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ThrowawayP
searching PlanetScale…
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9 ms
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31.
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ThrowawayP
6y ago
> " I've recently impressed upon my startup that we don't need to always do "coding tests" of engineering candidates (e.g., if obvious from discussion, past roles, open source, etc.) " Y'know, I look re
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ThrowawayP
6y ago
There are plenty of neurotypical developers who can't communicate clearly or effectively either; I've sat through enough presentations and design meetings over the years to attest to that. Therefore, it's not a good disquali
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ThrowawayP
6y ago
> " fluticasone " It's a treatment, unless you're one of the people it causes frequent nosebleeds in. Ugh.
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ThrowawayP
6y ago
> " autistically " I think many of us would appreciate it if you did not use autism as a negative label.
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ThrowawayP
6y ago
You might consider experimenting with different masks and pressure settings to see if it helps a bit. CPAPs are awful but the common alternative is surgery.
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ThrowawayP
6y ago
> " Early this year I discovered medical marijuana. It's completely game changing. " Not to be a wet blanket or anything but, like any other form of medication, watch out for buildup of tolerance. You may wind up having t
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ThrowawayP
6y ago
Fluoxetine is better known by it's brand name, Prozac. Anyway, though it's an interesting find, this isn't a trial in humans and, to forestall any jokes about it making people happy, the levels used (800 ng/mL) are far h
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ThrowawayP
6y ago
> " We don't throw people into psych hospitals unless they're at imminent risk of successfully committing suicide - we don't do admits just for suicidal ideation. " Right, which still means that the patient has t
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ThrowawayP
6y ago
One of the harshest lessons I, as an introvert, have learned over the course of my career is the necessity of going in and putting up the appearance of being jovial at team and corporate social events, no matter uncomfortable and draining I
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ThrowawayP
7y ago
> " For that matter, is there a link between depression and feeling overwhelmed with tasks all the time? " If you're talking about work tasks, that seems more likely to be from occupational burnout. Here's a comparis
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ThrowawayP
7y ago
I've got you beat; neither SSRIs nor gabapentin nor any other of a variety of on- and off-label meds worked for me. Despite that I don't think it's a good idea to recommend or disrecommend any specific drug; it is very much a
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ThrowawayP
7y ago
Clinical depression has defined symptoms: https://www.mayoclinic.org/diseases-conditions/depression/ex...
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ThrowawayP
7y ago
Overprescription? It is so damned hard to get stimulant medications (patients don't even dare ask for fear of being labeled "drug seeking") that even people who need them badly have a hard time getting them. So, no, it does
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ThrowawayP
7y ago
Well, if you're going to be snarky about it, all I'll reply with is the famous Big Lebowski quote: " Yeah, well, you know, that's just, like, _your_ opinion, man. "
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ThrowawayP
7y ago
The diagnostic criteria for occupational burnout are pretty well standardized and can easily be found online (e.g. https://www.thoracic.org/patients/patient-resources/resource... ) and, based on my personal experie
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ThrowawayP
7y ago
By some estimates, a third of people who have depression have it in a treatment-resistant form: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4518696/ How much treatment would you require these patients to en
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ThrowawayP
7y ago
> I do think it's useful for treatment-resistant patients to shift their focus away from recovery and towards symptomatic management Would be nice but it seems risky for a patient to suggest that to the clinician; depending on the
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ThrowawayP
7y ago
> A colleague of mine calls suicide 'a permanent solution to a temporary problem' - not to diminish it, but to recognize that for most people the desire to die is a temporary state. I've seen that quote floating around a
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ThrowawayP
7y ago
Prozac has among the lowest side effect profiles for anti-depressants and is dirt cheap since it's long out of patent. That's why it's often the first thing tried despite not having the highest rate of effectiveness, as far
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ThrowawayP
7y ago
> Some people just have a terrible fate and nothing that comes in their life changes it because not everyone gets a good job, significant other, place to call home, and the healthy body. There's actually a term for this, SLS: htt
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ThrowawayP
7y ago
> Rationality is defined over some goal, and there's no obvious goal here. Relieving themselves of (to them) unbearable misery is a goal, quite possibly the most rational of all goals.
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ThrowawayP
7y ago
> I mean, what is “burnout” other than not wanting to work? Burnout is more like desperately wanting to be able to work but a variety of things ruining your sleep, your concentration, your memory, and your health so that you can't
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ThrowawayP
7y ago
During the interview, expect them to be fairly generous with accommodations; the disabled are a protected class and they're scrupulous about observing the rules. In the workplace, it's kind of a double-edged situation. FAANGs and
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ThrowawayP
7y ago
> " ...life should be enjoyed and not sucked through because you're in some rat race with your imaginary/real competitors " Reminds me of words from Mary Schmich's famous "Sunscreen" column ( https:
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ThrowawayP
7y ago
> ...both depression and anxiety are extremely treatable. When did that happen? As someone who has undergone treatment for many years and read a lot of the literature, the long-term success rates for treatment of depression are medioc
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ThrowawayP
7y ago
And what does one do when one is struggling with burnout/depression/insomnia and the only legitimate thing to write down is "Not a whole lot really." for days in a row? (A problem a um, ... friend has, of course.) Risk
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ThrowawayP
7y ago
> " ...these summaries report that patient self- reported memory loss tends to be more persistent than the deficits that can be measured on formal neuropsychological testing. However, for those patients who do experience memory or c
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ThrowawayP
7y ago
I dunno; retaining functioning memory is rather important, particularly if one wants to hold down a job. Plus it doesn't jibe with the occasional anecdote of patients who report permanent cognitive dysfunctions after extended treatment
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ThrowawayP
7y ago
As another data point, magnesium supplementation doesn't do squat for my depression. Reputable brand, used the glycinate form, proper dosing, etc. No perceptible effect.
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ThrowawayP
7y ago
> lisdexamphetamine Out of curiosity, for those who use ADHD/ADD medications like this, do you get insomnia as a side effect and, if so, how do you deal with it? The one time I was prescribed this type of medication, I was still t
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