Michael Jag

wondering

[Michael Jag @Michael_Jag4]

Tell me is it real if you can’t hold it in your arms but it can touch you -MM

[Massimo @Rainmaker1973]

Man of questionable sanity ✅
Very polite pig ✅
Dancing parrot ✅
Curiously chill chicken✅

[Lex Fridman @lexfridman]

We need to invest in peace not war.

We need to invest in innovation, in our education system, and in building epic things that benefit humanity.

[SlavicWarrior®️ @q_slavic]

My definition of wealth ✨

[Murph @ninjasniperpon]

There is far more that is unseen than what is seen in this world.

[Curiosity @MAstronomers]

Entire Universe in a single image 2024. (logarithmic scale)

By @budassiuniverse

[thermo @DionysianAgent]

gm

[Nick Norwitz MD PhD @nicknorwitz]

Should patients be fed ultra processed foods in hospitals?

I had this discussion yesterday with a peer who I deeply admire, and was surprised that we presented different opinions. And I swayed a bit…

I came to the conversation with a relatively militant stance. In a word, “no.” Now, my pre-standing position is more nuanced. For example, I wouldn’t issue a hard “no,” and have myself been know to “treat” some patients with “unhealthy” foods in special circumstances. For example, I made a patient transitioning to hospice care homemade ice cream, or brought a ‘metabolically healthy’ little child who loved blue foods blue skittles one day and blue Lindt Truffles another

But, as a rule of thumb, I would say cake 🍰 , apple pie 🥧 , muffins, etc are not just ‘sub-ideal’ choices, but in the context of a patient population overflowing with #obesity, MetS, and #diabetes, these choices can be harmful. Why harmful? Well, if poorly managed they can lead to negative acute outcomes, although this is less likely in an in-patient setting. However, they are certainly harmful over the long-term; and doesn’t a patient’s experience in the hospital setting and with the medical system set an expectation and ‘tone?’ In other words, what are we messaging when we say, “here’s a menu… if you want mashed potatoes and chocolate cake, it’s your choice. You’re an adult.”

Would we do the same for ‘acute’ use of cigarettes or alcohol? Do we…?

Well… that was my position. Now, I’m not entirely sure, and here’s why.

1/ We all have rebellious teenagers inside us. If we’re told “we can’t” - the forbidden fruit becomes all the more desired

2/ Before we can ‘preach,’ we should practice. IMHO (still) we should have a better choice ecosystem for patients.
However, were we to restrict choices and continue - ourselves - to “indulge” openly, the perceived (or evident?) hypocrisy could further undermine credibility.

3/ Consider the “starting point.” Okay, yes… I still would love to see patients being provided with better options - and to have the “standard” current food options 🍩🍪🥯🥨🥐🧇🥞 struck off as the defaults. But without first investing in education (which can start at the bedside), choice restriction in the hospital is unlikely to have much of an impact.

It’s a hand to play… but maybe not yet… maybe better played when we have a “fuller” hand, so to speak

Now, a question from me to me: if I could change 1 thing — JUST 1 — about nutrition & food in the hospital what would it be?

👉 Honestly, I don’t know what would be most impactful. But I don’t think I would choose “do cake 🍰 or donuts 🍩” as a hard rule… I think there are more strategic and effective options

That said, there will be no 🍰 🍩 for me 😉

[Lex Fridman @lexfridman]

Beautiful 60-day timelapse of a bird building a nest and raising her kids until they fly away from home. This is the magic of life.

[Sam Knowlton @samdknowlton]

A laser scan shows a plant root, in blue, enveloped by a mycorrhizal fungus, in red

Mycorrhizal fungi provide plants with nutrients, water and defense from pathogens in exchange for sugars

This image beautifully displays an ancient symbiosis where fungus and root become one

[Paul Stamets @PaulStamets]

What an incredible video that was captured of mushrooms releasing spores into the wind! Nature is spectacular. 

Video credit: Villareal C. Jojo

[Lex Fridman @lexfridman]

Each of us exists (in part) in the minds of other people, both as ideas and as memories. Human civilization is deeply connected in this way. Our intelligence is a collective intelligence. Our consciousness is a collective consciousness.

[Dan Go @CoachDanGo]

The foods you eat & the information you read in will determine your mood for the majority of the day.

[Carl Bovis @CarlBovisNature]

September - Kingfisher 🐦
#CarlBovis2023Calendar🐦

[Alex Bernier @mythoughtfood]

A list of useful stretches for those who sit all day.

Do this routine before bed to calm your body and still your mind.

This first one is usually the most painful yet relieving because the front of the leg/hip is a sitting tension hot spot.

Hold for 30-60s per leg, repeat 3x.

[vitalik.eth @VitalikButerin]

Stock-to-flow is really not looking good now.

I know it's impolite to gloat and all that, but I think financial models that give people a false sense of certainty and predestination that number-will-go-up are harmful and deserve all the mockery they get.

[Michael Jag @Michael_Jag4]

@yurikonishijima Maybe try gently pulling/massaging your ear loop and yawning at the same time

[Lex Fridman @lexfridman]

Penguins at 5x speed. I have no idea why, but at this late hour, I find this both hilarious and mesmerizing. Earth life is weird and beautiful.

[Philosophy Quotes @Philosophy_Qu]

"Don't listen to the person who has the answers; listen to the person who has the questions."

- Albert Einstein