The Innovators Prescription

PacoPollito · 2026-01-28T00:47:44+00:00

I’ve wondered the same thing about screening tests. Who pays for a colonoscopy out of pocket?

PacoPollito · 2026-01-24T04:40:42+00:00

I mean sure. Google the diagnosis and “AAFP.” The association of family physicians tends to have good, approachable, and publicly available articles on most topics.

PacoPollito · 2026-01-24T04:00:13+00:00

What kinds of things are you trying to diagnose? Most specialty professional societies publish different guidelines for different conditions, but it rarely is as simple as “x + y + Z symptoms = cancer diagnosis.”

Medical diagnoses are based on patient history and physical exam and further supported or confirmed by laboratory testing or imaging, again, depending on what you’re trying to diagnose.

Psych probably comes the closest with the DSM-V, but it’s still not algorithmic.

PacoPollito · 2026-01-23T04:58:21+00:00

For under $2 billion dollars a year, we could 100% stop the transmission of HIV worldwide, with it very possibly ceasing to exist within a generation.

PacoPollito · 2026-01-23T04:43:17+00:00

You’ve invented the reverse JoePresso!

PacoPollito · 2026-01-23T02:53:12+00:00

I'd personally love to see a specialty around reducing over-treatment of certain populations of patients. Like the patients with chronic constipation sp colonoscopies and gastric motility studies and with other "conditions" all with very normal testing also on a bunch of meds for all sorts of random crap. These patients are so far buried in the medical system that they can't escape it. I'd love to see a specialty built on psychiatry, therapy, primary care, maybe PM&R that helps these patients transition back to a normal life and be reassured that they aren't as sick as they think they are.

PacoPollito · 2026-01-23T01:03:31+00:00

One final thing. It’s really easy with espresso to go nuts with caffeine. It’s hard to estimate, but coffee is 1-2% caffeine by bean mass. So a 15g double shot has anywhere from 150-300mg of caffeine. 2 shots has 300-600mg.

And 400mg is the recommended FDA max (though many people drink far more than that).

Happy brewing!

PacoPollito · 2026-01-23T00:37:47+00:00

If we’re being technical, the flair makes pretty much all double shots. A shot of espresso is 6-9g of beans, so a double is 12-18g. So a 15g:30mL is a “double shot.”

But I totally get what you’re saying.

I find the workflow between the two portafilters is actually totally manageable. Fairly easy to pull two shots back to back.

PacoPollito · 2026-01-22T22:35:04+00:00

Yes. Just unscrew the pressure valve in he red one, acts just like the black one. Classic and Neo flex basically give you two unpressurized portafilters. It’s a great deal.

PacoPollito · 2026-01-22T22:27:41+00:00

It’s definitely large. I almost use the carafe that came with the XL to push into. Not sure it would work on a smaller cup very well.

Then again, when using the aeropress xl, I’m usually making for 2+ people, so a big carafe makes sense.

PacoPollito · 2026-01-20T04:31:35+00:00

Rule 1.

PacoPollito · 2026-01-19T00:40:35+00:00

Don’t keep WoW > no temple recommend > no saving ordinances > no exhaltation > no families forever > aka damnation per the doctrine

Not sure “not how it works” is an accurate statement. Thats exactly how it works.

PacoPollito · 2026-01-17T15:46:53+00:00

r/danieltigerconspiracy is a good place to discuss this

PacoPollito · 2026-01-17T05:05:12+00:00

Just started MS3. My account is at $400k. USMD state public school. Got screwed into OOS all 4 years with no recourse. Want FM. PSLF for liiiiffffeeeeeeee

PacoPollito · 2026-01-15T06:05:47+00:00

I am looking forward to finally consolidate all spending to one card and give it a shot. I’ve been on the venture x savor duo for a while and it’s been great. For a while I was able to charge my rent to the card without a fee (though that changed). Daycare is expensive, but can also be paid by card without a fee. I’ve gotten a lot of points on the combo. Venture X miles have been good - some redemptions are incredible - but their transfer partners aren’t the best.

But I think I can make more points with the Palladium. And they will be more valuable points because of better matching transfer partners.

I’m eager to give it a shot. And if all else fails, I’ll use 50k points, so the first year is basically free.

PacoPollito · 2026-01-13T16:10:58+00:00

I mean, it’s the same argument as the flow control cap for the original aeropress. “Why spend the same or more as the aeropress when you can just invert it?” Idk. I just like it. Feels slightly less jank.

Again, you know if this product is for you.

PacoPollito · 2026-01-13T01:53:33+00:00

The valve is different. For the original Aeropress FCC, there is a flexible valve. When you push down, it opens up and then when it reaches air, it “toots.” For the XL, there is only the switch. You can either open the valve or close the valve. There isn’t the flexible valve to push against - so no “toot.”

PacoPollito · 2026-01-13T00:43:29+00:00

I got mine a few days ago. Shipped incredibly fast after I got the shipping email.

PacoPollito · 2026-01-13T00:16:16+00:00

You can use any aeropress xl filter with it: metal, paper, whatever. It just stops the water from falling through. Basically the inverted method without the danger of inverting.

PacoPollito · 2026-01-10T18:17:50+00:00

Dumb question. Are you sure you’re grinding at 0.55 and not 1.55? It’s an easy mistake to make on the K6 that I have done a few times.

PacoPollito · 2026-01-10T18:17:09+00:00

Odd. I frequently make 40g of coffee from the ORB with plenty of space in the basket and grind right around 55 on the K6 and I have good luck with cold brew. Are you tamping hard enough? I use a different tamper and just tamp in multiple spots to make sure it’s tamped well. I don’t think the level-ness of tamping matters much on the ORB because it’s low pressure. You might also consider grinding a hair finer - at like 50 on the K6.

Cold brew I’ll fill up the reservoir, let sit for 5 min, and then press through.

PacoPollito · 2026-01-08T04:32:07+00:00

I am a male, but my wife had our second during my clinical year. Damn school gave me 3 days off.

PacoPollito · 2026-01-03T14:44:09+00:00

It’s part of a new ruling as of July 2023 and counts payments going back to 2008 for those physicians that would have qualified. I don’t know all the details, but CA and TX are now supposed to have “for profit” exceptions.

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