joshgel

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121.
by joshgel 7y ago
A 120mph minimum in rural areas is probably a way to get more people into rural hospitals in those areas...
122.
by joshgel 7y ago
> Maintaining a fleet of doctors and facilities that are increasingly rarely used is expensive. I'm a physician working in NYC. I could make a full 75% more salary if I went to work in a rural area. Very inverse from most profession
123.
by joshgel 7y ago
Yes. See how long it took for lung cancer after smoking to be realized as a problem. https://images.app.goo.gl/UP5gfr4DBnKq7GvD7
124.
by joshgel 7y ago
I am not a lawyer, but @klasfeldreports on twitter quotes an unnamed legal source who says: "Background: An important note after Epstein's death: no one else will have standing to challenge the search warrant on his house. Everyth
125.
by joshgel 7y ago
Paraphrase from someone I saw on Twitter (can't find now): Most people have already jumped to the conclusion that he was murdered. That's child's play for conspiracy theorists. The real conspiracy theory is he faked his death
126.
by joshgel 7y ago
> if your measurements are unbiased This is a big IF which you can't actually know because its beyond your level of precision, by definition.
127.
by joshgel 7y ago
This [1] is a great article that I think gets at this topic a bit. Basically, germ theory and anesthesia (ether) were both discovered around the same time. Yet anesthesia spread around the world in a matter of years, while germ theory is st
128.
by joshgel 7y ago
As a doctor, I'm all for banning soft drinks, recognizing that it probably will never happen. But, the health externalities associated with drinking such beverages should get priced in and be used to offset eventual health complicati
129.
by joshgel 7y ago
> Lindsay suspected his body was producing too much adrenaline. He knew of a drug called Levophed, which is approved by the US Food and Drug Administration to raise blood pressure in some critically ill patients. Levophed is basically an
130.
by joshgel 7y ago
I'm a doctor. This is insane. Usually I prescribe electronically, but there have also been times I had to call a pharmacy or just walk in and in either case all I have to do is verbally give my NPI number. (not for controlled substance
131.
by joshgel 7y ago
Medicine works not because we have learned to scale it in any sense, but on the contrary, because we still rely on individual physicians and nurses to provide care. So like the HR system of large hospitals is probably better/bigger tha
132.
by joshgel 7y ago
> I like to think of the effort to operate a distributed system being similar to operating a large organization, like a hospital. Clearly never worked for a hospital. Hospitals need good engineers (and often don’t have them). Our ‘nines’
133.
by joshgel 7y ago
sorry for delayed response. I'm a hospitalist, so don't have an outpatient practice...
134.
by joshgel 7y ago
> While we cannot prove malicious intent through a technical analysis, we can concretely state that 55% of tested devices had at least one potential backdoor
135.
by joshgel 7y ago
MORE! >What's the largest file I can host using this? ¯\_(ツ)_/¯ >Should I use this to host a website? Dear god yes. >Does this use AI or blockchain? Sure, why not. <3
136.
by joshgel 7y ago
Yes. I'm not sure this is so true for full thickness tears, but in general I think your point stands. That said, patients also want surgery. I can't tell you how many patients I have referred to physical therapy for conditions whi
137.
by joshgel 7y ago
Wow, maybe a VPN I would actually trust and pay money for. IIRC wasn't cloudflare also doing a VPN service? Was it going to be free?
138.
by joshgel 7y ago
They move the whole city around the planet at 7mph!! 10/10 would recommend
139.
by joshgel 7y ago
> Alcoholism is a disease While this is true, it’s also a disease that impacts certain communities and demographics differently than others. Its a disease which therefore can be mediated by changing social environment and norms. So while
140.
by joshgel 7y ago
Medical view: Magnesium is one of the most ordered tests in the hospital setting. Definitely in top 10 most places, probably top 5. Almost certainly over ordered. We have tons of data from which to draw conclusions. Not that we can assume t
141.
by joshgel 7y ago
True. Also interesting: Current physician guidelines don't recommend treating to a specific number, like <200. When I trained (<5 years ago) we were taught to check cholesterol levels and if LDL > n then start a statin and in
142.
by joshgel 7y ago
This is just incorrect. A 25% tariff doesn't correct for the difference in labor costs between China and the USA, because the difference in labor costs is > 25%. It just makes stuff more expensive for Americans.
143.
by joshgel 7y ago
These are interesting questions. If biopsy was totally benign you'd be right. But there are complications and rarely serious complications of breast biopsy. "How bad / invasive is getting a biopsy?" perhaps you are willi
144.
by joshgel 7y ago
For some patients, with vascular disease for example, the blood pressure cuff can be very painful... (What you describe is usually what we do.)
145.
by joshgel 7y ago
I'm really excited about [0], but as far as I know there is no way to take blood pressure without touching the patient. If someone here could invent it, I could probably provide a test environment for large scale investigations. Re: st
146.
by joshgel 7y ago
Sounds right. I’ll add (as in another comment) that nursing hourly rounds is mandated by my institution. Personally i go out of my way to avoid waking you up, but it’s not a hotel and if I’m even a little bit worried about your trajectory,
147.
by joshgel 7y ago
That’s a bit to far in my opinion. I’m a physician. Now days, if you are admitted to a hospital overnight it implies you are probably pretty ill. We push hard to ensure that only patients that need to be in the hospital are (wasn’t always
148.
by joshgel 7y ago
Sorry this isn't accurate at all. We don't 'rewrite' any chromosomes. Sometimes during errors in replication changes occur, but these are random. They presumably happen approximately equally in both parents contribution
149.
Website aggregates all publicly available data on anyone(mylife.com)
2 points by joshgel 7y ago|0 comments
150.
by joshgel 7y ago
That's awesome. I played kickball in an adult league for a bit after college (on the DC mall no less) and it was great. I'd probably drink less nowadays... I might start this up too.

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