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mv

456 karma · joined June 13, 2009

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mv··on Set Up a Raspberry Pi as a Personal Web Server
openelec and raspbmc work reasonably well on it.

there are still some kinks, random crashes, and menu lag that haven't been fully ironed out.

mv··on [dead]
Oh gosh. For every one of the 'miracles' of full recovery from brain death, there are thousands more about people being kept alive waiting for a miracle.

It disgusts me how okay people are with mechanical respirators, TPN feeds, and the like even when there is a <.01% chance of recovery. The family says 'do everything you can.' We don't want to pull the plug, we are playing God if we decide if someone lives or dies. Except we already are playing God. This is a person that left alone to God (sans medicine) would be dead! We simple can keep a brain dead person alive indefinitely and essentially take away their option for death.

As far as heart rate spiking when organ donation operations are performed? You do know this happens during normal operations. Pain medication is given not to help control your pain, but to help control this reflex. In a normal operation pain meds are technically necessary as when you are under the gas your body either doesn't experience or doesn't remember pain. The actual mechanism of action for anesthetic gas is not fully understood. My point is the pian medication is not given for the brain.

yes organ donation can be shady, but that doesn't necessitate boycott.

mv··on Amazon Unveils Kindle Paperwhite
Awesome. Free 3G wireless is back on a touch kindle! Hopefully the refresh rate is increased, browsing on the old keyboard kindle was cumbersome and slow... but it is still the best device to take traveling... MP3s, Books, and it is free to check email.

This becomes more true everyday: http://xkcd.com/548/

mv··on Wattvision: The Smart Energy Sensor
I really wanted one of these when they first came out, however, the arrogance of having locked down hardware really irked me...

iirc you had to pay something like $5/month after spending $250 for the sensor just to have access to the data! After spending $250 for it, I would have like to be able to write my own script to read the data off the device and not rely on their web service.... not having open access really turned me off...

This one is much cheaper : http://www.amazon.com/Black-Decker-EM100B-Energy-Monitor/dp/... and it occasionally can be had for a simple $25... sure it'd take some hacking to get the data to the computer, but avoids the insulting monthly fee!

mv··on Ask HN: Good iOS Tutorials?
This is as good as it gets: http://www.stanford.edu/class/cs193p/cgi-bin/drupal/
mv··on Graphic: Mexican drug cartels’ spreading influence
this is sad.... and also a result of a war on drugs. Decriminalization of drug use would actually allow people to get help without losing their job/life/everything. There is no reason for this senseless madness.

End the War on drugs. Portugal hasn't fallen apart because they decriminalized: https://www.google.com/search?sugexp=chrome,mod=5&source...

... Why should we be any different? Clearly empowering cartels and criminalizing addicts is a problem. Help the addicted!

mv··on When My Crazy Father Actually Lost His Mind
"We learned quite a bit about Power of Attorney and Medical Directives, as well."

this is important. I see too many people say 'do whatever you can' but they do not realize what they ask. The loss of the mind is terrible, but so also is the complete loss of the body. Combine the two and there is real (and expensive!) trouble with doctors 'doing everything they can'.

mv··on Justices Back Mayo Clinic Argument on Patents
Bullshit process? URL Pharma exploited a loop hole to do 'research' and a clinical trial on a drug that has been known for centuries to work (yes centuries, the plant it is based from has been used since roman times).... Doctors are angry because suddenly the poor patients without insurance could no longer afford medication they need. That research was worthless, proved what was already proven, and exploited a loophole in the FDA grandfathering process to make a company a risk free profit.

The price went from $0.09/pill to $4.85/pill overnight.

Oh, and an easy citation is wikipedia: http://en.wikipedia.org/wiki/Colchicine http://en.wikipedia.org/wiki/Colchicine#Marketing_exclusivit...

mv··on IBM Ad for SAGE, A Massive Cold War Air Defense System (1960)
Wow. It really makes you wonder what can be accomplished today!
mv··on Why Sex? To Keep Parasites at Bay, of Course
no that doesn't at all. Why not have any two humans mate to have offspring? there are 23 pairs of chromosomes and only 1 pair is sex determining. doesn't really make sense to have male/female especially since the 'male' physical characteristics are small enough to be present in a female also.
mv··on When Not To Quit: Man Revived After 96 Minutes
You misunderstand, it isn't selfish to want it for yourself, but it is selfish to keep someone else alive in a vegetative state. It is so easy to choose 'life' as the correct and right thing when in fact 'death' is the natural and moral thing. Society needs to think about their end of life plans. If your plan is to be fed through IVs, have a foley, breath through a machine, have a butt tube, and foley catheter in for the last 10 years of your life be my guest. Just please don't use any of my tax dollars for that! The sad thing is most people don't chose this for themselves, instead they have a stroke or suffer another handicap and while they are unable to make decisions (probably unable forever) the family chants 'do everything you can'! Medicine can do a lot, but mostly at the end of life it just prolongs misery.

I routinely ask patients their 'code status' and articles like this give them false hope and false belief. Instead of: "do you want us to do cpr if your heart stops and/or intubate" ... I should be saying, "do you want your last dying moment to have someone beating on your chest breaking all your ribs while another person shoves a tube down your throat as you get pumped full of drugs."

You will never forget the first time you push on ribs and feel the crunch, watching the half-dead eyes look up at you as they live their last moments, and wondering if they are feeling their veins burn with drugs being pumped in.

Never mind that the article makes it sound like resuscitation efforts are grand. They aren't at all. The statistics are dismal.

Oh ACLS drugs? Yea, they don't really work to well... even as far back as 1998.. there are newer studies showing that ACLS training is helpful, but the actual drugs make little to no difference. http://www.sciencedirect.com/science/article/pii/S0196064498...

Less than 18% (!) requiring resuscitation survive to discharge. http://www.nejm.org/doi/full/10.1056/NEJMoa0810245 http://www.sciencedirect.com/science/article/pii/S0300957203...

mv··on When Not To Quit: Man Revived After 96 Minutes
ugh. This is exactly what drives up the cost of medicine. People hear crap like this, and then come in demanding that 'everything be done' for their 95 yo grandmother in a coma in the ICU. Sadly technology can keep this type of person 'alive' for a very long time. Expensive, wasteful, selfish.

Medicine needs to send truthful messages about what can and can't be done.

mv··on Dear procrastinator
a quick search shows that it was republished: http://www.amazon.com/Self-Discipline-10-days-Thinking-Doing...

I haven't read it, but looks interesting.

mv··on Our security auditor is an idiot. How do I give him the information he wants?
Am I the only one who thinks the story is a little too perfect and ridiculous? It is much more likely that the author simply fabricated the story.

He did manage to start a very popular thread, and get a ton of people with really high rep to respond AND get a link on HN. He just threw out some bait, and the community swarmed like starving fish.

mv··on Depression, Burn Out and Writing Code
that is because doctors are trained to multiply drinks per day by at least 2 to get actual drinks a person is drinking a day.

... sad thing is for most people at the doctor's office this isn't unrealistic at all.. Oh and if they say 'one drink' make sure you ask how big!

mv··on Caring for Pets Left Behind by the Rapture
If you want to link it probably would have been better to use http://en.wikipedia.org/wiki/Rapture

Miller was a date setter, but not an advocate of the traditional fundamentalist 'rapture'. He was waiting for the second coming which would have been very public and would have taken the righteous up to heaven before Armageddon/judgement.

mv··on Has anyone noticed this before? HN: Best Of
All the articles listed there have been in the last few weeks. It would be nice to see an all time best of list.

Maybe look at the upvotes vs registered users at the time? That way an article way back with 100 upvotes would be able to compete with a current one with 500.

mv··on Wattvision (YC W09) setup
I'm confused. So I have to pay $249 for a sensor, then pay $9/month to have any real access to the data? Biggest ripoff ever.

I know HN is all about monthly billing, but it seems like these guys are really reaching on this product. The amount of 'work' this company is doing for that $9/month plan is almost nill.

mv··on Sleep is more important than food
you must 'match' into a specialty. If you do not have a good rank or board scores you can only match into the 'lower' residencies like family or psych
mv··on Sleep is more important than food
I am a 3rd year in medical school, and firmly believe that sleep deprivation is a terrible weeding process. If a doctor is sleep deprived I do not want them touching me with a ten foot pole. They make enough mistakes as it is! Sure you argue that they limit work hours, but I can tell you first hand that these limits are only paid lip service to, and I routinely see residents work 80+ (sometimes 90+) hours a week. Oh and the max shift is 16 hours now so calculate out how you get to 80+ hours. You can't report your program because they will lose accreditation and you'd have to go somewhere else to get this scam of being 'board certified', and you can't really threaten because your program can find a reason to dispose of you. real big catch-22.

(just for kicks, if you worked 10hour days for 7 days a week that is only 70 hour work week... doctors work at least 12 hour days, and usually 16 hour days to get to the full 80 hours!)

Oh and as far as weeding out?

Most 'weeding' out happens first and second year of medical school. In my class alone about 10% of the class failed first year exams, and they were forced to repeat or retake the whole year. (which SUCKS when you just paid $37,000 for a year of school that meant nothing). Then Second year weeding happens again with STEP1 licensing exam:

"Overall pass rates for first time USMLE Step 1 test takers are: 92% for U.S. M.D. medical school graduates, 81% for U.S. D.O. osteopathic medical school graduates, and 73% for international medical school graduates" http://en.wikipedia.org/wiki/United_States_Medical_Licensing...

Fail a year or a board exams? You pretty much can only be a psychiatrist or family doctor with little or no hope of every specializing.

mv··on Natalie Portman - Scientist
it is awesome that people differ. Everyone has advantages and disadvantages but people aren't equal. Some people will have lots of advantages with minimal disadvantages, and yet others will have the opposite. I don't understand why people like to deny this.
mv··on Natalie Portman - Scientist
Do not say 'backed up by medical knowledge' unless you plan on citing sources.

I don't have much time right now, but I did find a good starting point: http://www.ajcn.org/content/53/6/1561S.abstract "In this regard, the proneness to store energy primarily as fat or as lean tissue is a major determinant of the response to a caloric surplus."

Also: http://www.nature.com/oby/journal/v8/n7/abs/oby200063a.html Talks about insulin secretion being different between races even after accounting for other factors.

gasp we all aren't created equal! We all don't have the same benefits. Some people are born disadvantaged and must work for things!

And to the comment a few levels up, my ~3,500kcal diet would make some people obese even after accounting for my activity levels! 1 kcal for you is not the same as 1 kcal for me, bodies differ in conversion, storage, and utilization.

I have a hard time understanding why people don't like admitting that just as we differ on the outside (beauty, fitness) we are also different on the inside (metabolism, disease susceptibility)

mv··on Natalie Portman - Scientist
What I find odd is that most people want to believe everyone is born equal. They want to believe this so badly they ignore any evidence to the contrary. For example, I can eat anything and won't gain weight, yet someone else is morbidly obese on the same diet. I can glance at something once and memorize it easily whereas else may have to spend hours and hours. We are not born equal, BUT we can improve ourselves.
mv··on Can cable block the Google TV revolution?
this statement is why I love HN, and it is also the reason why I take most business feasibility ideas given here with a grain of salt. The intelligence and community here breeds people that become so disconnected with how the other 99% of people work/think that they fail to see how a normal person would have NO idea how to even go about setting up a PC to watch TV on a projector.

That said, I do love my 1080p projector hooked to my i7 xbmc computer :-)

mv··on $3 million machine learning prize
"training dataset includes several thousand anonymized patients and will be made available"

That seems like an awfully small dataset. It also doesn't look like it is limited to one disease which would make the search space enormous especially if all the patients didn't have the same labs drawn!

If it was completely standardized data several thousand may be sufficient to train, but I think they are looking for something more 'magic' than that.

mv··on 100 Naked Citizens: 100 Leaked Body Scans
heh, this 'leak' probably was on purpose and from a machine that is so old/blocky/pixilated to make the public see this as a non-issue. The images leaked look NOTHING like the ones at http://dontscan.us/ .... If the general public see this as what is being fought against, they'll probably think it isn't even worth a fight.

Nevermind that this is proof that the government broke a promise to never store/transit the information from these machines. That won't raise enough of a fuss because people are used to being lied to. That and we have a bunch of spineless politicians backed by spineless scared populace who would trade every liberty for just a little more 'security'.

Nothing makes me more angry than people who don't want to be responsible for their own actions.

mv··on Ask HN: Side Projects Gone Big
I'm no expert, but it seems unintuitive to have to click 'course notifier' and then 'getting started' to actually get signed up. There should be a 'Start watching courses now' link on the homepage... Most people that go to that sight probably already know what it does and are just looking to sign-up.
mv··on [dead]
and pay you $0.99 for the privilege? No thanks.
mv··on What are you reading?
Psycho-Cybernetics http://www.amazon.com/Psycho-Cybernetics-New-More-Living-Lif...

probably the best self-help book I've ever read.. Teaches a lot about how to think.

mv··on Ask HN: What are you working on?
I have been learning Python by implementing genetic algorithms.. Anyone else interested in machine learning? I'd love having someone to shoot ideas with. I'm in medical school so most of my friends don't know too much about programming.

moejoe16.geo@yahoo.com (this is my spambox that i only check when expecting email)

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