u/welliamwallace

Young (38) with confirmed BPH/obstruction — weighing waiting vs operating & HoLEP vs TURP
▲ 7 r/bph

Young (38) with confirmed BPH/obstruction — weighing waiting vs operating & HoLEP vs TURP

Looking for advice from anyone who's had HoLEP or TURP, especially younger guys or those with smaller prostates.

My situation:

I'm 38 and have had lower urinary tract symptoms for ~7 years — slow stream, incomplete emptying, occasional straining, weak Qmax of 9 ml/s. Symptoms are bothersome but not debilitating. Just had cystoscopy and TRUS which confirmed:

  • BPH with bilobar obstructing hypertrophy and obstructing median lobe
  • Moderate intravesical prostatic protrusion (IPP)
  • Prostate volume: 32cc (small-ish)
  • Mildly to moderately trabeculated bladder wall (early sign the bladder has been under stress)
  • No urethral stricture

Why I'm leaning toward acting sooner rather than later:

The trabeculation is what's pushing me toward treatment. I'm 38 and need this bladder for another 60 years. My urologist confirmed that waiting risks bladder decompensation over time.

Dad's history

My father had HoLEP recently and had an excellent outcome. There's a urologist local to me who performed his procedure. I'm seriously considering going back to that same surgeon.

Questions

My prostate is only 32cc —is that a big deal? Saw an article saying its still fine: Efficacy of holmium laser enucleation in patients with a small (less than 30 mL) prostate volume

retrograde ejaculation (done having kids, not a concern). Temporary post-op incontinence I can tolerate if it resolves.

  1. Any strong reasons to wait?
  2. Anyone had HoLEP on a smaller prostate (~30cc range)? How were outcomes?
  3. Anyone who had TURP young and ended up needing retreatment?
  4. Any questions I should be asking the HoLEP surgeon specifically before committing?
u/welliamwallace — 1 day ago

War Dog Stalker in Coterie to guarantee turn 1 pledge point?

Hey yall, i'm thinking about running a War Dog Stalker ally in my Coterie list. With Scouts 6" and 12" move, he can make it to the enemies deployment line with a 6" charge at most, much less on some deployment layouts.

Of course my opponent will be prepared for this, but if I go first, I imagine there'd be at least one enemy unit i could pick of Turn 1. (and if i go second, i can just tuck into cover). Do you think it would be worth, say, killing an 80 point transport or character with my 140 point Stalker, if it guaranteed me turn 1 pledge point?

Or do i need to trade more evenly for it to be worth it?

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u/welliamwallace — 10 days ago

TTS ForceOrg Model scripting breaks for some models when saving/loading object?

UPDATE: SOLVED! See end of post

I'm having an issue. Everything in ForceOrg seems to go well. I create an army, and within ForceOrg, confirm that the scripting was correctly applied to all units (For example, i can pull up the datasheets with Numpad 1).

However, once I select the whole army and "Save object", then if I later go to re-load that object (either in forceorg or elsewhere), the scripting randomly breaks for SOME models. the tooltip info will be there, but none of the numpad scripts. When i right click on such an object, and go to the scripting editor, it is blank.

Anyone else experience this and have a solution? It seems to be random which models in my army it happens to, except for the fact that it goes unit by unit. If scripting is broken for one model in a unit, it is broken for them all. If it works for one model, it works for them all (even though each model has a unique GUID). Scripting always continues to work for at least some of the models.

UPDATE: Apparently this issue can happen when attempting to build your army with models that already had scripting attached. Sometimes in Forceorg, instead of picking all the models "from scratch", I would load a previously saved army (with full scripting), to save time as 80% of the units are the same. Well apparently when building an army with models already containing scripting, it can break. This button should remove all scripting and avoid the issue!

https://preview.redd.it/xgekigwv3s0h1.png?width=1600&format=png&auto=webp&s=d212e1af9c785e7eafa7312b83bd0b2f2057103c

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u/welliamwallace — 10 days ago
▲ 1.2k r/Dinosaurs

I swear Concavenator looks like it was bred for someone to ride on its back

It even has a saddle pommel to hang on to.

From my *Princeton Field Guide to Dinosaurs* 3rd edition

u/welliamwallace — 16 days ago

I'm at the following, for the next 5-10 years:

Scenario Probability
Status Quo 65%
Very Bad 20%
Very Good 15%

By "status quo", I mean the most likely outcome is that AI tools continue to develop and improve productivity, but in a somewhat linear or even slowing in an asymptotic manner. They could even be disruptive and groundbreaking in the same way the internet or combustion engine or electricity were, but without a "phase change" to superintelligence. I do believe intelligence (and maybe even consciousness) is substrate-independent, but I am suspicious the LLM architecture is not what it takes to get there.

If real superintelligence actually is developed, I am fairly convinced by the "If we build it, everyone dies" arguments for misalignment. Plus the risk of enabling bad actors to be more effective, Hence the 20% "very bad" outcomes.

Then the third "Very good" scenario is where we somehow solve or bypass the alignment problem, and AI enables the goldilocks "15% annual GDP growth / post-scarcity society" story.

I have friends, who after listening to this episode or watching the new "The AI Doc" are more doomer than me, with "status quo" odds lower than 50%, causing them to make drastic "pepper-like" decisions. They are operating under a "more likely than not, the entire global financial system might blow up or become irrelevant: either everything breaks and gets taken over by AI, or we live in a post scarcity society. Therefore i'm liquidating half my 401k, buying land, and installing solar panels and batteries. "

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u/welliamwallace — 19 days ago