The frog was smart enough to hop out, and only stopped when just this side of lobotomized. The story doesn't match, and it's because frogs are smart enough to leave when they recognize their environment is not amenable to their continued existance
It's comforting to blame it on "MBAs", but i think it's pretty clear that silicon valley has been entirely captured by the "hardcore grindset" segment of the manosphere.
CSS is this weird thing where it has dominance as a layout engine because it is so battle tested compared to a lot of other layout engines, but was clearly designed by a committee that could give a rat’s ass about how ergonomic it is to use.
It took until 2023 to support nesting, something that was so obvious that preprocessors have had it since at least 2006.
The latter kind of prediction has become less desirable to bet on ever since the shenanigans around whether or not Maduro's kidnapping counted as an invasion of Venezuela.
It’s where monitoring for 9s is more important at that scale than absolute errors. So long as degradation is graceful or retried it should not be a massive problem.
It does require constant tuning and adjustment though.
I've worked in large orgs where we could (at at some times did) have around the world rotations. They don't work well. It've very hard to maintain real team cohesion, and you end up with really superficial operations. People tend not to dig in really deep, find good fixes, etc. Lots of superficial bandages.
At least in the US my understanding is insurers don't generally support BiPAP because it's more expensive. Surgery costs more, has extended recovery time, is more risky, and is less effective at the broader population level; if it works, it may not work forever. For a lot of people, CPAP is good enough, and so it's currently the standard.
BiPAP is only more expensive for artificial reasons. It's the same hardware just with a different algorithm. CPAP machines are around €/$500, BiPAP can be more than twice as much. But if you take into account that they last 5-10 years, and that my local hospital charges my insurance €90/month for leasing a CPAP device, it quickly becomes apparent how much of a cash grab that is.
Patient care should be at the top of the list, especially for something as important as sleep. But saving a few bucks in the short term seems to be more important. But people with improperly treated sleep apnea still suffer many of the same effects of people who aren't treated at all.
For surgery, it turns out there are higher rates of it being the improper treatment and partial or full failure, and you still might need CPAP anyways. And that’s on top of the fairly standard and obvious preference for non invasive treatments in general.
I will say a fairly non invasive surgery that is much easier to consider is fixing a deviated septum; it probably won’t fix your apnea, but it being deviated is probably not helping.
I share your concerns about surgery. The way I understand it, the difficulty lies in choosing the right surgery (or surgeries) for the right patient. The supposed gold-standard diagnostic approach is a drug induced sleep endoscopy, where an ENT looks at your airway while you sleep. The problem is that being sedated is not the same as being asleep. It's possible to do this "right", but that is much more time consuming than just shooting people up with propofol and scoping them while they're knocked out.
One thing to keep in mind is that surgery might still be useful even if it doesn't get you off CPAP: being able to use lower CPAP pressures could increase comfort and adherence.
I've been putting off my own septoplasty because it all sounds extremely unpleasant, so yeah.
IME septoplasty was bad for like a week (constantly nosebleeding more than I’ve ever done in my life) but in the grand scheme of surgery its a fairly low pain, fast recovery, at least compared to other ones I’ve done like ACL construction.
The ones they generally don’t recommend in the US are those that involve airway or jaw modification; they have fairly low success rates, you’ll have trouble eating for months, and they can come with a whole host of nasty side effects like permanent uncontrolled nasal drip. Plus, in general US medicine tries not to recommend major surgeries if alternatives are good enough or better, not only to reduce cost and recovery, complications etc, but also because general anesthesia itself is risky.
Even these days, a lot of retailers operate fleets of private jets even for district or regional managers, because it saves somebody like Walmart a lot of paid hours to fly someone from rural town A to rural town B rather than potentially deal with the hassle of an overnight booking at an airport hub.
There is money in NYC-LHR (it brings BA alone $1B in revenue annually) but the market for supersonic basically vanished. In the 70s when Concorde started flying, it was certainly a step up. However, the market niche basically disappeared when the lie flat seat was developed; for a lot cheaper, you could have a sleep for six hours in a really cushy lie flat, or you could spend a crapton more to be in a much louder, more cramped cabin for only about three hours less. If you were halving a 12-16 hour journey instead, there would still be a market left, but Concorde just didn't have the ability to do so.
You can also essentially work remotely in an airplane now. I haven’t tried videoconferencing, but I easily do all my other software work on trips. So a couple extra hours might even be a benefit: more time with no distractions to wrap up that slide deck, maybe a 1:1 or two, get your free drinks from premium/business class, doze off to a movie, wake up for an early start at your destination.
Shorter, no, but having a private cabin with a shower, and a lounge with a bartender on the plane, not to mention Starlink, would make those 12 hours a lot more bearable vs 12 in an economy seat.
AFAIK: Showers are only available to first class customers flying via the major Gulf carriers. I checked Google flights for business class and first class tickets between Tokyo and London. Business is about 5,000 USD and first class is about 10,000 USD. Assuming that we are talking about first class here (to satisfy your shower requirement), what kind of developer is hacking code at 10,000 meters in first class... except... hmm... Mitchell Hashimoto?
Mitchell Hashimoto's got tres commas in his bank account and his own jet. He doesn't need to take commerical, or even first class. If we backsolve, say $10,000 is a once a month purchase, and $10,000 for a hotel and you stay a month. Say your other living expenses are $10,000/month, so we're shooting for spending $20,000/month. With the recommended shaving off 3% the nest egg, (20,000 * 12) / 3% gets us $8 million in the bank.
So at $8 million in the bank, you could take a $10,000 plane trip, stay for a month, spend $10,000 on a hotel, take a $10,000 flight back. Still upper end of net worth, but nowhere near Mitchell Hashimoto territory.
Not a fan of how big tech has become the parable of the frog in slowly boiling water.
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