I know all you folks are too smart to be drinking fluoridated water, right?

Please say yes.

I'm campaigning to get the drinking water in my area fluoridated, and I know you are too smart to be spreading baseless FUD about it.

It's possible for some dentists to tell at a glance whether someone grew up in an area with fluoridated water or not. Adds up to millions saved yearly in dental costs for citizens of countries that adopt it fully.

I'll just go let the dentist know you want brain surgery so they can prep... 😂

I'm campaigning to get the drinking water in my area fluoridated, and I know you are too smart to be spreading baseless FUD about it.

It's possible for some dentists to tell at a glance whether someone grew up in an area with fluoridated water or not. Adds up to millions saved yearly in dental costs for citizens of countries that adopt it fully.

Measured effective outcomes of treatment.

The surgeon example was on testicular cancer if I recall and there was a variance of 7-8% in more senior surgeons over junior from recurrence of cancer at a 1 year interval.

You can argue about specific treatments or how outcomes are measured, but some modern medical treatments truly are good and the old guard aren’t keeping up with newer knowledge as readily as the younger Gen who are exposed to more of it through their education and ongoing self-learning whereas the practical interventions of surgery require more attempts to hone the skills although the exact nature of why the outcomes are measurably different aren’t understood.

Measured effective outcomes of treatment.

The surgeon example was on testicular cancer if I recall and there was a variance of 7-8% in more senior surgeons over junior from recurrence of cancer at a 1 year interval.

You can argue about specific treatments or how outcomes are measured, but some modern medical treatments truly are good and the old guard aren’t keeping up with newer knowledge as readily as the younger Gen who are exposed to more of it through their education and ongoing self-learning whereas the practical interventions of surgery require more attempts to hone the skills although the exact nature of why the outcomes are measurably different aren’t understood.

"up to date" is a meaningless sentence, always was.

Well that’s the point - the old doctors aren’t as up-to-date with more modern effective treatments as the younger ones and by now even the old ones are all just pharma reps any way.

There’s a big difference in surgeons the other way where treatment outcomes are worse for new surgeons and measurably better once they’ve got a few hundred surgeries under their belt which makes sense when you think about it from a practice perspective.

You want to live long, stay the fuck away from them.

And you're right, the last true old one I knew is now retired, so like I said, stay the fuck away from em. 🤣

Well that’s the point - the old doctors aren’t as up-to-date with more modern effective treatments as the younger ones and by now even the old ones are all just pharma reps any way.

There’s a big difference in surgeons the other way where treatment outcomes are worse for new surgeons and measurably better once they’ve got a few hundred surgeries under their belt which makes sense when you think about it from a practice perspective.

IF YOU HAVE ODELL DERANGEMENT SYNDROME CONSIDER MUTING ME RATHER THAN BUILDING ME UP AS THE CAUSE OF ALL YOUR LIFE PROBLEMS.

2025 I will be reading and listening to a lot more books so I’ll write up reviews for the #bookstr hashtag of worthwhile content. Expect spoilers, my goal is to inform you whether this is worth your time and attention.

Peak is a book about how expertise is developed. The author is behind the study which Malcolm Gladwell turned into the 10,000 hour rule (which isn’t strictly true, but it sounds good).

My best takeaways from this book:

1. Perfect pitch can be trained in children. I had NFI that was possible but it’s been proved that you can train young children to hear and identify tones which is very cool.

2. Doctors get worse with age. You don’t want an older doctor, their health outcomes for patients get worse with age HOWEVER you do want more experienced surgeons as their health outcomes improve with more surgeries.

You will get sick of the phrase “deliberate practice” by the end but it’s the central tenet of the book. If you want to improve in anything, you need “deliberate practice”.

This is differentiated from “practice” and “performance” by being targeted towards specific outcomes to overcome weaknesses with measurable improvements.

This is useful in the context of “plateauing” where you reach a certain level and stop improving; something we’ve all experienced. The book provides some practical advice on how to break through and keep getting better.

I’m skeptical of the claim that there’s no such thing as inherent talent even with the evidence presented, but it’s overall good to see how people succeed in becoming the best.

Worth a read/listen if you want to better understand how learning actually works, what it takes to become one of the best in a given field, and what it might take if you want to make your kids into child prodigies 😂

😜 Where is the compensation for that? 😂 I mean there is no limit right? 😂

I think it depends on what type you were, binge or full on.

I have zero desire for it, once the stupid shit you do outweighs the fun it's done... but that's the binge type.