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jrowley

1,727 karma · joined October 9, 2013

I'm a software engineer that is fascinated by healthcare. Outside of healthcare, software and hardware, I am interested in running, politics, and music.

Currently I'm a software engineer at Pomelo Care. Before that, I was the Head of Engineering at clinical trial company called Curebase.

Berkeley, CA

https://funk.dog

linkedin.com/in/joerowley

twitter.com/joer14

hn - at - funk. dog

[ my public key: https://keybase.io/joer; my proof: https://keybase.io/joer/sigs/FMZni_OvviV5SYFJulnHOXZQffzDreLQ4vzo5Y7QEl0 ]

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jrowley··on Ask HN: How do I help my Indian coworker get a raise?
It’s very relevant because he’s dependent on visa sponsorship by the employer and being Indian makes his visa sponsorship more challenging than if he were from another country with fewer people emigrating to the US.
jrowley··on Walmart Gets Into Health Care
Are you sure? Seems to be pretty well documented that there is a shortage?

https://priceonomics.com/the-increasing-scarcity-of-helium/

http://www.heliumscarcity.com/

jrowley··on Walmart Gets Into Health Care
MRIs depend on liquid helium, a scarce material by definition, but that's besides the point.

There is a high bar to becoming a physician because the consequences for error can be so incredibly high. I want there to be more physicians/access to medical care than ever but I don't think compromising on quality is the way to get there.

jrowley··on Walmart Gets Into Health Care
Time on an MRI scanner (and to interpret and communicate the result) is a limited resource.

I fear unrestricted access would lead to over utilization by some people at the cost of less utilization by others. It could also lead to nontrivial psychological stress for people who can’t get a full understanding of the results. But I do think we need to strive for increased transparency from price lists to EHR interoperability to patient access to their own records.

jrowley··on Ask HN: How do you handle toxic coworkers?
Yeah, or let him break down the metaphysics of quality for you - what does it mean to be high quality and why. And where in your coding standards or quality management system, are these statements backed up?
jrowley··on Ask HN: How do you handle toxic coworkers?
First, I’m sorry you’ve found yourself in this situation. The good news is that you are going to learn some new skills and grow from this challenge.

I’d try to respond to PR comments/ talk or slack directly with the person and ask them to elaborate whenever they leave these negative ambiguous comments. You can even preface it with some humility - “I’m struggling to understand your point, could you restate this in another way for me?” You can keep going down this, and if they are just being catty, disrespectful, etc, you can potentially ask other developers to way in with their opinions, to help come to some consensus.

As for the mocking regarding production going down, I’d counter if possible in the thread acknowledging that even the most experienced developers write bugs, and this speaks to a system problem, not an individual developers fault. I’d try to remove blame from the individual.

Finally, I’d recommend trying if at all possible to get a little distance from the situation, whatever the comment is, etc that is bothering you. By that I mean trying to not let it get under your skin by focusing on your task at hand despite the negativity (be extra positive instead), maintaining identity outside of work and allowing yourself some self confidence in your skills and yourself.

Remember: a) this person might be or act like an asshole (maybe they are just really insecure? Who knows? Doesn’t matter?) b) management is complicit c) you maybe able to change behavior but may not d) you may not be able to control your understandable and appropriate emotional response to the person now, but if you practice mindfulness (pausing and keeping perspective), you maybe able to mediate your response and feel better about the situation.

Good luck! I’m feeling for ya!

jrowley··on Ask HN: Who is using AWS Workspaces for your development environment?
Some organizations in regulated fields do dev work via SSH/mosh interactively, so latency / bandwidth requirements aren’t necessarily as high. But there are obvious limitations to this (eg building an interactive web app could challenging if you’re not able to port forward through one or more bastion servers, etc)
jrowley··on Some Google Photos videos in backups were sent to strangers in November
Unintended software behavior exists on a spectrum and a great deal of it is preventable by learning from past mistakes. It’s unfortunate we don’t have more information about the nature of the underlying this issue.
jrowley··on Kodak Alaris warns the TSA's new airport CT scanners can damage undeveloped film
Interesting! I had no idea there is increased need for error correction.

Regarding radiation, I just found this cool link about ICs in space: http://cpushack.com/space-craft-cpu.html

From my understanding they often use redundant CPUs computing the same instructions in lockstep and rollback when they disagree.

jrowley··on Ask HN: First time working from home; what to do or not do?
I’d echo this response. For me the added mentally energy of resisting the desire to take out the trash, clean some dishes etc is just a distraction because I worry about getting it done. I just take care of what I need to take care of at home chore wise and then trust myself to get enough work done to not feel guilty.
jrowley··on The Liar's Walk: Detecting Deception with Gait and Gesture
They almost certainly used their sense of smell to detect unknown people as well.
jrowley··on Tract: A Hugo theme for ambitious documentation projects
Yeah I agree, I think they are looking for zealot. Sounds similar but different connotation.
jrowley··on Psilocybin for major depression granted Breakthrough Therapy by FDA
In running there is an expression, "you have to run your own race". The same is true here.

But specifically in this context psychedelics are generally introduced to individuals who haven't had prior experience with them, and may need additional support that therapists can help with (e.g. survivors of sexual assault, deep depression, anxiety regarding terminal diagnosis, PTSD, etc) and the therapist have been trained specifically in guiding these individuals in psychedelic trips. So they are like the best trip sitters you can have if you are trying to get out of rut.

jrowley··on Psilocybin for major depression granted Breakthrough Therapy by FDA
I definitely would not consider them to be in the class of drugs as a traditional placebo, in the sense that they drastically alter your sense of consciousness and reality, but you are getting at important component which is that these drugs should be coupled with pre-trip planning therapy and post-trip integration therapy in clinical settings.

Great book btw. I highly recommend it anyone who is curious about the subject.

jrowley··on Ask HN: What do you do after a successful Kickstarter?
I the first thing you should do is tell people you are delayed, or at least give yourself at least 2x your standard engineering time estimate. The unexpected always come up and it’s better to manage expectations early and have those first users in the know and happy.
jrowley··on GitHub satanically messing with Markdown – changes 666 to DCLXVI
It’s a really convenient property if you’re maintaining long lists since you can easily re-order items in a list without having to re-number each item.
jrowley··on Nine-year-old child to graduate university
I think the future of medicine is sympathetic engineers. It’s exciting to see this little guy go that route!
jrowley··on Is anyone else getting errors retrieving AWS IAM policies?
I'm having issues getting access to AWS secret manager right now via CLI. I'm wondering if it is another DDOS attack against their DNS servers :(
jrowley··on A Quick and Easy Guide to Tmux (2015)
I’m curious, can you share what industries this practice is common, sshing into a protected source code machine?
jrowley··on Ask HN: Why don't homeless people from SF move to another city?
Another reason many unhoused people don’t want to move is that they have some family, friends, or existing support systems in the area. Moving away would mean they no longer have these resources.

Would you want to move away from your friends and family when you have little else? Some food for thought.

jrowley··on Gitlab ‘rethinking’ third-party telemetry
The entire nature of self hosted is that it is for companies or people who want more control. It’s Seems ill advised and unlikely for gitlab to force telemetry on those users.
jrowley··on The outcry over deaths on Amazon's warehouse floor
Amazon is the Foxconn of America (although Foxconn now has operations in the US too)
jrowley··on Ask HN: What software do you use to manage contacts?
I have a personal notes app (Bear) where I journal about all types of things. Mostly todo lists, ideas, that kind of thing, but I also have a section dedicated to people I meet. I don't always make a note but sometimes I do. I rarely look back at these notes but I think it helps me remember details about them. And sometimes I do look back at the notes.

I have sections for the people I met through running (different run clubs, etc), work, etc.

jrowley··on Ask HN: Is there any point in trying to clear your online footprint
I think OP is saying “just use VMs” as a metaphor for segregating your identity across multiple services. But literally using VMs could make fingerprinting easier or harder.
jrowley··on A Study of Riders' Noise Exposure on Bay Area Rapid Transit Trains
Yeah its brutal. I want to start a nonprofit that gives out earplugs on bart, but I'm concerned about the waste (people just throwing them out, leaving them on the platform after one use).
jrowley··on Using AR to help build a complex brick wall
There is a great section in Zen and the Art of Motorcycle Maintenance about instructions for assembling a bicycle and a barbecue. Pirsig talks about the nature of creating instructions and laying them out and how there are a lot of potential ways to assemble something, but how an author has to chose a single way for their reader.

This discussion leads to him mentioning a favorite excerpt from some instructions he came across: "assembly of a Japanese bicycle requires great peace of mind."

jrowley··on Turning a MacBook into a Touchscreen with $1 of Hardware (2018)
While not post-processing, often you can configure the exposure duration and frame rate which will make things feel more or less responsive.
jrowley··on Ask HN: How to deal with constantly getting cut off in work discussions?
I'm sorry you're experiencing that. I just wanted to push back and say that I don't think it is necessarily a regional thing, unique or more prevalent to the bay area necessarily.
jrowley··on Howto: Block Amazon and any site using Amazon Web Services
33.5 million IP addresses is no small drop in the bucket though!
jrowley··on Ask HN: What tools to grab slices of production?
I have this problem too and don’t have a good solution. One approach I’ve been thinking about doing is to just automatically deploy yesterday’s RDS snapshot to a dedicated test instance that rolls over every 24 hours and is replaced. It would dedicated for testing tricky migrations and support cases.
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