rscho

26 ms·

391.
by rscho 4y ago
There are very few public health interventions that are deleterious to even a fraction of the population, because the prime directive is "first, do no harm" and that's a very much entrenched principle of public health. Regard
392.
by rscho 4y ago
You can't delete public health and expect unchanged levels of care individually. Health at the individual level very much depends on public health policies. Don't believe me? Have fun watching your newborn die from whooping cough!
393.
by rscho 4y ago
Prolog and ASP look similar, and have some amount of intersection in their use case. But their sets of use cases are certainly not identical.
394.
by rscho 4y ago
http://mcs.unife.it/~friguzzi/plp-book.html
395.
by rscho 4y ago
One could use post 1970's macro technology, allowing far better error tracking https://docs.racket-lang.org/syntax/index.html
396.
by rscho 4y ago
> the pride you felt when you delivered on a difficult project. Never felt that way. Which is why family always comes first for me.
397.
by rscho 4y ago
APL is very decent at string manipulation. I could try to explain why, but I am afraid that you'll have to see for yourself to understand why what you wrote is both true and not very applicable to APL.
398.
by rscho 4y ago
> Aside from life support in one's final days, most practical medical interventions for prolonging life also result in significant improvements in quality of life. I can assure you that you'd never ever hold that opinion if you
399.
by rscho 4y ago
Very cool! Thanks for writing/showing.
400.
by rscho 4y ago
'April' is an APL embedded into Common Lisp
401.
by rscho 4y ago
Yes.
402.
by rscho 4y ago
Because it's a good concept? Broaden your horizon a bit, maybe?
403.
by rscho 4y ago
It could be greatly beneficial to the patient. Time will tell, but I also expect the financial optimization issues will take precedence over the rest. Additionally, this is the typical example of the medical industry tackling problems from
404.
by rscho 4y ago
It's the default on my keyboard, and the commonly accepted symbol in my language. Next time, I'll choose something else.
405.
by rscho 4y ago
So curiosity as a remedy for systemic failure to perform a full exam and actually do the job correctly in the first place? Not a very convincing argument.
406.
by rscho 4y ago
not all of us live in the US
407.
by rscho 4y ago
> Any educated layperson can figure out and follow a clinical decision tree. 12-15h a day, 6 days a week with not even a lunch break? You're sorely mistaken. It takes an expert to follow clinical workflows.
408.
by rscho 4y ago
Thanks for the lesson, mate. I'll be strongly reflecting over the past 15 years of clinical practice and see the errors in my ways.
409.
by rscho 4y ago
You're right that silencing alarms is strictly forbidden in anesthetic territory only, not ICU. I'm biased bc I'm in Switzerland, and here the coverage ratio is usually 1:1. The country is so rich, that many things are differ
410.
by rscho 4y ago
Silencing monitors is actually forbidden by law in many places. Staff is supposed to be near the patient at all times => monitors beeping. That's certainly a bad state of things, but not a "fiefdom of power". It's so
411.
by rscho 4y ago
Well, yes I see what you mean. What I meant was: it's the same in the US and western Europe. But certainly if you go to more "old fashioned" places, the elderly usually live with the family and are taken care of. To be fair,
412.
by rscho 4y ago
I'm precisely not implying that medicine is currently "fully solved". I'm implying that we should strive to gather more information, synthesize it better and study how to make it useful. As a clinician, I'd say yes
413.
by rscho 4y ago
You'd be surprised to see what happens to staff going against waking up patients all night. You get the "dangerous sloth" sticker on your forehead real quick on the morning grand rounds.
414.
by rscho 4y ago
I'd wager: not very differently. But not out of fear. The social isolation of old age is the same everywhere. Young people have their own lives to live.
415.
by rscho 4y ago
Rich people always get the worst possible care, in my experience. Life-prolonging care, yes. But at what cost? Those are the people that get the most "experimental" medicine out there. Rich people select for the most greedy docs,
416.
by rscho 4y ago
I'm sorry but curiosity and creativity are certainly the n°1 enemy of the patient, especially in ICU settings. Curiosity and creativity are grandpa's medicine, and a total antithesis to evidence-based modern medicine, that attempt
417.
by rscho 4y ago
Doctors answer: yes. And?
418.
by rscho 4y ago
I work in a hospital, and occasionally in ICUs. You're wrong. Most workers are very much jaded, but they do care. Problem is, the system crushes you to death if you don't set pretty harsh limits to protect yourself. In a lot of ca
419.
by rscho 4y ago
> We fear death In the US. It's perhaps the most striking difference that hit me during my stay overseas. In the Old World we occasionally get people completely panicking about their own death. In the US, seemingly _everyone_ is lik
420.
by rscho 4y ago
Habit is not the problem. Once you get tenure, a good part of your job is to ensure that the younger generation in your lab/uni publishes well, i.e encourage them to pursue the next low-hanging fruit... So no, you do not in fact have m

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