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pragone

1 karma · joined November 2, 2023

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pragone··on The microphone bioamplifier
An EKG electrode needs to be Ag/AgCl to be reliable. Making your own is a good start to poor results.
pragone··on Show HN: Cancel your Comcast in 5 minutes
Likewise, I've moved 5 times in 5 years; each time, I call up and say I'm moving and need to cancel service, and each company - TimeWarner, Verizon, Comcast - has given me no trouble at all.
pragone··on The drug industry wants us to think Martin Shkreli is a rogue CEO, but he isn't
In EMS, there's been a big push to allow basic EMTs to draw Epi up from a vial to administer it, precisely to avoid the absurd costs associated with EpiPens. I don't know if that would be an option for individuals; perhaps it's something you can talk to your doctor about
pragone··on GNU Taler – Electronic payments for a liberal society
I kinda like roads to drive on...
pragone··on GNU Taler – Electronic payments for a liberal society
If I had to guess, automatic calculation of income tax. No need to file taxes.
pragone··on Ask HN: What are your opinions and experiences coding on a 13“ or 15” laptop?
Does the general consensus of HN believe the i7 option is worth the upgrade for the 13" MBP Retina? Standard software development; also been killing my air with powerpoint thanks to school lately, with the various simultaneous use of VMs to load windows programs
pragone··on How Playing the Long Game Made Elizabeth Holmes a Billionaire
They had enough for her to pay to attend university, which is certainly more than most. (Obviously, I'm referring to university of the price tag similar to Stanford.)
pragone··on Apple Speeds Up Electric-Car Work
Wanna give a non-paywalled synopsis for those of us without a WSJ subscription?

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...

pragone··on “We don’t do autism”
This is an excellent reply to this article; it says what I wanted much better than I did below.

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.)

pragone··on “We don’t do autism”
Interesting. I did not make that assumption, but you may very well be correct.

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.

pragone··on “We don’t do autism”
I agree wholeheartedly. That is a very wise physician you found. I've had many great experiences with patients and their families who have dealt with serious, chronic illnesses, and, as a result, my treatment often relies heavily on their knowledge and experience with that specific individuals needs and disease processes.
pragone··on “We don’t do autism”
I was initially planning on writing this comment to retort a number of statements within this article, but there are far too many; additionally, they all seem to indicate a larger concept at work.

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.

pragone··on Apple Unveils a More Powerful Apple TV
tl;dr: IMO, no

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.

pragone··on The pressure to achieve academically is a crime against learning
Gotta disagree wholeheartedly with you there. If I have one big exam at the end, I will procrastinate and likely end up doing poorly. Instead, in my medical school, we are quizzed at least once a week - this week alone I have 2 quizzes and 2 tests. I failed yesterday's quiz, as I knew I would since was at a wedding on the weekend. But I will know the material for the test on Friday, and now I know what kind of questions to expect.

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.

pragone··on Show HN: Tmux plugin manager
I work mostly locally, but I still use tmux. I've found it much easier to use than multiple tabs or windows of iterm, and it's nice to have power line right there on the screen at all times. As others have said, the clipboard functionality is nice as well.
pragone··on Oh My Zsh
Been using oh-my-zsh for years, haven't had a single problem with it. Not sure what's going on where people are having so many problems with it being slow.
pragone··on Fish shell
Someone's gotta explain to me how and why oh-my-zsh is slow. I've never once experienced it being slow for me. In fact, I switched to prezto and it was unbelievably slow. I switched back to oh-my-zsh. Maybe I'm just not using it right...
pragone··on Ways to manage conflicts with cops in a medical emergency
I was just going to say... in ten years on the streets, I don't think I've ever had an interaction like this. If anything, I'd say they are more likely to refuse to take a "suspect" and have us take him or her as a "patient", regardless of presence or absence of existing or suspected medical problems.
pragone··on Castles That Are Cheaper Than an Apartment in San Francisco
Spoiler: Some apartments in SF are very expensive.

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.

pragone··on NHL goal celebration hack: real-time machine learning and hue light show
You might also have good luck by analyzing the chat data from hockeystreams - just look for when a few dozen people write something along the lines of "GOOOOOOOOAAAAAAAALLLLLLLLLL", and take it from there.

Granted, not as much fun as setting up the whole system you did, but another option.

pragone··on We Can’t Let John Deere Destroy the Idea of Ownership
Very interesting. I did not know this issue extended all the way to farming equipment. At the same time, I can't say I'm terribly surprised given the state of things currently.

Thread hijack: Am I the only one who finds Wired's... "unique"... styling of links absolutely obnoxious?

pragone··on Ask HN: How can I remedy scatter brain and information overload?
Writer it all down. Read GTD, getting the required software, and stick to it. Most important step for you would be a complete brain dump.
pragone··on Show HN: Four numbers can predict your lifetime risk of a heart attack
I did not edit, and that is precisely what I meant. Thank you.
pragone··on Show HN: Four numbers can predict your lifetime risk of a heart attack
The toxins in cigarettes are the danger. Filters do little to stop the damage caused by toxins in cigarettes that simply don't exist in marijuana.
pragone··on Show HN: Four numbers can predict your lifetime risk of a heart attack
Your response has the same logic that living gives you cancer. In all my years of medicine I have not seen this clear link you establish between mental illness and marijuana. I'd be very interested in learning more about it, if you have some resources for me to look at it.

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.)

pragone··on Show HN: Four numbers can predict your lifetime risk of a heart attack
One critical factor missing is immediately family history of early cardiac disease, such as a parent or sibling having a heart attack before age 45
pragone··on Show HN: Four numbers can predict your lifetime risk of a heart attack
Doesn't matter, you still fit into many of the same statistical categories as other people listed as overweight by BMI. It is unlikely your muscle mass is solely responsible for you being listed as overweight
pragone··on Show HN: Four numbers can predict your lifetime risk of a heart attack
Pot itself has no known health detriments. Smoking marihuana, however, does impart some of the risks of smoking, but not nearly the same. I don't know if it's possible to reach the same level of damage to your lungs with pot as you would with cigarettes.
pragone··on Open-source HIPAA compliance company policies
Well, there's always the option to go read it yourself: http://www.gpo.gov/fdsys/pkg/CRPT-104hrpt736/pdf/CRPT-104hrp...

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.

pragone··on I Had a Stroke at 33
I can guarantee if she had voiced any of the things she wrote here it would've immediately been recognized by any competent medical practitioner
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