medimikka

I would hedge a bet, that you did not actually look up or (prior to today) follow this account. And that you confuse "apologia" with "serious concerns about fake 'evidence' from all sides, that muddles the debate and does a disservice to any realistic conversation about Israel's actions".

It's 2026, social media has to be flashy, go right to the gut. We've become dulled to the realities of the world, so harder hitting content is the only thing getting a reaction. And accounts/sites like this one provide that hard hitting gut punch, if need be by inventing a new narrative.

One can hold both thoughts at the same time and still understand, why a page like this causes concern.

FWIW, this domain posted mostly AI generated or otherwise falsified "proof" of "Israel's Massacre in Gaza" which were not rarely debunked as either not even in the area, "Gazawood" stories (a child supposedly killed in Israeli strikes appeared many times as different children and was proven to be an actor), and is largely funded by a shadowy entity with its roots in Qatar.

I am not a fan of domain name cessation or any kind of blocking access to data, but I'd imagine NameCheap did have a particularly high amount of complaints and legal inquiries (one comes to mind, where the site posted pictures of a Hamas hostage in a tunnel as "Israel starves teacher and forces him to dig his own grave" that is in litigation), that at some point beg the question if $5/year is worth it.

I am a healthcare provider. Not only during SARS-CoV-2 have we been shat on, abused, misused, tossed into a lethal grinder, driven into suicide, driven into addiction, our personal lives and relationships destroyed. AND we don't get a month that's ours.

There's nothing wrong with having LGBTQIA+ flags in your app to highlight marginalized groups. But to respond to a plea for extension of that list with "fuck you, Nazi Transphobe Sexist Scum" isn't the way to go.

The VAST majority of my LGBTQIA+ friends in health care agree. Your candle won't burn brighter if you blow out other candles. Adding more colors, adding more flags, adding more recognition, does not diminish the recognition of the original marginalized groups. If anything, it creates understanding, community, personhood, and normalizes LGBTQIA+ as not an outlier but one in a scary number of identities and groups that are being mistreated.

I guess the author led with this to pad their critique, feeling that "we do scammy things with your referral links and we take cash in your name" wasn't enough.

Which says a lot more about them than it says about Brave.

Rescue treatments are symptomatic. Which makes a lot of sense, if you consider what (medically) constitutes "sepsis."

Any ED resident on their first week on the job should know how to diagnose sepsis: Temp >38°C (100.4°F) or <36°C (96.8°F), Heart rate >90, Respiratory rate >20 or PaCO₂ <32 mm Hg, WBC >12,000/mm³, <4,000/mm³, or >10% bands, Infection (suspected or present).

Double down on the blood work, take liquor, empirically give antibiotics (less and less useful, given resistances), drop temperature (paracetamol), add fluids (drops heart rate, ups blood pressure), wait for labs.

It's not hard, and I am so very sorry someone with sepsis signs was sent home. Sepsis is also a fast bastard. Meaning, from pathogen entering the blood stream to organ damage and conclusively death can be less than half an hour. That's the ones we can't catch. The guy with the ulcer, the person who injects things, the girl who didn't see a dentist about her developing abscess, the man who stopped his HIV meds... that's the ones I didn't in the past three weeks. I got them too late, or didn't see them until the ambulance unloaded a dead person.

Sepsis is a bitch. A total and utter bad player, something we drill into every resident from day one. Sometimes Mrs. Goodforall comes in with a light chest tightness and leaves on a hearse, sometimes Mr. Bluebird presents with nausea and crashes into a full on septic shock minutes later. Any one of those I can prevent, I will. I am, however, not God. Just a ED jockey with an infectious disease background. I'm probably the best hope my patients have, which isn't much, but it's something.

When I went into residency, my attending once described any drug acting on reuptake (be it antagonistically, agonistic, or in a bifurcated model) as the medical equivalency of noticing your car is low on oil and, in response, pouring a few dozen liters of the stuff over the engine block.

Some gets to where it needs to be, the rest gunks up the engine on the outside and in places it shouldn't be.

Almost any drug acting on 5HT (fk acts on 2C), acts on other receptors as well. Fk acts on α1, M1-4, and many more, it's not very selective. A venerable bucket of oil, indeed. This is, what also causes Long-QT, feeding disorders, diarrhea, shorter pregnancies, dry mouth, sexual dysfunction, and more.

Sure, dropping such a bucket of oil can also, via inflammatory pathways, elicit IL-10 activation and, more importantly, act against hypertriglyceridemia. But that should not be sold as a solution to a problem. Again, to stay with contrived comparisons, if I load the boot of a car with C4, I am sure that some parts of the car will reach more than the car's stated maximum speed. But that's not a desirabe outcome.

As a last ditch, I'd consider it. But "preventatively" as suggested... that's a far, far, reach.

I am always willing to learn and change. What did I get wrong?

Config being a programming language has insane advantages. Not only can I error check my config in vim or Visual Code, I can do insane things with logic that just don't work in other config file approaches. My laptop is connected to a 32" 4k monitor at work, standalone while traveling, and to a 27" 2k at home. WezTerm "knows" that, and sets things such as font size and line height automagically.

Even more, I can have split logic based on window size, window titles that show me who also checked out a file while I am inside an editor, even per-window color and font schemes.

All apps should use something like Lua for their config.

Arc does some things right. Combining tabs and bookmarks into one cohesive display, that allows the moving of one to the other, makes sense. Having a floating command bar that does more than just "open this URL" as well.

Others have tried to solve the intersection of new discoveries and daily reading workflows, but only Arc seems to present the latter in a way that does not get in the way of the former and does not require N keypresses to get there.

Sidebar plus floating URL bar means much less window chrome, which is (especially for people like me who haven't owned a monitor or a desktop PC for a decade) a welcome freeing experience that maximizes screen estate.

Having a baked in tracker stripper for a one-keypress URL copy is, especially for people like me who copy dozens of URL daily, a boon. No other browser seems to think, that this is something that is needed. And most users seem to have arranged themselves with two keystrokes to highlight the URL bar and copying the contents, followed by dozens of deletes to remove trackers.

Sure, it's small stuff and easily waved off, but if none of the other browsers wants to break with the Netscape early days paradigms, Arc it is[1].

[1] Zen Browser tries, but then, that Mozilla underpinning often sabotages the experience.

Unfortunately not. There are dozens of companies reselling "old" Libre 2 sensors for "fitness and health" applications. BG has joined HRV and other semi-bogus metrics as one of the numbers that drive a whole subculture of health data.

To correct this, though. You can buy all those in the US as well. Holter and FirstBeat are selling clinically validated and FDA approved mutli-lead ECG, Derxcom is selling an over the counter CGM, as is Abbott with the Libre 2, and a Chinese company has recently joined there, too.

Low calorie meal replacements are all over the store, too.

If you're a member of this orthorexia/orthovivia crowd, you have the same access to tools as you do in the EU, often more so.

The lack of a hypo alarm is the reason the Stelo is not past FDA, yet.

Luckily, there's xDrip4iOS and xDrip++, not to mention Suggah and others, who will happily do the alarming part for you. Not to mention, that to many of us T1D, the CGM is just a secondary data point for our loop, which has a CGM already built in.

Given the massive scam industry promising health and fitness based on CGM readings, I'd say that already has happened. And Abbott and, now, Dexcom, are more than happy to capitalize on the kind of Son of Dunning or Daughter of Kruger who think, that BG readings are the new HRV. 99 bucks/month for no discernible benefit? Buying Dexcom shares now.

Not quite. I am pointing out, that we're not talking about "yet another AI app" here, but something that might potentially be used to inform treatment decisions. In other words, something that decides over the life and death of a human being.

This life and death situation demands a certain decorum. Among others, to rise above the "hi I am coolwulf" stage of interpersonal interactions.

Let me go to a different topic in the same ballpark: imagine you had to build your SARS-CoV-2 response plan based on either a panel of women and men whose name and credentials you are privy to, or a single individual with a blog calling themselves "y0m0mm4" - which one would you, reasonably, choose to consider? Yes, the single individual may have, by chance or skill, happened upon the perfect plan. And, yes, the panel of experts may be completely wrong. But in medicine we call this a Zebra, a very rare event that, in a discipline of probabilistic empiricism, should not initially be considered.

I don't doubt, that all the above might come together to greatly improve treatment decisions. In fact, I know it, because as I said repeatedly, Bruker, Siemens, Tally, and others work on those solutions as well, and they are being used. Initially only in secondary verification, but with three FDA approvals expected this quarter, there might be much more coming.

I just don't think a pseudonymous account on Hacker News is the place to farm something that, not unlike many other medical interventions, has a massive potential of harm. As a somewhat related side note: the US was spared the horrors of thalidomide, because a single woman at the FDA (Frances Oldham Kelsey) refused to certify a medication that did not list the names of the inventors. When she did not get answers to her questions, largely because Grünenthal refused to let her speak to the drug's developers, she refused certification. In medicine names mean something, and if it's just the ability to verify background claims.

> "Currently, many countries cannot operate Treatment Machines (radiation therapy machines) and CT scanners simultaneously due to insufficient power supply.

Yes, I know. I worked in Ghana. And, know what? Unless you're running a $5m/month Cyberknife or similar, you don't do those dual modality approaches. Most, literally all except five or six research hospitals in the US and EU, treatments still work (very well) with lead marker lines on patients. We image, we look at the image we stage, we localize, we take out a tape measure, we draw. It might sound archaic, but it works extremely well, especially in places like Ghana.

I'd seriously love to see "coolwolf"s experience in developing country cancer treatments. I mean, in developing countries we deal 95% with cervix, breast, liver and prostate. Neither are hard to image and localize/stage. In the case of higher stages, exploratory imaging is also done, but those lesions aren't of initially surgical or radioherapeutic concern. Those who are, can be localized by eye only. And that's the ones, that software outlines.