joshgel

This is definitely a part of standard follow up for small findings and part of the guidance for incidentally detected lung nodules smaller than <8mm.

I think mammography is a great example. Many people are quite surprised to hear that the Positive Predictive Value of a screening mammography is only in 10-15% range. This despite mammography being a pretty sensitive test. This is because despite good test performance characteristics, applied across a large population of relatively health people, the 2-5% false positive rate is a large number of people.

I love the line on the landing page with a link back to hn:

> That must be worst website ever made.

the level of confidence (this is a second time founder after all) to put that on their website gives me confidence that they can make this work

very rare diseases may be an exception, especially in known geographic locations. that can become identifiable (and is governed by HIPAA in the US)

I threw this into ChatGPT and got a lot of the way there in one shot. Then had to go back and add in some stuff like the wordle answer and captchas…

Ya, internist here.

For some context, the USMLE is taken during medical school. The amount I have learned about actually practicing medicine since graduating is probably an order of magnitude more than everything I learned in medical school! I still learn stuff, all the time, and I’m not just talking about new research.

So, while impressive and clearly part of the future world, we shouldn’t get too far ahead of ourselves with the current models.

Edit: oh I should add that there are more clinically relevant exams that would be more likely to reveal d clinical usefulness, for example “board” exams. These are taken after training, usually before practice. Not knocking LLMs, just ensuring that people don’t misunderstand passing the USMLE as being clinically useful.

I’m curious what problems you’ve applied this to. Would love to chat if you are open. (My email is in my profile)

> You have to hope your hospital uses CPT codes and not, say, DRG coding, or something else entirely, otherwise you'll need to look up those codes too.

This is a bit of a misunderstanding. CPT codes are part of professional services billing, while DRGs are exclusively for inpatient acute care billing. If you are admitted to a hospital, you’ll probably have to deal with both.

Err it’s more that tick-borne diseases cause anemia.

There are lots of things that cause anemia! And someone with unexplained anemia deserves a complete work up (especially with hemoglobin levels in the 4-5 range), including for tick-borne illnesses, especially if they have been in an endemic area. But lots of other things worth checking too, many more dangerous than tick-borne illnesses.

Just want to point out that Atrial Fibrillation and Atrial Flutter are (usually) very benign, chronic conditions. Many people have for years without symptoms.

Ventricular fibrillation, ventricular tachycardia and torsades are acutely deadly. You have seconds to minutes to get a normal rhythm back.

The charts colors made me feel like they were implying a-fib was the worst rhythm listed. (Though they list the severity in the descriptions in small text)

Looking for a Senior/Lead full stack engineer

SmarterDx | Competitive salary + equity + benefits | NYC or Remote | Full-time | Experience: 3+ years

## Why SmarterDx

1. *We solve an important problem.* The cost of transactions for healthcare in the U.S. exceeds $350B a year. That’s not the cost of care; that’s not what is paid to doctors or nurses; that is just the friction of collecting payments from insurance companies (so not a cent of that provides value to patients)! SmarterDx improves this process and ensures payments are more accurate. 2. *We have real traction.* Our product directly ties to customer revenue. As a result, our founding team was able to grow the business to over $1M in contracted revenue without raising. But we believe we can 10X that in the next 1.5 years and have raised $5.7M from Floodgate, a top-tier SV fund, and Flare Capital, a top-tier Healthcare fund, to drive that growth. 3. *We are a close-knit team that cares about your growth.* All three founders are technical (two are physicians who code, and the third led quant engineering at a global investment bank). We select for mission-oriented teammates who are deeply thoughtful while being biased towards action; and who can disagree with others (a side effect of having novel viewpoints) while being genuinely nice and respectful. In return, we will do our best to help you grow your career and achieve a great personal outcome.

## About the role

We are looking to hire a *Senior or Principal Full Stack Engineer* to join our small but growing team. As an early employee, you’ll have an opportunity to work with awesome people (like an ex Apache board member!) and your work will influence all aspects of the product and business. You will also help shape our core engineering culture and grow the team.

As such, you'll have to be willing to get your hands dirty with (and learn) everything across the stack: healthcare data, APIs, frontend, backend, data engineering, algorithms, analytics, bug reporting, etc. (but the codebase is still small and we will do our best to give you time to dive deeply into specific areas).

## Our stack

- React & GraphQL - NextJS & Python - AWS

Interested? Please send your resume to hiring (at) smarterdx.com

It's really amazing to see travel nurses come back to work at a place they just left. They are now doing the same job as before, are getting paid almost twice as much with better schedules and are working next to people that they know and are friends with.

It's honestly surprising that more haven't taken the jump and is really shocking that hospitals aren't doing more to retain critical staff.

“JAFFA, March 10 (Reuters) - Israel’s parliament on Thursday passed a law denying naturalization to Palestinians from the occupied West Bank or Gaza married to Israeli citizens, forcing thousands of Palestinian families to either emigrate or live apart.”

Abhorrent but not about preventing marriages, at least not directly

I've thought about building an API that integrates Twillo with the HN API. Lots of planes/airlines have free messaging wifi, but not free wifi. But, if you could text a number and get the top n stories, then read the comments and perhaps the text of the stories (?) would be pretty nice way to pass some time. Alas I haven't done it yet...