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fhsm

150 karma · joined November 15, 2016

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fhsm··on The great blogging collapse: What happened to 100 successful blogs?
What’s the slash dot of the current era or blogging?

I’m skeptical that it’s out there and robust because I think hn would be the obvious answer and yet it’s not as if small bloggers are dominating the charts here.

I am skeptical that there is any single author where I would be interested in the majority of their output. Perhaps I’m the outlier and other people find authors where they want to consume ~all.

Regardless it seems to me that all of these sole proprietor subscription models are contingent on being generally interested in that person‘s average output whereas the past was faceted meta-aggregation over all producers which I think made it work.

fhsm··on SpaceX to buy Cursor for $60B
> 150 of world’s most expensive modern hospitals

https://sfyimby.com/2024/06/construction-underway-for-4-3-bi...

Probably not the most expensive , just first I thought of … so maybe it’s more like 10-15 typical urban hospitals.

fhsm··on The American Healthcare Conundrum
This is a more comprehensive survey that’s light on methods but from a respected industry watcher with similar conclusions:

https://www.commonwealthfund.org/publications/issue-briefs/2...

fhsm··on Health care data breach affects over 600k patients, Illinois agency says
Record retention is covered by a complex set of overlapping regulations and contracts. They are dependent on much more than date of service. M&A activity, interstate operations, subsequent changes in patient mental status, etc can all cause the horizon to change well after the last encounter.

As all the comments in this thread suggest the cost of having an extra record , even an extra breached record is low. The cost of failing to produce a required medical record is high.

Put this together with dropping storage prices, razor then margins, and IT estates made out of thousands of specialized point solutions cobbled together with every integration pattern ever invented and you get a de facto retention of infinity paired with a de jure obligation of could-be-anything-tomorrow.

fhsm··on Health care data breach affects over 600k patients, Illinois agency says
I’m from a culture in which family use a very small number of very highly conserved names and non standard name positions. I’ve noticed this is sufficient to confuse the low rent data brokers that do statistical linkage. My parents and grandparents and my siblings and my children have all at various points shared addresses landlines and have overlapping names. The brokers are very unclear on how many people are involved , what sex , what generations what states.
fhsm··on Health care data breach affects over 600k patients, Illinois agency says
This is a suboptimal characterization of this site.

I think it would be less wrong to say this is where covered entities that discover reportable breaches of PHI (whether their own or that of a BA) that trigger the immediate reporting obligation report them.

This is a narrower scope of coverage and shallower depth of epistemic obligation than you implied.

fhsm··on 2025 Letter
I don’t follow it but your last suggestion (use single income not household) was new to me and interesting in as much as it seems like an obvious extension of “The Two-Income Trap” thinking.

To some extent seems like it would also provide a margin of safety given homogeneity effects eg https://www.census.gov/content/dam/Census/library/working-pa...

fhsm··on 2025 Letter
Isn’t the obvious answer that many would refute the premise of meaningful regional variation? In which case the claim isn’t that somewhere else is that place but rather than all places are substantially equivalent on this difficult to measure concept (or difference is unknown).
fhsm··on Fathers’ choices may be packaged and passed down in sperm RNA
An adjacent point but despite ubiquitous birth order superstitions quality literature consensus seems to be that birth order is not a large driver of predictable differences. Example:

https://pmc.ncbi.nlm.nih.gov/articles/PMC4655556/

fhsm··on Local AI is driving the biggest change in laptops in decades
This paper shows a use case running on Apple silicon that’s theoretically valuable:

https://pmc.ncbi.nlm.nih.gov/articles/PMC12067846/

Who cares if result is right / wrong etc as it will all be different in a year … just interesting to see a test of desktop class hardware go ok.

fhsm··on AI Is the Bubble to Burst Them All
S&P500 isn’t “the economy” but in the context of talk of a bubble it seems like we’re talking about equities not the whole economy. So let’s just keep taking the short cut …

The top is over performing so concentration is real but it’s not the only growth driver:

https://www.fool.com/research/magnificent-seven-sp-500/

The return / valuation concentration prob not as titillating as the PE run up:

https://finance.yahoo.com/news/surprisingly-excellent-run-st...

True or not true hard to say without better definitions of terms but seems like current profile is not ultra common in history but it’s not a bunch of losers getting diluted out.

fhsm··on Public Montessori programs strengthen learning outcomes at lower costs: study
The article is clear — lottery offer of a seat in a school which met inclusion criteria. Inclusion criteria are clearly outlined in the supplemental materials which are a single URL away which also include details on the allocation.

https://www.pnas.org/action/downloadSupplement?doi=10.1073%2...

Talk of causation anywhere other than the unit of randomization is speculation.

fhsm··on Heart attacks aren't as fatal as they used to be
Most studies of hospital resuscitation survival puts it at about a 1/4. Plenty of people survive and have good neurological outcomes lots of people do not [0].

Outside of diagnostically defined cohort it’s a bit of a silly idea as you can attempt on anyone without respect to readily identified odds of success [1] so the what of CPR isn’t readily untangled from the who of it.

Out of hospital is a similar story but with less ability to triage and thus the same pattern in which the fact of CPR [2] is less informative than the underlying problem [3, old but the best study I know of would be interested if someone knows of an update to it given in hospital trend since].

0. https://www.nejm.org/doi/full/10.1056/NEJMoa1109148

1. https://pmc.ncbi.nlm.nih.gov/articles/PMC8118500/

2. https://ccforum.biomedcentral.com/articles/10.1186/s13054-02...

3. https://pmc.ncbi.nlm.nih.gov/articles/PMC1767484/

fhsm··on Soldier’s wrist purse discovered at Roman legionary camp
I expected the link to be to they https://www.dw.com/en/they-called-her-jamila-the-mystery-of-...
fhsm··on Researchers using the same data and hypothesis arrive at different conclusions (2022)
Should tag 2022. Fun article but familiar to many after making the rounds back then.
fhsm··on The hunt for Marie Curie's radioactive fingerprints in Paris
The ~15% infant mortality at the time was spectacular progress and yet by modern standards unbearable. Medieval would have been closer to 50%. So on this measure about a third of the way back to the Middle Ages.

https://www.ined.fr/en/everything_about_population/demograph...

fhsm··on Big Book of R
Use it every single day. Absolutely fantastic tool.
fhsm··on LTESniffer: An Open-Source LTE Downlink/Uplink Eavesdropper
> xA5 for $670

No longer for sale (out of stock with no plan to restock https://www.nuand.com/product/bladerf-xa5/ )

fhsm··on Cruise ships chopped in half are a license to print money
Of course, outside the environment -- https://www.youtube.com/watch?v=3m5qxZm_JqM
fhsm··on Lyft launches a rider verification pilot program
Time for the #UndeleteUber campaign to being?
fhsm··on MIT leaders describe the experience of not renewing Elsevier contract
Prosecutorial conduct was perhaps more important than MIT’s, although the tragedy of his death provides bountiful opportunities for condemnation.

https://www.forbes.com/sites/timothylee/2013/01/17/aaron-swa...

https://www.eff.org/deeplinks/2013/05/disappointing-unsealin...

https://www.theatlantic.com/technology/archive/2013/03/aaron...

fhsm··on Starting Hospice
Yes. You are correct. Patent is providing bad advice about PSA

https://www.bmj.com/content/362/bmj.k3519

Colo , when appropriate , is good but not as a general interest test:

https://jamanetwork.com/journals/jama/fullarticle/2529486

fhsm··on Nature retracts paper that claimed adult stem cell could become any type of cell
Or it’s exactly what was published but the replicator lacks the ability , eg very famously https://www.nature.com/articles/nm1002-1052
fhsm··on Alarms in medical equipment
Inter op has a lot of different standards but support for all those standards is limited. Here’s an example:

https://www.astm.org/f2761-09r13.html

As you point out the corporate network operators tend to have a different set of priorities but even there too standards exist. Here’s an example:

https://www.iso.org/standard/72026.html

fhsm··on Migrating Uber's ledger data from DynamoDB to LedgerStore
Indeed. Everyone enjoying the Broadcom / VMWare situation is running around saying how glad they are that it’s “just a bunch of VMs” and this migration will be a walk in the park.

It could be worse. It could be better.

fhsm··on 'If anything happens, it's not suicide': Boeing whistleblower before death
Indeed one would hope and yet…

https://pubmed.ncbi.nlm.nih.gov/19026258/

https://pubmed.ncbi.nlm.nih.gov/33687121/

fhsm··on Launch HN: Delve (YC W24) – HIPAA compliance as a service
> … providers fall into the Covered Entity category …

If doctor etc is a Covered Entity then that doctor is most likely a Provider, but is every doctor providing healthcare a really CE?

I wouldn’t have said no but I don’t track it ultra closely so I’m curious what’s the latest? My first three results matched my expectation but they could easily be out of date…

https://www.epatientdave.com/2020/02/03/hipaa-you-arent-a-co...

https://www.stevenslee.com/health-law-observer-blog/is-a-cas...

https://www.americares.org/wp-content/uploads/globalassets/_...

Anyway re the parent, my fourth result uses therapist as the example of uncovered providers, which would have been my guess

https://www.consumerreports.org/health/health-privacy/guess-...

fhsm··on Apple Watch no longer sold with blood oxygen monitoring after patent battle loss
They can be decent but can be totally wrong too:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10039641/

fhsm··on NASA loses contact with Ingenuity Mars helicopter
A helicopter running Linux no less.

https://www.theverge.com/2021/2/19/22291324/linux-perseveran...

fhsm··on The case for a pipe assignment operator in R
This is the only setting in which I use right assignment and I do so routinely for exactly the same reason.

I don’t see every using a read and replace pipe operator over the right assignment approach.

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