slaw3

When I watch software developers at work, a lot of the time they are writing or typing, reading or shuffling through stackoverflow, zoom chat to others or waiting for results from a github CI run. Or any number of things that to me look like crappy admin tasks.

I'm sure they aren't all, but friends who work in technology tell tales of woeful inefficiencies and pointless beauracracy. Of course YMMV and this is a publicly traded company.

I think in 20 years we will have ironed this out and will be able to prolong meaningful, high functioning life, using less resources than we do today.

The next decade will be painful. We are in for a lot of surprises along the way

> If my blood pressure crashes because my nurse is caring for 15 patients at once and didn't notice that the AI decided to pause my norepinephrine, I won't consider "the AI did it" to be any acceptable excuse.

While not quite as direct as automatically stopping vasopressors, using proprietary prediction models touted by vendors to be safe has backfired in a major way before:

https://jamanetwork.com/journals/jamainternalmedicine/fullar... https://www.statnews.com/2021/09/27/epic-sepsis-algorithm-an...

I agree. I would prefer just the info, if the write up was not human authored

Unsurprising, if you’ve ever clicked some of these citations they always seemed like they’re from the back alley of the internet

Now do OpenEvidence :)

I am slightly older than you, and a physician working at a academic center in the US. Going into the field has placed me in close contact with persons from all walks of life, which I doubt I would have been exposed to had I picked another profession. I am grateful for how much it has taught me about life, death, families, and human resiliency.

With that in mind, I still advise NOT going into the field if you already have a stable career with above average income. It will take at minimum 10 years, of doing little else, before you will become a fully independent physician. Although some of this time can be shortened if you choose to become a PA/NP (sorry I don't know their equivalent in Europe, they are essentially clinicians with shortened training with some but limited individual practice autonomy).

If you work in a hospital every day is stressful. It is increasingly thankless although you still bear the brunt of responsibility and liability. You are also interchangeable.

I don't know if this helps explain my perspective of it's just a weird analogy, but being in a hospital feels like working in a grocery store now. You're told the margins are slim and you need to move produce (patients) faster out the door so that more produce can come in. A lot of the times the produce is not safe to sell but the managers pressure you to do it anyways. You could ask the managers (who were mostly at one point produce managers) to sell it but they would never. But if that apple you sold was mealy or at a rotten core its going to be on you.

i was able to get the new hire's email but the site never gives any indication I was sucessful? if you are reading the logs I am sure it is there. i had to do it in two browers though since i was on my phone and switched. i hope that does not hinder your analysis too much

All patents issued by the USPTO are public though. For you to get a utility patent you need to publicly share exactly what is done. This is supposed to be the reason patents exist in the first place. And in return for publicly sharing, you get exclusive rights for some period of time. In that regard there really isn’t any secrecy

Just because you have the patent does not mean you will win all infringement claims though, as you noted with those Newegg cases

> Anyone who attempts to do so will either need to be secretive and bribey to pull it off and will then also have to hope that no one ever finds out because if they did, then in any legal proceedings that come due

What do you mean by this? What aspects of their conduct would someone need to be secretive about?

I also have PSC. Pretty scary how little is known about how to treat it. The facebook group for it seems like a good resource. Ive been on oral vancomycin for about two years and it has normalized my enzymes, at least

What was the law that was passed? and what was the "old" method for discharging debt? Asking as someone interested in discharging some debt

English major eh?

May I ask you your age? I would be interested to see how many people younger than you agree with your sentiment. And compare to those older.

I use a stethoscope to listen for airflow in the lungs and murmurs of the heart. In both cases I would still order more imaging before finalizing a treatment plan unless it is for something emergent. Ultrasound cannot assess airflow well so I don't see it replacing the stethoscope in that regard.

My unpopular opinion is that point of care ultrasound is a fad and will eventually be phased out of physician workflows. This is because I haven't seen it actually change someone's medical decision making. More often, people use it as a means to justify why they haven't actually made a treatment decision yet.

The only way I could see it have adoption is if actual radiologists (which as of now are the only physicians that went through standardized examination confirming competency in reading ultrasound studies) started doing rounds in the ER and on the wards.

is this for your own record keeping or to hand to a doctor in event of emergency?

for your own record keeping I've seen many people put all their accumulated files into a folder (digital or physical) and keep it somewhere safe.

for the event of emergency, just print the progress notes from all your recent clinic visits (by law the office has to provide access to patients for this now) and put the last year's in a physical manilla envelope (emphasis on physical)

If it’s boring enough, do you need devs?

Ya pretty cool that someone from Ghana living in Canada could send $5000 worth of crypto to their family without a bank intervening. Also pretty cool that they could be paid per second instead of weekly or monthly using something like Superfluid.

If these are problems that don’t exist for you, consider yourself lucky and remind yourself of the opportunities for many that you’re advocating against.

Its easy for me to forget that the majority of people working in tech are employed by companies offering centralized services. The majority of these companies have little to gain from traction of cryptocurrency and many have no plan in place to benefit from web3. Not surprising to me that people shun the hand that does not feed them.

that's really cool. how do you classify a patient as "low risk"? can you base this off of history and lab work, or will they need TTE and a baseline EKG first?

Orpheus is very good but you will need reputation somewhere or sit and wait on IRC for a while

Also a shout-out for my preferred VPN, Mullvad