That's more of a router/QoS issue. A large download shouldn't negatively affect quality for other uses, especially VoIP. If the place you're downloading from has a pipe bigger than yours and can saturate your bandwidth you're going to need to implement some kind of rate-limiting/queue management.

I would be very surprised by this. Raster ops, yes. Alpha channel image compositing operations, no way - that's an entirely whole nother level of complexity.

But usually, they are treated as such. American companies have a hard time treating most of their white collar workforce as anything but. On the other hand, Stripe has been seemingly well managed up to this point - but they have only existed in happy times so far. Many companies change their tune when the chips are down.

> It's also very expensive and difficult to hire new ones, even if you're hiring them at a cheaper salary than the last ones.

This may be true - but the average tenure of a tech worker shows most firms are not able to do act on this.

> Stripe 100% wants to retain its employee base, just like any company would.

I wouldn't put it past Stripe, but "just like any company would" is pretty naive. Serious retention efforts are by far the exception in my observation. This also weakens your argument - is Stripe not actively working to retain talent or are they just like "any company?" If really the latter, then they are fucked.

The Atari Pong console was also successful but I tend to not count it as I was only considering programmable consoles.

The "Atari 8-bit" refers to a line of 6502 based personal computers manufactured from 1979 until 1992! There was a commercially unsuccessful video game console, the 5200, derived from this general architecture - it's wild that for their illustrious place in video game history, Atari was a one hit wonder - they never really succeeded in a console release after the 2600.

Atari also had a line of 68k based 32/16 bit computers that sadly also discontinued in 1992 so that Atari could focus on their pathetic attempts to break back into the console market.

Perhaps I'm a boomer, but 219 Bps is damn fucking fast - faster then the first few modems I used.

> where do you draw the line?

Probably somewhere fucking much further below any point where human communication was deemed practical in the past 150 years.

Somewhat pathetic to me that people can't imagine 200 Bps as a usable bandwidth.

40% of the non obese adult population in the US? More BS dude.

It should be easy to point to some relatively reputable public health agency or peer reviewed publication where this is substantiated.

Among non overweight individuals I’m going to peg it more around 5%.

Ironic since you are the one making the claim and have not produced any references. I can’t prove they don’t exist but you could easily counter if one did.

Furthermore I linked to one peer reviewed review article, again https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4078442/

that is chock full of balanced references if anyone is so inclined to peruse them and takes a critical examination at the various publications and the arguments can be evaluated solely on merits alone. There is continued research in this area but so far no smoking gun as to causality.

There are no meta-analyses I know of on your specific claim as there is a lack of primary research in human subjects to even substantiate it.

> Most likely they don't actually know any endocrinologists

I’m a practicing academic internist. I know endocrinologists both personally and professionally. This is absolutely irrelevant though as the literature is available for you.

> Some people just feel compelled to jump up and defend sugar

I did nothing of the sort. I treat diabetes and hyperlipidemia on the daily - that would be ridiculous.

Edit: oh and I missed your edit - a reference to Perlmutter? A celebrity neurologist who has widely been debunked for making wildly unsubstantiated claims. You are not arguing in good faith. You have the entirety of PubMed and Google scholar on which to reference peer reviewed literature - some of it is also crap - but you aren’t even doing that - you are sticking to the lowest quality unsubstantiated celebrity bilge.

And Lustig is well known, he's on the border of being a crackpot, unfortunately. Mehmet Oz is a professor emeritus of Columbia, and contributed some amazing shit to the field of cardiology, but now he is undoubtedly a crackpot, so just having some credentials and even a good history is not an automatic pass to get out of presenting high-quality scientific methods.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4822166/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4078442/

And.. this is not the first time this has come up here even: https://news.ycombinator.com/item?id=15760599

> Have to be, to do it at all.

Lol. Yeah bud, I have a ton of friends that are endocrinologists, all mostly great and intelligent folks, but I’m not letting them touch me with a colonoscope - or pretty much any implement. It’s not exactly a field for the procedurally inclined.

That's a very unsubstantiated claim. I'm not debating the association of hyperuricemia with metabolic syndrome or cardiovascular risk factors, but I don't think we have much evidence to establish a causal link between hyperuricemia and all the morbidities listed.

Medical failure in the literature is a jargon term. (Internal) medicine and surgery are traditionally two distinct fields of, er, medicine. So it is just a matter of fact that a disease such as Crohn's that is refractory or resistant to treatment with medicine is a "medical failure" - no spin on it, that's what we call it.

Biases in referral across services is a complicated topic, and there is quite a bit of literature about it over the years. I am not sure about Crohn's/IBD specifically, but it's one of the well known co-management touch-points between surgery and GI, so there might be something written on the subject. There are many complexities at play here, some is definitely due to human factors, but the simple thought of "medical failure" doesn't have much to do with it. The average internists make thousands of consults to surgery every year, so that's really not it, there's much more to it.

A bottle of kefir is unlikely to hurt. However, I am quite skeptical that such a thing has any prophylactic effect once a recurrent process like Crohn's is set in motion - like pissing on a gasoline fire. A bottle of kefir is not going to touch an actual Crohn's flare at all.

There's no good evidence that any specific diets seem to help the chronic course of Crohn's unfortunately, and it's not like no one has looked.

The fact is we do not understand the complete mechanisms of either Crohn's or IBS, but based on their presentation and treatment it is unlikely they are too closely related - and it is likely that IBS is itself due to multiple factors - hence it is a syndrome, not a disease.

Given this, it is hogwash to say all of any kind of condition is caused by one thing. And if there was a cure with 95% effectiveness, I am sure many of the affluent IBS sufferers on this site would have figured it out by now.

> and the cure rate for fecal bacteriotherapy is about 95% in one shot. It's ludicrous that we're still studying this and acting as though it's such a mystery.

This is crackpottery.