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sierra1011

74 karma · joined April 22, 2024

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sierra1011··on Robot dentist performs first human procedure
Absolutely correct, and my examples given are unsubstantiated and anecdotal at best; I'm not in the medical physics field.

Honestly, I'd take both. If standard light imaging is 99% efficient then it adds additional triage and diagnostic capability.

As regards the billing situation, that may partially be a locale issue rather than an all-dentists thing, but even within the UK it's disappointingly nonstandard and subject to manipulation by the dentist.

Despite all that, you say that X-rays are pushed because it "prevents mistakes". And my response would be along the lines of "well... yeah..." because a mistake turns a simple filling into a more complex (and expensive) operation that could cost a tooth and £x,000.

Speaking from personal experience, if the dentist wasn't concerned about anything on my teeth and I didn't ask for an x-ray, I didn't get one.

sierra1011··on Robot dentist performs first human procedure
A reasonable take, but one that I don't think lessens my point.

I can't speak to the other responses from which you've identified this yes-but-x template, and can speak really only from the 2 bits of knowledge I have: IT/infrastructure stuff is my primary knowledge, and my SO's dental training and practice, which is not "my" knowledge, but from this I have access to more knowledge than would the average person.

Now, the IT stuff. Automation has come a long way and quickly, but if I break something, it's just a service. Worst case scenario a customer can't buy something, or maybe a couple thousand customers can't. Big deal, one a minute, etc. I don't need to preach on this, I'm sure.

The medical field is significantly slower to adopt new practices, with the reasoning that their customers' custom is not an item in a cart, it's their health or life. New technology comes in slowly, with trials for wide population application taking decades in some cases. The stakes are so much higher that safety demands caution.

This does not of course mean never. I've said this in another reply also, but I think tooling like this augments service delivery at the very least (provided it meets safety standards) and could be the start of a boom of up-tooling practitioners. And I will be surprised if I see one in the flesh before 2050.

sierra1011··on Robot dentist performs first human procedure
I should add that my perspective is based in secondhand UK dental experience; in a hospital setting this would be used to improve care. In a private practice I have no doubt that it wouldn't affect the price handed to the customer.
sierra1011··on Robot dentist performs first human procedure
It's definitely what I'd like to see for the future, in the same way that calculators improved the capability and throughput of professional mathematicians; as a tool that assists to enhance and augment delivery of a service.

CNC milling already exists for crown prep. The drilling of the tooth itself is not a long operation. The reason that a crown is split into 2 sessions is (depending on your local health board's practice guide) to ensure that the tooth is still viable for a crown; bleeding to stop, inflammation to go down.

This revolutionises nothing... But it is a step towards a revolution. It can only be a good thing. However, in the same way that there's technically a lab-grown hamburger out there, it's not going to be commonplace for a while.

sierra1011··on Robot dentist performs first human procedure
SO is a dentist. They laughed and said 90% detection leaves a lot to be desired, and there's rarely a good reason to not have an X-ray.*

In addition, there's some things a human dentist does that I doubt this does - early detection of oral or skin cancer on the face being one of them. If you have the same dentist you'd be amazed at what they remember about your face and what's different from last time.

General vibe is that even if it can technically do a drill 'n' fill, it has a long way to go before it can substitute for a trained medical professional.

* Edit: I'm actually going to go further and say that calling an X-ray "harmful" should constitute disinformation and therefore wariness towards the attitude or motive of the author, since it's patently not true. The fraction they use at the dentist's isn't going to hurt anyone. The comparison point I've heard (and can't personally verify) is 6 dental X-rays is equivalent to 1 trans-Atlantic flight; alternatively 1 x-ray to a weekend in Cornwall.

sierra1011··on Talos: Secure, immutable, and minimal Linux OS for running Kubernetes
Interesting, I use Bottlerocket on my work clusters too. I think we had issues like this using some ridiculous data tool images that take up gigabytes, so we just upped the EBS size. Easily done.
sierra1011··on Talos: Secure, immutable, and minimal Linux OS for running Kubernetes
Sounds a lot like the host OS is generic instead of container-focused, which could be part of the problem.

What was the cause/solution? Images too big?

sierra1011··on Talos: Secure, immutable, and minimal Linux OS for running Kubernetes
"Talos: Secure, immutable, and minimal Linux OS for running Kubernetes"

I guess we'll never know...

But in truth it's for running on hosts.

sierra1011··on FTC sues Adobe for hiding fees and inhibiting cancellations
That story actually came about from a scientist doing experiments on frogs. Frogs with removed brains. Arguably the frogs are not smarter than we thought

See https://en.m.wikipedia.org/wiki/Boiling_frog under the Experiments header.

sierra1011··on Last hours of an organ donor
Not a doctor; previously worked in a lab that matched solid tissue (organs) from donors to recipients.

The article has very emotive language, and not in my opinion the mindset of any doctor that has long left in their profession.

I can't speak for non-UK donation, but the bar is so high in order to be able to donate tissue. Maximum 4 hours from being declared DBD/DCD and retrieving tissue. Even then, if someone has expressed a lifelong wish to donate, ticked the box on their driving license registration, carries a tissue donor card... Their next of kin can say no, and that's final. 75% of potential donors don't get to be donors. With a growing list of ~3000 kidney recipients, 300 get donated annually. (I'll hold my hands up here, these figures are what it was in 2018 when I left)

It's still a morbid topic. The donation specialist nursing team (who do an incredible job) are called vultures as one of the nicer nicknames. Doctors [can] do bias training to improve patient family responses to the donation offer, and most of them haven't, and exhibit unconscious negative reactions when talking about it, putting them off.

But that person isn't alive; they're not being murdered. Instead, they have the chance to save lives through the use of a body part they can no longer use.

If you want to save lives: talk to your families about your wishes. If you're ever up for the chance to change 10, 15, 20 lives, it will be too late to tell them about it.

sierra1011··on Things I won't work with: the higher states of bromine (2019)
Luckily I've been out of that particular game for a few years, but it's good to know that less questionable options are available
sierra1011··on Things I won't work with: the higher states of bromine (2019)
I actually miss the stretchy shrink wrap, it was pretty useful in daily lab life
sierra1011··on Things I won't work with: the higher states of bromine (2019)
Yeah, that is always an option. However once boiling hot, if you introduce something into the flask it's more likely to create an explosion front. A bit like when someone supercools a bottle of water and then taps it to make it freeze; except with exploding sticky gel, and it's as hot as lava*

*Not actually as hot as lava, but wow does it feel like it

sierra1011··on Things I won't work with: the higher states of bromine (2019)
Twice in one day, this is terrible! I wish these were my only mistakes today, and thank you for the catch and correction!
sierra1011··on Things I won't work with: the higher states of bromine (2019)
Apologies, I was writing this while balancing my son on one arm and mixed up some simplification with good old-fashioned mistakes!

I'll nip this in the bud and say "DNA particles" was definitely the wrong word.

You are correct, the Bromine here isn't really the problem; the fact that any intercalculation with DNA occurs is the main problem. Is it Bromine's fault? Not particularly, but it's an accessory in this instance. Based on anecdotal evidence it's common to the electrophoresis process.

My reason for bringing this up is just one of those relatable stories (/s) about why I also don't like working with Bromine (even if contextually it's not Bromine's fault, we love you Bromine!)

sierra1011··on Things I won't work with: the higher states of bromine (2019)
If you have to ask, I think you already know the answer
sierra1011··on Things I won't work with: the higher states of bromine (2019)
I used to work in a genetics lab, and had to prepare trays of gel to visualise DNA tests (PCR testing to identify HLA alleles: effectively like finding someone's blood type, but for their immune system).

The compound in the gel that attaches itself to the DNA particles and makes it so we can visualise the results by UV fluorescence is Ethidium Bromide [1], one of the lower state Bromine salts the article mentions.

The way the electrophoresis gels are (were, by me and the other workers) prepared is by... microwaving a flask with it in. Repeatedly taking it out as it gets hotter to mix it. Usually involving some release of steam. Which includes a small amount of the bromide. Fine in small doses, but when you do it multiple times a day, 5 days a week, 45 weeks of the year...

To this day I wonder how much of an effect it's going to have on me and my colleagues at the time.

[1] https://en.m.wikipedia.org/wiki/Ethidium_bromide

sierra1011··on AI is the reason interviews are harder now
This is great. I'm in DevOps and when hiring, the tech interview is a round we've been off and on over time. Doing code reviews instead makes a lot more sense.
sierra1011··on Amazon S3 will no longer charge for several HTTP error codes
Ooh, that sounds nice. Beats my current slew of emails around week 3 of the month. Got a link to any docs to get set up quickly?
sierra1011··on Passkey Implementation: Misconceptions, pitfalls and unknown unknowns
'Yak shaving' as a phrase is new to me, and I love it.
sierra1011··on Ask HN: How do people create those sleek looking demos for startups?
This is less of a video grab tool and more focused on making a CLI tool/demo look more slick: https://github.com/BuoyantIO/demosh
sierra1011··on Windows 11 now comes with its own adware
Key difference being that Meta products are free for consumers, while Windows licensing is very much not free.

Microsoft are just attempting a classic double-dip; pay for Windows and also get the ads endemic to digital life! What's not to love...

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