robbiep

65 ms·

721.
by robbiep 6y ago
Speaking here as a Doctor the medical paternalism of this post may immediately disqualify My comments from some on this forum who have a tendency to aim to hack their own bodies the way they hack technology. So I apologise in advance should
722.
by robbiep 6y ago
FYI bypass is for coronary arteries. Calcification of the aortic valve and root is something quite different
723.
by robbiep 6y ago
It’s called the advancement of science and it’s one of the reasons it is not generally a frontline treatment (because we have more effective treatments now, as well as resistance). You might as well say that a person is too phlegmatic and n
724.
by robbiep 6y ago
Our Ed takedown drug is midazolam. I can’t see benzos being safe being given by non-medics. The safety profile of ketamine is excellent (as I’m sure you know) Having said that it blows my mind that it is considered necessary or appropriate
725.
by robbiep 6y ago
It’s winter here now. It’s not true that a ‘true fever’ will keep temperature high. On night shifts when I am called to patients that are febrile (using more sensitive tympanic or sublingual thermometers) I often ask them to check again in
726.
by robbiep 6y ago
This is overly pedantic but you did literally say lets you detect the sequence in a context where the average reader would have parsed the sentence as referring to the capabilities of the device.
727.
by robbiep 6y ago
As a doctor, I really do think this is ‘hygiene theatre’ (that is, forehead/IR temperature checks). Last week I rocked up to operate at a hospital I irregularly work at which has recently introduced checks (as opposed to all public hos
728.
by robbiep 6y ago
I feel like it would have been relatively trivial to make decent 7-9 figures depending on your initial leverage just by manipulating some key accounts. Ie: short Tesla, musks account says solar roof delays, firmware error has started bricki
729.
by robbiep 6y ago
Other way around. Wikipedia has a good summary. It’s difficult telling parents that the cause of their child’s holoprosencephaly is a gene called sonic hedgehog
730.
by robbiep 6y ago
When things are so clearly bullshit then the point of being 'open minded' about things that are done and dusted only serves to confuse and obfuscate. Take the US at the moment. A contry ripped apart by anti-scientific thinking. To
731.
by robbiep 6y ago
Big problem. But speaking to the Australian experience: Between 2000-2010 we went from producing 1500 new doctors to 3000. We have a different training pathway to the US (and there are many criticisms of both) but you have to complete at le
732.
by robbiep 6y ago
That is antithetical to the principles of science, but it depends on what area of science you operate in. To take the spectrum of shades of grey: - white would be math - first hint of grey with physics - greyer all they way down to biology
733.
by robbiep 6y ago
Thank-you for your reply, tbh I couldn't understand it either and it was quite savage initially, particularly given the effort I went into to walk a straight line (and yes, certainly not going to be heading to Sweden anytime). Perhaps
734.
by robbiep 6y ago
It’s taken me a little while to parse this one. HN has always felt like a good/safe place (to me) to talk about interesting things with a mix of experts and lay people. When it gets down to science though, agree or disagree need to be
735.
by robbiep 6y ago
So you've got a situation where the natural reservoir of the viruses is geographically proximal to a lab that was set up to specifically study these diseases. It's a conspiracy theorist's wet dream
736.
by robbiep 6y ago
In science (as in politics) it is important to understand the reputations of the people who have produced research. Andrew Wakefield being a terrific example. It's also important to point out that this is pretty much an opinion piece.
737.
by robbiep 6y ago
By the same logic, was the H1N1 spanish flu designed to perfectly flourish and kill possibly 10% of hosts? You say it in your second paragraph. You're no biologist. But you find it strange. Very few biologists find it strange. They hav
738.
by robbiep 6y ago
This seems to me to be a dangerous paper. It's effectively an opinion piece, pre-published, requiring a high degree of domain expertise to even read, with a clear conclusion in the title that you can see being used to deflect attention
739.
by robbiep 6y ago
It’s dopamine
740.
by robbiep 6y ago
Like the BBC or Australia’s ABC? This exists
741.
by robbiep 6y ago
You’re right that it’s a marathon not a race. But isolating the vulnerable (on a semi permenant Basis) is not easy or good for these people. With good testing infrastructure and contact tracing, we can minimise harm. We just have absolutely
742.
by robbiep 6y ago
I’m not talking about Sweden, or the US, or Italy or the UK or France, But NZ, Vietnam, China and Australia (current flare up not withstanding) have pursued policies of lockdowns, contract tracing and heavy testing. Your proposal is more co
743.
by robbiep 6y ago
So basically focus on isolating all people above 60, all people with comorbidities, and any with genetic sequences that are ill-defined, likely many of them that we haven’t uncovered, and more expensive to test for than Covid screening? Eas
744.
by robbiep 6y ago
There is no easy way to solve the problem of mis- or un-diagnosis, except better training, better awareness and hopefully better diagnostic techniques
745.
by robbiep 6y ago
I agree the longer term studies are going to be fascinating. Anecdotally, in Australia (where I work/practice and have many colleagues completing their specialist training currently) presentations for chest pain and total heart attack
746.
by robbiep 6y ago
Whilst I can’t speak for your particular circumstances and will assume you know exactly what is wrong with you and what you need, this assumption cannot be applied more broadly. In many respects the family practitioner’s role as gatekeeper
747.
by robbiep 6y ago
Outside of theatres the function as a uniform. In operating theatres (most places I’ve worked) if you go outside in theatre scrubs you have to change when you come back in
748.
by robbiep 6y ago
At any pressure a human underwater is likely to experience (besides perhaps being immediately transported to the bottom of the Mariana Trench) it is not practically the fluid/blood that is being compressed but tissues and gases, so bar
749.
by robbiep 6y ago
My bet is before this particular branch of technology reaches maturity, the CRISPR tech tree will have solved that particular problem
750.
by robbiep 6y ago
Lombardy was utilising operating theatres and had ICUs and trauma bays full (70-80% is full because you have lost lost of your surge capacity), using the vents in all these areas. There was a shift to NIV because once you have no vents you

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