It sound tiny to me. The median lifespan is like 83, presumably some percent of these people want help dying at the end.
Ioper
1d ago
Maybe things are different in America (you certainly seem to abuse your residents far more), I only really know and have experience with doctors from the Nordics and Germany.
Most doctors here absolutely do not have research, teaching and administrative duties that take place outside of work hours. Some do, like those pursuing MDs, but those a fairly small minority. Most attendings are "just" working and for most of them this work overwhelmingly takes place during office hours, including things like teaching.
The specific stressors they face are different, like the very long shifts, working nights and ethical stress.
Ioper
1d ago
If I had a dollar for every dementia patient who has straight up asked me to kill the, well, I wouldn't quite retire (and I'd ask why I'm being given dollars), but it would be enough for a decent meal. Enough for a fancy French dinner, were I to include family pleading on their behalf
When i was young i occasionally worked as a home care assistant. I would travel around and help infirm elderly people with daily activities like showers, cooking, cleaning, giving them meds etc. Due to where this happened almost all our patients were relatively well off and most had contact with their families. They weren't bed bound and could do some things on their own.
Despite all of this about 1/5 of the patients regularly asked me to help kill them. They were in more or less constant pain despite pain management, increasingly felt that the help the got was degrading and their minds were rapidly slipping.
I didn't mind much when people passed away but being begged on a daily basis to kill the people you're interacting with wasn't fun.
The median quality of the people becoming doctors compared to lawyers is generally a fair bit higher, so one would expect them to do better. The comparison shouldn't be between the median lawyer and the median doctor, but between a fairly successful lawyer or judge and a doctor.
I have another observation though, and this of course varies by country and specialization, but my impression is that doctors work life is comparatively (in relation to other similar high status white collar professions) "relaxed" a few years after residency, which coincidentally is the same age people usually start gaining weight. If I'm comparing my friends and acquaintances, the ones in private industry seem to work more, harder and with far less stability than the doctors.
A lot of the stressors that exist in other comparable careers don't exist and things are far more stable, for good and ill. Very high salary, ironclad employment security, lifelong employment, clear delineation between work and rest, etc. To me the biggest issue among my doctor friends seems to increasingly be boredom/under stimulation rather than stress.
I also imagine that a lot of the people unsuited to the medicine specific stressors wash out before they actually become doctors due to how the education is structured. You're much more removed from the actual reality of your future career as a law student for example which can lead to nasty surprises.
Ioper
7d ago
What's any large company (say, over 10,000 people), in any other field than tech, that you positively like? If you're like me, you'd struggle to name one.
They're mostly large manufacturers and some resource extraction companies. If we look at smaller companies there are a lot more.
What makes big tech vile is the same bad impulses that exist in other industries dialled up to eleven due to scalability, network effect driven lack of competition, cultish customer behaviour and finance driven lies. For example, everyone hates rent seekers and tech are just currently the best and most visible ones at it.
I'm sorry, man. We had our first pregnancy self terminate early and while I wasn't affected much, my wife took it really hard.
Aren't early miscarriages really common? I thought like a 1/5 of known pregnancies miscarried in the first trimester and some 30-50% of all pregnancies.
Are you sure two early miscarriages really puts you in 30% chance of being unviable with eachother? It sounds high.
Ioper
11d ago
For reference, Rathgar is a very posh suburb, with houses going for €1 million at the minimum.
Does a 1 million price flooe make something a 'very posh suburb' in Dublin? That sounds just like your regular middle-class suburb for a European capital.
Are house prices really that low in Dublin? I thought there was a tech driven housing crisis.
Ioper
12d ago
Don't undervalue vigor. After meeting whatever attribute requirements for your preferred weapon you should level vigor to its soft cap of 40. Damage primarily scales through weapon upgrades before the late game so using your attribute upgrades for health is a good idea. It makes things far more forgiving and you won't be one-shotted, and you're not giving up much damage anyway.
I disagreed with the percentiles and that global ranking mattered, not your reasoning for why to engage in activities. I didn't mean to say you are deluded, only that people reasoning about these things often are (like guys at the gym or whatever).
People didn't give a shit about hobbies before the internet either and can't tell a 90th percentile from a 99.9th percentile anyway.
Ioper
14d ago
you know full well you'll never enter the top 10% in most activities
Yes I will.
Top 10% is nothing though. Even top 1% is nothing.
Practically nothing I do recreationally will mean anything to anyone outside of my immediate family, regardless of how good I am.
Thinking that people would care if you were a bit better at some skill is autistic delusion. No-one gives a shit.
Ioper
14d ago
Millennials dressed like literal prostitues when they were young though. 'Sexless blob' came when they got older and could uncharitably be viewed as a cope for aging out of attractiveness (or getting fat).
Also, for the vast majority of the world (and American states), including Russia where Orthoxerox lives, the point at which one is no longer considered a sexual minor is 16+, which is literally the latter half of the teens.
We were made to go through a test and an interview with a psychologist when I started out as a management consultant as part of the onboarding process. They said I was ENTJ which fits well enough but the E wasn't very definitive.
Pretty much everyone they hired were NT, most E but with a pretty even split on P/J. Being NT seemed like a hiring requirement.
Ioper
19d ago
Out of curiosity, of the people here that watched the video, who found the video chilling to watch?
I didn't. I do find plenty of things online disturbing, but this wasn't one of them.
Ioper
22d ago
Both endurance and physical strength usually peak around age 30.
Explosive strength and recovery time peak earlier though, so depending on what you value you may or may not peak by 25.
Ioper
22d ago
Shouldn't you look up stuff like that after? Just watch the play, it's not that complex.
Another way to think about this is like filter bubbles. People are through the internet and digital media increasingly able to engage in only the activities they enjoy the most, with the people that enjoy them the most (just like with politics). It turns out that the sexes on average have different interests so now they don't meet organically.
The guys play video games and watch porn and the girls are on social media and read romantacy. Both want a partner but the meeting place activities have been outcompeted so they more rarely meet in social settings where forming a relationship is a possibility. Oops!
You describe individual dysfunction but that is rarely enough to poison an entire society. One might ask themselves why this didn't happen with other source populations elsewhere where presumably the same selection effects existed. The reason is that there was a large and culturally cohesive population of almost unique (in Europe) longterm dysfunction to pull from and transplant.
Generally individual failures didn't make it to America because emigration cost a fair bit of money. Nor did they necessarily procreate in their home country.
Ioper
25d ago
Also, the borderers as a group aren't representative of the broader Scottish society.
If Scottish settlers in that part of America we're disproportionately drawn from the borderers they should genetically more represent that than Scottish society in general.
This may or may not be what FHM was talking about but in the event of a crisis like a war most European countries have legal methods to conscript not only soldiers but other workers as well.
In Sweden this is called "krigsplacering" (war placement) and most governmental workers and medical professionals are passively krigsplacerade by default, but in theory it applies to everyone and for any crisis the government decides is severe enough. For example, in an event of a pandemic, doctors can be forced to work.
Now, this is obviously intended for limited periods of time but forced conscription of labour is absolutely legal in most western democracies. Both this and military conscription typically enjoys high support.
Ioper
29d ago
I have friends and family working in law enforcement and the general legal system so they talk about this stuff somewhat regularly.
Pretty unsettling, but on the other hand I don't know of anyone, at all, for whom this has happened IRL. It's like some sort of parallel horror world where people act like monsters as soon as there is a disagreement.
Perhaps it's a class thing or it's just that me and everyone around me has somehow filtered out the crazy.
To be more accurate, a lot of patients talked about wanting to die, some asked me at some point if I could help out (I'm not sure how serious those requests were) and one lady pleaded with me to kill her every time I was there, which was almost every day. 1/5 was an approximation on my part. I was regularly asked by patients to "help them die", but I wasn't really regularly asked by the same person except by the one patient. Some other people phrased things like that "it would have been good if I was allowed to help them die", which isn't really asking but is kind of in the same neighborhood.
Most of these people could probably have killed themselves if they had really wanted to, and for all I know some might have. They could have overdosed on the medications they already had in their homes. Perhaps this was too complex and scary for them though, I don't know. I imagine people want a solution that is painless and guaranteed to work, possibly under the supervision of a medical professional, not something where they can fail and die alone painfully over a longer period of time.
These things dont necessarily correlate with how poorly someone is either. My grandfather for instance who died last year at 100 desperately wanted to live even at the end when he was in horrific pain, had terrifying hallucinations and had not been able to move from his bed for months. The last thing he said to my mother was to ask her when he was going to get better again.
His wife (my grandmother), who died 40 years prior from ALS, wanted to be killed and started refusing food etc almost as soon as she became hospital bound in order to speed things up.
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