Share good ideas and conversation.   Login or Take a Tour!
necroptosis's profile

following: 15
followed tags: 34
followed domains: 1
badges given: 1 of 2
hubskier for: 1591 days

necroptosis's recent comments, posts, and shares:
necroptosis  ·  8 days ago  ·  link  ·    ·  parent  ·  post: Ленинград — Кольщик (Leningrad - Kolshik)

I've been looking for сансара for ages!!

necroptosis  ·  8 days ago  ·  link  ·    ·  parent  ·  post: Ленинград — Кольщик (Leningrad - Kolshik)

Gotta love that title... A decent portion of my slang comes from them

necroptosis  ·  9 days ago  ·  link  ·    ·  parent  ·  post: Pubski: October 30, 2019

I ran into a hubskiier today. Weirdly enough did not lecture me on why I was wrong about various topics

necroptosis  ·  9 days ago  ·  link  ·    ·  parent  ·  post: Ленинград — Кольщик (Leningrad - Kolshik)

Ahh Leningrad. One of my favorite way to pretend to learn russian

While we're on Russian songs

necroptosis  ·  33 days ago  ·  link  ·    ·  parent  ·  post: The wonderful, weird world of wizard rock

To take your tangent analysis off onto another tangent, this quote from that outside piece is simply spectacular:

    “Who are you?” I asked one of the bodybuilders.

    “America’s Finest,” he said, removing his American-flag T-shirt to display his shield-like abs.

    “Where are you from?”


    “But I mean, what unites you as a team? Do you all go to the same school?”

    “We’re Americans.”

    “How are you doing?”

    “Oh and three.”

    I couldn’t believe it. “But you’re the fittest team here!”

    “It’s really complicated,” one of their girls said. “And we have temper issues.”

necroptosis  ·  39 days ago  ·  link  ·    ·  parent  ·  post: Pubski: October 2, 2019

Thank you. I’m lucky in the way that I currently have the ability to get through most of the process more or less debt free. It takes a lot of pressure off the entire endeavor. Without that worry, it’s far easier to accept the possibility of significantly lower raises should something like that happen. I currently practice medicine under a socialized system and I wouldn’t mind to continue. It’s fantastic not having to worry about how much my treatments will cost to patients

necroptosis  ·  40 days ago  ·  link  ·    ·  parent  ·  post: Pubski: October 2, 2019

The process to become a doctor in the US is terrifying.

You start off with four years of an undergraduate degree. God help you if you get anything below a 3.5 gpa, no chances of becoming a doctor now. If you're applying to med school straight out of college say goodbye to any type of social life. You had better be volunteering and spending countless hours working in a medical clinic of some kind. Medical school entry is so competitive nowadays that you are almost guaranteed rejection without clinical hours. Study your ass off for the MCAT, pray you get something high. Spend your senior year applying to med schools. Still get rejected, because fuck you someone else wrote a more compelling personal statement.

Should you get into med school, that's another four years of intense studying. The last two years are spent being disregarded by doctors just trying to do medicine.

Finish med school and congratulations, you're now a doctor! For the next 3-7 years you'll be treated like shit, work shit hours, and get paid for shit. Apparently the 80-hour work week rule is considered more of a guideline in many hospitals. God help you if at the end of all this you decide to do a fellowship.

Now of course the paycheck at the end of all this is quite substantial. I sure hope you haven't gone into any debt through your 8 years of schooling and 3-7 years of residency.... Oh and by the time you've graduated the shortage of physicians has increased even further. You'll most likely be needed to continue to work an insane amount of hours.

So I've looked at all of this and yet still decided fairly resolutely that this is what I would like to do. Due to the fact that I'm only about 2/3 of the way through an undergrad with zero science pre-requisites. I'll most likely have to do a post-bacc as well. Thankfully I can skip a large amount of the clinical hours and voluntary work. The earliest I can see myself making it to med school is at 30, which puts me finishing residency at 37 should I chose a shorter specialty. How is all of this sane? How is this sustainable? I keep asking myself is it all really worth it? I know it is and I'm going to continue towards this path but that's one hell of a lot of pain to commit to.

necroptosis  ·  40 days ago  ·  link  ·    ·  parent  ·  post: Pubski: October 2, 2019

Holy hell that's a lot of hardware! Best of luck to your recovery

One piece of advice-I would take the photo down and repost it without the top left corner. Hubski is a friendly place but the internet certainly isn't. Any type of personal information can and will be abused.

necroptosis  ·  62 days ago  ·  link  ·    ·  parent  ·  post: UTAH TRIP REPORT or: How I Learned Not To Hike Alone by Breaking My Leg

An honest question wouldn't have been prefaced with statements such as

    This is, like, the first rule of stepping outside of civilization: Don't go alone.
    Is it just young white dude hubris? Or were you trying to prove something?
An honest question wouldn't include
    against all the advice of people who do this a lot, and common sense
in the very question. You're leading someone to answer the question with guilt. I would absolutely consider this to be discouraging wording. I'd guess that this is why ButterflyEffect called your response "preaching and antagonizing". I personally agree with him.
necroptosis  ·  63 days ago  ·  link  ·    ·  parent  ·  post: UTAH TRIP REPORT or: How I Learned Not To Hike Alone by Breaking My Leg

Dude. There are a multitude of reasons why he might want to travel alone. Whatever those reasons may be, the act of doing it is in no way stupid. He was on one of the most populated hikes in America. Read the first line of this trail description. 3 million people a year and there are all of about 4 hikes in Zion. Sure it can be exceedingly dangerous in bad weather, but he checked the weather beforehand. There were a multitude of people along the way. Look at the pictures. If this was some random and difficult hike in the backcountry I would be singing a different tune. But it's not. The risk behind this hike was small. We all take on levels of risk that are acceptable to us. Any of the things you mentioned can happen anywhere. Anyone with half a brain, when attempting something solo, adds up the risk levels, and says "yeah I can deal with that". He did a fine job of that and came out ok. Jumping off the rock was fucking stupid but everything else was alright. There's no need to discourage people from being so risk adverse.

necroptosis  ·  63 days ago  ·  link  ·    ·  parent  ·  post: UTAH TRIP REPORT or: How I Learned Not To Hike Alone by Breaking My Leg

Unless you're expecting to get shot, gauze with clotting agent is wholly unnecessary. Stick with regular gauze and carry a tourniquet (or be proficient at making a makeshift one). I'm sure you can find TQs for far cheaper in another place. Any type of arterial bleed in a remote area will be far better served with a TQ than combat gauze. Any venous bleed should be easily manageable with regular gauze and direct pressure.

A SAM splint is nice to have but can also generally be MacGyvered. The only real "need" for one would be as ankle support, which can also be done with an ACE wrap, cravat, or a shirt. ACE wraps are also great for pressure dressings-two in one!

Generally, my first aid kit when hiking is a couple bandaids, ibuprofen, and my blister kits. What you want on top of that is based on your comfort level to create a janky makeshift appartus.

Always bring a fixed blade knife.

necroptosis  ·  63 days ago  ·  link  ·    ·  parent  ·  post: UTAH TRIP REPORT or: How I Learned Not To Hike Alone by Breaking My Leg

Honestly traveling solo doesn’t seem like such a huge mistake here. You traveled on a highly populated path at a good time with decent weather. Something happened and other people were close by, I doubt having a travel buddy would have made any significant difference.

Smart idea, terrible mentality. I'll try and sum up diabetes as best as possible.. There are two types of diabetes (at least that we care about here); type 1 and type 2. Type 1 is a condition where your pancreas does not produce insulin. Type 2 is an acquired condition where your body has stopped responding to the effects of insulin. This is generally due to continuous levels of extremely high circulating insulin. Insulin is generally created in response to high levels of glucose in the blood, hence why people with poor diets/the obese often develop this condition. 95% of diabetes patients are type 2. He never specifically states it, but it sounds like he has type 1. If he in fact has type 2, this is all kinds of stupid.

Now the potential short-term complications could be easily managed. If the device gives too much insulin that could become quickly deadly-blood sugar drops drastically, causing the brain to not receive enough glucose and kill the patient. Too low of insulin and blood sugar will increase to harmful levels. High blood sugar, while harmful, takes an extremely long amount of time to deal any significant damage. I don't predict either of these problems happening because A. He's using a manufactured insulin pump which release extremely small amounts of insulin over an extended period and tend to be fairly dependable and B. He has CGM (Continuous glucose monitor). CGM's provide instant feedback to blood glucose levels, basically ensuring he would be able to correct the issue before it became a problem.

Basically all this guy did was connect an insulin pump to a glucose monitor and then create an algorithm that changes insulin based off his sugar readings. Oh and he made it bluetooth compatible. Cool.

So the main problem here is insulin resistance and the proper treatment of diabetes. See, the more insulin you give, the more resistant the body will become resistant. His device alters the levels of artificial insulin every 24 hours. He sees this as an easy way to keep his blood sugar consistently low. He's right, it will do that. It is a remarkably good way to maintain his A1C levels (long term sugar marker). However, it will also slowly but surely increase his insulin intake. Insulin resistance is a common problem, most diabetic patients gradually increase their insulin uptake over time. Several problems arise with increased insulin uptake, the main one being increased fat development. This is so common because people see insulin as the cure and not the band-aid that it is. The real cure to type 2 (and management of type 1) is LIFESTYLE MANAGEMENT. General health practices such as exercise, proper diet, and quality sleep can drastically alter your BGL fluctuation. He briefly touches on a low-carbohydrate diet as quackery, which I would almost take as an offense considering how beneficial a ketogenic diet can be for diabetics. That's a whole other topic, this is already going on long enough.

The point I'm trying to make is that he seems to think that this fancy "artificial pancreas" will be the save-all for his diabetes when really he should be using it as a secondary device to lifestyle improvement. He comes so painfully close to self awareness... He states

    the problem is not because you're failing to remember to give insulin - but the type of food you eat creates these volatile swings
... with a first sentence of
    Given the choice between a) changing my lifestyle to be boring and b) hacking my metabolism, I chose the easier option

If you can't tell this is an extremely frustrating subject for me. I've seen countless patients who will try every damn medication under the sun to manage their diabetes BUT WON'T FUCKING EAT HEALTHY FOOD. The answer to diabetes is not a fancy device, it's your goddamn diet.

necroptosis  ·  95 days ago  ·  link  ·    ·  parent  ·  post: Where's Your "Third Place", Hubski?

Hubski is 100% a "third place" for me. I travel and move around so much that it's become difficult to establish any type of comfortable place away. In North Carolina it was a climbing gym, on my last extended work trip it was a cafe. I haven't been quite able to find anything similar in Germany. Hubski is always here with more or less the same cast of characters. KB's description perfectly describes how I participate in this community: I may not directly interact, but I also feel no need to. Reading about the projects, struggles, and successes of complete strangers is comforting.

necroptosis  ·  115 days ago  ·  link  ·    ·  parent  ·  post: Pubski: July 17, 2019

Use the direct link that ends in .jpg in imgur, it should embed automatically

necroptosis  ·  117 days ago  ·  link  ·    ·  parent  ·  post: Pubski: July 17, 2019

Sitting in the Frankfurt airport, waiting to return home after six months away. I have three days at home before another work trip. I honestly can’t remember my last day off. I’ll be taking a week off in the mountains of Idaho in August, it really can’t come soon enough