The carbon plate revolution is the main driver for drop in times over the last 5+ years

But yeah, this is a thing. There is some gut distress for sure at higher levels of intake. See guy finishing second -- still under 2 hrs! immediately puking, which is fairly common at the high intakes. I've heard of Blumenfeld (the triathlete) taking like 200g/hr or more. Insane. Though he's had some epic GI disasters too, lol.

But you made actual clear points, so it didn't really feel like it, but honestly I can't be sure anymore!

We’re screwed

I don't think I'm cut out for the modern world

So I had a biopsy. Which was equivocal also.

So I had it out which involved removing half my thyroid. Turns out it was a cancer but like the least serious kind, in fact the classification of it as actual cancer has gone back and forth over the years

But my other half of my thyroid couldn’t produce enough thyroid hormone, and now I have to take thyroid replacement the rest of my life to start alive

Also the surgery affected my voice and I sound like RFK jr now.

I clearly suffered some harm, and even after having the thing out, it’s unclear if that was beneficial at all. A large proportion of these kind of tumors quit growing and never do anything bad. But some do. So who knows.

Was the tradeoff worth it?

I don’t think it’s possible to say

and the classic method was the inspiration for Anki to begin with: making your own flashcards on index cards! You could do a version of spaced repetition by shuffling the deck.

Not sure the digital version is actually easier or more effective

I'm not kidding

it's not out of the question that incitement to invoke insurrection act and then cancel the midterms is the strategy

(elipsis mine)

I'd submit it's a violation of the 2A to allow the Nat Guard (essentially the continuation of those militias) to be forcibly nationalized (it took quite a bit of negotiating to get them all to join the fledgling continental army)

Anyhoo, tl;dr, for sure, 2A is an anachronism

it would take a lot more than that. Ain't no doc got all that time to go through all this with every person who should take cholesterol lowering medicine but wants to argue their internet sourced bs

It's hyperlegible!

lol, that's how I ended up with a math major. Got lost in the physics (realized I had no intuition for what was actually happening, just manipulating equations) took a couple extra courses, and boom! Math!

If you actually need a really high risk surgery, you probably have a terrible prognosis without it

For instance, in the pivotal trial of transcatheter aortic valve replacement for aortic stenosis (TAVR) the people were deemed too high risk for surgery, so got nothing (well, medicine only which doesn't really change anything for this condition) or TAVR. The medicine arm had 50% mortality (1 year I think?) whereas the TAVR arm was "only" 30%!

Now that didn't mean all those 30% of deaths were due to the procedure or even the aortic stenosis. I think that ran 10% or so (going off memory here). They just had so many other problems. For comparison, TAVR is now done in low-risk people, and I think the 1 year mortality is <3%

The things that go into making someone "high risk" in the STS (cardiac surgery) risk score are for the most part pretty obvious. If your heart muscle is super weak (or you need a machine to keep going before surgery), you have kidney failure, prior strokes, combined heart problems, bad liver or lung disease, etc etc. You can calculate a score, but you probably can guess it from the door of the room