There is a difference between searching for "sbilstein" and the results returning your actual name and searching for your actual real name and your hacker news

There is a difference between searching for "sbilstein" and the results returning your actual name and searching for your actual real name and your hacker news posts being returned. In the past if you searched for "Scott Alexander" you could find the real person but if you (or a patient) searched for his real name they wouldn't have found the blog posts.