Vance Souders @vsouders

Daycare calls me. That's never good. For them. Daycare: "your son hurt his elbow and won't move his arm. Can you come take him to a doctor's office?" Me (ex Special Forces Medic): "A real doctor is on the way to you now. I am 6 mikes out. Alert me of status changes." I arrive at daycare. I locate the patient. 21 month old male. Scene is not safe. I drag the patient to cover and concealment behind a seesaw, away from the other small terrorists in the AO. I begin my assessment. Blood sweep negative for massive hemorrhage. Mental status: conscious and verbal but confused (answers "dada" when asked for blood type). One breath every 2 seconds. Bilateral rise and fall of the chest. Strong carotid pulse, strong bilat radial pulse. Teeth and tongue intact no blood no mucus no dip or foreign objects. Eyes PERRLA, negative JVD/trach deviation, C-spine intact upon palpation. Heart sounds strong upon auscultation. Percussion negative for hemo-T. Abdominal quads normal upon palpation. Pelvis negative for book sign. Arms and legs negative for crepitus. However, Patient indicates discomfort in right arm upon palpation and supination/flexion of the elbow. Nursemaid's elbow. I begin interventions. Supination/flexion technique complete at 1215. Palpable clunk on successful reduction. I write the time on his chest in Sharpie. I tape a popsicle to his hand and tell the patient to suck but do not bite/chew. I write "1 x popsicle (10g sugar)" on his chest in Sharpie. I reassess the patient after performing interventions then package the patient for handoff to daycare/higher level of care. I yell at daycare over the Blackhawk in my head: "21 month old male!!! Nursemaids elbow!!! Treated with supination/flexion technique at 1215!!! Patient has 1 x popsicle onboard!!" Daycare: "sir please leave." Me: "you should have called my wife."

@LewisCTech This tracks from what I’m hearing as well, There’s a solid group of people who believe human engineers won’t be needed in a few years so any issues created by YOLO-AI-coding will just be cleaned up as the models improve.

@thebradpinder Sorry for your loss.

@HOUSEPORN___ It’s like the room from Sunshine but without the ability to turn you to ash (or drive you insane).

“He may have been your father, boy, but he wasn’t your daddy.” Guardians of the Galaxy Vol. 2 (2017) Happy Father’s Day

"Thank you so much for all the kind messages I’ve had but now, an announcement"…

@sanarsh11 @teortaxesTex This is the most straightforward answer. There was seemingly little interest in optimization due to over capitalization and that chicken is coming home to roost.

I'm launching a website called OlderFans where I post today's injury and the wildly normal thing that caused it

@ThrillaRilla369 Vacuuming took me out of action for three months last year.

@cherthedev Agreed. I just picked up a flip phone and I’m solidly Gen X. Commodore just announced a flip phone as well. That will likely be pretty niche but they saw enough of a signal to launch it.

Automation bias is a well known issue with human-machine teams. It’s a tragedy that with the massive capex spent on AI that more attention hasn’t been paid to mitigating it.

Roger @rdd147

a week ago

Doctors 25% more likely to miss a diagnosis on a patient within 3 months after Ai is implemented. The results indicate Ai has an immediate negative effect on professionals skillsets vs prolonged reliance. nature.com/articles/d4158…

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@yacineMTB Game engine and graphics programmers are some of the most amazing people I’ve worked with. Creative, used to working on resource constrained hardware and able to make the hardware do things the designers didn’t think was possible. AI companies should be aggressively recruiting

Bobby Prince, the legendary composer behind games such as DOOM, DOOM II, Wolfenstein 3D and Duke Nukem 3D, has sadly passed away. May he rest in peace ❤️

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@kyleanthony 1986 Subaru XT

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.

'Clarkson’s Farm is loved – and sometimes criticised – for contriving situations which the presenter knows will make us laugh. 'This scene is strikingly real, and will chime with anyone who has had to deliver bad news to loved ones. The shock and worry from Kaleb and Charlie are palpable, with Kaleb instantly in tears.' Series five ends with the Jeremy Clarkson in a hospital bed rather than a tractor, but, as @anitathetweeter explains, the show’s warmth remains ⤵️ telegraph.co.uk/tv/2026/06/17/…

@RachelTobac What should worry everyone is this is just the most visible failure mode. Thousands of products and features are likely suffering from the same malady but it’s just not as obvious.

Introducing Epic’s version control system: Lore! Built from scratch and open-sourced, we made scalability and performance core tenets from day one. We’re releasing Lore as open source today.All source code, along with documentation of data formats and protocols are released under an MIT license and free to use. Help shape it into something even more powerful, together: Lore.org