rscho

9 ms·

31.
by rscho 1y ago
There's no ideal solution: either you check the file in front of the patient and many find this impolite or a sign of failure to know everything, or you don't check and many find you're sometimes over assertive and likely wro
32.
by rscho 1y ago
TBH, yes it's a big deal. You correctly identified that docs are especially good at rote memorization. I always thought that this calls for a drastic revamp of accepted UI principles. You would usually design to group things logically,
33.
by rscho 1y ago
Honestly, the real mystery is how can GP handle the workload with this completely sequential workflow. I'd just die of karoshi and sleep at work every night if I did that. GP must be ultra efficient.
34.
by rscho 1y ago
You maybe. Most other people indeed take it as a sign of failure or lack of manners. Healthcare is social first, logic second (or third, or maybe fourth...)
35.
by rscho 1y ago
Altered Carbon , Richard Morgan 2002. There's also a Netflix series.
36.
by rscho 1y ago
Well, it depends on your definition of 'surgery'. One could well imagine that transplanting your conscience into a new body might well be feasible before we get to live on Mars.
37.
by rscho 1y ago
Bold assumption. I agree regarding the foreseeable future, though.
38.
by rscho 1y ago
The problem will more likely be that as progress is made, more complex cases will be tried, finally extending in the category of surgeries where training data is extremely scarce. In a field with dismal information retrieval infrastructure.
39.
by rscho 1y ago
What we really want is a world without need for surgery. So, the answer depends on the time frame, I guess ?
40.
by rscho 1y ago
Overwhelming superiority is not for tomorrow, though. But yeah, one day for sure.
41.
by rscho 1y ago
You seriously thought that lisps had no printf equivalent ?!
42.
by rscho 1y ago
In Switzerland, (public) health services are not businesses. And I don't think anyone in our system makes money from encouraging people's deaths. We also have assisted suicide services. They're a public association that bring
43.
by rscho 1y ago
I happen to agree partially, and wasn't trying to fight you over this matter. I generally don't have much love for US docs' attitude either. Take care.
44.
by rscho 1y ago
many situations: mental illness, transport from ICU, exam during surgery, etc. So no, Xanax isn't enough.
45.
by rscho 1y ago
That's not a fair assessment of our conversation, and it seems to me you've been aggressive from the start. Honestly, you reek of the typical US prejudice that 'all-docs-are-arrogant-and-speak-only-to-spite-others'. You
46.
by rscho 1y ago
> To me it reads like anesthesia in the MRI shouldn't be allowed or needs better supervision. It must certainly be allowed, as it greatly benefits some patients. Believe me, I'd be most happy if I was forbidden to enter MRI roo
47.
by rscho 1y ago
> Presumably the patient just dies in that scenario that you are supposedly qualified and prepared for? Yeah, can happen. That doesn't mean you did something wrong. Sometimes (very rarely), shit happens even though you've plann
48.
by rscho 1y ago
The RX bay over here is like 150m^2, serves 6 MRI rooms, has nooks and corners and doubles as the patient waiting bay. Having the tech busy elsewhere while putting people under or waking them up is not a rarity. I agree the security is bett
49.
by rscho 1y ago
Look, he might use AI but I'm not. I also have 20 years in the field, and I've lost count of how many times I found myself alone with a risky patient. Yes, oftentimes people are just 10m away. Yes, that's not supposed to happ
50.
by rscho 1y ago
I agree you should be able to provide solo, but there is also substantial evidence supporting the addition of a CRNA to make anesthesia teams, that are safer (and even more expensive) than either CRNA or MD operating alone. In many countrie
51.
by rscho 1y ago
Indeed, but you won't find yourself alone during the MRI. When you're preparing or finishing the case though, the RX tech and the radiologists often suddenly feel a need for a break. Same thing happens everywhere we go: the anesth
52.
by rscho 1y ago
He said he's been doing that for a long time. Plenty of time for stuff to happen, and security guidelines were not always as they are now.
53.
by rscho 1y ago
Yeah, I agree that we can find ourselves alone sometimes, although that's not really supposed to happen. For sure, most people usually aren't that useful anyway.
54.
by rscho 1y ago
There's always someone else. But the radiologist might not be at his/her most efficient doing anesthesia & resuscitation...
55.
by rscho 1y ago
This time it killed someone. Usually, it's just a bed or a respirator that ends up stuck in the ring.
56.
by rscho 1y ago
The MRI+anesthesia problem has recently got much worse, since we're now seeing MRI hybrid ORs pop up. Compounded with the 'lean management' principles en vogue in hospitals, this is a disaster waiting to happen. Personnel i
57.
by rscho 1y ago
The fact that this answer is so obvious to you means you have to read up on diagnostic test performance and how screening works, because it's in fact not obvious at all. I mean that in the nicest way possible. Those companies offering
58.
by rscho 1y ago
Benign ? It metastisized through the ocean stream to develop aggressively a bit more to the west.
59.
by rscho 1y ago
Apart from the likely technical infeasibility of your idea in today's society, this would require a humongous and diversified population sample to be meaningful (your 'heterogeneous bits'). This follows directly from the comp
60.
by rscho 1y ago
The timing is pretty important to most people, and is actually the whole point of taking the test in the first place so the generating process and the test are not independent. See ?! What you said is just wrong too ! ;-)

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