Last Notes
Some cinnamon butter maybe. Gotdamn
Shit I'd be happy just eating one of the buns lol
So much of the web now is doomerism and outrage. It's sad to see and hard to avoid.
Emergency departments also tend to run at a loss, which doesn't help anything. Even ours at the biggest system in the state, in the capitol city is in the red right now. Breaking even is our goal lol
Urgent cares are generally quite limited too, depending where they are. There are specific definitions for what we are labeled (urgent, emergent, trauma leveling, stroke, cardiac cath lab, etc). Having the best care in super remote places is an unfair expectation. It's really expensive.
But we've taken over a small ED recently and had one shut down in the city. It's caused us a lot of pain for the past couple years. Now we're expanding but it's a very long and expensive process.
The asinine nature of medical school is one example. The entire structure is designed to output very few providers. So we import them with hit or miss outcomes and have shortages of care in general. I'd be okay making less if I didnt need to waste so much time and money completing steps that really have nothing to do with medicine.
I'm not a physician but if you put me in some random African village I'd be far more medical care than they could ever dream of. I can't do that here, no matter how remote or how little care is in an area. People aren't allowed to choose me for their care, even though I'd be better than what they have. There are other sides to that issue, of course. But we don't even do anything to help get people up to the standards to provide that care. The incentives are to not do that, actually.
Emergency care isn't that great in those hospitals anyway, but yeah it's better than nothing. I've had this idea of micro care facilities that could exist if we didnt have as much regulation, CON laws, etc. Even caregiver licensing is a problem. The government doesn't really give a fuck if the people in an area have nothing if not something that falls short of the government's requirements. Too fucking bad.
It's the second most regulated industry in the US. The private nature of it is little more than an illusion in my opinion. It's a super inefficient illusion that results in pretty much the worst of both worlds. We do have some benefits. My small city alone has more MRI and CT scanners than some countries. We generally have access to very good emergency care.
But dude I see so much waste even on my shifts. It's retarded.
I also don't like makeup anyway so I'm biased. I'm reminded of funeral homes, which for me (thankfully) is a major turnoff.
I'm fucked in the head. My wife knew it when she married me though.
To be honest that's usually when I find my wife most attractive 😂
Brother, struggle meals make kings these days. Lol Everything in the US at least is shit tier or literal poison. Fried eggs is one of my favorite items.
@npub1cn4…3vle framed this in a way that resonated with me. Human wants are unlimited. Production and resources are not.
Define work. Define betterment. Those two things are exactly why markets and money exist.
I came back to a bunch of changes in my client and now I don't see new notifications anymore. This is the sort of shit that wears me down over years. The basics are continuously broken in most clients I've used.
#nevent1q…lm9q
I don't have anything to give you. I've been here for years and still haven't found a client that works well with Amber and does the basic tasks well. I'm not saying they don't exist somewhere, I'm saying I'm sick of looking. I still have to fuck around with threads not loading, relay issues, general bugs that never get fixed because piling more code into the apps is more important, battery drain like crazy, the list could go on. I've tried the big names, I've tried smaller ones. I think most of us have just been trained to deal with stuff so "everything works fine for me" culture persists. Either I'm using extremely esoteric tooling and these tools aren't built for me, I'm retarded, or people are gaslighting me and themselves. Nostr feels a lot like riding a rocket built out of foam and hot glue most days. For years. I'm just exhausted by it and don't want to try another client. I'm sick of hopping around hoping one will do the basic shit. I built my own and it was asinine to keep up with. I don't want to do that either and it really shows the state of things if that's the best option I have.
I wish I could figure out how people never have issues, but I've been here probably almost 4 years and still struggle to get notes to load and have to jump around. I've fucked with client settings. I'm tired of that. I've tried web clients. They're buggy as hell. My final attempt was a desktop client. Wouldn't connect to Amber.
I just don't have the energy to find the elusive "works for me" so many have found.
The closest I've seen requires me to paste my nsec or use Google, Apple, or some app that's so centralized it's hardly Nostr anyway. Pass.
If it isnt built for Graphene, external signers, and basic privacy tools, it just isnt for me. Cool.
I don't use anything else, just as I said, dip shit.
I'd have better luck listing what isnt.
At least he still has a soul.
I think it's BIP 174 @npub1lxz…svxa The data is just embedded in a QR and presumably reassembled on the wallet side with the component it signs.
And your key wasn't generated using 1990 level tech 😂
This not technically totally isolated obviously but it seems as secure a way as I can imagine to to sign transactions. As long as both ends aren't corrupted of course.
I assume it's a standard because it works between the various tools I've used. I assume it's a standard for the psbt and then that data is stored in a QR or on an SD.
Welcome to the shit show. Shoutout to everyone who lives such that they look poor as shit 💪
#nevent1q…j9fu
PBST or whatever it's called?
It does on my SeedSigner. You can go back and forth
QR or card are the only two I've ever seen. Trezor has Bluetooth but it isnt airgapped
Thanks for doing nothing!
There, if you're being Matt today, I'm being Beave.
Either something retarded or something I'd get killed for.
Financial pain is the most appropriate punishment for bad economic decisions. Without it, what would you have happen? The world couldn't exist without winners and losers when it comes to wars like this. If you think you're right, you have to hope the other side loses. You can't just both win in the real world. It's flower power nonsense. It's a different thing to wish they'd change course and not destroy themselves, but if they're hell bent on it, so be it.
Yeah one of my big issues is that it's hard to have meaningful security when hardware and firmware is a black box.
Great. Looking forward to my future the my 7a is done
I was using em dashes before they were cool.
I'm only still here because of principles most people don't care about and likely never will. If not for that, I wouldn't use anything at this point.
Yes. Dealing with Nostr is a lot more work than what they're used to. I'm saying that. It's a lot more work for me than all the other stuff was just from a basic user persective. Once you remove the bias for all the other stuff it's a complex, half working thing.
Network effect is a bitch. Especially when you're asking the user to do a lot more to switch.
Does it render well on larger screens? I remember Samsung I think having some desktop like launcher
Some of them have none and just sell their opinion to the highest bidder. I just don't stick around for those people and that's fine. But I understand the frustration around ads. I do think it's unreasonable to expect no ads. I'm just ethically particular about delivery. And maybe it comes from a bias toward my own work. There are very rigid ethical boundaries and I respect them for good reason.
Then you shouldnt tell people it's the most secure or has the best code. Let the manufacturer or their experts claim that. That's all I'm saying. All I ask for is honesty and integrity in ads. If you tell me something is the best, secure or whatever, and you can't possibly know whether that's actually true, you're selling a lie. You're abusing our relationship, so I end it. That's where I stand. If podcasters disagree with my ethics, that's fine.
The simplest thing in my opinion would be to just make the companies make the ads and show that if you don't know what you're talking about.
Would you take surgical advice from a receptionist? Probably not. So the receptionist should stick to what they know and let the surgeon make any claims.
I think it's intentional that the companies are having the host read ads and make claims and its slimy.
