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Cake day: July 4th, 2023

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  • I can see from your comment you want to better understand queer people and feel that supporting them as equals is the right thing to do. Your lack of insight into the historical and ongoing persecution your in-group has had toward this minority is a issue and will limit your ability to support queer people at this time.

    Christianity as a whole has spent literally centuries persecuting sexual minorities and reinforcing the belief that people who are not cisgendered and heteronormative are living inherently sinful lives and are morally bankrupt people who should be ostracized from society or worse. People have been imprisoned, castrated, and murdered by state and state-like actors because of Christianity’s beliefs. People have spent their lives hiding who they love because they would literally be beaten by their neighbors, had their careers ruined, or run out of town if it came to light they were homosexual.

    Has this gotten better in recent years? Mostly

    Does this mean people who are Christian inherently hold this belief or are themselves bad people? No.

    But your lack of introspection and/or knowledge of the historical context for which queer people have distrust of Christians as a whole is evidence that you don’t really understand the problem.

    Your comment that you feel like you’re being looked down upon by people is also interesting. Many people now look back upon the centuries by which Christians sought to impose their belief system on others often through state-imposed violence, and how some groups continue to do so, as barbaric and directly confrontational to modern concepts of freedom and liberty. But Christianity is still the most populous religion in the world, and conservative Christian ideals are seeing large political victories in many western counties over the last 1-2 decades, often directly at the expense of the rights of women and minorities. This argues that you really aren’t the persecuted minority that is sometimes brought up in modern propaganda such as the laughable concept of the “War on Christmas”.

    If you want to support queer people, I think that’s great. If your idea of support is “I don’t care what they do as long as it’s not forced on me” you should recognize the historical irony in this statement as Christianity has spent literal millennia forcing its ideals on others and continues to attempt to do so. I would encourage you to reflect on your beliefs, if you truly accept queer people as legitimate equals, and obtain some historical perspective on this issue.


  • US Physician here. The efforts I place into keeping a patient with capacity in the hospital vary directly to the concern I have about their pathology. There is a very real subset of people who have capacity, i.e. have the mental faculties about them that I cannot legally or ethically place them under a medical hold for treatment, who clearly do not comprehend the gravity of their situation or the likelihood they will die if they leave. I have unfortunately seen a number of patients who require significant amounts of supplemental oxygen, IV medications to support their blood pressure, life-threatening infections requiring IV antibiotics, etc, who for whatever reason decide they don’t want to be in the hospital anymore. Discontinuation of this life support puts their life at near-immediate risk, but the folks that are usually trying to leave in these situations are angry, distrusting of the medical system, and very goal-oriented on what they want to leave the hospital for (food because they’re NPO, illicit substance use, smoking, care for their dog, etc) to the point that they’re capable of saying “yeah yeah I can die whatever fucker, unhook me and let me leave.” These patients deserve for me to sit down with them and try and have a conversation about what we can do to keep them in the hospital because I’m worried they physically won’t make it through the hospital doors before they lose consciousness.

    There are also people who have capacity, want to leave for whatever reason, and aren’t literally gonna die in 5 minutes. They get papers and a pat on the back as they walk out the door.

    All of this hinges on a patient’s decision making capacity, and the reason every single time you want to leave the hospital against medical advice (AMA) you have to talk to one of the treating doctors is they have to determine if you have capacity at the time you’re making that decision. To be allowed to leave the hospital AMA you have to be able to demonstrate that you can understand why you’re in the hospital, the risks of leaving the hospital AMA, and hold consistent and logical (not necessarily rational) positions on decisions/priorities. If you can’t do any one of those things, you by definition don’t have medical decision making capacity, and I am not only legally allowed to, but I’m ethically obligated to keep you in the hospital to be treated until either a surrogate decision maker with capacity can be identified OR you have return of your capacity after your illness improves and we have this conversation again.






  • It’s not that we don’t use mode, there are definitely times mode is used. It’s just that mean (and median as well) contain a lot more useful information about distributions that we often care about. For a normal distribution mean, median, and mode should all be identical. So why do we use mean? Because mathematically, the mean is what underpins the formula for the normal distribution, not median or mode, and when you’re talking about doing math with normal distributions mean is the thing to talk about (along with standard deviation).

    We use median a lot too, you probably just don’t hear it called median very often. The median is useful in non-normal distributions, and it defines the 50th percentile, so along with the 25%-ile and 75%-ile you’ve got your quartile distributions. We use these all the time to talk about grades in schools, or when we talk about home prices distributions in a given area, or salaries within a given field.

    We use mode too, again just by a different name most of the time. Any time you’ve asked “what’s the most common blank” you’re basically asking for a mode. When we talk about “average” income in a country, we’re usually actually talking about median or mode. Favorite animal? Answered as a mode.

    You have to use the right statistical tool for your question: unfortunately English doesn’t do a good job of conveying this without math jargon.






  • If I was guessing, in general, I think people who advocate for a pure meritocracy in the USA feel the world should be evaluated in more black and white, objective terms. The financial impact and analytic nature of STEM and finance make it much easier to stratify practitioners “objectively” in comparison to finding, for instance, the “best” photographer. I think there is also a subset of US culture that thinks that STEM is the only “real” academic group of fields worth pursuing, and knowledge in liberal arts is pointless -> not contributing to society -> not a meaningful part of the meritocracy. But I’m no expert.


  • As a general rule, yes. People who are able to better perform a task should be preferentially allocated towards those tasks. That being said, I think this should be a guiding rule, not a law upon which a society is built.

    For one, there should be some accounting for personal preference. No one should be forced to do something by society just because they’re adept at something. I think there is also space within the acceptable performance level of a society for initiatives to relax a meritocracy to some degree to help account for/make up for socioeconomic influences and historical/ongoing systemic discrimination. Meritocracy’s also have to make sure they avoid the application of standardized evaluations at a young age completely determining an individual’s future career prospects. Lastly, and I think this is one of common meritocracy retorhic’s biggest flaws, a person’s intrinsic value and overall value to society is not determined by their contributions to STEM fields and finance, which is where I think a lot of people who advocate for a more meritocracy-based society stand.



  • All remote based typing is awful, T9 included. I can’t speak for everyone, but I can type with swipe gestures on a virtual keyboard via remote faster than I can input T9 text. I’m unaware of any stock remote for a device with a full keyboard. I would argue Apple has text entry perfected at least as well as any other major manufacturer. You have virtual keyboard entry, solid voice-to-text, and it can be configured to push a notification to your iOS device when you enter a search bar which will auto-open to the remote app and pull up the keyboard. Because of this feature passwords can also be autofilled from Keychain to make logins easier.

    You may personally prefer T9, but I’ve never seen anyone in the last decade input anything into a TV via T9. And you’re asking why it doesn’t have voice input, when it does. You admit to having never used an Apple TV yourself. I hate the idea of app-only interfaces features, but this isn’t a case like that. Maybe you should understand the features of a product before you call it “fucking stupid”.


  • You’ll have to strike a balance between security and ease. Your two major options are reverse proxy and VPN (Tailscale is one option for VPN)

    For reverse proxy, you functionally open the app to the internet. Anyone with the correct web address can access the login page. This is inherently less secure than VPN, but not irresponsibly so. Beyond the reverse proxy itself, you’ll also have to learn how to configure an HTTPS certificate to increase security since it will be open to the internet.

    For VPN, every user you want to be able to access the service has to be tied into the VPN and have the VPN running throughout their access. Tailscale is arguably the easiest way to configure a VPN right now, as you won’t have to manually deal with VPN configuration files for every device. VPN use will functionally make it like you’re on your home network. VPN access to your network should not be given to tons of people if at all possible.




  • Section 2, first paragraph. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6956183/

    At their core phages are viruses, there is no reason to expect the host immune system to not recognize them as foreign and attempt to eradicate them outside the GI tract, where most serious infections occur. The GI tract, skin, and to some extent the lower UG tract will likely tolerate these through mechanisms we tolerate colonizing bacterial flora, but colonization, even with antibiotic resistant organisms, is not a primary indication for empiric treatment for eradication. In fact there are some studies that attempting to sterilize the UG tract in colonized asymptomatic women promote symptomatic UTI.

    These colonizations become problematic when growth becomes unchecked and infection develops, or they seed infection into another compartment. There is no reason to think something as foreign as a bacteriophage wouldn’t be recognized as foreign in a sterile space (kidneys for pyelonephritis, liver abscess from migrated gut flora, endocarditis, etc) where these serious infections occur.

    This ties in nicely with your suggestion of phage cocktail therapy. Yes, that can expedite the delivery of phages, however excessive use of phages could result in anti-phage antibodies, limiting future treatment in a method similar to the development of anti-drug antibodies in epoeitin analogues, insulin therapy, antivenin, and anti-inflammatory antibody therapies like adalimumab (Humira)