Second virtual day, peanut butter

Feb. 24th, 2026 10:10 pm
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[personal profile] walkitout
R. went out to the construction site. He brought a piece of Tile Tech back and it’s lovely (verde green). He got to do the Echo Hub location walkthrough. There has been a little confusion about this (JB thought I wanted the bigger Show everywhere, which I only wanted in the kitchen) but I think we have it all squared away now. Apparently, speaking of kitchens, that sub doesn’t normally do Emtek knobs, and JB has been trying to get him to either point us at knobs he is used to and he hasn’t been responsive, but then he turned around and said he’d order the Emtek ones after all. Which is fine. I was prepared to pull the knobs out of his scope and make them owner supplied and then either the sub or the main contractor could do the install, but this is also fine. There was a gate related PCO today that had to be pulled and modified because it had the Ring controller in it, which I do not want. I want a doorbell there for communicating with people who show up at the gate and want access but if we grant access, we’ll do it through the MyQ app, not Ring. The ring access controller appears to frustrate a lot of people and I just don’t need that in my life.

I had a delightful phone call with A. in the evening. While on the phone, I roasted a pound of (shelled) peanuts, removed the little papery skins, and then ran them through the food processor. I finally got this right — the resulting peanut butter is exactly what I wanted, and I got close the first time I tried it, failed the second time, but third time is apparently the charm. I think I did 350 degrees for 20 minutes for dry roasting the peanuts. It took a while to separate the little skins, but that’s fine, I was having a delightful phone conversation.

A. had another virtual day. It was a rough start, but I got her into dance class, and then she needed to do her hair, but she danced through her sadness and I stuck it out with her through the whole thing because it just didn’t seem right to leave her alone with the zoom. The rest of the classes were fine on zoom. I hope she’s back in person tomorrow, but I guess that will depend on the weather as a bit more snow is forecast. I’m hoping it is just a delayed start, which wouldn’t impact her at all, since her first thing is 12:30 lunch tomorrow.

Oh! And in the phone call with A., I learned about PharmaJet! Super cool, very Star Trek but reality!

It been quite a week

Feb. 24th, 2026 08:38 pm
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[personal profile] katesthoughts
 

It's been one week.   The last time I was going to write it was my Aunt Rosalie’s Death anniversary.  It was also Tigers Anniversary of crossing the rainbow bridge.  I regret not calling or writing to Rosalie more often.

My neighbor Rosalie died earlier this month, and her funeral was scheduled the same weekend as my brunch.    It felt a bit awkward initially, but I believe I managed it effectively.   The daughter requested the clubhouse for the post-funeral gathering that day.   President Frank called and asked if I could move or cancel it for that day and I couldn’t or wouldn’t.  He was understanding.  Their reception was at Stone Bridge Restaurant.

The brunch was great.  I was nervous but Laura had my back.  I went to the store for ground coffee and half and half for brunch and home.   Laura arrived, and together we went to Big Y to buy sandwiches, a birthday cake, and some snacks for her in preparation for the storm.

We began preparations, and the initial arrivals were several new participants from Milford.

Everyone arrived, and after chatting and eating, three new attendees left around 1. The rest of us played Taboo.   I really didn’t like it.  Some of the questions were quite provocative  We  cleaned up the clubhouse and ended the brunch. 

I went home and relaxed and then to Liz’s to visit her and get her mail.  I had to bring utensils that someone thought were my personal ones , after that was done I came back and relaxed for an hour then left for the nighttime activities

I had the opportunity to meet Gillion, Faith, Paula, and Paula's friend at Home Restaurant in Branford.     It was a birthday dinner for Paula and then after we were going to Legacy Theater in Stonycreek.  Unfortunately, I got lost on my way to the theater and the GPS was not working.  I was so upset by this I was so late.  I saw the last hour of The show.  It ended at 9 and we all said good night and headed home.  Going home was much easier than getting there.   I suspect it was quite beautiful and what I did see of the area was but it was secluded.

I don’t remember exactly when I arrived home, but I did park in the visitors’ lot before the storm started.    Snowfall began on Sunday, followed by a storm that deposited no less than one foot of accumulation by the end of the day.   Yale, the city, and my supervisor all emailed instructions not to come to campus on Monday.   Those who could work remotely should and those who couldn’t work remotely still got paid. I received payment for cleaning the house, shopping for groceries, and watching television.   They named this blizzard of 2026 Calvin.  We are getting more by the end of the week as well.  I am over the snow.

Complaining about email

Feb. 23rd, 2026 11:58 am
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[personal profile] walkitout
Someone set up an IHG account using my gmail account. Yes, IHG did not round trip the email address before very very permanently attaching it to an account. I immediately reset the password and tried to change the email. It kept telling me every email I gave it was invalid. I had previously lost Hilton to someone using my gmail. I tried a lot of things, but all of them failed. I was told by someone on phone customer service to take over the account, change the email and then try to get my email on my account to change to that email. I never could get that to work.

So when the booked stay was over, and they sent a survey to me asking about it, I 1 starred everything (no, I did NOT post a review; I haven’t hit that point yet, altho I can see it in the distance) and said over and over again in every box that someone set up an account with my email please remove my email from your system.

I got this email response a few minutes later:


-=-=-=-=-=-=

Good Morning,

I hope all is well.

I am reaching out from Hotel Indigo in Naperville. You recently filled out a survey saying you did not stay here. I am following up on that. We
show a Priceline reservation under the name Walkitout’s IRL Name arrived on the 21st of Feb. Is that not correct?

-=-=-=-=-=-=

To which I replied:

-=-=-=-=-=-=-

Someone gave you my email in error.

I did not stay in Naperville.

Please remove my email from your system.

-=-=-=-=-=-=-

But now I’m thinking, oh, shit, the problem is actually over at Priceline. *sigh*

It took me a really long time to figure out how to grab the etsy account someone set up using my email. I never did figure out how to fix the ebay account using my email.

This is easily the strongest argument against the Strong AI argument. I mean, we live in _this_ world. No one is coming to save us from ourselves.

ETA:

Operations Manager at the hotel is saying he can remove my email. !!! Fingers crossed.

Also, I went over to Priceline, but Priceline doesn’t have an account using my email. It looks like they let you book as a guest, and input any email. *sigh*

A little light googling suggests that the hospitality industry in general worries about email accuracy primarily through a direct marketing lens. Extra special *sigh*.

I shouldn’t be this agitated about this. I’ve spent months trying to get Huntsville Pain Management, a medical facility, to quit sending me patient emails about appointments, billing, and so forth. I’ve called them repeatedly, and they just cannot seem to remove my email from their system. They’ve asked me if maybe I’m related to the patient? It’s so difficult for Huntsville Pain Management to update the contact information for their patients. I just don’t understand why.

ETAYA:

More from Naperville’s Operations Manager:

I called the other Mrs. ***** from Atlanta who stayed here and IHG got the email wrong like you said her has no dot.


Walkitout blinks slowly and replies (including a link to the relevant google help page):

-=-=-=-=-

Thank you for reaching out to your guest / customer through an accurate contact method.

If your guest / customer has told you that their email is firstlast@gmail.com, they are wrong.

That email also will go to me. Their email has to have some other number or letter in it.

-=-=-=-=-=

I’m not feeling a lot of optimism about this, however, he has been meticulously polite and he has stuck with it, so perhaps he will learn some things. It’s not really his fault. The fault lies with software that demands email addresses, when a huge slice of humanity doesn’t use email, just text. For a lot of customer/client contact info, it should be possible to do all communication through text, because a lot of people are just lying when they supply an email anyway or they never check their email. If you cannot conduct business purely through text OR purely through email, you’ve basically decided to abandon a bunch of customers. Which is fine! But you should stop pretending.
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This isn’t any kind of organized thing here. I stumbled over this list of the 300 most prescribed medications not too long ago:

https://clincalc.com/DrugStats/Top300Drugs.aspx

I spent a few hours over several sessions looking up sooooo many of them that I didn’t recognize, but drug naming is _sometimes_ helpful. Like, there’s a whole category of drugs for blood lipid management that end in statin, and are collectively referred to as statins.

I have been harshing on statins for a very, very long time, and basically always for the same reason. Statins are recommended for use in a broad population of people to avoid a small number of fatal (or really serious) events. I just don’t like prescribing by the numbers in general, so that’s strike one. Obviously, in order to make the math work in favor of prescribing, the number of fatal (or really serious) events that occur as a result of taking the drug has to be lower than the number of fatal (or really serious) events you are trying to avert. You know how humans work. If you want to sell these drugs — or if you want to Save Everyone From Death By Fixing Every Thing That Can Possibly Kill You (which is delusional, you know that, I know that, but some very smart people do not know that) — you are going to at least experience some temptation to underplay the negative side effects.

Why am I on about this _now_, tho, you might ask?

https://www.vox.com/health/479714/statins-cholesterol-side-effects-study-symptoms

This article is a classic of the But Why Aren’t People Taking These Lifesaving Medications?

See the earlier link above. They fucking well are taking these medications — the author says 92 million people in the United States are taking them as of 2019 (author did not give a date but I clickety clicked and collected it from his link). (This number is actually bullshit, because it’s “had ever taken any” not “were currently taking”, but whatever.) The author further says that only half the people who “should” (by the numbers”) be taking this drug actually are. I clickety clicked THAT link which is an older study, and all the numbers there are considerably lower than 92 million. So EITHER 92 million people really are not taking statins (they aren’t, we know that, duh) OR that half thing is out of date (it is, duh) OR both or this author is overstating the author’s case.

But all that is by-the-numbers, and remember, I don’t LIKE by-the-numbers prescribing. The other part of the author’s argument revolves around how the claimed negative effects of statins on social media, by RFK jr and elsewhere are not compelling reasons not to take statins. Here are words that appear nowhere in this article:

Creatinine kinase
Rhabdomyolysis
Muscle
Muscular
Polypharmacy
Interaction

These are all words that you would expect to appear in a comprehensive discussion of whether or not a person or group of people should be recommended or continued on statin therapy. None of them appear. Instead, there’s a weird screed about fear of kidney problems.

Let me just say, if you blow through that list of shit I mentioned above, kidney problems are next. So blowing off kidney fears and refusing to engage with the actual clinical guidelines of prescribing statins … makes me rethink whether I should be subscribing to vox.

ETA:

Burying the lede: I really and truly only worry about statins because they generically have the effect of discouraging people from exercise (see all that muscle stuff). I don’t say this based on reading articles. I say this because a couple decades ago I, too, was very excited about statins and asking everyone who was on them / had tried them whether it had any kind of noticeable affect on them (important to know when you are prophylactically prescribing across populations). And I kept hearing from all the women that they went off of them because of muscle problems. When you look at the journal articles, it says men report rhabdo more often than women, but I suspect that’s because the women just stopped taking the statins and it didn’t get reported. Newer work on “noncompliance”, “resistance” and “reluctance” is reframing rhabdo as muscle problems, and taking it a lot more seriously, so there’s some reason to think that this will all get better in the next few years in terms of who is prescribed what and for how long and why. Or, you know, this article, like articles saying bariatric surgery is way better than glp-1s, will age poorly.

ETAYA: Oh, right and statins are implicated in increasing insulin resistance. And then there’s that whole statin - glp-1 interaction thing that’s doing way fewer numbers that it probably should be.

Speedrunning grifty email

Feb. 22nd, 2026 10:21 am
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[personal profile] walkitout
I’ve been deleting a lot of email. On my older email account, the spam filter definitely does not catch everything, and to some degree going into the spam folder and unsubscribing counts as enough engagement that sometimes similar emails will go to my inbox. *shrug* We live and learn.

In any event, I see grifty emails as I delete them, and today’s ridiculous claim involved Tibetans never getting brain fog. Yep, that’s definitely trolling for older folks struggling with the aging process and hoping to “fix” or at least conceal it. Obviously, unsubscribe and delete. But then! I thought to myself, I’ve been listening to Maintenance Phase for a while. I have a lot of kin being treated for ADHD in a certain way. Doesn’t ephedra grow at altitude?

https://pmc.ncbi.nlm.nih.gov/articles/PMC10613977/

Well, yeah, it does, and yeah, it’s used locally in Tibet and, yeah it’s stronger when grown at higher altitudes (it is actually used to treat altitude sickness), so yeah, that’s gonna help with the “brain fog”. You feel a certain way, you drink your tea and you are good to go.

If you are one of those people who is opposed to recreational drug use, don’t take ephedra for that reason. If you are one of those people who is opposed to cultural appropriation, don’t take ephedra for that reason. If you are one of those people who wants to take good care of their physical self, don’t take ephedra for that reason. I mean. Altho I will note that the return of ephedra is happening just about exactly on time, in terms of cultural trends.
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Here’s the Science piece about the universal vaccine:

https://www.science.org/doi/10.1126/science.aea1260

Early days yet, but I had feared a cold fusion vibe and it doesn’t look fake to me. We’ll just have to see how it develops over the next decade or so. Exciting possibilities, for sure!

Priestess told me Barnes & Noble is opening new stores. I found this USA Today piece with a list of new store locations (these are ones that are already open as of today), as near as I can tell:

https://www.usatoday.com/story/money/2025/12/21/barnes-noble-new-locations-2026/87850873007/

Lakeland Towne Center and South Hill Mall are a 10 mile, 13 minute (when there’s no traffic) straight shot apart from each other, and neither location is particularly hopping. I guess we’ll see!

Other locations are in Issaquah and Bellevue. If you are a PacNW reader and you just so happen to be in the area and pop in, please let me know what you think!

Weirdly, before she even told me about any of this, I was in a B&N (I bought an oat milk mocha no whip, after making sure the mocha had no dairy in it — cafe staff was friendly and competent) so that M. could do her book shopping. It was the middle of the day on a weekday, so it was fairly quiet, most of the people sitting in the cafe area.

https://www.cresa.com/News/Barnes-and-Nobles-Loop-Lease-Symbol-of-the-Comeback-on-State-Street

This article covers a lot of the ground I was expecting: hope that a recognizable name on a street desperately in need of more foot traffic throughout the day will be a good omen, fear that it will not.

B&N is owned by Elliott and supposedly headed to an IPO soon(ish)? They’ve devolved more management to the local stores. I kind of wonder if they are heading to a franchise model or branding on top of more granular local ownership.

I asked P. last night if the font / line spacing was different in trade paperback versions of books than hardcover, but it was difficult enough to convey the question that I’m not sure I got a useful answer. *shrug*

ETA:

I had a visit from M.

R. ran the snow blower around the driveway.

I made blondies.

I continue to delete email. I really let the inbox on gmail get way out of hand over the last two and a half years.

ETAYA: I’ve moved on to deleting some Notes. Whee. So much deleting.
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I’ve been struck by how the structure of primary care is likely to stymie the wide deployment of POCT. Doctors offices and clinics that engage in appointment - prescription or test order - appointment will be in no hurry to lengthen appointments (they are already scheduling every 15 minutes) and add cost by doing the test themselves and then extend the appointment post-test to assess and take further action (possibly including more testing lather rinse repeat). Central labs are likely to resist the loss of the (majority of?) their business to POCT tests, and will engage in shenanigans to “prove” that POCT tests are not good enough. Administrators won’t want to change anything because that’s just more work for them.

There are a few places in the US system where the structure is enough different that POCT might take off. Kaiser Permanente’s all-in-house structure means they are less inclined to push costs off onto someone else. And indeed, they implemented an Afiona based hba1c POCT in the covid era because it helped get the least controlled diabetics under improved control. Of course, the era of Ozempic and cheap “narcs” arrived so …

I also thought to look to Canada, as their NHS might, like KP, be less inclined to push costs off onto someone else. However, their understanding of the range of tests available and their quality suggests whoever wrote their framework document is operating off of out of date information, and they are mostly focused on using POCT to get out into underserved areas. And they don’t even understand the difficulty of head to head comparison of POCT to central lab (POCT is tiny amounts of whole blood, central lab is larger quantities of centrifuged fractions).

I’ll be back later.

More shoveling

Feb. 20th, 2026 03:41 pm
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Snow is falling again, quite a lot of it really. Which is weird, because the thermostat says 36, my phone says 37 and the echo show says 35. All of which are above freezing. Oh well. It’s not sticking to the road but is sticking to our driveway. M. came for a visit.

A. only had the one class, so I dropped her off, and waited in the lobby. I deleted a lot more email. I totally missed the union pacific vote last fall. I got some more detail on the questions we asked MF, head of school, about how A&P dissection worked in community college / undergrad these days. That was helpful, actually.

I had a delightful phone convo with K., who still has a persistent cough. I feel kinda bad for her, and hope she feels better soon. Being sick absolutely sucks.

Laundry is in progress.

Recently, the mass market paperback finally reached the end of its life. The trade paperback continues to limp along, but hardcovers are going strong. Like a lot of vinyl, people are collecting all of the different covers, or all the matching ones in a series. BookTok is a lot of this, which is 100% something I do not participate in. I suspect, however, that the increasing number of hardbacks-on-planes I am seeing are there for a couple other reasons, and I was trying to explain this to A. today. I’ll summarize my thoughts here, and then see if I can find any support for any of it.

First, for some time now, pagination has been the same in trade paperback and in hardcover, more often than not. Sometimes, literally the only difference is margin size, but more often the font size and the space between the lines is greater in the hardcover than in the trade paperback. Aging eyes likely explain the hardcover preference.

Second, pbooks in general are likely winning in the ongoing effort to focus on reading a book vs continually being interrupted. Sure, on a device, you can mute notifications, but it takes some effort. You can’t grep dead wood but also, tree corpses don’t beep or buzz. Obviously, e-readers are a solution to a lot of these things (font size, reading in a bright or dark environment, interruptions), however, e-readers make certain demands on the reader that murdered tree cellular material does not.

Third, lots of e-books are read on phones, tablets, computers — active screens. In addition to focus issues, reading on an active screen is tiring on the eyes. Again, e-readers are a solution, but so are all the arboreal people who the Lorax failed to save.

Fourth, a lot of reading happens in bright environments, and adjusting the brightness of devices to have high contrast in bright light will run the battery down faster. E-readers, again, great solution, but so is macerated and reconstituted tree flesh.

Fifth: charge routines. If you are reading on any kind of electronic device, you are going to need to recharge the electronic device, possibly continuously and repeatedly. If you read all the time on a phone, that’s going to be a real problem in several ways. If you read on an e-reader, you are going to have to solve several problems. You have to have a consistent, effective charging routine (which is hard for a lot of people). You are going to have to figure out how to hotspot your phone, in order to download more books onto it, and if you are using the e-reader because your phone is dead, you won’t be able to do that. Getting connected to public wifi can be surprisingly challenging with e-readers. Both hotspot and public wifi are a lot more challenging than one expects with e-readers.

Sixth: cost. While e-readers are not very expensive, if you are comparing, say, a boxed set of Acotar in hardcover to a bottom of the line e-reader, Acotar in hardcover is cheaper. A lot of this comes down to how many books you read. E-readers make sense when you are reading more than a book a month consistently, and they really make sense when you read more than a book a week. Judging by page turn rate on hardcovers on planes, most people reading hardcovers on planes are not reading fast enough to make e-readers dramatically more cost effective.

I think Barnes & Noble is able to open more stores last year and this year for several reasons. First, retail rent is about as cheap as it has ever been, for a variety of reasons that do not need to be belabored right here right now. Second, they are mostly selling hardcover, with some trade paperbacks. The era of mass market paperbacks is completely over. Their margins are thus, presumably, pretty good. Finally, BookTok and other social media are out there showing people how to decorate with books. Books can be signed. B&N is hosting author events. There’s a whole bunch of community reinforcing third place stuff going on here.

Aging eyes, distractibility, the need to get away from constant interruptions, at least when the battery on your phone is completely dead and/or there’s no local data service / wifi, and the multitude of ways in which pbooks create a sense of stepping outside of The Real World and IRL, and stepping into another world, which is exciting, scary but in a not-immediately-personally threatening way, add up to a weird bump in the popularity of hardcover books.

I’m sticking with my light weight, backlit when needed, legible in Caribbean sunlight kindle. You do you. But I had to limit how many books I could own at a time when I had pbooks. I don’t have that limit any more.

Shoveling out

Feb. 19th, 2026 03:27 pm
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Today, the solar panels finally dumped the snow that was on them. Not all at once, of course, because that would have been too simple. Anyway. I shoveled some of the deck then R. took over. Very heavy, very tiring. The solar panels are now producing, which is delightful.

I spent a bunch of time sitting in a chair with my laptop (totally normal) deleting email (also normal). Lots and lots and lots of email (this is not normal). This is 100% one of those tasks that can just wait forever. But at intervals — long intervals — I go through and delete lots and lots of emails.

Some of this is just fail to get rid of it as I go stuff — announcements from schools or organizations I belong to, notifications of bills due / payments received. Some of that stuff is useful to let age for a bit, because then you never need to file it. It’s dead and done and can be deleted. Some of it is stuff that I wasn’t really sure what I should ever do with it and time has brought clarity. There’s a certain satisfaction in closure.

I’ve been reading things as I go. I’ve let the Vox newsletter come through, and caught up on interesting things I failed to read earlier. I caught up on a bunch of Calculated Risk. A few of these were good enough to share with other people, and sparked some good conversation.

I doubt I will sustain this long enough to get the inbox down to where it “should” be, but you never know. I cleaned my sink for the first time in a long time today. Crazy things happen.

ETA: Oh, and I’ve now voted apple and starbucks. I wonder what I’ll find in here where I totally missed the opportunity to vote. Not that any of this ever matters.
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My post on FB from last week about Siemens epoc attracted some skepticism. One person mentioned theranos. My sister expressed skepticism of its utility outside of a paramedic context.

I’m sympathetic to reflexively disbelieving something after being grifted. I really wanted to believe in Theranos, and it was a top-to-bottom, intentional scam, all the way to picking a board that included a bunch of older folks from other fields and notably government to block efforts to regulate or dismantle the scam. Some years ago, I gave money to a kickstarter for a coffee maker that you would put beans into and water into and make selections for grind and so forth and it would make coffee at a particular time starting from beans instead of from ground. They delivered a few units, very late, and the units never worked properly. Of course this is a common thing now. I could have believed the device was impossible, because of the failure and general poor communication and bad behavior of the kickstarter I funded. But I didn’t. I didn’t even need to order one of the modern versions of this device to convince myself. I saw reddit posts comparing which ones were better or worse and why and that was good enough for me.

I went over to pubmed, to find an assortment of articles about how people are using epoc in various settings. The paramedic setting is tricky, because these devices require a pretty tight temperature range and as you can imagine, that’s hard to accomplish when you are going in and out of an ambulance, people’s homes, etc. I was able to find some Canadian respiratory therapists who were making good use of the device, and my sister found that interesting. I pointed out to the theranos mentioner that epoc had all the FDA clearances that theranos conspicuously did NOT have; and also CE Mark and was authorized in the UK. If this is a scam, it is a more successful one.

Gotta take the kid in; will continue later.

ETA:

OK, I’m back, I did duolingo, and I’m eating leftover Railtrail pizza from last night and I’ve put the farm share away and have a salad made from things from the farm share. Woot! It’s a good day already. On the way to school — and we got out the door around 9:30, which is 15-30 minutes early for us — I asked A. for more fears. Yesterday on the way home, we went over the Can You Really Just Take a Single Class at a Time thing, which she truly had not believed me when I said it was possible. We also went over just how many schools there are in the Pioneer Valley, which creates lots of possibilities if the first one or few do not work for her. That was a grind of a conversation, but this morning’s conversation was light and fun. I did monster noises and said I was hungry for fear, and we made Monsters Inc jokes and We Scare Because We Care and how laughter was even more powerful etc. That’s some useful IP.

Anyway. Today’s fears included: I don’t want to do dissection. I told her I’d research whether computer simulated dissection was an option at the colleges we’ve been looking at. I’m afraid of a lab spill that burns through my PPE. We talked about safety policies and how if they don’t have one or they don’t follow it, she is to walk out and then we figure it out later. What if I get a bad lab partner. We went over Kitti’s various ideas that she might be comfortable with, with a focus on saying in a loud voice whatever it is that’s the problem, and the person in charge will likely come over and help figure it out. We also talked about how they generally don’t let noobs have dangerous chemicals in quantity or dangerous microbes at all.

This was such a wonderful conversation, and we are looking forward to doing a lot more of these. I’m going to really make an effort to keep up on the “I am afraid about” discussions so they don’t have a time to curdle and cause her to give up on things, which is usually the point I step in. I’ve been trying to create space for her to be independent and figure things out and for other people to provide meaningful / effective support, but it’s not working, so it’s time.

Back to blood gas analyzer accuracy!

https://pubmed.ncbi.nlm.nih.gov/26457784/

This is a 2016 article about testing epoc (handheld unit, costing a few thousand dollars) to existing automated lab units.

“The accuracy of the epoc analyzer was assessed by comparing patient results from the device with those obtained with the Siemens Rapidlab 1265 and Rapidpoint RP500 and Siemens Dimension Vista and Sysmex XE-2100 analyzers. The following parameters were measured: pH, pCO2, pO2, Hb (calc), Na+, K+, iCa2+, glucose, and lactate.”

While I have not been able to nail down 2016 era price points on the listed items, many of them have been discontinued. A lot of them were rapid tests (so were not faster or slower to run the test, other than trip time from the bedside to the lab and back) but standalone things on the order of a chest of drawers in terms of size. In 2016, they appear to have cost between mid tens of thousands of dollars to over $100K.

“Results: The CV% of the epoc's between-day imprecision for the various parameters varied from 0.4 to 8.6. The within-run imprecision CV% varied from 0.6 to 5.2. The squared regression coefficient (R2) between the epoc and RL1265 varied from 0.94 to 0.99, with the exception of Na+ and Ca2+ (R2≥0.82). The correlation (R2) of Na+ and K+ between epoc and Dimension Vista was 0.73 and 0.89, respectively. The correlation (R2) of Hb between the epoc and the XE-2100 analyzer was 0.94.

Conclusions: With most of the measured blood gas parameters, the epoc analyzer correlated well with reference techniques. The epoc analyzer is suitable for rapid measurement of the blood gases, the electrolytes, and the metabolites in the ICU.”

Notice that this is comparison to _other rapid tests_. In an ICU setting, time is of the essence. So even a high correlation to these automated testing units might be a further degradation vs. the “gold standard” test.

It does seem clear that the handhelds arose out of miniaturization and a desire to reduce (expensive) labor in hospital labs. As one would expect, over time this led to a vast savings in the cost of the unit as well HOWEVER it is not necessarily possible for me at this point in time to assess other cost aspects. For example, if you can get the same volume of testing through one of the standalone things as through one of the handheld, it’s pretty obvious the handheld is better. But if you can get a much higher volume of testing through the standalone thing, and you were using that throughput, comparing one unit of one to a unit of the other might be unfair. I don’t think that’s true — the very expensive standalone stuff now sells used at a discount to the handhelds which I think is telling.

Peanut butter and chocolate

Feb. 17th, 2026 10:46 am
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I’m always amused by the number of tasty things that involve two or more beans in combination. Peanut butter and chocolate, for example, but today I made some pinto bean brownies, so that’s cocoa and pintos. My favorite fancy coffee for many years was a soy mocha no whip, while I never ordered it as anything other than a soy mocha no whip, I referred to it otherwise as my “three bean drink”. We don’t necessarily think mmmm beans, but we do think mmmmm coffee and mmmm chocolate and mmmm peanut butter but those are all beans.

If you DO think mmmm beans, good for you and it would be nice if we could reframe beans so that more people could think like you.

Because sometimes two things that taste great individually ALSO taste great together, I got to thinking whether any of my thought tricks might actually compose well. I started with XKCD’s Is It Worth the Time, which has been next to my desk for many years now, iterating through a series of formats (taped to the wall, in a crappy frame, in a better frame, in a better frame with the hover text included, etc.). And then I added Basic Needs Theory. Maslow, of course, is famous for the pyramid, but the idea is not new to Maslow (he never claimed it was) and I specifically dislike Maslow’s formulation because of words like “hierarchy”, pictures like the “pyramid” and the concept of “self-actualization”. As a practical matter, the people most likely to know about Maslow are most likely to be ignoring much more important needs (like getting enough sleep) while talking up “self-actualization”.

With those two concepts in my mind, I overlaid them on top of each other to see if anything “popped”, and sure enough, things did. The first thing to “pop” was sleep. Sleep takes up _so_ much of our life that it’s the thing people are most tempted to reduce in an effort to get more time for other activities. It _looks_ like everyone else has been trying to make sleep much more efficient for a very long time, because it looks like it under XKCD. Now, I could have gone, well, fuck. People shorting themselves on sleep in the name of efficiency is what you get when you compose maslow and xkcd and it’s clearly the wrong choice so never mind. But I didn’t. Instead, I immediately thought, “aha! This is why it’s so important to have a good wind down routine, and to take care of your shit earlier in the day, and to practice acceptance and focus on process instead of outcome. Because when you lie down to sleep at the end of the day, NOT having that good wind down, NOT having addressed the important things earlier in the day, NOT having the ability to accept reality and Outcome Focus will all fucking come for you and prevent you from sleeping. At. All.”

Pausing to reflect, and to do a little light googling produced all kinds of hilarity. Acceptance is present in Maslow’s hierarchy, but as a social need (being accepted by the group). Some people talk about self-acceptance as coming from getting up to self-actualization, but there is an absolute shocking lack of acceptance of reality anywhere in sight. Which, given that Maslow’s hierarchy is about _motivation_ makes perfect sense. On some level, if you accept the world as it is, where is the motivation to change it?

I don’t know if I have any larger point here. This isn’t a new theory — none of these are new ideas. This is just me noodling around with a couple of flavors that I like regularly, to see if they taste good together. And the answer is, mmmmm. Also, I bet I can improve on this.

I’m reading _Spilling the Tea in Gretna Green_ by Linzi Day, having finished _Market Forces_. I hopefully will get around to writing some kind of a review at some point. The next novel doesn’t come out for a few months. I’m really happy to be reading fiction by a new author and enjoying it, writing about random thoughts that have nothing in particular to do with family, politics or the house project, and experimenting in the kitchen. Some of this is surely getting past Imbolc, but I think a lot of this also has to do with changes in my social life. I’m really excited to be going to a party at a new friend’s house later this month and meeting lots of new people. It’s fun seeing my picture in a school newsletter next to another new friend.

And honestly, that Bad Bunny half-time show was really great. I haven’t watched the Superbowl, the ads or the half-time show on purpose for several years, but I do some social media and bits and pieces of the show were all over the place on my feed since the Superbowl, and it was absolutely delightful in every way. Benito brings the light and the joy.
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Regular school day, so I brought her in. I had a walk with M. and a visit. I had a walk with my husband. I had a zoom with I. Lots of fun!

I’m still reading _Market Forces in Gretna Green_, and there’s a peacock in the Violet Sector of the Gateway guarding the Fae stalls for the exhibit. The peacock is discussed by Niki and Dola.

“Dola, do you know why there is a wild peacock in the Gateway?” “Yes, Niki. The Fae need their spells to settle and wish to keep humans out until later today. Aslan is their magical guardian.” “Aslan?” “I understand the name comes from a book Ad’Rian enjoys.” Before Dola housesplained Narnia any further, or I wasted more time wondering how a peacock had been named for a lion, I moved on and …”

Yep. The author understands that Aslan means Lion. Solid!

second bingo of the month

Feb. 15th, 2026 09:23 pm
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Today is bingo.   I will be handling this task independently as Lynn is currently unwell.   Trimm said he would have the bingo stuff out of the closet (at least that’s how I understand it) and then I will come home and do housework.  I may grab something from the macaroni place.

I sent text messages to the group and to Liz and to Jim and Janis.  I have been puttering around.  I cleaned the litter and dishes

Around noon, I showered, prepared for bingo, and left at about 1:45, feeling a bit panicked when I couldn't find my credit card.  I planned to get dinner but changed my mind when I couldn't find it.  Since then, I have located it and put it away.

The bingo session proceeded successfully, and I had the opportunity to reconnect with a colleague both prior to and following the event.  We had seven players, and I was concerned that we might encounter challenges. We finished at 3 and cleaned up after.    I returned to the front desk and had a conversation with the receptionist.   I had not seen them for several years, yet we resumed our relationship seamlessly as if no time had passed.

Since returning home, I ate an early meal and completed vacuuming; however, I did not address the bathroom or kitchen, and upon passing by my room, I noticed it requires additional attention.   I'm tired and haven't folded the clothes yet.

The forecast originally predicted snow around nine, but now it's expected at 2 a.m. instead. I decided to empty the garbage and recycle now instead of tomorrow.  We likely won't get much, but the forecast predicts more snow and rain later this week.

Well I sent out texts and haven’t hear from Liz or Laura so I think I will go to bed

    

Walk, family zoom

Feb. 15th, 2026 06:41 pm
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It was a milestone birthday for one of R.’s relatives, so that was family zoom today. No zoom with I., today, but perhaps tomorrow.

I walked with M.

I’m in the middle of Market Forces in Gretna Green. The series continues to be worth reading.

I did a bunch of vacuuming in the master suite. It had gotten really quite grubby.

I finished off the last of the leftovers from The Bancroft. I’m now FB friends with someone from that evening and have a specific invite to a party later this month, so that’s exciting.

I am frustrated

Feb. 15th, 2026 09:37 am
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I continue to be frustrated with working with the credit union website.  Their AI chat thing is no help at all.  I can't update or remove the payor for my bills, so I need to call the support number.   I am not sure I will be talking to a human. 

 

I am still paying for things but that's it.

 

This week I got my new ID for work.  There were several delays due to challenges with the GPS and multiple relocations of the ID center. Although I made previous efforts to visit, I ultimately arrived early on Saturday to complete the process.   I got there early because I wasn’t sure how busy it would be.

 

Rather than going to Shoreline, we went to the Mid-Week meetup at Eli's in Branford.   We talked about different things such EZ passes and bills in general.  We discussed next week's brunch.  I'm unable to order the sandwiches.   Laura offered, but I prefer to do it myself.   She already is doing a lot. She is picking up the sandwiches

  

My neighbor Rose passed away last week, Frank the HOA President or condo president called me up yesterday and asked if I could move the event because Rose’s daughter wanted to have the funeral reception at the clubhouse.  I had to decline.  I spent the afternoon wondering if I'd made the right choice.   I texted Laura, and she said I did fine. We spoke on the phone Sunday and she reiterated the sentiment for not giving in,

 

Sleep has been difficult; I wake up after a few hours, scroll for a bit, then recall health hacks videos on Facebook and stop.   I was exhausted Saturday and only got shopping and picking up my ID done.    I was planning to skip bingo, but Lynn called out, so I'm going in.

 

I will get things done after bingo.

 

 

An enjoyable long weekend

Feb. 14th, 2026 09:40 pm
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A. did not have school yesterday, so it’s a long weekend. Woot! I spent yesterday writing a response to the viral Shumer AI piece. That was fun. It took three rounds, because wow there was a lot in the first draft. And the second draft. I got it carved way down, a friend looked it over and it re-expanded a bit.

I’m through Code Yellow in Gretna Green. That’s fun, altho a bit gruesome. I’m not sure this counts as cozy, altho I’m really here for the sentient house, so there’s that.

I’ve been getting walks. Yesterday and today A. made most of her own breakfast. She’s also been wheedling R. into taking a gift card she found for Dunkin over to the nearest one to get her a muffin and hot chocolate. Last night’s FF was enjoyable. I had absolutely nothing schedule today other than the delivery of the dining chairs for the future house. The basement is looking a bit crowded again, which is fine.
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The Gospel According to Shumer can be found here:

https://shumer.dev/something-big-is-happening

Shumer begins with a deeply faulty description of the world of February 2020, which I remember vividly and not really at all like he describes. I went to DisneyLand that month, and in the leadup to the trip, I was already making jokes with a financial adviser about the coming plague while debating the wisdom of actually going on that trip. In the event, I did go on the trip, and my husband got incredibly sick. I was mysteriously exhausted and lost my sense of taste and smell. We had no idea it was covid at the time, but we definitely agreed that the hospital sounded like a terrible idea. I’d been monitoring travel cases in the US already and we’d been discussing whether there was any local transmission yet but at that point we still naively believed that there wasn’t, or wasn’t much. I also remembered the fizzle of the previous Sars scare years earlier and flu scares that had “disappointed” (happily) and was thus prone to downplay the risks. We always stock TP (costco), but when I heard people were buying out masks everywhere they could find them I was mad because I thought those should be left for the people who actually need them and hoarding can create supply shocks all by itself (beef scares of my childhood, for example, as documented by Bill Rathje’s Garbology project, which you can read about in Rubbish!).

He then describes how AI has already displaced many people in Tech, who never imagined their work could be automated. There’s substantial evidence within the text that Shumer was never more than what we would once have called a script kiddie, but is now an app developer of the most rudimentary sort. Here in Massachusetts, it’s hard to avoid stumbling into a conversation with older folks who want to reminisce about front panel programming a PDP-11, and even Facebook serves up stories of the women who hand coded stuff for the early moon missions. The Typing Pool was drained by people hunting and pecking in word processors, because we no longer needed someone who could type quickly and accurately — slow and inaccurate was Good Enough, especially with spell check. Back in my early college days, Pattis showed everyone a curve of telephone adoption that indicated clearly that everyone would have to become a telephone operator soon, and of course we all did, but via dial tone and rotary dial and later push button and still later Hey Siri Call Mom. In the meantime, there were far fewer jobs for telephone operators, and they did very different work than the women who used cords with jacks to complete circuits … literally.

Shumer is very impressed by the ability of Claude agents to write code, and on one level, it is remarkable.

https://arstechnica.com/ai/2026/02/sixteen-claude-ai-agents-working-together-created-a-new-c-compiler/

But if you read the whole thing, you realize the lie embedded in calling this “clean room”. This is just more theft, renamed as “creation”. Shumer looks at enshittified stolen goods, and believes that genuinely new things that are of value can come from this. It’s possible; composting really does improve the soil. But it’s much more likely that the current round of AI will be digested in much the same way we digested calculators: rapidly, where accuracy and speed in calculation truly matters, creating an entire job skill and job category in the form of “data entry” or “10 key”, and slowly and with great resistance, in areas where speed and accuracy were competing with other cultural values (k12 education and doing the family budget).

Shumer’s But It’s Getting Better Fast is an effort to undercut the observation everyone has made: AI quality is pretty bad for many purposes, and you have to have someone quite expert already in order to rapidly sort through what’s usable from what isn’t. AI is good at increasing the productivity of the already productive; it’s not good at enabling someone who is new or not very good at a job to do it at even a consistently mediocre level.

Shumer’s advice to pay for subscriptions to Claude and similar, and advice to lawyers to feed contracts and accounts to feed tax returns into these tools ignores the fact that trade associations for both groups specifically say not to do that for reasons of confidentiality which he entirely refuses to engage with. These fields and others will develop models that have rigorous (enough) walls around them, but rushing into that has dangers he does not engage with. They are also regulated fields which will further slow their change.

Shumer also flattens competency, which requires capacity and experience, across multiple realms. “If AI is smarter than most PhDs, do you really think it can’t do most office jobs?” I mean, we have an entire stereotype around the absent minded and/or nutty professor, who can’t even get dressed properly without supervision.

I don’t necessarily disagree with the idea that if your job mostly is at a keyboard, your job is going to evolve a lot over the next few years. It evolved a lot over the last five years, so, expected! But Shumer has no real understanding of previous waves of job evolution. He writes, “When factories automated, a displaced worker could retrain as an office worker.” Of course that is not what happened. They stayed home and their wives got jobs in the service sector. “When the internet disrupted retail, workers moved into logistics or services.” Retail had a lot of logistics workers already, so, sure, they moved to another company with a slightly different orientation, doing roughly the same work (load, unload, drive stuff around, pick). But retail workers who were not already doing logistics work — the ones who were there because they had the ability to interact with randos in person answering provocative and/or insane questions for hours at a time — did not go into logistics. They just didn’t. They went somewhere else where their excellent emotional regulation and other people skills were valued. Child care, health care, hospitality, education and similar.

If Shumer really thought it worked the way he said it worked, why isn’t he advising people to pivot to health care or building trades? I think the main reason is because I don’t think Shumer knows anything at all about these activities, and he has some fuzzy-minded idea that Optimus or some other humanoform robot will be taking over those jobs Real Soon Now.

Shumer’s so bad at communicating with and understanding other people, that he doesn’t even realize that’s a skill set that is valuable. He thinks that lawyers sit around analyzing contracts and finance folk sit around creating financial models (I mean, he must not read Matt Levine, because if he did, he’d know that only the entry level folk do that shit; the higher tiers take valued clients out to dinner, right?). There are people who have jobs that involve putting together complicated legal and/or financial deals and then attempt to sell those to plausible participants (LBOs and similar), but that’s not what most lawyers and accountants are doing. Most lawyers and accounts are answering email and talking on the phone and occasionally meeting people in person to do something with an estate or a trust or a closing or file something with the court or tell people it’s not worth it to sue over something or trying to figure out whether a settlement is good enough or helping someone figure out whether they should take a plea offer or moving contentious folks through a divorce process or explaining to people what their rights and responsibilities are in some document like a lease that they signed or are considering signing. Show me the AI that is going to do any of that well. No, really. Show me.

Even when all of this is done in words, drafting an agreement, circulating it, incorporating any responses, recirculating it, and then getting it finalized and filed if needed is a remarkably tricky bit of business. Probably AI can help with this now, and in offices large enough to have paralegals, this will probably impact the paralegals work load and work flow.

”Writing and content. … The quality has reached a point where many professionals can’t distinguish AI output from human work.” Let me just say, I HOPE that an AI wrote most of this piece by Shumer. I’d hate to think he crafted this repetitive turd by hand.

”I’ve already watched people begin relying on AI for emotional support, for advice, for companionship. That trend is only going to grow.”

I actually believe this. It’s the one thing here that I find scary. And I don’t think Shumer finds it scary at all, even though there’s a lot of indications in this piece that he enjoys his time with AI a lot more than he enjoys his human time (fair!) and is now evangelizing that as a choice that has urgency, and anyone who doesn’t make that choice will suffer (not cool!).

”Eventually, robots will handle physical work too. They’re not quite there yet.” This is odd, given the massive changes occurring in logistics with semi-autonomous / supervised robots, and of course robots are everywhere in manufacturing. What physical work does he mean? Wiping butts? Setting up a central line? Adding a new electrical circuit in housing stock that was created before the Vietnam War? Replacing plumbing with lead in it with lead-free plumbing? Remediating leaded paint on old housing stock? “But “not quite there yet” in AI terms has a way of becoming “here” faster than anyone expects.” Does it? Or is Shumer’s conception of work so limited that he only sees the things that are susceptible to doing poorly without significant loss?

Under the heading, “What You Should Actually Do”, Shumer moves into Cult Recruiting. I have no difficulty spotting this, because I was raised a JW, and my mom was born into a Holdeman Mennonite community. Call it the ultimate exposure therapy. I might lose people to cults, I don’t lose me any more.

”I’m writing this because I think the single biggest advantage you can have right now is simply being early.”

It’s true for MLMs. Is AI an MLM?

“Sign up for the paid version of Claude or ChatGPT.”

He mentions only the lowest paid tier, not the highest, nor does he mention that anyone who uses the lowest paid tier rapidly escalates to the highest paid tier.

”Instead, push it into your actual work.” This one really bothers me. Cults and MLMs and similar want you to use your friends and family as resources for the cult. That’s what Shumer is doing here, too. This is where he specifically recommends that licensed professionals like lawyers and CPAs do things that their trade associations are all over the place saying do not do under any circumstances. Without acknowledging any of those trade associations concerns.

”if it even kind of works today, you can be almost certain that in six months it’ll do it near perfectly.”

Promises, promises. He goes on to create urgency “That window won’t stay open long. Once everyone figures it out, the advantage disappears”, and promise that the unbeliever will be punished: “The people who will struggle the most are the ones who refuse to engage”. He brings in prepper/goldbug thinking. And he acknowledges all the things that WILL slow adoption (right or wrong), but says any time created by resistance must be used to adapt to the AI future. Even if reality shows you his timelines and promises are all wrong, he insists he is right, and you are wasting time. No matter how long the delay.

The JWs are still trying to reinterpret their failed 1914 prophecy. Most of their other dated prophecies they’ve tried to hide.

Like all cults, Shumer wants you to indoctrinate your kids. And like all cults, every desire or fear you have will be fixed by AI. You can write that book! Cancer will be cured! In a thread pulled straight out of 1984, “The specific tools don’t matter as much as the muscle of learning new ones quickly. AI is going to keep changing, and fast.” Kind of like the alliances that you must be loyal to while they are in place and forget completely when they are gone.

Finally, the admonition to commit a substantial amount of time daily: “Here’s a simple commitment that will put you ahead of almost everyone: spend one hour a day experimenting with AI.” Simple commitment? 365 hours is over 9 40 hour work weeks. _2 months_ of a full time job. If you have kids, a job, a spouse or anyone else who cares about what you do with your time — and I hope you do! — I wonder what you are going to think about this. And I wonder what Shumer did when they pushed him to spend less time with the AI.

Shumer concludes: “If this resonated with you, share it with someone in your life who should be thinking about this. Most people won’t hear it until it’s too late.”

Gross.

Never forget that 1 hour out of 24 hours is a little over 4%. So if someone is asking for an hour a day of your life, they are asking for more than 4% of your life. I mean, pause and reflect before making that commitment.

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