rscho

45 ms·

241.
by rscho 2y ago
Someone downvoted the author !? This site never ceases to amaze.
242.
by rscho 2y ago
On paper. Not in the trenches.
243.
by rscho 2y ago
So, why do residents need so much supervision? Since they have the most recent, and also usually most extensive knowledge. Granted, specialized knowledge is sometimes acquired during residency. Still, it's mostly taught by attendings i
244.
by rscho 2y ago
Very likely because radio did their work correctly (with the misfortune of a wrong prelim assessment), but the requesting doc either forgot or chose not to act on the results. Or results were not transmitted correctly, so the requesting doc
245.
by rscho 2y ago
Accidentally diagnosing someone is quite different from someone healthy trying to 'optimize' their health, whatever that means...
246.
by rscho 2y ago
In my experience, it doesn't seem to be a common occurrence. At least, I personally know no one doing that. YMMV, I guess. Also, it seems to me like a very bad idea to do that.
247.
by rscho 2y ago
> in Europe you can buy real time glucose monitors, portable ecg, and low calorie meal replacements over the counter. True! And, aside from people with chronic conditions like diabetics, who are forced to know how their glucose levels
248.
by rscho 2y ago
You got lost in the mess of files and admin. The process is usually that you get the exam, they give you a first impression orally. Then they really get to work and look properly, and produce a written report, which the requesting doc will
249.
by rscho 2y ago
Honestly, that's a short-sighted interpretation. Would you get treated by someone who's fresh out of school? If not, why? They're the ones with the most up to date and extensive knowledge. Today, medicine is still mostly know
250.
by rscho 2y ago
Even if this worked as well as a human radiologist, diagnosis is not only made of radiology. That's why radiology is a support specialty. Other specialists incorporate radiology exams into their own assessment to decide on a treatment
251.
by rscho 2y ago
S7 ( https://ccrma.stanford.edu/software/snd/snd/s7.html ) is made to be embedded. It's very spartan, but has some of those features.
252.
by rscho 2y ago
I also agree with what you wrote here. But I have much more experience with clinical research, and know less about other fields.
253.
by rscho 2y ago
I don't know of any magic formula. We'd have to force the change somehow, because it won't correct itself. But the path is unclear, if there is a path at all. The current situation is that most clinical research is performed
254.
by rscho 2y ago
In clinical medicine, the system needs no reform, because almost nobody's goal is to do research. Clinical research is pretty unique in that it serves almost entirely hierarchical advancement rather than science. Be honest, when was la
255.
by rscho 2y ago
You are clearly unfamiliar with biomed research. Journals do have prestige by themselves, by now. And it's not so much reviewers but rather the acceptance rate on cursory read by an (sometimes anonymous) editor that maintains it.
256.
by rscho 2y ago
Every single doc knows about steroids + tendons. Did you ask why steroids were offered ?
257.
by rscho 2y ago
I doubt that measurements outside a standardized environment would grant satisfactory performance. But, perhaps. I don't know. You're just too sour, man. I'm not saying it won't work, not even saying with certainty it do
258.
by rscho 2y ago
Yeah, I'd like a cookie. I'd also like medicine to become real science. Unfortunately, you can't say by reading the paper, whether the paper corresponds to what's truly been done. In my experience, it often doesn't.
259.
by rscho 2y ago
There is always a strong sense of national pride in medicine. Many people both inside and outside healthcare believe their nation has the best care, and make it an institution of sorts. It really seems stupid and insignificant, but the fact
260.
by rscho 2y ago
But then, revenue does not correlate with scarcity anymore? To be clear, I think you're right up to a certain point, but it makes some sense to be very elitist about who can practice in what you'd like to be the medical 'prid
261.
by rscho 2y ago
I never denied the performance. Now make it usable to the average doc. That's where we disagree. You believe it's usable, but you've never seen clinicians handle computer stuff.
262.
by rscho 2y ago
I do clinical statistics. I make such studies. Sorry the sausage is not the way you dreamt it!
263.
by rscho 2y ago
I agree the US is especially restrictive. But that's just the US doing its usual thing: treating everywhere else as a 3rd world country. Docs from developing countries also have a hard time in Europe. You clearly have an axe to grind w
264.
by rscho 2y ago
Yes, we have so many models that completely outclass docs. It's really strange, they're not more widely available don't you think ? Providing so much value, one would think there would be a black market for those, at this poi
265.
by rscho 2y ago
Ah, RCTs! The final truth, the end all of all arguments. I've been working for enough profs to know that the best thing to do with 90%+ medical papers is to transfer them directly to the wastebin, and that includes RCTs.
266.
by rscho 2y ago
Yes, so as usual it's so superior but it's never used. And the people building it say it's stellar, promise! Here's a clue: instead of building a tool, and try teaching people already practicing how and why they should u
267.
by rscho 2y ago
So, if I tell you: 'I'd like help, but when I ask for it I get something worse than what I had at the start', that's me being a typical insufferable doctor, I guess ? We both fit our stereotypes really well, then !
268.
by rscho 2y ago
All countries control rather strictly who can practice medicine. Yes, there is some amount of protectionism, but that happens almost everywhere. The reason is not only money, but also cultural issues. So yes, I expect that to be a valid cri
269.
by rscho 2y ago
In a nutshell, no amount of lobbying will stop equivalent service for 100x cheaper. Tech does not permeate healthcare for 2 reasons: 1. mostly inapplicable. Everyone is focusing on ML model performance, but really information retrieval in h
270.
by rscho 2y ago
Most docs are overworked for many, mostly bad reasons. Clinical overload is one thing, but healthcare is more like drowning in admin work, these days. So mostly yes, but the true answer is more complex than I can write about in a comment.

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