jmcgough

15 ms·

211.
by jmcgough 2y ago
Yep. There's nothing scientific about trying 1000 different treatments on yourself. You'll probably drive more interest in the field if you live to be 120 or something, but that's about it. Mostly reeks of ego, selfishness, a
212.
by jmcgough 2y ago
In the above scenario, they were depriving their kids of any kind of meaningful friendship with peers during a critical development period. This is neglect, and neglect is abuse in children. If you care about your children, why would you ri
213.
by jmcgough 2y ago
I'm always so baffled by people commenting without reading the article first.
214.
by jmcgough 2y ago
Running surgical residents ragged for 80-100 hours per week for several years and only paying them $70k/yr seems extremely lucrative.
215.
by jmcgough 2y ago
Many people go into medicine wanting to do good, but then after a couple years of working 100 hours a week for a gen surg residency you realize that this isn't sustainable, especially if you want to start a family.
216.
by jmcgough 2y ago
There is no public dataset of EHRs of this size.
217.
by jmcgough 2y ago
I work as an EM scribe and routinely see patients experiencing psychotic episodes. My background is in neuroscience and I'm interviewing for med school right now. > it was recently proven that there is little to no evidence that ser
218.
by jmcgough 2y ago
Yes, it's being tested for autism as well.
219.
by jmcgough 2y ago
Yep, they claim it's a new blood group that was discovered, but then the body of the article seems to imply that this was known for decades. What's notable is there's a new blood test for the group. Article feels like it was
220.
by jmcgough 2y ago
You become a lot more aware of it as you get older, and what you see to some degree depends a lot on your socioeconomic status. A big part of it is that we've made so much progress when it comes to heart disease. Most people who go to
221.
by jmcgough 2y ago
I found myself frustrated a lot when I used it two years ago. A lot of abandoned libraries. There's not a huge ecosystem around it compared to golang and other popular languages, but there's probably enough that it's a viable
222.
by jmcgough 2y ago
Secondary applications for med school - once your initial single app gets processed, every school (out of the 20+ you apply to) wants multiple essays from you. The process of preparing for and applying to med school is a nightmare and consu
223.
by jmcgough 2y ago
AI news seems kind of harmful - it can't do investigative journalism, so it's taking the hard work others have done and rewording it, right?
224.
by jmcgough 2y ago
There was something really amusing with how oddly broken and nonsequitur the show was. It was the Seinfeld you loved but the jokes were bizarre, dadaist, and would end awkwardly in the middle of a scene after an uncomfortable pause. It was
225.
by jmcgough 2y ago
Yep - can't discharge the patient taking up a room because they've been waiting three hours on a CT read.
226.
by jmcgough 2y ago
Doctors can't even own hospitals now. Doctor-owned hospitals were banned with the passage of Obamacare in order to placate big hospital systems concerned about the growing competition.
227.
by jmcgough 2y ago
ER worker here. It really depends on the details. If she was C-STAT positive with last known normal within three hours, you assume stroke, activate the stroke team, and everything moves very quickly. This is where every minute counts, becau
228.
by jmcgough 2y ago
All of the critical equipment is. But we need internet access on computers, or at the very least Epic does to pull records from other hospitals.
229.
by jmcgough 2y ago
Crowdstrike pushed a configuration change that was a malformed file, which was picked up by every computer running a the agent (millions of computers across the globe). It's not like hospitals and IT systems are manually running this u
230.
by jmcgough 2y ago
It's entirely possible (likely, even) that someone died from this, but it's hard to know with critically ill patients whether they would have survived without the added delays.
231.
by jmcgough 2y ago
We have "downtime" systems in place, basically an isolated Epic cluster, to prevent situations like this. The problem is that this wasn't a software update that was downloaded by our computers, it was a configuration change b
232.
by jmcgough 2y ago
We can definitely get local imaging with X-Ray and ultrasound - we use bedside machines that can be used and interpreted quickly. X-Ray has limitations though - most of our emergencies aren't as easy to diagnose as bullets or pneumonia
233.
by jmcgough 2y ago
I will say - the way we typically find out really sends a shiver down your spine. You come in for you next shift and are finishing charting from your prior shift. You open one of your partially finished charts and a little popup tells you &
234.
by jmcgough 2y ago
Can't imagine how stressful this must have been for Radiology. I had two patients waiting on CT read with expectation to discharge if no acute findings. Had to let them know we had no clear estimate for when that would be, and might no
235.
by jmcgough 2y ago
Thank you, I'm quickly becoming tired of HN posters assuming they know how hospitals operate and asking why we didn't just use Linux.
236.
by jmcgough 2y ago
Every computer entered a bluescreen loop. We are dependent on Epic for placing orders, for nursing staff to know what needs to be done, for viewing records, for transmitting and interpreting radiology machines. It's how we know the cur
237.
by jmcgough 2y ago
This would be a disaster from a HIPAA perspective, and an unimaginable amount of paperwork.
238.
by jmcgough 2y ago
Our critical devices were fine. But epic and all of our machines were down. How do you transmit radiology images without epic?
239.
by jmcgough 2y ago
This wasn't a binary patch though, it was a configuration change that was fed to every device. Which raises a LOT of questions about how this could have happened and why it wasn't caught sooner.
240.
by jmcgough 2y ago
Yeah, our imaging devices were working fine, but with Epic down, you lose most of your communication between departments and your sole way of sharing radiology images and interpretations.

More ›