Group items tagged

I was relieved -- we wouldn't have to make what felt like an impossible decision -- but then I kept reading. My father had noted that he did not want to be supported by a ventilator or hooked up to a feeding tube for any length of time. He had been connected to both for nearly two weeks.

There was grief on her face, but also curiosity. What had finally gotten to her younger son, the one who so rarely showed emotion during his father's hospitalization?

I called the hospital and approved the DNR. They told me his status was still dire. I called my dad's closest friends and started preparing them for the worst.

My father's lungs showed no signs of progress. The double pneumonia they diagnosed days before was worsening. His kidneys were failing. Dialysis was required but would put a strain on his blood pressure, which was already dangerously low. There was a special form of dialysis designed for delicate situations like this -- continuous veno-venous hemofiltration -- but it wasn't available at Lawrence

The morning after I searched for my father's health directive and drafted his obituary, I woke up and tried to turn on my laptop. It wouldn't start. When it eventually booted up, it asked if I wanted to restore an unsaved document. No, I thought, let's see what happens today.

It was the same doctor as yesterday, the one who asked about the DNR. "Look, your dad is on a ventilator. That's a form of life support. He's experiencing kidney failure and requires dialysis. His situation is still very acute. He was in good health before the Covid, but his kidney, heart, and lungs are 69 years old. It's tough for them to recover. But the numbers from today are undeniably better than yesterday. There's been an improvement at almost every level. Your dad is a tough guy."

One of my close friends, a nurse practitioner, would help me understand all the terminology and its implications. He was treating Covid patients at an ICU upstate. At the end of our calls I'd ask him how he was doing. "We ran out of gowns," he told me one day. "My ICU is out of ventilators -- we're diverting people to Albany," he said another time.

"There's a difference between good intentions and good outcomes," I explained to her. She would wave me away and pick up. Inevitably the call would bring her tears. I stewed on the porch. My brother, uncle and I would spend hours trying to ease her mind and pacify her anxiety. Any inquiry or outreach was like sticking a finger in the open wound of her anguish.

I called my friend, the nurse practitioner, and gave him the latest update. He seemed upset. "You OK, dude?" "A nurse from my hospital died," he explained.

The nurses and doctors who took care of my father -- first for four days at NewYork-Presbyterian Lawrence Hospital, then for nearly a month at NewYork-Presbyterian/Columbia -- were always empathetic, straightforward and willing to trust me with complicated details.

About a week after writing -- then refusing to recover -- my father's obituary, his condition was continuing to improve.

"He's only improving," I told her, "because of the life-saving care you guys have given him. The whole city is in awe of you. They should have a parade for you down the Canyon of Heroes."

Covid-19 was new and largely unstudied. Maybe one of these seemingly odd treatments would work.

"Yesterday was a stumble, but we're getting back on course," I emailed the group. "We always knew this recovery wasn't going to be a straight line. It's important to remain resilient and optimistic even when there are temporary setbacks."

"Oh Lou, I've been waiting for your call. I have such good news. They are planning to extubate him tomorrow. They are going to take your father off the ventilator!" She was practically screaming with excitement. I was speechless.

I had been withholding certain information from my family and friends during this whole ordeal. My dad had developed a blood clot two weeks into his hospitalization. Clots are extremely dangerous, of course, but it was small and in a relatively manageable location.

I called my brother and told him about the plan to get my father off the ventilator. Since there were a number of contingencies, we debated telling my mother. She was living and dying with every update.

My father's breathing was labored on the morning they were planning to extubate. They delayed the procedure a day. That next morning, April 16, a doctor called. I was in the shower and rushed out to answer my cell. He said they were doing the extubation within the hour. What do we want to do if the extubation fails?

"It went as well as we could have hoped for," the doctor said. "His vitals are stable and he's breathing well. He's resting now." She explained that my father was disoriented and it probably wasn't a great idea to speak with him that day. Whatever, I thought, I'll speak with him when he gets home. He had been on a ventilator for 28 days.

I called the doctor later in the day. She told me my dad seemed distressed. He was trying to speak, but his vocal cords were too swollen. "It's so frustrating," she told me. "I don't know what he wants to tell me."

"Each facility has their own Covid rules," she explained. "I'll send you over a list." On the list was the nursing home where my grandfather had died several years before. My father had visited him every day.

I called the step-down unit where he had been the past three days. They transferred me to his nurse. "He's doing better, love. We took him off the pressor and his blood pressure is in a good range. His heart rate is good. He's breathing fine. The doctors decided he didn't need to go back to the ICU. He's ok."

"I've repeatedly said that recovery isn't a straight line. ... Yesterday we managed the roller coaster ride as a family. My brother, uncle and I were with my mother the entire day. We never lost hope or confidence in my dad's medical care and ultimate recovery. If there's a light at the end of the tunnel, it's a blinking one. Right now, it shines again."

I drove back to my mom's house. I scanned the block for my brother's car. He had not arrived. I parked. I have to wait for him and then tell my mother, brother and uncle all at once, right? Should I call my wife first? Should I call my dad's best friend?

I called my wife. I called my dad's best friend. I called the guys he grew up with. I called his former colleagues. I began every conversation the same way, "This is that call." I listened to each of them yell and cry and ask if I was serious. Then I said I had to make another call.

I wrote about my father's career. How he got his law degree at night school and became a prosecutor at the city, state, and federal level. How he convicted mobsters, drug dealers, and those who abused power.

I wrote about my dad's volunteer work -- at the Special Olympics, at an organization he founded that helps police families with special needs, and at just about any Italian-American group that needed a lawyer. He was so proud of his Italian-American heritage. He loathed the mafioso caricatures and stereotypes found on TV -- he wrote countless op-eds attacking those -- but he revered the old-school virtues he associated with his Italian-American upbringing: loyalty, humility, hard work, dedication to family.

He was a Covid patient for 31 days. It was a painful experience, but ultimately unimportant. It doesn't matter how a man dies. It matters how he lives.

Humility is a relative newcomer to social and personality psychology, at least as a trait or behavior to be studied on its own. It arrived as part of the effort, beginning in the 1990s, to build a “positive” psychology: a more complete understanding of sustaining qualities such as pride, forgiveness, grit and contentment.

In another, ongoing study, Dr. Krumrei Mancuso had 587 American adults complete questionnaires intended to measure levels of intellectual humility. The participants rated how much they agreed with various statements, including “I feel small when others disagree with me on topics that are close to my heart,” and “For the most part, others have more to learn from me than I have to learn from them.” Those who scored highly on humility — not that they’d boast about it — also scored lower on measures of political and ideological polarization, whether conservative or liberal.

“These kinds of findings may account for the fact that people high in intellectual humility are not easily manipulated with regard to their views,” Dr. Krumrei Mancuso said. The findings, she added, may also “help us understand how humility can be associated with holding convictions.”

Now that humility is attracting some research attention, Dr. Van Tongeren said, there are a number of open questions, including whether it can somehow be taught, or perhaps integrated into psychotherapy. “One of the thorny issues is that the people who are the most open and willing cultivate humility might be the ones who need it the least,” he said. “And vice versa: Those most in need could be the most resistant.”

Between 10 and 15 percent of adults score highly on measures of humility, depending on the rating scale used. That’s at least 25 million humble people in this country alone.

he also thought that this approach was not enough. “What are we to make of a civilization,” he asked in 1959, a few years after von Neumann’s death, “which has always regarded ethics as an essential part of human life, and…which has not been able to talk about the prospect of killing almost everybody, except in prudential and game-theoretical terms?”

to design a “fairness algorithm” we need to know what fairness is. Fairness is not a mathematical constant or even a variable. It is a human value, meaning that there are many often competing and even contradictory visions of it on offer in our societies.

Hence Oppenheimer set out to make the Institute for Advanced Study a place for thinking about humanistic subjects like Russian culture, medieval history, or ancient philosophy, as well as about mathematics and the theory of the atom. He hired scholars like George Kennan, the diplomat who designed the Cold War policy of Soviet “containment”; Harold Cherniss, whose work on the philosophies of Plato and Aristotle influenced many Institute colleagues; and the mathematical physicist Freeman Dyson, who had been one of the youngest collaborators in the Manhattan Project. Traces of their conversations and collaborations are preserved not only in their letters and biographies, but also in their research, their policy recommendations, and in their ceaseless efforts to help the public understand the dangers and opportunities technology offers the world.

In their biography “American Prometheus,” which inspired Nolan’s film, Martin Sherwin and Kai Bird document Oppenheimer’s conviction that “the safety” of a nation or the world “cannot lie wholly or even primarily in its scientific or technical prowess.” If humanity wants to survive technology, he believed, it needs to pay attention not only to technology but also to ethics, religions, values, forms of political and social organization, and even feelings and emotions.

Preserving any human value worthy of the name will therefore require not only a computer scientist, but also a sociologist, psychologist, political scientist, philosopher, historian, theologian. Oppenheimer even brought the poet T.S. Eliot to the Institute, because he believed that the challenges of the future could only be met by bringing the technological and the human together. The technological challenges are growing, but the cultural abyss separating STEM from the arts, humanities, and social sciences has only grown wider. More than ever, we need institutions capable of helping them think together.

If Trump wins the GOP nomination despite all, will CNN treat him and his fanboys as normal politicians and voters, putting January 6th and everything else in the memory hole, in pursuit of a supposed evenhandedness that in fact distorts reality? All while the nation teeters on the brink of another Trump presidency?

TikTok accounts run by the propaganda arm of the Chinese government have accumulated millions of followers and tens of millions of views, many of them on videos editorializing about U.S. politics without clear disclosure that they were posted by a foreign government.

The accounts are managed by MediaLinks TV, a registered foreign agent and Washington D.C.-based outpost of the main Chinese Communist Party television news outlet, China Central Television. The largest of them are @Pandaorama, which features cute videos about Chinese culture, @The…Optimist, which posts about sustainability, and @NewsTokss, which features coverage of U.S. national and international news.

In the run-up to the 2022 elections, the @NewsTokss account criticized some candidates (mostly Republicans), and favored others (mostly Democrats). A video from July began with the caption “Cruz, Abbott Don’t Care About Us”; a video from October was captioned “Rubio Has Done Absolutely Nothing.” But @NewsTokss did not target only Republicans; another October video asked viewers whether they thought President Joe Biden’s promise to sign a bill codifying abortion rights was a “political manipulation tactic.” Nothing in these videos disclosed to viewers that they were being pushed by a foreign government.

any Chinese play for Taiwan would be accompanied by TikTok aggressively pushing content in America designed to divide public opinion and weaken America’s commitment to Taiwan’s defense.

With all the official GOP machinations against gay marriage, it seems like if McConnell wanted that bill to fail, he could have pressured two Republican senators to vote against it. He said nothing. Trump said nothing. DeSantis said nothing. There was barely a whimper of protest from those who could have influenced this. Mike Lee and Ted Cruz engaged in theatrics, but no one actually used their power to stop this.

They let it pass because they don’t care and they want it to go away as an issue. And that goes for the MAGA GOP as well. Opposition to it in politics is all theater and will have a shelf life in riling up the base.

Evangelical religious convictions might be for one man + one woman marriage. But, the civil/political situation is far different from that and it’s worth recognizing where the GOP actually stands. They could have stopped this. They didn’t. That point should be clear, especially to their evangelical base who looks to the GOP to save America for them.

it is comforting to think that scientific truth inevitably emerges and scientific frauds will be caught and punished.

Dr. Hwang’s scandal suggests something different. Researchers don’t always have the resources or motivation to replicate others’ experiments

Even if they try to replicate and fail, it is the institution where the scientist works that has the right and responsibility to investigate possible fraud. Research institutes and universities, facing the prospect of an embarrassing scandal, might not do so.

Industry leaders believe the new A.I. systems could be as important as the introduction of the web browser in the early 1990s and could lead to breakthroughs in areas ranging from drug research to education.

But gnawing at many industry insiders is a fear that they are releasing something dangerous into the wild. Generative A.I. can already be a tool for misinformation. Soon, it could be a risk to jobs. Somewhere down the line, tech’s biggest worriers say, it could be a risk to humanity.

“It is hard to see how you can prevent the bad actors from using it for bad things,” Dr. Hinton said.

After the San Francisco start-up OpenAI released a new version of ChatGPT in March, more than 1,000 technology leaders and researchers signed an open letter calling for a six-month moratorium on the development of new systems because A.I technologies pose “profound risks to society and humanity.

Several days later, 19 current and former leaders of the Association for the Advancement of Artificial Intelligence, a 40-year-old academic society, released their own letter warning of the risks of A.I. That group included Eric Horvitz, chief scientific officer at Microsoft, which has deployed OpenAI’s technology across a wide range of products, including its Bing search engine.

Dr. Hinton, often called “the Godfather of A.I.,” did not sign either of those letters and said he did not want to publicly criticize Google or other companies until he had quit his job

Dr. Hinton, a 75-year-old British expatriate, is a lifelong academic whose career was driven by his personal convictions about the development and use of A.I. In 1972, as a graduate student at the University of Edinburgh, Dr. Hinton embraced an idea called a neural network. A neural network is a mathematical system that learns skills by analyzing data. At the time, few researchers believed in the idea. But it became his life’s work.

Dr. Hinton is deeply opposed to the use of artificial intelligence on the battlefield — what he calls “robot soldiers.”

In 2012, Dr. Hinton and two of his students in Toronto, Ilya Sutskever and Alex Krishevsky, built a neural network that could analyze thousands of photos and teach itself to identify common objects, such as flowers, dogs and cars.

In 2018, Dr. Hinton and two other longtime collaborators received the Turing Award, often called “the Nobel Prize of computing,” for their work on neural networks.

Around the same time, Google, OpenAI and other companies began building neural networks that learned from huge amounts of digital text. Dr. Hinton thought it was a powerful way for machines to understand and generate language, but it was inferior to the way humans handled language.

Then, last year, as Google and OpenAI built systems using much larger amounts of data, his view changed. He still believed the systems were inferior to the human brain in some ways but he thought they were eclipsing human intelligence in others.

“Maybe what is going on in these systems,” he said, “is actually a lot better than what is going on in the brain.”

As companies improve their A.I. systems, he believes, they become increasingly dangerous. “Look at how it was five years ago and how it is now,” he said of A.I. technology. “Take the difference and propagate it forwards. That’s scary.”

Until last year, he said, Google acted as a “proper steward” for the technology, careful not to release something that might cause harm. But now that Microsoft has augmented its Bing search engine with a chatbot — challenging Google’s core business — Google is racing to deploy the same kind of technology. The tech giants are locked in a competition that might be impossible to stop, Dr. Hinton said.

His immediate concern is that the internet will be flooded with false photos, videos and text, and the average person will “not be able to know what is true anymore.”

He is also worried that A.I. technologies will in time upend the job market. Today, chatbots like ChatGPT tend to complement human workers, but they could replace paralegals, personal assistants, translators and others who handle rote tasks. “It takes away the drudge work,” he said. “It might take away more than that.”

Down the road, he is worried that future versions of the technology pose a threat to humanity because they often learn unexpected behavior from the vast amounts of data they analyze. This becomes an issue, he said, as individuals and companies allow A.I. systems not only to generate their own computer code but actually run that code on their ow

And he fears a day when truly autonomous weapons — those killer robots — become reality.

“The idea that this stuff could actually get smarter than people — a few people believed that,” he said. “But most people thought it was way off. And I thought it was way off. I thought it was 30 to 50 years or even longer away. Obviously, I no longer think that.”

Many other experts, including many of his students and colleagues, say this threat is hypothetical. But Dr. Hinton believes that the race between Google and Microsoft and others will escalate into a global race that will not stop without some sort of global regulation.

But that may be impossible, he said. Unlike with nuclear weapons, he said, there is no way of knowing whether companies or countries are working on the technology in secret. The best hope is for the world’s leading scientists to collaborate on ways of controlling the technology. “I don’t think they should scale this up more until they have understood whether they can control it,” he said.

Dr. Hinton said that when people used to ask him how he could work on technology that was potentially dangerous, he would paraphrase Robert Oppenheimer, who led the U.S. effort to build the atomic bomb: “When you see something that is technically sweet, you go ahead and do it.”

He does not say that anymore.

It was hard to get there, because I had to learn over and over again that extreme conviction requires extraordinary evidence, and the evidence we have is usually far from extraordinary.

Just as we solved many of the mysteries that befuddled our ancestors, our descendants will solve many of the mysteries that befuddle us. Our ignorance is profound, forgivable and temporary. There are only two true errors: One is believing that we have no errors left to make, and the other is believing that those errors are permanent and irreversible.

It’s hard to maintain this attitude when you realize just how much we have left to figure out. And we often have to cultivate this attitude for ourselves, because our educators and experts often fail to give it to us.

Experts, for their part, are perfectly comfortable issuing blanket recommendations with scant evidence and then shaming people for not following them.

Our teachers and officials may think the public simply can’t handle uncertainty, and maybe that’s why they project so much confidence, even when the science is faulty. But the best way to cultivate informed citizens is to give them the evidence that we have, not the evidence we wish we had.