This works.

I’m lookin for the one where it’s a 1950’s family scene and the kids are calling the dad or grandpa a legend for buying bitcoin. Searching for that is actually hard.

I need a bitcoin meme search tool

Who called it meaningless? But the fact remains that most people were neither helped nor harmed. Hence it is meaningless to most people. That doesn’t equate with meaningless to all people.

Today was a truly f’d up day in the hospital. Full moon too? Not surprising.

I hope and wish this will become more true more broadly as time goes on.

A lot of medicine is a scam, but largely because people believe they are entitled to care at any cost as long as someone else is paying.

And most scammy care providers will go many years telling everyone they’re fine if they’re under age 50 and massively over testing everyone else and never be “wrong.”

Real medicine is about being right when it matters and not taking action when you can’t help. It’s 2% the former and 98% the latter. I’d argue it’s the 2% that really qualifies as medicine; the other 98% is nonsense, much of which unjustly creates an income stream for healthcare providers by placing certain medications behind a prescription paywall.

Blackmail with the Epstein list only has value if the Pedo sex offenders believe you won’t release the info.

It has always been unclear to me whether this was intended euphemistically or really was a statement regarding food intake.

We can’t have the Epstein client list not because it doesn’t exist but because they aren’t done blackmailing people.

Convince me otherwise.

Meh. Most of that turned out to be meaningless for the overwhelming majority of people.

That said, recommending jabs was based on too thin of evidence.

Not uncommon.

That said, as a physician, the only thing I’ve needed a physician for in the last 35 years has been antibiotics and eyeglasses and laboratory screening. Absolutely zero of this care truly required a physician…any idiot with a prescription pad or a trip to Mexico to take advantage of Mexican law would have sufficed perfectly in lieu of so called “medical” care.

What! It reads like it was from 2013!

Oh no!

I’d love to see the date on this one!

Every once in a while, I see medical decision making in the sub-MD medical community be so astoundingly bad that I could scream.

Just because it’s cheaper to see a physician substitute doesn’t means it’s better.

That said, I’m all for not wasting money on healthcare. And as most people do not require nor receive actual medical care, spending the least amount possible on this makes total sense. I do not agree with lawfare being used to prevent individual access to commonly prescribed medications either … and thus I am pro physician extenders because at least it is cheaper.

But sometimes some people do require actual medical care. These people are poorly served by profit maximizing cost minimizing para-professionals.

IMHO, go ahead and see your NP for stuff that doesn’t matter. But if the problem is not solved in short order, see a physician.

Fact check: true. It’s the only justice you’ll find on earth

OTC allergy meds very reasonable to try.

Fun fact, liquid Benadryl (old school drug nobody uses anymore because it makes you sleepy) comes in a bottle that is sized to be safe in overdose for toddlers. I’m not recommending drinking a bottle of Benadryl. But I am saying poison control did tell me to do very little for a 2 year old that did (I was moonlighting as a rural ED doc at the time). In fact, they even told the parents not to bring her to hospital. I did an EKG anyways just in case she had an unrecognized heart issue that could possibly be revealed by the drug. She didn’t. But she did hallucinate and it was adorable.

Living the high life, eh?

Clicking/crunchy/poppy sounds or high pitched continuous squealing sound?

The former are often related to the tube that connects your mouth to your ear…yeah, seriously, there is one and it’s called your eustachian tube.

The latter is often nerve related and may be present continually although quieter even without jaw movement.

Assuming it’s the former, the next question is why. Answers to question why come in 2 flavors: 1) shit that matters (uncommon) and 2) shit that usually doesn’t matter. 1) would be stuff like malignancy at the anterior opening of the tube and 2) would be inflammation of the tube from infection. Most such infections require no treatment.

That said, I ain’t yo doc, use common sense and seek medical care if you deem it necessary.

Time for a boating accident! Bitcoiners make the worst boat captains.

And God said, “Let there be lights in the expanse of the heavens to separate the day from the night. And let them be for signs and for seasons, and for days and years, and let them be lights in the expanse of the heavens to give light upon the earth.” And it was so.

Genesis 1:14-15

We won’t get the Epstein client/blackmail list because they’re still blackmailing clients.

My concern is the costs of running the entire network and how they are distributed. Maybe it’s cheap now but 1000x more expensive with 10x the number of users? I simply don’t know how resource use/cost will scale with users/time.

Don’t forget, the right to keep and bear arms is a fundamental human right, regardless of what stupid people say.

Definitely a self consistent theory, I’ll give you that. I’m not sure nation state issued fiat lead to an economic miracle, but without that assumption the argument falls apart.

That said, the US has been fairly assassin-y when it comes to middle eastern countries selling oil for anything other than dollars, so we can’t dismiss the video’s claim out of hand.

I prefer to think about things as questions rather than conclusions. Why? Because my personal belief is irrelevant and not required. I chose to have no view on past events but rather wish to discuss how one evaluates claims about past events. And when decisions need to be made, one must dive deep and find answers to the questions revealing the past. But often decisions don’t need to be made.

Meh. No marriage is perfect. Rather each is marriage is specifically imperfect for each person. It is in working through these imperfections that we grow and mature.

A young woman, or any other woman, may seem desirable because there are no imperfections yet in the relationship. But it’s a matter of time.

I’m of the belief that any man and any woman could marry and have a happy loving relationship. But it takes work.

I’m no ancient scholar either, but it’s obvious these are extra-biblical by content alone. It would be like mother Theresa’s guide to cooking meth, it wouldn’t make sense.

All that said, sex with kids is inherently wrong, even if there are old writings obliquely implying it’s not all that bad…Just like murder or theft is inherently wrong.

How does one prevent this? I suppose parents are a big part of it, but sometimes they are the problem. The whole thing is angering…

I can’t understand how some adult men desire to have sex with children. What roads end at such results?

Because I can’t understand it, I have a hard time believing it’s common.

https://youtu.be/6O8PwRc138A

If you are old, about half way done, like me, you might remember the Challenger shuttle explosion. It was broadcast live on plain old television service and they wheeled in a TV for us to watch in my kindergarten classroom, presumably due to the “teacher in space program.”

Needless to say, the launch didn’t go as planned and our teacher abruptly shut off the TV. At 5 years old, I didn’t know what I was looking at…I had seen videos of other shuttle launches and knew the vehicle sort of intentionally fell apart when certain tanks were out of fuel so it wasn’t clear to me that at the time that what happened to challenger wasn’t planned.

Anyhow, a lot of words were spoken to our class but nothing I can remember was said other than our parents would talk to us when we got home. I vaguely recall a serious talk with my parents about the shuttle exploding and me being asked if I understood what they were saying. I totally understood what they said. But what they didn’t say I had no fucking clue about.

Call me stupid, I didn’t realize there were people aboard the rocket. I mean, strapping your ass to a bomb doesn’t sound plausible, right? It didn’t really click with me that the failure of the shuttle to get to space meant that people died. A specific number of people. With names. Identities. Families. But I knew the launch ended in an explosion and the rocket didn’t make it to space. Mission failure. Try again next time.

Sometimes we can be too quick to assume what another person understands.

I’m not opposed to refreshing the tree of liberty.

Appreciate your work, even if I think your take on core vs. Knots is a tiny bit misguided.

Honey pot, I think is the term. Pretty sure nostr:npub12z8jsett3k6rv9fa2guau5p540qr2xuvjzkr8e432mglafjt99sqkw9zmx is a fed 😉

It’s coming. And politicians will capitalize on this. The faster bitcoin rises, the harsher the crackdown and sooner we will see a regime shift with political power going against bitcoin. We will be scapegoats for the next Great Depression.

Did you know nostr:npub1rtlqca8r6auyaw5n5h3l5422dm4sry5dzfee4696fqe8s6qgudks7djtfs is a unit?

No, not like that. Well, yeah, of course like that but that’s not what I’m talking about.

How big is nostr:npub1rtlqca8r6auyaw5n5h3l5422dm4sry5dzfee4696fqe8s6qgudks7djtfs's unit? It’s huge. I mean really really big. Uncomfortably large. It is a whopping 6.15 bitcoins. #few

Fact check: true ✅

Good return per payment.

Looks like palm cove is in a good place for Blockstream satellite reception. It’s possible in all of Australia but need 60 cm dish south of Brisbane. Palm cove / cairn can use a 45 cm satellite dish.

Big issue for some people. Surgery is tricky to navigate. My insurance plan as a medical student specifically forbade covering surgery for TMJ. We occasionally do MRI for TMJ, but it rarely comes up. I hope you find something better than muscle relaxers, but all I know is you are not alone.

Wiser words: https://www.youtube.com/live/9kpNrwFRGUk

Yeah. Kinda ;)

Knots is nice. A little strict and misguided, but only in my view as nostr:npub1lh273a4wpkup00stw8dzqjvvrqrfdrv2v3v4t8pynuezlfe5vjnsnaa9nk is always 10 steps ahead of everyone else and it’s only in retrospect that people discover that he is right.

Maybe someone out there can dive deep and explain this issue in a way most people can understand, but the current popular narratives are sorely missing the point, I fear.

I think you misunderstand the math here. Parabolic is very slowly growing compared to exponential as time increases.

Take any graphic calculator or app and plot y=x^2 (a prabola) and y=2^x (an exponential) and you’ll see one grows way way way way faster than the other.

The reality is that all exponential things eventually either go to zero (in the decreasing case) or stop being exponential (in the increasing case). Why? Because exponential growth eventually becomes so large we run out of physical things such wildly large numbers could represent…compared to exponential growth, even the number of atoms in the universe is small…

Not a color photo, but it’s public domain.

I’d be curious to hear your opinion in a month or two. This is the art of medicine.