331 karma · joined July 25, 2010
A lot of medical timing is guess work - why are antibiotics commonly prescribed for 5, 7, 10 or 14 days? Whynot 6?
Automatic filing of EMR information would be important and the legal aspect would unfortunately demanc the greatest amount of accuracy.
Surely connected devices could use one centrally calculated timesource?
I have worked in emergency medicine, dealing with all types of assault, and females are rarely assaulted compared to men. When they are it is often by someone they know and usually another female.
Random assault on a female is front page news, for a male its socially acceptable!
Also bridges the gap between sci fi themed nightmares and reality!
Knowing some bouncers, however, makes me aware that it may also be used as a ploy to "engage" with these young females....
The issue is getting the host to support python, not the creation of software using python
To do this would take about 6 clicks and due to the slow system about 40 seconds I figured out. There would commonly be a queue in the morning to use this computer.
I made a simple script on a pen drive that allowed me to print my bloods for patients I had on a list of 'my patients'
i got a slap on the wrist :(
Learning medicine is all about learning diagnostic algorithms
I did not use a PR company.
There isnt a secret. Just meet lots of people, ask them to suggest other people to meet and dont expect a story from everyone. I find that for every 10-15 journalists I have met, I have got coverage.
In my experience, after meeting a journalist they will often email to clarify points. Dont overload them with data here. Dont send them a pdf file. Give them well worded answers and maybe a few extra points that you wish to reinforce.
Luck also helps!
Without innovation we will have major problems within 20 years
Anyone on methadone needs to see a doc first to get a prescription. Ifmedical professionals are seeing the tip then it is a huge iceberg.
I did a stint of general practice in my training in a poor neighbouhood. I was doing checks on pregnant and new mothers. 50% were drug addicts, average age 16. I went on to a well of f area after. Same checks and maybe 10% were addicts. The addicts were mostly under 20.
Opiates cannot be used on a population scale safely. when someone is having renal colic, said by many to be the worst pain possible, we give morphine as it alters the brains perception of your senses that much!
Deaths due to overdose of opiates, for example, accounted for 9% of deaths in young Australian adults under the age of 50 in 1998 and for more than 10% in several European cities despite the fact that they were used by less than 1% of adults in any year.
572kg of methadone, which is not the only heroin substitute, is prescribed each year. The cost of the medical staff, the supervised consumption, security around it etc is enormous. That is for a population of 5 million people in the whole of Scotland.
No evidence exists of any sustained heroin shortage or reduction in the number of heroin users in the UK over the study period. In fact, all indices of the availability and use of heroin, including deaths due to heroin overdose, rose steadily during the study period,41 as did the number of heroin dependent people being treated by methadone maintenance.
"A total of 1 486 800 prescriptions for methadone were issued in 2003" and "A total of 1 486 800 prescriptions for methadone were issued in 2003"
These are both methadone substitutes.
I have done time in community psychiatry and addiction psychiatry.
My best friend is a psychiatrist that spends a lot of time with drug addicts.
I have seen the results, and the HUGE costs, with my own eyes.
For every productive member of society using drugs there must be at least 2 -3 that drain from society
I rarely see anyone use methadone long term and rehabilitate themselves back to productive members of society. They end up being permanently high. My opinion is not isolated amongst my colleagues.
Spend a couple of hours in a hospital that provides free health care and see the devastation caused by all drugs.
Alcohol and smoking cause the largest volume of problems but many of the users have jobs.
Heroin produces real life zombies!
I am not 100% convinced that it is not primarily a placebo effect.
I think that the benefit Mr Lipkowitz received from improving his diet may have had a larger role that taking supplements.
I have had national level press at a cost of £0
Journalists will listen to you if you have something worth hearing
Day to day I use to do lists to ensure that I have a daily focus, but once a month I write down whats important to me and preen anything that isnt.
I also have a strong, supportive partner. I only met her 9 months ago and I was already well into the startup. She has been a god send.
I agree with number 3 on specialisation; a doctor should first "learn how to learn" then specialise. If they change their mind, they can easily relearn. Most stay with one thing, with many becoming ultra specialists ie. knee surgeons.
Order in lots of easy to cook but healthy food so you dont have to go to the shops when a deadline is looming.
Cook a few meals at a time- a couple of tins of tomatoes, onions and garlic cooked in a big pot then stored in tupperware will give you a sauce you can quickly throw over tuna, chicken, veg etc.
Have an emergency stash of money.
When I was in LA, I was amazed that small hospitals have teams of individuals dealing with insurance forms with many specialising in just one company.
I hope that America can lead the way in reforming healthcare and I think that an entrepreneurial group will shake things up. It will work out better for patients in the long run.
Its a shame that many get away with so much.
I think that we are at an interesting point of human ageing. Improved health via diet, exercise, awareness, etc. has lead to a point in which 70 year olds are no longer marginalised and, if competent, can perform roles just as well as anyone half their age.