3 ms·

Maybe hospitals is a bad idea then and healthcare should be more distributed, given sufficient resources. Auto doc in every crew quarters.

bluGill 2y ago
Unfortunately that doesn't work either as a large concentration of experts in one place is a useful feature of large hospitals. If something goes wrong you want the right expert available to help. An expert who is currently doing surgery on someone else isn't available to jump in on your problem. When things go per routine you only need the small team, but having a larger team for if things go wrong is helpful. At least today robots are not ready for general hospital needs. time will tell if the future works out.
- scotty79 2y ago
  Maybe expertise should be more widespread and communication less reliant on physical proximity? Although I agree that I'm some scenarios teaming up is unavoidable. But there's a spectrum between private doctors and clinic of a billionaire and huge warehouse you put sick or wounded people in mostly so they have a place to die.
  - bluGill 2y ago
    Do you know how long it takes to become a brain Surgeon? How about a Heart surgeon? Now imagine someone was both - how much more time would that take? Now if that person existed, would you want them operating on your - knowing that they have less real world experience? Specialization is a good thing. In a complex field like medicine it is a must. There is too much for anyone one person to be an expert in it all, and experience is very valuable so again we want someone to specialize and get a lot of experience in a narrow field.
inglor_cz 2y ago
Research indicates that using copper or copper alloys in hospitals reduces nosocomial infections [0], but people seem to prefer stainless steel because it looks cleaner. [0] https://pubmed.ncbi.nlm.nih.gov/36842712/ https://pubmed.ncbi.nlm.nih.gov/36842712/
- bluGill 2y ago
  Your summary is stronger than the conclusion of that paper. They also didn't compare stainless steel to copper, they only established copper should work. Here is a random paper I found (first when searching), https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7123372/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7123372/ which gives the lifespan of MRSA on copper at 6 hours, and on stainless steel at 72 hours - the important take away here is the lifespan on both is far too long so rely on surfaces and so we must disinfect surfaces not relying on their ability to kill bacteria. We also need to get health care professionals to wash their hands more - the article quotes some seriously awful handwashing rates. Note that the above paper only quotes lifespans for a couple microbes. We care about all microbes, if even one harmful microb of any type survives we have an infection vector anyway.

bluGill 2y ago

Unfortunately that doesn't work either as a large concentration of experts in one place is a useful feature of large hospitals. If something goes wrong you want the right expert available to help. An expert who is currently doing surgery on someone else isn't available to jump in on your problem. When things go per routine you only need the small team, but having a larger team for if things go wrong is helpful. At least today robots are not ready for general hospital needs. time will tell if the future works out.

scotty79 2y ago
Maybe expertise should be more widespread and communication less reliant on physical proximity? Although I agree that I'm some scenarios teaming up is unavoidable. But there's a spectrum between private doctors and clinic of a billionaire and huge warehouse you put sick or wounded people in mostly so they have a place to die.
- bluGill 2y ago
  Do you know how long it takes to become a brain Surgeon? How about a Heart surgeon? Now imagine someone was both - how much more time would that take? Now if that person existed, would you want them operating on your - knowing that they have less real world experience? Specialization is a good thing. In a complex field like medicine it is a must. There is too much for anyone one person to be an expert in it all, and experience is very valuable so again we want someone to specialize and get a lot of experience in a narrow field.

inglor_cz 2y ago

Research indicates that using copper or copper alloys in hospitals reduces nosocomial infections [0], but people seem to prefer stainless steel because it looks cleaner. [0] https://pubmed.ncbi.nlm.nih.gov/36842712/ https://pubmed.ncbi.nlm.nih.gov/36842712/

bluGill 2y ago
Your summary is stronger than the conclusion of that paper. They also didn't compare stainless steel to copper, they only established copper should work. Here is a random paper I found (first when searching), https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7123372/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7123372/ which gives the lifespan of MRSA on copper at 6 hours, and on stainless steel at 72 hours - the important take away here is the lifespan on both is far too long so rely on surfaces and so we must disinfect surfaces not relying on their ability to kill bacteria. We also need to get health care professionals to wash their hands more - the article quotes some seriously awful handwashing rates. Note that the above paper only quotes lifespans for a couple microbes. We care about all microbes, if even one harmful microb of any type survives we have an infection vector anyway.