Sabitlenmiş Tweet
Topher Kinsella
1.8K posts
Topher Kinsella
@KinsellaTopher
CEO of Watershed Therapeutics, Author or The Hidden WOMBAT, General surgeon, Stanford Biodesign Alumnus
Katılım Kasım 2022
282 Takip Edilen222 Takipçiler
@FischerKing64 Moving to the PNW really forces a change in personality if you want to survive it. It's too gloomy and rainy. If you don't take advantage of the mountains to climb or the mountain biking, you're going to get into something destructive.
English
People who want to keep this platform interesting should post something at least once each day that isn’t overtly political, but reflects some personal interest.
This is what RW Twitter was in the era of censorship.
English
@scotthraines Cormac writes in the style of ancient heroics before the breakdown of the bicameral mind. Action, barbarity, not so much dialogue of introspection.
English
Also, McCarthy said Borges was the greatest writer of the last 1,000 years. So by this recognition alone he is one of the greats.
English
Cormac McCarthy is a good metric for how well you can read—it’s not the faux literary fluff that gets praised today, but it’s also not readily apparent to the reader. So much is said in what is unsaid, so you have to really read. For example:
Christopher F. Rufo ⚔️@christopherrufo
I read the first hundred pages of The Road last year, and read the first hundred pages of Blood Meridian this year, and in both instances, gave up, because the books never clicked. Lyrical writing, but the characters are reduced to way down Maslow's hierarchy, and the tone is so relentlessly bleak, with almost no humanity breaking through, it was difficult to feel anything besides the flint clicking against the cold steel in the overwhelming darkness. I know many of you love it, but to me, it's overwrought, overstylized, and overhyped.
English
@PulmCrit Surgeon here. Kind of shocked to read you don’t think it’s intellectually challenging. I watched it fold smart people in half
English
med school is trade school for physicians
its extremely hard work but not very intellectually challenging (mostly college-level work)
so going to med school and not doing clinical medicine makes little sense
a thought experiment may help illustrate this… #1/2
Isaac Kohane@zakkohane
I have a lot of discussions with medical students @harvardmed and elsewhere about residency and the paths to take to change medicine for the better. Here is an interesting take from one of those students opmed.doximity.com/articles/why-i…
English
@sporadica Two-way doors: action beats planning always. iterate iterate iterate. Not so for one-way doors.
English
it’s actually funny how Marc /is/ on to something, sorta
our culture+economy is being completely rewired to favor those with no “introspection” in a way
no thinking, just action, just do things, think about consequences and morals and plans later. make a fuss. go viral. piss people off. lie. raise tons of money with no plan. don’t think things through just DO.
and this is why we will falter and, potentially, fail completely.
English
@you545274278 @ahaternumberone @InnerDelicious @martinmbauer I bet all my money that you are a weed head. Just all of it.
English
@KinsellaTopher @ahaternumberone @InnerDelicious @martinmbauer Are you insinuating that happens to people who fall into weed? If so you gotta get out more my man lmao it’s not 1985
English
It’s amazing how caffeine really is the only drug that has achieved this level of social acceptance.
Imagine someone saying : ‘the first line of cocaine in the morning is one of my favourite things in life’ or ‘without my morning joint I can’t function’
Lex Fridman@lexfridman
First coffee in the morning is one of my favorite things about life.
English
@you545274278 @ahaternumberone @InnerDelicious @martinmbauer I appreciate the trolling. Just yesterday, I was thinking about all the kids I went to college with that never amounted to anything because they fell into coffee. It really should be taken more seriously.
English
@ahaternumberone @InnerDelicious @KinsellaTopher @martinmbauer There is no proof that chronic marijuana use has any causal negative effects after stopping.
Most studies claiming otherwise say a lack of focus is the main long term side effect but ignore that this may have been a preexisting condition that the person was self medicating for.
English
The three best narrative non-fiction books I've ever read👇
What are some of your favorites? Drop them below.
English
@egreghost Surgical residencies put out donuts, and if someone grabs a powdered donut they’re disqualified. Shows poor judgement (why would you risk it on a suit?). This is the type of capriciousness available when demand is FAR greater than supply.
English
Something I think is being missed is a massive source of the anger around college admissions is how *capricious* they are, since so many students are high scorers, and how heavily weighted *inalienable characteristics* are, contrasted with the massive importance of college choice
egg@egreghost
The college admissions game is so bleak now older generations literally don’t believe it.
English
Topher Kinsella retweetledi
I think this argument from Hanania is basically correct. The core issue is this: is the point of a job to produce value, or to benefit the employee? The former attitude produces prosperity. The latter produces crippling risk aversion and, ultimately, worse outcomes for employees.
Richard Hanania@RichardHanania
Why is the US so much wealthier than Europe? If there's one statistic that explains it, it's this: Americans are ten times more likely than Germans to be fired in any given year. I argue that America is wealthier because it has weaker labor protections. richardhanania.com/p/labor-freedo…
English
@_RobertSchultz Missouri guy married to California girl. Same. We had four kids. In Missouri, average. On the coast, Mormon.
English
i got married at 31 which my friends in los angeles look at as like when a preschooler has a wedding on the playground and my family in missouri looks at as like when your grandma finally makes a friend in the nursing home
English
@MashTunTimmy I still think about vodka southsides and the most paralyzing description of a hangover ever put to print
English
Topher Kinsella retweetledi
No wealth tax - or really any federal taxes - should be considered at all until the fraud problem is bluntly confronted, people like the Somalis in Minnesota are punished, and some credibility restored that the $$ is well spent.
Confiscating wealth is obscene if it’s fraud.
Chief Nerd@TheChiefNerd
🚨 NEW: Bernie Sanders to Introduce a National Wealth Tax to Make Billionaires Leaving California Pay Their ‘Fair Share’ “Where are they going to run then? Maybe they'll run to Saudi Arabia.”
English
@tannerguzy Unequivocally serious about aesthetics and non-trivial signaling
English
@cremieuxrecueil @Cernovich In training a neurosurg resident told me her favorite disease - pseudotumor cerebri. All the symptoms of a brain tumor, no brain tumor. Two solutions: 1. lose 10 lbs or 2. have brain surgery and a shunt put in.
English
This is how disgusting millions of people are. It’s why I don’t agree with blaming doctors or BigPharma the way so many others on this site do. The average obese person can’t go without snacks for 30 minutes. That’s not a typo. Half an hour is too much. Be kind to MD’s.
Alex Kesin@alexkesin
And so begins the Wegovy pill reality check.... Did $NVO really think 30 minutes fasting on 4 oz of water was some trivial ask patients would just be fine with?!
English
@Andercot I thought it was entropy and probability. Any change is unlikely to result in identical state, all subsequent states have greater disorder (totally) while pockets of increased order (us). Rinse and repeat till heat death. Never probable that it reverses. Needs more explanation?
English
It does seem like the arrow of time is wholly emergent from the indistinguishability of prior sufficient causes for the present state.
The interpretive degrees of freedom availability for discerning prior causal trajectories leave open a wide latitude for subjective choice.
English
@Thorin We actively tell our kids that trying to be an Olympian is stupid. It’s a finite game, winner take all, only one winner, bounded upside.
Business is an infinite game, room for thousands of winners, unbounded upside.
English
This is the principle behind why a bunch of early esports megatalents went to poker and never returned.
Brandon Avedikian@bavedikian
Make it to the Olympics and be the 12th best skater out of 8 billion people in the world, and you win nothing. Be the 12th best plumber in a city of 1 million people, and you are set for life. Life is a game. Be careful which games you play.
English
@nosilverv Strikes me as dumb. Civilizing children (or anyone) requires aggressive reinforcement of behavior boundaries. Some people can follow a positive example, others need negative feedback. This is adult-therapy thinking retrospecting on childhood…it’s dumb.
English
man never fails (on not criticizing your kids)
English