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8:43 am
July 11, 2011


Hljothlegur

Moderator

posts 367

*pokes with a stick*

 

Question:  How long do we wait to call T.O.D.?

9:42 am
July 11, 2011


Andrea_A

Germany

Member

posts 147

What about Facebook? As dead as the 'Crawl?

Between 17–20th of June he had changed the "Upcoming Appearances" on his Website (Google Cache). And I added a comment at June, 23rd. But even this happened almost three weeks ago …

10:56 am
July 11, 2011


Hljothlegur

Moderator

posts 367

Post edited 10:57 am – July 11, 2011 by Hljothlegur


Andrea_A said:

What about Facebook? As dead as the 'Crawl?

Between 17–20th of June he had changed the "Upcoming Appearances" on his Website (Google Cache). And I added a comment at June, 23rd. But even this happened almost three weeks ago …


The Facebook continues unabated, in which he tells us he has a colonoscopy scheduled because he is defecating blood.  But the Crawl looks abandoned; you can't even reply to the last entry. 

What a come-down is Facebook, with its fake cheer and tweet-size replies, mostly consisting of emotional support.   E.g., U great! We <3 you!  :)  Notice there is on Facebook a paucity of Mr. Watts posting huge rambling rants about whatever is on his mind, and commenters giving shorter but equally passionate rantoid replies, some in diametrical opposition to Peter's views?. 

FB is not designed to be a nexus of debate, but The Crawl, no matter its flaws, was a salon.  An angry angry, angry salon for smart people.  A bitter curmudgeon's wateringhole.  The Facebook page does not scratch the itch that the Crawl did for me.  I miss the Crawl.

3:52 pm
July 11, 2011


Andrea_A

Germany

Member

posts 147

Post edited 4:41 pm – July 11, 2011 by Andrea_A


Hljothlegur said:

*pokes with a stick*

 

Question:  How long do we wait to call T.O.D.?

So this had been a little misunderstanding.

The Facebook continues unabated, in which he tells us he has a colonoscopy scheduled because he is defecating blood.  But the Crawl looks abandoned; you can't even reply to the last entry.

Well, at least a life-sign.

I had to undergo a colonoscopy in spring, and the bowel preparation is the worst part. It does not automatically mean something, it is part of early cancer diagnosis (and if the physician finds polyps/adenomas [precanceroses], he could remove them endoscopically): http://www.youtube.com/watch?v…..cPCP9s  

And I remembered that he wrote about planning a website relaunch. Could this be a reason for the freeze?

What a come-down is Facebook, with its fake cheer and tweet-size replies, mostly consisting of emotional support.   E.g., U great! We <3 you!  :)  Notice there is on Facebook a paucity of Mr. Watts posting huge rambling rants about whatever is on his mind, and commenters giving shorter but equally passionate rantoid replies, some in diametrical opposition to Peter's views?. 

FB is not designed to be a nexus of debate, but The Crawl, no matter its flaws, was a salon.  An angry angry, angry salon for smart people.  A bitter curmudgeon's wateringhole.  The Facebook page does not scratch the itch that the Crawl did for me.  I miss the Crawl.

I miss the 'Crawl, too, though I'd been more the silent reader. And I'm interested in weird scientific stuff. Got hooked due to the Squidgate mess, so in a very special manner I have to thank B&B for this …

8:04 am
July 12, 2011


sheila

mindsided by Blindsight

Moderator

posts 515

Andrea_A said:

And I remembered that he wrote about planning a website relaunch. Could this be a reason for the freeze?

He posted a facebook update about needing to spend time writing.

http://howaboutyoufoc.us/

speaking of facebook, I wish he had a web minion who would set up a diaspora instance, or maybe just use google+. he could post the short conversational things in some place other than facebook, with its gated problem.

google+ has a similar problem, but many more people have gmail accounts than facebook ones. so it's less of a compromise. google+ still has some privacy problems (why am I required to share gender in my profile? that's silly).

I like diaspora because it uses the federated model. and if they use oauth openid techno babble people could post from other accounts without needing to make yet another one.

I miss the 'Crawl, too, though I'd been more the silent reader. And I'm interested in weird scientific stuff. Got hooked due to the Squidgate mess, so in a very special manner I have to thank B&B for this …


I miss the scientific posts. I like fiblets too.

8:18 am
July 12, 2011


Hljothlegur

Moderator

posts 367

Andrea_A said:

I had to undergo a colonoscopy in spring, and the bowel preparation is the worst part. It does not automatically mean something, it is part of early cancer diagnosis (and if the physician finds polyps/adenomas [precanceroses], he could remove them endoscopically): http://www.youtube.com/watch?v…..cPCP9s  

Once past 50, it's the prudent thing to do, I hear, especially if it there is a family history of colon cancer.  By prep, you mean drinking chemicals that blow you out top to bottom?  Because I am trying to imagine that being worse than someone putting a camera up my ass.  I have had a camera up my bladder, and I can report that is disturbing, although assuredly less traumatic and quicker, bladders being small.

And I remembered that he wrote about planning a website relaunch. Could this be a reason for the freeze?

Mebbe.  I was assuming the worst – that he got bored with the crawl format and defected to Facebook.

I miss the 'Crawl, too, though I'd been more the silent reader. And I'm interested in weird scientific stuff. Got hooked due to the Squidgate mess, so in a very special manner I have to thank B&B for this …

The science aggregator stuff  is part of the charm, definitely, since it overlaps with my interests.

 


8:20 am
July 12, 2011


Hljothlegur

Moderator

posts 367

Post edited 8:21 am – July 12, 2011 by Hljothlegur


sheila said:

He posted a facebook update about needing to spend time writing.

http://howaboutyoufoc.us/

 

Time writing on Facebook?

9:21 am
July 12, 2011


Hljothlegur

Moderator

posts 367

Hljothlegur said:

sheila said:

He posted a facebook update about needing to spend time writing.

http://howaboutyoufoc.us/

 

Time writing on Facebook?


Okay, the nice part of my brain that sits with its hands folded, smiling, informs me that that's unkind.  I know he's writing a novel, which probably takes up lots of time.

 

I do get Teh Crawl for free, so I can't legitimately, rationally, complain about the service not being worth it, can I?  No.  I just feel conflicted and peevish because as much as I hate, hate, hate, Facebook, I use it.  There are people whom I can only maintain contact with there, because traditional address-n-phone-number exchanges are too heavy for some of the more tenuous connections, and I feel increasingly peevish at losing a free focussed service via Peter.  I know, boohoo, so tough to be me, eh?  :)

 

It's like automatic paycheck deposit.  It became manditory, and I was so annoyed because I loved being able to hold my paycheck in my hands, and cash it and hold that money in my hands.  Straight transfer is less rewarding and it took me years to get over my childish huffiness about it.

9:31 am
July 12, 2011


sheila

mindsided by Blindsight

Moderator

posts 515

Hljothlegur said:

Once past 50, it's the prudent thing to do, I hear, especially if it there is a family history of colon cancer.  By prep, you mean drinking chemicals that blow you out top to bottom?  Because I am trying to imagine that being worse than someone putting a camera up my ass.  I have had a camera up my bladder, and I can report that is disturbing, although assuredly less traumatic and quicker, bladders being small.

I guess with family history of cancer maybe, but I've also read news about how frequent testing can backfire and cause more harm than good.

9:36 am
July 12, 2011


sheila

mindsided by Blindsight

Moderator

posts 515

Hljothlegur said:

Hljothlegur said:

sheila said:

He posted a facebook update about needing to spend time writing.

http://howaboutyoufoc.us/

 

Time writing on Facebook?


Okay, the nice part of my brain that sits with its hands folded, smiling, informs me that that's unkind.  I know he's writing a novel, which probably takes up lots of time.

 
Yeah, that was snarky. I've been trying to cut down on snark in my life.

Posting comments to facebook is a lot less drain on time than putting thought in to a lengthy blog post. Hell, it's easier for me to do. I've intended to post some longer posts here following up to some interesting article I read but I flop over and just post a snippet and a "look here!" weak comment. same thing has happened to me on mailing lists and other places. I'm fail for a while now.

aside, his comment about his autoresponder being more well written was pretty funny.

aside aside, I wonder if he's tired of blogging?

11:42 am
July 12, 2011


Hljothlegur

Moderator

posts 367

sheila said:

I guess with family history of cancer maybe, but I've also read news about how frequent testing can backfire and cause more harm than good.


Repeatedly jamming stuff up my anus can do more harm than good.  *thinks*  That seems like a reasonable assertion. 

11:51 am
July 12, 2011


Hljothlegur

Moderator

posts 367

sheila said:

aside aside, I wonder if he's tired of blogging?


Dunno.  I would think that might get old eventually. And he's getting older, too, so maybe the pressure of words backed up in his brain is less, hence less need to type out hundreds of them out every day.  My father's theory was that everyone had a certain number of words they needed to get out every day, and that was why his job was to listen politely while Mom nattered on – she wasn't done with her quota.  Peter must have had a pretty big daily quota for many years; maybe his quota is lower now?  As a writer, might it become paramount of put those towards paying work?  Dunno.

1:10 pm
July 12, 2011


sheila

mindsided by Blindsight

Moderator

posts 515

Hljothlegur said:

sheila said:

I guess with family history of cancer maybe, but I've also read news about how frequent testing can backfire and cause more harm than good.


Repeatedly jamming stuff up my anus can do more harm than good.  *thinks*  That seems like a reasonable assertion. 


But seriously, from wikipedia's Prostate cancer screening page we have

Screening is controversial. Prostate cancer can develop into a fatal, painful disease, but it can also develop so slowly that it will never cause problems during the man's lifetime.

etc.

I am guessing you don't have a prostate, but I wanted to post for other people just in case.

2:36 pm
July 12, 2011


Hljothlegur

Moderator

posts 367

Post edited 2:39 pm – July 12, 2011 by Hljothlegur


sheila said:


But seriously, from wikipedia's Prostate cancer screening page we have

Screening is controversial. Prostate cancer can develop into a fatal, painful disease, but it can also develop so slowly that it will never cause problems during the man's lifetime.

etc.

I am guessing you don't have a prostate, but I wanted to post for other people just in case.


It's entirely possible that PSA tests and manual exams don't on average decrease mortality, of course.  I am suspicious of the Wikipedia slant in general, and as a source for medical information, I dunno, man.  Makes me itchy.  (The old Wikipedia being primarily edited by a circle jerk of non- experts with definite axes to grind.)  Here, for instance, if we go the 2008 review article in Annals of Internal Medicine by the USPSTF, it does not say that "Clinical screening for prostate cancer are controversial", or that screening is ineffective,  it actually says is that the studies already done are not good enough to draw firm conclusions.  From the abstract:

 

RECOMMENDATIONS:

Current evidence is insufficient to assess the balance of benefits and harms of screening for prostate cancer in men younger than age 75 years (I statement). Do not screen for prostate cancer in men age 75 years or older (Grade D recommendation).

 

So what is really being said is that, statistically,  prostate cancer detected at age 75 or later won't get a chance to kill you, because, statistically, you are gonna die of something else first.  In the US, for instance, you are going to die of cardiovascular disease first.  74 or below, more study should probably be done before any recommendation is made.

 

This might look familiar:  Originally, when mammograms started saying lives by detecting treatable cancers early, there was a guideline that screening start at 40.  Later, the guideline was changed to 50, primarily because, statistically, early detection didn't on average keep enough victims from premature cancer death.  Cancers caught by mammogram after 50, though, could be treated and keep you cancer-free long enough to let you die of a heart attack, the way God intended.

 

The critical and upspoken fact in all this is cost.  Insurance companies do not want to pay for any cancer screening that, statisically, doesn't save them money.  75 year old cured of his cancer at cost x needs to live y more years of paying premiums to pay for his treatment.  Statistically, if he can't, the insurance industry will bring its cannons to bear on any official looking guidelines suggesting they pay for such screening.  Same thing with mammograms – the industry is willing to pay for the unsuccessful too-late cancer treatment of all those ladies who didn't get screened up to age 49, because it is cheaper than paying for all the false-positive biopsies, mammograms, and recurrance treatments screening them would have involved.  Makes me feel warm and fuzzy all over. :)

3:13 pm
July 12, 2011


Andrea_A

Germany

Member

posts 147

Post edited 12:11 pm – July 13, 2011 by Andrea_A


Hljothlegur said:

Once past 50, it's the prudent thing to do, I hear, especially if it there is a family history of colon cancer.  By prep, you mean drinking chemicals that blow you out top to bottom?  Because I am trying to imagine that being worse than someone putting a camera up my ass.  I have had a camera up my bladder, and I can report that is disturbing, although assuredly less traumatic and quicker, bladders being small.

I had bleeding episodes from the anus (accompanied with fever). The "bowel cleaning" had been really annoying. But the examination itself had been no problem: the physician recommended weak sedation, and I accepted. (Maybe patients complaining about pain or in opposition some demanding to watch the procedure and ask questions would compromise the throughput Wink)

 

Hljothlegur said:

sheila said:

I guess with family history of cancer maybe, but I've also read news

about how frequent testing can backfire and cause more harm than good.

Repeatedly jamming stuff up my anus can do more harm than good.  *thinks*  That seems like a reasonable assertion. 

Well … if endoscopes don't get cleaned well, they may serve as an incubator for superbugs [1].

But less invasive methods had recently been developed, e.g. virtual colonoscopy [2] (but the computer tomography needed for this procedure has radiation equivalent to about 1000 chest X-rays). Capsule endoscopy looks very interesting. You've to swallow a bigger pill, containing some kind of WiFi camera [3]. But — if something got found in both methods you'd need a conventional colonoscopy for removing the polyp.

___

[1] https://www.thieme-connect.de/ejournals/abstract/endoscopy/doi/10.1055/s-0030-1255647

[2] http://www.netkisr.com/technic…..fenlon.pdf

[3] http://www.nejm.org/doi/full/1…..Moa0806347

4:16 pm
July 12, 2011


sheila

mindsided by Blindsight

Moderator

posts 515

Hljothlegur said:

sheila said:


But seriously, from wikipedia's Prostate cancer screening page we have

Screening is controversial. Prostate cancer can develop into a fatal, painful disease, but it can also develop so slowly that it will never cause problems during the man's lifetime.

etc.

I am guessing you don't have a prostate, but I wanted to post for other people just in case.


It's entirely possible that PSA tests and manual exams don't on average decrease mortality, of course.  I am suspicious of the Wikipedia slant in general, and as a source for medical information, I dunno, man. 

I am replying mostly to say "no duh".

3:42 pm
July 13, 2011


Andrea_A

Germany

Member

posts 147

Hljothlegur said:

… I am suspicious of the Wikipedia slant in general, and as a source for medical information, I dunno, man.  Makes me itchy.  (The old Wikipedia being primarily edited by a circle jerk of non- experts with definite axes to grind.) 

Wikipedia is good for looking up a quick definition (plausibility check — what the hell is Astat?). And it is launch pad for further search … but I won't trust (not even the medical journals; though the authors have to declare their "Conflicts of Interests").

So what is really being said is that, statistically,  prostate cancer detected at age 75 or later won't get a chance to kill you, because, statistically, you are gonna die of something else first.  In the US, for instance, you are going to die of cardiovascular disease first.  74 or below, more study should probably be done before any recommendation is made.

Postmortem examinations show that about 45% of 50 year-old white men already had developed prostate cancer [1]. 

This might look familiar:  Originally, when mammograms started saying lives by detecting treatable cancers early, there was a guideline that screening start at 40.  Later, the guideline was changed to 50, primarily because, statistically, early detection didn't on average keep enough victims from premature cancer death.  Cancers caught by mammogram after 50, though, could be treated and keep you cancer-free long enough to let you die of a heart attack, the way God intended.

In screening mammography, we have the issue that radiation exposure may cause cancer, too.  But if there is a suspicion (after palpation, e.g.), even younger women would get a mammography (at least in Germany).

The critical and upspoken fact in all this is cost.  Insurance companies do not want to pay for any cancer screening that, statisically, doesn't save them money.  75 year old cured of his cancer at cost x needs to live y more years of paying premiums to pay for his treatment.  Statistically, if he can't, the insurance industry will bring its cannons to bear on any official looking guidelines suggesting they pay for such screening.  Same thing with mammograms – the industry is willing to pay for the unsuccessful too-late cancer treatment of all those ladies who didn't get screened up to age 49, because it is cheaper than paying for all the false-positive biopsies, mammograms, and recurrance treatments screening them would have involved.  Makes me feel warm and fuzzy all over. :)

"One dollar for prevention is cheaper than one dollar for cure".  In theory, the public German health insurances (we have a parallel private system for the wealthy, too) should be non-profit organizations.

Despite all its limits, I've to praise that having a health insurance policy is now obligatory in Germany. No need for robbing a bank to go to jail and getting medical support: http://www.gastongazette.com/n…..ailed.html (the idea had earlier been creeping in my mind, too — but only as base for weird screwball comedy).

_______

[1] https://www.thieme-connect.de/ejournals/abstract/klinikarzt/doi/10.1055/s-2004-828635 (in German/English abstract)

9:56 am
July 14, 2011


Hljothlegur

Moderator

posts 367

Hurrah!  The Crawl gasped, coughed, wheezed and sat up!  It lives!  IT LIVES!

2:36 pm
July 26, 2011


Hljothlegur

Moderator

posts 367

And now, with the first salon-style posting, they are arguing about the title of the new novel.  Haha.

1:45 pm
July 28, 2011


sheila

mindsided by Blindsight

Moderator

posts 515

Hljothlegur said:

And now, with the first salon-style posting, they are arguing about the title of the new novel.  Haha.


Yeah, I just caught up with it yesterday. People cared more about it than I expected. I don't want to know the secret title sauce. Hopefully he sticks with what he thinks and what his editors and other pros might think. Ignore us. Of course, I can blather on and on about stuff so I can disagree with author fans. Don't want to disagree or agree with the author while he's working on it at the same time. NO CROSSING THE STREAMS.

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