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tomwalker

331 karma · joined July 25, 2010

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tomwalker··on Ask HN: Coding outdoors
Although I don't work outside, I try and go for a walk outside most days at lunch time. It gets the legs moving and the detachment helps me think.
tomwalker··on [dead]
I am on my phone and do not have the time to find a reference, but some people believe an acute drop in magnesium is the cause of a hangover
tomwalker··on A typical day on the ward
This is an area that liability is called into play. If the wrong details are printed out for a patient and a bad decision was made based upon them, then you probably know what a hard time you would have had.

It is fantastic to see that you are working to help fix the problems!

tomwalker··on The IUD: The Best Form of Birth Control is the One No One is Using
Indeed. When used correctly, the user should not ovulate on combined or dual hormone oral contraceptive.

Most studies show that a user can miss quite a few, such as 4 days in a row[1], and not ovulate.

[1] http://journals.lww.com/greenjournal/Abstract/1992/06000/Eff...

http://www.contraceptionjournal.org/article/S0010-7824(04)00...

tomwalker··on How to Tell Someone’s Age When All You Know Is Her Name
http://www.fakenamegenerator.com/
tomwalker··on How to become a millionaire web developer
There is no mention of tax on any of the interest gained when calculating the compound gains.

I think he would be extremely lucky to average 6% if he kept it all in savings accounts: http://swanlowpark.co.uk/savingsinterestannual.jsp

Regarding stocks + shares: "For most of the past century, anyone investing for a 30-year period has been rewarded with a return in excess of inflation of between 4pc and 8pc a year if they were sensible about re-investing the dividend income from their holdings." http://www.telegraph.co.uk/finance/comment/tom-stevenson/846... (just from a quick search)

You then take into account management fees, tax, relative currency value etc.

tomwalker··on Ask HN: How can I add 10-15k to my annual income this year?
I do not think that you have too many options. Part time job, develop an app, start a SAAS project, contract work. All of these things are easier to type as an answer to this question than they are to actually do.

If you cannot change jobs now, why don't you add to your skill set over the next year with the view of using these enhanced skills when you can look for a new job?

tomwalker··on Boston hospital experiments with Google Glass in ER
I am a doc and my partner is a medical microbiologist.

Its just about simple bacteria spread - would you want your immunocompromised relative in contact with a doctor that has just been in contact with a contagious infection source without at least trying to minimise the chance of cross infection?

The stethoscope is a similar concern - rarely cleaned properly, often present.

tomwalker··on Show HN: Fresh baked bread, delivered to your door via SMS
It was common to have your milk delivered every morning until a few decades ago(in the UK at last), with some milk men also doing eggs, butter, orange juice etc.

They have mostly died out. Have you explored why and what you will do to succeed when these people have closed their businesses?

tomwalker··on [dead]
Send them the bill for your content? Ask for a cut of the revenue from the advertising on the page?
tomwalker··on Airbnb vs. Hotels: A Price Comparison
I had a hotel cancel on me last month on the day that I arrived. I found at when I arrived at the destination airport
tomwalker··on Income Distribution in London
Most of my London based friends spend >50% of their income on rent + bills.

Everyone is chasing the dream and everyone thinks that they will be the 1 in 1000 that makes it big.

tomwalker··on The Cost of an ACL Injury
Wow, so much of that is overpriced.

The medication costs, especially the fluids, are much higher. I checked a UK pharmacy for costs for buying small amounts so the discount they get for buying in bulk suggests a very large mark up in price.

tomwalker··on Unreal Engine in JavaScript/HTML5 – Citadel demo
I wish I had read that first :/

Crashed my whole system

Chromium 25.0.1364.160 Ubuntu 12.04

tomwalker··on Entrepreneur First 2012 graduate startups raise millions in seed funding
I think that they all look like great start ups but where does the "worth £15m" come from?

Is it speculation in value if they were all acquired just now?

Is it the combined total for sales + funding raised?

Is it the output of a formula?

tomwalker··on The Story Of A Failed Startup And A Founder Driven To Suicide
If anyone reading this thread ever has suicidal thoughts then please talk to someone.

If you cannot talk to anyone that is close to you, or if you are more comfortable with it, then please find your local phone line such as www.samaritans.org in the UK or www.suicidepreventionlifeline.org in the US

tomwalker··on Want to help startups? Just give them money
Good article.

I must say that a unique benefit about Scotland for entrepreneurs is that higher education is free. This reduces the debt burden of a new graduate significantly that helps with any new venture.

I do agree that the money spent on bureaucracy by government bodies that are meant to boost enterprise is wasteful, although the new gov.uk web project suggests that sometimes projects can be done well at a decent price.

I echo nthj's comments in saying that tax breaks are the easiest way to benefit all small enterprises, from tech start ups, to new retail shops, plumbers starting their first business etc.

tomwalker··on Secret Files Expose Offshore’s Global Impact
The hypocrisy is so common. I just read on that site that the French politician leading the tax avoidance crack down resigned as he had 600,000 euros in an off short account!
tomwalker··on Ask HN: What should I do?
Definitely speak to your GP and explain that it is having an effect on your career. You can talk to a speech therapist that may be able to help.

A lot of people are put off by "therapy" but it is worth going to an initial meeting with the therapist and finding out what the plan would be. If you decide that ongoing meetings is not for you then they may be able to give you a few exercises to do at home.

edit: http://www.stammering.org/adults_info.html

Here is some information. You do not necessarily need to speak first to a GP

tomwalker··on Bacteria in the Intestines May Help Tip the Bathroom Scale, Studies Show
I suppose it is diminishing returns on research investment.
tomwalker··on How chronic pain has made me happier
It is becoming more common place in practice and I hope that more research is funnelled in that direction as we currently do not fully understand the reason that it helps.

Pain is an incredibly subjective area though. Some people gain great relief from simple measures such as heat treatment while others with similar injuries/problems will need strong opiods.

tomwalker··on Haidinger's Brush: How to see polarization with the naked eye
I am not sure about a practical purpose, but I am completely fascinated by the fact that our senses are curtailed and there is a lot more happening around us that we can detect.
tomwalker··on 447 Days Ago, I Found Out I Had Cancer
I think this is true.

I have a lot of friends that have started down the route to become a consultant oncologist but changed after a few years of training.

tomwalker··on IBM's Watson Gets Its First Piece Of Business In Healthcare
As a doctor I agree.

At medical school you learn to develop algorithms to deal with inputs and act upon the output.

Out of medical school you are meant to keep up to date with countless updates in clinical practice based on mountains of studies and publications. Plenty of data is not distributed.

This is a great step forward for medicine.

tomwalker··on Collection of 6,850 video games and 330 consoles up for sale on Ebay for $550K
This is my experience too.

Whenever I enter a bank to deposit an occasional cheque they are desperate to offer personal loans, investment advice, mortgages, credit cards etc.

A polite decline is often ignored and they aggressively go for the sale.

tomwalker··on Why did men stop wearing high heels?
I do not have a citation to hand but during the Victorian era in the UK there was a shift due to changes in the class system.

Industrialisation and international commerce led to a new type of self made wealthy business man.

Before then, the super rich inherited their fortune. The established upper class were known for their impracticality to show that they did not have to work - being pale skinned to highlight that they did not labour outside, extravagant clothing to highlight their status, frills etc.

These new self made business men, such as factory owners, were proud of their new status but wanted to distance themselves from inherited wealth. They stuck to practical, but finely made, clothing.

tomwalker··on Zimbabwe Has Only $217 Left in the Bank
It is a shame for the people. I believe that unemployment is a crazily high number - something like 90%
tomwalker··on Antibiotic 'apocalypse' warning
In some hospitals they have rolling columns of UV lights that they leave in rooms after chemically cleaning them to provide an extra cleansing effect and also reduce airborne transmission of disease.
tomwalker··on Antibiotic 'apocalypse' warning
The body does finish them off in a way. They wall off areas of the lung for example, making "tubercles", that contain tissue and latent bacteria.

Future ill health allow these to reactivate.

tomwalker··on Antibiotic 'apocalypse' warning
A great problem is partial treatment of disease in developing countries.

For example, India, Russia and China have a large amount of TB. Some patients start treatment regimes but do not complete them. The bacteria develops resistance and then spreads.

Allow this to happen over millions of individuals then throw in international travel, bringing the infection to areas that do not suspect it quite as often. London is having a TB boom due to immigration. (disclosure: I am a doctor, partner specialises in infectious disease)

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