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Wagthesam
searching PlanetScale…
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Mindful Motorcycle Racing
(samsonracing.substack.com)
2 points
by
Wagthesam
2mo ago
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0 comments
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Why I'm Pursuing Amateur Motorcycle Racing
(writing.samsonhu.com)
1 points
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Wagthesam
1y ago
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Debugging the One-in-a-Million Failure: Migrating Pinterest Search to K8s
(medium.com)
2 points
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Wagthesam
1y ago
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Strategies for Shipping Large Projects
(writing.samsonhu.com)
3 points
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Wagthesam
2y ago
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1 comments
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Wagthesam
2y ago
Reading a recent post here, I felt like I could add more detail on the strategies and tactics for how to ship at large companies. After I wrote the article, a lot of it boils down to basic project management. But each of these points I’ve m
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Wagthesam
3y ago
that used to be desirable. But the canadian health care system has degraded, and cost of living is now super high with the housing boom I say this as a canadian based in sf
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Wagthesam
3y ago
I have wondered recently about head of line blocking's impact to latency at AZ level within AWS. How reliable are TCP connections within the same datacenter and do these issues noticeably impact performance at the tail end?
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Wagthesam
3y ago
One thing I'm wondering about is that http3 seems to be from end user to search, which is a general serving problem and not really about search. Do dropbox clients call the search service directly?
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Wagthesam
3y ago
Funny how school lessons are not applied in the real world. I worked at a Waterloo unicorn, and we had a single refund function that either authorized or denied a refund, with dozens of parameters in the function header
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Wagthesam
4y ago
What, it was? I went to an anon anti Scientology protest once. Was I just being used?
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Wagthesam
4y ago
do you work at google? most engineering roles ive been in engineers absolutely own their systems and take on call rotations. I agree though, hasty response is the mark of a junior eng
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Wagthesam
4y ago
I have one of these https://www.amazon.com/EMAY-SleepO2-Bluetooth-Overnight-Cont... I have a similar issue where maybe once or twice a night now my sp02 drops below 90, followed by a spike in my heart rate. From the word of
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Wagthesam
4y ago
that seems like inflated pricing. there are solutions from the internet for hsat (lofta and night owl) that used standardized devices. If you want a psg, there's a place in sacramento (axg sleep diagnostics) that will mail you the psg
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Wagthesam
4y ago
I defer to his expertise for a lot as he's considered one of the top experts in sleep apnea surgery in the world. He's had more cases for example on MMA than aggregate studies in the literature He considers DISE to show collapse t
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Wagthesam
4y ago
I was quoted 3k for a psg by my sleep specialist. I went and got one from axg sleep diagnostics out in Sacramento, for around 600
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Wagthesam
4y ago
Dr choy in Palo Alto is amazing. But for shots you want someone near you as it’s a huge multi year commitment. Dr opal gupta is great as well
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Wagthesam
4y ago
Dr choy is great and spent more time with me than expected. But I could not commute to Palo Alto every week for shots, so I used someone local. Both docs are top notch but Dr choy sent the extra mile
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Wagthesam
4y ago
I know about SLIT, but from my research most allergists don't mix in enough to make it comparable to shots. From studies I read you need 30-100x the dose of shots taken in monthly aggregate for it to be comparable. For example Odactra
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Wagthesam
4y ago
One detail to add that I think was missing. My message is you need to own your diagnosis and treatment. But much of the work has to be done by doctors in partnership. These doctors do not have time to direct your treatment outside their spe
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Wagthesam
4y ago
Yeah. Kanye is a roscharch test. Mental illness is not pleasant or even easy to pity. It will offend you. It can be disturbing, violent, and insane. I have no ideas, this is just the way things are
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Wagthesam
4y ago
Yes one thing that I didn't emphasize enough was that I had a team of specialists treating me: - An ENT and a consulting ENT for a second opinion - A oral surgeon specializing in sleep apnea - Two sleep medicine doctors - Two allergist
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Wagthesam
4y ago
We exist in constant competition with one another for status and worth. But thankfully in this part of my career I have more choice as to what I want to do / the level I need to sacrifice.
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Wagthesam
4y ago
congrats on your recovery!
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Wagthesam
4y ago
No because the diganostic criterea is nasal restriction + sp02 decrease. Or microarousals scored manually by a specialist from an ecg. You need a physical device measuring these signals
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Wagthesam
4y ago
Possibly. But you need continuous sp02 monitoring, whereas fitbits only do it a few times per hour. A take home sleep test is easy and is covered by insurance.
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Wagthesam
4y ago
if you suspect central sleep apnea, you need to work with a specialist that has done research in central sleep apnea. Its a poorly understood condition. But from my understanding treatment is different
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Wagthesam
4y ago
I don't have central apnea thankfully. One thing to note
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Wagthesam
4y ago
Yes opening windows brings in dirt and car fumes and pollen. AC and air purifiers much better for environmental health
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Wagthesam
4y ago
They are all about the same. What you want is flow rate. Meaning 99.9% efficiency high end filter is not that much more than 99%. But if air gets filtered 2x vs 5x every hour then the 5x worse filter will probably be better So just make sur
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Wagthesam
4y ago
A sleep test diagnoses sleep apnea. DISE can give clues, but Dr Kasey Li is against it saying it gives a lot of false positives from his experience. Home test + polysomnography is his standard, along with using his experience to review your
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