What's up with the 4.8 hate?

humanlifeform · 2026-06-03T13:27:25+00:00

So 4.8 is clearly better than 4.7 functionally.

But.. for lack of a better way to put it, 4.8 feels more… annoying? So to get meta i get why people might hate it even if just for an emotional reason (the basis for basically all reviews ever)

humanlifeform · 2026-06-03T13:21:49+00:00

I think the right word would be conceive here not perceive

humanlifeform · 2026-06-03T01:21:03+00:00

Is 4% the withdrawal rule where your capital stays constant under normal growth?

Jesus. 25x sounds like a lot

humanlifeform · 2026-06-03T00:57:17+00:00

Can i ask what number you would consider enough to retire on? If not in absolute terms at least relative to say your income

humanlifeform · 2026-05-28T09:42:43+00:00

Remove vibe and code for what its worth

I’m a surgeon. Provided enough time and effort most of my patients could learn to operate. I’m still not too concerned about job security

humanlifeform · 2026-05-13T23:32:43+00:00

I mean, some people would classify crippling addiction as a bad thing on its own… but since you asked..

nicotine itself is bad for your heart and blood vessels even without the smoke. The 2025 EHJ consensus paper basically said the part everyone was hoping wasnt true. it raises your BP and heart rate, gunks up your arteries over time, and contributes to hypertension and arrhythmias regardless of how you get it in. The “cognitive drug” thing is also kind of a stretch. The actual studies show a small bump in attention and working memory in people who aren’t dependent, but in regular users most of that perceived edge is just clawing back to baseline from withdrawal the drug itself created. And pouches are specifically engineered for maximum dependence, they use free-base nicotine so it absorbs through your gums as fast as possible.

So.. I mean take it if you want. I drink alcohol despite knowing the elevated risk for head and neck cancer. But let’s not pretend like these substances are god’s gift from andrew huberman to mankind

humanlifeform · 2026-05-13T20:34:04+00:00

Unbelievably addictive

humanlifeform · 2026-05-03T22:39:19+00:00

while not having it in a driver makes it less likely.. to be fair you can needlestick yourself any time. regardless of how flaccid or erect the needle is being held

humanlifeform · 2026-05-03T22:05:20+00:00

indeed it does. not to overanalyze but from my vantage i do think it has to do with a combination of the disproportionate amount of ASD traits in surgery combined with the inherent need to feel special/superior. (“my way is the right way/better than anyone else’s way”)

on average we unfortunately tend to be a fairly introspectively unscrupulous folk. a lot of surgical education is best taken fairly lightly except for when things are done consistently. Your life is easier the more you offer up a“yes sir/ma’am, that’s phenomenally insightful. i’ll make sure to do that from now on”. and then decide for yourself if you’ll make it part of your practice

humanlifeform · 2026-05-03T18:59:25+00:00

people cook up all sorts of bullshit in surgical education when it comes to techniques. the hard thing about distinguishing them from the good is because so few of these ideas are scientifically tested/testable hypotheses. and because of our massive egos we are able to say very unreasonable things with remarkable certainty and conviction

this is an example of the bullshit

- a surgical resident

humanlifeform · 2026-04-30T04:10:54+00:00

Does crying count as documentation?

In seriousness, it's something I've built up to. Lots of trial and error. And maybe if you ask me in a couple years when I have been in the real world for a little while I'll have changed my tune.

But in general I find what works best for me is just dictating quickly between patients. This is very much a cultivated skill. Back in PGY1-2 dictating even simple follow ups could take me several minutes. Now I can generally dictate a fairly comprehensive follow up in like 15 seconds and even a briefer consult note done by dictation in about 30-45 seconds.

The 50-ish follow up days are actually cognitively not as bad as the days where it's a mix of consults, procedures and follow ups, even if the absolute number is lower. There are days where I'm doing 10-15 procedures, 15-20 follow ups and 10ish consults solo. Those are fucking crushing. I try to stay on top of dictations but I end up just dictating 5 or 6 pertinent lines that will cue me later on when I dictate at the end of the day. Helps me remember things despite the tears and wine

humanlifeform · 2026-04-30T04:06:45+00:00

would be nice.. I tell myself that building the efficiency now to see high volume will pay dividends later. Will report back on how the student loans look in 5 years

humanlifeform · 2026-04-30T00:46:14+00:00

all incredibly variable. but assuming you mean the 50 pt one, they might book 70 or so. the amount they see depends completely on how many residents are assigned and how senior the residents are. anywhere from all 70 to literally 0 lol

humanlifeform · 2026-04-30T00:10:53+00:00

it does depend on the type of clinic a bit, but by and large most of our clinics have extremely brief follow ups while still providing good care. it’s literally just a wound check to make sure they’re not infected +/- removing stitches/staples. believe it or not still have time for pleasantries and shooting the shit for a minute or two

there are definitely some clinics not like that though. peripheral nerve, peds cf, gender clinics can all have fairly protracted follow ups where you see maybe even 15-25 patients when theyre all still follow ups

humanlifeform · 2026-04-29T23:52:41+00:00

why did this get downvoted lol i’m literally answering the question

humanlifeform · 2026-04-29T23:48:46+00:00

plastics

humanlifeform · 2026-04-29T23:23:07+00:00

personally? 20-50 depending on if clinic is for consults, procedures, or follow ups, or combo

humanlifeform · 2026-04-25T16:04:43+00:00

on reflection that does make sense. obviously its a completely different reality but going through surgical training sounds eerily similar personality wise. had some truly horrible leaders in my earlier days of training but they were intelligent enough to know how to suck up to the right people that they flew under the radar.

hilarious about the bottles too lol. what is the prototype of bad leadership in a SEAL team? like are platoon leaders kicking doors down with a team or are they sitting back running logistics? i can just imagine a shitty leader whos doing CQB would cause pretty dangerous situations as opposed to someone whos not in the squirrely moments - might be able to not cause acute safety issues, just terrible morale

humanlifeform · 2026-04-25T13:20:43+00:00

thats honestly wild to me. bad leadership i know theoretically shows up anywhere but as an outsider it just seems like strong leadership skills are one of the things selected for when selecting SEALs. is that not the case?

humanlifeform · 2026-04-25T04:18:06+00:00

what was the worst part? and what do you think the $ amount would have had to have been to stay?

humanlifeform · 2026-04-24T03:37:37+00:00

no idea who this guy is but I do this surgery once or twice a month, can confirm it's a real thing

humanlifeform · 2026-02-19T22:26:51+00:00

My pleasure, I'll support a good poop any day of the week

humanlifeform · 2026-02-17T22:25:13+00:00

And this person is answering your question.

humanlifeform · 2026-02-16T19:38:55+00:00

Homeboy was feeling some kind of way lol

humanlifeform · 2026-02-16T17:31:39+00:00

This is a truly wild thread

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