But I know about DI Track and Wrestling. And they're essentially off like 2 weeks a year. This forbidden stuff is a fiction.

Umm, what? No. It's exceedingly rare for an interventional cardiologist in the US not to do office work. The average number of PCI/yr is like 50 or something. Plus if one spent all one's time in the cath lab, they'd have a spinal fusion, knee replacement, thyroid cancer, and cataracts.

But what you are trying to get at is that there is law about self-referral ("Stark law") but in reality there are exceptions that render it fairly useless

I actually think he's just grifting and the notoriety he achieved went to his head. His pre-2020 takes were better reasoned and at least worth engaging with. I could see his takes shifting with popular misinformation ideas in real time as it contributed to his success

IMO this is worse than if he were just wrong. I think he knows better, but then he talked himself into a box, and doesn't have the people and political skills to survive on a bigger stage.

The whole thing is kind of fascinating. Some of his "skeptic" fellow travelers like Cifu and Mandrola still carry water for him. Presumably he has a champion in Bob Wachter who also likes to fly the "contrarian" flag.

COVID really brought out a lot of crazies from UCSF and Stanford

edit: also, native English (well, American) speaker

wtaf? Do you really think this is the reality?

Also, now with NIL etc, college soccer is essentially another international semi-pro league

That's like a little over $3/yr. Can't complain

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