Seven Things This 63 Year Old Surgeon Would Tell My 40-Year-Old Self
I am 63 now, and I spend my days as an orthopedic surgeon watching how people's earlier choices show up in their bodies decades later. I see it in my college friends, high school buddies, and patients that I have known for 20+ years. If I could sit across from myself at 40, here is what I would want that man to understand. None of what follows is complicated, and all of it compounds over the decades… either against you… or in your favor. You are largely in control.
The culmination of years-long work is now here.
Please join us tomorrow in South Downtown as we open it up for visitors to enjoy during the World Cup and Atlantans to enjoy for decades to come.
When you read the specs of the Bugatti EB110, you realize just how batshit crazy this car was for its time. A quad turbocharged V12, 5 valves per cylinder, 12 individual throttle bodies, all paired to a 6 speed manual transmission.
And unlike the Bugattis that came after it, the EB110 actually has real racing pedigree. The EB110 competed at the 24 Hours of Le Mans, the 24 Hours of Daytona, and in various GT endurance racing series throughout the 1990s
After many conversations over past year with friends, business associates & policymakers about the future of AI job disruption, I’ve tried to get my thoughts in order. With the caveat that I have no specific AI expertise, here they are. Comments and corrections encouraged.🧵
1/n
Space launch was a clear case where there was a large difference in efficiency between what was possible and what was done in practice before SpaceX. A large part of that was due to everything being locked in to what (just barely) already worked, with huge risk aversion. WIth national prestige or a half billion dollar geosync satellite on the line, speculative engineering ideas that might result in a public debacle were not welcome.
When failure is not an option, success can stay very expensive. You need to experiment to improve, and that fundamentally means being comfortable with failure. If you know it is going to work, it isn’t an experiment.
I have long believed that nuclear power today is in precisely the same state as space launch two decades ago, but the even more pressing question now is if semiconductor fabrication might also be.
On the one hand, Moore’s Law has been a sequence of heroic miracles of technology at the wafer fabrication level, grinding out hundreds of compounding small improvements.
On the other hand, fabs are “too big to fail”, and there are elements of extreme conservatism at play. Intel’s “Copy exactly!” fab development exemplifies that mindset – instead of every new building being an opportunity to explore and optimize processes, it was deemed more valuable to just replicate.
While each individual machine may be straining against physical limits of technology, it is possible that the systems orchestrating them all together could be far from optimal.
The explore / exploit axis is fundamental to all decision making, but human risk avoidance probably biases away from optimal exploration.
Apparently some of y'all are worried about hantavirus so let the (1/4th) doctor fox calm you down🧵
1) Most hantavirus is spread exclusively via rodent droppings. The Andes strain on the cruise ship HAS BEEN KNOWN to have limited human-to-human transmission. This it not new 1/6
For in-state residents, tuition at @GeorgiaTech is the biggest screaming bargain in the higher education universe. (It’s amazing how few people nationally realize it’s a public university.)
Honestly, for high school students: if you DON’T live in Georgia, it makes sense for your parents to move there in your junior year.
@WallStreetApes They physically accept old paint for disposal, it’s not like they’re writing think pieces. Requiring payment for proper disposal up front feels like the right way to do this, vs charging more to ppl who don’t just throw it in the trash.
In 2001, the SFO airport released a study concluding that new runways needed to be built in the bay to separate traffic & reduce the need for visual approaches. The new runways would be far enough apart that parallel approaches could be made even in bad weather.
To offset any environmental effects, they would preserve vast stretches of wetlands. The proposal was supported by politicians & airline executives, among others.
Environmentalists killed the plan.
25 years later, the FAA effectively kneecapped the airport by restricting parallel approaches.
Will SFO now build the new runways? I doubt it. CA can’t actually build things. High-speed rail boondoggle, the 2014 bond that was supposed to build 10 new reservoirs (9 are now cancelled, the last has not begun construction & may never), wildlife bridge, a capital renovation where politicians refuse to reveal the costs & un-auditable homeless spending.
Even if a proposal was made today & put before voters, would I support it as a resident? No. Not because SFO doesn’t need it – it does – but because the project would take the trajectory of every other California project & just become a black hole for money to mysteriously vanish into with nothing to show for it while politicians refuse to audit it.
The state can’t afford it anyway. We have a looming fiscal crisis unfolding slowly, but it will accelerate soon.
So, I’m sad. SFO is kneecapped, the region’s existing infrastructure can’t absorb the overflow & I don’t believe it can build. There is a future here, but its a future of decline.
My airline career here isn’t over, but the trajectory has changed. I doubt I’ll be displaced from the left seat, but the days of growth are over.
@devahaz@patrickc@sarthakgh@conor64 That would cover the surgeon general saying “masks don’t work ppl!” but doesn’t address the tickets to surfers or mass prolonged playground closures.