bearsnowstorm

13 ms·

1.
by bearsnowstorm 11mo ago
For circumstances like this I create a VM with a version of MacOS that the app works with, and keep it on life support that way (doing this at the moment for Finale, music notation software that works well with Piano Marvel and thus gamifie
2.
by bearsnowstorm 1y ago
Similar program in Melbourne [1] https://sjtrem.biomedcentral.com/articles/10.1186/s13049-023... (There are similar programs around the world with different models of care, notably in Paris, Albuquerque, the Nethe
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by bearsnowstorm 2y ago
I had this question and needed this answer - thank you
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by bearsnowstorm 2y ago
A counterpoint on focused ultrasound for essential tremor - just because you don’t penetrate the brain with a physical object doesn’t mean you don’t have side effects - as usual, benefits come with risks https://jamanetwork.com&#
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by bearsnowstorm 3y ago
I own the 1st gen of the Butterfly - in my opinion, it wasn't great image-wise compared with the contemporary conventional crystal based probes (thinking of cart-based machines with less flexible, more expensive probes etc so perhaps a
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by bearsnowstorm 3y ago
Read this on mobile and the identifier longWindedNameThatYouCantReallyReadBTWProgrammersDoThatALotToo overflowed into the margins - I regard this not as a bug but a feature which helped make the author’s point :-)
7.
by bearsnowstorm 3y ago
Not quite the same but when we were rebuilding during COVID we knew we wanted two good WFH spaces but really only had room for one (tiny) office - as our second we built a shelf in our bedroom wardrobe that lifts up to reveal a work surface
8.
by bearsnowstorm 3y ago
I'm a doctor (ICU) who also does some IT stuff for work (nothing complex, mainly writing small web apps). I really enjoy writing stuff where you know the requirements, make all the decisions, write the code and maintain it. However, do
9.
by bearsnowstorm 4y ago
A 27 or 30G insulin needle with some lidocaine (still often called lignocaine here in Australia ) is a nice addition to this procedure. I rarely omit it unless the patient is unconscious. If you inject the local anaesthetic under real time
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by bearsnowstorm 4y ago
For really small kids we tend to use a transilluminator rather than ultrasound for peripheral IVs (though it doesn’t tell you the depth like ultrasound does). For CVCs or bigger people, ultrasound is often very useful. Like all things, expe
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by bearsnowstorm 5y ago
The documentary The Crash Reel is about a snowboarder who gets a traumatic brain injury, but the comments of one of his brothers (who has Down’s syndrome) on his life and on his family form part of it - really interesting to watch
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by bearsnowstorm 5y ago
I also wonder how much it might heat up the brain? And whether that would be a problem for sustained use? (In practice this heating effect is occasionally limiting for some other forms of ultrasound (e.g. TEE) requiring you to take a break
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by bearsnowstorm 6y ago
What other tools did the hospital open source this year?
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by bearsnowstorm 6y ago
In my experience the commonest current mainstream use of this is for Sezary Syndrome / mycosis fungoides (cutaneous T-cell lymphoma). See for example: https://my.clevelandclinic.org/health/articles/8493-mycosi
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by bearsnowstorm 7y ago
As others have commented above, reducing the rate of spread (social distancing and hygiene, and convincing others to do likewise) so that this is a more smeared out event with a lower peak need for equipment and staff is the most important
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by bearsnowstorm 7y ago
Agree. I'd add that my comment above about exhalation being passive is true in adult ICU practice. In high frequency oscillatory ventilation (HFOV) exhalation is active (a piston actively creates a negative pressure in the breathing ci
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by bearsnowstorm 7y ago
Actually exhalation is passive, not active, in modern day ICU ventilation.
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by bearsnowstorm 7y ago
- COVID-19 seems to be mainly hypoxic respiratory failure, not hypercapnic respiratory failure - NIV (Non invasive ventilation, CPAP is essentially a form of this) doesn't typically perform well (on a patient outcomes, mortality basis)
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by bearsnowstorm 7y ago
I’m going to wait on this until at least a few months have elapsed and the reviews / forums indicate the keyboard is fine.
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by bearsnowstorm 9y ago
I'm sure I'm not their biggest customer, but I have bought in the hundreds of dollars worth of books each year from O'Reilly for the last few, consumed as DRM free PDFs. Definitely going to re-evaluate that. When I want to bu
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by bearsnowstorm 9y ago
As an intensive care specialist (what would be called an attending in the US) I find it best to control my emotional response to my job. Also, empathy is probably not as wise as compassion in this context, from a career longevity point of v
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by bearsnowstorm 10y ago
I'm a doctor who is qualified in echocardiography and other ultrasound techniques, teaches ultrasound to other doctors, and who uses machines from multiple manufacturers regularly. I've also been computer programming, and generall