there are still some kinks, random crashes, and menu lag that haven't been fully ironed out.
456 karma · joined June 13, 2009
there are still some kinks, random crashes, and menu lag that haven't been fully ironed out.
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.
This becomes more true everyday: http://xkcd.com/548/
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!
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!
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'.
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...
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...
Medicine needs to send truthful messages about what can and can't be done.
I haven't read it, but looks interesting.
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.
... 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!
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.
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.
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.
(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.
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)
That said, I do love my 1080p projector hooked to my i7 xbmc computer :-)
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.
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.
probably the best self-help book I've ever read.. Teaches a lot about how to think.
moejoe16.geo@yahoo.com (this is my spambox that i only check when expecting email)