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tsoukase

427 karma · joined June 4, 2018

Physician - Specialized in Neuropsychiatry Email: tsoukase <at> gmail.com
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tsoukase··on Late Bronze Age Collapse
As a Greek I feel proud that we passed through all history tides during our high times: multiple cycles of thriving and decline, the last one being the Classical century of 5th BC, then the Hellenistic period of Alexander until we passed the baton of civilization to the Romans.

This lasted for a full thousand years until a little before Jesus birth and it continued in Europe and the rest of the world in the same way for two more until today.

It seems the reasons of decline were most often the boring ones: variable scale fightings and climate change. Any resemblance to modern times is not coincidental.

tsoukase··on Why American ambulance rides are so expensive
It's simple. Ambs in the US are all private companies. Everywhere in the world private ambs are also extremely expensive and public ones free of charge. There is no truly public amb ride in the US.
tsoukase··on What Do We Know About the Microplastics Inside Us?
Microplastics are even suspected for the low sperm count and power of men after the 70's. We can attribute to them any effect we observe today. It's insane. Let's accept that we cannot causaly link MPs with anything because we do not control the exposure and cannot perform a randomised trial. That is more scientific and sincere.
tsoukase··on Mark Zuckerberg's biggest legal nightmare yet could cost Meta $1.4T
It is sad but inevitable in a free market. The line between a good and an addictive product is often blur. OK, cocaine is addictive and a nice restaurant meal is good but everything else lies inbetween. In the end, I believe after 3-5 year Meta will pay 1.4 billions instead of trillions and 'business as usual'.
tsoukase··on Should DayQuil Be Legal?
Placebo is a multi trillion market. Not only in the form of vitamin, dietary supplement or other non-active pill but also of shopping, psycho-boosting or feel-good behaviour. Even religion is a form of placebo!

I am fed up with various "products" that come to my door: mix of vitamins, a-lipoic acid and ashwagada. I can imagine among the billions of physically healthy adults, there are many that choose them. While regulation for drugs is strict, for these products it is less that potato chips. The FDA goes like, as soon as they sell snake oil that doesn't hurt anyone, let the market loose.

tsoukase··on 'There Is No Going Back': The Inside Story of Europe's Rupture with America
Not much will be done: Europe will not manage to become sovereign and independent from the US. Things change slowly and a next Dep POTUS will come again closer to Europe. My opinion, not advice for investment.
tsoukase··on Cannabis users face substantially higher risk of heart attack (2025)
For such widespread factors any correlation not based on randomised controlled trials should be dismissed. There is so much confounding that you end up measuring smoking vs heart disease. I will not be surprised by the result, cannabis usage increases lung cancer risk.
tsoukase··on Espionage Against the European Parliament
No, it was the Predator rootkit that presumably was introduced directly from the PM to infect many politicians, even of his own party. This lead to the uncovering of the long-standing agricultural scandal of OPEKEPE gov org and is going to lead to the largest constitutional change in modern Greek history, after and only if he wins the elections next spring: among others lifting of minister immunity and reduction of the number of parliament members. Through the revelation of corrupt politicians' acts based on their phone data leakage, the public opinion turns against them and accepts the changes easier.
tsoukase··on How working memory could give rise to consciousness
Working memory is exactly like CPU cache. Data must be first moved to WM from mid and longterm storage in brain (RAM and SSD respectively) before being processed by the brain centres.

Consciousness is a process that runs concurrently with the main process and follows it, hence we know about our thought. In this analogy, WM and consciousness have little relation.

tsoukase··on Global review confirms mRNA vaccines are safe, effective and full of promise 
mRNA seems to me as the perfect method to insert controlled, short lived proteins to the bloodstream. Simple, clean, deterministic and seemingly safe and it turned out to be such. In vaccine development, if the technique has similar maturity and application as the traditional egg-based one, I am sure it will rival it in safety, speed, cost, width of diseases.
tsoukase··on Global review confirms mRNA vaccines are safe, effective and full of promise 
I am also a doctor (neurologist). I don't doubt the diagnosis and the cause, as I have seen such cases in 2021/2. I only say being a doctor and having such a side effect are independent so you must be one of a few cases in the world.
tsoukase··on Global review confirms mRNA vaccines are safe, effective and full of promise 
In an intramuscular injection this is always tested by the nurse and this complication is far rarer than a nerve injury by the syringe. But in billions of cases anything can happen.
tsoukase··on Android Developer Verification: Threat masquerading as protection
I don't distinguish a phone from other electronic home devices I also happen to buy. I don't change their firmware for various reasons, like not worth it (eg fridge, washing machine), illegal (eg set top box or car) or impossible. Being able to even enable developer mode in Android and do anything more than designed for a regular user goes already too far in relation to the other devices. Is there any car that you can boost with tapping seven times its gas tank cap? And I am afraid it will be removed someday in the future like the bootloaders became locked one after another. PCs are another story, an open remnant from the past, that the hard and soft tech companies sweared not to leave happen the same mistake again with phones. The term "buy" and it's rights are not inherited from a PC to a phone.

I am not an advocate for the greedy tech companies but I am trying to give some rational perspective of the balance of power between them and us. If we want openness we cannot reach it with wishful saying.

tsoukase··on Google loses fight over record $4.7B EU antitrust fine
These huge but turn-out-to-be nothing fines by the EU due to antitrust reasons seem a joke already. It is a laughable small percentage of the profits being imposed every now and then and when they feel like. The same holds for similar fines by specific countries. I will not be surprised if the paid sums end up to burocratic fueling or even corrupt high rank pockets. They have absolutely no impact to the company's behaviour. It's like the parking fine on the street costs less than a paid lot.
tsoukase··on Android Developer Verification: Threat masquerading as protection
Let's see some points:

1) side loading, or however it's called, is used by less than 1-2% of global Android users (we can't be more than 50 million). Google made us a favor leaving it open after an only 24h delay. It could be much worse but now it's nothing in our eternal tinkering with developer options. Thank you from me Google.

2) GMS is a huge convenience for any app developer that needs tight control, including governments. They can secure their apps against users of any hat color. Add to that the possibility of hidden backdoors to support surveillance and Google's direct lobbying in EU. This makes it very difficult to go without it, even under the current anti-US EU direction and it will be the last that will be replaced in Europe.

3) There are various levels of "degoogling". From installing a totally open OS without or with microG, to just don't login to a Google account in stock Android. It's a spectrum but someone at the free edge will never have the same rights with one in the jailed edge.

4) Developer verif is NOT to prevent ad blocking. There is a simple and free method to block anything you like at DNS level: just select Private DNS and insert an appropriate URL for ads/trackers/porn etc, eg from controld.com. Find some other justification, like tight user control to continue sleeping with the governments or reach ultimate user surveillance with the upcoming children ident.

tsoukase··on Podman v6.0.0
There is the podman-docker package that seamlessly emulates docker using podman. Eg for Arch Linux https://archlinux.org/packages/extra/x86_64/podman-docker/
tsoukase··on Should every baby's DNA be sequenced?
Greece. They test for congenital hypothyroidism (which leads to cretinism) too.

DNA info is not so much of value as it sounds. Genetic testing has very poor results and therapy is almost non existent. If they (govs and orgs) could extract value, they would make it mandatory for all, like fingerprint and face photo.

tsoukase··on Should every baby's DNA be sequenced?
At least in my country a blood sample is taken from every newborn to test for specific preventable genetic diseases (eg phenyl-ketonuria).

A baby will become a powerful adult after 30 years, when their DNA info might become valuable (for forensic, health, research or other reasons). It's a long time for the investment to return. Why not sequence all people's DNA now, obligatory by law. All that it's needed is a little saliva and a wide lab infra.

tsoukase··on Study suggests most Americans would be healthier without daylight saving time (2025)
Even in Southern Europe the winter day is 2+2 hours less than the summer. Not only I am PRO-DST but I advocate for a full two hour change. It's not 20th century any more. Most jobs start later, people want to enjoy after job and LEDs offer bright light if needed. Tell the Spaniards where the sun sets later that the Dutch.
tsoukase··on Exercise intensity influences body composition in healthy older adults (2025)
Anaerobic exercise, which typically is done with weightlifting, converts muscles to a huge anabolic gland. Do squats/deadlifts with good technique and reap lifetime benefits. Add aerobic as habit, like use feet/bicycle and stairs at every occasion and you will be fine. First order effects are better shape and stamina, that lead to second order like better cognition, mood and even less cancer.
tsoukase··on European digital ID wallets rely on safety services of Google and Apple
I live without Google Play on a Huawei device. I keep my data on Google, though, accessing them with OSS apps over OAuth2. It is a viable experience as my ebanking works from the browser and the Greek gov's app does not need GP. Now, if to be a European needs GP, it will be a shame and disgrace.
tsoukase··on Europe's resistance to AC is driving it insane
Worse. The black lines of the unit will look like dirt. Any solution will be a cultural devastation.
tsoukase··on Europe's resistance to AC is driving it insane
Central-western Europe will have to massively install ACs, sooner or later, either only for cooling or both. They will not resist the summer heat in the coming years. Good for the AC companies.

The most difficult step is to accept the ugliness of the external unit to their beautiful buildings. Imagine Paris with a gray box hanged out of each 35m2 apartment.

tsoukase··on I used Claude Code to get a second opinion on my MRI
I often ask, usually Gemini, at a medium abstraction level (not general What the diagnosis is, neither specific like What this high serum Ca means). The answers are correct but not enough and ready for consumption without doctor guidance.

A cardiologist friend goes in deep discussions with a specialised model and he is amazed.

tsoukase··on I used Claude Code to get a second opinion on my MRI
Medical opinion will remain one of the last frontiers of LLMs. There so many critical factors that are inappropriate for them. They cannot perform a clinical exam, they have to collect the needed exams and most importantly a life might be at stake (OK, you cannot die from a shoulder problem but you can become handicapped forever).

All that said, as a doctor I am totally open and even happy when a patient refers they took advice from AI. I explain the holes of their reasoning and integrate it with mine. It helps rather than hurts the patient-doctor connection.

tsoukase··on What Ozempic does to the gut-brain axis
From my real world experience of a few dozen patients, there is definitely a mood boost but only to those who lost weight. The effect may be due to the weight loss confidence and/or other mechanism. The cause seems difficulty to find.

My advice: in monopolar depression with increased weight especially due to binge eating take the SSRI Fluoxetine 20mg 1 up to 2 daily. It will make wonders.

tsoukase··on We all depend on open source. We will defend it together
Akrites were the Byzantine border defenders. If they defend the OSS community against AI then they have to try hard, because Ottomans won at last.

https://en.wikipedia.org/wiki/Akritai

tsoukase··on Ending respiratory infections
First we need strong immune system for all. This is a huge endeavour that includes exercise, both aerobic and non, low stress and other interventions.

Drugs and medicine play a small role in resp viral infections.

tsoukase··on Never Give Them Your Face
Let's describe it simply: in the name of children protection, pushed by govs and parents, the companies found the chance to pass full identification of all. They use the former as a Trojan horse for the latter.

The sollution is simply to decouple the two processes. Now it'seasy as it's still early. The first step is for the people to realise the sneaky link and for the govs to stop any lobbying.

tsoukase··on From Australia to Europe, countries move to curb children's social media access
The players here are the naive and regular non tech savy parents, rigid and burocratic gov orgs and greedy giant companies. What can go wrong?

There must be a culture and unwritten law among all sides. Some general points: 1) more parental control options beyond Family Link 2) totally avoid of flat ID check for all

There are so many minor controlled activities: alcohol, driving, sex and generally controlled: guns, drugs. Just learn from them.

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