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Comment NIMFY (Score 4, Interesting) 136

But if nobody runs it, you do not uncover bugs and you never get a .1 release.

Yeah, we're talking the NIMFY effect: not in my front yard.

Really, with the .0 releases, if you try to stay fairly mainstream in your deployment, and you're mindfull about the necessary mitigations if it doesn't go well, the risk is not outrageous. But first test your backups.

If I had to choose between 10.0 (which I hardly know) and 5.3 (all too well known) I'd pick 10.0 in a heartbeat. That series should have started out at 5.-5 (five dot negative five).

The .0 thing is just a loose heuristic.

Comment Re:Murica Fuck yea! (Score 1) 635

As American cities grew, people found it very easy and affordable to move 10, 15, or 20 miles away from the city center, and do the same thing.

Your whole argument hinges on this point, but you undermine it later by confessing that infrastructure to serve these low population densities is very expensive.

How could this be?

Public policy. Implicit subsidies. Reaping what you don't sow.

One example of this is how the civic center soon finds it difficult to finance their police services. Yet everyone in suburbia benefits from the law and order in the downtown as maintained 9-5, without actually paying their fair share of the cost.

During the baby boom, the middle class got what the middle class wanted. For the politicians it was buy now, pay later. Benefits delivered immediately, true costs deferred.

Glaeser on Cities

... the big idea was a vast, vertically integrated factory. And that's a great recipe for short run productivity, but a really bad recipe for long run reinvention. And a bad recipe for urban areas more generally, because once you've got a River Rouge plant, once you've got this mass vertically integrated factory, it doesn't need the city; it doesn't give to the city. It's very, very productive but you could move it outside the city, as indeed Ford did when he moved his plant from the central city of Detroit to River Rouge. And then of course once you are at this stage of the technology of an industry, you can move those plants to wherever it is that cost minimization dictates you should go. And that's of course exactly what happens. Jobs first suburbanized, then moved to lower cost areas. The work of Tom Holmes at the U. of Minnesota shows how remarkable the difference is in state policies towards unions, labor, how powerful those policies were in explaining industrial growth after 1947. And of course it globalizes. It leaves cities altogether. And that's exactly what happened in automobiles. In some sense--and what was left was relatively little, because it's a sort of inversion[?] of the natural resource curse, because it was precisely because Detroit had these incredibly productive machines that they squeezed out all other sources of invention--rather than having lots of small entrepreneurs you had middle managers for General Motors (GM) and Ford. And those guys were not going to be particularly adept at figuring out some new industry and new activity when the automobile production moved elsewhere or declined. And that's at least how I think about this--that successful cities today are marked by small firms, smart people, and connections to the outside world. And that was what Detroit was about in 1890 but it's not what Detroit was about in 1970. And I think that sowed the seeds of decline.

There's the invisible hand for you, hard at word squandering tax-payer dollars, only at first it all seems so tremendously win-win.

Comment hacking pompous insularity (Score 3, Insightful) 324

Also, a false report that denigrates some other organization but bolsters one's value in the eyes of another can also be fraudulent, particularly if the others net value, including goodwill is harmed.

Dude, eristic argument is the mainstay of civilization. We're always engaged in the internecine struggle to discredit other parties to our own ends. I'm doing it right now.

More interestingly, this is perhaps the founding principle of the human language capacity.

The Argumentative Theory

The article ... is a review of a puzzle that has bedeviled researchers in cognitive psychology and social cognition for a long time. The puzzle is, why are humans so amazingly bad at reasoning in some contexts, and so amazingly good in others?

From the text itself:

We do all these irrational things, and despite mounting results, people are not really changing their basic assumption. They are not challenging the basic idea that reasoning is for individual purposes. The premise is that reasoning should help us make better decisions, get at better beliefs. And if you start from this premise, then it follows that reasoning should help us deal with logical problems and it should help us understand statistics. But reasoning doesn't do all these things, or it does all these things very, very poorly.

But for some reason, psychologists are unable to challenge this basic premise that reasoning really is supposed to help us. And that's why Dan Sperber came up with the idea that reasoning doesn't have this function of helping us get better beliefs and make better decisions. Instead, reasoning is for argumentation. Dan's basic idea is that the function of reasoning, the reason it evolved, is to help us convince other people and to evaluate their arguments.

What this fellow did is conduct a hack against pompous insularity. Take a turd, disguise it with some food colouring, put it on their plate when they aren't looking, then watch the gobble it up while the pound the table exclaiming "We don't eat turd!"

What you end up demonstrating is that they distinguish turd from non-turd mainly by social optics, and not by its sensory quality.

Always the rule with those engaged in pompous insularity is that no outsider has standing to challenge their practices unless first vetted by the gatekeepers of the pompous insularity itself.

In order to achieve this, you'll have to master the extremely arduous standards of the profession (prestige barriers are usually high) in the pursuit of an outcome (deflating the eminent within that profession) that will have you black-listed from any form of employment where you could ever hope to receive a personal gain in exercise of the mastery you slaved to achieve. And then the gate keepers mock you when you say "thanks, but no thanks".

It's so much easier to sneak a poop pie onto the buffet table and watch them eat it smacking their lips.

It's the same deal with a packet filter in network security: hard crunchy outside, soft chewy inside. The professional walls are exceedingly hard to breach, but the defences inside those walls (which involve hard intellectual work to sustain) have long since gone to the dogs, yet they behave externally as if their house is in perfect order. This is an eternal story.

What it comes down to is whether one regards this kind of hack, which begins with a small deception, as a valid form of whistleblowing.

Comment booster-spice rat race (Score 1) 518

What problems? You seem to think that there's some "immoral" reason against the sale of organs. But we have here an example where something which is supposedly moral "kills" a lot of people each year through organ shortages.


If there's an express train to human dystopia, it's a booster-spice rat race, with the fittest undead gaining semi-permanent tenure in every elite economic and political station.

Comment Re:Hipocracy? (Score 1) 215

Now, Obama awards no-bid contracts to companies to fix and there isn't a single peep of outrage.

There's trolling and there's chickenshit. This is both.

President Obama wakes up every morning knee deep in outrage astroturf manufactured on an industrial scale by one of the most powerful snowblowers that civilization has ever known. Your unpeeping post of insincere outrage is but the smallest intestinal worm inside this giant elephant.

Gridlock plays to conservative interests. Some of us are capable of parsing the tea leaves around the ugly fallout. It's not an act of patriotism to actively sabotage every elected administration where you voted for the defeated candidates. Until that lamentably pervasive attitude changes nothing that gets accomplished in Washington is going to look pretty by any external metric.

By all accounts the Obama administration has been disappointing. Unfortunately, disappointing is the new normal. Too many self-serving interests in America are determined to keep it that way.

Let's look at what happened when the Republicans decided to act quickly in a crisis: $700 billion injected into TARP under practically no oversight at all.

As of Dec. 7, 2013, SIGTARP had "pursued criminal charges against 107 senior bank officers, most of whom have been sentenced to prison."

As I recall it, a huge chunk of the TARP money was already moving before SIGTARP, the oversight office, had a working light bulb.

A December 31, 2008 Associated Press article stated, "Government officials overseeing a $700 billion bailout have acknowledged difficulties tracking the money and assessing the program's effectiveness."

Have clue, will parse. Try it some day. Start by noticing the difference between millions and billions.

Comment Re:And That, Ladies and Gentlemen ... (Score 2) 194

My only extension in Chrome is Google Docs. Somehow I think the malware authors will have trouble obtaining that one.

In Firefox I have fifteen different extensions, many of which are restrictive in nature: they break websites by defeating cookies and scripts. Many of the rest are small (but vital) user-interface tweaks. Firefox is where I impose my own will on the web. Chrome is where I retreat for the bog-standard experience. Even if my chrome profile is suffering from a cookie cabal infestation (Hello Facebook, whom I've never visited), they're not going to manage to observe much, it's less than one percent of my total web activity. If I have to temporarily allow more than three cookies, over to Chrome it goes. By this point I know I haven't arrived at the URL by accident. I'm not exposing myself to a broadside salvo from a typo squatter. It's almost always an intrusiveness arms race with a content aggregator, where multiple alternate sources of information have let me down, or left small holes to fill, to where it's worth scraping the bottom half of the barrel. I use Chrome so little I could browse by default incognito, but that might look suspicious in other ways. When it comes to prying eyes, two is company (the site you are actually willing to visit), four is pervy, and forty is a pervy gang bang.

On my Android phone, there are very few permissions I allow the applications to demand, so as far as I'm concerned the actual size of the Android market is about 10% of what it pretends to be.

Buttercup: You just can't get good help around here.

Buttercup's mother: What's wrong with stable boy? Horse has never been in finer condition.

Buttercup: Yes, but he drools and stares at my tits all day.

Yes, there's a lot of volunteers in the Android ecosystem to help with the chores if you're willing to leave your blouse unbuttoned all day. Not me. I also disabled automatic update on Android so that I don't exchange fluids with every update of every program, no matter how briefly.

When my Firefox updates, and brings all my plug-ins with it, I wince and bear it. What else can you do?

Comment Re:Obligatory (Score 1) 533

Since we're all about analogies here, I'll arrange for exactly three haystacks to be set up in a field right off a busy highway. Then I'll put exactly three needles in those haystacks for you to go find, which is very much akin to asking the Slashdot community to go find the most abused three lines of code in the known universe.

Those would be context-free haystacks. But you're right, this is the kind of question where the last quarter mile becomes exponentially more inane.

I'm pretty sure it was Kahneman's book that had a section on how the human mind is remarkably able and willing to make heuristic comparisons of superficially incomparable magnitudes. Is French vanilla better than French kissing? Surprisingly, the human brain puts this kind of thing into a fairly robust order, across individuals and populations, IMDRDDM (if my dim recollections don't deceive me).

More interesting is the question about the subroutine longest embedded and most frequently invoked which turns out to return wrong values for common operations, only the code which calls the subroutine nevertheless does the right thing with the wrong value, because it too contains a weird bug which is not superficially obvious when glancing through the source code, such as dependence on an uninitialized value.

The trope here is two sides of a formal interface, one where the formal requirements are obvious and well understood, which manage to collaborate to turn two egregious coding booboos into a paragon of durable and stable deployment.

Then one day a programmer notices the dependence on the uninitialized value, which would clearly produce a severe failure if fed the correct inputs, and he thinks "surely this hasn't been running for thirty years deployed on hundreds of thousands of nodes, and never triggered a fatal anomaly" and yet there it is.

Then he could author a genre sequel in the Thompson tradition entitled On Trusting Time and Track Record. Inside a black box, no one knows if you're a cluster fuck.

Janine Benyus: Biomimicry in action

Janine Benyus has a message for inventors: When solving a design problem, look to nature first. There you'll find inspired designs for making things waterproof, aerodynamic, solar-powered and more.

What you won't find in nature are formal interfaces. Most of mother nature's cleverest hacks were discovered by pillaging haystacks.

Comment the cult of innovation (Score 1) 292

They'll also innovate their way out of problems if there's a strong economic case for doing so.

Yes, they do. A typical innovation is to move head office to a foreign country so if they get in too much legal trouble in one place, they can continue to operate elsewhere.

If at all possible, the first recourse in the private sector is to innovate your way out of bearing the downside. Contrary to your ideological end cap, this happens a great deal more often than just the companies who've gained some form of monopoly power. It would be tedious just to list the corporate inventiveness on this front (some of which is criminal, not that this makes much difference when prosecutors are left holding an empty cage.)

Here's one they actually caught. Enron convict Jeffrey Skilling has reached a deal to be released early from prison

Skilling was sentenced to 24 years in prison for his role in the Enron debacle. Under the deal, he could shave nearly a decade off the 15 years remaining on his prison term.

He must have given a lot of blow jobs during his years in the can to collect enough cigarettes to make whole his many victims, justifying his early release for good behaviour.

Actually solving the problem is the private-sector recourse of last resort, unless it leads to a future business model where there's a substantial likelihood of being able to innovate your way out of bearing the downside. Now there's an incentive to get the saliva flowing in the profit motive.

The government isn't better or worse, just different. The worst outcomes occurs as a collaboration between the government and the private sector. Regulatory capture is a transaction between hookers and johns to bugger the public purse.

Here's the concluding paragraphs of Michael I. Norton taking the piss out of Hayekian overreach in his essay Markets Are Bad; Markets Are Good:

When we think of groups, we think of the conditions under which groups are likely to behave well or behave poorly. We don't often think of them as self-correcting, as always performing well over time, or most importantly, as either inherently good or inherently bad.

Applying the same logic to markets—think of them in this context as "groups writ large"—will assist with the development of a richer and more accurate theory of when and why markets are likely to have terrible or uplifting consequences.

Mainly they behave well when something firmly bars the gate to behaving badly. Greenspan believed that Wall Street corporations could successfully police each other, if the government stayed out of the way.

Greenspan admits 'mistake' that helped crisis

Greenspan, 82, acknowledged under questioning that he had made a "mistake" in believing that banks, operating in their own self-interest, would do what was necessary to protect their shareholders and institutions. Greenspan called that "a flaw in the model ... that defines how the world works."

Oops. By the downside-mitigating innovations of Goldman Sachs, who picked up the cheque for that mess? "Too big to fail" was cleverly crafted.

Unfortunately, markets are not some automatic panacea for all that ails the human condition. They are just one little piece of the puzzle that sometimes weave extraordinary magic. America's founding fathers weren't a market. They were just a bunch of extremely astute men well aware of how easily it all goes wrong, who sat down and tried to do the right thing, acting on moral sentiments rather than market incentives. What tangle of corporate interests could ever have lead to the American constitution?

Just imagine how if the founding fathers had been Bill Gates, Larry Ellison, Jeff Bezos and the Koch brothers how that would have carved out. These are some of the greatest market minds who've ever lived.

Comment Re:So you want to retire a statistical term... (Score 1) 312

How did you like this bit from Sean Carroll suggesting that "falsifiability" is the scientific concept overdue for retirement?

Modern physics stretches into realms far removed from everyday experience, and sometimes the connection to experiment becomes tenuous at best. ... The cosmological multiverse and the many-worlds interpretation of quantum mechanics posit other realms that are impossible for us to access directly. Some scientists, leaning on Popper, have suggested that these theories are non-scientific because they are not falsifiable.

The truth is the opposite. Whether or not we can observe them directly, the entities involved in these theories are either real or they are not. Refusing to contemplate their possible existence on the grounds of some a priori principle, even though they might play a crucial role in how the world works, is as non-scientific as it gets.

If you think the rift between economics and social science is deep, take a look at your roots.

To the degree that the educated public knows and respects the scientific tradition, it's because of the adherence to falsifiability. That's the economic foundation of getting what we pay for. I wouldn't go so far as to argue that the multiverse (and the statistical landscape--bleh) is not actually physics, but it sure as hell isn't physics resting on the foundation that has conferred upon physics its esteem and respect as a hard science over the last four centuries.

Let's reopen the question about why we're funding this kind of work on the public purse. He's smoking a crack pipe if he thinks he can flush falsifiability and still keep his cozy budget. Personally I celebrate renegade artists and crackpots like Garrett Lisi—Kepler was equally nutty and he punched through. I think Carroll should sleep in a van on a Hawaiian beach and get back to us when his awe-inspiring kaleidoscopic symmetries collapse to a waveform we can actually test (yes, I know Dyson took a pot shot at collapsing waveforms on that same forum). Perhaps Carroll will cough up on the beach a core idea for the next consolidation of physics beyond the standard model. I'll cheer for him every step of the way. Meanwhile, no falsifiability means no public funds. He can grovel at the knees of the Templetons who find this new kind of science somehow majestic.

I'm not a physicist. I did study physics. I'm not an economist. I have listened to nearly every EconTalk dating back to 2005. I think his crush on Hayek is misguided. This doesn't stop me from tuning in, because most of his guests are smart.

Even with economics, there's an enormous rift between mathematical economics, the study of models that barely reflect reality, and narrative economics, where people try to convince each other that a stimulus actually works or it doesn't work, and no reference back to the raw data ever settles the matter.

Economic policy advisors are no better than sociologists.

Taleb's primary point—and he's totally right—is that analytic models that are always right except during rare events are complete dogshit, though it you can get traction on it, you might make off with a lode for a short while. The mere presence of a nearly infallible player in an economic market precipitates rare events of the nastiest kind. If I were teleported back to Edge 2005 to write a little essay for What do you believe true even though you cannot prove it? that could be my starting point.

You should read Assumptions Economists Make, which describes economics from the perspective of Jonathan Schlefer, a political scientist who got his hands dirty.

In Economics, You Are What You Model

I don't know why you think you need to look outside your own disciplines of physics and economics to find people playing fast and loose with the scientific method.

I think economists' faith in an orderly universe is Platonist: There is an absolute orderly world, they hope, if only we could logically uncover it.

The Platonic vision can persist in economics because economic models are mathematical (in that sense Platonic), and you can never decisively prove them wrong. You can say President Obama's stimulus worked because the economy would have done worse without it. Or you can say it failed because the economy would have done better without it. But you can't decisively prove how the economy would have behaved without the stimulus. There are rational ways of weighing these disputes, but they rarely persuade people to change their minds. Physics models can be tested in experiments, which can be replicated anytime, anywhere, but economic models cannot. So you can maintain Platonic visions.

He could equally well be describing Sean Carroll, except for that last part about the physicists.

Comment Re:I think I speak for us all... (Score 2) 335

I lose no freedom using a card. The "company" handling my CC transaction is the same that would handle my cash-equivelent debit card. The banking system is broken, but I'd be stupid to not use the programs to my best advantage.

If my conception of a free market, what the credit card companies are doing is collusion, and I would ban the practice. Many people think they believe in free markets who only believe in commerce.

If the credit card company is providing a service the customer is willing to pay for, the customer can elect to pay the premium, without penalizing those of us who pay by other means.

That's what a real free market looks like: clearly marked prices subject to conscious decision making. Once this governance mechanism is hidden under fatuous rebates, the invisible hand falls into a deep coma.

But hey, if it floats your boat, sell your backbone.

Comment a real sleep disorder (Score 1) 384

I've had a lifetime sleep disorder which I've spent the last three decades dissecting. If you have a real disorder, you're getting a lot of well-intentioned yet useless advice about general well being.

So many times in my life I've heard "we all go without sleep, you just learn to deal with it". These are people who can't tell the difference between a nose bleed and haemophilia, because they've never been there.

There are many illnesses which are thought to impact sleep quality. Among these are depression and fibromyalgia. It's not unlikely that depression causes poor sleep, and poor sleep leads to poor memory. Poor sleep alone by another cause is a good depression mimic. A psychologist will understand your symptomatology, but your underlying condition—if it is not actually depression—might not respond to the usual drugs.

On the bright side, some drugs which are considered to be antidepressants actually provide benefits because they directly treat sleep disruption.

Low doses of amitriptyline are commonly used to treat FM. I experienced improved sleep quality, and a boost in initiative and motivation. I also had a fuzzy head for the first half of my day, every day. This wasn't a winning trade off for writing code. This drug (in my body, and by some accounts in the literature) has some kind of weird, antagonistic relationship with caffeine. By the time I consumed enough caffeine to clear the fuzzy brain, I lost all the sleep benefits.

Most people way overdose with caffeine. Once you start chasing the tolerance effect (tolerance begins in as little as a week or two in novice coffee drinkers) you end up drinking about three times as much as you need to get a small increase in net buzz. All that extra caffeine in your body is not friendly to your adrenal system, and it's known to mildly disturb your sleep architecture. The nose-bleeders can ignore this term, if they wish. We sleep haemophiliacs can't afford to play marbles in a rose bush.

I get 80% of the benefit from caffeine drinking two cups a day, with 7-8 g of ground coffee and 120 g of water per cup. I drink one immediately on waking, and the second cup six hours later (four to seven hours is an acceptable range). This is half what I was drinking the first time I thought I'd achieved moderation. Don't ask me about my pre-moderation coffee consumption. I've learned that it takes my body about three weeks to accept a coffee reduction of 30% as being perfectly normal. The key is to use a gram scale, because for the first ten days your brain is working overtime on how to cheat the system. Never drink a coffee you don't make yourself while cutting back: you'll feel glorious and your brain won't let you forget it.

Half of an amitriptyline dose metabolises into an equally cheap drug, nortriptyline. Weirdly, both sides of the AT metabolism are active. When I discovered this, I thought "why don't I just try the NT half by itself". This was a good call: almost as much sleep benefit, way less fuzzy brain.

I get a condition I call "clutch slip" where the cognitive side of my mind is well aware of all things I need to be doing, but I completely lack some mysterious edge to dive into these tasks and do them. The nose-bleed assholes are going to fuck this up again. Yes, I can actually force myself to grin and bear it and do the work. No, applying the lash does not get me past this clutch-slip psychological barrier to the promised land of actually becoming absorbed in the work. If only. I'd pray for that to happen, even at the risk of being socially rejected by all my heroes in the afterlife we all vehemently reject. Worse, the caliber of my work is shit warmed over. In other words, what passes in this life as mediocrity.

Have you ever had the experience where you're in some life or death struggle with a complex regex or an XSLT script to sanitize an input file and suddenly you realize, "you know, I could run this through tools A, B, C, and D then the simple version of this thing I had half an hour ago would actually be sufficient"? In a month of toiling under the lash in the clutch-slip state of being this would never happen for me. The entire mental process of relating what you are doing to where you are going and what you could be doing instead to get there sooner or in a better way is dead in the water. That really makes the lash sting. When I'm trapped in that world of self-flagellation, outside-the-box ceases to function. Furthermore, it's morally exhausting. After about a month of this, you fundamentally don't give a shit. All you've got left is the dull roar of obligation. "Why am I doing this?" you ask yourself. "I can't remember." you answer back. "Is there another way?" you dare to dream. "Sleep" you answer back. If I could just sleep.

It used to be that one dose of NT before bed time when I felt this way would knock me out for twelve hours, then I would wake up a new man, and "the box" would unfold its wings. There are at least three different NT generics, and at least one of those causes me stomach cramps severe enough to interrupt the sleep I'm taking the drug to achieve. I also suspect that its potency slowly fades sitting in the bathroom pill cabinet. At this point I take it only about twice a month. Recently it's been taking two pills (20 mg total) to knock me out for just a decent eight hours. That bottle is very old now. Also, NT works far less well for me when I'm drinking too much coffee.

This past year I've been taking an anti-narcoleptic nootropic, a drug that must not be named because it gives a genital tingle to over-stressed college students. This drug is not a sex toy.

I don't suffer narcolepsy, but I do suffer from these recurrent episodes of clutch slip (I can pencil them into my calendar months in advance, since they derive from a circadian rhythm disorder that beats regular time like a metronome from another planet). If I take half of the smallest available pill (in Canada, that works out to 50 mg) most of my clutch-slip goes away. It's almost miraculous. For the first few months, it also had a mildly euphoric edge, making the most tedious task trivial to engage for hours and hours. After a month or two, that vanished completely. It was a double-edged sword to begin with, because with an infinite tolerance for monotony you might spend an entire 12-hour night tweaking your .emacs—on a weekly basis. I take a bit extra as needed as my body slides into night mode and my clutch begins to glass over.

There's a huge problem with this which I've yet to resolve. The drug reduces my total sleep capacity. By the end of night mode, I'm lucky to get a solid five hour sleep. My brain is still cranking out the horsepower, but the gas gauge is reading "empty". I get so sleep deprived that I often experience a 24-hour day where I'm in and out of bed every few hours, never achieving more than half a cat nap, but at least getting myself back to 1/4 of a tank.

Another drug worth trying is clonadine. This messes with your blood pressure, so you need to be fairly desperate to go this route. It somehow changes your sleep architecture. According to the sleep literature, small doses affect your sleep architecture in a different direction than large doses. Weird, huh? You'll need to find an absolutely first rate sleep doctor if you expect your doctor to have command of these niceties.

On that score, the first thing you need to realize is that 90% of sleep doctors are glorified respirologists. If they answer isn't either A) a CPAP machine, or B) bland imprecations concerning your sleep hygiene, these doctors can't help you. No, I'm not bitter. Seriously, most of the time you'd be better off with a GP who specializes in CF or FM.

I took a few doses, small and large. It had no immediate positive effect, so I shelved it for the time being. I'm not going to take a drug that puts me at risk of randomly passing out and cracking my head open on a side walk unless it makes a great first impression.

Another problem with my nootropic is that it suppresses the yawn signal, so I can end up not sleeping at the right times. If you don't sleep at the right time (according to your inner circadian clock) you don't go through the sleep phases in the same way. It will restore your energy in the short term, and then put you into a state of hideous sleep deprivation by the end of a week (e.g. many hours sawing logs in the sack, but zero REM sleep for the duration).

Yes, and good luck managing all these options, upsides and downsides, while you're the guinea pig a sleep-quality experiment that spends much of the time going sideways. That always leads to excellent judgment. Take notes. Read your notes whenever your saner self makes a surprise appearance. Document every pill you take. Make a medication plan at the beginning of the day or week. Never let your inner 04:00 infomercial shopper make medication adjustments on the fly. The first element of sleep-deprived judgment that goes away is your ability to accurately gauge your level of impairment. When I mention this to doctors, there's always this sudden knowing look (they're thinking about their colleagues) and a facial expression "ain't that the fucking truth". The peril of making an unnoticed descent into poor judgement is the one term of sleep impairment that most GPs immediately get at the gut level.

It sure looks a lot easier to grapple with the lion from up in the nosebleed seats. "What's your problem, anyway? I suffer, too, when the alarm goes off!" Ignore these bastards. They have no clue.

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