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self_made_human

Kai su, teknon?

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joined 2022 September 05 05:31:00 UTC

I'm a transhumanist doctor. In a better world, I wouldn't need to add that as a qualifier to plain old "doctor". It would be taken as granted for someone in the profession of saving lives.

At any rate, I intend to live forever or die trying. See you at Heat Death!


				

User ID: 454

self_made_human

Kai su, teknon?

10 followers   follows 0 users   joined 2022 September 05 05:31:00 UTC

					

I'm a transhumanist doctor. In a better world, I wouldn't need to add that as a qualifier to plain old "doctor". It would be taken as granted for someone in the profession of saving lives.

At any rate, I intend to live forever or die trying. See you at Heat Death!


					

User ID: 454

I fail to see how this analogy is remotely appropriate.

The primary reason that people who are vegan/vegetarian (for non-religious reasons, and even plenty of those) condemn the consumption of meat is because their heart aches at the idea of eating cute little animals, with souls, emotions and a life of endless frolicking in the pastures to look forward to. Most of the arguments advanced alongside that primary concern, such as "sustainability" and environmental issues or resource consumption, are there just to buttress their core concern.

I wholeheartedly agree with @Quantumfreakonomics when he says that:

I am not a person that cares much about the suffering of animals, especially not the ones that taste good. Still, strictly speaking, the suffering is not an integral part of the process. If it could be removed, all else being equal, that would not decrease my utility in any way. I am agnostic on lab-grown meat. If it tastes good, is cheap, and is of comparable healthiness to legacy meat, I will eat it.

After all, I've repeatedly said much the same myself.

Hence the recent fad, only just losing steam, of feverishly trying to find vegan substitutes for meat products. Impossible Burgers and all that jazz. Vegans, begrudgingly, note that they either like meat or that people who otherwise care dearly about animal welfare are dissuaded by the dullness of a life without nice steaks or a side of ribs to go with it.

So lab grown meat completely cuts the Gordian knot. No cute animals were hurt (or at least far fewer, if you don't look too closely at where fetal bovine serum comes from, but presumably we can avoid that too). What's there left to object to, on primary moral grounds? A chunk of vatgrown muscle tissue is probably less sentient than an equivalent amount of fungi.

But of course, like the environmentalist movement and the cleanest and greenest source of energy we had/have/can have*, nuclear, much of the opposition arises from the abhorrent idea that their self-flagellation and virtue signaling will become entirely redundant. What brownie points do you get for not eating a cow, when the average Joe who just wants to grill is using a steak that's indistinguishable from one made the old fashioned way, tastes just as good, and might even be cost competitive?

We're not there yet, and the last overview I read of the topic suggested it's not going to be easy at all, but the sheer idea that their performative ascetism is moot must gnaw at their bones (veganly).

*Barring fusion, or farming black holes I guess.

Thanks for hunting that down! It's not quite the same as the post I remembered, since that used user polled data from SSC/ACX readers and even claimed that meth (which is available on prescription, as rare as that is) was the best option (according to users). Still, this one states much the same, so I appreciate you looking it up.

Well, as a pure form of nicotine it's even less likely to cause any harm as compared to vaping, which is already reasonably close to net neutral in terms of effects on your health.

I prefer vaping for the convenience, but if I knew I was going to go through nicotine withdrawals, I'd buy some gum or buccal formulations. Otherwise, I don't really see the appeal myself.

Good to know, thanks! I can now recall a specific time it was invoked against me, ages and ages ago on the old subreddit, but I haven't noticed it come up since then.

That's hardly surprising, or else we wouldn't have so many people offing themselves from COPD or lung cancer. Though the claim is that there are additional substances in cigarettes that are addictive in of themselves, or potentiate the addictive properties of nicotine.

At least in my case I can claim it was an informed decision, I don't really have many vices, and I did come to the conclusion that if vaping is bad for you, it's an order of magnitude or less so than getting your fix through cigarettes. Certainly it's gotten me through some real stinker shifts, with far less hassle. And just nicotine, by itself? Unless you're some poor bastard with diabetes so bad your toes are liable to fall off, it's not really any worse for you than coffee is. I wouldn't call it a nootropic, but it at least lets you choose when to be at your 110%, paid back by the fact that you're 90% when not on it.

I have a great deal more empathy for all the poor bastards I've advised to quit smoking over the years when I had found myself cold-turkeying a rather strong nicotine addiction. A puff on my vape once I got home hit harder than sex.

(I had to catch a flight, and vapes are illegal to carry aboard here, I still refuse to smoke actual fucking cigarettes, so all I did was suffer rather grumpily for the better part of a week)

Most people would be repulsed by the idea, presented so badly. Far better to take over an existent social media site and flood it with the higher quality of bots.

Improved quality of discourse, and let's face it, once you finetune them out of their ability to say the n-word, most people would barely notice.

I'm almost ambivalent. The primary issue I have with a gay son is that I want genetically related grandkids, and while that's by no means insurmountable even today, I expect it to be even more of a non-issue by the time a hypothetical child is sexually mature.

My response to a gay son or thot daughter being thrust on me, fully grown, would be a huh??? rather than anything more considered.

but I didn't know how to phrase any of it in a way that would be "leaving the rest of the internet at the door".

Look dawg, I'm an admin and even I have no idea how to enforce that rule without ruling out about 95% of everything that gets posted here. I presume it mostly exists to avoid petty drama and forum flamewars from leaking through.

Until someone tells me what the hell it's supposed to mean, I'm just going to slink away whistling. I don't recall seeing anything ever reported as a violation of said rule, and that should tell you something, given how certain users here consider themselves the effort police and report with a zeal worthy of the Stasi.

You need to provide a submission statement for a frontpage post. A video title doesn't suffice.

You don't have to summarize the whole thing, merely point out what it's about and why it deserves space here instead of one of the many threads we have.

If only all our trolls put in this much effort. Thumbs up for that alone.

Look, I won't actually runaway screaming when someone tells me they're BPD. Or they're schizophrenic. I just consider it an absolute deal breaker in romance, going off personal experience gained very painfully.

At most, I will be mildly concerned, but they're not an imminent threat to me unless I'm a close friend or relationship partner, so I intend to avoid that. I don't react to schizos by pulling out a gun, the people they hurt the most are usually themselves, but in my experience, people with BPD are a menace to both themselves and others.

Since she mentioned she's potentially autistic, from what you've said I can't rule out the possibility that her "murder random people with HIV" thing is just low-level intrusive thoughts that she easily ignores and also talks about (when most people wouldn't) because autistic hyperhonesty.

That isn't my impression at all, I feel like she was very serious about it. I have screenshots because, goddamn, people wouldn't believe me if I didn't, at least IRL, and going over them makes me think she's going to end up messing things up very badly. BPD, trans and potentially autistic? That's a recipe for disaster if I've ever heard one.

If you're doing okay, that's great, I'm genuinely happy for you. Manifesto posting on this underwater basket weaving forum is a healthy alternative to cutting yourself or chasing your SO with a knife, and your mod record is pretty clean, so I can't imagine that you act worse IRL than you do on a pseudonymous website.

Hmm.. I assume my experience here is markedly different primarily because the general level of awareness surrounding mental health in general, and BPD in particular, is so poor that anyone who still manages to get the label is absolutely fucking insane.

And of course, there are plenty of people who keep things under control or are barely worth the diagnosis. And it's the flagrant cases who get signal boosted. Would we know Freddie De Boer was schizo, or Scott had OCD, if they didn't tell us?

calm down just by aging

That's about as reassuring as the same effect in violent criminals, who do age out of their tendencies. I'd rather not have to wait that long, so I hear BPD, I'm fucking out, at least romantically.

Haha, don't worry, I'm not quite ready to give up on dating yet, be it online or in person. The six women (or 5 and a "woman") I described are just the worst of the lot, though the fashion designer and psychologist seem to me like decent people going through a bad time.

My aunt, PBUH, is trying to look for single med students and doctors, or at least those were the ones she laid on the table when nobody asked. I'd hope that acts as a reasonable filter for IQ or competence. My own IQ, well it's respectable, and my competence has improved by leaps and bounds, yet I'd certainly appreciate a girl who has her shit together better in comparison, though I'm certainly much better than I used to be in that regard. Turns out that a great deal of my depression was from a sense of frustration that my career wasn't going anywhere, and all I had to look forward to was beating my head against the wall of more exams. Fortunately, said wall has crumbled before my cranium did, and I'm feeling much better. Certainly to the degree I'm going around trying to (misguidedly) help people with their issues.

I definitely have tendencies in that direction, but you have to stretch to get to 5/9

So you have borderline Borderline Personality Disorder?

Look, it's not personal, I'm not one to blame people for their mental disorders or personality problems. Mainly because it doesn't help, or make a difference. But trust me and my far more senior colleague @Throwaway05 that people with BPD can be dangerous. The severity of the symptoms can vary greatly, but even with my proclivities towards waltzing into people's lives with my sleeves rolled up and eager to help, that would be a moth heading right for a naked flame.

When they're good, they're great. When they're not, well, the risk of them ruining your life is frankly unacceptable, and one of them already had a good crack at that from a full degree of separation, didn't even get the crazy good sex bit as compensation.

The more flagrant cases have my profound pity, as do people with certain other mental issues, like my buddy with schizophrenia (as I mentioned elsewhere, it was him who was dating the chick, and I've already mentioned how I had to save him from a suicide attempt not that long ago). I'm more than happy to see people like that in a consultation room, but not in my personal life.

Worst part is that, as far as I'm aware, medical and psychological intervention doesn't make much of a difference. It's largely just the way they are, for factors out of their and my control. All I can do from my end, especially when looking for dates and not patients, is keep them several miles away.

Huh. Is this one of those? Because it doesn't seem that way to me, except when I'm explicitly looking at filtered ones. Good point, maybe I'll raise it with Zorba. Either way, it's a perfectly inoffensive comment, so I'll take it as a prompt to clear the queue while the others are sleeping.

I'll shill my own hard scifi novel Ex Nihilo, Nihil Supernum

I assure you it has juicy space combat, and is about as hard scifi as I can write with my theoretical degree in physics. Even my lack of interest in calculating orbital transfers is explained by the fact that in this post-abortive singularity setting, we've got some serious torch ships, so brachistochrone orbits it is baby.

I find the accent endearing, and I understand them well enough, though some scotch makes it even better.

You seem to be good at spotting the dysfunctional ones, and they get extremely dysfunctional

I suppose this is a plus, given that I'm working as a psych trainee there for the next 3 years. It would kinda suck for me to end up somewhere where everyone is sane, though I'd be very happy for them lol.

What concerns me is that a lot of these women hide their issues from a shrink, and only open up to a flirtatious yet good at getting people to talk guy like me. For example, the law student, and another lawyer (we were old acquaintances before running into each other on Bumble, and now I'm an unpaid relationship counselor for her too), disclose maybe 5% of what the fuck is going on to their psychiatrists and therapists.

Now, I'd call myself perceptive, but I'm not a mind reader, so I'm groaning at the notion of teasing these things out from actual patients, especially since flirting with them is off the cards.

Also, Highland Scots drive like particularly suicidal third worlders, so you'll be well-prepared for them

Understandable. If you run into someone on a narrow country lane, there can only be one (someone has to drive in reverse).

Don't stick your dick in crazy, especially not when they can stick theirs back in you.

Way ahead of you fam, but I definitely need that luck.

Never, ever, EVER, sleep with someone you can diagnose with BPD easily. You're welcome. cries

Duly noted, good sir, but in my particular case I didn't have to even sleep with them for one to take a very good shot at ruining my life. That one was the ex of my own best friend at the time (and I ended up catching his schizophrenia in med school myself).

Excuse me what the fuck with that head bleed.

23 yo M med student, final year. No comorbidities is a mild exaggeration, since he had borderline hypertension. His dad was a captain in the Merchant Marine, out at sea when this all went down, but just a week prior, had gotten his son a full checkup, including a then highly unnecessary NCCT brain. All squeaky clean.

Kid was slightly obese, we had some issues getting a line in the EJ.

Anyway, he was in between his written exams and OSCEs, when he was at home with his mom and developed a splitting headache. Got taken to a GP, who told him not to think so much about exams or women, and to sleep it off with a paracetamol.

Face started drooping shortly after, was brought to the ER convulsing, immediately sedated and intubated, rolled into the ICU, then SICU, bleed considered too small for neurosurgery at the time.

I counseled his family, or rather his mom, his friends, most of them from non-medical backgrounds barring the girl, who wouldn't know what a pontine hemorrhage was if it hit her in the head

The senior consultant, the rest of the hangers on, none of them could convince his mom who was having a fully justified meltdown to go home. She wanted to spend the entire night shivering on a bench (no separate accomodations for the family of an ICU patient). I spent about two hours coaxing, cajoling, arguing, bribing and finally convincing the poor lady to go home after everyone else failed.

The dude was actually improving for the first week, with spontaneous eye opening, some degree of following of commands. Then he had said rebleed, shunt placement didn't help, his GCS dropped to 2T, I got chewed out by a neurosurgeon for asking if he was brain dead, and said brain death was informally relayed two days later, and formally declared a week later when his dad was airlifted off Taiwan and brought to say goodbye.

Funnily enough, no AVM found on multiple kinds of imaging, including an MR angiogram. No kidney disease either. As far as anyone could tell, it was just bad luck. And as far as I can tell, the stereotypes about neurosurgeon ego are entirely justified and universal.

Social media autism

Autism really is my best guess. Zero interpersonal skills, extremely blunt, genuinely curious about how men think about women and what they consider as red flags or worthy of avoidance, with absolutely no insight into her own behavior. The last bit isn't genuinely bad, just an example of how she really seemed clueless. Sure, she could definitely have asked someone far worse at answering that question, but if you need to ask. Shame Aspergers has been deprecated, it was a useful one. Plus she had the same, nigh inevitable, descent into undifferentiated insanity I've seen in every gyno resident, barring the men, who seem to be rather sane. Is she actually mentally ill? I have no idea, but she was off.

Tell them Tylenol is the absolutely worst way to die and to use Melatonin instead.

Absolutely genius. She's fucked up her sleep cycle enough as is, I can pass it off as a dangerous, controlled sleeping med.

Not my circus, and I medically discharged her as unfit for dating after that episode, so not my monkey either. I just happen to keep in touch.

I did feel bad for her, so at least I did the gentlemanly thing of consoling her, getting her something to drink and holding her in a nearby park while she cried her heart out. I did my best not to let the date get too awkward while handing her more tissues as she sniffled away. Even consoled her later, though I think she understood that I wasn't in a position to deal with that, given that I had a painful breakup recently myself (not that I ever let it break me down so utterly, I just drink another shot of whiskey, healthy coping mechanisms you see).

She's seeing a therapist herself, though I imagine that gets a bit awkward. But she'll get over it.

I didn't resist the urge to lecture her at length about how despite women being more likely to attempt suicide, men are far more successful at it. Got my hair pulled again for the trouble. I'm beginning to see why I always preferred women older than me, though I'm no spring chicken now.

Paracetamol is a terrible way to go, as you correctly point out. We had a scandal recently where a doctor was admitted, post suicide attempt, with liver failure. She was cheating on her husband, another doctor, and had ended up pregnant with the other dude's child.

Her own family disowned her, refusing to even consider donating their livers, whereas the poor bastard she married was willing to give up his, or that of his brother. Sadly, or happily, IMO, neither of them were compatible, and in India, people with organ failure from suicide are heavily deprioritized for transplant lists. At any rate, I don't want to imagine what swimming in unfiltered toxins did to the child.

I should ask about that case, but it's been a week and she's likely already dead.

At any rate, I refuse to seriously opine on the best way to commit suicide even here, but there are painless and relatively simple ways. Women just tend to prefer the less effective route of trying to overdose and slitting their wrists, as this girl tried.

Don't worry, I could tell you were (mostly) joking, heh.

Unfortunately, the fact that the social status and respect for doctors has been grossly devalued in the UK compared to their peers in both India and the US isn't a joke. Let's not even talk about NHS wages.

On online dating in general, the worst at everything are universally men, and more obviously so as well. My point is rather that it seems like "medium-value" guys, while having less matches overall, seem to have a better ratio since mostly serious, normal woman show interest in them. "High-value" guys attract a lot of attention, which will disproportionally be crazy attention. That girls fall in love from like meeting you twice lends credence to this, imo

Possibly, though the only people who really talk the most about online dating are those men for whom it goes very poorly, or very well (I reserve judgement on my situation). I'm certainly not filtering as aggressively for red flags as I could be, given that I sincerely hope my sins and little self_made_humans will be left behind here. That reminds me, I should get my criminal background check at the local police station done with ASAP, before one of the unfixable ones does something in which I could be remotely implicated.

There's likely a large silent majority of decent dudes matching with women who are just their type, after a decent amount of effort.

Sadly it does seem I'm rather lovable, the two steady relationships that ate up the last 7.5 years of my life were rather whirlwind. But I mostly blame the utter lack of common sense and decorum in the Average Indian Male, I've seen even the ones hotter and richer than me get rejected because they almost literally open up with "hey bby wan sum fuk?".

I expect more competition abroad, but I've handled tougher challenges. Hopefully I trick some poor woman I want to fall for me into a long term relationship, my ex was close but no cigar in the end.

I've never used, nor intend to ever use, dating apps myself.

This decision has my full throated approval. Sadly, I'm both very busy right now and will be in the NHS, and so I had little to lose. I'm sure I can meet people in person, through friends of friends and the like, haunt the local pubs and get liver cirrhosis. The good stuff.

On therapies, I've gotten that impression more than once; Though it also seems to be the reason why some people seem to get stuck in therapy perpetually.

Ideally, therapy should be a temporary recourse, with a strict time limit in mind, after which a good therapist will flat out tell you it's not working and that you need to try someone or something else. But my experience so far suggests that some people do need it nigh indefinitely, sadly.

Eh, while Indians are hardly at the top of the totem pole, I hardly do badly (trivia, the bottom of the pole is allegedly more prestigious).

Sure, the salary sucks, and NHS doctors are henpecked and taken for granted by a populace used to not paying for showing up at the ER with sniffles.

But I do fine. If you think the girls on dating apps are crazy, wait till you see the kind of screenshots I've been sent about the guys. The very existence of Indians as Model Minorities and often the highest earners by ethnicity is proof that group differences can be overcome by an individual. I'm not the average Indian, or even the average British Indian.

On a more serious note, I've noticed that men who are having decent success (in terms of lots of matches) on dating apps seem to run into a lot of crazies, and it's unsurprising that psych med students have the worst ratio of all. Having "doctor/psych trainee" in your dating app bio kind of screams "do therapy for free, but you can tip me with sex". Neurotypical women also don't really want to date, they want to have a stable relationship, so they spend as little time as possible on these apps, so you're already oversampling from a biased sample.

When I made my account, post breakup, I had genuinely lost hope I'd match (into psych) at all. I was looking for something more serious, but at least half the nutters came from that short period. At that point, it was just "doctor at [reputable hospital]". And I expected to be here for significantly longer, losing my mind in other ways from the terror of bullshit exams. I was advertising a stable relationship, for the little good that did.

At any rate, I do do therapy for free, and find it an enjoyable reprieve from my own problems, including on this very board, though sadly nobody has offered to pay me back with sex quite yet. Upvotes and sincere praise are enough really. But yeah, people dating online are being sampled from the kind of people who are less likely to make it offline, even if it's become normalized and the predominant way people date. Even more so in the West, so the odds of running into the utterly deranged should be lower from a more representative sampling.

So far, I remain convinced that the primary reason therapy, in all its myriad forms, beats placebo, even for the most retarded forms, is because it's a decent substitute for having a nonjudgemental and perceptive friend, the kind who'll keep your secrets to themselves. I'm pretty good at that, even for women I sincerely would not approach without a syringe loaded full of haloperidol or lorazepam. Instead, I just vent to online strangers with more identifiable information redacted.

I tried to come up with a cogent counterargument and find I'm coming up short.

Look, they weren't all that bad. The psychologist will presumably recover, once she stops screwing her ex. The fashion designer, well, she's doing better. There were definitely better dates, plenty, though I can't really commit with the whole leaving the country thing ahead. But I make sure they know that, I would despise myself for leading someone on.

There are certainly several more who I can pass off as sane, but there's not much to say about them, barring some flirting and early morning goodbyes. It's the crazies, the damaged ones I remember the most, mostly because they had me feverishly leafing through my textbooks to figure out if I was the one going insane.

Here's hoping that Scottish girls are notably less psychotic on average, but I'll be honest, it feels nice to help people who desperately need it, though as you can tell, even I have my boundaries and soon enough, a justified fear of losing my license, so said boundaries only get tighter. At the very least I know that I am very good at the whole counseling and talking people into doing what's good for them thing, even if I can't prescribe more than SSRIs and benzos (and wouldn't want to, I send them to more qualified psychiatrists most of the time). At worst, I know my voice can lull them to sleep, which is worth something I guess. I'm not kidding when I said one of them was actively suicidal and about to do something awful, but thankfully it seemed to be more of a single isolated episode on a background of severe depression, so yeah, probably saved her.

Whereas the thought of an arranged marriage just makes me depressed. I can't always fix them, but I'm happy to let them make me worse.