Daniel Dvorkin @medigoth@qoto.org
Bioinformaticist / biostatistician, veteran medic and infantryman, armchair paleontologist, occasional science fiction author, vaccinated liberal patriot.
Joined Oct 2022
Daniel Dvorkin
boosted
Actual conservatives won't be the first people purged if the Nazis get into power.
Won't be the last, though. When the fascists come for them, they'll have a moment when they wonder if they should have been braver when their friends and family started to turn.
"What would your course of action be if you saw a healthy, #able-bodied individual get out of a vehicle that they just parked in a #handicapped #parking space?"
"A number of people close to me have invisible #disabilities. They *look* healthy and able-bodied, but they’re really not. Their conditions are just as real and disabling as those of anyone who needs a #cane, a #walker, or a #wheelchair to get around. And their #physicians agree, which is why they’re authorized to park in handicapped spaces. Unless you have the appropriate #medical training and have conducted a thorough examination, you have no grounds to dispute this.
"So if *your* course of action is to challenge them, shout at them, threaten them, or demand that they prove to your satisfaction that they’re “really” disabled ... *my* healthy, able-bodied course of action will be to introduce you to what #disability feels like, up close and personal. That process won’t be fun for you, but you’ll have a much greater understanding afterward, for whatever remains of your miserable life."
Usually I try really hard to avoid being Internet Tough Guy, but there are times it's the only possible response. Speak the language your audience understands.
Look, you either believe the concepts of #free #speech and #censorship apply to #corporate platforms, or you don't.
You can say the #First #Amendment only applies to the #government, not #private entities—which is undeniably true—and therefore #social #media sites have no obligation to provide a platform for speech the owners of the site don't like. This is a reasonable and defensible position.
Or you can say social media sites are the new #town #squares, and therefore the owners have a moral if not legal obligation to allow anyone to say practically anything using their platforms. You can even point out that the government charters corporations, and is responsible for a lot of #telecom #infrastructure, so by allowing censorship in that particular environment, the government is at least complicit in interfering with free speech rights. This is also a reasonable and defensible position.
Maybe you can even try to find some kind of well-articulated middle ground between these positions, although I have to say I don't remember ever seeing anyone do so. I think most people *do* hold opinions somewhere between the two, but they don't tend to spell it out.
What they do instead is argue either side as it's convenient, which is irritating as hell. And *yes*, this is a rare bit of "both sides" on my part. I see a whole lot of leftish folks, who are generally not big fans of corporate power, deploying the first position against right-wing types—while complaining about the arbitrary and often clearly biased way #Facebook et al. censor left-wing statements.
The complaints are justified. Hypocrisy is not.
Just pick a position, be honest with yourself about what that position is, and stick to it. No matter where you fall on this spectrum, you have to be aware that the mechanisms of speech, and by extension the press, have changed dramatically over the last thirty years and will continue to do so. Knowing where you stand is important.
The single worst #medical job I ever had involved no hands-on patient care at all.
Now, I experienced some very bad days as a #military #medic, and more as a #civilian #EMT. I worked on #ambulances, in #emergency #departments, and in safety net #clinics. I saw suffering on a scale I had never even imagined before. Of course I did my best to relieve that suffering—both because it was my job, and because I'm a decent human being—but a lot of the time I just couldn't, and neither could anyone else. I celebrated my successes and mourned my failures. The memory of the former sustains me to this day, but the accumulation of the latter did lasting damage to the inside of my head. Practically anyone who's ever been in the biz can say the same.
But all the #gunshots and car #crashes and #overdoses and #child #abuse cases and long, steady descents into the grave, over the course of years, didn't burn me out like two months in a #cardiology practice.
You may wonder why. Okay, cardiology patients are generally pretty sick: you don't get assigned a #cardiologist, rather than having your primary care provider take care of it, unless your #heart's in bad shape. Even so, could it really be worse than all the above? After all, cardiology offices tend to be clean, well-lit, organized places. Patients have *appointments*. Fairly routine care, and if there's really bad news, it's the #physicians who have to give it—which is not the situation in #emergency #medicine, let me tell you.
Well, it did, and here's the reason. Like I said, I wasn't taking care of patients directly. My interaction with them was brief, in exam rooms after they'd already been checked in and seen by their providers, and I never touched them. It was all paperwork.
My job was to be their advocate with the #insurance companies. I did most of my work in an office, with a comfy chair and a phone and a coffee cup close at hand. The job was actually supposed to be an #RN position, but I impressed them enough at the interview to get it, and I got paid more for it than any other medical job I had before or since.
I read their #charts and #prescriptions, studied insurance claims, and—now we come to the crux of it—looked over the reasons those claims were denied. Sometimes very elaborate reasons, with lengthy justifications. Other times the feedback from the insurance companies was basically just "NO."
And then I called those companies, and worked my way up through the phone tree until I got someone on the line with some actual decision-making authority, and explained to them in great detail why they should approve a particular medication or procedure that would keep our patients from dying.
I succeeded ... maybe a quarter of the time? Probably less. Occasionally the failures weren't complete: I couldn't get them to approve whatever the cardiologist had recommended, but I could at least squeeze something out of them. Something that would keep our patients, the people entrusting us with their lives, going for a little while longer. Some sliver of hope for the patients and their families. Some human connection that reminded the people on the other end of the line that their job wasn't actually to condemn people to death, at least not on paper.
Usually not. But often enough to keep me there for a little while. The nightmares stayed under control as long as I had a bottle waiting for me when I got home. Now that I think about it, that may have been when my drinking problem got serious, although it would take several more years to fully manifest. Good thing it wasn't a #hepatology practice, I guess.
A friend's post dredged this memory up. I was going to leave it as a comment there, but I didn't want to make it all about me. They have enough of their own problems. Just know, if you're fighting this particular war right now, I'm with you.
Oh yeah, also? #Vote. Specifically, if you can't vote for someone who will make it better, at least vote for someone who won't make it worse. Because it can always get worse.
From a conversation with a friend on a recent Facebook post. A memory of a memory, #academic ghosts haunting the dusty rooms of my brain.
I once spent a very enjoyable afternoon in the #University of #Minnesota #Biostatistics department library reading through century-old bound volumes of #Biometrika, which is now a somewhat obscure #journal, but was in its day instrumental to the development of #statistics. All the great names were there—#Yule, #Pearson, #Fisher, et al.—and it was a clubby little world back then. Everybody who was anybody in statistics knew everybody else.
Just like today, they used a lot of space in their papers refuting each other's papers. But the writing style was completely different, much more personal: many of the papers read more like conversations than the structured, pedantic language of modern journal articles in practically every field. "First I tried this, but it didn't work, so next I ..." "Like I said to so-and-so in a recent letter ..." "According to whosit, such-and-such is true, but frankly, whosit is an idiot."
Well, I recognized what they were doing: forming #cliques and having slow-motion #flamewars. Everything old is new again. Sometimes I wonder if we wouldn't be better off stripping out the modern pretense of detachment.
"When asked by Nature how the papers made it through review, a Sage spokesperson responded that the publisher relies on journal editors to make ind...
For anyone who's wondering about the precise phrasing above: yes, #chronons travel backward in time, while anti-chronons travel forward. Our *perception* of time going forward is created by all the chronons rushing past us in the other direction. It's one of those odd historical naming conventions like #electrons having a negative charge, or an "east wind" meaning air blowing west, that we're stuck with now.
You'd think that with our current understanding of temporal mechanics, we could fix this—but every attempt has failed, often messily. I suspect it was written into the same #Time #Travel #Exemption #Act that keeps #Hitler alive.
It always fascinates me how #hairstyles in both the distant #past and far #future change, decade by decade and even year by year, at exactly the same rate and in the same way as the present. My #hypothesis is that whenever anyone starts a #historical or #science #fiction #movie production, the #chrononic (or anti-chrononic, as the case may be) #displacement #field sends a signal backward or forward in time to subtly alter reality and keep everything consistent. Otherwise the #universe would fall apart. Trust me, I'm a #scientist.
#Tarbosaurus: "You look so yummy I could just eat you up! Be my valentine?"
#Deinocheirus: "No."
(art by Tuomas Koivurinne)
Real #wolves are fascinating, beautiful, awe-inspiring creatures. #Direwolves were pretty neat too. I really wish people could appreciate the actual animals without feeling the need to mythologize them.
One of my favorite concert memories is of being at an #Einstürzende #Neubauten show when some yob in the audience shouted "set shit on fire!" ... and #Blixa #Bargeld snapping back, "We do not need to set things on fire. We have #Rammstein to do that for us."
"For example, there’s a good argument to be made that #humans, #chimpanzees, and #bonobos all belong together in one #genus, either #Pan or #Homo. It’s only our desire to see ourselves as something special that causes us to put them in one genus and us in another. If #ravens—probably the smartest **living** #dinosaurs, although some #parrots give them a run for their money—were building a #taxonomy, they’d undoubtedly lump us together with our close relatives. But they might go to great lengths to separate themselves from #crows!"
I like to think I can still turn a nice phrase now and then.
https://dinosaursworld.quora.com/If-Troodon-was-not-real-then-which-dinosaur-was-the-smartest-2
It's been at least a decade since I thought, "I really need a #drink," and a good bit longer than that since the thought was followed immediately by the action. But it's been on my mind much more recently, for reasons it's not my place to discuss, and even if it weren't for those reasons I'm not sure it would ever quite go away. For everyone who will never stop #craving #alcohol or anything else: I will happily help you celebrate every inch of ground you take back and hold.
I get the appeal of climbing #Everest. It’s not something I’ll ever do myself, but if I were younger and richer, I might consider it as a goal. My beloved #mountains here in #Colorado can be plenty challenging, but they aren’t even #foothills to the #Himalayas—more like foothills to the foothills. So yes, I understand the draw.
#Snowboarding down? I don’t get that at all. It’s not #mountaineering, just pointless showboating. I won’t say I’m glad this guy perished in the attempt, but I’m not sorry about it either.
From a long-ago Facebook post: "#Pirates *generally* aren't scientists. But let's be honest here, what #scientist hasn't at least occasionally looked at the sad state of grant #funding and been tempted to run up the Jolly Roger?"
It might be the angle, but that looks kind of peaky and heavy-tailed to me. I suspect whoever designed the church adheres to the Leptokurtotic Heresy.
From a recent conversation elsenet:
"Not a fan of the whole #alpha / #beta / etc."
"Not a fan of reality eh?"
"Reality is much more complicated than labeling people by Greek letters. If you really think that kind of thing makes sense, well, have fun with it. Don't expect the grown-ups to play along."
I really need to stick to my vow to stop engaging with these clowns.
Bioinformaticist / biostatistician, veteran medic and infantryman, armchair paleontologist, occasional science fiction author, vaccinated liberal patriot.
Joined Oct 2022
