travisp

Joined 17 years ago

Karma
1,504
Submissions
466
Member since
Sep 1
Former Director of Web Development. Web Entrepreneur, Consultant, Developer, and former Biologist.

blog: http://travispew.com

You can reach me on Twitter at @travispew or by emailing me at travis@ my blog's domain above. And now also on mastodon at https://mastodon.social/@travispew

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Recent submissions

Comment · 1 year ago
It seems very likely that it's possible to force people into lucid dreaming. However, it seems that any external methods rely on external cues during REM sleep and I'd worry that in doing so you might be subtly reducing quality of REM sleep.
Comment · 2 years ago
Yes, rickets and osteomalacia (when caused by vitamin d deficiency) are both treatable with vitamin d. Randomized controlled trials clearly show this, unlike the vitamin d trials for most other things that people are pushing vitamin d for.

Everyone should probably have their blood level of vitamin d tested. Most people are not going to see dramatic changes to health from vitamin d supplementation.

Comment · 2 years ago
Yet nearly every controlled trial supplementing Vitamin D has limited or no effect, except maybe in the most deficient people. Many many trials have been conducted. Vitamin D advocates always have an excuse — it’s too little vitamin D; no, actually you also have to add Vitamin K2; etc

Part of the problem of all the observational trials looking at vitamin d is that low vitamin d is a biomarker for being less healthy. People who are ill spend less time outdoors. People who spend more time outdoors are already healthier and are also getting other benefits from their outdoor activities.

You can try to control for all of these things, but every time we actually try to test what happens if you give people Vitamin D, we find almost no benefit.

Comment · 3 years ago
Methotrexate is standard of care, considered “strongly recommended” over hydroxychloroquine (source: https://onlinelibrary.wiley.com/doi/epdf/10.1002/acr.24596 ) for rheumatoid arthritis. If I read the paper right, hydroxychloroquine may be favored in “low disease” states.

So I would certainly expect some sort of difference in patient population. It would suggest those initiated on hydroxychloroquine would normally have less severe rheumatoid arthritis (or have some other difference that their doctor would choose to not use methotrexate by default), although I don’t know if that’s the case in reality.

Comment · 5 years ago
Yes, my wife is an emergency medicine doctor. She frequently ends up wearing her mask in the car and other places where it’s unnecessary until I remind her she’s wearing it.
Comment · 5 years ago
You're asking me to comment on the entire theory, I think. I'm only commenting on the value of an unseen intelligence report of unknown source. None of what you've said increases the validity of this report.

Everyone commenting on this post is acting immediately as if this report is 100% true, but the reality is that we know very little about the report.

Comment · 5 years ago
Comment · 5 years ago
Comment · 5 years ago
> And the decline has not been because of a lack of testing. Since late September, 1.3 million specimens have been tested for influenza, more than the average of about one million in the same period in recent years.

Source: https://www.nytimes.com/interactive/2021/04/22/science/flu-s...

My wife is also an ER doctor and agrees that there were times that they didn't perform many/any flu tests--mostly in the spring of 2020 and after none of the flu tests were returning positive for a while. But this past winter people have definitely been tested for the flu. Rapid influenza tests are also usually performed first, only sending to labs when confirmatory testing is desired.

Comment · 5 years ago
This is just wrong. Vastly more tests were done for the flu during the covid pandemic than have ever been done.
Comment · 5 years ago
I too rarely got sick for years, even with international travel. Until I had kids, which I notice you don't mention anywhere in your comment.
Comment · 5 years ago
Comment · 5 years ago
"Physician and clinical services" includes far more than pay for US doctors -- it's the entire costs for "services provided in establishments operated by Doctors of Medicine (M.D.) and Doctors of Osteopathy (D.O.), outpatient care centers, plus the portion of medical laboratories services that are billed independently by the laboratories". Doctors do not get even close to all of that money paid to them.

> In fact, physicians represent about 15% - 16% of the top 1% of income earners in the US.

This may be accurate, I'm unsure, but it wouldn't change that if US doctors were paid the same as their European counterparts, it would not make a truly significant change in overall US medical spending (this would even be true if doctors did actually make up 20% of medical expenditures, like you assert earlier).

Comment · 5 years ago
It's true that US doctors are paid more (although the gap isn't as big as it used to be). However, pay for US doctors makes up a fairly small portion of overall US medical expenditures (less than 10%). So, you could ask every doctor to work for free and not significantly change costs.

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