Asher Emmanuel

@ErishaAnn Is Horse and Pony a page turner?

Truly hate filming myself but I hear that it’s better for your brand if you put your face to it so I have been testing angles

@MuseZack Great video essay on this thread. youtube.com/watch?v=7L1QSY…

@Typeash They didn't even give him an "I always hated those guys and never fit in anyway" beat before he's gleefully blowing away his former comrades! The last we see of him as a stormtrooper is being troubled by a civilian massacre and haunted by a fellow trooper's bloody death.

@MuseZack aww shucks

@Typeash Are they what keep you looking 25 forever? ;)

The algorithm is REALLY pushing mushroom coffee and mushroom supplements ads on me right now. Are they complete snake oil or are people finding them helpful?

@MaeSunMD @SalaryDr @mahesh_shenai What are the innovative non-medication interventions or modalities you offer patients? Sounds interesting.

I had $215k in debt when I graduated in 2012. I matched in Triple Boards (peds, psych, child psych.) Typically this is a lucrative field, so I felt confident that the debt would bot be a problem, but I have always been mission driven and wasn't focused on the money. My goal was to help kids avoid psych meds with nutrition and innovative non-medication interventions as I'd worked in child and adolescent mental health prior to med school and saw how the psych meds damaged children, metabolically, mentally etc. and how the kids were often mistreated (restrained, given prn injections etc.) After my intern year in this program I realized that the program was focused on more of the same and that usually the parents were the issue. I switched to Family Medine because I wanted to take care of patients holistically and adults were better positioned to benefit from this kind of care. I worked in underserved primary care for a few years after residency and found it untenable and in many ways the work environment at FQHCs and IHS was unethical for docs and patients. I now have a small private practice in my rural hometown. I learned acupuncture, nutrition and integrative medicine. I actually feel like I help people now, as opposed to at these institutional jobs that were always focused on volume, checking the boxes and sending the scripts without many tangible meaninful outcomes. Due to forbearance when I switched programs and interest capitalization, my loans are now huge, mathematically near impossible to pay at this point unless I move to a bigger city and triple my rates, and I think I charge a lot for the market I am in. I just can't see the volume at the cash rate to even keep up with my loan interest ($3k per month or so) there aren't that many people in the area and the people I see are super sick and don't trust the system, or have no insurance. For example, today I diagnosed a rhematoid arthritis patient (RF 129, anti-ccp 212 and swans neck deformities starting) who refuses to see a conventional doctor. She's uninsured and been suffering for years. These folks often haven't had even basic labs in years. It takes time to work them up properly and make sure I'm doing the right thing for them. Plus we have no lab within 25 miles of my office and my state has no LabCorp and only one Quest 60 miles from me so ininsured patients have very limited access and even those with insurance pay thousands at the area hospitals that charge $$$ for basics (for example $900 for a basic thyroid panel) I've had to set up lab draws and couriers and the whole situation is very challenging. I've been chasing PSLF for over ten years and despite lots of work in underserved areas, plenty of medicaid and medicare billing over the years, the loan forgiveness programs never seem to actualize. I see lots of patients who spill over from specialty and conventional primary care offices, not getting the care they need. I won't participate with insurance as I've seen all the other docs complain and I can't compromise providing the care people are seeking after seeing that sytem fail patients and doctors for so long. These aren't rich people and they deserve someone, but no one knows how much debt I am in.

Med school loans might be one of the most significant motivators for what specialty you try for.

@videobrojima @coopercooperco This is the way but no way they pull The Wire season 2 shift

@coopercooperco I feel like what would have saved the game’s structure and in turn the show’s would be to reverse the order of POV characters. Stick with Abby after Jackson then play/POV Ellie in the back half.

Oh I thought I had read they were reworking the structure of the season to be different from the game but I guess not really.

@MSmith59863 @zlingerrr @providenceluvr cbt

@zlingerrr @providenceluvr What's the most efficient

@MuseZack @SandyofCthulhu A better world we never got

@SandyofCthulhu In the "Duel of the Fates" script that Lucasfilm threw out in favor of Rise of Skywalker, Finn ends up leading a Stormtrooper rebellion on Coruscant that helps overthrow the First Order.

For me, the deathknell for the new Star Wars was their misuse of Finn. Here was a SUPER EXCITING character - a guy who used to be a Storm Trooper?! Now joined the good guys? What a concept! I expected to see him angsty about killing former comrades, giving the heroes insights into the Empire, and perhaps heading up a whole new movement of ex-Imperials. Nope. He fires blasters into ranks of attacking stormtroopers with glee. He basically behaves like any other vanilla character. What a disappointment. By comparison, Han Solo started out as a tricky, possibly untrustworthy ally who helped because of his own reasons. Later he became a solid friend to the Rebellion, but retained his own life (example: getting captured by Boba Fett for past crimes). He was far more interesting than Finn. BUT FINN COULD HAVE BEEN JUST AS GOOD. Finn has an even sketchier backstory. We could have had Rebellion grunts mistrusting him, forcing him to try to prove himself, etc. etc. Note I don't blame John Boyega for any of this. His job was to portray what the scriptwriters & directors stuck him with. But man alive did they ever let him down. There were other issues with these sequels, but Finn serves as my poster child for What Went Wrong. Potentially the greatest side character ever for Star Wars turned into one of the least valuable.

@MuseZack @Spy_fi I think he means 80% of Spartan society was enslaved.

@Spy_fi I mean they were definitely softened, but the film did open with a pile of infanticide skeletons so there's that at least...

This should be interesting, because Eggers is one of the only major filmmakers who presents historical characters on their own terms instead of portraying them as modern American liberals wearing funny costumes. And medieval Christianity is strange and downright alien to us.

@NobleQAli Who got Madison’s IG?

@Papapishu Is there a plugin to snapshot websites like Evernote Clipper?

Time to do my bi-yearly checkup to see if the open source, self-hosted alternatives to Notion and Evernote. I know nerds that love Logseq but SiYuan seems very robust and fairly new. github.com/siyuan-note/si…

@NobleQAli Hades

@ievaju gotta get Kogi

Ok, LA folks, please advise where you get a good meal (tacos perhaps?) going east from LAX or somewhere between LAX and San Bernardino?

@buttsyray name names

@NobleQAli Sorry hope you recover quickly

@nameoftheyear @Papapishu That is helpful! In games I’m more of a fan of traditional storytelling so it sounds like it’s between Bloodborne and Sekiro.

@Typeash @Papapishu Meanwhile, the games w/ slightly more traditional storytelling are Sekiro & Armored Core 6. They have a cast of chars who speak to you; have dramatic motives. What’s p consistent tho is you are barely the “protagonist” of any story. You participate, but the world moves w/o you.

A thing I really do love in Sekiro is how defined he is as a character instead of an empty vessel. From did a great job fleshing him out as a person without giving up player agency or abandoning their storytelling style, and it's something I'd love to see more in new games.

@NobleQAli @STEFisDOPE You gotta watch Andor

@NobleQAli when you dropping the youtube content?