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epcoaon I was recently diagnosed with anti-NMDA receptor encephalitis

Absolutely not to defend what happened but that GAD diagnosis sets in motion the anchoring, because now you have an “established” (and recent) psychiatric diagnosis and it’s all too common that an ED is going to heavily prioritize this as a progression. EDs are just very bad in general about reconsidering a differential for a (new) chronic condition unless it’s flashing like a neon sign, especially when there is an easy enough dispo to reach for, transfer to psych in this case. But even worse, you already had an extensive outpatient workup to hang their hat on. From the history provided the history of a fall is the only thing mentioned that sounded like a slam dunk brewing neurological deficit, and it is not very specific, half the ED are people that fell. I’m sure you’ve read the MDM portion of the ED note, it may or may not give some idea of why neurological conditions were dismissed. Very unfortunate.

epcoaon Ontario auditors find doctors' AI note takers routinely blow basic facts

That’s exactly how all the current cloud chat bots and agents work now.

epcoaon Local privilege escalation via execve()

There was no snark. If you have something of importance running and the inevitable discovery of an LPE is something you don’t have defense for or can quickly mitigate you’re doing a bad job as a sysadmin. For all general purpose OS in common use today that usually means patch and reboot should be an NBD workaround.

epcoaon Bambu Lab is abusing the open source social contract

You literally said: “They sell something in their videos and do things in videos that are different from their true self. ”

“Inauthentic” was I still think a close enough reference paraphrase of your statement. Not a value judgement. You even used the word "authentic" in your thesis. And in general I wouldn’t necessarily disagree but I don’t see how it is necessarily related to their choice of personal devices. An internet celeb probably doesn’t use GrapheneOS because the limitations sucks for most people, not because of some calculated subscriber count play.

If you use an unrooted Pixel, why are we even having this conversation, and if not.. well maybe the dude just wants to use a secure wallet.

Regardless of this influencer's "real life" persona I see nothing incongruent about even their "influencer" persona using an iPhone. Therefore I see no relevance to anything in your original comment.

epcoaon Bambu Lab is abusing the open source social contract

So, this wasn’t a dick sizing contest about who contributes to open source. The point is there is a certain extent I will go to maintain my ideals of using certain systems and it is more than average even for here (the peanut gallery), and on par with the influencer in question, ie I can relate regardless of their “inauthentic” persona. Most people, even those that consider themselves “enthusiasts”, simply won’t go to the effort of reverse engineering or writing drivers - if it were the case there would be a much larger ecosystem of high quality drivers and a larger pool of contributors. I am in that minority and still use an iPhone, and I don’t have a subscriber count.

2. A google pixel isn’t meaningfully more open than an iPhone (I depend on functionality that would be unavailable if rooted). This wasn’t meant to be an iPhone vs android debate. For the purposes of this discussion they are equivalent.

epcoaon Bambu Lab is abusing the open source social contract

I use Linux as a daily driver, write and modify kernel (mainline and out of tree) and userspace drivers, have reverse engineered various things. ie beyond most of the HN peanut gallery. That said I use an iPhone because I have a day job and nothing “open” is worth dealing with.

epcoaon Local privilege escalation via execve()

Anyone relying on a 30+ year old monolith kernel written in C to not have some exploitable LPEs lurking should stay in basket weaving and out of sysadmin.

epcoaon Credit cards are vulnerable to brute force attacks

So maybe I’m wrong but the belief is that debit card protections are worse than a credit card in the US. I really don’t have the personal time to test this, but I do know that when I dispute on a credit card it is initially removed until proven valid.

Again maybe I’m wrong but I don’t agree they are equivalent. It sure fucking feels that way, the money isn’t threatened from my account.

epcoaon Credit cards are vulnerable to brute force kind attacks

In addition to nominal fraud prevention (and how is any debit card better) there’s nothing better to claw back transaction fees, so what the fuck am I supposed to do?

epcoaon Credit cards are vulnerable to brute force attacks

Well good for you. Us poors in the US like them for what they’re worth.

epcoaon The Super Nintendo Cartridges (2024)

The Dreamcast charm is partly how simple it is, a jellybean CPU. The PowerVR is competent but it’s not outside the norm for 3D accelerators of the period (and there was a mass produced PCI card available of it). Nothing about the Dreamcast is exotic. Though the pack in modem and VMU are neat (did say “maybe” for the DC). GD-ROM vs DVD was obviously a dumb move. Perhaps Sega didn’t have the war chest to loss leader a DVD Dreamcast (they didn’t have the vision either at that point).

A technical demo like Bleemcast doesn’t demonstrate how far ahead something is, it has to be seen relative to the hardware of a similar generation. Having said that the PS2 which had some early programming hiccups would go on to eat DC’s lunch.

epcoaon The Super Nintendo Cartridges (2024)

Not sure how any of these except maybe the Dreamcast (and then not by that much - it was almost literally a contemporary arcade board clone) were examples of “ahead of its time”.

epcoaon Making RAM at Home [video]

That is really not the takeaway from this video, at all.

epcoaon Acetaminophen vs. ibuprofen

No. Ethanol and tylenol compete for CYP2E1 that produces toxic NAPQI, so no, acute alcohol intoxication has a protective effect at least where it comes to tylenol toxicity.

epcoaon Servo is now available on crates.io

lol

epcoaon Make macOS consistently bad unironically

> I'm cautiously optimistic that AI will let us build full operating systems using other OSs as working examples.

Why? No one has shown that LLMs produce particularly good code. You can get a lot of useful shit done with what is still slop, but there is no reason to believe there's any evolutionary improvement.

epcoaon Bubble Sorted Amen Break

It’s pronounced “Allman Brothers”

epcoaon zclaw: personal AI assistant in under 888 KB, running on an ESP32

> vastly more complexity.

Doom is ingenious, but it is not terribly complex IMHO, not compared to a modern networking stack including WiFi driver. The Doom renderer charm is in its overall simplicity. The AI is effective but not sophisticated.

epcoaon Backblaze Drive Stats for 2025

You know, there are external drive USB controllers that linux blocks/blacklists SMART passthrough when using UAS due to paranoia and historical problems, but this can overridden.

https://www.mcgarrah.org/usb-drive-smart/

I guess it is possible this is not your problem, but the last Seagate external I bought in October worked just fine with this workaround. This is probably safe from a data integrity standpoint, at least with a modern filesystem, but in my case it was no issue as I was only using the SMART to do tests before shucking the drive. Also, I don't know of any modern drive that truly doesn't support SMART.

epcoaon The wonder of modern drywall

For nearly a decade, Chicago does allow MC cable in a number of circumstances, basically up to 25 feet branches where you don’t want to open up a wall.

epcoaon The wonder of modern drywall

So outside of a few notable examples, the materials rarely fail, galvanized duct work should easily last half a century in a properly installed and maintained system, properly installed copper pipe or PEX and even (C)PVC, properly installed NM or wiring in conduit where code requires, where people get into trouble is with shoddy builders and the housing market often causes those to forgo proper inspections and it is ultimately a “market for lemons”. But blaming drywall seems a bit misplaced, since shoddy building in targeting cost only, they’re going to be the last ones replacing drywall with something fancy and expensive.

epcoaon The wonder of modern drywall

No, Uponor AquaPEX.

epcoaon The wonder of modern drywall

Rarely do pipes, wires, or ducts just outright fail even in 50 years. Usual case for tearing out drywall is for voluntary renovations. Shit behind the wall just doesn't "fail" if it is left undisturbed or you were unlucky like those that got defective PEX or similar installed.

epcoaon The Day the Telnet Died

telnet has never been in POSIX though.

epcoaon Heart and Kidney Diseases and Type 2 Diabetes May Be One Ailment

The term Metabolic Syndrome X has been around for more than a few years, unless nearly 40 is few (and I absolutely relate to that sentiment), just saying that concept was revved up in the 90s and of course has been an academic discussion going back to the early 20th century.

https://www.ahajournals.org/doi/10.1161/01.atv.0000111245.75...

https://pubmed.ncbi.nlm.nih.gov/3056758/

epcoaon VA staff flag dangerous errors in Oracle-built electronic health record

Opioids are not weight based dosed for adults. Typically pain protocols start at fixed doses based on prior opioid use and titrate up for effect.

Also was this a bug in Epic proper or a site specific customization?

epcoaon The risk of round numbers and sharp thresholds in clinical practice

> Paracetamol is the most common cause of liver failure in the US.

This is also a bit misleading, it’s the most common cause of acute liver failure which is overall quite rare in developed countries. The most common need for transplants are still by far progressive chronic liver diseases leading to cirrhosis.

epcoaon A monopoly ISP refuses to fix upstream infrastructure

It’s AT&T not ATNT. You could have just said it outright, what is the point of the obscurity? It’s not funny if that’s what you were going for.

epcoaon The Sega Master System

Probably a little nostalgia. The SMS sound chip is one of the cheapest and most primitive jellybean sound chip of the era (only 3 square waves, noise and no envelope generator either). That isn’t to say appreciating the art of doing more with less isn’t valid. It’s sort of like a MS Paint type of thing though.