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jeremy151

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jeremy151
·2 ay önce·discuss
I am a DIY-er by nature with construction experience, I enjoy it, so when we wanted a bit more outdoor space, we moved from a suburban cul-de-sac to a slightly more rural property on some acreage, and chose an aged luxury home, feeling comfortable generally in my ability to be able to rehab it over time. After all, we're not in any sort of rush, and wanted the kids to experience putting work into the place where they live.

I misjudged the scale. Going from .5 acre to 10 I feel like the amount of time I spent on home and property maintenance before could all be allocated to just one bucket titled "nature." Mowing, whether it's lawn, meadows, trails, tree line, all on different schedules. Trees die, they fall, hang up. The volume of brush, invasive species, pulling it, burning it. When we bought it, I made a mental note: "we'll have to replace the driveway." That driveway is asphalt, and 1000 feet long. The quotes for that alone are in price territory of a luxury vehicle. Irrigation, 12 zones, repairing, winterizing. Septic is another ticking clock. When that goes, you're in for 5 digits. Don't have a suitable secondary location? Engineered system, multiply everything by like 3.

So remove that time from my schedule, that's what I have left for home improvement work.

We're deep into it and really enjoy aspects of it. But if I could talk to my pre-purchase self, I would advise that the scale difference is huge, and consider the amount of time that goes into baseline maintenance when deciding how much of a "fixer upper" to take on, especially when acreage is involved.
jeremy151
·4 ay önce·discuss
So, can... can we do this too?

By continuing to send email communications, you hereby agree to the following terms of service:

I want a Winnebago. Fully equipped, big kitchen, water bed. AM-FM, CD, microwave. Burgundy interior.
jeremy151
·4 ay önce·discuss
These are a great way to spread something you appreciate with the world. I once bought a stack of 30 or so well-used Calvin and Hobbes books and would regularly seed a few every now and then.
jeremy151
·5 ay önce·discuss
Yes, I find it useful while editing regardless of the final rendering. Maybe it's a quirk of how I process information visually, or a holdover from learning to type on an avocado green Selectric.
jeremy151
·5 ay önce·discuss
You're absolutely right! I kid. I'm also a former avid user of the em-dash, but have mostly stopped using it. I've even started replacing em-dash usage with commas, which often results in a slightly awkward, perhaps incorrect, but quaintly artisanal sentence with a LaCroix-like spritz of authenticity.

My double-space-after-a-period though, I will keep that until the end. Even if it often doesn't even render in HTML output, I feel a nostalgic connection to my 1993 high school typing teacher's insistence that a sentence must be allowed to breathe.
jeremy151
·7 ay önce·discuss
My work health insurance recently offered a free scale and blood pressure monitor, I thought that's a nice perk, I'll use that, so I ordered with the intent of never using their app, just using it for my own tracking. The first time I used it, I got an email from my insurance company congratulating me and giving me suggestions. Both devices have a cellular modem in them, and arrived paired to my identity.

I destroyed them and threw them in a dumpster like that Ron Swanson gif.

All to say, little cellular modems and a small data plan are likely getting cheap enough it's worth being extra diligent about the devices we let into our homes. Probably not yet to the point of that being the case on a tv, but I could certainly see it getting to that point soon enough.
jeremy151
·9 ay önce·discuss
In our market we see lots of the use of the word Montessori for marketing value only, when it practice it often means something like: "we have a bunch of wooden toys and a certain aesthetic in our classroom." I've heard these referred to as "Monte-sorta."
jeremy151
·9 ay önce·discuss
I live in an area with PFAS contaminated ground water (which I now aggressively filter.) To me giving blood just kind of makes sense, if there is a class of things that can enter your blood and never leave, and does not replicate on its own, why not perform a regular "oil change" and hopefully help some people at the same time. Some study has been done:

https://pmc.ncbi.nlm.nih.gov/articles/PMC8994130/

The study specifically does not look at the effect on recipients, though the donation centers do not disallow such donations. My presumption is that the donation is a net positive all around. If study comes to show the contrary, I'll certainly revise my approach.
jeremy151
·12 ay önce·discuss
I recently requested this test from my doctor. The lab technician asked if I had requested it or my doctor, and gave a very judgmental "that's what I thought" type response. Ends up I was 95%-tile and put on an aggressive statin therapy, from a risk profile that otherwise didn't determine statin use. The test was easy and (relatively speaking) inexpensive. It helped me in risk stratification in a determinative way.
jeremy151
·geçen yıl·discuss
I should clarify: the billing talk would come out when talking about options. “Let’s try X because insurance will need to see that we tried it before we try Y.” I don’t blame the provider. Navigating insurance still comes up with my direct primary care doc, but it’s not most of the visit. The real value I see is a willingness to take the whole picture into account (not just symptom -> med/specialist) and teach me about how things work and why. I have some complexity in my history for which this helps a lot.

Regarding the patient load discussion elsewhere, our entire family uses this doctor, we’re in for $200/mo but if we added up the interaction time even with me (a more complicated customer) it’s maybe 5 hours a year + some text communications with the MA / prescription wrangling. Their model seems to be all about effective scaling, I hope it is worth it for them, because my experience is vastly improved.
jeremy151
·geçen yıl·discuss
> If you want safe and really high quality medical care you should absolutely have a personal physician you have a personal relationship with, who understands your lifestyle, your risk factors for side effects, and your medical needs deeply. How many Americans have that? Maybe a few dozen?

A bit of a tangent: I have this here in the US, through a model called Direct Primary Care. I pay $50/mo for a single provider, unlimited visits / communication, and highly discounted labs. She makes house calls on occasion. This doctor is working solely in my interest, and has little concern of insurance, except to help me navigate that system should I need a specialist, prior authorization, etc.

I do worry that it's sustainable, but I think there must by a way to scale up this practice of the general practitioner working in the interest of the patient.

My previous doctor was part of a large health system, who also happens to be directly associated with the large regional insurance provider whom my employer supplied to me without another choice. Every 8 minute visit centered around insurance and billing, with my health seeming to be a distant second. It seemed every visit had to end in some kind of prescription or referral, arrived at quickly and without much discussion. It quickly became clear they were not working in my interest, and I sought other options, eventually landing on the Direct Primary Care model. Now I have full 1 hour visits, and someone who seeks to understand what is happening for me completely, not through the lens of a payer.
jeremy151
·geçen yıl·discuss
My previous homeowner was also a vibe maintainer! The difference that I see in this is that the LLM is reasonably at 'expert' level for many of these things. If I sit down with Stevie Wonder and ask him to help me write a song, the resulting song is probably going to be pretty good. Stevie also knows by experience lots of things to avoid, and is intuitively going to help me avoid them unless I instruct him specifically to make a poor choice.

I think there are likely opportunities too to have models or system prompts that cater or adapt to the experience level of the person it's working with. "As you interact with the user, determine their relative level of knowledge and experience. If they seem to be relatively inexperienced with software development, be much more aggressive in helping to warn them about and avoid common pitfalls, bad architectural decisions, and security issues."

I suspect it's probably going to enable a lot of poor quality stuff, but it also may to some degree raise the floor of what's being produced at the same time.