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Cake day: July 7th, 2023

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  • I’m a radiologist and our group uses an LLM tool to assist with generating reports on imaging studies. Our reports have a body that includes all of the imaging findings (which we dictate) and then a conclusion/summary calling out what is most important (and serving as a tl;dr for other physicians). The LLM tool analyzes the body to generate that summary of important findings. It certainly is not perfect and frequently requires some editing. Overall it is faster than me creating the summary each time though.


  • I don’t know the exact date but it was a spring day a little over 20 years ago now. I was in my early 20s and spent a lot of my free time hiking, camping, etc. At that time I was really heavily into caving, especially vertical caving where we would use ropes, harnesses, etc to explore chasms.

    This particular day I was on a several day camping trip to a really popular area in a national park. In the night a big rainstorm came and everything flooded. I had been there several days with my friend and we didn’t get the memo about the storm coming and were curious why nobody else was camping there when it was usually packed that time of year.

    The next morning we awoke and this campground (on the banks of a river) was halfway underwater. We soon learned that our road out was also underwater so we were trapped at the campground. We had plenty of supplies as we had been there several days with intentions to explore caves, etc.

    Now from this campground there was a really popular hike through a canyon with stone arches, cool caves, waterfalls, etc that was normally packed. Since we had the place to ourselves we decided to do the hike. I should mention that this was quite dangerous as the first mile or so of the trail was now under 2+ feet of moving flood waters. We had wetsuits (for caving) and ropes so we geared up and braved the flood waters.

    Dear reader it felt like such an epic adventure. I knew the landscape well from being there many times but this time was magical. There were massive waterfalls everywhere rushing through the green spring foliage. We had to use our technical rope skills to safely cross rushing white water streams but everything was so beautiful and dangerous.

    I haven’t done it justice of course but it was just this perfect day where everything came together. I was young and healthy, I had my best partner with me, we had all of the right gear, the road being underwater meant we had the whole area to ourselves, and everything had been magically transformed into a waterfall adventure park for us to play.

    I’m still chasing that feeling of pure joy I had that day.













  • TW: I am going discuss some of the specifics of Sandy Hook.

    Just conjecture on my part but it probably was because Sandy Hook was a little unique in that there were twenty victims between the ages of 6 and 7 and the shooter was 20 years old. Many American school shootings involve a teenage or young adult perpetrator targeting victims that are of similar or slightly younger age. I suspect that makes it easier for some sociopaths to dismiss these incidents as potentially retribution for bullying or interpersonal drama.

    This incident was unique in that it was just a grown man murdering little children. There is absolutely no way to blame the victims in any way, shape, or form. There is nothing a 6 year-old could possibly have done to cause this. Not only that but it holds the ignominious distinction as the deadlist shooting at an elementary school.

    So I suspect they targeted this incident in particular because they feared it was going to serve as a powerful catalyst that would sway public opinion in the debate on gun control. By trying to convince people that it was not real they hoped to decrease the impact it might have had.