Zenzero

6 ms·

31.
by Zenzero 2y ago
Much of this would be solved if you specified whether you used cash or accrual basis
32.
by Zenzero 2y ago
You would think. Sadly there are plenty of people who make it their mission to circumvent whatever guardrails you can come up with.
33.
by Zenzero 2y ago
Doctor here. I know HN loves to hate on doctors, but your framing is just ridiculous. The medical world moves at a glacial pace compared to tech. Complaining that ML algos haven't swept the industry ignores all of the factors pushing i
34.
by Zenzero 2y ago
That sounds like something that would be better tailored to well normalized tables and custom row entries. The question I'd ask is if something you're concerned about being a column could instead be a row in a different table.
35.
by Zenzero 2y ago
> The other factor is that most things that would kill cancer cells would kill cells... in general. Pull one thread wrong, fix one bug the wrong way... you end up doing more harm than good. Yep. It's like modifying an undocumented A
36.
by Zenzero 2y ago
My mental model has always been to only use JSONB for column types where the relations within the json object are of no importance to the DB. An example might be text editor markup. I imagine if you start wanting to query within the json ob
37.
by Zenzero 2y ago
Yes. There are regimented silos within medicine that allow hacking in ways that attempt to minimize patient harm. Attempting to circumvent them is a good way to land in court.
38.
by Zenzero 2y ago
Paraneoplastic syndromes are not rare buddy. > My appeal to you would be to allow more disruption in this space No. There is far too much disruption that we don't want/need. If you want to help, go put yourself through medical
39.
by Zenzero 2y ago
> if the problem is tumours Google paraneoplastic syndromes. Cancer is rarely a problem of just tumors. > just "laser" all the tumours out and problem solved right? No. The tumors don't just evaporate. The treatment cau
40.
by Zenzero 2y ago
> . I would argue that radiation therapy is in this vein. Why?
41.
by Zenzero 2y ago
I really can't tell if you're trolling at this point but in the chance you aren't, I'll bite. Appealing to the authority of a pathologist is safe in my book given the subject matter and the education of the counterparty.
42.
by Zenzero 2y ago
Imagine thinking you're teaching a pathologist anything about evaluating neoplastic cells.... Like even as a doctor who's not a pathologist I wouldn't dare because I know just how much I don't know compared to them. A CS
43.
by Zenzero 2y ago
I'll admit this gave me a really good laugh.
44.
by Zenzero 2y ago
What an incredible perspective on the world given your background. Thank you for taking the time to write all of that out.
45.
by Zenzero 2y ago
Yep. (Doctor here) Im not sure who the target audience is for the article, but it strikes me as one where if the author were more knowledgeable on the subject, they would have many of the answers to what they are asking. It reads to me like
46.
by Zenzero 2y ago
> requirement for chronic intrathecal dosing Well that's a pretty wicked drawback if I've ever heard one.
47.
by Zenzero 2y ago
I'm glad I could help. Thank you for your kindness.
48.
by Zenzero 2y ago
> You're making the standard error of the medical world of focusing too much on stuffing pigeons into pigeonholes because once you have found the supposedly correct (look at the patients who go to doctor after doctor after doctor un
49.
by Zenzero 2y ago
> Yeah, I'm surrounded with medical professionals In fact you are. You're speaking to one. Your original statement completely ignores the massive amount of barriers put up during your training. From my own experience I can tell
50.
by Zenzero 2y ago
> Someone in the medical profession explained to me what 'do everything you can' means to doctors and surgeons, it's a binding command I've found that usually the people who said that to me were the least prepared for
51.
by Zenzero 2y ago
Doctor here. This is overly simplistic. There is little to debate about your example of living at a 7/8 for 2 months. What is more realistic is some hypothetical situation where the average patient has an expected survival of 6 to 18 m
52.
by Zenzero 2y ago
> It's ok, doctors hurt people for years while learning to save them. Modern medical education doesn't work this way.
53.
by Zenzero 2y ago
That's exactly what I was going to bring up with this. As a doctor I just chuckled when it got to here > Xenon is considered “the perfect anesthetic” for 5 reasons: > It’s extremely fast-acting — xenon gas kicks into full effect
54.
by Zenzero 2y ago
Those go hand in hand. In theory the successful mass production of their vehicles should drop the cost so that they can turn a profit. The increased number of vehicles and ridership cover the staff to maintain them. As I mentioned elsewhere
55.
by Zenzero 2y ago
> They only have a car that can drive with a human partner behind the wheel who's ready at any second to take over and prevent it from crashing. Even that is a faulty system. I really don't understand how people can think Tesla
56.
by Zenzero 2y ago
You are assuming Tesla is anywhere close to the capabilities of Waymo. Ignoring Elon and his history of hyping things far beyond reality, Tesla does not appear to have the equipment, data, or organizational culture to achieve what Waymo has
57.
by Zenzero 2y ago
> Waymos smelling like meth or fentanyl Granted in my work I've never made the attempt to smell fentanyl, but it isn't one with a reputation of having an odor. I assume you mean the smell of recreational users of fentanyl.
58.
by Zenzero 2y ago
That's my biggest concern too. My fear is in 20 years nobody will be excited to go in these because the interiors will be whittled down to dilapidated NY subway seats.
59.
by Zenzero 2y ago
On mobile the elements are obviously misaligned. If you start typing your assets and debt into the inputs the page width increases. It tells you it is chat gpt 3. Im not sure what would be the reason for paying 10/mo for this when ever
60.
by Zenzero 2y ago
Costco could easily triple their cost of their hotdogs and still be cheaper than everyone else. They don't because they know it would be foolishly destructive to their reputation in the long term.

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