joshgel

18 ms·

151.
by joshgel 8y ago
> What I mean to say is, even if this were Nature, it'd be a super high-impact journal that isn't actually read by clinicians who would be best positioned to criticize the study. More importantly, the peer-reviewers are likely
152.
by joshgel 8y ago
This is very unfortunately a relatively common problem. Fragmented EMRs and lack of interoperability and data sharing are often to blame. So too is not telling your family what you would want.
153.
by joshgel 8y ago
It had been a long time since I cried reading a book... until I read this one.
154.
by joshgel 8y ago
As a human it makes me so sad to read this post. I hope the rest of his life is meaningful, comfortable and pain-free. As a doctor it makes me so mad. We talk about winning and losing against cancer like its some game or some foe personifie
155.
Generating Alpha from Information Arbitrage in the Financial Markets with NLP(hackernoon.com)
1 points by joshgel 8y ago|0 comments
156.
by joshgel 8y ago
This article is from 2002. Health systems are complex and mistakes happen. Its great that articles like this get published to ensure that we continue to learn from our mistakes and highlight the efforts we go to try to prevent them.
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by joshgel 8y ago
I'm a doctor. I'm pretty sure I know what those things mean. But ya, wouldn't expect you to. Ultimately that's irrelevant, because you don't choose the services you get in a hospital, "I" do. If I come in
158.
by joshgel 8y ago
I have a "want" list in evernote too! I think it helps me buy less stuff that I don't really need. I add stuff to it when I see something on the expensive side that I 'want' but am not sure about purchasing. I check
159.
by joshgel 8y ago
I think this is almost true. It would be true if index funds held all the stock. But since they don't and managed funds still exist, the stock price will go down when managed funds decide to sell. When the stock price goes down, the sh
160.
by joshgel 8y ago
I totally agree with this, but my wife and her mother insisted on registering for gifts, because "some people prefer to give gifts". We hardly use the stuff we got and half of it is still in the box at her mother's house, bec
161.
by joshgel 8y ago
This is a common misconception I see in my patients all the time. Tests aren’t perfect and human bodies aren’t perfect. Even if a test has 99% specificity for a condition, if less than 1% of people getting the test has the condition at the
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by joshgel 8y ago
I wonder if someone could comment on how AI is used at big investment banks? I assume its much more than technical analysis (like this model). I imagine that NLP might be helpful for quickly ingesting a news feed and then making buy/se
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by joshgel 8y ago
In some ways this applies to everything we do that we think might be helpful. Sure we could get patients to loose weight by locking them up and only feeding them 1300 calories of veggies, but for some obvious reasons that isn't really
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by joshgel 8y ago
trial only. you would have to consent.
165.
by joshgel 8y ago
Right, more correctly I should have said: Yes, but in trial where patients may receive placebo, the patients always consent to be randomized to the possibility of being treated with placebo.
166.
by joshgel 8y ago
Yes, but patients always consent to be randomized to the possibility of being treated with placebo.
167.
by joshgel 8y ago
Oh, no. It’s much more complicated than that. The ethical principle you describe might more clearly be defined as beneficence: acting in best interest of the patient. But what about when it conflicts with another ethical principle,namely au
168.
Some Doctors Order 7 Times More Tests Than Their Peers(jamanetwork.com)
1 points by joshgel 8y ago|0 comments
169.
by joshgel 8y ago
They have standardized their mental models
170.
by joshgel 8y ago
I mean: > The companies’ denials are countered by six current and former senior national security officials, who—in conversations that began during the Obama administration and continued under the Trump administration—detailed the discov
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by joshgel 8y ago
Does anyone know how this works if you build a consulting business, or build software, but then don't claim any of the IP?
172.
by joshgel 8y ago
There aren't enough edible cereals compatible with blockmilk for mainstream adoption yet.
173.
by joshgel 8y ago
Depends on intent. If patient is in pain (and we know because they tell us or because we think they look like they are in pain), we treat the pain. If treating that pain results in them having a shorter life, that's acceptable morally
174.
by joshgel 8y ago
This is 100% true in an absolute sense. You either choose life or death. However, it misses a huge amount of nuance. Some of the nuanced questions include: what qualifies as alive? - brain dead? - blood pressure only being maintained
175.
by joshgel 8y ago
Great. Please document how you'd like your family to think about it. Patients who aren't clear on what they care about make it harder on their physicians and much more importantly on their families. 'I think he would have wan
176.
by joshgel 8y ago
What's the line? If we found that some intervention group had 90% mortality with the control group having 10% mortality in some experiment, I think you would agree we shouldn't repeat that experiment with a lot of people as you wo
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by joshgel 8y ago
I mostly agree with this. But part of it is scientific illiteracy on behalf of most people, who want these 100% answers, not grades of evidence and certainty. An observation study is definitely helpful, but should be taken as what it is, an
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by joshgel 8y ago
> I understand that it's difficult to control for various factors when doing large scale studies of health and behavior, but my perception as a layman is that there is some willful ignorance or absence of rigor. I perhaps understand
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by joshgel 8y ago
I took both of these courses and recommend. Practical is the key word in their description that differentiates them from other courses. The focus is on getting you up and running ASAP, then explaining the details and variation, then finally
180.
by joshgel 8y ago
For biomedical research this is really not a large number of authors. Some very large clinical trials often have scores of authors, which isn't particularly surprising given that they cost $100s millions and take place across dozens of

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