domain:pedestrianobservations.com
Pongalh
2hr ago
"outside American feelings."
As an American, that matters most. As much as extracting yourself from a brawl that will go on brawling with or without you. At least your hands are clean.
PreformancePertension
2hr ago
Well that's fine, but I don't see how you end up anywhere but the exact situation as today, less some Israeli military hardware. Fine, so our hands are clean. If Israel can't fight without our support, they end up in 2rafa's 3rd resolution, which will collapse immediately on the next attack; if they can, maybe they just accept being a pariah and just go to war as they need to for their security, cut a deal with China or what have you. Doesn't seem likely to produce an ethical improvement outside of American feelings.
Throwaway05
2hr ago
Now the secret is that I haven't actually reread it in nearly 20 years. But it was "sticky" (and formative given my age when I read it).
It's okay to love something and not be obsessed with it. It's also okay to keep bouncing off of it even if you love it - stop when you feel you've got enough.
That's maybe one of the lessons of the book haha.
My experience of the discourse of the book is course then out of date.
Throwaway05
3hr ago
What about Anki decks for your boards?
Yeah F codes are a little silly at times cough cough struck by orca but automated tools help make them less of a pain in the ass.
The DSM is great though for kludging a million random phenomena into something that can be actually communicated between humans.
FiveHourMarathon
Wawa Nationalist
3hr ago
Recommend me any outside the box interpretations I can bring to book club to look smart l.
Pongalh
3hr ago
second best option: extract America from this eternal nonsense as much as possible.
Actually that's the first best option
PreformancePertension
3hr ago
Freddie de Boer has this as his preferred solution, but the 'well the Israelis should all become Americans' is a nice logical solution that's completely useless. It's just as unlikely as the right wing version of this ('give all the Palestinians Jordanian/Egyptian citizenship') - a solution you come up with when you realize that neither the Israelis nor Palestinians are going to give up anytime soon, but that you're ethically sensitive enough to still want a solution. But even if President Woke threatened Israel at gunpoint to concede to a maximalist version of the 2SS, we're just going to end up where we are now after the next attack from State-Palestine, whether or not the recognized government attacks, allows an attack, or is too weak to stop one. There's no point in any of this so long as a significant proportion of Palestinian society is willing to beat their own brains out on the border wall.
self_made_human
amaratvaṃ prāpnuhi, athavā yatamāno mṛtyum āpnuhi
3hr ago
Review books? Do you mean like targeted USMLE prep books and their equivalent?
Never heard of any for the MRCPsych, and I just looked on Google with no luck. There are some for other specialties, I can see results for the MRCP (no pancreas involved, usually), but apparently psychiatry residents get the shaft.
What most people do is sign up to a repository of notes and MCQs. I opted for one known as SPMM. In a way, the notes are a book, one that condenses a ton of scattered bullshit into something the mere human mind can grasp. Unfortunately, the overall quality leaves something to be desired, the study material I had for prior exams was better (clarity, content, presentation), but the more niche the exam the fewer people willing to spend money I guess.
Honesty, I'm done with like 75% of the coaching material, with just about a month to go. The problem is that psychiatry, when flattened into a series of bullet points for an exam, becomes uniquely soul-crushing.
In contrast, the other exams I've discussed actually require a bit of critical thinking. I didn't appreciate it at the time, but I do now.
I just find it hard to make all that information stick when it's so boring, and I do not relish the necessary revision ahead. Spaced repetition sounds great until you're actually doing it.
I attempted to channel my procrastination into going through some of the Royal College's suggested reading, and as you can see, I'm regretting it. The notes make them mostly redundant anyway. ChatGPT in combination makes them entirely so.
Also medical classification systems are great. Fight me bro.
I cast F60.2
Wait, that's deprecated. Uh.. 6D10.1? Plus 6D11.3? For fuck's sake, in the most recent exams, they expect us to memorize ICD-11 and DSM-5 criteria, and the changes from ICD-10. When we still use 10 for all of our actual work and coding, with no plan to change before the current crop of consultants die of old age. And we don't even use the DSM, at least where I can see it. Is it there in our syllabus solely so we don't feel too embarrassed to attend American conferences? God knows.
You can see why this gives me a headache, though I will admit that classification systems are useful.
gog
3hr ago
"They" is the disadvantaged. And if "they" won't seize the means of cultural production, then a cultural Lenin or Lenins has to do it for them. When the welfare state (mid-20th century, which explains your timeline) solved economic problems but none of the attendant social problems in marginalized communities, it seemed like maybe the problem was cultural power. If no one lacks anything material, but you still don't have the equality you were looking for, maybe you need a black little mermaid.
Throwaway05
3hr ago
Honestly I've used the downvotes from my sometimes half-cocked healthcare economics rants as part of exposure therapy for fear of online censure.
Our people pleasing and neuroticism needs treatment!
The_Nybbler
If you win the rat race you're still a rat. But you're also still a winner.
3hr ago
There are far too many conditions and too many of them are common (or general) for me to take that too seriously. Also my own family has some of them, but they definitely weren't shamans. Maybe the branch I know of really does have "it", though, and it's a selection issue -- the "it" being they immigrated to the US.
That hypothesis would have to be made a lot tighter before it could even be tested. I know links between left-handedness and giftedness have been tested, with widely varying results (some studies showing a strong effect, some none).
My recollection of medical school was that almost all of the stellar students and smartest students were the same people. You did have a pot of smart bad students but usually they had something like ADHD and couldn't keep up with the study demand. Although I find that the smart people who didn't do well were better at retaining information years later than the not as smart but better students (this retention being in reference to things like other people's specialties).
However, "bad student" for medical school in the U.S. is a god outside of it - things like pre-exam crams and all nighters are flat out impossible. It isn't uncommon at the start of first year to be basically learning multiple undergrad classes worth of material in a week, every week. Almost all exams are incredibly high stakes and some are full days in length or more etc.
The material usually doesn't require much beyond an above average IQ to learn but the amount of it is vicious - the classic statement is "like drinking from a firehose" and then you do that for years.
No amount of pure horsepower can do it - you also need the effort.
That said an interesting part of how this has gone in the US is that the rote memorization component of medical education has become more or less solved, and since they need to do some candidate discrimination..... they've worked very hard to dial in on the "thinking" parts instead of pure memorization.
A question might be - patient with x disease has y side effect, which of the following medications most likely caused the side effect? And then all 6 meds cause that side effect - they want you to know that one of the medications is overwhelmingly likely to be prescribed because of a practice guideline, causes the side effect at a much higher rate, or something else like that.
15-20 years ago the standardized tests were hard because the way medical knowledge has exploded in recent years. Now they are actually fucking hard and require much more in depth understanding.
This may be a bit US specific though, as the population of students here is generally neurotic passionate about care people or money seekers looking for the best gig (which also requires high performance).
EDIT: An added layer of problem is that the exams have no constrained syllabus, the best you have is weights. The contents is usually "everything." Nephrology in Ortho boards? Sure. A modality that hasn't been used outside of Eastern Europe for 30 years? Sure. A drug that just cleared clinical trials five minutes ago? Yeah.
The secret is that all of the questions are fair or at least important (ex: new drug is actually the first in a new class of medications that they've been trying to get off the ground for decades), but as a student you don't know that until years later, so if you want to do well (and people do) you have to know absolutely EVERYTHING.
Supah_Schmendrick
3hr ago
Which, based on fairly gruesome videos circulating on social media, it appears to be doing fairly vigorously right now.
Supah_Schmendrick
3hr ago
Why do you exclude South Africa-style reintegration?
Because everyone can look at South Africa to see just how well that goes.
ThomasdelVasto
Κύριε, ποίησόν με ὄργανον τῆς ἀγάπης σου
3hr ago
Imagination works fundamentally unconstrained from physical reality, for a start. We can 'imagine' and see things like numbers, that have basically no real physical basis, and change the world from them. The list goes on and on.
If you're genuinely curious about this, I recommend the book The Experience of God: Being, Consciousness, Bliss.
Throwaway05
4hr ago
It's my favorite book but it can be Work.
I am shocked at how it only seems to become more prescient as I age.*
*and disturbed.
Throwaway05
4hr ago
Ya'll don't have review books over there?
Dang.
Also medical classification systems are great. Fight me bro.
Muninn
"Dick Laurent is dead."
4hr ago
Interesting. After discovering that One Battle After Another was based on Vineland, I've wanted to read it to get a feel for the source material, all the more so since I made my way through Gravity's Rainbow and well remember the sense of,"what in the actual fuck did I just read," stupefied awe that I felt afterwards. I kinda want to read it both less and more at the same time after that description!
The_Nybbler
If you win the rat race you're still a rat. But you're also still a winner.
4hr ago
Crime really is down compared to the crack era, and New York City is reasonably safe, even after COVID-era backsliding. It's not the only city in the country, though. Chicago in particular has a much higher murder rate, with Philadelphia not far behind. And not to leave red state cities out -- both Dallas and Houston are pretty bad. And Atlanta's will knock your socks off (well, strip them from your corpse, most likely)
Repealing the Civil Rights Act of 1964 probably is neither necessary nor sufficient. But you do need to refuse to allow racial considerations to interfere with stopping serious crime, which might involve some of the law around that act.
There's Left Behind in Rosedale and Philly War Zone; I've heard stories similar to the latter about Baltimore also. "White flight" was in large part ethnic cleansing, and we're still dealing with the results of that.
aqouta
4hr ago
If the Palestinians can give up on the pipe dream of driving the jews into the sea then a two or three state solution where both peoples prosper is totally possible. It's essentially the direction Trump's plan pushes things. What you're asking for is a near equivalent to demands all non-native americans leave turtle island and go back to the countries of their ethnic origin, justice by some tortured ethic but simply not going to happen and the sooner the fantasy is dispensed with the sooner real solutions can be tried.
I'm sorry, the Israelis are not going to lay down and let themselves all be killed or expelled from what they believe to be their homeland. If your plan is for them to do that then you need to come up with another plan.
DiscourseMagnus
4hr ago
Maybe add Sally Hemings to the $2 alongside Thomas Jefferson?
JarJarJedi
4hr ago
I don't know how it is in Sweden, but in the US I am not a big entrepreneur but I have to take into account, beyond my salary:
- Freelancing income - plus expenses, plus SEP IRA linked to that income
- Income from bank deposits
- Income from stock (is taxed differently from above and has a myriad rules like short/long term, wash sales, etc.)
- HSA
- IRA
- Local tax deductions
- Mortgage deductions
- Charity deductions
It became a bit simpler recently when standard deduction had been raised so most of these deductions aren't worth itemizing anymore, but before that I had to deal with it all. Obviously my workplace has no idea about any of it and can't deal with it. Some of them (like taxing income from bank deposits) can be done by the banks, but other stuff can only be properly calculated by somebody having the full picture, i.e. the IRS. Oh yes, and for many of those the actual tax level depends on my income. And not just plain income, but modified adjusted income (real term) - to calculate which you need to check a couple of dozens of rules on which parts are "modified" and which are "adjusted", and all of it depends on all of everything else, pretty much.
And it's not pocket change either - if it's not done right, the difference can easily be hundreds and sometimes thousands of dollars even for mid-tier income like mine. IRS could calculate it all (well, except state taxes which is different rules in every single one of them) - but nobody else, realistically, could do it without me giving them all the data and them recreating what IRS has from scratch. Which is what H&R, Intuit and such are charging the money for.
And to be clear here - my taxes are very simple, comparatively. People have massively more complicated tax situations that I do. I'm still in the DIY zone, people with more complex taxes just hire somebody to do it for them, because there's no way a layman can figure it out.
Supah_Schmendrick
4hr ago
Lacan's cult of personality is bigger than Marx's? What? How are they even in the same order of magnitude?
Psychoanalysis is a weeeeeeird discipline, man.
self_made_human
amaratvaṃ prāpnuhi, athavā yatamāno mṛtyum āpnuhi
4hr ago
A standalone top level post needs a blurb or explainer for why it's relevant to this forum. If you went ahead and did that, we'll let this through the queue.
Bluntly, I think your boss is right in this case. The correct answer to "why are multiple TCP streams faster than one" is "it depends, what concrete thing are you observing?" There are a bunch of reasons a developer could be reporting "multiple TCP streams are faster than one", and where you should look depends on which parts of the network you can observe and control, how lossy the links are, which congestion control algo is in use in this particular case, etc.
If you say to an LLM "here is the thing I am observing, here is the thing I expected to observe, what are the most important additional pieces of information I can use to narrow down the root cause and what are the specific commands I can use to gather that information", the LLM will be able to answer that question. If you say "I have output from this common cli tool and I am too lazy to read the man page, explain it to me", the LLM can do that too.
Senior developer time is expensive. LLM tokens are cheap. Don't ask senior developers to spend their time answering questions you have if you haven't tried an LLM first.
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