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searching PlanetScale…
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6 ms
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31.
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by
dogmatism
1y ago
It doesn't really work like that for the most part If you actually need a really high risk surgery, you probably have a terrible prognosis without it For instance, in the pivotal trial of transcatheter aortic valve replacement for ao
32.
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dogmatism
1y ago
I think there's a story about him beating a white kid from a rival private school in a boxing match certainly unreliable reports of him doing well in informal rooftop bouts amongst the various Wing Chun students in Hong Kong there are
33.
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dogmatism
1y ago
There's an old saying in Alabama: Q: What does a divorce and a tornado have in common? A: Someone gonna lose them a trailer
34.
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dogmatism
1y ago
The application does present some data: 41% sensitivity, 92% specificity, but that's not the basis of approval, nor has it been published in a peer reviewed journal (or even with proper details like a table 1 or detailed description of
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Apple hypertension feature approved based similarity to dissimilar tech [pdf]
(accessdata.fda.gov)
7 points
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dogmatism
1y ago
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2 comments
36.
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dogmatism
1y ago
The hypertension feature was approved based on the pathway as being similar to the already approved Viz.ai software to detect hypertrophic cardiomyopathy by ECG analysis That's not really the same thing at all
37.
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dogmatism
1y ago
1) No, machine learning perfoms better than typical "risk scores" such as the RCRI (it was not tested against doctors clinical judgement) 2) Even so...so what? What we don't have is any reliable way to reduce surgical compl
38.
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dogmatism
1y ago
The bacterial contribution to MACE has been an ongoing subject of investigation for decades https://www.nejm.org/doi/full/10.1056/NEJMoa043526 still hasn't really panned out
39.
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dogmatism
1y ago
you're correct there's a small subset of people with more atherogenic triglycerides that ApoB picks up over and above just tracking with the LDL, but...you probably knew that just looking at them
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dogmatism
1y ago
agree here on the other coast, with cheap gas and expensive electric, Prius would be about 6 cents/mi, Bolt costs me about 8 (on average winter/summer) gas is $2.80/gallon, electric (with off peak program) $0.30/kWh. Bol
41.
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dogmatism
1y ago
that was my point
42.
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dogmatism
1y ago
a) average age is 77 b) drugs cost a shitload (hundereds of thousands/yr) to extend lifespan by...months c) only for ATTR (not AL) amyloidosis d) the drive to diagnose and treat only really started after tafamidis (1st drug with any ef
43.
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dogmatism
1y ago
it's not clear if he had ATTR or AL amyloid
44.
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dogmatism
1y ago
nah I maintain my emacs config the problem is if someone changes something, that immediately impacts my efficiency which slows me down, then the patient's are pissed, and the administrators are too (which is ironic since they're
45.
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dogmatism
1y ago
I guess you're smarter than I am I can't remember all the details to a sufficient level that I feel comfortable that I'm not forgetting something and how do you know the current vitals and medication list? When the pt tells y
46.
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dogmatism
1y ago
Y'all have no idea I'd elaborate but it wouldn't be good for my mental health edit: I'll give one example: my org can't even implement single-sign-on even though it's essentially all MS
47.
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dogmatism
1y ago
you must print out old notes and test then and carry them into the room like you're pretending it's still in the paper chart days which is fine until something comes up that you didn't anticipate and print out. Then you can a
48.
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dogmatism
1y ago
Nah Atkinson Hyperlegible from the Braille institute is the way if we're going for fonts from vision experts
49.
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dogmatism
1y ago
This is true. In fact if you have a heart attack and are treated relatively quickly, with no major injury and decreased function of the heart muscle, and continue to have regular follow up care and address risk factors, your mortality risk
50.
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dogmatism
1y ago
no, healthy young people have more heart attacks with acute covid. And die (or at least did in 2020-2021 time frame) Long covid isn't really associated with increased heart attack rates
51.
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dogmatism
1y ago
No, heart disease still #1 (it's closer, like 680K vs 600K deaths)
52.
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dogmatism
1y ago
If someone told you you were "five years from a heart attack" they lied that's not how it works in a stable person (ie, not actually having a heart attack) stents help symptoms (a little better than medicines, but even that
53.
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dogmatism
1y ago
Were you born before 1983? It seems that makes it easier
54.
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dogmatism
1y ago
Have you looked at Guix?
55.
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dogmatism
1y ago
wait what? CHS lost millions of records, was fined a few million (out of profit of 1.2 billion ) UCLA similar. Bunch of others I don't think even got fined like Ascension recently lost all data in a ransomware attack It's useful
56.
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dogmatism
1y ago
They also should be specific to ask you to say it, not confirm what they say Because I have literally seen this go wrong: “Mr John Smith, you’re here for procedure X, yes?” “Yes” Some other provider overhears: “I thought that was Mr Jones f
57.
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dogmatism
1y ago
doc first, old linux hacker second Epic sucks. It only sucks marginally less than all the others. As a corp, they are expert at abusing mechanisms for lock-in as well as network effects If you all were forced to use tools as shitty as the E
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dogmatism
1y ago
wait what? I always thought "capeesh" was just "capisce" with the end swallowed? Is "capisce" not standard italian?
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dogmatism
1y ago
A close relative is in fairly rigorous data science in climate based littoral oceanographic research (maintains a couple R packages) doing PhD, funding cut as part of reprisals against a certain governor exploring offers at 3 Canadian unive
60.
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dogmatism
2y ago
learned this by experience in...1998 thanks for the insight
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