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fifteenforty
searching PlanetScale…
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11 ms
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91.
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fifteenforty
8y ago
Clinical Examination by Talley and O’Connor Nevermind pathophysiology, this textbook teaches the art of interacting with patients.
92.
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fifteenforty
9y ago
>> patient preference > As a patient, I'm always suspicious when I see this. There are many practices in medicine that exist only because of patient perference and despite their harm. I think this is because of ongoing poor he
93.
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fifteenforty
9y ago
I can’t emphasise how big a deal this is for the doctors and hospitals involved. It’s very difficult to organise the rosters to allow this exam to happen. This exam is high stakes and difficult. The pass mark is only 50-60%.
94.
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fifteenforty
9y ago
I realise and I have read the primary research article ( https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.2010.0... ). I'm just saying that I don't think you can take this on face value. It'
95.
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fifteenforty
9y ago
AFAICT, US doctors aren’t paid that much more than Australian or British doctors, yet the overall cost of health care is very different.
96.
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fifteenforty
9y ago
A professor of medical education once said to us something along the lines of 'The half life of the facts we tell you is about 6 years, so the actual content isn't necessarily that important. What is important is the language and
97.
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fifteenforty
10y ago
Agreed! Paying member for 10 years here :-)
98.
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fifteenforty
10y ago
Unfortunately, most of our tests aren't all the good and in and of themselves the results are pretty meaningless. Back in medical school we were taught that 80% of the diagnosis comes from the history, 10% from the physical examination
99.
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fifteenforty
10y ago
The test results list the 95% confidence interval range for the population the sample they used to calibrate the test is theoretically representative of. That's not the same thing as normal.
100.
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fifteenforty
10y ago
Not this. ACE inhibitors tend to cause a cough. You tend to get this side effect pretty quickly. It doesn't just occur randomly months or years after starting the drugs unless of course something else changes in your health.
101.
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fifteenforty
10y ago
Actually, ultrasound tomography is being used for some static imaging: https://www.ncbi.nlm.nih.gov/m/pubmed/22194502/ It works via a different principle though.
102.
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fifteenforty
10y ago
I think this would be difficult for surface ultrasound as the surface (the patient) is deformable! Varying degreees of pressure are used as part of the diagnostic process. For example, if you are trying to tell a vein from an artery, all th
103.
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fifteenforty
10y ago
I'd hate to see his talent wasted in medicine. Edit: I should elaborate: it's hard to put these sorts of analytical skills to use in medicine, without banging your head against the wall. I've met some brilliant software devel
104.
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fifteenforty
10y ago
Yeah, it disables all the hardware offloading unfortunately. But if you really need it because of a slow internet connection, I guess 60Mbps is good enough.
105.
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fifteenforty
10y ago
Well, that depends on your perspective I guess. For most Aussies stuck on ADSL (real world max speed of 20mbps download, on a good day, close to the telephone exchange), their WiFi performance is rarely the rate-limiting factor. I haven
106.
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fifteenforty
10y ago
The best part is the fq_codel support :-)
107.
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fifteenforty
10y ago
The Fritz!box is the only router I recommend to friends. I've run into few problems with them, except persistent issues with the web interface responsiveness. The only real problem is that they are relatively expensive. It's hard
108.
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fifteenforty
10y ago
I concur! I have one at home. It's the single best tech purchase I've made in years. What advantage do you get with VueScan?
109.
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fifteenforty
10y ago
This is interesting, but doesn't get me too excited. Respiratory depression, whilst a perpetual issue in the the medical use of opioids, isn't necessarily a problem at the lower doses that the evidence suggests actually works. It&
110.
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fifteenforty
10y ago
Well, that depends on your individual attitude to the relative risks of each drug. I realise that answer sounds unhelpful, but the alternatives all have risks. Opioids (and tramadol, a opioid that also has other effects) have been variably
111.
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fifteenforty
10y ago
Without careful prescription and monitoring, they are certainly more dangerous than the so-called "simple" analgesics (paracetamol/acetaminophen and the NSAIDs). Each year there are many deaths related to prescription opioids
112.
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fifteenforty
10y ago
They shouldn't take ibuprofen, but this research is extremely poor quality and shouldn't change practice regarding acetaminophen. That's not to say that someday the results may not be confirmed, but right now it's not wo
113.
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fifteenforty
10y ago
Good point. It adds yet another layer of uncertainty to the findings.
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fifteenforty
10y ago
Anaesthesia trainee here (doctor, similar to an anesthesiology resident in US vocabulary) I've read the actual referenced paper and not the LA times piece. This type of research is hypothesis generating. As they acknowledge, this shows