I think nearly everyone should be screened for sleep apnea. The at-home test you wear on your finger is so cheap - it doesn't make sense not to do it for anyone who has any issues with sleep or tiredness in the day.
I always thought that due to being female and a healthy weight, it wasn't something I needed to think about. I also didn't think I snored more than anyone else, so it took me years of poor sleep before a Doctor finally recommended I get tested.
Turns out OSA also can be caused or aggravated by: the size and shape of your mouth, the position you sleep in (I have twice as many events on my back vs side), and whether you tuck your chin in near your test (soft cervical collar helped for that). There are devices that alter how your mouth rests when sleeping (easier to breathe if your front teeth are forward) but they're possibly not good for your bite. CPAP/APAP is still the gold standard for a reason.
The coolest thing about CPAP though, is a lot of them have amazing metrics recorded if you pop in an SD card. And there's a big community built around open source software to analyze those metrics and tune the settings to minimize apnea events overnight.
Also, a cpap with a humidifier is amazing if you're prone to nose pain / nose bleeds due to dry air.
The at-home test you wear on your finger is so cheap - it doesn't make sense not to do it for anyone who has any issues with sleep or tiredness in the day.
WatchPAT is what I used, there's a few different companies who will mail you one, then you sleep with it on your finger overnight, and a doc reviews the data
My comment is more of a complaint than a discussion so apologies, but I was disappointed recently because I did at an at home test and scored borderline. I was hopeful that it would be sleep apnea so I could go about solving my bad sleep, but a lab test showed conclusively that I didn’t have it.
I got checked out initially because I mentioned to my sister that I didn’t recall the last time I’d woken up and felt refreshed all day, even with 8+ hours, and she said “…that’s not good, get that checked out.”
Chronic tiredness can be such a hard thing to figure out, sorry you've been going through that! Is it sleepiness (as in can fall asleep at any point of the day), or fatigue (as in non-restorative sleep, brain fog, feeling exhausted, etc)? I've had chronic fatigue (non syndrome) for six years now, so I'm pretty familiar with how obnoxiously long it takes to get answers. Some things to look into:
Do a full polysomnogram with MSLT: this will check for sleep apnea, restless leg syndrome, narcolepsy, and idiopathic hypersomnia
Look into ME/CFS if you have post exertional malaise (pretty much you cross some invisible line in exertion followed by a delayed crash).
Look into MCAS if you also have strange allergy symptoms. I have MCAS, though tbh I didn't really have that many symptoms until I looked at Dr. Afrin's free chapter on MCAS.
Maybe fibromyalgia, but you didn't mention muscle pain, so it probably doesn't apply.
Obviously depression can cause somatic symptoms, so that's worth checking, but I think people jump to that conclusion too soon.
Note that a lot of these conditions don't really have tests, so it's really tricky to get a diagnosis. It takes finding a doctor who's willing to recognize them and give a diagnosis.
But love the Gatlinburg aside. It's like Myrtle Beach, but worse. The Blue Ridge mountains have amazing natural beauty for miles in every direction. So many great towns too - Blowing Rock, Boone, Asheville, Maggie Valley, (hopefully Chimney Rock will be back on that list someday). Why anyone would pick Gatlinburg to visit is beyond me.
If you want to go to Great Smokies, do it from the east side, not the west. The east side can be charming (I really liked Bryson City). Pigeon Forge? What a tourist trap hellscape.
Really? Agree to disagree. At least in MB I can bike around, get in the ocean, and pig out on seafood. It's not classy, but at least it's cheap. I would never fly there, but as a weekend trip from Charlotte, it's not terrible bang-for-buck at all. Though I'm sure nostalgia from going there frequently as a child is coloring my view.
Sorry - significantly better was overreaction from my part. My view of Myrtle beach is somewhat muddied by the reason I was there in the first place. Was in GA for a wedding, was going to go to FL, but couldn't due to a hurricane and ended up quickly shuffling to Myrtle Beach. Felt like a memory of a town. I do have a coworker who recommended me some good spots, but not sure if I will ever make it back there https://maps.app.goo.gl/EbWrjJ92qgV3vx598.
Gatlinburg is maybe the ultimate tourist trap. Was hilariously enough also around there for a wedding.
I can't really argue for either as destinations. Both of these places I don't think I would go over other available options.
I live in Sevier county about 30 minutes from Gatlinburg. It is indeed a peculiar place, unlike anywhere else I can think of. We almost never go there despite being so close. The best restaurants in the area I recommend to tourists are actually in downtown Sevierville (which is small and quaint), not Gatlinburg or Pigeon Forge.
That said, I've been to various theme parks around the world, and Dollywood is probably my overall favorite. We go quite a few times a year; it's great for both kids and adults.
> But love the Gatlinburg aside. It's like Myrtle Beach, but worse.
Yeah Gatlinburg is a strange place, that one stuck out to me too. I described it in my comment as like a touristy beach town but small and not in a charming way. That main strip with all the t-shirt and other tourist shops haha, it reminds me so much of Daytona Beach when I lived there as a child.
> Sophisticated AIs are a genuinely new kind of entity...
Interesting that they've opted to double down on the term "entity" in at least a few places here.
I guess that's an usefully vague term, but definitely seems intentionally selected vs "assistant" or "model'. Likely meant to be neutral, but it does imply (or at least leave room for) a degree of agency/cohesiveness/individuation that the other terms lacked.
There are many pragmatic reasons to do what Anthropic does, but the whole "soul data" approach is exactly what you do if you treat "the void" as your pocket bible. That does not seem incidental.
I’m thinking more of paying people on the margin or of some kind on tax system that compensates for inequality a bit.
Not fully worked out, but consider: suppose there are 100 people in the population, and a bunch of them are ambivalent between tech work and jobs like hairdressing. If tech work paid 10% more than hairdressing, some would do tech work and some would cut hair. If tech work paid 200%, then maybe there would be too many applicants and the employers would reduce wages. (I’ve occasionally contemplated that perhaps one reason that the big Silicon Valley employers pay so much is kind of anticompetitive: they can afford it, so they might as well, because it makes it more expensive to compete with them.)
Or alternatively, imagine if taxes were structured so that owning more than one house were highly discouraged (with appropriate provisions to make owning properties to rent them out make sense, which is something that a lot of legislators get wrong), and if permitting to build houses were not absurdly restrictive, then many different jobs with very different salaries would could still result in having enough income to afford to live in approximately one house. Some might afford two (!), and some might afford one that is much fancier than someone else’s, but if the pressure that makes someone like a hairdresser need to compete against a highly paid tech worker to pay for a similar house went away, the situation could be much improved.
(California, like many places, has strictly too few residential units in the places that people want to live, so just adjusting prices won’t help much.)
I've read a lot of Holmes recently, and while I'm not a man, I do think Doyle portrays Holmes' issues in a way that is relatable.
Holmes core thing though is that he has an almost ADHD-esque craving for novelty and tolerance for risk taking. He also can't stand not actively working on things, and when he's not working is when he's depressed. He doesn't seem to know how to actually feel good, but he knows how to be useful, thus his penchant for productivity boosters like cocaine.
He's a great character, but I wouldn't over pathologize him according to today's understanding of mental health. Doyle was a physician and gave Holmes various traits similar to what he had seen in his patients.
> ...when he's not working is when he's depressed.
The cure for that is known since dawn of time - walking.
Holmes, being an exceptionally observant man, definitely would observe that walks raise the mood, allow for (most often silly) ideas to come and, last but not least, increase observation capabilities, attention to details and speed of thought.
Arthur Conan-Doyle did an extensive walks back then, but his hero was written to not to. This is not right.
As I recall Holmes did in fact do a lot of walking. He vacillated between periods of inactivity(cocaine, violin, shooting V in wall with a revolver) and intense activity (taking up disguises and doing various physical activities including walking all across London and elsewhere.
Just because your logical mind says one thing is good to do and you know you should do it you are not going to always obey your rider, the inertia of the elephant takes over.
So you need a trigger to snap out of it, for Holmes it was a new case.
AFAIR those had a specific purpose (chasing a perp, tracking down evidence, etc.). Most of his thinking he did sitting in a chair and smoking his pipe for hours on end (sometimes the whole night).
He was a physician and had said that his experience treating patients influenced his characters. So, he had more than academic experience, but I'm not sure if it's enough to prove he experienced those things personally.
Can't read the whole article, but am curious about how it will impact unlicensed childcare operations. I imagine that the number of parents using these is much higher than many people realize. Will be interesting to see how many parents end up using the state program.
Until very recently in human history 100% of childcare operations were unlicensed, and this was better in every way than a government bureaucracy run system.
I'm not knocking it. My parents didn't use licensed daycare for preschool for me or my sister. Just dropped us off at some old lady's house and paid her cash for watching us. 99% of arrangements like that work out fine. It may be suboptimal, but usually it's at least fine.
I'm actually wondering if the program will make a big dent though. One issue with formal childcare arrangements is that the hours tend to not be flexible. Parents who have to work til 6 some nights, or who have nontraditional work schedules in general may not be better served by the state's option.
It may be suboptimal, but what isn't? The problem here is assuming that the expensive bureaucratic credential based system is optimal or even better at all. "Everybody knows $SOME_NEIGHBOR and she's great with kids" is just a much better indicator of quality in child care than "$SOME_DAYCARE is licensed by $SOME_BUREAUCRACY."
Also, I'm not even against state support for parents needing childcare, but giving $500 a month to each parent who needs it to find childcare in an informal system will actually be much better than a state run system that spends $2000 per kid.
Until recently, you had personally known everyone, for years, who you might hand your child off to for a few hours.
We have things like licensing because we're handing off our children to perfect strangers, and want some level of assurance that it's not going to be a disaster.
We are only handing them off to complete strangers because the informal system has been driven underground by laws that only allow the state licensed bureaucratic monopoly. If state licensing was optional and people were allowed to run neighborhood businesses I bet you would see something very different.
I dunno -- it's not like you know people in your neighborhood the way humans used to know members of their tribes. And I've known people in the neighborhood who seemed totally normal and safe, and then got arrested for something shocking. We're not spending all day long with even our next-door neighbors, let alone the ones five blocks away.
Having standards in training, operation, and oversight of childcare seems just as important as safety standards in the food supply. Even though everybody cooks at home, you're not allowed to run a restaurant without certifications and inspections either. And thank goodness.
I'm sorry, America hasn't been Mayberry since the 1950s, and it never will be again. Most of us live in towns with more than just a post office, so this Norman Rockwell-esque fantasy of just dropping your kid off with the nice housewife next door is not just dead, it's starting to smell really bad.
Even with the terrible state of education in most nations, that is a patently untrue sentence at least in the fact that poor people can have access to education at all.
I didn't say anything about school. This article is about childcare for children below school age. But basic education is also actually quite cheap and easy to provide. Abraham Lincoln was educated in a one room school house. We have made it expensive by turning it into a bureaucratic nightmare with administrators, school boards, lawyers, and PTAs, when all you really need is a few good teachers who are given the authority to set and enforce high standards.
"until very recently" includes pre-industrial times to my understanding when education did not exist in an organized fashion for the poor.
[edit] And in what world is Abraham Lincoln considered "the poor" for his times? I am sure you can come up with some less fortunate people during the same times which didn't really get the experience of that one room schoolhouse.
The world is quite a lot bigger than Illinois though.
And it seems I need to spell it out for you, right there in the US during the same times, children of black people in the south didn't get access to education[1]. Serfdom was a thing in Europe until the early 1900, serfs children didn't get access to proper education[2]. I'm giving you a link to Russian education, but the whole of Eastern Europe was at a similar level. I don't know what kind of rose tinted cool aid you guys have been drinking.
Reminds me a lot of AirConsole, which I once had a subscription to.
But ultimately it all comes down to the game quality and how buggy it is. If people can't submit their answer or reconnect, that wears down support. But people tolerate jackbox's absolutely terrible system because the games are great.
I always thought that due to being female and a healthy weight, it wasn't something I needed to think about. I also didn't think I snored more than anyone else, so it took me years of poor sleep before a Doctor finally recommended I get tested.
Turns out OSA also can be caused or aggravated by: the size and shape of your mouth, the position you sleep in (I have twice as many events on my back vs side), and whether you tuck your chin in near your test (soft cervical collar helped for that). There are devices that alter how your mouth rests when sleeping (easier to breathe if your front teeth are forward) but they're possibly not good for your bite. CPAP/APAP is still the gold standard for a reason.
The coolest thing about CPAP though, is a lot of them have amazing metrics recorded if you pop in an SD card. And there's a big community built around open source software to analyze those metrics and tune the settings to minimize apnea events overnight.
Also, a cpap with a humidifier is amazing if you're prone to nose pain / nose bleeds due to dry air.
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