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Comment by Wbrom42@gmail.com on Surgery Works Well Without The FDA · 2024-01-27T14:20:29.384Z · LW · GW

The FDA does not provide good guidance on what treatments should be applied in what situations. They approve drugs for a limited set of uses and that's it. Most drugs are applied "off label" which the FDA rules that drug companies specifically cannot comment on -- so not only does the FDA not provide guidance on the most common use for most medications, they actually prevent that guidance from being provided.

Comment by Wbrom42@gmail.com on Surgery Works Well Without The FDA · 2024-01-27T14:16:59.882Z · LW · GW

You mean the Theranos that is specifically regulated by CLIAA and Medicare which did nothing to stop them until they actually destroyed people's lives?

Comment by Wbrom42@gmail.com on Surgery Works Well Without The FDA · 2024-01-27T14:14:58.147Z · LW · GW

Or you can buy UL listed ones that work. The UL is a private organization. Which again goes to prove his point.

Comment by Wbrom42@gmail.com on Surgery Works Well Without The FDA · 2024-01-27T14:13:19.752Z · LW · GW

Everything you said about the myriad of ways the field of surgery regulates itself actually works to support the point you are trying to argue against.

Comment by Wbrom42@gmail.com on The likely first longevity drug is based on sketchy science. This is bad for science and bad for longevity. · 2023-12-12T12:37:30.412Z · LW · GW

Why are you nervous to predict the drug doesn't work? Your take seems reasonable and opinion isn't liable so?

Comment by Wbrom42@gmail.com on Buy Nothing Day is a great idea with a terrible app— why has nobody built a killer app for crowdsourced 'effective communism' yet? · 2023-11-30T21:13:27.632Z · LW · GW

Because you can't make money off of it (by definition) so no-one wants to work hard enough on it to make it work. Sort of like communism itself.

Comment by Wbrom42@gmail.com on Scott Alexander is wrong about slurs · 2023-11-21T14:26:38.094Z · LW · GW

There is a difference between normal language evolution and forced changes as a tactic in the post-modern power struggle game. These are usually signaled by the fact they are strongly advocated by a small minority of activists, often not even of the group affected. They are at best generally used to signal allegiance to a certain in-group and "other" less enlightened people. Examples are the term "Latinx" which most Hispanic people dislike. Attempts to rename the homeless a "unhoused" or "people experiencing homelessness" are also noted.

Comment by Wbrom42@gmail.com on My Effortless Weightloss Story: A Quick Runthrough · 2023-10-02T14:09:06.966Z · LW · GW

Thanks for the reply

Comment by Wbrom42@gmail.com on My Effortless Weightloss Story: A Quick Runthrough · 2023-10-02T12:33:33.559Z · LW · GW

Hi there. I'm confused about the units you are using through the post. You start using milliliters (mL) as a unit when referring to the KCl salt that you were putting on your food. Was it a liquid supplement? If not did you mean milligrams? How did you measure?

Do you have an estimate of the total milligrams or milliequivalents per day?

Thanks for the post!

Comment by Wbrom42@gmail.com on Bariatric surgery seems like a no-brainer for most morbidly obese people · 2023-09-27T14:42:45.527Z · LW · GW

I am a physician trained in bariatric surgery but do not do it as part of my practice. That being said, on a population level and until the recent introduction of the GLP drugs bariatric surgery is the only thing that actually results in long-term weight loss for morbidly obese people. It does, however, have significant risk of early and late complications and vastly changes behavior, which some people find it hard to deal with. Early complications include leak with about a 2% risk, death with about 1/500 or so, and various and sundry other minor complications that have a risk of about 10%.

I would absolutely undergo sleeve or bypass if my BMI went over 35 with any comorbidities if I did not get adequate results from the new GLP medications, which, in my opinion, should definitely be first line for people without contraindications.

Comment by Wbrom42@gmail.com on AI romantic partners will harm society if they go unregulated · 2023-08-01T10:10:45.138Z · LW · GW

About 80% of this could (and was) said about the development of the printing press. Smart people trying to ban new technology because it might be bad for the proles is a deeply held tradition.

Comment by Wbrom42@gmail.com on [Book review] No nonsense meditation · 2022-05-04T13:10:45.590Z · LW · GW

This sounds like a more serious take on “Meditation for Fidgety Skeptics” which I really enjoyed.

Comment by Wbrom42@gmail.com on Judge Overturns Transportation Mask Mandate · 2022-04-20T16:04:06.933Z · LW · GW

I generally agree with the above post however I disagree that ending the CDC addiction moratorium was political in any way. It takes forever to get a case on a federal docket. As soon as the rule got to court it was struck down.

Comment by Wbrom42@gmail.com on Are there any preventive steps someone can take after being exposed to strep throat? · 2022-02-14T13:00:02.254Z · LW · GW

Once the hypothetical girlfriend has been on antibiotics for 24-48 hrs she is no longer contagious and to be extra careful the imaginary boyfriend could pop one of her antibiotics an hour before snogging.

Comment by Wbrom42@gmail.com on Some ideas for interacting with reporters · 2022-02-14T01:38:35.187Z · LW · GW

It is implied in some of the things you said but to be explicit, always have your own video and audio recording of any interview.

Comment by Wbrom42@gmail.com on Soup design: Everyone likes it, but few know how · 2022-02-07T21:00:41.100Z · LW · GW

It sounds like they found the room design pretty but not useful. Optimization problem.

Comment by Wbrom42@gmail.com on How would you learn absolute pitch? · 2022-01-30T02:04:10.810Z · LW · GW

It’s been done. https://pubmed.ncbi.nlm.nih.gov/31550277/

Comment by Wbrom42@gmail.com on [deleted post] 2022-01-25T11:26:43.413Z

Have no information or opinion on the main issue. However in regards to the question about the community, As someone who got into the community late and alone I will tell you that yes, LW is exactly like that.

Comment by Wbrom42@gmail.com on A fate worse than death? · 2021-12-13T14:34:17.178Z · LW · GW

Your premise that “permanent death is the only brain state that can't be reversed, given sufficient tech and time” is absolutely without basis. A technology that could reverse “a million years of terrible pain” is indistinguishable from magic and therefore assuming it could resurrect people (or at least their minds) is at least as plausible.