patience_limited's recent activity

  1. Comment on China concealed extent of virus outbreak, U.S. Intelligence says in ~health.coronavirus

    patience_limited
    Link Parent
    Testing and reporting limitations are everywhere. Many people who likely have COVID-19 are being treated as such, but not tested or not reported as "confirmed" cases. In the U.S., at least,...

    Testing and reporting limitations are everywhere. Many people who likely have COVID-19 are being treated as such, but not tested or not reported as "confirmed" cases. In the U.S., at least, private lab results aren't being combined with public testing results at the state level.

    From the news stories at the time of the crisis peak in Wuhan, there were many reports that ill people simply couldn't get seen for testing, and may have died before they reached the hospital for confirmed case counting. There have been similar reports from Italy and Spain. Satellite photos of mass grave sites in Iran don't correspond to reported mortality numbers. I've seen no reports on postmortem testing anywhere.

    The dust isn't going to get settled until we see overall mortality reports and can infer likely COVID-19 deaths from the spike in numbers.

    I don't think the low reported numbers out of China are necessarily indicative of a deliberate plot to burnish their image internationally - as this article notes, China is as much in the dark as everyone else.

    7 votes
  2. Comment on What's the best way to connect four monitors to two computers? in ~comp

    patience_limited
    Link
    I've had to deal with similar problems for radiologists that are reading at multiple hospitals, with each hospital system (and its associated software and tools) on separate PCs. We were using...

    I've had to deal with similar problems for radiologists that are reading at multiple hospitals, with each hospital system (and its associated software and tools) on separate PCs. We were using this.

    It's hard to get a reliable quad-head KVM for under $1,000, for starters, and you've got to use DisplayPort if you want to support 4K resolution at 60 Hz refresh. You'd also need to convert your USB-C laptop output with a dock.

    The two [2x2] switches are probably your best option if you want to keep costs under control. Nonetheless, all of these solutions except the Thunderbolt dock are going to have too much response lag for gaming, and I can guarantee you'll see weird bugs with a custom keyboard.

    1 vote
  3. Comment on How is site growth? I have joined a year ago, looks like comment and upvote activity has died down a bit in ~tildes

    patience_limited
    Link Parent
    I suspect many Tildes users are bunkering down psychologically as well as physically right now. It's hard to maintain enthusiasm for commenting about daily news or other topics when it's all bad.

    I suspect many Tildes users are bunkering down psychologically as well as physically right now. It's hard to maintain enthusiasm for commenting about daily news or other topics when it's all bad.

    12 votes
  4. Comment on Hey Tilderinos, what's your favorite cannabis strain? in ~talk

    patience_limited
    (edited )
    Link
    I'm in the same camp as /u/cfabbro - current high-THC strains selected for the "high" mostly make me some combination of hungry, headachy, irritable, zombied-out, or send me straight to sleep. I'm...

    I'm in the same camp as /u/cfabbro - current high-THC strains selected for the "high" mostly make me some combination of hungry, headachy, irritable, zombied-out, or send me straight to sleep. I'm mainly using cannabis for inflammatory arthritis relief, to manage pain and minimize NSAID dosage and side effects.

    I'm another former smoker, and every vaped high-THC strain or oil hurts like I've just inhaled acid, even though I haven't had a cigarette in many years. This was a rather scary phenomenon when the contaminated vape oils were going around the US last year, even though I was getting my supply from a medical marijuana provider.

    My fave so far is a strain called Pure Essential (this may be a cognate for Pure Love), which I can find no specific information about online. It's been great for sleeping through arthritis pain, and provides some inflammation relief. I'm still not clear-headed enough to function normally on it for daytime use, though. Aside from being told that Pure Essential is a 2:1 CBD/THC hybrid strain, I don't have analytical information.

    Lemon Tart is another fave. It's euphoric, energetic, relatively non-foggy, and terrific for depression and pain relief. Unfortunately, it's got a mighty appetite increase to contend with - I don't need to be energetically consuming every carbohydrate in the house. Again, there's no reliable strain or analytical information I can provide, besides that it's a hybrid.

    It's still the Wild West as to consistency of strains and nomenclature. Since Michigan has had medical marijuana legalization for a while, we may have locally produced crosses that aren't available or widely known elsewhere.

    The state regulations are decent now about requiring labeling for THC/CBD content (and testing for pesticides, other toxins, etc.), but other cannabinoids and terpenes aren't individually identified. Vape oils here are particularly problematic, as regardless of the listed strain derivation, nearly everything but THC seems to have been removed. I've taken to pre-dosing with 20 mg CBD extract before I try any new strain or product, just to manage some of the off-track effects.

    Lately, I've been using Mary's Medicinals' 10 mg 1:1 THC/CBD transdermal patches. I can cut them to size to manage the dosage, and get good pain relief and complete functionality all day with a half. If there are medicinal terpene benefits, I'm not receiving them, but this seems like a very satisfactory and reliable compromise.

    Footnote: For those who aren't getting much from straight CBD, the effects are subtle. I had some decrease in inflammation, and a very noticeable decrease in social anxiety with 20 mg/day. Product quality is an issue - many "CBD" products are actually low-THC hemp whole-plant extractions, and the listed milligram concentration is cannabinoids, not CBD alone. Bluebird Botanicals sells both pure CBD (you can actually get crystallized pure CBD at $25/gram from them) and hemp extracts as reasonably priced as anywhere, and they farm their own hemp.

    Second footnote: I'd appreciate it if anyone can provide a favorite comprehensive strain database website that's properly searchable (including THC/CBD concentration), and not a horrifying, outdated mess like this, or managed by vendors.

    2 votes
  5. Comment on F.D.A. Relaxes Blood Donation Guidelines for Gay Men and Others in ~lgbt

    patience_limited
    Link
    From the article: Tiny wins.

    From the article:

    The Food and Drug Administration announced on Thursday that it was significantly loosening its recommendations for blood donations from gay and bisexual men, reducing the amount of time men who have had sex with men should wait before they give blood to three months from one year in hopes of ameliorating a drastic drop in supply during the coronavirus pandemic.

    The earlier 12-month waiting period was intensely criticized as discriminatory and antiquated when the F.D.A. introduced it in 2015 to replace a lifetime prohibition on blood donation by gay and bisexual men.

    Tiny wins.

    2 votes
  6. Comment on Fitness Weekly Discussion in ~health

    patience_limited
    Link
    I've been walking 5 - 10 km every other day, rain or shine, just to get the ants out of my brain. I don't think I've ever seen so many different birds in my life, the squirrels are practically...

    I've been walking 5 - 10 km every other day, rain or shine, just to get the ants out of my brain. I don't think I've ever seen so many different birds in my life, the squirrels are practically holding orgies on the path, and the shortage of people is refreshing. On the other hand, weight-bearing exercise is definitely harder on the joints than swimming and aquatics - I need the day in between walks for recovery.

    I'm still hesitant about bicycling; it's too easy to really f*ck myself up if I crash (not a great use of healthcare resources if this happens), and my spouse isn't in great shape to accompany me.

    The trainer from my weight gym is holding video check-ins for accountability on bodyweight exercises, so I'm trying to keep up with that.

    2 votes
  7. Comment on What's on your bookshelf? in ~books

    patience_limited
    Link Parent
    Yeah, 1.5 TB on the NAS and cloud, but couldn't get rid of the last 4 bookshelves. 🙃 The remaining physical volumes are mostly vintage SF editions and graphic novels, cookbooks, art folios,...

    Yeah, 1.5 TB on the NAS and cloud, but couldn't get rid of the last 4 bookshelves. 🙃

    The remaining physical volumes are mostly vintage SF editions and graphic novels, cookbooks, art folios, technical manuals, and a few sentimental items.

    Between the spouse and I, our Kindle list is getting to be appalling as well.

    In the course of the last three moves, we probably shed close to 2,000 volumes.

    3 votes
  8. Comment on Daily coronavirus-related chat, questions, and minor updates - April 1 in ~health.coronavirus

    patience_limited
    Link
    Between the airline connections to China, lack of testing to indicate existing spread, and pushback from the business community, Michigan was a couple of days slower than needed to lock down, so...

    Between the airline connections to China, lack of testing to indicate existing spread, and pushback from the business community, Michigan was a couple of days slower than needed to lock down, so we've got a major regional outbreak.

    Local to me, it seems we're getting an influx of people with second homes in the region, who are fleeing the southern part of Michigan and the Chicago metro. This is very bad news - northern Michigan doesn't have the hospital capacity or specialists to handle COVID-19.

    4 votes
  9. Comment on What have you been cooking during quarantine? in ~food

    patience_limited
    Link Parent
    I only used jalapeños because there were no poblano or Serrano peppers (and frankly, none of these peppers are spicy, to my taste). Funny story - when I was walking in the park earlier in the...

    I only used jalapeños because there were no poblano or Serrano peppers (and frankly, none of these peppers are spicy, to my taste).

    Funny story - when I was walking in the park earlier in the week, a 6-year-old kid on a bike started yelling "Jalapeños! Jalapeños!" at me as he passed by, trailed by his parents. He kept yelling the same thing at other people further along the path. Apparently, that's what his parents told him to say to get people to keep their distance.

    3 votes
  10. Comment on What have you been cooking during quarantine? in ~food

    patience_limited
    (edited )
    Link
    For whatever weird supply-chain reason, the local grocer had gorgeous tomatillos for cheap. We made a big casserole dish (double recipe) of Roasted Tomatillo Enchiladas. We had to substitute...

    For whatever weird supply-chain reason, the local grocer had gorgeous tomatillos for cheap. We made a big casserole dish (double recipe) of Roasted Tomatillo Enchiladas.

    We had to substitute jalapeños for Serrano peppers, and made it lasagna-style, with layers of tortillas, instead of as individual enchiladas. That worked fine, though we could have spread the filling a little more evenly. Yellow corn tortillas would have been better than white corn, but overall, it's not bad and a not-too-complicated way to make a lot of relatively inexpensive meals.

    8 votes
  11. Comment on Daily coronavirus-related chat, questions, and minor updates - April 1 in ~health.coronavirus

    patience_limited
    (edited )
    Link
    This might warrant its own topic... Racism against Asian-Americans is a real thing in the US right now. Spouse has a friend who's an ER nurse at a hospital in South Florida, and she reported that...

    This might warrant its own topic...

    Racism against Asian-Americans is a real thing in the US right now.

    Spouse has a friend who's an ER nurse at a hospital in South Florida, and she reported that they're receiving more Asian people who've suffered violent attacks than potential COVID-19 cases.

    I spoke with a Miami-area Korean friend yesterday. She mentioned going to the grocery store (she lives in a mainly Cuban-origin neighborhood) and having people leave her checkout line until she was the only one there, even though the other lines were ten people deep.

    I've tried hard all my life not to hate people, but I have never wished so much ill upon Donald Trump as an individual villain, as since the rhetoric he's emitted about COVID-19.

    And his actions/inactions... I can't even begin. It's clear he's punishing states because their governors are Democrats who aren't nice enough to him - he's f*cking KoKo the Executioner from The Mikado.

    13 votes
  12. Comment on How to spark a victory mask movement in your community in ~health.coronavirus

    patience_limited
    Link
    This is a heart-lifting, useful, fun volunteer project started by a local sewing community. As the site notes here, the masks they make aren't a perfect substitute for proper PPE, but they're far...

    This is a heart-lifting, useful, fun volunteer project started by a local sewing community.

    As the site notes here, the masks they make aren't a perfect substitute for proper PPE, but they're far better than nothing at all, and they're providing instructions suitable for general public use.

    I have a suspicion this group is going to get overwhelmed with national human interest reporting shortly - right now is probably the best time to donate funds or labor.

    2 votes
  13. Comment on Would you look down on a normal citizen wearing an N95 mask? in ~talk

    patience_limited
    (edited )
    Link
    My brother is currently driving for a warehouse-to-door delivery company, which decided early on to issue N95 masks to their drivers (and pay sick time to its "independent contractors"!). I...

    My brother is currently driving for a warehouse-to-door delivery company, which decided early on to issue N95 masks to their drivers (and pay sick time to its "independent contractors"!). I suspect it's as much to avoid liability as to protect the general public and staff.

    Nonetheless, my brother is over 50, recovering from a couple of medical issues, and delivering face-to-face for seniors and others with potential vulnerabilities in the Detroit-area hot zone. He may make 30 stops in a day, and would be a real threat if he unwittingly became a carrier. So I should definitely know better than to judge people without the full background.

    Even so, knowing that hospitals are desperately short of supply, I might still reflexively give people wearing N95 in public a bit of side-eye. The 2-meter social distance and hand-washing guidelines are sufficiently protective for the few activities they should be engaging in right now.

    Most people aren't trained to wear PPE properly, and they're just giving themselves a false sense of security (like my brother, who's wearing a standard-style N95 mask over a beard). Under the circumstances, a cloth mask may actually provide better protection for public activities, and won't deprive someone who needs the higher filtration because they're literally up to their elbows in a coronavirus patient.

    Also, there's a raft of badly produced or fake N95 masks being sold right now. Again, not something people know how to watch out for, and a source of false confidence. Wear a mask, by all means, but don't go looking for N95 if you don't already have them available from personal pre-COVID-19 stock.

    [Disclosure: I've worn a cloth mask to contain allergic sneezes and coughs, but as a general rule, if you're ill, you shouldn't be out in public right now.]

    4 votes
  14. Comment on What are the best, most interesting TV shows from outside the US? in ~tv

    patience_limited
    (edited )
    Link
    Don't miss Babylon Berlin, which is one of the most interesting series I've ever seen. Though it's not aiming at the same purposes and politics, I'd rate it up there with The Wire, particularly in...

    Don't miss Babylon Berlin, which is one of the most interesting series I've ever seen. Though it's not aiming at the same purposes and politics, I'd rate it up there with The Wire, particularly in its interwoven commentary on authoritarianism and gender.

    The genre is mystery/police procedural, with heavy Noir influences. There's vast material here for Weimar-era German history fans, leaning into what made Berlin such an astonishing and vital locus.

    I've never seen more seamless CGI for settings, meticulous costuming, and amazing props. The political machinations are plausible and compelling. The characters are exceptionally well-drawn, to the extent that even the blackest villains are sympathetic. The plot occasionally gets more convoluted and implausible than necessary, and Season 3 marks a worsening of the problem, but overall I highly recommend it.

    [Content warning for nudity, explicit sexual fetishism, and gruesomely realistic violence.]

    7 votes
  15. Comment on What are the best, most interesting TV shows from outside the US? in ~tv

    patience_limited
    Link Parent
    Also, Mister Sunshine, another Korean period drama set at the end of the Josean era. Stellar cinematography, impossibly beautiful people, and a really fascinating, complicated time in Korean and...

    Also, Mister Sunshine, another Korean period drama set at the end of the Josean era. Stellar cinematography, impossibly beautiful people, and a really fascinating, complicated time in Korean and world history. The romance gets irritating, but otherwise it's completely worth watching.

    1 vote
  16. Comment on Interview with German ventilator manufacturer Dräger in ~health.coronavirus

    patience_limited
    Link
    I'd give the topic post an "Exemplary" if I could. There's so much BS in the U.S. news right now claiming an ability to massively ramp up ventilator production. And we could, given six months or...

    I'd give the topic post an "Exemplary" if I could. There's so much BS in the U.S. news right now claiming an ability to massively ramp up ventilator production. And we could, given six months or more of lead time.

    As the article indicates, the supply chain is so distributed (and mainly concentrated in China), it's nearly impossible to coordinate production of all the necessary components and materials quickly.

    The knowledge to properly operate ventilators is even more scarce. Ventilation in intensive care management is not something for which you can quickly write an expert system or manual to coach non-specialist clinicians.

    ICU personnel demands for patients on ventilation are very high as well - even spread thinly, it takes one nurse for every five patients, and several different specialist physician interventions for each. Even with all this care, reported case fatality rates for COVID-19 patients on ventilators are around 40%.

    In sum, we need more ventilators, but most importantly, we need to prevent infections.

  17. Comment on Is the human race ever going to desist from putting profit over people? in ~talk

    patience_limited
    Link Parent
    The paradigm doesn't do that; it's capable of accommodating context-dependence, e.g. selflessness with family, selfishness outside the clan or for the clan's benefit. All these models coexist with...

    The paradigm doesn't do that; it's capable of accommodating context-dependence, e.g. selflessness with family, selfishness outside the clan or for the clan's benefit.

    All these models coexist with each other, but we can't effectively stamp out profit and demand cooperation in all contexts.

    1 vote
  18. Comment on WHO launches global megatrial of the four most promising coronavirus treatments in ~health.coronavirus

    patience_limited
    Link
    From the article: I'm kind of curious as to why camostat mesylate [PDF warning], which is indicated in the article's diagram, isn't included. It's an approved medication in Japan, and stockpiled...

    From the article:

    Enrolling subjects in SOLIDARITY will be easy. When a person with a confirmed case of COVID-19 is deemed eligible, the physician can enter the patient’s data into a WHO website, including any underlying condition that could change the course of the disease, such as diabetes or HIV infection. The participant has to sign an informed consent form that is scanned and sent to WHO electronically. After the physician states which drugs are available at his or her hospital, the website will randomize the patient to one of the drugs available or to the local standard care for COVID-19.

    “After that, no more measurements or documentation are required,” says Ana Maria Henao Restrepo, a medical officer at WHO’s Department of Immunization Vaccines and Biologicals. Physicians will record the day the patient left the hospital or died, the duration of the hospital stay, and whether the patient required oxygen or ventilation, she says. “That’s all.”

    The design is not double-blind, the gold standard in medical research, so there could be placebo effects from patients knowing they received a candidate drug. But WHO says it had to balance scientific rigor against speed. The idea for SOLIDARITY came up less than 2 weeks ago, Henao Restrepo says, and the agency hopes to have supporting documentation and data management centers set up next week. “We are doing this in record time,” she says.

    I'm kind of curious as to why camostat mesylate [PDF warning], which is indicated in the article's diagram, isn't included. It's an approved medication in Japan, and stockpiled there for influenza outbreaks.