domain:open.substack.com
mrvanillasky
6m ago
I have a chronic masturbation problem and have always had runny cum. I'm most certainly alright, I didn't wanna hide any info.
Finasteride is safe, I just need to jack off less.
Throwaway05
9m ago
It's important to understand that medical stuff is more complicated than a layman is likely to understand, you see a lot of minimizing and belittling of the knowledge base of doctors these days and it leads to people not respecting the depth of complexity here. We do ourselves no favors in the process.
Consider a Statin. The benefits are pretty big...sometimes. But there isn't a lot of consensus as to who to give it and when. you have complex questions like "what number of rare debilitating side effects are appropriate for a moderate decrease in population risk. If you prevent 10 MIs is that worth one 30 year old getting an autoimmune issue and being unable to walk? What about 20? What about 50? What about 100? What do you do if the Family Med and Cardiology organizations disagree over what to do?
Medicine is both an art and a science and often lacks consensus. Standard of care is fuzzy and constantly being revised. We have to do ongoing education throughout our entire careers because a recommendation that was present from day one of my medical school is suddenly known to be wrong. Or maybe not, I have to read the paper and check.
Patients are not equipped to handle these considerations and don't realize how REAL they can be. We know patients will injure themselves or get themselves killed with poor decisions if left to their own devices so it's our job not to. Sketchy hormone replacement (testosterone), overprescription of stimulants and benzos, poor antibiotic stewardship...patients will do their best to do what feel is right with zero information and this can be extremely harmful to others or society (in the form of unnecessary medical costs and care).
SubstantialFrivolity
I'm not even supposed to be here today
10m ago
It's the old men who're the worst. Dude, don't spread your legs on the bench to clean your saggy balls, and what the fuck's up with being naked while having socks on !! Please No !
If it's any consolation, my wife has told me that old women are just as bad in their locker rooms. IDK what it is with old people and nudity, but it seems to apply to both genders.
ABigGuy4U
11m ago
A few hours ago, Russia fired an ICBM with a MIRV warhead at Ukraine. It looks like it was just the kinetic vehicle with no nuclear warheads.
SkoomaDentist
11m ago
Why use any social media aside from linkedin and a facebook/whatsapp account for messaging?
Conversely, I've never understood people who ragequit Facebook completely and then try to demand others to use some niche service to contact them. Just stop reading the feed (install a browser extension if you have to) but keep the messenger.
SubstantialFrivolity
I'm not even supposed to be here today
18m ago
Bro what.
self_made_human
Kai su, teknon?
20m ago
I wish I was better informed about cholesterol, but statins do have minor risks and side effects, such as muscle pain and outright muscle breakdown in rhabdomyolysis. It's rare, but hardly unheard of.
There's always been debate about the benefits of statins, but at least in the UK they're usually prescribed to middle aged people with cardiovascular risk factors, or the elderly who have had heart attacks or strokes as secondary prevention. You're right that aggressive screening of prostate cancer is a net negative, especially in the elderly.
ControlsFreak
24m ago
I'm sure all of that is very helpful to many people, but we're not talking about banning doctors. Remember, we are not stuck with just two possibilities of "banned" and "mandatory". For many, could you not just have massive warning labels that say, "This product is meant to treat specific conditions in specific ways; please consult a medical expert before use," in case someone has difficulty identifying the correct medication? They could still be sold by pharmacists, who can inform you of what you need to know about it (as they already do). If you show any uncertainty, they can say, "If you don't know, you should contact a doctor." The checking in sounds mostly paternalistic, basically just a verbal reminder; what's the real point here if you're not physically making sure they're doing as instructed?
Because remember, you're not actually making sure that they're not taking the medication incautiously. You're not actually going into their home and dispensing a precise dose at a precise time. You're an occasional verbal reminder that they need to comply with the instructions on the package of the TB drugs, another set of eyes to check if there are other medications that might interact. You're not actually stopping them from doing something dangerous.
Some medications have side effects that will very rapidly kill you that are rare enough patients wouldn't think of them
What do you actually do about that?
EDIT: The warning label can even say, "This product is dangerous if not used correctly," or even, "This product is dangerous even if used correctly," with another recommendation to consult a medical professional.
Folamh3
29m ago
Clever. I wonder what the modern equivalent would be. Asking a woman if she's X, where X is an Instagram influencer famous for demonstrating self-defense techniques women can use to escape from dangerous men?
Have you explored the work of John Vervaeke? His YouTube series Awakening from the Meaning Crisis is a true masterpiece, seamlessly blending cognitive science, philosophy, and meditation. It’s probably the most well-thought-out lecture series I've ever come across online. Vervaeke himself identifies as a Buddhist, and I have a strong feeling that you would be the perfect audience for his insights - perhaps you’re already familiar with it. If not, I highly recommend giving it your full attention. Unfortunately, I don’t have the time or mental capacity to delve into the details right now, but I genuinely hope it might help you break free from any sense of apathy. By the way, what is your vision of Enlightenment? I believe in some form of Enlightenment, but not necessarily in Buddhist Enlightenment, more in gnosis - the knowledge that transforms the self.
I doubt very much that she would be consoled if said male person yelled out "don't worry, I'm not a rapist!"
As an aside, you reminded me of a lecture I once listened to about the brilliance of Odysseus' first words to Nausicaa after washing up on the beach naked.
He's an older male addressing a young girl, and he can't say something like, "Don't worry, I won't rape you," since that will just make her more worried by bringing the possibility out in the open. So instead he says, "I beseech thee, O queen,—a goddess art thou, or art thou mortal? If thou art a goddess, one of those who hold broad heaven, to Artemis, the daughter of great Zeus, do I liken thee most nearly in comeliness and in stature and in form."
This immediately does a few things:
- It puts him in a subservient position, as he is speaking respectfully to a superior.
- Comparing her to a goddess is a compliment, but comparing her to Artemis, a virgin goddess with stories of punishing men who try to see her naked, puts Nausicaa more at ease without having to say that he won't rape her directly.
HorthyMiklosKatonaja
35m ago
That's right.
Nanugu
37m ago
Your whole point was that the urban, educated, irreligious voters who switched from voting D to voting R are an uninfluential component of Trump's constituency. I'm saying that profile fits for a lot of the Trump admin, so your premise is flat out wrong. That RFK Jr, Musk, Vance, and even Trump are at different points of their conversion blue to red only shows that such a conversion is possible.
hooser
41m ago
Alternatively, end all subsidies for tuition in private educational institutes. Those private institutes who provide a strong-enough return-on-investment to their students will remain, and those who don't will rightfully go under.
The main objective of many of the selective private colleges is to build and maintain a successful alumni association. They are therefore more akin to a private club. There's nothing wrong, I think, with a private selective club choosing among their perspective members based on criteria other than how good they were at school or how well they can score on various aptitude tests. But I don't see why taxpayer money needs to support selective private clubs.
As for the non-selective private colleges dependent on the tuition of current students rather than largesse of their alumni association: they are welcome to switch to Lambda School's model.
Chrisprattalpharaptr
Ave Imperaptor
42m ago
In conclusion, for the moderates and centrists: Your signal is jammed, and only extremism will be boosted on either twitter or bluesky.
So why use it at all? Why use any social media aside from linkedin and a facebook/whatsapp account for messaging? There seems to be a broad agreement in the rat-diaspora that social media is a plague that wrecks attention spans, leads to skyrocketing teenage mental health issues and erodes any kind of political discourse, yet people still seem to use it.
Just read books and build community in meatspace instead of using Twitter/Bluesky. Whatever benefit you derive probably isn't worth the exposure to memes and toxic ragebait.
Throwaway05
50m ago
Our role is to identify the correct medication, tell you what you need to know about it (which is later reinforced by the pharmacist), check in with you to make sure you are still doing as instructed, and so on.
Many medications are very dangerous if taken incautiously - TB drugs require a lot of instructions and very careful compliance for instance. Low dose Lithium is extremely safe but can easily interact with other medications, cause significant side effects, or cause problems in response to athletic activity and dehydration.
Some medications have side effects that will very rapidly kill you that are rare enough patients wouldn't think of them....the list goes on.
Throwaway05
54m ago
I'm shocked that you thought even for a second that Bluesky would be better than Twitter - it's purpose is to be a new home for people who are upset that moderates and conservatives are being given a voice, any early adoption is going to be centered around that. Yes some of the media are trying to take mostly apolitical stuff over (like football) but its purpose is still "fuck Musk for platforming people we hate."
magic9mushroom
If you're going to downvote me, and nobody's already voiced your objection, please reply and tell me
55m ago
Um, I think you might have linked the wrong case. Ames alleges that she was discriminated against for being straight, not for being white. I'm not even 100% sure she is white.
nomenym
57m ago
One thing to note is that, for at least some men identifying as women, part of the fetish appears to be that women are made uncomfortable by their presence. That is, they don't want to be accepted as women, but rather they want women to be intimidated into pretending to accept them as women. If people actually just perceived them as women without a second look, then it would lose some of the appeal. I think any man who wants to go into the women's toilets should need to disclose their porn consumption habits. If they did I am quite sure, in most cases, women wouldn't even want them on the same planet never mind in the same bathroom.
DirtyWaterHotDog
1hr ago
Assuming you're taking a shower. In the shower.....
If no shower, changing clothes without flashing is a standard skill. Just need a towel.
If no towel. I'm fine seeing butt cheeks in my peripheral vision for a couple of seconds. But, don't stand there with your dick hanging out for ages. Get it done.
mrvanillasky
1hr ago
Start finasteride immediately, don't look up the side effects, many people give themselves placebo. Also take minoxidil and maybe microneedle once a week. Been on it for 2.5 years, I'm 24, zero side effects till now. A girl did say that my cum looked a little watery but that might just be from me jacking off too much and may not even be a bad thing. Though I should get my sperm quality checked just in case.
2rafa
1hr ago
You can’t end it unless you force private colleges (either directly or de facto by limiting state research, tuition loan or other funding) to explicitly admit prospective students on purely meritocratic grounds.
Aapje58
1hr ago
Cycling absolutely requires a helmet.
Yes, that's why there are no people who cycle without a helmet for their entire life and live. Oh wait.
That helmet saved my life.
It's impossible to say whether that is the case, since depending on the quality and design on the helmet, and how you landed, the helmet could have reduced the energy transferred to your head anywhere between almost zero to a significant amount. And even if you had been worse off, that doesn't mean you would have died.
You really should improve your reasoning ability, because the statement you made is closer to religion than to fact.
I use Twitter basically for Cremieux content exclusively.
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