1 karma · joined November 2, 2023
Edit: Mass-reply: Thanks all! Learn something new every day.
For those looking for the same thing, go here, click first link. Should bypass the paywall: https://www.google.com/search?q=http%3A%2F%2Fwww.wsj.com%2Fa...
I just wanted to point out that I don't recall any procedure from the article discussion any sort of "hole drilled" into the patient's head; I believe it was just the MRI and the lumbar puncture that were discussed. The latter is a procedure where a physician puts a needle into the area of your spinal cord down near your lower back. (This area is continuous with the brain, and hence draining CSF from this area will also decrease intracerebral pressure.)
I understood the first comment as merely an assumption, rather than personal experience. Again, I may be wrong.
I would expect a physician to have an easier time convincing colleagues to run something as non-invasive as an MRI, but that may no longer be the case in many institutions.
Let me first say that I commend this individual for going out and researching his brother's illness on his own. It is truly a dedicated family member to go to such lengths as to attempt to understand things to the level of physicians, and further to attempt to convince physicians of the "correct" answer.
The first and most practical issue I wish I had seen was a GP coordinating the care. In general, the overall goal is to have a single physician be "your" physician, who can coordinate the care among specialists. The general idea is to decrease the amount of repeated and unnecessary interventions by making sure everything is being done in a medically appropriate way; additionally, it provides the patient an opportunity to explain to a single provider his or her desires in seeking treatment, and to make sure that the specialists are informed of such goals as well.
However, he demonstrates a number a poor understanding of physician training and the role of the physician in today's society. First, on the issue of training: he seems to believe that all physicians graduate medical school and start practicing as full-fledged physicians. Rarely is that the case these days, as a residency is required in all or at least most specialties in order to qualify for sitting for the boards (the benefit is not only the additional training, but then insurance companies will actually pay for your work).
Lastly, on the role of physicians: While we've come a long way in the millennia since hippocrates, physicians do not know everything. They don't have every answer to every question, and they don't know the answer to your exact problem either. We still "practice" medicine, because we can't predict with complete certainty the outcome of every single case. At best, we can use intuition from experience and education, and science of the community to make our best assumptions. But medical providers will always be wrong, some percentage of the time.
I've got the previous version of Apple TV and a Chromecast. Long story short, I use both devices exactly the same. The only differences really is how I communicate with each device - remote control for Apple TV vs phone/computer for Chromecast. The Apple TV does do streaming much smoother than casting from Chrome, and of course you can use any window, not just a website.
I think like most things though, it depends on the person. I'm a medical student, so it's not like I have free time to kill playing games on a new platform or discovering new shows.
Weekly testing lets me figure out how I'm progressing, whether or not my study habits are working, and also provides a significant amount of opportunities to do well - that quiz I failed yesterday really does not in anyway hinder me from acing the course.
I'm sure I can find castles cheaper than other absurdly expensive apartments in other places too. I thought this article was going to be about castles cheaper than the cheapest apartment you can buy in SF.
Granted, not as much fun as setting up the whole system you did, but another option.
Thread hijack: Am I the only one who finds Wired's... "unique"... styling of links absolutely obnoxious?
I did not suggest that cannabis is harm free. I stated we cannot explicitly identified marijuana as the cause of illness.
How am I doing "great harm" to campaigns aiming to legalize drugs? (That's an honest question, I'm not quite processing your viewpoint on my argument, and am actually interested in your response.)
HIPAA is a very large, encompassing bill that provides numerous protections for patients. In particular, it provides the necessary legal requirements preventing healthcare providers from disclosing personally identifiable information - typically, things like SSN, name + date of birth, name + zipcode, etc. Anything that could possibly be used by someone to identify who the patient is should not be discloses. HIPAA also lists some technology requirements, but if memory serves me correctly, it only goes so far as to say "industry-standard practices". There's also numerous parts of HIPAA that pertain to billing and insurance, but I don't do billing so I can't speak too much on those.
Another bill to check out would be HITECH.