reo
3d ago
PS: I'm able to confirm that that child was slated to have an EEG.
Good, great, news. Hopefully, the kid will have a final diagnosis and may he get treated accordingly. Fingers crossed.
reo
4d ago
Probably: [Do conservatives really have better mental well-being than liberals? by Schaffner.
reo
5d ago
Sadly, that probably wouldn't help.
Most likely, it wouldn't help for this patient. But the discussion of such things (of course, without PII) helps in keeping in mind that sometimes (/few times / rarely), there is a possibility that there is an actual structural cause (which may even be treatable surgically) behind the patient's symptoms. If we are able to find that out, then the suffering of the patient and his near-dear ones (in this case, mother and sister) will be reduced. And when we are able to do that, that gives so much satisfaction. Yes, there are costs, there are frustrations of being unable to diagnose or unable to treat or the patient refuses to undergo or their kin refuse because of any of the million reasons. But that is part and parcel.
But. That discussion helps you, that resident doctor, me, any other doctor who read your substack / reddit post / this post, and can connect the dots. Something became from unknown unknown to known unknown. Something which has the possibility to become from a behavioral / social mind thing to structural-brain abnormality (the diagnosis has not been confirmed, so the jury is out on that).
so, please keep writing such brilliant and interesting stuff.
reo
5d ago
"fright" as sudden freezing + incredibly distressed = looks like ictal fear.
zoomies + sprinting around room + severe biting = motor automatism. can be sign of temporal or frontal seizure. (running around = cursive seizure)
He could not explain why he did this or what he experienced during the episodes. = ? post-ictal amnesia.
liked staying up late = maybe just maybe, he may have an inkling that the episodes are more common in night (=nocturnal seizures).
overall, i am supportive of your CPS diagnosis aka Focal Impaired Awareness seizures.
But either primary frontal origin or actual mesial TLE spreading to Frontal.
Definitely next step should be EEG if episodes are frequent (or sleep deprived EEG) and/or MRI brain (epilepsy protocol). it may be surgically treatable also.
Call the Resident, if possible.
reo
1mo ago
- Medium to heavy Kettlebells are strength + endurance work. The permutations of using it are high too.
- Heavy Clubbells for complex movements (never gets boring).
- Add skipping ropes or even Heavy rope work (but that tends to be unsuitable for working out within a room, unless huge rooms).
- Mix and match with yoga/calisthenics. +Original Strength work. +Ab-wheel.
reo
1mo ago
barefoot shoes
which one did you get? and did you start abruptly or gradually?
reo
2mo ago
hoping I can put a ring on her.
i feel that is a deeply tender phrase. to me, all the previous exchanges and phrases suggest to me that:
- you have gone through some tough times (whatever be the stories).
- many of those revolved around a less-than-fully-confident yourself (whether that was professional or emotional or i would even venture into immediate family)
- it feels that you are still very tentative. Man, you have passed a tough exam, so give yourself a break about that part of yourself. that should be a good enough external validation about yourself, although i am not very enthusiastic about external validations but they do have a role, particularly when one is feeling down. career wise, you are on a definitely decent path from all parameters.
- whatever you said, she did say it first to you (in a round-about manner). that should show you that she has taken an almost equal (but just that minor tiny bit more) risk as you. that should also tell you that you have a good amount of worth too.
so, look at things from a holistic point - you are on a strong footing and you should forge your path ahead as you feel right with eyes and ears and heart open.
let the shriveled heart drink rain; but never forget that your roots are green.
reo
2mo ago
Sorry. No. The two i was referring to were
(1) Passing the Exam and,
(2) reaching the stage of saying "i love you" to a woman.
But I'm not that far gone, it turns out my heart was only shriveled because it was waiting for rain.
Change is the only constant.
reo
2mo ago
the sequence of two major events happening back-to-back appears like some sort of things falling into their respective places. maybe they are connected, maybe they aren't.
when you’ve spent enough time losing...
but it is really a good thing that instead of feeling completely cynical or apathy, you still are able to feel things intensely. keeps you human! with warts and all.
significant escalation of the stakes. I’m really hoping this works out...
possibly your saturnian saadhe-saati has finished. or maybe it is in middle. you can only what is in your hands, and cannot always direct the outcomes completely. and it is fun too (at least in retrospect).
girte hai shehsavaar maidan-e-jung me, wo tifl kya girega jo ghutno ke bal chale (only the great soldier on horse can fall, not the toddler who crawls on his knees). even if the soldier falls, then he can get up. again. and again. the forks in life are definitely exciting when you don't know which way you would flow into.
taken enough hits lately
those sound like more elaborate stories. with the kind of writing you do, definitely would be very very interesting. and you do have the next exam planned.
A mishmash of books:
-
Tactical Barbell II (K. Black)- possibly the most useful and practical book on Conditioning. this is IMO a must read.
-
Burn Math Class (Jason Wilkes) - for learning maths. Starts with basic addition rule and takes you to calculus level in a fun, engaging manner with a maturity. It is not kiddish stuff. Great writing as well as great mathing. Unputdownable. I hope this guy churns out more such books.
-
One Rough Man (Brad Taylor): Pure spy-action thrillers. just like Vince Vaughn's (Mitch Rapp series), or the JRs (Jack Reacher, Jack Ryan, etc.). Currently, I am on number 9 in the series. (yeah, it isn't brainy stuff matching the main thrust of this forum, or intellectual stuff like in rest of this post and its replies; but i am loving it and recommend it with full force). Whenever there is dull point in my reading, kind of feel lost or too heavy or too disorented, I come back to something like this genre to get the full pleasure of reading for reading purpose, and not for some "improvement" or "great thinking" or "deep understanding". Pure Joy. it is similar in intent to A Fire Upon the Deep by Vernor Vinge, which I liked too, mentioned elsewhere in this thread.
-
The Dragon in the Sea by Frank Herbert: very limited cast, but very tense thriller. early work of Herbert (much before Dune). very enjoyable.
-
Spandrell's Blog: from first to last article. Including Bioleninism. Lot of interesting stories and a different, ?more realistic, worldview. Very engaging style. Highly recommend. Had read about him in this forum only, about his essays (don't remember the original post).
-
The Cicada and The Bird - a new translation of Chuang Tzu (Christopher Tricker): the only book which initiated me properly into the stories of Chuang Tzu (/Zhuangzi). It is a reorganized translation and explanation of the seven Inner Chapters of Chuang Tzu. Plus some other stories from later chapters. IMO, his take is the single best introduction to Chuang Tzu (who arguably is the greatest philosopher).
-
Whatever and Submission by Michel Houellebecq (English translations): former is a depressing read, and I didn't feel very good about it. but the writing is powerful and hooks you up. Latter is a very famous novel about a fictional story of how islam will take over France- it does have the feel of Whatever and the plot is very realistic, makes it very readable and definitely must-read in a CW context also.
reo
2mo ago
How do people write such long and well-written posts in the CW (or elsewhere in this forum)? What is the mindset and process?
Personally for me, it takes a long time to understand the various things said in a long post, and then to assimilate with my understanding, to put myself in the place of the author to understand that viewpoint, and then to assess both sides (if they are incongruent) - and then to write a reply back equally well and then do this back and forth. Sorry, i am lost. If someone can clear this for me, I will be very grateful. [it is a bit 'embarrassing to ask' question, because in general, i consider myself to be fairly smart, even prideful].
reo
3mo ago
Wish me luck. I'm going to need it.
will say few things:
- don't hold back yourself (depraved prose is good beginning).
- such uber rides are rides of a lifetime (whatever may happen in the future).
- don't psychoanalyse deeply - let yourself flow. not yourself, and not her. not past, not future.
reo
3mo ago
- very well written - engaging, delicious, could not leave it midway.
- horrible themes to write about so openly. horrible because they have so much truth in them. reality about human nature but all the bad ones about it. manipulation, lies, secrets, no-trust. but still very humanly connected.
- i was constantly thinking about SMH_the_writer, SMH_the_character, Girl, and Me (the Reader). Dogs the central axis of the story. While the Poor and Rich guys are the pillars to swing between for the Girl. The dynamics of SMH writer and character was most fascinating. Because it constantly reminded me of my own boredom, my own looking around for people or other's life situations in distress, so that i can try to be the white knight, the rescuer, the solution provider, the philosophical guru who has all the answers for others (but almost none for myself). And it was a painful reminder.
- I didn't want to post earlier because i was trying to process those feelings rather than try to be the knowledgeable / philosophical / more smarter (I am not, not, not) person who could point out the flaws of SMH the character or the girl or the two guys. and ultimately, i went back (to try) to understand myself by my own reactions and feelings and thoughts while reading this.
- i can only thank you for showing me, the reader, a mirror. (ignore if this doesn't make much sense).
reo
3mo ago
that beer would be forever etched in your good memory. i am glad that you passed in flying colors.
reo
3mo ago
Lila is much better, IMO, if you want full description of his MoQ (Metaphysics of Quality). But ZAMM has much better metaphors (like Gumptionology, Newton's gravity, and so many others).
Edit: it is a type of an extensive honor/shame phenomenon which is cross-cultural across times and geographies. and it does have a positive effect (even if the news articles show its negative effects, which IMO most news articles highlight).
reo
3mo ago
But it would be kinder and more honest of her to say that Actions speaker louder than words. One needs to understand (and accept) those, rather than wait for explicit words.
Perhaps she doesn't even know herself very possible (i would say likely). which is why, actions should be taken by the OP to shake things out into the open.
reo
4mo ago
Nah. When I am well prepared, I want the hardest paper. Best way to flush out the laggards.
reo
4mo ago
if you prepared well, then may the exam paper be tough. if you prepared less, then may the exam paper be lenient.
with complete effort, attain victory.
reo
4mo ago
Jacob Lund Fisker - of ERE (earlyretirementextreme.com). The link I have already shared above.
This isn't supposed to be a friendship. From OP's POV, this is a nearly done deal for companionship barring 1 or 2 major issues. and if you think that she is treating him as a friend, then also it doesn't fit. who wants to live together with a friend (unless FWB) and then also, the person who feels that this is a friendship only from her side would explain to the other person that she has friendzoned him clearly, so that the friend (OP) doesn't get hurt. So, this is definitely not real friendship.
We've discussed living together, and we both agree to the idea in principle
She does not drive, and will not accept living somewhere that does not have ubiquitous, reliable transportation.
While our attempts to find a home together
She tells me she misses me, and that she wishes we could be together.
In her new reasoning, she claims that the issue is about career concerns. She works in service , but my area has a raging hospitality industry. When she lived here, she would make as much money during tourist season as she does in a year in $(CITY).
very interesting sharp point. thanks for that.
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