The spirit moved me tonight and I emitted a review of Stuart Ritchie’s “Intelligence: All That Matters,” which I read a while ago. It’s basically just an extended riff on the fitness analogy that I mentioned here while I was reading it, so it may be nothing new to you, but anyway, here it is
Would you be okay with me showing this to Stuart and seeing what he thinks?
Today I learned: Ten-year-old Ayn Rand was best-friends-forever with Vladimir Nabokov’s little sister, and they would meet at Nabokov’s mansion and have adorable ten-year-old-girl political debates with each other.
Re: the correct person to marry is someone who makes you forget your list - this seems wrong to me, assuming you made your list with a reasonable degree of self-awareness. (note: my spouse matched the entirety of my list except for the item I marked as "nice but negotiable"). Also, I'm curious about your thought on waitbutwhy's guide to choosing a life partner? waitbutwhyDOTcom/2014/02/pick-life-partnerDOThtml
You probably shouldn’t forget the whole list, but I think you should keep your options more open than you expect. Probably number one most obvious thing on my list would have been “must be a girl”, but then I met @ozymandias271 and we had a pretty great relationship anyway.
The WBW post seems good as far as it goes, but kind of limited to ways to not shoot yourself in the foot. I agree you shouldn’t do that.
Should I convert to Mormonism, or Islam? Which do you think has the best shot at resisting modern degeneracy?
I would say Mormonism, because it doesn’t count if it’s not in a community, and Utah seems nicer than Dearborn Heights.
Also, a couple of rationalists legitimately converted to Mormonism and it went exactly as well as they hoped, so that’s a proof-of-concept that I haven’t seen with Islamic conversion.
Also, realistically there’s like a 5% chance it’s going to stick, and I understand Muslims get kind of angry when you deconvert.
Folks at r/Judaism would like to know why you spell G-d with a dash?
I don’t usually. But I hang out with some people who do, and sometimes I do it by osmosis, and sometimes I do it because of OCD-related freaking out over violating taboos I don’t even believe in, which is probably the real reason for like half the superficially religious stuff I do.
A few times I’ve done it on purpose because I feel like it’s a useful way to distinguish between silly secular contexts like “Oh my God, that’s crazy”, versus actually having some semblance of religious awe; “G-d” seems like a real and awe-inspiring being in a way that the overused term “God” doesn’t. But overall it’s completely unprincipled and I feel kind of stupid about it.
Should medical residents have an 8 hour workday or is the 28 hour cap ok?
I would like an 8 hour workday. But the studies keep showing that longer workdays don’t increase medical errors, so my argument would have to boil down to “Pleeeease? I have a lot of things I want to blog about!”
How much money would one have to pay you for you to give a talk for a college group?
I’m not sure what exactly you’re expecting in a talk from me. I would do it for free (if I were in the area), but you’d probably still be getting ripped off.
Is there a link between SSRIs / depression and falling out of love? And if so is this a temporary thing i.e stopping the SSRIs makes some feelings come back? My wife of 7 months got depressed and prescribed SSRIs recently, and now wants to separate as 'something is missing'. Googling seems to show a link but mainly people on forums speculating. I'm trying to understand if this is a possible factor (she says there is nothing specific about me that is the problem)
There’s a link between depression and not really liking/being up for anything, including relationships. And there’s a link between SSRIs and low libido - I don’t know to what degree this is purely sexual versus involves romantic feelings as well, but given that the hunger center in the hypothalamus can affect very high-level cognitive beliefs about food it wouldn’t surprise me.
I’m sorry to hear about your issues and I hope you’re able to sort them out.
Re: the SSRI anon- I don't think that I've ever returned to my pre-SSRI state, and it's three years since I stopped taking it. I'm a different person now. I'm not sure whether this is a bad thing or not, but it no longer causes me excess distress. It's okay to be different, even if it seems hard at first.
Isn't a big part of the reason that a lot of American enemies are Sunni that there simply are more Sunni than Shia? Other than the countries you mentioned, there aren't a whole lot more countries with notable Shiites but a lot more countries are Sunni. And defining most of your enemies as Sunni kinda requires to say Iran isn't in some way an enemy of the US. The way you said it, allying with Iran because of religion, kinda sounds like a good way to get most of the Arab world up in arms.
I just get the impression that a lot of the weird violent fundamentalism stuff is Sunni-only, and most of the Shia seem to be hanging around creating nice communities and successful economies. Maybe this is just my bias. I guess Dubai and Qatar are the best economies in the Middle East, and they’re Sunni.
How much are you worried by the global mass surveillance and the potentially malicious use of acquired big data by governments and corporations? Do you see privacy as a potentially important cause and use online privacy plugins/encryption? Did you observe a rise in paranoid symptoms since the Snowden leaks? I sometimes wonder if psychiatrists have to expand the healthy range for "being paranoid about having one's mind read" when diagnosing patients concerned about advances in surveillance.
I know everyone always makes fun of people who say “if you’re not doing anything wrong you have nothing to hide”, but since I’m not doing anything wrong it’s at least hard for me to become really worked up about this.
I think it’s sort of that…emotions and pragmatism and fear should at least by guiding my judgment here? And since I don’t have any emotional or pragmatic issues I don’t know what to think. Like I assume the NSA reads all my emails right now. And if there’s some bill to make the NSA and the CIA read all my emails, is that a horrible assault on freedom and we should all die nobly fighting for our liberty? Or does it just mean two computer programs will be auto-scanning my emails for the phrase “Allahu akbar” instead of one, and even Edward Snowden wouldn’t really get worked up about it? I dunno.
Are hiperstimuli and the rising addictivity of products (snacks, Netflix, social media, erotica, games) a serious concern for mental health and social freedoms? Is it high time to reset our reward systems and seek simple, slow living? Quoting Adam Alter: "Why are the world’s greatest public technocrats also its greatest private technophobes? It seemed as if they were following the cardinal rule of drug dealing: never get high on your own supply."
I wouldn’t frame it in terms of “mental health” - I think it’s on an axis skew to anxiety/depression/etc - but yeah, I find it pretty scary. I’m reading “The Hungry Brain” now which argues that obesity is because modern food is a superstimulus (well, it’s more complicated than that, I’ll review it eventually). In other areas, though, I’m surprised at how well we’re doing. Tumblr is probably a superstimulus for community or something, but not really in a bad way. It just means we’re getting more community. Netflix and erotica and so on seem to be making a lot of people very happy with unclear side effects (I know some people think porn has weird mental health issues, but my barrier for evidence here is high because Puritans gonna Puritan).
I expect at some point someone will come up with something horrible and then we’ll have to really confront this. If nothing else, the Amish will inherit the earth and we can start over from there.
Also, when did “superstimulus” become “hyperstimulus”. Stimulus inflation?
Do you know anything about the potential psychopathology of overactive serotonin production? I'm beginning to suspect I have this, and I find the Swedish study that found a correlation between social anxiety and elevated serotonin levels to be very interesting. Do you have any experience treating socially anxious individuals with SSRIs, and if so, have you had any noteworthy results?
I don’t know much about this, but I’m very suspicious of anybody who connects anything more complicated than Parkinson’s disease to a simple imbalance in a single neurotransmitter.
There are two good friends who enjoy deep conversations about faith and the existence of God, one is agnostic on the grounds of empiricism and inability to (dis)prove anything with certainty, one is a devout Christian believing in the infallibility of religion on the basis of non-empirical/theological evidence. While they both agree on the character of their fundamental disagreement, they're curious if there's any additional layer/aspect of debate worth exploring. Do you have any ideas?
It sounds like they should stop talking about religion and start talking about deeper issues of epistemology.
In case you think it might be a good idea, please consider 80/20-ing most of your SSC posts, so 70-80% of content is stressed in 20-30% of text volume. I would love to buy a printed compilation of such summaries and distribute the "Sequences of Scott" as the super-insightful set of analyses and comments. It shouldn't lose much on the nuances and readers could always check details online. Related question: have you ever encountered a smart summarizing tool for long reads? SMMRY com is so-so.
Are Buddhist monks really the happiest people in the world with outstanding attention and emotion-regulating abilities? When they start to perceive ego as an illusion, is it some form of extended cognition/accurate perception of panpsychism or just a not-so-exciting and possibly risky byproduct of inhibiting self-perception mechanisms through years of meditation?
I’m not an expert on Buddhism and I will punt this question, except that I’m not sure they’re trying to be “the happiest people in the world”.
My impression is that at least Theravada monks are trying to get beyond emotion in some meaningful sense and being the happiest person in the world would be as much of a failure as being the saddest. I’m not sure about Mahayana. I think that certain forms of meditation and enlightenment are supposed to produce “bliss” as a side effect, but I think this is very different from ordinary happiness.
I think the ego-illusion thing is somewhere in between. I think the sense of self is actively generated by the brain and you can make the brain stop generating it. I think there is something going on involving cutting the brain’s reward circuitry out of the loop (”an end to desire”, “an end to craving”). But this is all just wild speculation.
Do you want to get married and/or have kids? If so, do you have an idea of what you're looking for and/or a timeline? Do you want to be introduced to possible matches?
Yes, I would like to get married and have kids. I’m not sure how many yet.
Yes, I have an idea of what I’m looking for. I’ve been told that the proper procedure is to make a list of everything you want in a partner and then marry the first person who makes you forget the list, and I mostly agree with that.
But it would be nice (though not necessary) if it were somebody excited about staying home to
help raise/home-school the children, since I’m not excited about this,
and having people who naturally want different things sounds better than
having to divide the labor in a way where somebody loses out.
It would also be nice (though not necessary) if they were Jewish, which would make the older and more traditional members of my family very happy. I don’t think they are expecting very much from me but it is always nice to exceed expectations.
And at the risk of seeming like a horrible person, I’ve seen so many tragedies related to mental illness that I would be really reluctant to marry someone with a history of eg schizophrenia in their family (even if they’re coping well, I wouldn’t want to inflict the genes on my kids).
My timeline is “as soon as possible”, but I’ve seen too many marriage-related disasters to marry someone without at least a year or two of dating first. (If you’re starting to get the impression that practicing psychiatry isn’t great for your ability to make life decisions in a non-paranoid way, I’m not going to argue.)
Yes, mysteriously helpful anon, I would like to be introduced. My current partners are all wonderful, but they seem to be either dating other people more seriously than they’re dating me, not interested in having kids, or both. If anyone has any advice for me, let me know.
I'm curious about your opinion on the EA Funds. Wouldn't you like more resources dedicated to charities like Tostan and research transparency/quality initiatives? What could be currently the strongest argument against EA? I would probably point out to the difficulties in defining "effectiveness" and the game-theoretic principle of reciprocity in moral considerations (eigenaltruism).
I am very happy there is some research being done into what charities are most effective. I’m not sure how valuable the marginal dollar / hour-of-smart-person’s time is to determining charity effectiveness right now.
My guess is that insofar as it’s valuable, it’s valuable in a centralized/coordinated way. That is, if I look into charities, and you look into charities, and twenty other people look into charities on their own, we’re partly duplicating each other’s work and coming up with non-intercomparable estimates. I would rather just fund GiveWell and OpenPhil really hard than come up with some sort of distributed charity-evaluating community thing (though probably we need a *few* independents to act as gadflies and make sure the centralized people don’t become too complacent)
If by “the EA funds” you mean the funds where everyone pools their money and then one person is randomly selected to work hard to figure out what’s the best thing to do with it, I’m not too clear on why that’s better than giving to GiveWell, who are already working hard to figure out the best thing to do with money.
The strongest argument against EA is that politics is so much more effective than everything else that everything else shouldn’t even register. A 1% chance of making Congress do something slightly different on foreign aid might matter more than all the bed nets in Zanzibar.
(this is ignoring complicated moral arguments that kind of reduce to Pascal’s Wager and get so confusing that “just be nice to your family and try not to think about morality more than that or else bad things will happen” is a reasonable alternative)
What do you think about the development of precision psychiatry, including the identification of root causes of disorders and designing tailored, multi-level therapies based on a neural circuit taxonomy? There have been some studies on functional connectivity biotypes of psychosis, depression and anxiety. I'm curious if patients having frequent access to fMRI could fine-tune their treatment.
I see a lot of people trying this, and I never see anything solid coming out of it. One day someone will put a hundred depressed people in an fMRI and say they’ve separated depression into four endophenotypes.The next day someone else will put a hundred depressed people in a PET scanner and say they’ve separated it into six endophenotypes. If anyone has come to a consensus on how many endophenotypes depression has yet, I haven’t heard about it.
I used to make fun of the parody website calculating one's privilege score on the basis of gender, salary, location and other factors. Later on, I understood that if something like this could be done honestly and professionally with multiple meaningful variables (socioeconomic status, personality traits, attractiveness, environment, subjective well-being, individual priorities), results could reduce the number of group attribution errors and wars on who has it worse. Any thoughts on that?
How would it reduce those wars? If we had a specific number to enter into the calculator to represent asexual privilege, and everyone agrees with that number, then it sounds like the war has been concluded. Insofar as the war isn’t concluded, people would fight over what that number should be.
People with mixed anxiety-depressive disorder aka MADD (insert a bad pun) find this combination particularly distressing, self-perpetuating and trapping. Could it be clinically useful to place and describe all the patient's symptoms on a personalized network, identify bridge points and address them first? If you get rid of sleep, fatigue and concentration problems, it should be easier to untangle the "disconnected" MD and GAD networks while obtaining more insight into specific cases.
I think it’s really unlikely that we could identify a personalized network in anything other than a very informal way (ie “I think I become depressed if I don’t sleep enough”). I think we might already be sort of accidentally halfway doing this. If you mean something informal, keep in mind the average person only has a handful of depressive episodes in their lifetime, so I’m not sure how you would get a good sample size.
Also, keep in mind psychiatrist appointments are 15 minutes if you’re lucky, so this might have to be a kind of therapy.
Idea: online decision tool for picking/ranking the SSRIs on the basis of your symptoms and personal preferences related to the possible adverse effects.
…I mean, if you really want. The difference between SSRIs is so minimal that it hardly seems worth it.
Could it make any sense to reduce the social polarization through consensual countersignalling, i.e. engaging opposing groups in mutual acts of friendly mockery and Zizek-like jokes?
I think the level of polarization is high enough that unless you’re really well-calibrated friendly mockery is going to be interpreted as unfriendly mockery.
Immunologists say we are attracted to people who differ from us genetically, especially in terms of the MHC/HLA systems. R/equalattraction and psychoanalysts say we are attracted to people resembling us or our parents of the opposite gender. Isn't that at least slightly conflicting? Does attraction = different genotypes + similar phenotypes?
So I've never been able to picture things in my head, or read/think things in my head with a voice, or anything like that. I've recently learned that phrases involving mental pictures/voices/sensations and such aren't just figures of speech. What's broken in my head?
Would you expand on what's wrong with Saudi Arabia and what's right with Iran? Asked in response to that post where you were prompted to describe your presidential policy if you magically became Donald Trump.
So that was *kind of* joking, and I don’t know anything about foreign policy, and this is probably the worst idea ever, but here goes:
Iran is a (partial) democracy with much more liberal values than Saudi Arabia, which is a horrifying authoritarian hellhole. Iran has some level of women’s rights, some level of free speech, and a real free-ish economy that produces things other than oil. If they weren’t a theocracy, it would be hard to tell them apart from an average European state.
In the whole religious war thing, the Iranians are allied with the Shia and the Saudis with the Sunni. Most of our enemies in the Middle East are Sunni. Saddam was Sunni. Al Qaeda is Sunni. ISIS is Sunni. Our Iraqi puppet government is Shia, which is awkward because even though they’re supposed to be our puppet government they like Iran more than us. Bashar al-Assad is Shia, which is awkward because as horrible as he is he kept the country at peace, plus whenever we give people weapons to overthrow him they turn out to have been Al Qaeda in disguise.
Telling the Saudis to fuck off and allying with Iran would end this awkward problem where our friends are allies with our enemies but hate our other friends. I think it would go something like this:
- We, Russia, and Iran all cooperate to end the Syrian civil war quickly in favor of Assad, then tell Assad to be less of a jerk (which he’ll listen to, since being a jerk got him into this mess)
- Iraq’s puppet government doesn’t have to keep vacillating between being a puppet of us and being a puppet of Iran. They can just be a full-time puppet of the US-Iranian alliance. Us, Iran, Iraq, and Syria all ally to take out ISIS.
- We give Iran something they want (like maybe not propping up Saudi Arabia) in exchange for them promising to harass Israel through legal means rather than violence. Iran either feels less need to develop nuclear weapons, or else maybe they have nuclear weapons but they’re on our side now so it’s okay.
- The Saudi king was visibly shaken and dropped his copy of Kitab al-Tawhid. The Arabs applauded and accepted Zoroaster as their lord and savior. A simurgh named “Neo-Achaemenid Empire” flew into the room and perched atop the Iranian flag. The Behistun Inscription was read several times, and Saoshyant himself showed up and enacted the Charter of Cyrus across the region. The al-Saud family lost their crown and were exiled the next day. They were taken out by Mossad and tossed into the pit of Angra Mainyu for all eternity.
My latest post was linked from a couple of big blogs and news sources, apparently copying from each other, with the quote/summary:
Slate Star Codex: “The problem is that there’s some weird tribe of fact-immune troglodytes
out there, going around refusing vaccines and voting for Brexit, and the
rest of us have to figure out what to do about them.“
That’s the opposite of my argument. I’m using it as a straw man in order to knock it down. I don’t understand how people could quote that and then attribute it to me with no further explanation. This happens every time I try to deal with a controversy responsibly. People take the most inflammatory thing in the post, even if it’s the opposite of what I believe, and try to convince everyone it’s my opinion. I don’t know if this is some sort of passive-aggressive campaign against me, or some sort of terrible law of media dynamics, but it’s so annoying.
Type 1 diabetic here. I can explain why I am not excited about inhalable insulin. What drives me nuts is the constant thinking about "when did I last eat, how much did I last eat, am I going to exercise later..." and that I still get it wrong and end up high or low every week. Something which decreases the accuracy of my dose is not my friend. Pinpricks you get used to -- at this point, ripping off the adhesive that holds my pump in place bothers me more than the injection that puts it in.
How much veracity do you think there is to the Identified Patient term? My psychiatrist has now labeled me this twice and it only makes me Resent Everything Ever.
I had never heard of this before.
I’m looking it up on Wikipedia and it says that “Identified patient is a term used in a clinical setting to describe the person in a dysfunctional family who has been unconsciously selected to act out the family’s inner conflicts as a diversion.” Then it says it was part of the theories of RD Laing and Gregory Bateson.
Here is your one-paragraph summary of Laing:
In the mid-1960s, British activists gravitated to Laing’s ideas, arguing
that schizophrenia was more “properly human”, in a world of hydrogen
bombs, than conventional definitions of sanity…Laing argued that
schizophrenia was not a breakdown but a breakthrough. By the 1970s,
Laing took the position of Huxley’s The Doors of Perception, that
schizophrenia was a form of sanity, not insanity. Laing’s position
increasingly became a political attack on Western society, and then
morphed once again, rejecting the idea of schizophrenia by declaring it
as hypersanity. Eventually Laing’s celebrity led him to India and drug
abuse, and he became a shell of his former self.
And long after everyone else had good evidence that schizophrenia was genetic and biological, Gregory Bateson went full-blank-slatist and led a reaction arguing that it was caused by your mother talking to you the wrong way as a kid (the sad part is that he was the son of a famous geneticist, and named after Gregor Mendel, and so should have known better - probably some interesting family dynamics going on there). Eventually he became so disconnected from reality that he was made one of the Regents of the University of California.
These people are both widely considered quacks and make me very suspicious that the IP term is quackery as well.
So I learned the other day that reversible inhibitors of monoamine oxidase A exist, and that they apparently work as well as conventional MAOIs without the lethal interactions with food. Are they as good as they sound, and if so why have I never heard of them before?
My impression is that they’re not, in fact, as good as the conventional ones. I can’t remember why I think that, but I’m like 75% confident it was somewhere credible. But they’re still pretty good.
I don’t know if you’re American, but you may not have heard of them because they’re not FDA-approved and so not legal in this country. One of them is legal in Canada and has been used there safely for years.
What are your thoughts on hypnotherapy? Overhyped scam, or useful tool?
I’m actually really uncertain! I know a couple of psychiatrists who have used it and gotten good results. I’ve never gotten to see it used myself and the few studies I’ve read on it don’t really convince me one way or the other. Definitely something I should look into more.
Is there any part of "doing" SSC that you regret, or would do over again differently, if you knew then what you know now?
That one time I compared some feminists to Voldemort as a joke in the middle of an extended analogy, and now the Usual Suspects have just given me the epithet of “Scott, that person who thinks all feminists are Voldemort” and made sure that is the only part of my million-plus-word blog anybody knows about.
I’m remembering that story about that Scottish guy who says “I eat eggs every day, and nobody calls me Angus The Egg-Eater. I have three beautiful children, and nobody calls me Angus The Child-Raiser. I’ve grown barley every year, and nobody calls me Angus The Barley-Grower. But you fuck one goat…”
Newbies often feel quite overwhelmed with the amount of sophisticated knowledge in the LW/EA memespace they should aquire. Do you see any short track to 80/20 this? Related: what are, in your opinion, the most "upstream" topics, research and activites within the LW/EA network?
The LW wiki is helpful, but there’s no substitute for reading the Sequences. Once or twice I’ve thought about creating some kind of “short” readable glossary/101 kind of thing, but it always gets bogged down both in questions of what to include.
Ironically, I don’t understand how you’re using “upstream”. Maybe I need to take a remedial Local Memespace Jargon course.
(Also, this concludes my latest backlog of asks, so I’ve reopened the ask box.)
What is your current stance on cryonics and an estimated probability for future restoration of preserved humans? Related: how do you deal with the grim vision of information-theoretic death? For me, ceasing to exist one day is a major source of distress and I wonder if there might be some sneaky way of securing one's existence we all accidentally omitted in thought experiments.
I think last survey the average LWer thought there was about a 5-10% chance that the average cryopreserved person would be revived in the future. Without knowing much about the situation myself, it sounds reasonable to me.
I have much less emotional response to death than some people and can’t really bring myself to worry about it in any more than an intellectual way. This seems to be an axis where people just naturally differ - see Survey: Suffering Vs. Oblivion (which actually seems pretty relevant to my last ask, now that I think about it). I’m sorry I can’t be of more help to you.
Which of your socio-political views would be generally considered as the most liberal and conservative?
I think most liberal is just a general feeling that poverty is really, really not okay, and if that means giving UBI or free food/housing/health care to every poor person, then that’s what we’ve got to do.
And most conservative is - well, I’m reluctant to say this openly, but I guess you asked - kind of the mirror image of that. Poverty is really, really not okay, and it bothers me to see deeply ill abusive drug-addicted parents have five or ten kids who there’s no way are ever going to be anything but poor and miserable, and then best case scenario we’re morally obligated to give them UBI and free food/housing/health care, and worse case scenario we don’t do that, and they’re miserable their whole life and the cycle repeats itself forever. So I think my most conservative view is something like being in favor of https://en.wikipedia.org/wiki/Project_Prevention , although obviously this isn’t “conservative” in the “I bet Paul Ryan approves of this” sort of way.
What's your opinion on the Michael Plant's argument that mental health issues and ordinary human unhappiness could cause 4-72 times more misery each year to living people than do poverty and malaria combined? I know poverty is much more complicated than most people think, but even taking that into account I assume that mental health is a neglected cause area in the EA community.
It sounds plausible. The numbers aren’t that different, and all else equal I think I’d rather be poor than have a serious mental illness. I haven’t read the full argument so I don’t know if he addresses happiness set points, and I’m not sure which side of the argument those would favor.
This is called Afrezza. It’s an inhaler for diabetic insulin. That’s right. An inhaler. That means no more needles. It’s only for fast acting insulin, but it could still vastly improve the life of a lot of diabetics.
Imagine having to constantly prick yourself with needles to keep yourself alive, and then suddenly there’s a new product that could change the whole way you live your life for the better.
And here’s the thing: it works. It works really really well. People with diabetes that have been lucky enough to have used it think it’s amazing.
But sadly, it’s probably going to end up as a failure because the pharmaceutical company (a French company called Sanofi) that was in charge of marketing it didn’t care enough to actually try. Not only that, but they made it incredibly expensive so hardly anyone could afford it. Most people have never heard of it, and the way things are going, no one else ever will.
Please reblog this to raise awareness of this product and hopefully get another company to market it. It could change so many lives.
you mean i could not stab myself multiple times a fucking day
Afrezza (insulin inhalation) is a rapid-acting form of human insulin that is inhaled through the mouth. Insulin is a hormone that works by lowering levels of glucose (sugar) in the blood. Afrezza inhalation is a fast-acting insulin that starts to work about 15 minutes after inhalation, peaks in about 1 hour, and keeps working for 2 to 4 hours.
Afrezza inhalation is used to improve blood sugar control in adults with diabetes mellitus.
If you have type 1 diabetes, you will also need to use a long-acting injectable insulin.
If you have type 2 diabetes, Afrezza may be the only medicine you need to control your blood sugar. However, your doctor may prescribe a long-acting injectable insulin or a diabetes medicine you take by mouth.
You should not use Afrezza inhalation if you are allergic to insulin, or if you are having an episode of hypoglycemia (low blood sugar).Afrezza can cause sudden or serious lung problems. Do not use this medicine if you have:
a history of lung cancer; orchronic lung disease, such as asthma or chronic obstructive pulmonary disease (COPD). if you smoke or have recently quit smoking (within the past 6 months).
Increases in anti-insulin antibody concentrations have been observed in patients treated with Afrezza. Increases in anti-insulin antibodies are observed more frequently with Afrezza than with subcutaneously injected mealtime insulins. Presence of antibody did not correlate with reduced efficacy, as measured by HbA1c and fasting plasma glucose, or specific adverse reactions.
Not sure why I’m being tagged here, but I love the conspiracy theory that pharmaceutical companies are stiffing the public by not caring enough about marketing their drugs. Capitalism’s got some issues, but that ain’t one of ‘em.
I actually admit I am confused here (and I have no expertise in diabetes, BTW). It looks like three different companies have tried marketing inhaled insulin, the FDA has been at least sort of cooperative, and patients…just haven’t wanted it? I dunno, if I were diabetic I’d be jumping at the opportunity to avoid needles.
I hate the needless moralism with incest on this site. I don't mean with legit concerns about consent and power dynamics but posts going "COUSIN MARRIAGE IS ICKY!!". I mean, this site is gung ho about animal abuse and killing but suddenly something where absolutely nobody is hurting nothing is considered totally wrong. Sorry, it just irritates me.
I hate the needless moralism with incest on this site. I don't mean with legit concerns about consent and power dynamics but posts going "COUSIN MARRIAGE IS ICKY!!". I mean, this site is gung ho about animal abuse and killing but suddenly something where absolutely nobody is hurting nothing is considered totally wrong. Sorry, it just irritates me.
Maybe this is completely obvious to everyone else and I’m totally crazy, but a question:
William Blake in one of his letters described the sun as appearing about the size of “a guinea”. From this description I assumed a guinea was about the size of a quarter - and checking Wikipedia, I was right. The sun just objectively appears quarter-sized. If someone asked me to draw the sun exactly the size it appeared on a piece of paper, I would draw a circle about the size of a quarter. And if I heard someone say the sun looked the size of a pinhead, or the sun looked the size of one of those really big Eisenhower dollars, or the sun looked the size of one of those circular coasters you get for drinks at a restaurant, I would assume they were aliens talking about a different sun.
I don’t understand this. We’re obviously not talking about its real size, since that’s hundreds of thousands of miles across. But what does it mean for its apparent size to be the size of a quarter? A quarter has a different apparent size if it’s held right up to your eyes versus seen on a table all the way across the room. A quarter X feet away from me is the same apparent size as an Eisenhower dollar Y feet away from (where Y is further than X). So how is the sun’s apparent size equal to one, but not the other?
Quarter at arm’s length? (Or arm’s length minus some bend).
That was my first guess too, but why? I don’t know if I’ve ever held a quarter at arm’s length. Most quarters I see are not being held at arm’s length and are either bigger or smaller than that, so why is that such a natural unit to go for? And how come this translates to me drawing an objectively-quarter-sized circle on a piece of paper?
Also, I wonder if little kids (who have shorter arms) would say the sun is the size of a dime or something.
Maybe this is completely obvious to everyone else and I’m totally crazy, but a question:
William Blake in one of his letters described the sun as appearing about the size of “a guinea”. From this description I assumed a guinea was about the size of a quarter - and checking Wikipedia, I was right. The sun just objectively appears quarter-sized. If someone asked me to draw the sun exactly the size it appeared on a piece of paper, I would draw a circle about the size of a quarter. And if I heard someone say the sun looked the size of a pinhead, or the sun looked the size of one of those really big Eisenhower dollars, or the sun looked the size of one of those circular coasters you get for drinks at a restaurant, I would assume they were aliens talking about a different sun.
I don’t understand this. We’re obviously not talking about its real size, since that’s hundreds of thousands of miles across. But what does it mean for its apparent size to be the size of a quarter? A quarter has a different apparent size if it’s held right up to your eyes versus seen on a table all the way across the room. A quarter X feet away from me is the same apparent size as an Eisenhower dollar Y feet away from (where Y is further than X). So how is the sun’s apparent size equal to one, but not the other?