shunt placement didn't help, his GCS dropped to 2T, I got chewed out by a neurosurgeon for asking if he was brain dead, and said brain death was informally relayed two days later, and formally declared a week later when his dad was airlifted off Taiwan and brought to say goodbye.

Funnily enough, no AVM found on multiple kinds of imaging, including an MR angiogram. No kidney disease either. As far as anyone could tell, it was just bad luck. And as far as I can tell, the stereotypes about neurosurgeon ego are entirely justified and universal.

Social media autism

Autism really is my best guess. Zero interpersonal skills, extremely blunt, genuinely curious about how men think about women and what they consider as red flags or worthy of avoidance, with absolutely no insight into her own behavior. The last bit isn't genuinely bad, just an example of how she really seemed clueless. Sure, she could definitely have asked someone far worse at answering that question, but if you need to ask. Shame Aspergers has been deprecated, it was a useful one. Plus she had the same, nigh inevitable, descent into undifferentiated insanity I've seen in every gyno resident, barring the men, who seem to be rather sane. Is she actually mentally ill? I have no idea, but she was off.

Tell them Tylenol is the absolutely worst way to die and to use Melatonin instead.

Absolutely genius. She's fucked up her sleep cycle enough as is, I can pass it off as a dangerous, controlled sleeping med.

Haha, don't worry, I'm not quite ready to give up on dating yet, be it online or in person. The six women (or 5 and a "woman") I described are just the worst of the lot, though the fashion designer and psychologist seem to me like decent people going through a bad time.

My aunt, PBUH, is trying to look for single med students and doctors, or at least those were the ones she laid on the table when nobody asked. I'd hope that acts as a reasonable filter for IQ or competence. My own IQ, well it's respectable, and my competence has improved by leaps and bounds, yet I'd certainly appreciate a girl who has her shit together better in comparison, though I'm certainly much better than I used to be in that regard. Turns out that a great deal of my depression was from a sense of frustration that my career wasn't going anywhere, and all I had to look forward to was beating my head against the wall of more exams. Fortunately, said wall has crumbled before my cranium did, and I'm feeling much better. Certainly to the degree I'm going around trying to (misguidedly) help people with their issues.

Not my circus, and I medically discharged her as unfit for dating after that episode, so not my monkey either. I just happen to keep in touch.

I did feel bad for her, so at least I did the gentlemanly thing of consoling her, getting her something to drink and holding her in a nearby park while she cried her heart out. I did my best not to let the date get too awkward while handing her more tissues as she sniffled away. Even consoled her later, though I think she understood that I wasn't in a position to deal with that, given that I had a painful breakup recently myself (not that I ever let it break me down so utterly, I just drink another shot of whiskey, healthy coping mechanisms you see).

She's seeing a therapist herself, though I imagine that gets a bit awkward. But she'll get over it.

This kind of petty antagonism is unbecoming of you.

I know there are plenty of regulars here who are fond of noticing, and working that into the conversation, however, George doesn't seem to be like that, but regardless, accusations such as:

I have never figured out for sure whether people like you are just liars, or your brains wisely do not distinguish copes and object-level world modeling, for reasons of preserving memory capacity and behavioral fluidity. Either mechanism is enough to make conversation quite hopeless.

are unacceptable.

You're a valued poster, but please, the angry nihilistic Russian trope can get old, as does lashing out at little provocation.

I don't know enough about the American legal system, until it's my headache, but how much does seniority matter in the SC?

Are the new "young" judges put on the back bench (metaphorically)? My understanding is that they're all nominally equal, so what does it take for one to establish themselves like Thomas did and get taken seriously. How much does their opinion matter, and how is that sausage made?

While I can't empathize with either gay or trans people (in the strict definition of empathy), I certainly sympathize with the latter and mildly envy the former.

You know how, for many men, the ideal girl is "one of the guys"? Well, gay men are living the dream in some ways, such as showing up to a random park or club and being nigh-guaranteed a quick fuck in a toilet stall. Straight men have to work for it.

Ah, women, can't live with them, can't live without them.

As for trans people, particularly the ones with body dysmorphia/gender dysphoria, I happen to be a transhumanist and so approve on principle of any change or improvement one might desire to the prison of one's flesh. I mean, I'm not a 6'9" 42069 IQ ubérmensch, so there's room for improvement within mere biology.

But that doesn't mean that the universe, or the rest of us, are obliged to indulge your desires, especially when it comes to how we accept your self-expression. Trans people, I'll consider them women/men when they are biologically indistinguishable from the average natal man/individual of their desired sex. Until then, well, I'll shake my head and use preferred pronouns mostly because I'm polite.

That is a cheque that medical science as it exists today simply can't cash. No amount of hormones, surgery or makeup will get you there. I still sympathize and empathize with them simply not being happy in their bodies, I think the correct solution is to change the body, when that's feasible.

You are allowed to dream. So do I. But the universe isn't obligated to make it come true, or easily. Simple self-identification is suitable only for football clubs.

As for AGPs? I agree that they're a large fraction, potentially even a majority. I have even less desire to indulge them, but I hardly think they're wrong for being sexually aroused by the idea of femininity.

There's no universal consensus on the matter, but like you say, the overwhelming majority of Hindus are overjoyed when someone converts, even to the kooky cults like the HKs.

Half of the BJPs regional shtick is the "Ghar wapasi" (Bring 'em home and back into the fold) movement, where Muslims are 'encouraged' to return to their ancestral Hinduism.

A foreign convert? That's a cherry on top. But I'm not aware of any formal way to assign caste, since well, Hinduism for most of its existence wasn't proselytizing, so there was not much need for it. The funny part is when people convert to Islam or Christianity to escape their lower caste status, only to find that those buggers still stick to it, de facto.

I understand your frustration, but we clearly have wildcard rules about how mod discretion ubër alles when we consider a comment made in bad faith or a user who is here solely to proselytize on a particular topic. We're not a constitutional court, the precedent exists, as discussed before.

You guys can't even invent a reason that this post breaks any actual listed rule, so you've concocted a rationale out of thin air where you can ban someone for not making other posts that you feel they should have.

No firm numbers exist, but his mod log is lengthy indeed and has an equal share of AAQCs and warnings for posting about Holocaust denialism.

The latter isn't against the rules, as far as I'm aware. It's not even what he's being banned for. Criticizing Israel and questioning the Holocaust are perfectly fine, but if it's not obvious to you, it's the general opinion of the mod team that he's largely here just for that purpose alone, and I'm sticking to the party line in this regard. You're welcome to disagree, but keep in mind that AAQCs aren't handed out based on user votes alone, but mod discretion, so we have no problems with him when he isn't soapboxing.

After all, SkookumTrees got handed a ban, and that was for Eeyore-posting, which isn't explicitly illegal. It just becomes a massive nuisance when it's all you do, or even most of what you do, and especially if you keep at it when we ask you not to do it.

I honestly don't particularly care myself, even if it's a bit tiresome, but the existing plan was to hit him with a ban when the warnings failed. If that's changed after discussion internally, no skin off my back.

But warnings are not meant to be ignored. And while good behavior earns you a great deal of leeway, he really ought to know better. It seems to me he only behaves enough to get back on his hobby horse, and it's groaning at the knees by now.

(For the record, I didn't ask any of the other mods before making this ruling, so you can lay your disapproval solely at my feet, though I'll ask for their input anyway, given that you make a cogent point, however as @netstack points out, we do have official rules against single-issue posting)

Don't stick your dick in crazy, especially not when they can stick theirs back in you.

Way ahead of you fam, but I definitely need that luck.

In India, and I didn't expect the trial by fire would be quite so literal, with how abominably hot it is. It's been consistently in the middle 40s in Celsius, and it's only April.

Trust me, you have no idea the depths of depravity traffic can stoop to, I'm modestly grateful that I'll only be here long enough to become semi-competent at the whole not running people over thing, and thus not have the worst habits ingrained in me. If I can navigate a busy road here and not die on the highways, I'll consider the UK to be a paid vacation.

Whether I'll be a menace to the other people on the streets? Too early to tell, but at least I know they're not that keen on sending me to the ER, my ex works there.

Look, I won't actually runaway screaming when someone tells me they're BPD. Or they're schizophrenic. I just consider it an absolute deal breaker in romance, going off personal experience gained very painfully.

At most, I will be mildly concerned, but they're not an imminent threat to me unless I'm a close friend or relationship partner, so I intend to avoid that. I don't react to schizos by pulling out a gun, the people they hurt the most are usually themselves, but in my experience, people with BPD are a menace to both themselves and others.

Since she mentioned she's potentially autistic, from what you've said I can't rule out the possibility that her "murder random people with HIV" thing is just low-level intrusive thoughts that she easily ignores and also talks about (when most people wouldn't) because autistic hyperhonesty.

That isn't my impression at all, I feel like she was very serious about it. I have screenshots because, goddamn, people wouldn't believe me if I didn't, at least IRL, and going over them makes me think she's going to end up messing things up very badly. BPD, trans and potentially autistic? That's a recipe for disaster if I've ever heard one.

If you're doing okay, that's great, I'm genuinely happy for you. Manifesto posting on this underwater basket weaving forum is a healthy alternative to cutting yourself or chasing your SO with a knife, and your mod record is pretty clean, so I can't imagine that you act worse IRL than you do on a pseudonymous website.

There's addiction and there's addiction. I know plenty of patients who were addicted to drugs and no longer are, in the sense that they have no more physiological and psychological cravings.

There are, of course, many different kinds of drugs. Getting over a hankering for coffee or nicotine is a whole different kettle of fish compared to meth or strong opioids, or benzos.

Ozempic. If you can afford it. Nothing easier and simpler, or trendier.

There's nothing wrong with wanting your wife/husband to take care of themselves. Like, sure, being eye candy and a good lay aren't everything in a marriage, but goddamn if someone's letting themselves go, there are polite ways of telling them it's not making you happier.

Getting buff yourself? Not the ideal way, IMO. Sure, that's worth it for its own sake, but you're better off whispering to her that you think you're gaining weight and need to diet, and hoping she takes the hint. But I while I don't know her, or you, my experience is that when a woman self-conscious about her own looks sees her husband working his ass off at the gym all of a sudden, she's more likely to think he's trying to look better so leaving her is easier. Ignore if you guys are so happily married that this isn't a concern, but I would not recommend this route myself, unless you make it a point of hitting the gym and then do your level best to convince her to tag along, so she knows it's not like that.