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Your hypotensive pt has no central access. Do you start peripheral pressors immediately or delay to place a CVC? Eddy Gutierrez, MD (Eddy J. Gutierrez, MD) from ResusX:2026: Recent data shows PIV complications are rare (~2.3%). What does your unit protocol say? Let’s hear your thoughts.

16,368 次观看 • 1 个月前 •via X (Twitter)

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"You can either produce excellence or you can avoid criticism. But you cannot do both of those. The reason that you don't have certain excellence that you want is because you are afraid of getting criticized. You are afraid of the judgment that comes with it. You are afraid of standing out. You are afraid of being alone. You are afraid of people looking at you. You are worried about what people think of you. There are 2 categories of things in this world: 1) Things that are up to you 2) Things that are not up to you Which category does your reputation sit in? Your reputation is not up to you. I'm the one who associates your reputation with something, not you. You just do things. What's up to you? How you act. Your decisions. Your actions. That is up to you. Your reputation is not up to you. Here's how I know that: You all have a reputation about me and it's not in my control. I get to say and do whatever I say and do up here. I am in control of saying it. I am in control of doing it. The moment words leave my lips, who has control over what is done with those words? You! You are in control of what you think of me. And there's no way everybody in this room is going to think the exact same thing about me. No way. When it comes to exceptional, what we've got to understand is you can spend your whole life trying to avoid criticism and earn reputation, and it still won't be in your control. We can waste a lot of time missing out on excellence we could have been producing if we were just simply LESS trying to engineer what we wanted other people to think about us."

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One of the smartest things you can do with Fable 5 right now: Re-create your AI second brain to log all your business ideas, personal context, and important data. The first time I built an AI second brain was with Opus, but I recently re-created it with Fable 5, and it blew my mind. Here's exactly how to get started: Step 1. Set up your Obsidian vault Download Obsidian from Obsidian dot md if you haven't already. Then, go ahead and create a clean vault with your most important folders. For example: /ideas → business ideas, content angles, random thoughts /context → who you are, your business, your goals, your stack /data → important numbers, portfolios, metrics /log → daily entries, decisions, lessons learned This is your database. Everything Fable reads lives here. Step 2. Connect Fable 5 to your vault I like this Claude Code prompt: "/goal connect to my Obsidian vault at [path] and act as my second brain orchestrator. Read everything in /context before every session. Log anything new I tell you to /log with today's date." Fable now reads your vault before it answers anything - it knows your business, your goals, your history. Step 3. Build the self-update habit Every time you have an idea, a decision, or a lesson, tell Fable: "Log this to my second brain: [thought]" Step 4. Start querying it You can start sending prompts like: → "What are the most common themes across my last 30 ideas?" → "Based on my context, what should I be prioritising this week?" → "What decisions have I made about my content strategy so far?" Opus was good at this, but Fable is on another level. I feel the depth of reasoning it brings to your data is genuinely unlike anything I've used before. Some might argue it's a bit of overkill to use Fable for a simple second-brain setup, but if you have the means, it's 100% worth it. Build this once, and it'll compound forever.

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A Trojan Horse Called Smart Meter. The perfect Spy 🕵🏻‍♀️ Let’s say you did everything right. You live far from 5G or 6G antennas. You don’t own a television. You don’t use Wi-Fi. Your internet is wired, not wireless. No smart appliances. No voice assistants. No modern electrical clutter. When you come home, you turn your phone off. You place it inside a Faraday cage. You’re careful. You’re intentional. You believe you’ve gone dark. 👀 And that’s exactly why the smart meter exists. Because even if you remove every personal device, even if you disconnect yourself from the modern digital world, electricity still has to enter your home. And electricity never stops talking. The smart meter does not care about your phone. It does not care about your Wi-Fi. It does not care how disciplined you are. It sits upstream of all of it. It watches patterns, not devices. It listens to behavior, not conversations. It profiles life through energy. So even when you believe you are silent, your house is still broadcasting. That’s the genius of it. You can opt out of technology. You cannot opt out of infrastructure. And that is why the smart meter is the final layer. It is literally watching you. ❌ Not with a camera. ❌ Not with a microphone. ✅ With math. It knows when: you sleep, when you wake up, when you shower, when you cook, when you brush your teeth. It knows when you leave the house and when you come back. Not because you told it anything, but because your habits leave electrical fingerprints… Day after day, it builds a living profile of you. Your routines. Your changes. Your anomalies. What you do every day becomes predictable. What suddenly changes becomes suspicious 🤨 This is personal surveillance installed inside your 🫵🏻home. A prison without bars. A guard that never sleeps and never needs permission. Your home is effectively searched 24 hours a day without a warrant. Your private life is extracted as data and sent outward, from the smart meter to the utility company, from the utility company to centralized databases, from there to governments, regulators, insurers, law enforcement, or anyone else the data is shared with, sold to, or requested by. You are not accused of anything. You are simply modeled. And that distinction matters. The smart meter is also a radio transmitter. It does not just receive information. It sends it. Continuously. Quietly. Automatically. If something you do inside your private home is later defined as “wrong,” “non-compliant,” “inefficient,” or “suspicious,” the data already exists. The system does not need to watch you in real time. It can rewind. And here is the part most people never consider. If they can measure usage with precision, they can also manipulate delivery with precision. Voltage. Frequency. Timing. Power quality is not neutral. If someone wanted to increase electromagnetic stress inside a home, they would not need to install anything new. They would simply modulate what is already there. Electricity becomes not just a service, but a control surface. This is why the smart meter is the perfect spy. It hides inside something everyone needs. It does not look like surveillance. It looks like infrastructure. And infrastructure never asks for consent.

Light Me Away ☀️

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