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tomwalker

331 karma · joined July 25, 2010

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tomwalker··on Static Sites on Heroku
I am using S3 also and it is surprisingly easy. For a small site the cost is close to nothing.
tomwalker··on How to promote your blog
Spam
tomwalker··on Medical devices: A ticking time-bomb
im a doctor also and the need for highly accurate timing is exceedingly rare.

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?

tomwalker··on Men In Tech
This is true.

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!

tomwalker··on A robot that transforms into a ball
Beautiful piece of technology!

Also bridges the gap between sci fi themed nightmares and reality!

tomwalker··on Bouncers 'checking Facebook on phones' as identification
I think that this is a good example of a solution subsequently solved a problem.

Knowing some bouncers, however, makes me aware that it may also be used as a ploy to "engage" with these young females....

tomwalker··on Iran building copy of captured US drone
I cant really blame them - it must be a golden oppurtunity
tomwalker··on Ask HN: Why is there still no Python-based blog engine alternative to WordPress?
^this

The issue is getting the host to support python, not the creation of software using python

tomwalker··on Digital Design Principles from the UK Gov
I met one of the team on the train once (Jordan I think?) and he seemed like a passionate young guy. I hope the project is a huge success.
tomwalker··on Why I quit medicine
in scotland I worked in a hospital and would have to print out blood results on a daily basis for, on average, 20 patients. Some weeks it could easily be 60 patients.

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 :(

tomwalker··on Your doctor doesn't want you to see this -- diagnosis using AI
As a doctor I think it is a great idea and I think there are many sources of automation that haven't been implemented in health care yet.

Learning medicine is all about learning diagnostic algorithms

tomwalker··on Start-ups to Watch from the Women 2.0 Pitch Conference
Was there a Man 2.0 conference?
tomwalker··on Polo Puzzle: What Goes Into a $155 Price Tag?
I have had some "good coverage" in my niche from some big name magazines related to my products field (non-tech).

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!

tomwalker··on Totally drug-resistant TB emerges in India
In the UK they use linezolid for drug resistant infections of all kinds. I think there have been a few cases of resistance already. In the dept I work they use tazocin as first line (it was considered second line til recently)

Without innovation we will have major problems within 20 years

tomwalker··on Time to end the war on drugs
In Scotland they have access to needles. They can pick them up for free with methadone.

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!

tomwalker··on Time to end the war on drugs
Also:

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.

http://www.bmj.com/content/341/bmj.c4851.full

tomwalker··on Time to end the war on drugs
Here is a paper http://www.bmj.com/content/331/7529/1352

"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.

tomwalker··on Time to end the war on drugs
I am a doctor in a Scottish hospital.

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!

tomwalker··on Smart Drugs: Fenn Lipkowitz and his Amazing Lifelog
I am familiar with smart drugs from a medical perspective.

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.

tomwalker··on The diagnosis
Bowel screening problems throw up issues with mortality too. I was at a recent review of screening at a group of UK hospitals and it was found that the average age of death is the same for those with bowel cancer that were detected by screening, detected by accident, detected after an emergency or detected at autopsy.
tomwalker··on How I got a blank book to the top of the Amazon charts
That is a made up number

I have had national level press at a cost of £0

Journalists will listen to you if you have something worth hearing

tomwalker··on Ask HN: How do you tune your life?
I have taken time out of my profession to start a company, and I am still involved with a charitable organisation and my personal learning.

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.

tomwalker··on Ask HN: Anyone else doing a non-software startup?
I run www.freshsight.org a third sector organisation related to the Berkley Group in California. I also run www.mylash.org which has launched recently
tomwalker··on Ask HN: Good books?
The Naked Ape is a fantastic read!
tomwalker··on Ask HN: Good books?
For fiction, I recommend Lolita, The Count of Monte Cristo and Voltaie. That is a nice entertaining mix.
tomwalker··on What makes US health care so expensive? Hard numbers, no easy answer.
As a doctor in England that has seen the American system, there are a lot of interesting points.

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.

tomwalker··on How have you dealt with the stress?
Planning ahead to save time will really reduce your stress levels.

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.

tomwalker··on What makes the US health care system so expensive – Inpatient Care
Its the bureaucracy that amazes me (as a European quack).

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.

tomwalker··on My relentless pursuit of the guy who robbed me
I was glad to read about justice being done in this case.

Its a shame that many get away with so much.

tomwalker··on Can you trick your ageing body into feeling younger?
Independence is very important. It is always amazing to meet someone in their 90's that live without any outside help; they are always healthy (relatively).

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.

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