Edgar Afecto

🇵🇹🇪🇺 Medical Doctor. Gastrenterologist with special interest in interventional endoscopy (mainly EUS/ERCP). World food and travelling enjoyer 🌍

[Edgar Afecto @AfectoEdgar]

A fonte da felicidade

[Edgar Afecto @AfectoEdgar]

Toda a minha vida achei que a teoria que o desporto faz uma pessoa feliz era tanga but damn tenho que admitir que estava redondamente errado

[Edgar Afecto @AfectoEdgar]

@freshlikewine Exhibit 1: fico mesmo feliz

[Edgar Afecto @AfectoEdgar]

Toda a minha vida achei que a teoria que o desporto faz uma pessoa feliz era tanga but damn tenho que admitir que estava redondamente errado

[Edgar Afecto @AfectoEdgar]

@theumilk99 O meu nível basal de felicidade é maior desde que comecei a escalar regularmente e tenho picos cada vez que termino um treino. Ill take the L

[Edgar Afecto @AfectoEdgar]

@theumilk99 Acho a ghost of perdition melhor música mas a melhor música prog mudo de opinião todas as semanas entre as duas

[Edgar Afecto @AfectoEdgar]

Tava a ouvir a Reverie dos Opeth e a transição aos 7:20 quando achas que a música já está em decrescendo é GOAT tier. Excelente exemplo de prog
CC @theumilk99

[Edgar Afecto @AfectoEdgar]

@intrigaint @jl_zamith Tens que subscrever o substack do homem e ele manda te

[Edgar Afecto @AfectoEdgar]

@jl_zamith Eheh um amigo meu da minha terrinha está na equipa técnica dele desde a passagem em omã portanto estou a apoiar muito o Gana. Viva o Osama bin Queiroz

[Edgar Afecto @AfectoEdgar]

@Lucydream20 Achar esta moça não atraente
Ser hetero

Pick one

[Edgar Afecto @AfectoEdgar]

@theumilk99 @Invinium Ainda no decorrer da conversa de ontem - matei todos os bosses (incluindo a malenia) menos este caralho, aborreceu me de morte

[James Rosen-Birch ⚖️🕊️ @provisionalidea]

the techies broadly keep operating from a mental model of disease where there is “bad stuff” in the body that needs to be found and taken out, which restores the body to health. the idea is that more detection = more bad stuff found = more bad stuff taken out = more health.

the more thoughtful clinicians keep trying to point out this perspective (which was the beating heart of the acute care revolution) is inaccurate when it comes to the vast majority of modern chronic ailments (cancers, autoimmune conditions, metabolic disorders, etc), but assume that merely pointing to statistical research is sufficient to impart unto the techies a missing intuition of systems biology, which of course fails. they also assume the techies understand that diagnostics are relatively imprecise (they do not “detect disease” but rather reveal signs that, under specific circumstances, are associated with particular clusters of conditions, which must be carefully and contextually interpreted by clinicians). this fact is further complicated by the fact that, as we age, our bodies accrue all manner of lesions, cysts, “incidentalomas” and so on that are often totally benign that the body adapts to and works around, but that could potentially turn into something bad for reasons and under conditions we don’t totally understand. and while continuous monitoring is theoretically good, clinicians have learned from experience that telling people something’s off causes stress and worry that it, itself, often substantively more harmful to health and quality of life than whatever benign thing could maybe possibly become a problem in the future.

(of course my position is that everyone is a little wrong and this is a human systems problem more than a technological or medical one)

[Edgar Afecto @AfectoEdgar]

@theumilk99 Idk, parece já performativo. Há sempre um greentext pra tudo e cá tá ele

[Edgar Afecto @AfectoEdgar]

@theumilk99 A minha única crítica é que é impossível fazer uma quest sem ir a um guia online. Causa-me alguma comichão.

BG3 nunca joguei, tenho que ver se lhe consigo pegar um dia

[Edgar Afecto @AfectoEdgar]

@datboyluigi O dress code festival de algumas miúdas tem efetivamente demasiado fishnet, correntes e couro

[Edgar Afecto @AfectoEdgar]

@realandrerlopes Miso soup must be ambrosia

[Edgar Afecto @AfectoEdgar]

@jl_zamith @mjbop Este tipo de discurso é muito muito frequente e sempre dito de forma não irónica por pessoas que acham que estão a ser muito wokes

[Edgar Afecto @AfectoEdgar]

Perfectly well put.
Like everything AI-adjacent this is the issue IMO. Marketing =/= engineering,medicine. Lets stop pretending they are the same.
The tech looks fine and the more tools the better. But looking at a marketing video and announcing the death of MRI is dumb.

[Sai Ishaya @Sai_Ishaya_]

Ultrasound still has to bend to the laws of physics, which haven't changed since the hydrophone of WW1. Bone, air, bowel gas, lungs, skull, body habitus, & depth are not minor PR issues you can smooth over with a colourful launch video & a clean interface.

A.I. can help reconstruct the signal but it cannot magically invent reliable diagnostic information from places the system did not properly interrogate.

This is where the Dunning-Kruger bit always rears its head with tech bros. Some of them only ever experience medicine through demos, abstracts, founder Twitter thread & a few beautiful screenshots, then start talking to specialists like they're dealing with frightened priests protecting a temple. Sometimes the temple is just physics & common sense.

My own wild guess is that the earliest useful version of this ends up closer to body composition, wellness tracking & luxury "preventative health" than replacing CT/MRI.
Which can still be a business, obviously. Rich people already love paying to be scanned, reassured, frightened & given a dashboard with colours(this is half of west London).

The annoying thing is that the actual innovation is interesting enough on its own. Ultrasound tomography is not stupid. A.I. reconstruction is not stupid. The mess starts as always when the sales layer starts pretending every unsolved clinical, regulatory & physics problem is just negativity from people who "don't get it."

Medicine is boring in the way it has to be boring. Does it work? For who? Compared with what? What does it miss? What does it overcall? Who interprets it? What happens when the wellness scan finds something vague & dumps the anxiety back into an already struggling health system?

Tech bros hear those questions & think doctors are defending turf.
Sometimes the person saying "slow down" is simply the person who knows exactly where the cliff edge is, b/c they have spent years watching confident technology meet real basic physics and anatomical roadblocks.

[Edgar Afecto @AfectoEdgar]

Eheheh exactly

[Hipólita of the Lily Tribe 🏳️‍⚧️ 🇦🇷☭ @its_hipolita]

This might be the most difficult cultural adaptations yanks have to make to truly join the global football family: we don't care about celebrities in the stands. The cameraman's job is to locate and then zoom into international baddies whenever play is stopped.

[Edgar Afecto @AfectoEdgar]

@theumilk99 O álcool também me deixa muito afectuoso (eheh)