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I have done that multiple times in the past but there came a point where I couldn't "white knuckle" my diet any more. GLP-1 has really helped a much better quality of life - lower cravings for food and alcohol, meaning that I am losing weight and feeling cheerful instead of gritting my teeth.

Why is that so bad?


What's your plan? pills for life? Life is tough, fighting cravings is on the easier side of what life's going to throw at us

Yes. What's wrong with that? There are large portions of the population that already do that for other health related issues.

London had the tube bombings, but there is no security scanning there.


AFAIK, there is no security scanning on the metro/"tube" in Spain either, it's on the national train lines.

Edit: Also, after looking it up, it seems like London did add temporary security scanners at some locations in the wake of those bombings, although they weren't permanent.

Russia is the only other European country besides Spain that after train bombings added permanent security scanners. Belgium, France and a bunch of other countries have had train bombings, but none of them added permanent scanners like Spain or Russia did.


Not true, France had this on the train to the Netherlands (Thalys) after some crazy attacked some passengers in that train. They also added electronic gates to most high speed trains in many large stations.

Notice how these inefficient processes create large, compact lines of passengers, which would made the casualties much worse in case of an actual bomb.


The patients can also see the posters, and it won't be background noise for them, so they can think of asking about it.


Oh. There is nothing more contra productive than asking an experienced physician “could this not be X”. They will typically go in “if you think google knows better, ask it and fuck off”. Ask me how I know. I think that attitude even has a name (BTW, I’m guilty! If I say “there is a dangling pointer” and the guy starts with another theory, I will dismiss him quickly)


My experience is completely the opposite. It often annoys them, but they are forced to address my question, and that's my goal.


Arguing with a doctor can lead to accusations of "drug-seeking behavior" (which can cause treatments to be refused, and there is some legal pressure behidn this) or "mental illness" (which can cause involuntary psychiatric hold, effectively kidnapping).


https://slatestarcodex.com/2019/09/16/against-against-pseudo...

--- (long extract) ---

This paper lists signs of drug-seeking behavior that doctors should watch out for, like:

– Aggressively complaining about a need for a drug

– Requesting to have the dose increased

– Asking for specific drugs by name

– Taking a few extra, unauthorised doses on occasion

– Frequently calling the clinic

– Unwilling to consider other drugs or non-drug treatments

– Frequent unauthorised dose escalations after being told that it is inappropriate

– Consistently disruptive behaviour when arriving at the clinic

You might notice that all of these are things people might do if they actually need the drug. Consider this classic case study of pseudoaddiction from Weissman & Haddox, summarized by Greene & Chambers:

> The 1989 introduction of pseudoaddiction happened in the form a single case report of a 17-year-old man with acute leukemia, who was hospitalized with pneumonia and chest wall pain. The patient was initially given 5 mg of intravenous morphine every 4 to 6 h on an as-needed dosing schedule but received additional doses and analgesics over time. After a few days, the patient started engaging in behaviors that are frequently associated with opioid addiction, such as requesting medication prior to scheduled dosing, requesting specific opioids, and engaging in pain behaviors (e.g., moaning, crying, grimacing, and complaining about various aches and pains) to elicit drug delivery. The authors argued that this was not idiopathic opioid addiction but pseudoaddiction, which resulted from medical under-treatment [...]

Greene & Chambers present this as some kind of exotic novel hypothesis, but think about this for a second like a normal human being. You have a kid with a very painful form of cancer. His doctor guesses at what the right dose of painkillers should be. After getting this dose of painkillers, the kid continues to “engage in pain behaviors ie moaning, crying, grimacing, and complaining about various aches and pains”, and begs for a higher dose of painkillers.

I maintain that the normal human thought process is “Since this kid is screaming in pain, looks like I guessed wrong about the right amount of painkillers for him, I should give him more.”

The official medical-system approved thought process, which Greene & Chambers are defending in this paper, is “Since he is displaying signs of drug-seeking behavior, he must be an addict trying to con you into giving him his next fix.”

------


A good way to ward off the possibility of being accused of drug seeking behavior is to maintain your own stash of drugs. It always helps to have a good BATNA.


They especially love "According to ChatGPT..." these days. Make sure not to even make it a question


Meanwhile they feed criteria directly into their own LLM for diagnosis


See theirs is an expert system.


I'm not a doctor, but I am an engineer --- so I am _SUPER_ used to being wrong -- my systems don't spontaneously heal themselves.


Dammit, Jim, I'm a bricklayer, not a doctor!


I usually preface such suggestions with "according to my google medical degree..." which seems to take the heat off.


If in the UK, you better have some tact, otherwise it'll go down like a lead balloon !

Personally I'd make up a lie: "Oh! What a great idea those posters are...I lost my dear brother to sepsis...they told us it's so easy to miss..."


As someone who has been fat and not-fat throughout my life, I think literally everyone knows that it is simple to lose weight by eating fewer calories. That does not mean it is easy. If you are already fat, which can happen almost without you noticing by eating 200-300 calories too much a day over a year say, or as a result of some brain malfunction (both have happened to me), then eating the calorie deficit require to lose weight is mentally very hard to to.

As a thought experiment, imagine what you eat per day. Now halve it. Would you be having a good time?


I've been fat/not-fat my whole life too. I'm fat right now (working too much and not watching diet).

> That does not mean it is easy. If you are already fat, which can happen almost without you noticing by eating 200-300 calories too much a day over a year say, or as a result of some brain malfunction (both have happened to me), then eating the calorie deficit require to lose weight is mentally very hard to to.

You install an app. You honestly track what you eat. Set a goal for how many calories per day. Done.

I've intentionally set my calories at 1,300 per day. Low, yes, but I allow myself to eat over that to satiation. The end result is that I'm still in a deficit relative to my actual caloric needs (e.g., maybe I eat 300-500 extra calories and my daily total rounds out around 1600-1800), so I lose weight.

I've started eating less and tracking calories and I'm losing weight (I'm not even exercising—I sit most of the day programming). Nothing extreme, just a simple mental hack.

I've done this before to the tune of losing 70-80 pounds. Literally just tracking calories and not even really exercising beyond walking. I wasted years on different workouts and diets all just to come back to realizing "yeah if you just eat less calories (and increase your intake of whole foods, not boxed slop), you lose weight."

Much better choice than shooting up with pharma syrup that has god knows what in it that's a ticking time bomb.


That's quite a lot of European countries to be fair.


Not sure about the amp, but the Yamaha Pacifica I have is decent. It's been used in a stage show successfully (not played by me), and the artist was very happy with it.


I think it's more to warn a motorist to be mindful of slow moving people. And older people do occasionally fall over too.


I think that is one of the things that you are supposed to learn at college, in my experience.


antifa are in no way terrorists, get a grip.


Not sure what you mean, I think that is a valid point.


I don't use mastadon, so learning that the idea it doesn't have a registered "follow" scheme is not great.


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