yr1337

Did you just copy and paste this from ChatGPT? You think I haven't tried this before... I literally just wrote that in my OP.

Zero is by the Replicache team and they are really nice guys. I've interacted with Aaron Boodman quite a bit in their Discord and he was very responsive and helpful, and took a lot of my comments into consideration in improving the product. It's a very hot space which IMO will revolutionize how we build GUIs IMO. Replicache is a bit hard to grasp at first but the nice thing is you bring your own DB (vs. use a service). I think this project needs more recognition. I would hate to see them fade just because they don't have the fancy backers like YC and the usual crowd. If they keep at it they might prevail since VC-backed startups like InstantDB tend to sell out and flame out.

It's cool to see some progress on aural migraines.

In the past I tried zolmitriptans for it but they don't do much, same with milder pain killers.

My migraines started at 20, two decades ago. I remember the first one like it was yesterday. I was studying CS and was coding on a dark-mode CRT monitor with a big fat window reflection on the screen.

It always happen the same way, with the characteristic jiggles, some kind of colorful, moving patterns of light that start in the center of my vision, slowly expanding to my entire field of view, making me temporarily blind. Then 30 mns after the onset of that, gone. 30 more minutes and the headache + strong nausea start, and immense fatigue. At that point I'm out of commission for a good 12h. Meaning I better be close to my bed, in total darkness.

It really sucks. I used to have them every 3 months on the dot, like on a timer. As I'm getting older I'm having less and less of them, going about a year without one. And they are a lot milder now. I have a lot less of the jiggles, no nausea and the headache is not so bad. I'm still fatigued but usually recover the same day. I consider myself lucky.

It seems to run in my family.

I've tried finding a trigger for the migraines but I have no clue. I used to associate them with bright lights as there is usually a bright light present when they happen, but it needs some other element. Stress and fatigue appear to be factors, as are tanins contained in red wine and beer. But sometimes none of these elements were present.

I have a personal non-scientific theory that serotonin levels play a role. High levels like I think I had when I was younger tend to trigger migraines. As I'm getting older and grumpier, I probably have low serotonin and less migraines...

Thank you. I would love to build something to make trials easier to find by the patients themselves, so you don't have to wait for the bureaucracy to kick in.

So... What's the hack?

LOL I love it, they will think you're a scammer trying to get their bank info and you get a free call out of it. The hustle is real.

It sounds great and motivating, but what was your field? I feel doctors to be less than enthusiastic about engaging with people outside of their circle, especially if I ask for help about doing a startup. It's weird but I feel like a lot of them see you as a competitor somehow.

Thank you! I tip my hat to you for being successful in this difficult space.

Where were you in 1999 when all I had was a crap snake on my TI-89?

From a practical standpoint, do you just wait until they hit you up later asking for their money?

I've actually thought of doing IT services for clinics as a means to get a foot in the door. That's some seriously deep undercover stuff... Very time consuming (could be worth it regardless). Were you getting paid for the IT services?

Thank you. YES on a lot of your bullet points. But I'm very open-minded about it and would work on any issue if enough people raise it.

I've been thinking of reaching out to nurses and other pros that work around docs.

I like the professional org idea.

It's something I used to do internally at my previous employer, and I know it's very useful. In this case I would have to convince a doc to let me follow them around and that's an immense ask. It's also going to miss systemic, intangible issues that are not task related. It's a great thing to do for an already-established product.

I like your suggestion and it sounds like it would work great for certain cohorts, but not so sure about docs. I can see employing this tactic in a conference though. But that's more of a phase 2 thing when you already have a handful of ideas.

I do not want to incentivize people to give me BS feedback just to get paid. If they need money or a gift to tell me about their pain point, it's not a pain point.

You hit the nail on the head on BOTH points.

They do not trust me (why would they) and they think it's a sales tactic. I couldn't be purer in my intentions, but people are on the defensive.

And your pain point is actually one I've heard firsthand. Got a few ideas and connections in this area.

Reviewing my numbers I would say it seems closer to 0.5% at this point.

You made good points for the stage that you're in, i.e. you already have a solution that you can sort of pitch upfront (even seeding the conversation is a version of that). I'm at the point where I can't/don't want to bias them with the slightest hint of what I'm solving because it will taint their response. That makes it quite hard!

I can't wait to engage with dieticians. I feel like I need more bashing in my life :-)

Lucky you!

Yeah I'm in the toughest phase of idea extraction. Which is: hey I want to talk to you but I have nothing to say, YOU do the talking. That's CRAZY hard, especially on LinkedIn (the low hanging fruit I admit). I already extracted a few ideas from motivated docs or 1st/2nd degree real-life connections, and I could move forward with those on a separate front. But what I thought was going to take me 2 hours a day is actually taking the whole damn day, every day.

I had this doc tell me in the most condescending way possible that she could make good bank if she charged my kind for all the free advice she's giving out... And denied me the advice until I demonstrated my worth. And then her advice was a bunch of shitty platitudes.

I had this psychologist basically suggest I write an essay about why docs are driving change in healthcare. I obliged.

On the other hand I had a wonderful doc out of SC who straight up shared his screen with me, unprompted, to show me his problem. This is the kind of guy that gives me hope.

Yes, looking into that for sure.

I have been thinking of conferences, this sounds like a dream-like setting for this. I'm early in my journey but last I checked those are THOUSANDS of dollars to attend. Did you have some pointers on hacks to get in for free? Which orgs?

Could be that as well. Maybe someone else will chime in with their numbers so I can get a reality check. I'm doing everything almost manually right now so it's not efficient.

Thanks for the PDF. Generally, I try to set up Zooms because it's a great back-and-forth. In-person meetings would be insanely good just for the human factor, but docs aren't into that it seems.

Yeah I totally get that. Which is why I made it a point to really not sound like a salesman, but people are wired to be suspicious no matter what.

I was able to interview a few people and I consider them heroes because against all odds, they still gave me the time of day despite not knowing a thing about me.

I'll check Steve Blank out (didn't know him), but I've been trying to follow this technique ad-hoc. Like you said, easier said than done. Even friendly people aren't very responsive to requests for intros. In the few interviews I did I made a point to ask for intros at the end and although they say "sure", it's crickets afterwards.

This is a humbling realization of what salespeople are up against. We all love to hate on these guys but man... What a hustle and you need armor-like skin and insane optimism and persistence.

When you see how much of a massive everything-bubble we were (are?) in, I can see where people are coming from on this one. Time to get some sanity back into this economy, and the people who will hurt the most are those who also benefited the most in the past 3 years (crypto-bros, useless startups with dumb valuations, etc.)

I'm from France and we get daily spam, especially at night. My parents don't even use their landline for that reason.

I've been following this bootcamp from the start because I graduated from the same tech school as one of the founders (Epitech). That school has heavily influenced the Holberton concept (not the ISA part though). While I'm not 100% on board with calling this a fraud yet (I don't feel that there was an intent to defraud students), I can see a bunch of issues with the ISA:

- Cost is prohibitive for a coding bootcamp run by its own students based on free online material. Not that I'm against the concept of participative learning, but by nature this should keep the costs low. Assuming a $100k annual salary (low by SF software dev standards), the bootcamp is a whopping 60K.

- Backed by VCs. This is the single biggest issue and what drives the insane cost. VCs want a big return on investment.

- Not a real solution to the student loan debt issue. Students have to repay a huge sum of money over a long period of time. That there are no banks or interests involved doesn't change the bottom line. I suppose that if you never get a job again in your life you're better off than a loan.

Overall there is still value in the bootcamp appearing to provide a path to some of the most recognized tech companies in California. I don't know if you'd have better success in getting hired than a comparable candidate from a community college.

MS .Net