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healthenclave

91 karma · joined February 17, 2013

Daktor.com is the best Saas for Hospitals, Pathology Labs and Clinics.
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healthenclave··on 1987: Kid submits 7 Robotron bugfixes using only the machine code from the ROMs
Awesome !! Is there so info on -

- which country was he from ? - Did he become a successful coder ??? - What is he upto these days ??

This story is incomplete !!

healthenclave··on Cleartrip: How we redesigned everything
Would like to know more about the SPA. Did you guys use Backbone or something else. and more details about the challenges...
healthenclave··on Cleartrip: How we redesigned everything
You guyz are amazing. I have been following your website (and a regular customer) for some time now.

It was SO very refreshing to see that you made the flight search function Single Page Application.

The newer even Flat design along with EXCELLENT UX design make your service very pleasant to use. You guys are the BEST tavel site IMO in India by leaps and bounds.

Keep up the good work.. Who's your UX person ?

healthenclave··on A Filthy History: When New Yorkers Lived Knee-Deep in Trash
Awesome!! On a realted note everyone should read / hear to the book "Ragged Dick" from early 19 hundreds (1920 I suppose) about a story (fiction)of a orphan boy who lived in the streets of NYC , used to polish shoes and who grew up to be the one of the most richest and prominent individuals.

Very inspirational stuff and remind about the early not so charming history of NY http://librivox.org/ragged-dick-by-horatio-alger-jr/

healthenclave··on A Disease Without a Cure Spreads Quietly in the West
LOL glad you have your toe nail back. The treatment would have been much faster had you taken Oral Anti-Fungal Meds.

I understand your concern but if you read the side effects even Aspirin has a TRUCK LOAD of 'em. But most of the serious side effects are extremely rare.

On a related note people complain about Side effects of Meds all the time (and Rightly so) but continue to live un-healthy lifestyles (smoke, loads of Alcohol, Trans Fat, etc) which is a little Ironic :)

healthenclave··on A Disease Without a Cure Spreads Quietly in the West
Well Fungal cells walls have ergosterol which we humans don't and that is a particular target site for many anti-fungals.

In some cases the fungal treatment is longer than usual eg: Nail infection, because it takes very long for the drug to reach the site. The treatment is around 3 months +

In most common opportunist fungal infections a few doses of anti-fungal does cure and treat the infection.

Also most Healthy individuals don't get infected with Fungus in the First Place even if they eat what ever crap with Anti-fungal substances (in your case lemon with pesticides)

Because our body defense is usually good enough to ward off fungal infections in the first place. Actually a very handful of fungal species are able to infect Healthy people.

And the article is a little Sensationalist as the disease is endemic and common to SW USA.

healthenclave··on A Disease Without a Cure Spreads Quietly in the West
Not very familiar with US geography but looks like your are correct :

(A) http://en.wikipedia.org/wiki/Santa_Ana_winds#Health%20effect...

(B) http://publichealth.lacounty.gov/acd/diseases/Cocci.pdf - Check the comments section

(C) http://dust.ess.uci.edu/ppr/pst_ZeT04.pdf

healthenclave··on A Disease Without a Cure Spreads Quietly in the West
Almost all fungal (few exceptions) infections are 100 % curable and treatable in most healthy individuals !!

Lethal fungal infections (such as Aspergillous and Mucormycosis - flesh eating fungus) are common in immune-comprimised individuals (Diabetics, HIV+ , Organ Transplant Recipients, etc) and very un-common in healthy individuals.

healthenclave··on A Disease Without a Cure Spreads Quietly in the West
Oh that disease due to a kind of Amoeba (Naegleria) is very bad because it actually almost always leads to death (post to meningo-encephalitis). 97-99% mortality unlike coccidioidomycosis (which is a little hyped in the article).

They tried Amphotericin B in some case with limited success but the disease is always fatal :(

healthenclave··on A Disease Without a Cure Spreads Quietly in the West
Quite right .. Untreated Borrellia (Lyme's Disease) can actually be very severe (cardiac, large joint and cns involvement). You should always has some kind of pest-repellent on yourself in case you plan to camp.

Good thing you son had very TYPICAL presentation and history - H/o Hike in the woods , followed by rash with central clearing (bull's eye).

Lyme's disease is Endemic in the NE USA and some part of central US as well.

The article is a little sensationalist like I mentioned in another comment. Many parts of US (and the world) have their own set of Endemic Diseases to the Geo-location.

ps: It's untreated Borrellia infection that leas to lyme's disease.

healthenclave··on A Disease Without a Cure Spreads Quietly in the West
The article is actually a little sensationalist. Because Coccidioidomycosis is actually ENDEMIC to the western region of USA and Mexico.

The rates do usually go up after earthquakes and storms that can lift up large amounts of dust up in the air.

In most people the infection resolves itself (much like TB in healthy people). Some people might get pneumonia and rarely do healthy people get meningitis. The disease is severe in immune-comprised but any disease can be severe in that case (eg: simple thrush - candida albicans infection)

simple anti-fungals eg: fluconazole is effective is most cases

healthenclave··on Doctor stops accepting insurance, posts prices online
This is both great news and sad one. The great news is the doctor is doing the right thing by moving towards a direct pay model - which works great for regular visits. But this also goes to show the SAD state of health affairs.

I believe we can also a lot of this problem with the aid of technology and make doctors more efficient and help them only worry about their patients. Well you can't eliminate the need of insurance but it can certainly be made much much more easier.

A lot of Family Practitioners don't want to deal with insurance companies is not because they don't get paid well by them (yes they pay only a fraction of the bill) but because the paperwork and stress of dealing with them isn't worth it.

Now with the upcoming ICD-10 implementation the docs are going to have a nightmare. ICD-9 has around 18k codes for the classification of various disease and with the implementation of ICD-10 this number goes to 80,000 !!!!

The bigger problem is that most solutions (EHRs) are usually created not created by people who deliver healthcare. There are a few EHRs created by doctors but are not implemented very well.

Using things like Eligible api (to know what procedures can be performed as per the patient's insurance plan) are helpful but are not complete in the sense of unifying the workflow for doctors.

The other big thing that is severely lacking is the patient engagement and the data from Quantified self. When you walk into the office of a doc - all that information (FitBit, Nike FuelBand, etc , etc) doesn't help the doc provide personalized medicine to the patients. Nor does the patient has much engagement in managing their health (apart from taking the pills)..

ZocDoc(s) and PracticeFusion(s) are doing their parts but are still half baked solutions.

Hopefully we will be able to change that !

healthenclave··on In India, 'no frills' hospitals offer $800 heart surgery
This is for people who are earning 2-4$ / day and for majority of Indians and I guess the same model would work for majority of the world , who would not be able to otherwise afford even a $10k medical bill.
healthenclave··on In India, 'no frills' hospitals offer $800 heart surgery
Looks like you have edited your comment since you first made it.

The success rates are high and on par with western counter parts. Also this is a private hospital , I think you haven't visited a good private hospital in a developing country. Many have US/Uk trained docs and quality of service and care on par with that of developed countries.

healthenclave··on In India, 'no frills' hospitals offer $800 heart surgery
Inflation is increasing the cost of living in India and China. A decent apartment (not luxury) will cost you min. $100K in any Indian city (even C and D tier cities)

While not as expensive as Manhattan or London, relative to Indian salaries everything is getting expensive.

healthenclave··on JavaScript MVC frameworks: A Comparison of Marionette and Chaplin
Came here to say exactly that. USAToday is made with plain backbone.js and it's doing pretty well the last time I checked.
healthenclave··on Helios
Guyz Do we have something similar for Django ? Or maybe a template of pre-written code for Tastypie ??
healthenclave··on Essential Medicine Rides Coke’s Distribution Into Remote Villages
Not sure if this is a marketing gimmick by a big corporate. And in a way is kind of sad state of affairs.

With that said we already have ice packs that are used for the transport of vaccines in developing countries. Not sure if we necessarily need to use cola bottles.

healthenclave··on E2 Visa for Startup Founders 101
No investor money will do as long as you have > 50%. But it's only a valid option if you have already started your company in your home country and have had some funding and incorporated your company in the US.

If you move to the US and get funding from a US VC / Angle then I think it gets tricky because it says : At least 50% of the investors must be nationals of the treaty country.

healthenclave··on E2 Visa for Startup Founders 101
Good info!! Thanks

Do you have a blog / another way to reach you?

healthenclave··on E2 Visa for Startup Founders 101
The only BIG Negative is : The investment has to be made by the people applying for the visa.
healthenclave··on E2 Visa for Startup Founders 101
Yup bigger problem is getting the 100k investment in the first place. Most entrepreneur (even highly skilled ones) don't have that kind of luxury / investment to start-with (in developing countries).

Also on this list : http://travel.state.gov/visa/fees/fees_3726.html

Iran is repeated twice is think it's a typo. Iran in EB1 and India is EB5

healthenclave··on Ask HN: What tools do you use for mobile apps design?
Well you could use the usual Photoshop, illustrator .... But also check PaintCode it's a mac only app that helps create vector based UI (in objective-c) for iOs only.

Love to have something similar for Android (no sencha) 'cause the UI for android can be a serious pain.

Basically PaintCode can import svg and photoshop layers and convert them into objective c code. Which can be easily reused, and reconfigured for any new resolution that may come out.

It's not perfect but it's pretty neat http://www.paintcodeapp.com/

healthenclave··on Ask HN: How to get first 1000 users?
Like PG says make an Awesome Prouduct for a core audience eg: hackers. And put it infront of 'em (atleast initially with no restrictions and ridiculous sign up requirements) eg post it here on Hacker News. And take it fwd from there.

Before launching publicly you should probably let atleast a few target users play with your product and gather their feedback .

healthenclave··on Ask HN: Good collaborative task management tool
asana.com >> It's free for upto 30 users. Created by Facebook co-founder. Very simple and easy to use and dosent get in your way (unlike Basecamp) , yet is flexible and powerful.
healthenclave··on Discovering Drug Side Effects with Crowdsourcing
Very interesting !!

Not sure how to grade the subjective results as they are interpreted by patients. But I guess a large sample size could probably help minimize that bias.

Recently there was another similar study which researchers were able to use Google search queries and data from Google trend to know about side effects , weeks - months before they were officially reported.

But this is just the start !

healthenclave··on A gel that can stop severe bleeding instantly
Well it seems that this gel might have very little application on it's own and would be best used in conjunction with traditional tried and tested methods.

The major flaw with this gel is the risk of Hematoma. Basically lets say you have a vessel that has been ruptured by trauma and you use this gel to pack up the external wound.

But the vessel is still leaky !! This will lead to collection of blood inside the body and can be harmful in the long run.

It seems this gel is most suited for (their first clients) the military. And would be effective on the field along with using tourniquet.

Also there is already a variety of Surgical Glue that is in use. But it's used along with traditional sutures as the glue is not strong enough and will rupture. So on the fragile inner layers we use the glue and then towards the skin which is much more stronger the usual catgut sutures are used.

healthenclave··on Real Email Validation
Is there a work around ? How about using proxy but I guess that adds another layer of complexity
healthenclave··on Real Email Validation
Very helpful thanks !!
healthenclave··on Towards creating a perfect international flight search experience on the iPhone
ClearTrip has always kept design and UI/UX at their highest priorities. And it shows in the app..

Recently used and was amazed at the ease of use and clarity... Job Good Guys !!

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