reidsomethings

Faith. Family. Sound Money. Nostr based electronic health record. https://github.com/johnsoc34/nostr-ehr

Public Key

npub17g8pf3n3wcu24lhuf5wd22ct4vtsa3tpsmz7ncm680uqx4khqz9sh74jl3

NIP-05 Address

Profile Code

nprofile1qqs0yrs5cechvw92lm7y68x49v96k9cwc4scd30fudarh7qr2mtspzcpz3mhxue69uhhyetvv9ujuerpd46hxtnfduqs6amnwvaz7tmwdaejumr0ds6akxwx

Publishing to

relay.damus.io

nos.lol

Author Public Key

npub17g8pf3n3wcu24lhuf5wd22ct4vtsa3tpsmz7ncm680uqx4khqz9sh74jl3

Show more details

Last Notes

2026-04-04 21:34:10 GMT

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Fiat Airlines

2026-03-23 19:27:21 GMT

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I'm building a nostr based EHR (actually two with different iterations). The ideal is getting other healthcare entities to naturally converge on a format standard without being decreed into one (theres already too little flexibility in most aspects of healthcare) . The format that more easily allows for privacy and portability of patient's own data would win.
Seems like there would still need to be a place to see what candidate implementations exist, such as staging relays, or something.

2026-03-22 14:10:04 GMT

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Legend has it that the first set, many millennia ago, freed itself.

2026-03-22 01:41:30 GMT

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What freed the first one?

2026-03-19 05:03:49 GMT

I made a docviewer cuz I got tired of not being able to open documents on graphene os.
doc, ppt, xls, PDF, txt.
https://github.com/johnsoc34/docviewer-grapheneos

2026-03-15 15:03:19 GMT

"I hate AI (I love it)"
https://youtu.be/dbMXi9q78Tk?si=d_6PObNHAVXhtoQW

2026-03-14 21:14:19 GMT

Ugh I hate to say it but the virtual urgent care feature is just too vulnerable. Wide open APIs, risk of spamming the schedule, npub exposed, patient lists visible. Mitigatable but way more of a problem than the features's benefit. Gona have to chop this feature

2026-03-13 17:44:58 GMT

Working on adding a telehealth service that plugs into the nostr EHR and portal. Think of it like urgent care by video, paid in sats.
Also, changing portal to allow parents to choose which child's chart they're in from parents own chart. This creates lots of key management decisions. Decided on a parent grant system so parent can still message doctors office without having to switch in and out of accounts on the portal.
Will be doing a big security audit next. APIs in billing and calendar need authentication added. Also it is optional if the practice chooses to store patient nsec. If they do, will plan to encrypt by default.

2026-03-11 04:59:31 GMT

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Nostr based Electronic Health Record
https://github.com/johnsoc34/nostr-ehr/blob/main/README.md

2026-03-11 04:55:13 GMT

Here are some preview photos of NostrEHR, Patient Portal, and Billing system. https://github.com/johnsoc34/nostr-ehr/blob/main/README.md
https://blossom.primal.net/3369ee064224ab944b203a94d33dbcf9abbadfadd8504c096d821ed00651e8af.png
https://blossom.primal.net/5bd6caae53afa5239c25f3dc70017abc3ed5589e6cec05804f17fc61a45a2329.png https://blossom.primal.net/76314c234c98bb377740d5f42611585bb48759fbbcce70a4154f1a416dea9494.png
https://blossom.primal.net/28520286a73320746eb55e07e0f13da7b384a28cad149706b67bd14816bc1a5b.png
https://blossom.primal.net/85b6134f4d873e2a2c89659b1c25383832522e21d90450dbdf740f29bbd709de.png
https://blossom.primal.net/fe865c847272d25a11d79423ae59e6d6b925e2ef2d37d7d45c3b332149d536a7.png

2026-03-07 15:22:59 GMT

The Nip17 invoice DMs and the fhir rest api for connecting traditional outside medical facilities require nsec for signing and decrypting respectively. As it stands currently the practice key sits on the server in two different files. This weighs heavy on my mind and needs fixing.
My solution is a to create a separate "billing bot" keypair and a "FHIR API" keypair. These are purpose-limited identities:
-Billing bot keypair: only used to send NIP-17 invoice DMs. The key only has permission to send messages, not decrypt clinical data.
-FHIR API keypair: gets its own ECDH grants (kind 1013) just like a staff member would. It can decrypt patient data through the shared secret, but if compromised, you revoke its grants and rotate — same as firing a staff member.
The practice nsec stays offline. The risks after an exposure or server compromise goes from everything to just billing messages or read-only FHIR access depending on which key leaks.

2026-03-07 05:43:52 GMT

The Nostr-based electronic health record (EHR) has now been open-sourced. It contains multiple systems including EHR, Patient Portal, and Billing/Patient Management capable of invoices paid in bitcoin. The patient portal can be used by anyone to connect your own personal private health relay and then share with the desired doctors relay. My portal can be reached at portal.immutablehealthpediatrics.com. Choose your relay, login with nostr extension, yubikey, passkey, or nsec. This is not currently an open practice but have plans for a small pediatric practice in the works.
The EHR itself has a demo mode so anyone can try it out and see it. You can even add mock patients. Just download the NostrEHR-Setup-1.0.0.exe
Also ignore the website, its in need of some adjusting.
I'd be glad to hear what people think. Let me know if there are some changes that you would recommend (especially critical ones) or features you'd want for building better medical-sovereignty tools.
https://github.com/johnsoc34/nostr-ehr

2026-03-06 04:13:41 GMT

The Nostr EHR is done, polished, and ready to prep for showcase. I've added a multiuser system for nursing, medical assistant, doctor, etc. to document under their own keypair. EHR has yubikey auth login. The patient portal can use PIN, nostr signer, yubikey, passkey, or nsec for login.
Tidied up the billing dashboard. Invoices will be sent by email. Invoice delivery is also set for nostr DMs but it uses NIP-4, because NIP-17 is not currently compatible with my relay whitelist. I'll have to configure the relay to allow kind 1059 events so I will likely fix this in the future.

2026-03-04 21:36:39 GMT

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What's been the tradeoff of NIP-44?

2026-03-04 21:20:11 GMT

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Also Trump 9 months ago
https://blossom.primal.net/2c0ae2a8859cc5a6e636833513c0590a747e93fc746824a6322fe6966c4bdddb.jpg

2026-03-04 05:09:47 GMT

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In regards to the underlying architecture of the Nostr electronic medical record ive been working on. Stumbled upon this dual-encryption method that fits nicely into modern and sovereign documentation of medicine and further into NIP-82 as a 5th sharing mode. And I don't know how to submit a NIP lol. Im not a dev and maybe this is all dumb but i find it compelling because i have the working product sitting on my computer.
@nprofile…qm68
https://primal.net/a/naddr1qq25utfjfckku3n9vcc4jtf3fdnhwcntwfxxgq3q7g8pf3n3wcu24lhuf5wd22ct4vtsa3tpsmz7ncm680uqx4khqz9sxpqqqp65wtr40h4

2026-03-03 15:12:33 GMT

Yesterday did some polishing to the Nostr EHR. Bug fixes to scheduling, and patient management flow patches.
Added the ability to switch relays in the patient portal without having to log out.
Also, hardened up passwords and keys on the server. AI doesn't do this by default unless prompted. The last couple of weeks i have noticed passwords were being stored cleartext on the server. The billing list password was exposed on the browser JavaScript bundle. Finally got around to patching those up.
Also improved some of the backup procedures.
Two more major tasks and a little more polishing and I think I'll be ready to open source this: login feature using yubikey and multi user access.

2026-03-03 05:55:52 GMT

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Q: How do you know Howard Lutnick?
A: People died on 9/11
....ok

2026-03-02 04:43:02 GMT

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Yes, I am. I'm working in a big name EHR all day. I'm not a coder but I'm pretty familiar with computer programming. Been thinking about a system like this for years but only recently, with Nostr + Claude AI have I been able to do this.

2026-03-02 03:28:10 GMT

I set up the telehealth system for the Nostr EHR, this weekend, using WebRTC and Coturn running over the private relay with NIP44 encryption for signaling, with patient/doctor npubs for authenticated identities. This was the most troubleshooting I've had to do, yet. Took two days of work to iron out the functionality. It was a serious headache. It now works consistently, though. Patient and doctor logging in and connecting works well now. Most of the problems were connection timing, Kind issues, and Coturn server configurations. Glad this one is done. Gona have to revisit some functionality nice-to-haves later, like the ability to change screens during an appointment, when connected by phone. But I'm calling this phase done.

2026-02-27 21:17:07 GMT

The hardest technical challenge Ive come across for this Nostr EHR is multi user access. So much so that I think this is where the project forks depending on needs; enterprise versus private practice. Currently I'm faced with three options:
1.Shared Practice key via Nip-46 (Nsec bunker). Bunker whitelists staff npubs. Revocation of privileges possible. However, its dependent on bunker being up to publish to the relay and nsec bunker is new and untested. Any troubleshooting turns into option 2 with more steps.
2.User keypairs with the practice key. Practice key encrypted to staff pubkey. Staff logs in w nsec and stores practice key for the session. Clean and simple. Makes for low latency but now practice key is on multiple machines. Privileges are limited by UI only, which is similar to current EHRs, but cannot be revoked. Revocation of privileges requires practice key rotation, which can be a lot of work.
3.Staff signs with their own keypairs. Becomes a group of whitelisted keys and each clinical event is encrypted for the group+ patient keypairs. Clean revocation and audit trails but requires a huge architecture change since the current setup revolves around the single practice key. This would be ideal for enterprises.
I'm leaning option 2 for this project but the truth is 3 sounds ideal. I'm gona think about this one a bit.

2026-02-27 03:53:07 GMT

Nostr EHR: added queue write and sync so I can "publish" if relay is offline. When it comes back on the cache flushing and publishes to relay.
EHR timeline and clinical best practices added
Setting up document upload right now.

2026-02-26 01:36:00 GMT

My Nostr EHR has relied on a consistent websocket connection but if the connection is lost the EHR disconnects and becomes useless until it reconnects. Today I added a caching systeming that allows the FHIR condition resources like labs, imaging, problem list, etc. to load immediately by pulling locally from an indexed database. Modified the connection indicator to show whether the EHR is caching or connected. Then did some bug fixes. Tonight phase 2, will be working on the write queue, that will queue outbound events (like encounter records) to be indexed while offline. To then eventually flush the queue when back online.

2026-02-23 15:52:42 GMT

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Sure. Glad to.

2026-02-21 14:55:17 GMT

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One of the best podcasts. Jack is a great storyteller.

2026-02-20 20:37:47 GMT

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I've been using Claude to create a nostr based, bitcoin native, electronic health record, billing, patient management, and patient portal system. We need infrastructure for doctors, for a freedom oriented bitcoin/nostr/open-source AI world.

2026-02-16 03:12:52 GMT

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Its open source and runs locally on your PC. uses an api to call for an AI service of your choice.

2026-02-10 15:57:22 GMT

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If our national security depends on protecting these pedophile elites, then we never had national security.

2026-01-28 20:45:20 GMT

Schiff's interview with Tucker is so funny. His idea of tokenizing gold is just creating the fiat system all over again.
Brother. That's literally how the dollar started.

2026-01-14 20:49:08 GMT

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If @nprofile…fm4n Ai song is not on every mastermind going forward then bitcoin might go to zero.
#nevent1q…qeag

2026-01-13 00:16:56 GMT

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https://blossom.primal.net/b8bea2c208cbbb2c4e0e05fb45a538ae7584515b5c8bcd62313f32aa22156b3b.jpg

2026-01-10 16:46:27 GMT

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It was the fingers that gave it away

2026-01-09 01:51:52 GMT

Expedition 33 is a good game.
https://blossom.primal.net/c695e543dbd0478ae6a5a6d520a9ee38134939e4e59ed427cdd3dbb3a4183ad0.jpg

2026-01-08 17:28:08 GMT

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Marty: Water is wet
Matt: Wanna bet on it

2025-12-31 15:46:32 GMT

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Moroni, the original cypherpunk and patriot.
Ether 8:16-26
https://www.churchofjesuschrist.org/study/scriptures/bofm/ether/8?lang=eng
#nevent1q…x5rg

2025-12-29 18:32:30 GMT

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Everyone's birthday should be April 5, 1975, like Satoshi.

2025-12-28 05:16:12 GMT

Rest in Peace Elder Holland. As good a man of Christ as one can be.
https://newsroom.churchofjesuschrist.org/article/president-jeffrey-r-holland-memorial

2025-12-26 15:56:23 GMT

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This decline was only a matter of time.

2025-12-26 04:55:24 GMT

Christmas lights followed by hot cocoa by the fireplace and a Christmas movie is a great way to finish a Christmas day. Merry Christmas. Christ is king of kings and lord of lords.

2025-12-25 00:10:25 GMT

Looking for a private practice EHR that uses nostr and bitcoin. Came across NOSH. This is what healthcare records should look like on a bitcoin standard. Would love more information on this if anyone is familiar.
https://www.pathcheck.org/blogs/en/blog/notes-and-other-stuff-over-relays-nostr-for-health
https://blossom.primal.net/95367cf8c325dc37e4820553fd55e506a6bd3ae857e4a3a0c66d062324a5f7b6.png

2025-12-24 15:59:32 GMT

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*Christmas

2025-12-24 04:27:29 GMT

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Something looked off and I realized he doesn't have his satoshi nirvana shirt on.

2025-12-21 18:33:18 GMT

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This actually really cool. Very exciting to see bitcoin adoption.

2025-11-28 15:46:42 GMT

How would they deal with NOSTR?
https://mashable.com/article/social-media-companies-held-liable-for-finance-scams-in-new-eu-rules
https://blossom.primal.net/01d248aff8ecf78d1ec91a3763cb0d80604166bf06030055377f877b6392f6db.jpg

2025-11-20 18:02:50 GMT

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Incredible to genocide a nation and cry victimhood about themselves.

2025-10-30 19:30:08 GMT

You don't need a doctor to tell you to exercise, eat right, and sleep well. That's 90% of being healthy. That would delete a majority of healthcare services.

2025-02-10 00:33:32 GMT

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Bought this shirt last year just to make it my Superbowl shirt

2025-02-09 03:04:41 GMT

The Hebrew Israelites in Egypt were likely the Hyksos. Joseph of Jacob likely entered Egypt around 1659, not the roughly 1874 as we previously believed. This is why many mainstream historians claim the bible stories did not happen. Because they were metaphorically looking for cell phones in the American revolution time. In other words, the history wasn't lining up because they were a couple hundred years off.
Came across this compelling video on the subject.
https://youtu.be/FABdA0v0QDU?si=iW3KXDELMITb64OY
https://m.primal.net/OXND.png

2025-02-08 21:07:08 GMT

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I think Israel has dirt on Trump and the golden pager was a veiled threat.

2025-02-02 06:14:10 GMT

I know a lot of people don't like Jason Lowry's take in "Soft War" but man his perspective on cost of attack, benefit of attack, and benefit-cost ratio is amazing.
We're seeing this play out today. The country's that outsourced their security to globalism will be prime targets for their resources, by countries that didn't.
https://m.primal.net/OMVC.jpg

2025-02-02 03:52:47 GMT

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🤣💀

2025-01-30 17:00:15 GMT

Mrs Kelly concerned about child information collection by China via Tik Tok but not Facebook selling child information to countries like China. o-O

2025-01-30 16:48:14 GMT

Mr Bennet on the Gabbard hearing seems more concerned about the intelligence community than he is about the US citizens.

2025-01-30 16:07:12 GMT

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👀

2025-01-30 16:01:17 GMT

Gabbard hearing went straight to Snowden
https://m.primal.net/OIOZ.png

2025-01-30 15:22:54 GMT

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https://www.jstor.org/stable/1897543

2025-01-30 15:06:28 GMT

The US Govt wanted badly to join WW2 but public support wasn't there.
the Mcollum Memo outlines how support could be fostered and the Stimson Diary demonstrates they were aware of a pending attack.
October 7 1940 McCollum Memo:
It is not believed that in the present state of political opinion the United States government is capable of declaring war against Japan without more ado; and it is barely possible that vigorous action on our part might lead the Japanese to modify their attitude. Therefore the following course of action is suggested:
A. Make an arrangement with Britain for the use of British bases in the Pacific, particularly Singapore
B. Make an arrangement with the Netherlands for the use of base facilities and acquisition of supplies in the Dutch East Indies
C. Give all possible aid to the Chinese government of Chiang-Kai-Shek
D. Send a division of long range heavy cruisers to the Orient, Philippines, or Singapore
E. Send two divisions of submarines to the Orient
F. Keep the main strength of the U.S. fleet now in the Pacific[,] in the vicinity of the Hawaiian Islands
G. Insist that the Dutch refuse to grant Japanese demands for undue economic concessions, particularly oil
H. Completely embargo all U.S. trade with Japan, in collaboration with a similar embargo imposed by the British Empire
If by these means Japan could be led to commit an overt act of war, so much the better. At all events we must be fully prepared to accept the threat of war.
12 Days before the attack on Pearl Harbor, Secretary of War, Henry Stimson wrote in his journal:
"(Roosevelt) brought up the event that we were likely to be attacked Monday, for the Japanese are notorious for making an attack without warning, and the question was how we should maneuver them into the position of firing the first shot without allowing too much danger to ourselves. It was a difficult proposition.”
https://www.jstor.org/stable/1897543

2025-01-29 15:39:42 GMT

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That's the very reason I don't plan to ever own a Tesla.

2025-01-28 16:35:58 GMT

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if Subaru is doing this, I'd imagine most are doing this.

2025-01-28 15:51:18 GMT

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So it will be another venmo, cash app, or PayPal, except connected to your social media. What could go wrong? Surely there's no one that's lost their funding based on posting inconvenient truths...

2025-01-25 15:03:39 GMT

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Even better would be home nuclear generators.
Currently the have small scale modular generators for small cities but I think they could probably go smaller one day.
https://www.popularmechanics.com/science/a33896110/tiny-nuclear-reactor-government-approval/

2025-01-25 02:00:34 GMT

I learned how triggered I get when I see people call Snowden a traitor.
Courts declared the govt acted unconstitutionally spying on its citizens. Someone that risks their life to reveal that, is called a Patriot. If lives were put at risk for his action, blame the instigating government and their behavior, not the messenger.
https://m.primal.net/NyrS.jpg

2025-01-24 03:20:39 GMT

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Great episode!
Pretty cool to hear the behind the scenes of social media management and Jack's vision of bitcoin and open source free speech.
#note17nl…83c7

2025-01-24 02:34:02 GMT

Is anyone aware of a WhatsApp style Nostr implementation?

2025-01-19 23:25:00 GMT

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The real town square is found here on nostr

2024-10-09 02:03:59 GMT

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was just going through my podcasts and realized I hadn't heard a new episode in months

2024-09-14 15:25:54 GMT

I'm convinced that if the FBI posted evidence of a crime online, the ppl if the internet could solve the mystery faster than any organization.

2024-09-10 03:53:13 GMT

"Every record has been destroyed or falsified, every book has been rewritten, every picture has been repainted, every statue and street and building has been renamed, every date has been altered. And that process is continuing day by day and minute by minute. History has stopped. Nothing exists except an endless present in which the Party is always right. I know, of course, that the past is falsified, but it would never be possible for me to prove it..."
-1984-

2024-08-24 23:14:39 GMT

nostr
#telegram

2024-08-23 13:28:13 GMT

https://m.primal.net/KJTW.jpg

2024-08-21 17:08:26 GMT

Unrealized capital gains tax is unlawful seizure of personal property

2024-08-14 04:20:06 GMT

Captain Moroni preaching against the vileness of Marxism, 1800 years before Marx.
Defend the family unit, religion, property, and nation, even into bloodshed.
https://m.primal.net/Jyyo.jpg

2024-08-13 03:48:22 GMT

https://m.primal.net/Jxwg.jpg

2024-08-10 22:45:52 GMT

Just saw an ad of Bill Nye saying redistribution of wealth is necessary for the prevention of climate change. SMH

2024-08-05 00:26:50 GMT

Signposts to Slavery:
1. Restrictions on taking money out of the country and on the establishment or retention of a foreign bank account by an American citizen.
2. Abolition of private ownership of [firearms]
3. Detention of individuals without judicial process.
4. Requirements that private financial transactions be keyed to social security numbers or other government identification so that government records of these transactions can be kept and fed into a computer.
5. Use of compulsory education laws to forbid attendance at presently existing private schools.
6. Compulsory non-military service.
7. Compulsory psychological treatment for non-government workers or public school children.
8. An official declaration that anti-Communist organizations are subversive and subsequent legal action taken to suppress them.
9. Laws limiting the number of people allowed to meet in a private home.
10. Any significant change in passport regulations to make passports more difficult to obtain or use.
11. Wage and price controls, especially in a non-wartime situation
12. Any kind of compulsory registration with the government of where individuals work.
13. Any attempt to restrict freedom of movement within the United States.
14. Any attempt to make a new major law by executive decree (that is, actually put into effect, not merely authorized as by existing executive orders.)
https://m.primal.net/JoGr.png

2024-08-01 23:58:33 GMT

53 years ago this book laid out the slippery road to communism headed by the shady secret societies that were bred by the wealthy bankers. Even the psyops and "conspiracy theories" were anticipated. Reads a lot like a Whitney Webb interview. Surprisingly applicable. Perhaps it has never been more applicable.
"None Dare Call It Conspiracy".
https://m.primal.net/JlZE.png

2024-07-29 17:24:59 GMT

Why is the US govt swelling bitfinex hack bitcoin instead of returning it to bitfinex?

2024-07-25 13:08:48 GMT

I'm gona learn to sail

2024-06-05 21:05:39 GMT

2021: Doctors lose their board certification for saying the covid vaccine has risks
2024: Covid vaccine had risks
https://m.primal.net/IZyo.jpg
https://m.primal.net/IZyp.png

2024-05-31 04:57:56 GMT

Trump convicted for something (not actually sure what) but Epstein and Maxwell were trafficking children to hundreds of clients who have yet to be publicly identified and arrested.

2024-05-22 14:08:38 GMT

Bitcoin pizza day is not tragic that Lazlo spent 10,000 btc on pizza but rather tragic for every other person in the world that didn't buy 10,000 btc that day.

2024-05-14 21:58:39 GMT

Eat well and exercise at high intensity constantly varied functional movements performed across brought time and modal domains, to include:
cardio/respiratory endurance
stamina
strength
flexibility
power
speed
balance
agility
coordination
accuracy
That's it. That's the secret.

2024-04-28 13:58:44 GMT

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Wait we have the Bitcoin Policy Institute. Seems like they'd be a good candidate

2024-04-28 13:55:41 GMT

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The Firearms Policy Coalition are quite aggressive at suing any state or federal govt for 2A violations. We need an organization like that.

2024-04-26 16:50:56 GMT

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sounds like something a spook trying not to sound like a spook would say. sus

2024-04-25 03:06:20 GMT

What is the best documentary about the American revolution?

2024-04-24 18:41:30 GMT

4% could be the new inflation target, because...why not?
https://www.bloomberg.com/news/newsletters/2024-04-24/how-4-could-be-the-new-inflation-target

2024-04-24 14:41:51 GMT

Throwback to the time Newsom told Californians to use less energy, after shutting down power plants across the state. My bitcoin miners missed the notice.

2024-04-24 14:08:20 GMT

Ran a 5k, 26:27. Kids did too, but I wouldn't let them beat me. Is it normal not to be able to walk the next day?

2024-04-24 02:36:24 GMT

Cat picture...because nostr is not immune
https://m.primal.net/HzKk.jpg

2024-04-24 02:19:53 GMT

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Enjoy the freedom of speech. The crazy people here like to send bitcoin as much as "likes" just because we can and we don't need to ask PayPal or venmo permission.

2024-04-19 19:39:27 GMT

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I like the halving because of what it represents. Its a demonstration of the verifiability of network rules and predictable monetary policy in stark contrast to the fiat system.

2024-04-18 16:56:17 GMT

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I do crossfit

2024-04-17 20:57:56 GMT

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Always good to be reminded and informed of what our psychotic overlords are plotting.
#note1nj3…5x7k

2024-02-22 00:13:16 GMT

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I had this problem a lot when switching between interfaces, so I started running my own relay and i have never had a problem since

2024-02-16 05:37:40 GMT

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Just bought my satoshi shirt. Using bitcoin to buy things always feels so magical.