MissionInfl

Sounds way more complicated these days! That’s too bad, I would expect Google to do a better job

Are you using autosale? It sounds like you’re manually selling, perhaps that is why it’s so complicated. I used autosale while I worked at Google and had no problems

I'm not a tax professional but this hardly seems necessary. Have you consulted with a tax professional to confirm that this is all necessary? How much of a difference does it actually make, i.e. how much tax do you actually pay to MI?

This is not true. I have had ~15 drinks on Naltrexone which definitely qualifies as a binge although I never "truly" binged as I never blacked out after starting treatment via The Sinclair Method. It wasn't a great time especially the next morning but I didn't get sick at all.

Not meaning to diminish the role that 12 step recovery plays in the lives of many but given the impact that alcoholism medication had on my own life I can't help but mention it here. I used Naltrexone through The Sinclair Method and rewired my brain by continuing to drink for a year using the medication. I'm now multiple years sober. It took some extra time to deal with some emotional stuff, 12 steps will help you more there. But addressing the chemical addiction first worked well for me. See my comment history for more details.

Highly recommend http://reddit.com/r/Alcoholism_Medication as a way to learn more!

I run the risk of becoming a single topic commenter but The Sinclair Method has had such a profound impact on my life that I cannot resist. It turned me from getting fired from FAANG for blacking out at work events and getting into trouble to completely sober in one year. If anything, I am too sober now, I had intended to continue to drink socially using Naltrexone but at this point I don't have the urge to drink just one beer even while knowing all that I need to do is take the pill and it is ok to do.

Highly recommend reddit.com/r/Alcoholism_Medication has a next step for anyone interested in learning more. Not only is the community extremely supportive, the sidebar links out to great resources including a free/legal PDF of the aforementioned Espaka book. That book was my starting point, highly recommended, it is a quick read and lays down the foundation for The Sinclair Method in the first few chapters (it is an incredibly simple system and that is why it works).

An additional Mike Schur Infinite Jest connection: https://www.vulture.com/2013/04/last-nights-parks-and-rec-wa...

You're not alone, your story is similar to mine. I was feeling the same as you last summer and also quit my big tech job. I tried my own thing for two months and realized more work wasn't the solution. I ended up moving out of NYC into my hometown, getting a remote job, and picking up some new hobbies like golf and tennis. I feel better but still haven't fixed everything. It will take time.

Sorry if you already know this, but the difference with disulfiram/Antabuse is that these side effects are intentional and are supposed to act as a deterrent to consuming alcohol. The fact that it can kill you if you mix it with booze is why people take it, as far as I understand it

> No addiction specialists back the 'the Sinclair Method' but do back daily use of Naltrexone.

This is definitely not true having worked with addiction specialists on TSM myself. Plus I think it is safe to consider Sinclair himself as an addiction specialist

For those looking to learn more about different ways to use Naltrexone to treat alcoholism: https://academic.oup.com/alcalc/article/36/1/2/137995

I am part of the 26% that has done this, although in the past few weeks I have finally found some momentum in changing this habit.

For me, it felt as though the content of my work is what drove me to do this. Building CRUD applications, refactoring legacy code, writing exhaustive tests, etc were all things that I would get stoned for, saving things like writing design docs and meetings for the non-stoned days. Combine this with a decade of using cannabis to make mundane tasks more interesting in my personal life (playing a video game I have already logged 1K+ hours in, watching a TV show I have seen 10x times, washing dishes, etc) and it's easy to see how I got to this point. The reality of adult life and software engineering as a career is that a lot of it is just boring. Now, whether or not smoking pot actually fixed that boredom is a different question...

As I comment on many HN posts, I cannot exaggerate the impact that alcoholism medication has had on my life. It is only tangentially related here, as this comment is not about disulfiram but rather naltrexone, a drug with similar goals but a very different mechanism of action

This is all to say, if you or a loved one is struggling with alcoholism, I highly recommend looking into The Sinclair Method. Check out /r/alcoholism_medication or this accounts recent comment history. That community supports those that use disulfiram as well, but I cannot comment on that medication myself

To anyone hoping to learn more about alcoholism medication, I highly recommend /r/Alcoholism_Medication. That subreddit, The Sinclair Method, and Naltrexone saved my life. More details in some of my recent comments too if you are interested.

My story could not be more similar to yours. I abused alcohol and cannabis starting in college and up until relatively recently. Eventually the alcohol use had caught up with me and caused serious ramifications in my life. I was able to get that under control (check my comment history for more information) and eventually the focus turned to cannabis. It is my last vice at this point, even porn is on the way out although that still took about a year of work to get to the point where I don't use it but some of the underlying issues are still lingering.

I smoked cannabis only after work for a long time in the before time. I had tried, although without any professional help, to get that down to only weekends. But inevitably it would creep back in: I'd end up smoking on a Thursday or Monday night, in addition to the weekend, and then slowly add weeknights back until it was every day. Things got so much worse during the pandemic, I started using it 24/7, it was seemingly the only escape from the mundane. At the very least I'm glad I wasn't drinking during those times but it was far from ideal given both my shift away from drinking alcohol limited my social life and COVID obviously made that oh so much worse. Smoking and playing video games was all that I had left. I'm back to the weekends now, given it is winter with COVID restrictions in my area, it is still the driver of my social life.

I'm not coming to you with all of the answers. I'm interested in what the community comes up with myself. But here are my own tips and learnings that you might find useful: - ADD is a HUGE part of this situation. I see you mentioned it in a comment but not the main post. I didn't even know I had it until I got help for depression during the pandemic and eventually was diagnosed. ADHD makes it hard to put up with the mundane. Cannabis can make any mundane task interesting for me, although with a pretty low success rate. Taking Concerta has helped in a non-trivial way but hasn't fixed everything - Recently I've started to put more effort into smoking the right way if I do smoke. For example, if I had some exercise planned that day, I do that before smoking. (I do powerlifting so I definitely don't wanna be high for that). Or, if I do smoke and play video games, do it when some of my friends are online so it's a social activity. I end up too introverted sometimes. I'm also working on starting later in the day when I do smoke. If I start smoking at 10am, I'm dead tired by 4pm and the rest of the day is ruined. Instead if I start at 6pm, I'm dead tired around when it is time to go to bed. This isn't some trick to get myself to consume less. If anything, this is causing me to enjoy smoking more, which might be my goal

I'll probably update this comment when I think of more things. Until then, I am with you my friend, your experience is shared. I wish I had better advice but I'm not any farther along in this journey so I don't have it. In the meantime, I hope you find these ramblings useful

Thanks for sharing this quote, it became known to me in a similar form through Sheryl Crowe's Soak Up the Sun:

> It's not having what you want

> It's wanting what you've got

It always amazed me that such a powerful idea could be conveyed in two lines of a pop song, so it makes a lot of sense that it came from elsewhere.

Ah, surprised that I didn't think of it that way, considering the way that I learned about this Senate resolution was by reading the majority decision: "In fact, the most noteworthy action concerning the vaccine mandate by either House of Congress has been a majority vote of the Senate disapproving the regulation on December 8, 2021. S. J. Res. 29, 117th Cong., 1st Sess. (2021)." [1]

[1] https://www.supremecourt.gov/opinions/21pdf/21a244_hgci.pdf

>Does anyone have a guess as to how a vote by Congress to authorize OSHA vaccine mandates would fair?

If I understand correctly, S.J. Res 29 [1] is a senate resolution that answers this exact question. Looking at the voting result [2], 2 Democrats voted YAY (ie expressing disapproval of the mandate) along with some Independents and all Republicans. This leads me to believe that a similar rule would not pass the Senate. Although there could be more to the story, eg I don't know the motivation that the two Democrats had when voting YAY, especially given at least to my understanding this kind of vote is more symbolic than anything.

[1] https://www.congress.gov/bill/117th-congress/senate-joint-re... [2] https://www.senate.gov/legislative/LIS/roll_call_votes/vote1...

I am the same way. I currently drink one can of Diet Coke per day (46mg) on days where I don't take Concerta and approximately one half can if I do. Anything more will cause me to feel very anxious and a bit sick to my stomach. And I mean _anything_ more, for example today I drank probably 55% of the can and felt pretty anxious in the afternoon.

Seeing this post makes me want to try to quit again and see how it goes. It is pretty rough being ADHD with such a sensitivity to stimulants.

What is even more weird is that in college and a few years after I would drink 200mg of caffeine every single day (2x Guru [1]) and felt fine. I am not sure if to what extent this is explained by being younger and being accustomed to being anxious at the time but it is definitely both.

[1] https://www.guruenergy.com/en-us/products/guru-organic-energ...

I would modify this recommendation to say that the shot version (Vivitrol in the US) is not necessarily compatible with The Sinclair Method which requires you to take Naltrexone only when you are drinking. So unless you drink every day, it might not be the best fit. I myself was a binge drinker, on any given day I drank either 0 drinks or 10+, so the Naltrexone pills were the best fit for me.

I used telemedicine to get my first prescription. I had a few appointments and probably talked to the total for about 30 minutes in total. The Sinclair Method is pretty straightforward once you understand it and there is only one hard rule (always take Naltrexone at least 1 hour before consuming alcohol). But the doctor will want to do a liver enzyme test and ask some basic questions to make sure that it is safe for you to take Naltrexone. If your liver is damaged, you may have to take Nalmefrene instead. Or if you are using opiates, it can be unsafe to take Naltrexone (not sure of the details here).

At some point I was able to get my PCP to refill my Naltrexone subscription. Naltrexone is pretty widely known for treatment for alcoholism but the prevailing wisdom in the medical community is that it must be taken every day to prevent cravings and alcohol should not be consumed when on Naltrexone. I've heard that this way of using Naltrexone isn't any better than placebo. The TSM book[1] does a good job of explaining why this is the case: the mechanism of action is that the Naltrexone blocks the endorphin rewards from consuming alcohol, so it doesn't work if you don't drink and there is no point in taking Naltrexone without drinking.

tldr: you may be able to find a TSM specific doctor via telemedicine. Additionally, most PCP will probably prescribe Naltrexone, although you need to be mindful that they may recommend to take it every day and this is not TSM

[1] https://www.dropbox.com/s/60fs7gmvbyzs1kk/Cure%20for%20Alcoh...

Highly recommend The Sinclair Method. I chose to try it because I wanted to be able to continue to drink socially as the OP mentioned. I actually overshot this and find myself completely abstinent for over a year now. It actually made me "too sober" which can be slightly frustrating but it a REALLY good problem to have considering where I was a few years ago.

Some more resources:

https://www.reddit.com/r/Alcoholism_Medication/ - a great community and how I first discovered The Sinclair Method

https://www.onelittlepillmovie.com/ - documentary on The Sinclair Method

https://youtu.be/6EghiY_s2ts - TED talk on The Sinclair Method

https://www.dropbox.com/s/60fs7gmvbyzs1kk/Cure%20for%20Alcoh... (warning: large PDF) - book about The Sinclair Method, definitely the best way to learn more, it is surprisingly simple and the first few chapters cover everything but you may find yourself reading on because there's some interesting case studies and tips on how to succeed

To provide an alternate solution to the one already mentioned, I used a modern medicine approach to alcohol use disorder called The Sinclair Method. The tl;dr is that you continue to drink using an opioid antagonist (usually Naltrexone) which blocks the endorphins rewards from consuming alcohol and eventually you just stop caring about it.

For more information, see https://www.reddit.com/r/Alcoholism_Medication/, or https://www.youtube.com/watch?v=6EghiY_s2ts, or https://www.dropbox.com/s/60fs7gmvbyzs1kk/Cure%20for%20Alcoh... (warning: large pdf)

Telemedicine is great for avoiding those whacked out kids. I was able to find a great therapist (who I have never met in real life) through a mental health startup made available to me by my employer.

Comparing "unfocused without cannabis" to "focused with cannabis" is a no brainer: I am definitely more productive with cannabis if it gets my butt in the chair and fingers typing on the keyboard. Comparing "focused without cannabis" to "focused with cannabis" is a different story, likely favoring the former as you are implying, but I think it is a bit less certain than driving drunk which is always dangerous.

Sorry if you have heard this before but you may have ADHD or something similar. I found myself in a similar pattern of using cannabis to motivate myself to do the more boring tasks that inevitably come up being a full time software engineer and after several months of therapy was diagnosed with ADHD.

FWIW, I find that if I have a boring task and attempt to use cannabis to power through it, half of the time I complete the task with vigor and then other half of the time I do literally anything else. So my story is as similar to yours as those saying that cannabis leads them to be anything but productive.

It's possible to have different reactions to the same drug :)

As someone that is a heavy longtime user and recently diagnosed ADHD (there is a deep relationship between cannabis/substances and ADHD), I did find during the pandemic that smoking cannabis prior to writing software made it feel more productive. Given I couldn't prove that I was really more productive, and there are other costs, I decided against using it at least for my full time job. This is all to say, YMMV with cannabis or any psychoactive substance.

Looks like there are two shows with the same name? see https://www.imdb.com/title/tt9174558/

edit: actually looks like the same show is on both platforms

A similar thread: https://news.ycombinator.com/item?id=29344274

I'm curious whether a similar mechanism would apply to the COVID vaccines? Can someone with some expertise in the area help clarify if this is the case? Are we accidentally creating vaccine resistant COVID strains with mass vaccination similar to how mass ivermectin creates ivermectin resistant parasites?