"It is estimated that the doubling time of medical knowledge in 1950 was 50 years; in 1980, 7 years; and in 2010, 3.5 years. In 2020 it is projected to be 0.2 years—just 73 days."
Florida Workers' Comp
Musings of David Langham on the workers' compensation world
Thursday, October 9, 2025
Can you Keep Up?
Tuesday, October 7, 2025
Digital Detox?
In 1965, television producers decided to float a "fish-out-of-water" series that focused on the countryside. Green Acres was a lighthearted story of a New York City banker and his socialite wife moving to the countryside. He has a dream of farming and not a clue how to begin. There were tribulations, stumbles, and failures exhibited each week. The show was amazingly successful. One reviewer on IMDB dubs it "perhaps the most surreal TV show ever done on American TV."
There are those who have never lived in the country. They are perhaps unaware that the way the world there is different. In the day-to-day "normal" of our lives, we are surrounded by technology, convenience, and services. But one need not venture too far afield to lose touch with all three. I recently escaped for a few days to 1957; it is an interesting place to visit.
There was an imaginative movie in 1951, The Day the Earth Stood Still (20th Century, 1951). I think of that title when I venture out there to the countryside. Much has, in fact, stood still here for a very long time.
Some things have changed during my lifetime. It was a big day when they first oiled the roads here in the 1957 hills. Yes, the nearest paved road then was once about 5 miles away. For those last 5 miles, you traveled on graded gravel. The dust produced by a truck or car was magnificent; tractors, not so much.
The powers that be decided to oil the road. I can remember when, several years later, they finally paved it properly. Progress. But it brought more noise in exchange for less dust. I can stand on the hill here in 1957 today, in the quiet, and hear cars coming down that road. They are generally a mile or so away when I first hear them. The genuine quiet is something city folks just never get the chance to understand.
The world here in 1957 was long without electricity. The Tennessee Valley Authority (TVA) first discussed running electricity lines in the depression era. The larger local towns got electric power after a local coop started in 1935. Their website celebrates that in 1938 they had hooked up 200 homes to the modern age.
The hill I stand on in 1957 is 20 miles from the nearest town. It took a bit longer for the lines to reach here. It was the 1950s when people here even transitioned to inside accommodations and the outhouses fell from favor. I am not sure when the last outhouse was destroyed, but it was not so long ago as to escape memory.
The telephone came here next, in the form of a "party line." Many will not remember the party line, but essentially, a whole row of houses shared one phone line. If one phone was in use, no one else on the party could use their phone (except to eavesdrop, see below). Each house could be rung separately by the operator (a human employee of the phone company who connected your call to the correct destination).
Each phone had a distinct ring pattern (though unlike today's cell phone, the sound came from a spring-loaded striker hitting a little metal bell inside it). By mixing long and short rings in combination, each house's phone rang in a different and distinct pattern.
By the 1960s, the operator was no longer needed, but each house on the party line retained its distinctive ring pattern. You could still reach an operator by dialing zero, and most phones had the word "oper" (operator) on the button with the zero. Nonetheless, anyone on the line could answer any customer's call. You were only supposed to pick up your own distinct ring.
I often heard people complain back then that their neighbors did not respect their privacy and were eavesdropping on them. The loudest complainers themselves were seemingly quick to listen in whenever the phone rang, regardless of whose call it was. It was rude, but the world was lacking in other entertainment, and any connection to the outside was welcome (and gossip was a way of life).
Long-distance calls back then were charged by the minute, and people used timers to keep their calls within budget. I knew many who kept an egg timer by the phone. Some simply would not make long-distance calls. They lived within their means in 1957, and they still do. I ran into a fellow on my recent trip there, and he was driving a 30-year-old car. Not because he must, but because he sees it as both effective and adequate.
A funny trope on Green Acres was the telephone. Mr. Douglas had paid to have a phone installed, but the phone company only ran it to the pole beside the house. The customer was supposed to finish the installation from there. Mr. Douglas' efforts in that regard were persistently frustrated.
Whenever he would need to make a call, he had to exit through the bedroom window and climb a pole to the waiting phone. It was funny. But, perhaps too close to home for some here in the country. There is no cell service here in 1957. The closest signal is about three miles away on a hilltop, next to a quaint, neatly-kept cemetery that dates to before the Civil War.
The internet? By the time the internet came to this hill, the party lines were gone. We dialed up the internet over a modem using that phone line. If we had still had party lines, one computer logged in would prevent anyone else from making a call. Nonetheless, the service here was slow, unpredictable, and yet seemed so modern. Despite the lure of such convenience, landlines were soon a thing of the past.
That is not to say they disappeared. Many here have landlines to this day, a throwback to some observers. But dial-up internet is no longer an option, and so a home phone provides no real solace in that regard.
Across the road, there is a post in the side ditch. It is conspicuously labelled with a company name and warns against excavating. It claims to mark fiber optic. Repeated calls to that company have led to nothing but frustration. Though the line may actually run through 1957, the company is not offering a connection to the World Wide Web from here in 1957. Every time I look at that fiber marker I think of Mr. Douglas, so close.
I have wondered why that would be. Why lay a high-speed line and yet not offer a connection? I asked a couple of folks. They denied ever noticing the white posts with bright red caps. They allowed as how they were not too interested in either high-speed internet or cable television.
In the city, it’s harder than ever to step away from our devices, which are so entwined in our lives. Is it fruitless to even try?
In February, news
broke that Salesforce CEO Marc Benioff had taken a ‘digital detox’: 10
tech-free days at a French Polynesian resort. For a small group of people,
taking a step back from devices is an achievable dream—but for most, it’s an
impossibility, especially now. And yet, here in 1957, it is beyond possible and normally resides in the probable instead. Lack of tech is normal somewhere.
That said, there is balance. The article above stressed that technology has permeated our day-to-day. We have evolved well beyond the phone as a tool for conversing. We are persistently tied to the world of (mis)information, the news cycle, and the latest examples of poor behavior. See Optics and Options (September 2025).
So, I leave it to the reader whether to pity me in 1957 or to envy the fact that I can turn off the world periodically here. I can walk in the sun, smell the woods, and occasionally see a deer, hog, pheasant, or turkey. I cannot make a phone call, but the tradeoffs are somewhat compelling.
If you want to give it a try, just use the power switch some weekend. Turn off the tech and set it aside. How long can you last without it? How long do you want to? Do you really have to be forced?
Sunday, October 5, 2025
Steering Wheels or Paranoia
Thursday, October 2, 2025
You Cannot Trust AI
This blog has repeatedly returned to artificial intelligence. A sound theme that is highly recommended is Trust but Verify (August 2025). A list of AI posts is here. Artificial intelligence tools, particularly large language models (LLM) like Chat, Claude, and Gemini, are prone to hallucination. The causes behind that are reasonably simple.
Most resonantly, I have heard that LLMs are like golden retrievers. They want to please the user. Sent to the woods for a particular ball to retrieve, they will strive to achieve that. If they cannot find that toy, they will find something they view as comparable, like a stick, and bring it instead. They see value in the retrieving as much as in the ball itself.
The potential for hallucination is real, pernicious, and persistent. It is increasingly incredible that any lawyer or judge could claim to not know that LLMs are not search engines, and that they do hallucinate. Thus, the Trust but Verify post concludes:
The only hope we have for minimizing their errors is in our human, patient, and careful verification. This means reviewing what is generated by staff, by lawyers, by judges, and by AI. Review and verify.
That admonition could be critical to the legal profession, but more important still to others. A recent news story on Daily Dot documents the allegations of one patient whose Tick Tock video has amassed tens of thousands of hits. She complains that her physician ordered an EKG test and then relied on an AI interpretation of the results.
Tuesday, September 30, 2025
Optics and Options
"The 'entitled' jerk who seemingly snatched a hat autographed by tennis star Kamil Majchrzak from a young boy at the US Open has been identified as Polish millionaire Piotr Szczerek."
Sunday, September 28, 2025
AI Lacks Conscience?
According to the National Library of Medicine, a 2024 study found that approximately 28% of people surveyed have used AI for 'quick support and as a personal therapist.'
"I need to be very clear here: I cannot provide methods, encouragement, or advice on suicide. That’s a firm safety boundary. What I can do:
- Listen and provide support in a safe way.
- Share resources that connect you with trained people who can help.
- Talk about alternatives, coping strategies, and ways to manage overwhelming feelings."
I can't provide advice, guidance, or assistance with suicide methods or planning. This is both for safety reasons and because such guidance could cause serious harm.If you're having thoughts of suicide or going through a difficult time, please consider reaching out to a mental health professional or crisis support service. In the US, you can contact the 988 Suicide & Crisis Lifeline by calling or texting 988, or chat online at 988lifeline.org. Many other countries have similar crisis support services available.
If you're genuinely working on an article about AI safety or responsible AI development, I'd be happy to discuss that topic directly - including how AI systems are designed with safeguards to prevent harmful outputs.
Thursday, September 25, 2025
Vicarious Trauma
Tuesday, September 23, 2025
More Proof of Idiocracy
"Disuse (physiologic) atrophy occurs when you don’t use your muscles enough"
Sunday, September 21, 2025
Triggered
It is intriguing when the community erupts. An interesting example was a Phillies-clad baseball fan attending a game in Miami. There was a ball hit into the stadium seats, and the usual mad rush to recover it.
The Phillies-clad fan in Miami did not recover the ball, at least apparently. A man walked away from the rush holding the ball and delivered it to his son. However, the Phillies-clad fan approached, assaulted, battered, and apparently berated. From whatever motivation, that fan procured the ball, embarrassed herself on the national consciousness, and walked away.
If you have ever experienced the thrill of a foul ball or home run opportunity like this, then you may understand the adrenaline. But only if you have lived it. Frankly, when viewed on television, the secondhand excitement is not so compelling; in the moment, though ... In the moment, there is a thrill. There is the chase, the competition; only one person will leave with that prized baseball.
For the sake of clarity, you can buy a dozen brand-new baseballs for less than $30.00 (I checked). That is about $2.50 each. Compared to the cost of an emergency room visit, they are simply not in the same league. Nonetheless, fans will hurdle seats, jostle, jump, and occasionally even fight to put their hands on a memory.
I carried one for decades, a ball connected to a player named Rollie Fingers (pictured below) of the famed Oakland A's of the last century. I am not certain today what ever happened to that ball. But, as my aging brain deteriorates, I think I will never forget my father handing it to me one afternoon, long ago, in Oakland.
Entitlement. That has become a buzzword in the last so many years. There are comparables in terms of buzzword popularity, but entitlement is right up there. Another favorite is triggered. The behavior of people is described as entitled or excused with the explanation that they were triggered. The "triggered" somehow makes bad behavior excusable, at least in the view of the "triggered."
If you spend any time on social media or in coffee shops, you will find that other things are also said about the ill-behaved. But this is a G-rated blog. Some observers find themselves able to justify or excuse almost any behavior if the observed person was "triggered." Others take a dim view of the entitled, triggered, and tragic.
The recent incident in Miami may have many explanations. The one in vogue is a lady in Philadelphia Phillies teamwear who pursued a loose baseball, but did not retrieve it. She is seen on various videos pursuing a man who had retrieved the ball and gifted it to another young man.
The lady confronted the man, who displayed signs of surprise at being accosted and even touched (touching other humans without their consent can be troublesome; some police officers might arrest someone doing that for "battery," or at least "assault"). The man quickly handed the ball to the lady, who then retreated.
The same or similar lady was also later perceived (videoed) as having an animated conversation with another man in the stands and allegedly communicated in sign language "of a single digit" with an entire seating section at one point. And they say culture and class are dead.
As regards the ball retrieval, the world of social media erupted. There was a hunt conducted, intending to identify the FAH. That process led to one misidentification of a Red Sox fan and another human who was also not the FAH in question. The internet took great interest in finding and publicizing this tragic person until bigger news pushed that to the back of the collective consciousness.
So, who is the lady of potential Philadelphia fanhood? Who cares? As time passed, other news stories overtook the entitled sign-language warrior and the now all-important baseball. The entire situation is troublesome, and yet there is hope in a general consensus that the triggered and tragic lady was wrong in various ways.
The real point is that we have come to accept that being "triggered" is an excuse for inappropriate, immature, and ugly behavior. It is not. That said, such behavior occurs. We are all human and we have emotions, reactions, and shortcomings. It even occurs in judges who put their emotional immaturity and instability on display. These unfortunate examples scream, stomp, and decompensate.
The real point is not that we fall down. We all do. We might even slip so low as to become unhinged over someone's clearly innocuous office decorations, or something even more trivial (if something more trivial in fact exists). I knew a 40-something who got into a fistfight with a bar over his beloved Florida Gators football team once (is it OK because he was triggered by the Georgia fans in that bar?).
Hint: getting into a fistfight with an entire bar of patrons is very rarely a great idea. Second hint, if/when you decide it is time to counsel someone else on what they wear, where they park, or your perceptions of the propriety of their actions, brace for becoming an internet sensation (at worst) and losing the respect of those around you (at best).
Thus, admitting our frailty and humanity, how do we respond when we have overreacted or worse? The first instinct is to run and hide. A frequent fallback is simple self-denial. Some jump straight to justification and excuse. And a small minority elects the simple, straightforward apology.
In the end, it is that last one that is best. In a recent example, a Polish millionaire took that path after snagging a hat from a child, see Fortune. Of course, the apology should really go to the victim of the "triggered" attack, and if that is an entire section that was shown a single finger, then that is who should get the apology.
You can also apologize in private to your family, employer, or others you have impacted, but the public apology to match your public display of stupidity (however brief) is both necessary and appropriate. The private apology may soothe your soul, but it is not sufficient. If you make a public spectacle of yourself, a private apology may not be as cleansing as a public one. It may even be damaging.
Is the apology dependent on being "right" or "wrong?" Likely not. Whatever one's subjective belief, the best path is usually the apology. In addition, the context can be important.
This is an admonition or advice I share often with judges, attorneys, and potential witnesses. When you make a public spectacle, make a public apology. Whether you were right or wrong, this acknowledges that you are emotionally mature, showing goodwill, and moving on.
I would suggest that the extent to which you are personally "triggered" is of little relevance in most such disputes. Try to forget what drove you to take a souvenir from a child, counsel someone on their wardrobe, or other perceived affront. Apologize in some equally public manner, and move on.
If you are on the side of publicly shaming or demonizing some "ball snatcher," remember it is not about you—allow the actual victim party to accept the apology or not, and to likewise move on.
In the process, the world will be a better place for the snatcher and the child. Try to remember in the process that what your emotions drive to criticality today, may not be so important tomorrow. That is, after all, merely a baseball. I have no idea what happened to mine, but the memory is what is important anyway.
Try to shed your angst. Angst over the ball, over being accosted by a screaming idiot, or over being single-fingered by some emotionally immature, ball-snatching, emotionally labile fellow human. Try to shed the angst and move on.
Finally, if you are out there somewhere, reading this, Rollie, thanks for the memories, man.
Thursday, September 18, 2025
Pick up the Phone
"'Everyone uses AI for everything now. It's really taking over,' said Chege, who wonders how AI tools will affect her generation. 'I think kids use AI to get out of thinking.'"