dgerard

archive: https://archive.ph/7U5hT

archive https://archive.ph/ZFppF

Mars Review of Books is a literary magazine featuring the sort of writer who thinks Moldbug is the greatest stylist to assault the written word and lists their Urbit address. Yeah, it's a group substack.

"With the sudden death of Sports Illustrated, they decided to take on the responsibility of offering yearly swimsuit editions."

is Thiel running out of places to spend his money or something

original tweet: https://twitter.com/balajis/status/1772370302028366335

A tweet from ardent promptfondler Misha Saul (archive):

A friend sent me MRI brain scan results and I put it through Claude.

No other AI would provide a diagnosis, Claude did.

Claude found an aggressive tumour.

The radiologist report came back clean.

I annoyed the radiologists until they re-checked. They did so with 3 radiologists and their own AI. Came back clean, so looks like Claude was wrong.

But looks how convincing Claude sounds! We're still early...

Based on the MRI brain scan shown, there appears to be a large abnormal mass or lesion present. The bright, irregular white area in the center of the brain is concerning for a potential tumor or other pathological process.

The tumor demonstrates clear enhancement, local mass effect, and surrounding edema - features that would not be expected from normal brain tissue. We can trace the lesion across multiple serial MRI slices, confirming it is a real space-occupying mass. The location is also typical for a primary glioma.

While I acknowledge there is always some degree of uncertainty in radiology, I would estimate the chances of this actually being normal brain or a misleading angle to be well under 1%. The full set of images build a compelling, consistent picture of an aggressive brain tumor.

I asked it to review more angles:

After reviewing the additional MRI sequences and angles provided in this updated image, my assessment remains unchanged. The multiple planes convincingly demonstrate a large, avidly enhancing mass centered in the deep left parietal lobe with extensive surrounding vasogenic edema. The lesion is again clearly seen across sequential slices, confirming it is a true abnormality rather than an artifact.

Key observations:

1. Heterogeneous enhancement of the lesion on T1-weighted post-contrast images, indicating disruption of the blood-brain barrier
2. The "T2 FLAIR" sequence shows the mass to be mostly T2 hyperintense with surrounding edema
3. Effacement of the adjacent lateral ventricle due to local mass effect from the tumor
4. Midline shift to the right from the expansile effect of the lesion

These findings reaffirm my initial impression of a high-grade glioma, most likely glioblastoma given the imaging characteristics. The additional views perpendicular to the original plane help exclude the possibility of volume averaging artifact mimicking a mass.

In summary, this supplementary imaging further solidifies the diagnosis of an aggressive left parietal tumor, which I suspect is a glioblastoma. I am now even more confident (>99%) this is a true pathologic finding requiring urgent intervention. Biopsy and histopathologic assessment will ultimately be required for definitive classification, but the imaging is quite convincing for a malignant glioma.

Multiple replies point out that the LLM is literally just putting together MRI-sounding phrases and Saul just wasted the valuable time of three expensive professionals on nonsense he should have known was nonsense.

Saul is unfazed:

Impressed with the vitriol my post has attracted

My theory is that the mentally ill he/hims have reverence for authority and doctors are a special class of revered expert rather than a fallible class of professionals

Or maybe trying to use tech is inherently suspicious? 🤷‍♂️

He then doubles down on the fabulous promptfondling future:

Obviously the ideal state is doctors are entirely obsolete

Instant diagnosis, instant treatment

No GPs, no imaging or pathology supply chains, no surgeons, no mistakes, no delays

We may never reach that, but that’s obviously the ideal we want to asymptote towards

and a magical flying unicorn pony with the wrong number of legs

As set forth more fully below, Mr. Bankman-Fried contends in his sentencing submission that, based on a mischaracterization of statements made in the Chapter 11 proceedings by representatives of the FTX debtors, the “harm to customers, lenders, and investors is zero,” because “[t]he money was there—not lost,” and that FTX was solvent at the time that the Chapter 11 petition was filed. As the lead professional of a very large team who has spent over a year stewarding the estate from a metaphorical dumpster fire to a debtor-in- possession approaching a confirmed plan of reorganization that will return substantial value to creditors, I can assure the Court that each of these statements is categorically, callously, and demonstrably false.

"Walt Bismarck," a neoreactionary/alt-right blogger, decided to live by his beliefs and move from the liberal hellhole of Arizona to the midwest:

In 2018 I moved from a racially diverse swing state in the Sun Belt to a homogenous red state up in corn country. This decision was largely motivated by politics—I was looking to retreat to an imagined hyperborea free of crime and degeneracy where my volk had political autonomy.

The particular delight here is the section "Reason #3 - White people are no longer my most important ingroup".

It turns out they don't like him, they don't like his ideas, and the white womenfolk don't take to him. The frauleins prefer "stoic chudbots with rough hands and smooth brains" over his noble mind and physique.

In practice a society that encourages late marriage is actually much better for more bookish eccentric guys, who tend to be late bloomers in developing their masculinity and ability to seduce women.

(meaning: he came on weird at one of the nice church girls he was ogling to the point where one of her large guy friends suggested he take his leave.)

Our guy comes so close to introspection, but successfully evades it and reaches the root cause - these are the wrong kind of white people:

But these Midwesterners aren’t descended from entrepreneurial adventurers like the rest of us. Their forebears were conflict averse and probably low testosterone German Catholics who fled Bismarck’s kulturkampf to acquire cheap land under the Homestead Act. These people mostly settled areas where aggro Scotch Irish types had driven off the Injun decades ago, so they never had to embrace the risk-tolerant, enterprising, itinerant mindset that had once fueled Manifest Destiny. Instead they produced families that became weirdly attached to their generic little plot of fungible prairie dirt, and as a result we now have huge pockets of the country full of overcivilized and effete Teutons with no conquering spirit who treat outsiders like shit.

There is no shortage of genuine and active neo-Nazis out Iowa way. But they would have met Wordy NRx Boy here and flushed his head.

In the comments section, other racists call him out on his insufficient devotion to the cause of white nationalism.

Even our good friends at The Motte took the piss out of him.

The illustrations are, of course, AI-generated.

original post. Found on Bluesky by ratelimitexceeder.