Recent submissions

Comment · 2 years ago
Any context in which it is being used as a scrubber would be one where the people designing it would 100% be aware of this.
Comment · 2 years ago
At the time the estate tax is being considered isn't that usually down to a single surviving individual? I imagine it's uncommon for a couple to die at once to qualify for the 27m exemption.
Comment · 2 years ago
> Is that giardiasis treatment, or just let's kill everything and hope for the best? Glad it worked out for him.

The second one.

Comment · 2 years ago
There is probably a distinction to be made between

"here is the theoretical limit given adherence to modern recommendations on cardiovascular health, exercise, etc."

and

"you all didn't listen and got fat instead"

Comment · 2 years ago
I have expertise in both. I think the difference is that when moving from the highly rigid world of medicine into tech, I expected the varied level of skill and knowledge that exists. It just throws you off seeing people in tech with no background in medicine talk about medicine like they know it.

Most of my closest friends are docs. A couple of times at a brewery I've had them read some braindead takes from here for laughs. The people here making wild comments on the architecture of o1 or whatever don't get the same reaction from the crowd.

Comment · 2 years ago
> They love to misdiagnose hypothyroid or diabetes so they can begin destroying your endocrines

Im sorry but as a doctor this made me crack up. I don't know what it is about HN that makes people jump into every medical thread and say really absurd things. Skipping screening tests isn't one-upping your PCP. You just get to play harder with specialty when stuff starts to break. Good luck buddy.

Comment · 2 years ago
Modern civilized countries pay for healthcare with taxes. That costs everyone more with his decisions.
Comment · 2 years ago
Maybe not a diagnosis, but dependent on history if my patient is throwing repeatable >200 systolic that's probably not one I'm going to just sit on waiting for repeat measurements.
Comment · 2 years ago
Doctors recognize that non-invasive BP measurement is an imperfect screening tool. Anybody worth their salt isn't getting worked up about these level of details, because it's largely a waste of time and effort. The solution to an error prone screening tool is not to repeatedly use the screening tool. You move on to more accurate and focused methods of testing.
Comment · 2 years ago
> are the studies always really done with far more accurate blood pressure readings, where the patient sits still for 5 min beforehand, keeps their legs uncrossed, is totally free of stress and anxiety, didn't exercise beforehand, etc.?

In situations where blood pressure really matters, we aren't playing around with the cuff and hand positioning. The patient gets an art line.

Comment · 2 years ago
You probably will not find a worthwhile project outside of your area of expertise. The market for "a guy who can code built a software for your industry" is pretty saturated now.

Unless you can split hairs on why specific products don't appeal to people in a given niche/industry, at the technical level that the users care about, you probably won't find much success.

In my personal experience I come from the medical side of things. The amount of garbage software written by people who know nothing about how we work is obnoxious. They all advertise themselves as the "next generation, streamlined, efficiency boosting" magic pill for us, but it's about as convincing as your 5 year old telling you they can do your taxes.

So my advice is find something to do in an area of expertise you already have.

Comment · 2 years ago
If you do have a deep interest in this it would probably help to learn immunology on a more detailed level. My suspicion is that articles like the one you linked feel unsatisfactory because they say things like this

> But if our immunity is “restructured” in some way every few months, we would again expect all viral infections to peak at the same time

It is clear the author doesn't have a good understanding of basic immunology.

Much of the mystique falls away when you understand concepts such as adaptive immunity (how it develops and is retained), antigenic drift, environmental conditions (on the host) that improve transmission, etc.

Comment · 2 years ago
As expected, instead of a cogent argument for why you believe what you do, you simply deliver a rambling stream of anger and emotion.

Fundamentally, COVID public health recommendations revolved around minimizing transmission and preservation of medical resources while awaiting development of treatment options. No amount of ranting about being forced to sit in your house, other people being mean to you, or political gamesmanship changes that. No amount of complaining about imperfect solutions like masking or distancing detract from the overall validity of why they were recommended.

As a doctor I have had to have this kind of talk with people over and over. The underlying biology cares zero for your schedule or convenience in life. Given how noncompliance is a constant problem on an individual healthcare level, it's not surprising that we ended up with millions of people just like you who can't follow simple instructions and formed communities in support of their collective failure to do so.

Comment · 2 years ago
> we still absolutely ridicule people who’d believe in most of the nonsense so that keeps it down

I think that's a major source of the problem here in the US. We have gotten away from outright calling stupid people stupid. The morons spouting the conspiracy theories, the emotionally charged stories, and the anti-intellectual nonsense do not deserve time or consideration. Yet we continue to be sensitive to their screeching about censorship and bias. Let them screech all they want. Their opinions don't matter.

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