i'll save you a click: brain fog is apparently related to microglial activity, the brain's immune response, which is often left in a permanent state of activation by viruses and toxins that cross the blood-brain barrier. this suggests potential treatments
unfortunately, all of the off-the-shelf options are *incredibly* risky, and would leave the body pretty full-spectrum immunocompromised. it's likely more selective and gentle microglial suppressants will exist soon, which is fantastic news for people with brain fog
also this is a huge piece of vindication for everyone who ever struggled with brain fog and was told by doctors to essentially just buck up and get over it, or do yoga about it. It's an allergy-like reaction in the brain. It'd be like doing sun salutes about anaphylaxis
Suppressing microglial activity is known technology in vivo but is done with existing medications that happen to be immunosuppressant generally. It would also carry an inherent risk of increasing susceptibility to stuff like meningitis etc, in all likelihood

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More from @yurirando

Aug 24
It's really fun how one party does the bare minimum because they live in mortal fear of being called socialists, despite that third rail being basically dead in American politics, and the other party understands this and constantly uses it to live rent-free in their heads
Joe Biden could take a shit in an orphan's mouth on live TV and McConnell would call him Bernie Sanders and that'd still somehow make Biden and his staffers scream and cry because they're addicted to cable news the way boomer housewives w. empty nest syndrome are addicted to QVC
This has inexplicably been the dominant dynamic in American politics since the 90s. The only thing anyone is allowed to do in office is hand money to rich guys and start imperial wars
Read 4 tweets
Aug 23
"Do you need dysphoria to be trans/transition/etc" is a funny question. It was very active around 2012 too - ten years, how time flies! And not everyone said "yes", but in the average room, the ayes had it.
It was pretty much conventional wisdom that trying trans-related things was dangerous when I was growing up, in the 90s and 00s. Especially among trans people. They knew how rough it was being perceived as one of them, and maybe didn't want that for people who were just playing
Of course, there's a problem with that outlook. It used to tie me up in knots, myself - as at the end of the day, that's the only person I can really speak for with confidence. I had feelings I didn't know how to describe, but that word didn't make sense
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Aug 13
Super wish I had written and released Custom of the Sea yet. I should talk about it in broad strokes because I'm not actually sure I ever will
You are the ship's surgeon on the HMS Polyphemus, a (fictional) warship, a third-rate, launched in 1804. It is 1845 and the Polyphemus is assigned to the West Africa Squadron, where an unseasonable storm capsizes it, breaing apart the masts and leaving most of the crew dead.
The survivors - yourself, the captain, and eight others - are adrift and far from help. The captain is barely ever conscious, with severe injuries growing worse by the day.
Read 6 tweets
Aug 12
indie games are a nightmare world because the term equally describes "passion project made by a single dev in their spare time" and "hideously exploitative entertainment business with a capitalization south of 50-ish million dollars"
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as far as one-dev passion projects go, the level of handjobbery and backstabbing that goes into anything being noteworthy enough to have steam reviews is staggering. it's rare for something to become popular without that, and the usual response by the games industry is to kill it
Read 5 tweets
Aug 10
anyone remember the proposal to break up California into smaller states? The truth is the opposite. California is a million parallel states existing in superposition. California is superreality manifest. Every living thing there knows it. It's why it keeps trying to catch fire
Every time a Californian becomes nationally prominent we all become stupider and more fractious. They can navigate the channels of parallel reality like a man swimming in a familiar river. We whose feet are planted on terra firma experience it as pure chaos
Every neighborhood in the bay area is separated by a curtain of mosquito mange, the timeline trying to right itself and failing. If you take the new bridge over the Bay at the wrong time of day you can hear the air groaning in pain
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Aug 9
ME: hey, my car broke down. what saint should i pray to for help
TRADCATH WEIRDO: Uhhhhhh the virgin mary. Saint God
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I was raised exactly Catholic enough to know that there is supposed to be someone in Heaven beloved of God who has personal experience with my problems and if I ask for their help they're more likely to give it to me than just begging the big man for attention directly
This seems more load-bearing in day-to-day life than whether abortion should be illegal, but what would I know, I'm not being paid by the NYT to pretend to be catholic
Read 4 tweets

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