A little over a week ago, I got an official diagnosis of hypothyroidism from my GP. Fair warning, this post is going to be a little bit of a rambly discussion of my thoughts and feelings surrounding my diagnosis and other circumstances surrounding it.

I'm a US American, but I moved to Germany to do my master's degree in 2018 and have lived here ever since. I've struggled with depression and social anxiety since before I moved to Germany, but my symptoms got notably worse in 2020 (perhaps unsurprisingly). In late summer of 2020 my psychotherapist finally suggested I go on an SSRI, but she wanted me to get a blood test to rule out any physical causes. I went to my then-doctor and got such a blood test. Everything was within the normal range except for my TSH.

For those unfamiliar, TSH is the hormone your pituitary gland sends to tell your thyroid to get a move on. It doesn't directly measure your thyroid function, but it's a pretty good indicator something's up, so doctors use it to screen for thyroid issues. High TSH is a sign of hypothyroidism, and low TSH is a sign of hyperthyroidism. Your average person with a healthy thyroid will probably have TSH between 1.0 and 2.0, but some variation exists. The normal range that doctors use here has 4.2 as its upper limit. In 2020, my TSH value was 4.8. My doctor then said that people with hypothyroidism have higher numbers than that, so I was fine. She wrote my a prescription for a low dose of an SSRI, which did help me to an extent.

I've been fat for a long time, to different degrees. After I first moved to Germany in Fall of 2018, I quickly lost a lot of weight. There were likely a lot of factors -- I wasn't living at home where snacks were constantly stocked, I was buying food on a student's budget, I was eating out and ordering takeout less because of my social anxiety and shitty German skills, and I was walking a lot more. When I came back to the US for family vacation in 2019, I constantly got compliments about having lost weight, which felt weird. I was still overweight according to the BMI, but more of a classic midsize chubby at that time. But it wasn't to last, and I did start gaining the weight back. For a while it, I attributed this to my getting more takeout and walking less. But a year or two ago it felt like it stopped being directly attached to my activity or food consumption. I went on medication that suppressed my appetite as a side-effect, but I continued to gain weight. Since I was already fat and had been gaining weight for a while, I didn't mention anything to my doctors because I was already getting lectures about how I needed to lose weight and exercise more. I don't know for sure what I weigh right now because I've avoided weighing myself for months, because I'm scared I weigh over 100kg and I can't handle seeing that triple digit on a scale.

I've tried and failed to become more active and start an exercise routine several times. I joined a sports course at university with some of my friends, but I quit after a couple sessions because I was hyperventilating before warm-up was over. I've tried to do some basic strength training, but I'd be sore for days after even incredibly beginner-level stuff. More recently, my wife and I tried to take regular walks through the nearby park during last spring and summer. But I'd tire out after an embarrassingly short distance, not even enough to get to where we see the ducks (the highlight of the park for me). As the weather got worse in winter I basically stopped leaving the apartment. It's a struggle to put my shoes on without an extra long shoehorn so I don't have to bend over, and anything that requires me to tie my shoelaces is basically off the table.

I've been struggling with work for the past several months. I can't seem to focus on it, even if I take my ADHD medication. I look at the computer screen and I just can't mentally handle the work. Every day of work is exhausting, even though I work a pretty cushy job as a data scientist and I work from home. I do way less than 40 hours of actual work a week but I'm still too physically and mentally exhausted all the time to do anything but the most trivial household chores. I haven't cooked dinner for myself in months (thank God for my wife).

I switched to a new GP at the beginning of 2024 bc I was having trouble getting timely appointments at my last one. We agree to do one big blood test covering everything, since I have a myriad of small complaints and it's been years since I've had one. That test comes back mostly normal, except my cholesterol is a little high and my TSH is a smidge above 5. My new GP then says we should do a follow-up blood test to look at other thyroid measurements (this would be directly measuring the hormones my thyroid produces) to see if I have hypothyroidism. I mention offhandedly the interaction I had with my old GP in 2020 and she says that's not how you're supposed to do that; high TSH means further testing even if it's not that high. A few weeks and another blood test later and I've now got a new diagnosis and a prescription for artificial thyroid hormone.

It turns out that pretty much everything I've been struggling with for years now? May be because of my underactive thyroid. Your thyroid is apparently pretty damn important and it not working right (in either direction) can result in a truly dizzying amount of things going wrong. Depression, brain fog, fatigue, and weight gain are all pretty classic symptoms, but apparently it can also cause problems with your lungs or even contribute to carpal tunnel syndrome. Everyone with a properly-functioning thyroid, take a moment to thank that lil butterfly-shaped guy in your neck.

I'm so glad to have something that's basically a "feel better" pill now. But I'm left with a sense of deep frustration that I've had so many problems that even I dismissed to myself because I assumed they were just cause I was a stupid out-of-shape Fatty. It turns out it's actually not normal for someone in their mid-20s at my age to struggle to put on their own shoes without assistance, even when they're obese. Being unable to take a short walk without needing to sit down because I'm exhausted and out of breath isn't just because I'm fat and out of shape. I've had no shortage of symptoms heavily impacting my life, but most of them I hadn't even bothered to mention to my doctor because I assumed they were just Me Being Fat and that all I'd get was (yet another) lecture.

This is, of course, coupled with a lot of anger at my old doctor for not even running any follow-up tests. I've only been on levothyroxine for about a week and I already feel like I have a little more energy. I could have been spared years of suffering if that doctor had only done what she was supposed to. Fuck that.

But at the same time, I feel such relief. This all wasn't just me being a bad and lazy person. There was actually something wrong. And, even better, hypothyroidism is pretty easy to treat. I just wish I hadn't gone through over three years of unnecessary suffering when I could have gotten this treatment then.

So I'm in the market at the moment for a GPU upgrade. I haven't spent a dumb amount of money on something stupid in a while now and I'm thinking this Christmas season is the time. My only problem is, I've been really out of the loop since the Great Shortage. I've heard AMDs cards these days are actually more than complete jokes, and NVIDIA has been getting too big-headed and making some poor consumer choices. So a switch to AMD sounds like it might be viable for me.

At the moment, I've got an RTX 2070 8GB. I've read that lately, games have been utilizing VRAM like crazy so I want to bolster my numbers on that front. Was looking at 12GB cards since the 24GB ones are all ludicrously priced. At the moment, I'd say my budget is around 500/600 USD. Is AMD worth switching to at the moment? Or should I go for something like a 4060?

My RSS reader has turned up a lot of pessimistic articles about the state of EVs in the last few days, for example:

https://www.thedrive.com/news/gm-is-stalling-ev-production-because-demand-is-falling-off

https://www.thedrive.com/news/gm-delays-expanded-silverado-ev-production-orion-assembly-by-year

https://www.thedrive.com/news/mercedes-dealers-struggling-to-sell-evs-complain-eqs-isnt-aspirational-enough

https://techcrunch.com/2023/10/17/gm-delays-4b-ev-truck-factory-plan-by-another-year/

https://techxplore.com/news/2023-10-vietnam-vinfast-struggles-electric-cars.html

https://english.elpais.com/economy-and-business/2023-10-18/europe-is-looking-to-fight-the-flood-of-chinese-electric-vehicles-but-europeans-love-them.html

Caught this YouTube video also:

https://www.youtube.com/watch?v=cZlsZwcIgpc

Because of the car industry's obsession with XXL vehicles, Australia is thinking about increasing the size of the standard parking space

https://www.theguardian.com/australia-news/2023/oct/15/australia-may-increase-standard-car-parking-spaces-as-huge-vehicles-dominate-the-streets

meanwhile, given a choice, consumers are snapping up the reasonably sized and highly efficient (40mpg!) Ford Maverick

https://www.thedrive.com/news/the-ford-maverick-is-outselling-every-midsize-truck-but-the-toyota-tacoma

maybe those American consumers might desire a bigger truck but they can afford that one.

When I read between the lines I'm inclined to think that there isn't any shortage of interest in EVs, but there is a shortage of interest in $80,000 EVs because very few people can afford them. What are you seeing in your neck of the woods? What intervention can you imagine that would help get the industry come to its senses?

First of all, this is a lot about me and myself and I'm sorry it's a bit self-centered; it's been bouncing around my head and I want to get it out somewhere. Please let me know if this isn't appropriate here.

Secondly, teachers or those in training to become one: I want to hear your thoughts on this question.

Why am I becoming a teacher?

I've been finding that I'm asking this question of myself a lot lately. My goal is and always has been the same for years: I want to teach, I feel good teaching, I feel I have a purpose and that purpose has been what's driven me forward when I wanted to give up. Truly though - why do I want to be a teacher?

I could do the same style of work in other settings. I could become a tutor, self-employed or otherwise, and assist students in a specific capacity. I could be a YouTuber, creating video essays on self-researched subjects of passion. I could be a writer, bringing the same content through literature to a wholly different audience. In all of these, there is the potential to make more money, reach a wider audience, and leave a more indelible impact upon the world.

So, why am I becoming a teacher?

15 years ago, I dropped out of college, suffering depression. I wasn't the only one depressed; aside from the millions of others reeling from mental health issues, the economy was entering a recession in 2008. I was a NEET - jobless, out of school, and seemingly stuck. My family (read: my dad, stepmom, and sisters) had abandoned me - they had other matters to worry about than their wayward son - and I was fortunate my mother whom I'd dissociated from years before reached out to me. With her help, I got back on my feet, moved across the country, and began looking for work with slight hope. I volunteered one day to read at the school she worked at, and the teacher in the room went to the admins and demanded I be hired on the spot. I was.

Thus began a journey of discovery. I was good at something, and I felt good about doing it. I felt something to replace my depression and self doubt: worthiness.

Over the years, I honed my craft and continued sporadically attending school - when I could afford it - in order to become able to lead my own classroom in our private school/daycare. That was 7 years ago, and I've been teaching prek (4-5 year olds) since then. I'm able to teach reading, writing, mathematics, chess, life lessons, history, biology, astronomy, geology, entomology... the list goes on and on. I have a passion for learning, and for sharing that learning.

Is that why I am becoming a teacher?

The biggest obstacle to achieving my ultimate dream - teaching in public schools - was always the degree. I had dropped out of college twice - in 2008 and again in 2013 - before finally completing an Associates degree in 2016. I felt that, financially, getting my bachelor's would never happen. Massive student loan debt (private debt north of $30k) and low wages in childcare meant I wasn't getting anywhere. Life changes though, and the stars aligned - the private debt was written off, I got out of defaulting on my federal loans, and just in time to qualify for a state program to get me in school again and have a full ride scholarship. It was happening!

Now we live in a post-pandemic world... Do I still want to become a teacher?

At first, attitudes were siding with teachers. There was sympathy for their struggles and worries, the low pay and high barrier to entry. That quickly changed, as it did for medical workers and others in the pandemic world. Teachers struggle more now than they have before. Fewer resources, more troubled students that desperately need help, more resistance from parents and communities trying to prove that teachers and schools aren't necessary in the way they have been, and more burnout and shortages across the nation.

I see all this and yet I press on. Why?

The thing is, I'm not sure. My resolve is strong and I've been persistent and diligent in my schooling. I've worked too long and hard to give up this opportunity. Why do I still want to teach, though? Why not find an administrative job with potentially more pay and better work environment? Why not leave education altogether and use my skills elsewhere?

It comes back to what drove me forward in the first place: purpose. I feel in direct connection with the future by doing what I do. I feel like in some miniscule, imperceptible, but meaningful way, I can help create a better world tomorrow by doing what I do today. It gives my life meaning, and nobody and nothing can take that from me. I've changed hundreds, potentially thousands, of lives already. Students return years later to tell how much I meant to them - these are students I had known at ages 4 and 5 who still remember me a decade later!

So, why am I becoming a teacher?

Because someone has to do it, and that someone might as well be me. I enjoy my work, I enjoy the ups and downs, I enjoy the struggles and challenges and overcoming them, I enjoy making difficult topics understandable to young minds, I enjoy what I do even when I hate it. To me, that's love.

With good luck and a positive outlook, I'll be graduating with a degree in Early Childhood Education next September. It may not be prestigious, it may not make me a lot of money, but it will allow me to continue on the path I've set myself. Thanks for reading.

I'm asking this as a genuine question, not as a hot take.

Where I'm coming from:

My husband and I went to dinner the other night -- apologies from the waitress on being shortstaffed. A sign on a local store asks for patience with the lack of staff. The people staffing order pickup at a nearby department store aren't enough to keep up with orders. At my most recent doctor's appointment I spent almost 45 minutes in the exam room waiting to be seen (for an appointment I had to make over a year ago). A few hours after the appointment I went to pick up a prescription, and it hadn't even begun to be processed yet. There was only one cashier working, and she was having to jump between the in-person line and the drive-thru lane. At my job we don't have enough substitute teachers, so we're dependent on regular teachers covering classes during their "prep" periods.

This is merely a recent snapshot from my own life that I'm using as a sort of representative sample, but it feels like something that's been building for a while -- like something that was going to be temporary due to COVID but has stuck around and is now just what we're supposed to get used to. I remember that I used to keep thinking that understaffing would eventually go away over time, but it seems like it's just standard practice now?

Is this something specific to my experiences or my local area (I'm in the US, for context)? Are other people seeing the same thing?

Assuming it isn't just me, is there anything out there besides anecdotes that addresses this phenomenon? I don't want to lean solely on gut reactions, but I also can't deny that nearly every business I go to seems visibly short-staffed all of the time.