drgo
Dr. Bitcoin, MD

Bitcoin OG since 2010, former laptop solo miner, blockstream satellite node runner, #2A rights user, radiologist

Public Key

npub1fa8c9prxnrlkdtjl48adfsxyaduz8tas075l2n4f6903y9awjmxqanthnd

NIP-05 Address

drgo@nostrplebs.com

NIP-57 Address

bcgmd@coinos.io

Profile Code

nprofile1qqsy7nuzs3nf3lmx4e06n7k5crzwk7pr47c8l204f65azhcjz7hfdnqpj4mhxue69uhkummn9ekx7mp0y5erqamnwvaz7mn0wd68ytnvv9hxgte9xgcz2v3sv9mxzarpwgjnyvrhwden5tmwdaehgu3wwa5kuef0y5erqffjxpshvct5v9ez2v3swaehxw30wp6hyurvv4ex2mrp0yhxxmmd9ujnyvrhwden5tmjv4kxz7fwv3sk6atn9e5k7te9xgc8wumn8ghhyetvv9ujuumwdae8gtnnda3kjctvqy28wumn8ghj7un9d3shjtnyv9kh2uewd9hsgh0t7g

Publishing to

nos.lol/%20wss:/nostr.land/%20%20avatar%20wss:/nostr.wine/%20%20avatar%20wss:/purplerelay.com/%20wss:/relay.damus.io/%20wss:/relay.snort.social

relay.damus.io

relay.nostr.band

Author Public Key

npub1fa8c9prxnrlkdtjl48adfsxyaduz8tas075l2n4f6903y9awjmxqanthnd

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Last Notes

2025-05-18 05:41:57

Bitcoin is in some sense like a country.
If you buy a little bit of every stock in the stock market and never sell, you’ll be bankrupt eventually as no business lasts forever.
But you know who always makes money? Governments. While all companies fail, there will always be companies making money for government to take money from.
Bitcoin is sort of like buying a little bit of all the output of humanity…

2025-05-18 05:38:50

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To my knowledge, there hasn’t been a successfully developed mRNA vaccine ever. Widespread haphazard commercial trials failed. :)

2025-05-16 05:21:40

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Yeah. Kinda ;)

2025-05-07 03:30:51

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I’m working in the hospital during conference, but I’ll be at some bitcoin retreat thing the weekend after the conference.

2025-05-07 02:46:29

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I kept my 2009 MacBook Pro that I solo mined bitcoin blocks with way back in July 2010. It still works!

2025-05-07 01:57:16

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This is why I always end a discount request with “if you don’t, I’ll call all my colleagues and discuss with them why nobody would accept anything less than a 20% discount.”

2025-05-07 01:34:49

I’ve got some time to kill in Vegas next week. What should I do?

2025-05-06 02:39:05

If it becomes too expensive to transact on chain, and it becomes too expensive to transact on chain in sufficient fashion to run a censorship resistant L2 network, then bitcoin literally becomes digital gold: totally centralized.
Bitcoin is far from condemned to such a future. But it needs work. And balance to keep a network running…miners need a reason to mine and users need to be able to transact at prices reasonable for the value onchain transactions provide. But new software needs to be written to make the best use of block space and that work is under way.

2025-05-04 05:23:33

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There is no such thing, or nearly no such thing, as land ownership in the US. In USA, you purchase exclusive usage rights of the land, a little bit of the space above the land, and sometimes what lies beneath the land. Rarely some people buy land and pay a lump sum lifetime tax to own the land until they die, then they can transfer it to someone who pays land tax annually (like outside las Vegas during the boom years, this was not rare).
Bitcoin is land without tax.

2025-05-03 22:55:18

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I have 4 and they’re all kinda irrelevant to life outside of work.

2025-05-03 22:52:09

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I’m always skeptical of too many degrees. 1 or 2 bachelor degrees, a masters degree, and a terminal degree is as many as I’d trust…after that it screams instability or fraud.

2025-05-03 21:38:49

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I totally agree that bitcoin value will grow a lot faster for a lot longer than most expect. But some fees will eventually be necessary as subsidy will long be insufficient for moving the chain forward before subsidy goes to zero.
And we have proof that people will pay for securing the network. The 2017 block size wars featured an attack on block space and fees went up to a very significant fraction of the subsidy. And ordinals did the same, albeit for less time.
Anyone arguing we need high fees now is missing the value of bitcoin. But arguing transaction fees will never be necessary I think is almost provably false.

2025-05-03 21:31:58

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I think you misunderstand the math here. Parabolic is very slowly growing compared to exponential as time increases.
Take any graphic calculator or app and plot y=x^2 (a prabola) and y=2^x (an exponential) and you’ll see one grows way way way way faster than the other.
The reality is that all exponential things eventually either go to zero (in the decreasing case) or stop being exponential (in the increasing case). Why? Because exponential growth eventually becomes so large we run out of physical things such wildly large numbers could represent…compared to exponential growth, even the number of atoms in the universe is small…

2025-05-03 18:22:35

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I’ve always wondered about these expensive steak programs. I often get rib eye at $7-10/lb (with bone) but all the expensive steaks are boneless. Even adjusting for bone weight, the expensive steaks are still double or more the cost of my local store beef per pound.
I’ve had A4 Kobe wagyu from Japan, so I’m not unaware of how different some beef can be, but I have a hard time telling the difference between the more common price points.

2025-05-03 18:16:02

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Sugar and meat is apparently a thing…see every beef jerky package in the store.

2025-05-03 18:10:26

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You misunderstand the meta analysis and your actual question. Your question is equivalent to: “do mammograms decrease the rate of death by breast cancer?”
I’m gonna leave other subjects out of this for the moment because we will end up skimming the surface without being rigorous about what proof we actually seek.
That said, a better question than yours would be: “do mammograms increase lifespan?”
See the subtle difference? What good is it to save women from breast cancer if they become unbelievably more likely to die by lightning strike or alien abduction precisely because of mammograms? Competing causes of death matter and looking at lifespan allows us to consider all causes of mortality, reasonable and otherwise. To my knowledge, it’s never been proven reducing breast cancer by any means actually increases lifespan. It’s an assumption that treating disease leads to increased lifespan. It’s logical, but hard, expensive, and takes a very long time to study.
The meta analysis looks at 28 studies of breast cancer mortality reduction…the comparison groups are those who don’t use mammogram for detecting breast cancer. We have tons of data on rate of death for many diseases over many decades; we assume old rates are relevant today, and that’s a big issue with vaccines. Because the diseases the last few decades of childhood vaccines have been intended to prevent have become so rare, what is the acceptable risk from the vaccine itself? In the old days, risk of disease was high. But now risk of disease is low and our ability to treat is better. A similar argument can be made for breast cancer: treatment is better now than 20 years ago, does early detection still matter?
The rabbit holes go deep. But one common theme you’ll find is the real science rabbit holes are unbelievably deep; the pseudoscience rabbit holes are rather shallow, surprisingly shallow some times.

2025-05-02 06:21:46

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As the reference implementation, core should have “the best” policies from a genuine comp sci and networking perspective, not a commercial one.
Any major policy decisions should be handled at the fork level. Want more data carrier size? Fork it! The thought that this should be debated on github is laughable.

2025-04-27 00:20:40

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Largely nonsense.
1) risk of breast cancer for average woman 1 in 12; risk of mammogram causing breast cancer 1 in 70,000
2) compression is part of how image contrast is generated. Tomosynthesis (like CT of the breast) was around in 1990 and doctors spent 20 years to realize compression is still necessary even with “slices” through the breast. It wasn’t FDA approved until 2011 because everyone was trying to avoid compression.

2025-04-26 04:57:28

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It’s never clear to me what one would consider proof in situations like this. It’s like the viruses don’t exist crowd.

2025-04-26 04:29:03

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I’m pretty sure the moon is there. At least I believe we can bounce lasers off a man made corner reflector that exists on the surface of the moon. It got there somehow.

2025-04-26 04:11:32

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The specific reference to the existence of beautifully woven tapestries of high resolution satellite images to create a synthetic full globe image dataset just makes me go bonkers every time I hear it.
It’s like, yeah, duh! Did you think the film camera from 1969 took a picture with all that friggin detail? No! The famous moonrise image of earth is the level of quality you see when looking at as much of a sphere as one can from one point in space.

2025-04-26 04:01:39

Predicting the future is tricky. But when it comes to fiat money and bitcoin I think the arguments themselves will lead most people to the same conclusion.
That’s not to say I think massive change will happen soon. Taking the pulse of society at large is a bit of a black art. But I think it’s real. I mean, I know there are people who can do this well, when I’m looking at least! @npub1rtl…jtfs

2025-04-26 03:48:37

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Exactly.
But don’t get me started on how insane the organ donation monopoly is. If you thought the US postal service monopoly was bad, you’ve got another thing coming about the organ monopoly granted by Congress.

2025-04-26 03:43:33

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Well, since you asked: you probably only need one kidney and most likely your spleen isn’t necessary for you either. You can probably get away donating half your liver and a lung too. Obviously eyeballs are optional.

2025-04-26 03:39:13

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Nice.
The uterus is more hindrance than help after a certain point. And it’s also immunologically a strange organ…

2025-04-26 03:35:34

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Oh, duh, I forgot Pap smears. That’s a well understood screening tool.
You can thank the wife of Dr. Georgios Papanikolaou, Andromachi "Mary" Mavrogeni Papanikolaou, for her service to humanity: https://en.m.wikipedia.org/wiki/Andromachi_Papanikolaou

2025-04-26 03:27:12

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*or higher than 25%
Between 20-25% there is disagreement, but even insurance companies want you to do it at 25%

2025-04-26 03:25:59

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This is true of everything in life.
Mammogram, colon cancer screening, and basic blood tests starting at age 40-50 are universally accepted recommendations.
Self breast exam is our primary means of detecting the roughly 1 in 6 breast cancers that will not be identified by mammogram. Screening breast MRI is recommended if lifetime risk of breast cancer is 20-25% (see https://tyrer-cuzick.stratifymdx.com)

2025-04-26 03:13:23

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Tough question. It’s a balance between money, anxiety, comfortability with uncertainty, and time.
For me, if the price were right I’d do whole body screening mri. But I wouldn’t pay more than $1,000 for it at my age. I’d pay more in 10 years and even more in 20 though. But that’s only because I know and am comfortable with low probability positive exam findings.

2025-04-26 03:03:26

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Yup. It’s all about keeping probabilities in mind when deciding what to do with info from a screening study.
There are well understood screening programs for things like colon, breast, and lung cancer. But full body MRI on general public isn’t well studied.

2025-04-26 02:49:53

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You don’t really buy this still, right? Didn’t I go over this with you over another video?

2025-04-26 02:08:18

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Just don’t get fleeced and don’t freak out when a bunch of issues are cataloged.

2025-04-25 21:36:12

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Can hang on forearms with elbow at sides if you have handles

2025-04-25 04:16:01

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Good combo

2025-04-25 03:51:34

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I know all about boobs, nuts, and everything in between.
But as far as cancer goes, boobs are far riskier than nuts. That’s why we have mammograms but not junk-o-grams :)

2025-04-25 02:49:14

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Been there. Bitcoin lets one be humble and not flashy.

2025-04-25 02:45:27

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I like it.
But you have to think like an evil psychopath if you want to think like a government official.

2025-04-25 00:38:05

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Ahhh, I bet you’re right.
I should just start an IRA with them, not roll over my pseudo-BTC in the ETFs in my fidelity account.

2025-04-23 05:22:23

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Unchained self custody IRA almost makes sense. They take 3% of your entire account, 1.5% on the way in and 1.5% on the way out. Plus a $250 fee per annum.
At 1/10th the price it makes sense.

2025-04-23 05:17:33

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I weakly looked for self directed 529’s where I could allocate to bitcoin or an etf without success. I bought bitcoin instead and college is now paid for for all my kids…if I want to part with the coin.

2025-04-21 18:59:08

Anyone know of a mid to late 1990’s nsa paper on what we would now call a blockchain clock? Looking for a copy

2025-04-21 16:55:25

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I’m curious how this will work out…

2025-04-21 16:54:42

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This is a good idea. It mimics what we tend to do for ourselves: we filter output from some data source before we input it for our purposes. This takes it a step further by trying to pre-filter data source output or guess a user’s filter in a sense. Maybe users could post context filters like pubkeys.

2025-04-21 16:49:10

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Interesting take.
Humans tend to reproduce. Somehow the expected rate limiting factors rarely hold, but this one might.

2025-04-21 16:45:57

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Sounds like a hash collision sort of problem, but using one time pads :)

2025-04-21 16:37:26

Bitcoin.review is a good podcast. The podcast @npub1s6z…wk4c does with Aaron van Wirdum is also good: https://bitcoinexplainedpodcast.com/@nado/episodes
#note1kyu…9w8p

2025-04-20 23:42:12

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Did my zap to you work?

2025-04-20 23:08:41

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My troubles might be related to a security issue at coinos: https://stacker.news/items/903835

2025-04-20 22:58:03

Does coinos have multiple accounts? I’m trying to get Damus hooked up to coinos again and i think maybe there’s some multiple account thing.
I can’t tell where this goes:
lnbc1p5q27uhsp5sj68w8mr6vk9ddhp3jrq6u5jy0pnayfflydr7l9wx783lp9ur3gqpp5v50kvmulquneykgrn4ehlsr66ju78kfmaffcaq2gur473mxkae4shp5uwcvgs5clswpfxhm7nyfjmaeysn6us0yvjdexn9yjkv3k7zjhp2sxq9z0rgqcqpnrzjqt6asv46rjm29xaavh9eds0p520y5jxp3pqt4hpltfwyly9e7kclxr2ccgqqgfgqqyqq7sjqqqqzwyqq2q9qxpqysgqccualu3v2xtc309jta4m0je23zy5yjhe9umd35wc0waq54p46e29nyc3eexp5v98d8wqlu5u2cxczerft2ag6zy7pzjqy9dsv86qp6gp7605xr

2025-04-20 19:41:02

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Indeed. NLT renders it “every” thing

2025-04-20 16:03:57

My @npub1h2q…w8ch zaps started silently failing several days ago

2025-04-20 15:45:27

He is risen.
“Behold! I tell you a mystery. We shall not all sleep, but we shall all be changed, in a moment, in the twinkling of an eye, at the last trumpet. For the trumpet will sound, and the dead will be raised imperishable, and we shall be changed.”
‭‭1 Corinthians‬ ‭15‬:‭51‬-‭52‬ ‭ESV‬‬
https://bible.com/bible/59/1co.15.51-52.ESV

2025-04-19 03:53:26

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I’ve always been skeptical of anonymous voting. That is to say, I don’t believe it works in general. Sure, there are great solutions with things like Helios voting, but at the end of the day it’s the ballot distribution that matters. That problem can’t be solved in the general case but when the voters can be enumerated and validated, anonymous voting can make sense. But failure to deliver ballot vs. chose not to vote are not distinguishable…

2025-04-18 23:22:10

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I’ve used superglue on myself to good effect. And I tell nurses to apply it on patients every once in a great while if fluid pours out a hole I made with a needle in a patient to remove fluid (constant fluid flow won’t permit wound healing)…and it does the trick.

2025-04-18 22:18:39

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Real #ProofOfWork

2025-04-18 22:15:33

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Pirateat40
https://bitcointalk.org/index.php?topic=4464504.0

2025-04-18 22:05:41

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TGF₿

2025-04-18 21:35:20

Reading the excellent book Grokking Bitcoin by Kalle Rosenbaum and ran in to this tidbit…while not a terrible assumption, it’s best not to assume! @npub1lh2…a9nk (foreword by @npub1syl…6ksu , another awesome human).
https://image.nostr.build/174cf4eac7be76fc31fe3bc9ec0934970226658f329c69f83996614eb91d156d.jpg

2025-04-18 21:20:59

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Smart.
I had a similar issue for years and eventually switched to a business account to pay more for less bandwidth just because they wouldn’t fix the cable for a residential customer. I even had to get a microwave backup connection, which was only 10 mbps, and a Pfsense router to pick the best route for my packets.
I wish I would have realized their unlawful behavior had an enforcer. Cost me a lot of time and money.

2025-04-18 21:13:50

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Ouch! Last time I did that I had to superglue it after holding pressure for the better part of an hour.

2025-04-18 21:13:00

In Bitcoin, there are really two drivers of transaction fees. Everyone thinks about block space being the driver of transaction fees, and it is the main one, but there is a small but measurable negative effect for the miner to add a transaction to the block they’re working on: the block propagation race.
You see, “finding” or “solving” a block isn’t itself enough for you to earn bitcoin. Others must mine on top of your block. The bigger your block, and I suppose the longer it takes to verify, the longer it will be before other miners receive and accept your block and start extending the chain that point as opposed to continuing to try to find their own block which would effectively replace yours.
IIRC, @npub1ej4…ndrm posted about this to the bitcoin mailing list quite some time ago. He did the calculus on it and I don’t remember the details, but my feeling is that the result was surprising and not in a good way. Maybe that’s why we have “stratum” and other brilliant things for fast block propagation (which think @npub185h…wrdp corallo wrote as like a teenager).

2025-04-17 20:56:35

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Ah, I wasn’t here then. Glad it wasn’t today!

2025-04-17 20:55:56

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About 7 of those would equal the energy in 1 pound of fat. Or 2 lbs of sugar. Or 2.25 lbs pure protein.

2025-04-17 20:42:56

@npub12ct…c5ky this is the new firmware made yesterday for the Q. This is the Login Settings menu.
What happened to trick pins?
My other Q on edge firmware from January has the menu item.
My third Q is wrapped in tin foil, packed in a metal box, and buried in concrete 4 states away so I can’t verify if this menu was there on older mainline firmware 😂
https://image.nostr.build/85ffc7b6ffd6ec4647e305c2c874c584f3e2c71de37eb0ae5c97011859dc231e.jpg

2025-04-17 05:03:58

If you could spend $1,000 a day for the rest of your life, what would you do?

2025-04-17 05:02:16

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And why they’re not worth defending. Until they learn this lesson, they will continually invite war and war will find them.

2025-04-17 04:58:50

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Oh, it is inevitable because they use the people like slaves and allocate resources for defense from the work of their slaves. Nuclear bombs won’t help much on your own soil. A disarmed populace will be invaded eventually, nuclear bombs or not.

2025-04-17 04:49:15

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I don’t use x. But I can see how bots will kill it.

2025-04-17 04:46:35

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I only code when in the zone. And it lasts a week or two and I’m done.

2025-04-17 04:44:49

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Didn’t know you offered that, but I do appreciate your smooth integration with Damus on iOS.

2025-04-17 04:43:57

Nostr, but with something like an xpub rather than a single public key.
This way, you can partition your identity…imagine m/42’/0’/0 being for public access, m/42’/1’/0 only for the boys, m/42’/2’/0 for close friends/family.
Maybe using schnorr signatures so you can encrypt messages that many people can decrypt (if schnorr can do that sort of aggregation).
Maybe some method to support key / seed rotation too…
@npub1xts…kk5s

2025-04-17 04:30:11

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Next, sell this gambling code for bitcoin and you’ll be the next Eric Voorhees. Maybe pay a small multimillion dollar fine for some government BS.
Seriously. Do it. You’ll win big in the end.

2025-04-17 04:06:30

As far as war in Europe goes, I’m happy to let Europe fall to Russia.
Why? It’s inevitable. They can’t keep their citizens like caged pigeons and expect to be able to fight a real war.
I will only support war against Russia in support of a nation that limits its power and grants citizens all powers not explicitly given to the government. This must include the right of the people to keep and bear arms without any infringement whatsoever.
I’m not sure I’d defend the USA precisely because it has abandoned its bill of rights.

2025-04-17 02:39:37

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This repo is awesome. So many ways to get up and running. Also reminds me I want to learn nix os…all my Linux installs turn out to be temporary, but NixOS could actually last.

2025-04-17 02:37:08

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That’s epic. How do you handle authentication? A list of npubs bot will accept instructions from? I presume that’s the first step so nobody tries to send unfriendly instructions.

2025-04-17 01:46:46

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Hold your fire!

2025-04-17 01:45:27

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I have a .50 caliber pneumatic shotgun for this scenario.

2025-04-16 04:48:45

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It’s clearly working!

2025-04-16 04:48:26

#bitcoin isn’t just a measure of the profligacy of government spending or the incompetence of central banks. If both of those problems were fixed Bitcoin would still go up in value…
Why? How?
It’s better money and thus it will compete and win, even without terrible competition. Or rather it’s a better ledger technology. This isn’t to say bitcoin is “finished” or “complete.” We need more ways of using bitcoin with less data taken up on chain. But these are solvable problems, if challenging.

2025-04-15 04:09:38

I’m nostr only. And I work because I like it. And the people I love love me.
Life is good.

2025-04-13 16:40:15

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Definitely worth reading small print. Very very very few people already have actual bitcoin in an IRA. Self custody gold IRA holders have gone to court for the theoretical crime of giving themselves the ability to undetectably spend IRA gold without government being able to detect/prosecute with pre-collected evidence.
My understanding is that the law/irs regulation doesn’t permit these IRAs explicitly, in fact, it prohibits them, but the only valid goal of the law is really about being able to prove innocence of a crime…until bitcoin, this couldn’t be done and language of law is vague/incomplete/inappropriate in the bitcoin era. Eventually law/rule will get rewritten to properly reflect the limits the people have granted to government authority.

2025-04-13 16:33:03

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The new fidelity crypto retirement product is supposedly very low fee. I suppose that means it undercuts their 0.25% per year FBTC…
Retirement products necessarily require a tax advantage to make sense…so this can only apply to a certain fraction of one’s wealth/income. But there’s no great reason to give government more taxes than necessary.

2025-04-13 16:02:56

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No wow on my end. I must not have the right relay…it’s blank.

2025-04-13 15:50:58

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Nice try fed ;)

2025-04-13 05:53:45

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Same

2025-04-13 05:47:53

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If you spent 20 years in hospitals, it would seem ok. But ugh, it’s weird in the real world.

2025-04-13 05:41:44

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Not worth responding, honestly. Can’t fix stupid.

2025-04-13 05:24:57

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Sats come first.

2025-04-12 17:13:33

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Security will eventually only be paid for by transaction fees in the decades to come. Will need new technology to more efficiently use block space. Especially in post quantum era, where signatures are 10x larger and signature aggregation might not be possible.
There will always be tension between security and fees and block space.

2025-04-12 17:06:20

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Can’t exist. Or must make assumptions to make this chart.
Why? Need to accoun for number of inputs and outputs. A typical transaction size is roughly 250 bytes. At bitcoin price of $100k, at 1 sat per vbyte that’s 25¢. A thousand fold fee rate would be $250. At $1M bitcoin and 1000 sat/vbyte fee rate, it’s $2500 per typical transaction.

2025-04-12 04:20:39

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lol 😂

2025-04-12 04:15:33

What? Oh, that?
That’s just my glow-in-the-dark coldcard from @npub12ct…c5ky @npub1az9…m8y8 #bitcoin
https://image.nostr.build/c9d4bb7b13d1a3f9278f61fce3404bd10daac04813adbc4f44e3efe2e501c6b5.jpg

2025-04-12 02:16:18

I don’t have words to express my…affection? for the @npub12ct…c5ky Coldcard, especially the Q.
If you ever loved a TI-82 calculator, you’ll understand. The Q is everything you love about the mk 4 but easier and faster. It’s not as complicated as a TI-82, but the buttons do what they obviously should do just like on the TI-82.
Oh, and there’s that whole globally sovereign citizen/resilient against nation state attack thing thet a coldcard can _help_ with (it’s not magic, so don’t expect miracles). That’s dope.

2025-04-10 17:36:02

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WoS might be back, rumor has it. I haven’t checked yet

2025-04-10 16:21:03

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Maybe part of the human heart? Or correction of defects therein.

2025-04-09 16:38:24

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I was at MIT bitcoin conference this past weekend. While having dinner alone I randomly overheard an MIT biomedical engineer talking about endometriosis and research. There’s a theory that this starts in pediatric patients and these patients present as GI cases, because nobody is thinking endometriosis in kids.
Was this your experience?

2025-04-08 16:39:04

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I’ve been there.

2025-04-08 16:37:27

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Some people are too busy to write names down for you. Some of us have lives. But if you think there are doctors out there that can easily name 10 countries, it’s a reflection more on you than me.

2025-04-07 15:01:37

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As a physician, I can be drafted until age 50. In fact, any medical personnel can be drafted until 50, male or female.

2025-04-07 14:57:45

About to take off ✈️