surgeryres

7 ms·

31.
by surgeryres 9y ago
It is a continuum, and we are way to the right on a log scale in terms of event intensity. I agree we can do certain things like require people to have flood insurance. Neat reference, but you are misquoting it. The homes are not built in a
32.
by surgeryres 9y ago
Probably
33.
by surgeryres 9y ago
Great idea! I would like to see what happens to their dyke system when 3 trillion gallons of water pours in. Don't think it would end well.
34.
by surgeryres 9y ago
"These people" cannot comprehend what 3 feet of rain does to a city, because nothing like this has happened in recent history.
35.
by surgeryres 9y ago
HEB is awesome though. And so is Bucy's. Thanks in advance.
36.
by surgeryres 9y ago
Hurricanes don't affect the Netherlands. No amount of planning can prevent devastation from a storm that drops three feet of water in your front yard. You seem uniformed about what is going on here. This hurricane was bigger than Rita,
37.
by surgeryres 9y ago
Should we restrict human expansion and destruction of coastal wetlands? Is it smart to live in a place where flooding is the norm, and it's costs must continually be subsidized by local, state and federal government? Is it fair to spen
38.
by surgeryres 9y ago
No one has mentioned the risk subjected upon the rescue team to come get him. So there's that.
39.
by surgeryres 9y ago
Most of these planned cases are scheduled to start at 7:30, and the procedure might actually start at 7:40, and then baby comes out around 8.
40.
by surgeryres 9y ago
Surgery might be a "one-off", but cancer surgery can be brutal. People with cancer who need surgery are often nutritionally depleted and surgery takes a big toll. Recovery time in the hospital could be weeks. Rehab, getting you ba
41.
by surgeryres 9y ago
To clear some confusion - they did not grow this lamb in the bag starting from conception. The major limiting factor as to when it can be transferred to the bag is when the umbilical vessels are large enough to safely and efficiently cannul
42.
by surgeryres 9y ago
So are you going to fly back when the biopsy is positive for your surgery or chemotherapy?
43.
by surgeryres 10y ago
Fair points. Extracting data from the EMR is very difficult because all EMR was originally intended to only be a storage place for data - not designed to output data back to a user.
44.
by surgeryres 10y ago
One potential problem with this - the question of liability, and who is responsible for diagnostic accuracy? In this case, for some "Lab on a Chip" device providing a patient directly with diagnostic information without the vettin
45.
by surgeryres 10y ago
Trauma is the leading cause of mortality for people under 40 years old in the US, however it is very poorly funded in terms of research dollars compared to things like cancer, HIV etc. Datasets are limited and expansion with AI would be hug
46.
by surgeryres 10y ago
So who should pay for more slots?
47.
by surgeryres 10y ago
You don't get it. The government limits the amount of residency spots. They fund the residency spots. And most students do not pay upfront, they go into debt to fund their education. Having students pay more or go more into debt will d
48.
by surgeryres 10y ago
Yea, well. I just don't think we can continue this argument.
49.
by surgeryres 10y ago
Limiting under grad education - sure, that is reasonable, that is how non-US countries do it. You get fast tracked to medical school after high school. But you still need some amount of undergrad education before medical school. But no mult
50.
by surgeryres 10y ago
Pay their own way? Residents are already in 8 years of debt after undergrad and medical school education. How could you expect a person to keep paying their way for a total of up to 13 years of education (what it takes minimum to become a s
51.
by surgeryres 10y ago
There is limited funding from the government to support residency positions.
52.
by surgeryres 10y ago
There is no burden of patient care placed on medical students in the US. Medical students start clinical duties their 3rd and 4th years of medical school but have little to no actual responsibility. They are not allowed to write orders or p
53.
by surgeryres 10y ago
Especially when reporting duty hours violations is made to seem like the fault of the resident by your bosses. You are incentivized to not report violations.
54.
by surgeryres 10y ago
Again, see #1; this is the real problem. There are not enough of us to allow a normal 40 hour work week. The guideline is no more than 80, and we regularly exceed that. We are doctors. Society demands highly trained and skilled physicians t
55.
by surgeryres 10y ago
Ok, but what exactly do you propose? funding to support residents comes from the federal government, and this funding is already strained. Should we lower standards? Lower quality of care? If the answer was easy we would have already implem
56.
by surgeryres 10y ago
I am a surgery resident. This "rule" only applied to first year residents, and was started in 2011. There in fact is a study being conducted where one arm of first year residents follows the 16 hour max and another follows the 28