I WISH it was only 80%

Boing.

Our society pulsates to the hypnotic drumbeat of corrosive hedonism.

The word 'healthcare' is a fairly modern word. I don't know why, but I've always taken issue with it - as compared to other longstanding terms like 'medicine' or just 'health.' It feels like an orwelian misdirection designed to CONNOTE (imply) one thing, but DENOTE (mean) something entirely different. The term is never examined, but I feel it should be. Similar to how 'social justice' masquerades as actual justice, but in reality is a wholly unrelated, highly political, and less noble idea. The serpents should be given no quarter. Every single word should be dissected before accepting any of their premises. Idk. Just a gut feeling I suppose.

It's the only echo chamber where I routinely get wise/sound advice.... Or is that just what someone inside an echo chamber would say? 🤔

Something I struggle with almost daily is authenticity/integrity.... Does being authentic and committed to truth-telling mandate that I share my position on EVERY issue at EVERY opportunity? In my day to day life, I'm surrounded by left-leaning normies who couldn't be bothered to question any of the mainstream orthodoxy. It gets exhausting engaging these people. So I generally keep my mouth shut and my head down. This is taken as tacit agreement with their dogma. This feels cowardly. Is there a proper balance between having the courage to speak my mind and just being combative/argumentative? #asknostr

I believe leftism is an emergent property of increasing scale. Large atomized populations are the fertile ground for this ideology to take root. Maturation, parenthood, entrepreneurship provide a counterbalancing force to this scale. They draw attention to the micro. Conversely, big tech, bureaucracy, academia are blinded by their focus on macro phenomena. This decouples them from reality.

When a patient is dying, there are a number of physiologic derangements that are universally present. Many appear early and worsen (sometimes gradually, sometimes rapidly) until the person's demise. These commonly include low blood pressure, low oxygen saturations, labile heart rates/rhythms, and an altered or depressed mental state. Many, if not all, of these aberrations, are apparent even to the lay person or the junior medical trainee as worrisome. For the most part however, these findings, though very concerning, do not NECESSARILY spell the imminent death of the patient. There is one derangement though, that once it appears is a harbinger of the end: hypoglycemia. It turns out that maintaining physiologic blood sugar - specifically avoiding LOW blood sugar - is an absolutely fundamental condition of life. So much that this function, largely fulfilled by the liver (with some input from the pancreas), is more protected and preserved than even maintenance of blood pressure or blood oxygen levels. So when a patient's blood sugar begins to tank, requiring administration of dextrose to correct, this spells liver failure and is an undeniable tell that the end is nigh. This is often missed by family members or novice clinicians as meaningful because hypoglycemia seems so innocuous when compared to the other concomitant physiologic abnormalities in the critically ill. ...why do I mention this? Lately, when I listen to people like @NikBhatia, Luke Gromen, Dr. Jeff Ross, @Preston, @MartyBent, to name a few, I get the impression that the silent (as far as MSM is concerned) geopolitical and macroeconomic tremors we are experiencing are America's hypoglycemia moment. These tremors highlight fault lines in the post 1971 USD hegemonic structure. But - just like low blood glucose - to the lay person these events seem like esoteric concerns, easily corrected by a hit of sugar. Bond auction and repo market fragility aren't felt as palpably as inflation, unemployment, or unaffordable housing, but they are nonetheless telling signs of things to come. I'm no economist. But I know a sick patient when I see one. And, as I listen to the people with expertise in this domain, I see some concerning parallels. Just my 2 sats.

My little cousin (20 something) just started a job as a financial advisor. Cold calls me to offer his services.... i declined but said I'd be happy to chat. I was excited to see if Gen Z tradfi has evolved in its understanding of #bitcoin. I was sorely disappointed. The hubris is oh so strong

Ewwww