kdkirsch

Joined 15 years ago

Karma
141
Submissions
17
Member since
Apr 6
Physician living in San Francisco
View on Hacker News

Recent submissions

Comment · 2 months ago
What? Is there a logical explanation for this other than exactly that...a conservative attack because they got their snowflake feelings hurt by calling out their Daddy Donald's glaring and incontrovertible incompetence with a fairly clever call out?
Comment · 4 months ago
Comment · 9 months ago
So now being a nuisance is justification for summary extrajudicial executions?! If people on HN believe this then we’re toast.
Comment · 10 months ago
Seems like a trusted non-profit should spearhead a working group to come up with clear requirements and recommendations. This parental control spec would be clear for developers to implement instead of each team guessing what should and should not be allowed. This could then be 3rd party verified and parents could rest a little easier. (All of the above has probably been tried in previous instantiations of the Matrix.)
Comment · 2 years ago
I know there are a lot of petrolheads in this community. Enjoy the laugh.
Comment · 2 years ago
I really appreciated the deep insightful analysis wrapped in an excellent metaphor.
Comment · 3 years ago
When posting old pages/articles it may help if the OP explained why they are sharing on HN. Is there a particular question it answers? Is there some development that has made the article more or less useful/accurate? A comment would help guide additional comments.
Comment · 3 years ago
Comment · 4 years ago
Comment · 4 years ago
I’m a physician. I really appreciate Tom’s enthusiasm, but I think that enthusiasm led him to overestimate the significance of the problem. Moreover he didn’t really understand for whom he was building this product. At first he thought it would be a consumer product. But he realized that consumers would not pay/subscribe and later learned that advertising wouldn’t work. Next he thought doctors would pay because “Doctors have money, right?” Again paying for this or any service is an expense. Its value has to justify the expense. We pay hundreds of dollars a year for UpToDate because it’s valuable. Cochrane is the gold standard for meta-analyses and they’re publishing for topics that are of clinical significance. Ultimately I doubt anyone is going to change their practice based on this product because there isn’t a compelling reason to do so. My major observation is that Tom tried to make a healthcare startup with negligible understanding of healthcare: the players, how payments work, how physicians practice, and what patients want/need. By not understanding the environment you’re not going to be able to understand the Problem which means your Solution will probably fail. This is a mistake repeated by most of the engineer founded health startups I’ve read about. Finally for anyone wondering I usually recommend ibuprofen 800mg every 8 hours and Tylenol 1000mg every 8 hours. This isn’t medical advice, just something you may find from a quick search.
Comment · 4 years ago
There are already other resources which we (I’m an MD) already pay for and use to help make decisions when there is ambiguity about the best course of action. UpToDate was previously mentioned and it’s something we pay hundreds of dollars a year for (unless our hospital has a subscription). You’re not wrong about introducing these tools to medical students but the value needs to be there because it’s actually a very crowded space.
Comment · 5 years ago
Apple gets unreasonable flak for this. They have used 2 proprietary connectors over their entire mobile range since the first iPhone in 2007 (or iPod when the dock connector was introduced in 2003). Each Samsung or Nokia phone I owned until getting my first iPhone in 2010 used a different connector. USB-C sure looks like the future but by the same logic the EU could have force micro USB which was inferior to lightning and would have sucked.
Comment · 6 years ago
“ The show's name has no relation to the newest organization of the U.S. military...” Is this a joke? It’s more bothersome than the subpar legal analysis.
Comment · 6 years ago
Touché. I agree with you about user fatigue and have already changed news sites I check for this reason. Also it was very effective and rewarding demonstration for those of us who read to the end…of the article not the book.

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