arkades

87 ms·

781.
by arkades 8y ago
True. And showings.
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by arkades 8y ago
3. > The NTSB... We have what are called "morbidity and mortality conferences." If something goes to shit, the doc responsible gets to take the stage in front of his and all related departments next week, and explain the entire
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by arkades 8y ago
2. > I'd like for doctors to focus more on the keen observation and decision parts and would not mind automated transcription of doctor / patient interactions to be reviewed and possibly have a summary forward (but not replace
784.
by arkades 8y ago
Sorry if I went afield. I think my answer got a bit rambly. I appreciate you clarifying what you're aiming for, and I'll try to edit this response to the same level of clarity. Hopefully. I'm going to have to give my response
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by arkades 8y ago
I don't think I said that enthusiasm was harmful, or non-beneficial. So I want to clarify: what I said was that people who aim at medical school because "they're passionate about medicine" are mistaken. They're pass
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by arkades 8y ago
> Finally, the topic of burnout and physician abuse (lack of sleep, working overtime and being on call), is truly disgusting. The simple truth is this: pay has been dropping like a rock, every public mention of doctors is about how much
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by arkades 8y ago
Of course they don't discuss the boring routine. When I get home, I talk about the highlight of the day/week, too - no one talks about the ubiquitous routine. But it's a job, not an episode of ER - most of it is the ubiquitou
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by arkades 8y ago
You don't need an "honest" attorney to get that number. It's normal for RE attorneys to get a flat-ish fee, and RE agents to pull a percentage. And RE attorneys usually make <2k/deal, with a lot of that being add
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by arkades 8y ago
> Alerting people of a home being in a flood plain, hurricane path, etc would help. I would pay for a service that gives me a reasonable 10-50 year estimate of climate change impacts on a given real estate area. I haven't been able
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by arkades 8y ago
I don't know, to be honest. I know a lot of docs blame insurance for this, but I've worked in health policy and insurance - the problems are bigger than that. A lot of the documentation is an attempt to create "quality standa
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by arkades 8y ago
The thing is, the salient bits of being a doctor have to do with the thought process going on in their head, the stresses of responsibility and decision-making, and all the considerations they weigh with each patient. It's just not an
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by arkades 8y ago
> To follow up on your cardiology example, I'd say that pills certainly helped, but the game changers really are the new toys of the interventional cardiologist. Balloon caths re-stenosed 30% of the time. Balloon caths with bare met
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by arkades 8y ago
No, I'm talking about 99% of docs 99% of the time. It's a job. It's a great job sometimes, but it's paperwork most of the time. For every hour we spend rounding in the morning - when we're given at best 2/3 of
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by arkades 8y ago
> It's like a 6 week community college course to become an EMT. There's a test drive for you. There are 2 year programs that will get you a nursing license. EMT and nurse aren’t “mini doctors,” any more than doing video game QA
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by arkades 8y ago
> become a doctor for the love of taking care of people that are sick and help them overcome a bad situation That’s the fantasy. And, hey, when it pops up, awesome - it’s a very energizing moment. However, most medicine has absolutely n
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by arkades 8y ago
> There are a lot of great doctors who didn't decide to pursue medicine until college, or maybe even later, and as a whole the field seems fine with that. Med schools are increasingly selecting for that, in fact. Second careerists t
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by arkades 8y ago
Ironically, med schools are taking the opposite tack. Because reading books and watching TV shows about medicine are so wildly divorced from the real thing, and because so many kids are really launched towards medicine by their parents, &qu
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by arkades 8y ago
And nothing to do with the pile of research that’s been done in the past few decades identifying exactly which medications actually provide mortality benefit in cardiac disease and which don’t, of course.
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by arkades 8y ago
You've made the correct conclusion. Management of a perforated appendix is vastly different from management of the (much more common) uncomplicated appy. There isn't much controversy about the management of the perforated appy: it
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by arkades 8y ago
I understand that, looking at individual scientific problems, it's easy to get cynical. It's even fashionable to be so. Deaths attributable to heart disease in 1970 were just shy of 800k per annum. As of 2010, it was about 600k. A
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by arkades 8y ago
A few notes of interest: 1) Europe has been doing abx before surgery for a while now. Unfortunately, their data has largely been lacking (thus the need for this trial), creating the impression that this was pushed by their national health s
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by arkades 8y ago
Because spending money is now “speech:”
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by arkades 8y ago
It wouldn't entirely surprise me if this was a political issue. He's right-wing enough that he leans into, as another poster put it, "info wars lite." It wouldn't shock me if some advertisers no longer wanted to app
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by arkades 8y ago
You can put all of your contacts in group X, and then DnD, allowing through group X. It comes pretty close to what you want.
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by arkades 8y ago
> it’s a very competitive market > it’s not their fault there’s no competition Perhaps you could rephrase your rebuttal? It doesn’t quite make sense as I am interpreting it.
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by arkades 8y ago
> It doesn't always seem to kill the victim and makes it easy to identify the perps as state actors. As others have said, identifying a state actor is a feature, not a bug. However, what others have neglected to point out, is that i
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by arkades 8y ago
Getting a situation from 90% optimal to 91% is very difficult and produces an improvement few care about. Getting a situation from 20% optimal to 50% is usually relatively easy; getting to 75% is a giant pain, and either result will get you
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by arkades 8y ago
That looks fantastic for my needs. Really. If it does what I hope, I look forward to donating towards future development.
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by arkades 8y ago
Our uninsured CEO/cofounder developed a chronic illness and embezzled cash from us to pay his massive medical bills. Killed our runway, which we only found out after we hired an accountant to look into our books and find wenhad an empt
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by arkades 8y ago
I make no such assumption, and I'm not a fan of brutality. I'm not endorsing his position, I'm just rephrasing it as what I believe he meant to say. I'm also not a fan of intentionally putting the worst possible spin

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