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Yes 100%. Maybe software is really unique in this regard, and HN and such forums are a gift? Tangent: I've noticed this problem in dentistry and sleep apnea!
by chubot 6y ago
Yes 100%. Maybe software is really unique in this regard, and HN and such forums are a gift?
Tangent: I've noticed this problem in dentistry and sleep apnea! The methods of knowledge transfer in the field seem to be incredibly inefficient? Or there are tons of dentists not learning new things? (I recall a few dentists on HN -- I would be interested in any comment either way on this.)
The reason I say this is that many patients can't tolerate CPAP (>50% by some measures). There are other solutions, and judging by conversations with friends and family, dentists and doctors don't even know about them!
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My dentist gave me one of these alternative treatments for sleep apnea, which was very effective. It's mandibular advancement device (oral appliance). Even the name is bad! They have a marketing and branding problem.
Random: Apparently Joe Rogan's dentist did a similar thing with a different device which he himself invented. Rogan mentioned it 3 times on the air.
So basically it appears to me that practitioners in this field don't exchange information in the same way that software practitioners do (to say nothing of exchanging the equivalent of working code, which is possible in theory).
I looked it up and there are apparently 200K dentists in the United States. It seems like a good area for a common forum. I think the problem is that dentists probably compete too much rather than cooperate? There is no financial incentive to set up a site of free knowledge exchange.
Related recent threads I wrote about this:
https://news.ycombinator.com/item?id=23666639 https://news.ycombinator.com/item?id=23666639 (related to bruxism, there seem to be a lot of dentists who don't seem to understand this, as I know multiple people with sleep apnea and bruxism who don't understand the connection)
https://news.ycombinator.com/item?id=23435964 https://news.ycombinator.com/item?id=23435964 (the book Jaws)
- brnt 6y ago> mandibular advancement device Those things are in the basic apnea treatment palet over here (Netherlands), actually more common than PAP machines. Why do you think they are alternative?
- chubot 6y agoWell the picture might be totally different in the Netherlands. In the US, CPAP is the most common treatment, even though so many people can't use them (including me). I've talked to several people who have a CPAP, and they don't even know of the existence of the mandibular advancement device. Their doctors and dentists apparently don't tell them about it! I'm puzzled why that is the case. I think it has something to do with insurance. If that's true, it's not surprising that other countries don't have the same problem!