heard someone say ai workflow automation walking on the streets, but to be fair i was right outside the google sail building.

went to the public library to pick up my free 3d print. if you're an austin library card holder, you get one print for free each month. i got my first, and probably last one.

got a call from i might have autoimmune disease? and i have to see a rheumatologist. it instantly filled me with anxiety. i was fully healthy till i turned 19 when covid lockdown started. since then problems have come up almost each year, but my life has adapted to them, i got to go home to receive the care and treatment i needed, things happen, but that doesn't mean there aren't solutions. i need a perspective shift on suffering.

simone weil believed that intense suffering is the point where the soul is closest to God, provided it leads to a state of humble, patient "waiting" and attention. qualities that are hard to come by in today's achievement-seeking, fast-paced, attention-fragmented world.

mood: 2/5

wake: 10:30
sleep: 4:44

grateful for: T's patience for me

meals:

• breakfast: cashews and cumin biscuits
• lunch: steak bowl from honest marys
• dinner: leftover w yoghurt

til:

• google has 417b queries per month
• 3,600 calories a day is the average american adult consumption
• clinical trials cost (source)
  • median CT enrollee cost is ~$40,000
  • standardizing care (20-30% of cost) take the sickest slice of the population and place them in a new system where sponsor pays for all the care, this ensures the best standard of care to properly conduct the experiment and avoid variables caused by diff background therapies. this includes more testing, visits, best-in-class medicine.
  • institutional premiums : a significant portion of expense is a premium paid to institutions (rather than individual physicians)
  • location competition: placing trial at famous high performing health systems (md anderson) because these systems are congested with trials, slowest and most expensive to operate
  • regulatory friction: decentralized ethics clearance system (IRB) which requires seeking approval from every individual hospital system involved (4% cancer enrollment), unlike Australia which utilizes single nation system (25% cancer enrollment)
  • enrollment delays: waiting for patients, drug development takes 7-10 years, half of that time is waiting for patients to enroll. this cost is escalating at 7 to 8% over the last decade
• next.js app router vs page router
  • in app router page loads in layers so you can stream HTML in chunks rendering certain pages faster so one slow data dependency doesn't block the whole page

links

• The entangled brain
• The Most Dangerous Mindset I See as a Therapist
  • "Genius is the infinite capacity for taking pains." — Thomas Carlyle
  • something easily gained is easily lost
  • if you've been using AI for programming for a while, and you feel dumb when you don't have it, it's not because your brain has melted and it doesn't function like it used to, it's because you've forgotten how it feels to endure discomfort for an extended period of time. that's the skill that has atrophied as a result of relying too much on AI assistants.
  • when you're doing something you haven't done before, you're going to spend most of your time confused, and trying to figure things out, that's normal!
• Going direct: notes on Eli Lilly at a trillion
• Annotating for Agents
  • how to provide visual feedback to llms with precision