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vrc

735 karma · joined May 29, 2016

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vrc··on Training myself to run farther with Strava's API and an IoT dog feeder of M&Ms
Also, they program stuff like high rep clean and jerks and snatches along with high intensity cardio and gymnastic movements. Never a great idea to train high power, highly technical movements with fatiguing exercises and time pressure, let alone with poor form. I did a few classes in SF coming from a background in Olympic lifting and strength sports and I really found maintaining form and safety was quite hard.
vrc··on First new asthma attack treatment in 50 years
I believe it’s because a doctor doesn’t prescribe cigarettes to you. So the only liability is your own.

It’s a weak line of reasoning to _allow_ cigarettes, but I’m not convinced it’s so bad to _disallow_ novel therapeutic uses that are understudied.

vrc··on FDA proposes ending use of oral phenylephrine as OTC nasal decongestant
Yes but then you’d have to carry that for domestic travel.
vrc··on After decades, FDA moves to pull ineffective decongestant off shelves
States like MA legally only accept MA IDs and federal govt IDs for age verification. That’s why a lot of bars and packies will turn people away or ask for additional proof like CC’s. You’re more likely to be held liable for misconduct if the license you accepted is out of state.
vrc··on Radiology-specific foundation model
Yeah, and the bill will come back adjusted to

  - X-Ray: $15
  - Radiologist Consultation: $125
  - Harrison.AI interpretation: $20
The cat and mouse between payer and system will never die given how it's set up. There's a disincentive to bill less than maximally, and therefore to not deny and adjust as much as possible. Somewhere in the middle patients get squished with the burden of copays and uncovered expenses that the hospital is now legally obligated to try and collect on or forfeit that portion for all future claims (and still have a copay on that new adjustment)
vrc··on Support for U.S. TikTok ban continues to decline
And I don’t think Ukrainians have fond feelings about Russia either.. Both things can be objectively bad for the people being bombed.
vrc··on A Post-Google World?
Cost too.
vrc··on Telegram founder Pavel Durov arrested at French airport
If the road worker built features that specifically provided an oversized benefit to the bank robbing community in general, you’d definitely investigate the worker or construction company
vrc··on Common side effects of not drinking
My move, diet soda in a drink glass with a red straw. Bartenders will usually oblige and then it looks like you’re drinking. If you tip well and/or you tell the bartender that this is the only drink you want tonight, you can join people for rounds and “just get the same”. I read this in an interview with a big time agent who talked about tips to navigating business events with food and drink to be more effective. Eat first and fast and walk with your faux drink—your audience will be forced to listen to you and semi-immobile while they eat and will get themselves tipsy too. Sounds kinda predatory, actually, but it’s effective.
vrc··on Common side effects of not drinking
Just downloaded it this weekend and started using it casually when I’m outside. It’s truly fantastic and my toddler is super engaged with bird songs in just a few days.
vrc··on Why don't we know how antidepressants work yet?
Prescription NSAIDs are one of the top 2-3 causes of adverse drug event hospitalizations in the US. Patients on opioids and NSAIDs lead to the highest rate of 10 day admissions. There is insufficient data capture of OTC drugs to factor them into this stat, I believe.
vrc··on Why don't we know how antidepressants work yet?
Tylenol is my favorite drug in this bucket
vrc··on Arvind has died
I’ve been to one in Delhi and Gurgaon. I think there’s one in Mumbai. Brittania is one of thr OG Parsi spots still open in Mumbai.
vrc··on Arvind has died
That’s a restaurant chain that serves Parsi food afaik! Like a modernized Brittania. I remember that they hired mostly hearing impaired wait staff and have instructions for interacting with them. It’s a really cool concept and the food is good too.
vrc··on Arvind has died
I prefer the Indian singer Kunal Ganjawala. Also shoutout to the Tobaccowalas and Daruvalas!
vrc··on Arvind has died
Lots of people from Andhra/Telugu people have many names, and are known by initials or drop them if they come to the US. That sometimes includes optional caste names or titular names that come at the end, with the family name leading (as in China and Japan). My uncle, for example, had a four-word given name, formally introduced his given name in India or in temples as the latter two, and then dropped the first of the two, and swapped family-first for first-family when he came to the states.

For example, if you ever fly into Bangalore or Mumbai, you'll see GVK on their airports. That's for Gunapati Venkata Krishna Reddy, who goes by GVK. Gunapati is the family name, Venkata Krishna is his given name, and Reddy is the caste name.

Other examples are NT Rama Rao, P.V. Narasimha Rao, and my favorite, is a person I know of who went by KRKVNS Sharma.

vrc··on Some people with insomnia think they're awake when they're asleep
I was in the ICU for an extended period of time, and as you can imagine, with the pain, discomfort, noise, and constant monitoring, I really "wasn't sleeping at all". I remember getting frantic and trying to discharge AMA, and the attending came to talk to me and listened to my principal complaint of not sleeping. He looked me dead in the eyes and said, "I'm a sleep doctor who's been watching sleep studies for 30+ years now, and I can assure you, outside of a very small number of patients with serious, often hereditary sleep issues, everyone sleeps. You may not feel like you slept, and can be convinced you were awake, but the body forces you to sleep throughout. And sometimes, when you think you fell asleep immediately, you actually didn't sleep for a while but you stopped forming memories as you were drifting off to sleep". It absolutely did nothing for me in that moment, but it's given me a lot of peace of mind since around sleep. You might still feel like crap, but you won't have anxiety on top of it!
vrc··on AdFlush
This is ironically how Chrome got its big push into the mainstream. Would be great if that’s how it got pushed out. But the world of influential techies, especially amongst the younger, seems to have gotten smaller. Perhaps I’m wrong
vrc··on Sundar Pichai Tells Employees They Don't Need Money to Have Fun Amid Cost Cuts
I think "I remember when Google was a small a scrappy" doesn't seem to jive with a guy who joined Google the year it went public at a $23b valuation. But I guess looking back at that $23b from the helm of a $2.18t behemoth is like ringing that same bell at $23b reminiscing about Google was a small and scrappy, $242m...wait a second...

For all the comparisons Pichai gets for what he's doing to what Steve Ballmer did at MSFT, at least Ballmer was employee 30 and his war stories were from lived experience. Sundar walked in to a 6 figure job, free food, and the Googleplex and is talking like he was hot-swapping harddrives in the original garage.

vrc··on Morgan Spurlock has died
Nice to hear a different take than criticisms of SuperSize Me and his alcoholism. While SSM was definitely sensationalism, it did bring about a cultural awareness and changes in fast food menu.
vrc··on Morgan Spurlock has died
Or certain head neck and stomach cancers. Or pancreatic cancer. A lot of cancers.
vrc··on Morgan Spurlock has died
Often causative, though from GPs phrasing, it could be they're insinuating the alcoholism was a smokescreen for cancer, which seems unnecessary...
vrc··on Why Are Sloths So Slow?
Many would bristle at you referring to Sir David Attenborough as atypical!
vrc··on Show HN: Pls Fix – Hire big tech employees to appeal account suspensions
The old cobra bounty problem
vrc··on I couldn't escape poison oak, so I started eating it
n=1 but I used to be immune to it, then one summer started landscaping, and probably weed whacked and pulled more of it than ever. Started with small hives, then small rashes. Then each successive exposure got worse and worse and I had to take a long course of steroids to stop a multi week outbreak. Still have scars 20 years later. For me, more exposure made it far worse.
vrc··on As private equity dominates wheelchair market, users wait months for repairs
In this case it’s regulation on who can sell DME paired with how payor negotiations are handled. So even if you had cash to buy many DME, you still need a prescription and sometimes forced to pay the contracted price if you are known to have insurance.
vrc··on As private equity dominates wheelchair market, users wait months for repairs
It’s interesting. The regulation ostensibly protects vulnerable classes from exploitation and lets them use reimbursement structures to defray cost. At the same time it causes costs to go up and allows people to buy their way across the moat.

I wonder if regulation that stipulated that a change of ownership of some percentage would require recertification of the entity would stem this a bit. Or restrictions on buying HIPAA covered businesses with patient data. Might pose a problem to folks in the business today, but could slow down the massive acquire-and-merge train in these industries.

vrc··on Cardio fitness is a strong, consistent predictor of morbidity and mortality
Sprinters also lift a lot of weights. The extreme example is sprint cyclists, who are jokingly called weightlifters who happen to ride a bike [0]

[0] https://www.reddit.com/r/pics/comments/4xioza/track_cyclists...

vrc··on AI is making Meta's apps basically unusable
There was a time 8 years or so ago when Sundar declared each team needed an AI OKR. Every ambitious manager and team lead took it to heart and basically tried to wedge in some AI adjacent product feature to wedge into the product. That was not fun.
vrc··on Creatine found to improve cognitive performance during sleep deprivation
And possibly saturate your toilet too!
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