aesclepius

Jesus it's objectively worse. NY/Chicago/London/Paris/Tokyo you can conceivably and easily nip out to a grocer's, bodega, cafe or pub within 10 minutes of where you are. LA? Outside of certain certain pockets like DTLA, KTown, WeHo or similar walking is tough and if your friend is across town you're SoL without a car.

Rogue is the gold standard but I honestly haven't seen any deficiencies with other smaller brands like Rep or Titan Fitness. I don't know your fitness level, but if you have the space I always recommend the basics: squat rack if you have the time (can also function as pull-up and bench), dumbbells, curl bar if possible, and free weights. I'd keep an eye on used/craigslist listings as well, with the pandemic lifting, a lot of people who spent a lot of money on excess equipment will be looking to unload extra equipment.

You're conflating two issues. One, the benefit of exercise on mental health, and two, the side effects of the gym lifestyle and culture.

Anecdotally, I find even dedicated heavy lifting (1-1.5 hours) does not improve my sleep but similar durations of high-intensity cardio (45 minutes+) heavily improve my sleep even comparing for differing work-related stress baselines. I alternate lifts/HIIT,Tabata and do this regularly (2+ years of 5-6/week workouts) and still have reduced sleep latency times compared to before dedicated regular work-outs. My job is 100% sedentary desk job as well. Dunno if that helps.

Man, that's crazy how sudden this car demand surge happened. I was in the market for a Model Y in February 2021 and got mine in March.

Often, people expect to do whatever they want and then go to doctors to ‘fix’ them. It’s good for doctors, but not so great for you.

Hackernews doesn't realize they are the 0.000001% of patients we see. I'd love for all my patients to make the lifestyle, diet and habit changes I recommend in addition to the medications I prescribe. The reality is that users here do not recognize the privilege they have in terms of money, agency and knowledge. The vast majority of people I see are barely scraping by and have very little time/effort/privilege to make the changes I would like them to undergo.

I've got another anecdote about exposed information. Saw a car's 'Instagram handle' while next to them (was passenger) and got curious. Sure enough, their car's Instagram handle was public-facing and had links to the presumable owner's instagram handle (public facing) and his wife's handle (also public). Within five minutes of horrified clicking, I found both parents' birthdays, occupations (and photos of locations where they worked at) full legal names and birthdays of their parents, sisters, brothers (they had posted birthday celebrations and funeral announcements with names and dates), their wedding date (and all subsequent vacations they took), residence (posted about buying a new house), their children's full legal names and where they went to school (posted dropping them off at school), and the makes and models of all their cars (posted about buying new cars) over the last 5-6 years. It was a little scary to see how open they were.

Heavypaint is a fantastic abstract drawing tool that's fun to do while you're killing time. Here's a great example of how easy it is to get into: (https://www.youtube.com/watch?v=yL3ho4Vc7Ng)

Writing this on an iPad keyboard just now sucked—light years less efficient than on my computer keyboard. And my phone is even worse! But I often want to journal in bed or write fiction away from my desk. Are there better ways to input lots of text quickly?

I hate to suggest you buy things to improve your experience, but I had the same issue earlier this year. The Magic Keyboard really is just that, delivers a 95% equivalent of a computer keyboard that allows me to enter long-form text comfortably on an iPad Pro. My n of 1 and all that but I've found it to be a suitable quick-boot alternative when I just want to write a couple paragraphs down instantly.

Both the data and my lived experiences indicate a correlation between more extreme behavior among protestors and more arrests.

I think there's a false attribution of 'extreme behavior' with 'protestors' primarily. feel there are a significant number of people who took advantage of the protests to loot and burn and generally cause chaos. It's worth noting that Seattle and Portland, are primarily Caucasian (67% taken from OPCD), (77% taken from US Census Data) respectively. I think the looting can be more attributed to a general anarchy/countercultural movement in the PNW as opposed to protestors regarding BLM. It's definitely something that is more complex and requires more research than an off-the-cuff comment could generate.

In the immortal words of the GOP, "Fuck you, got mine."*

*But no not necessarily, but at the same time I had a lack of autonomy in regards to those decision made.

King James Version truly is the worst translation you can find of the bible.

Out of curiousity, how many pilots do you regularly hire?

Woah there cowboy. I've been on waiting lists for any serious at home gym equipment since April. Not a peep, but I refuse to pay Marketplace/Craigslist scalpers.

I was in the same boat and I recommend taking a look at the Stock and Shipping Thread in Reddit's /r/homegym subreddit. [1] I joined their discord/stream for a few weeks and was able to be on top of gym equipment re-stocks and got what I needed pretty quickly, cost being MSRP.

[1] https://www.reddit.com/r/homegym/comments/i5ect0/stock_and_s...

I just don't get why the Peloton thing is so popular when you can get a smart trainer and a bike you can actually take outside for sooo much cheaper. You could even sign up for Zwift and a Trainer Road subscription and come out waaay ahead of $50/month.

You'd be surprised how much twiddling and research you need to do to find a correctly sized bike and which smart trainer (elevation? resistance? etc?) to get something that will work for the average person. It's the same reason people go for iPhones or Macs or anything else that 'just works', the time cost for getting to where one can actually use it vs. just unpacking a box w/ a 'good enough' smart bike means that a shiny package like a Peloton will always be preferred for a large chunk of the population.

Think about insulin pumps, cataract surgery, LASIK/PRK, or any type of surgical augmentation for disability (limb replacement or hip replacements) - we are definitely improving and upgradeable, it's only a matter of degree.

While there is gate-keeping in medicine (MCAT scoring preferring English-native applicants, limited residency spots, financial costs of medical school) I would argue the residency system as it is prefers American-educated applicants versus foreign-born grads.

You can see this when looking at prestigious residency programs where the rosters are primarily filled with AMGs. In fact, highly sought after specialties such as dermatology, orthopaedics or neurosurgery tend to accept only AMGs because the number of qualified applicants usually outstrips the available residency spots. Though International Medical Graduates (IMGs) are usually academically outstanding (in my experience as an MD working alongside them) they are more likely to fill residency spots (rural, less prestigious) that AMGs don't want. Not to say that there are not IMGs in highly-sought after residency programs, it's just that their qualifications usually outstrip comparable AMG or they have other connections.

There are a few meta-analysis about snus cancer risk. I think generally the opinion [1] is that while lower than other smoke-cured tobaccos, there still exists a non-zero risk for oropharyngeal cancer risk and statistically-valid increase in pancreatic and esophageal cancer risk compared to non-tobacco users. [1](https://www.thelancet.com/journals/lanonc/article/PIIS1470-2...)

Cheaper and older alternative is the Ubiquity Unifi Security Gateway + 8 port switch + UAC AP-PRO if you don't want the Edgerouter X cost. Less customizeable but if you're buying an EdgeRouter you know what you want.

Phenylalanine is not part of your yearly blood test (Complete Blood Count, Complete Metabolic Panel) and generally isn't tested unless you specifically ask for it, or if a pediatric concern for phenylketonuria is manifested. At least, this is in general N. American, adult primary practice. (I'm interested if any other providers regularly test, as i've not done it at all)

Healthcare is massively overrated.

Working in the medical field as an internal medicine physician, I'd say that focused and good-quality healthcare is vital to prolongation of life, and poorly derived, financially-motivated 'medicine as profit' is massively overrated.

Having said that, an incidental 1 lead EKG on a wrist that can be brought up to your primary care and cardiologist at a later date is a game-changer. In clinical practice we will often use a Holter monitor (4 lead wearable EKG) to look for paroxysmal atrial fibrillation, but having a passive monitor such as this on for months at a time will help doctors have more information regarding tachycardias like atrial fibrillation. I disagree profoundly with the assessment that the Apple Watch is just a glorified fitbit. (Source: medical resident)

Come to the medical field, and it's all the way down.

The fact that it can pick up on A. Fibb, but likely track and save strips of SVT can at least get the user to a medical evaluation with a licensed physician. It's a big deal, as a medicine resident, this could be a game change for a large segment of the population.

Sounds like the QardioCore has a 3 lead ECG. Couldn't find too much more on that, as their website is painful at best. Holter monitor is a 12 lead ECG but with some decreased signal fidelity. This is just a single lead monitoring for rhythm like a tele strip.

but as I understand it, they are also leading investors in provider systems and in the malpractice insurance system.

You're completely wrong. There's actually the Stark law (https://en.wikipedia.org/wiki/Stark_Law) set up to prevent doctors from owning industry-related materia or self-referring to any entity with financial relationship. Not only that, but out of my network (100+ other physicians) very few are the 'leading investors' in provider systems, and zero have any skin in the malpractice insurance system. The MBAs run the numbers game, the MDs just work long hours.

The debt isn't really that much. Probably the average is 200k. You can pay that off within about 1-2 years of residency, and interest rates tend to be low since they're low risk loans for banks to give out.

Please try looking at the numbers again. Assuming you pay off undergraduate loans, a private medical school will cost $30-45k a year (not including living costs, so tack on another $30k a year), so assuming ($150-$300,000) will be total assumed debt (not including books, unexpected expenses, etc) during those 4 years. Residency salary is basically stuck at around $50k/yearly for 3-5 years (based on residency type), you can contribute back to loans but there's not a chance you're paying that off in residency. (source: current medical resident)

You're going to work as a "GP" with at most one third of the training of almost every other doctor in practice?

Not really a GP, more like a glorified triage nurse. Urgent care is where they give antibiotics out generically, and immediately transfer anybody sicker to the ED. (worked there, done that as part of residency)

That's pretty impressive. My time between pages was spent asleep or reading reddit/HN.

Thanks for speaking for the entire medical profession. That is in fact what a terrible physician does, and not what myself or other newly trained physicians aspire to do.