488 karma · joined October 28, 2010
https://peermedicine.com
Contact welcomed at mike@peermedicine.com
There is no excuse for this - it is shoddy engineering. Sending text messages is a simple task. Ruining my battery life and performance for the sake of making it easier for the billion dollar company to ship a cross platform app which feels wrong on every platform is something I despise and I for one am extremely happy that people are trying to counter this ridiculous trend.
Windows has traditionally been a Window/document-centric OS where the primary object of interaction is a window (e.g. alt-tab would swap between individual Windows).
macOS has traditionally been an application-centric OS, one tabs between Applications.
What I would love to see is a project-centric system, where I can tab between projects and have all the relevant applications and documents appear and disappear with it.
There is an interesting debate about whether this is a good thing or not. One argument is that it improves transparency and allows patients to make a better, more informed choice of who operates on them.
The counterargument is that most patients don't understand that there is an element of probability distribution involved. Perhaps more importantly, if the thought process of a surgeon changes from "performing surgeries to the best of my abilities and knowing I will lose my job if I am dangerous" to "all my results are published for public scrutiny so I need to have a survival rate as close to 100% as possible as that is all the public comprehend" may lead to surgeons only being willing to take on cases which are very likely to be successful, as taking a difficult or last-chance case will have a high probability of mortality and therefore will affect their numbers. This would be a loss for many people. I don't know if any research has been done to determine whether that has borne out or not though.
[1] https://www.nhs.uk/service-search/Consultants/performanceind...
From the moment the patient walks into the room you are assessing their clothing, their colour, their gait, their physique, how they're breathing, their emotional state, their physical abilities.
When you are discussing their problem you are varying not only the content of the questions you ask but also the style and the wording to match the patient's level of education, understanding, local culture and terminology etc.
For certain conditions patient's will lead you completely astray if you take what they are saying as canon. There is an art to human conversation and the best doctors I know excel at this as well as having the depth and range of knowledge to synthesise a diagnosis.
After a history you will typically examine the patient. Listen to their heart and lungs, palpate their abdomen, look at their retina or their eardrum, etc.
The diagnosis is made by gathering all of this information together and then running a "pattern matching routine".
I have no doubt that machine learning software is coming for us, but the job that doctors too is often oversimplified by techies. Myself included. As a programmer and electronic engineer before starting medicine I thought that it would be trivial to replicate much of the work in software. It isn't. It will happen but after another couple of orders of magnitude improvement.
In the meantime, using machine learning for diagnostic aids is hugely valuable. The sort of things we are seeing at the moment are very much the "low hanging fruit" of medicine - that is, tasks for which the input, analysis and output is well defined and easy to feed into a computer algorithm. Examples include analysing histology specimens for cancer, analysing head CT scans for stroke, analysing cardiac monitoring for patients at high risk of heart attack, and so on. The "difficult" part is the data gathering.
As an aside, I do think the role of doctors has changed over time. Medicine has advanced enormously as a field over the last hundred years. Much of what used to be the role of the doctor is now the role of nurses, nurse specialists, nurse practitioners or even physician assistants. Yet still (in the UK at least) doctors have a never ending amount of work to do!
I'm very excited to be at the crossroads of medicine and technology and upbeat about what the future will bring for patient care.
Now a medical student, we don't have negative marking. I feel it's actually very important in this discipline to know your limitations and not pass-off as though you know more than you do. I have however encountered resistance to this, having professors question my very reasons for doing medicine due to leaving questions unanswered..!
Further reading: http://www.nature.com/news/how-elephants-avoid-cancer-1.1853...
He has been working on AI in a system which he terms Hierarchical Temporal Memory which he describes in his book. The interesting point is that his algorithms and data structures are based on existing neuroscience research and "reverse engineering the neocortex". It sounds very buzzwordy but I found the book an excellent cross-disciplinary read.