cfu28

7 ms·

1.
by cfu28 6mo ago
I played around with it to build a little "intro to python" walkthrough on my blog a while back. It worked surprisingly well! I had a little trouble giving users the ability to ctrl-c if they accidentally wrote an infinite loop t
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by cfu28 7mo ago
Case studies are used in medical decision making only when there is no better form of evidence available, or there is a gap in current evidence. It is not the first place to look
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by cfu28 7mo ago
I think this is a misconception. The reason this phrase is so commonplace is because doctors, and particularly medical students, often consider esoteric disease they learn about in medical school and in part of their training. If doctors ar
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by cfu28 10mo ago
I know nothing about what happened in your fathers case, if it is exactly what you mentioned it sounds a little inappropriate but I’m wondering if something is lost in translation. You do mention he was admitted a few times to the hospital
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by cfu28 11mo ago
Sure tracking exists, but doctors do not hold back for a patient in comfort care in the inpatient setting, where a patient and their doctor are now optimizing for comfort not quantity of life.
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by cfu28 1y ago
Yes, really. I’ve had to restart my Citrix session to make it go away or dismiss it like the writer did. You’ll get something like “sepsis criteria triggered by wbc 13, cr 1.5, hr 101, rr 22.” And that’s it - usually in the middle of a nigh
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by cfu28 1y ago
Most sepsis alert implementations ironically do block review of the data to see if the sepsis is real, what triggered the alert, and what treatments are appropriate. Part of the sepsis recommendations always proposed by the EMR is to give l
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by cfu28 1y ago
Have you been on the other side of this? I get dozens of sepsis alerts a day, usually on the same patient, and the criteria that triggers them is so broad and non specific they are functionally useless. Each alert locks down the entire syst
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by cfu28 1y ago
Obviously not every moment of every hour in a residents day is deep clinical thinking with high cognitive load, but we’re definitely not “zoning out” when making medical decisions. Patient statuses change very quickly and very often in the
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by cfu28 1y ago
I feel like I keep running into your comments on HN. There are dozens of us!
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by cfu28 1y ago
I struggled with this landscape a few years ago when building Mere Medical to manage my own medical records. To be fair, I was aiming for not just offline-first, but offline-only (user data was exclusively stored on device, not in any serve
12.
by cfu28 1y ago
While true, this is slightly overblown. I work at a liver transplant center where we treat patients with end stage liver disease and Tylenol is often the safest choice given these patients comorbidities. Granted, they’re getting their liver
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by cfu28 1y ago
I guess I’m confused, A1c is a measurement used for diabetes, not fatty liver/nafld. Can absolutely be correlated with diabetes and elevated A1c but those are two independent things we seem to be talking about
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by cfu28 1y ago
I mean, it is well known that A1c has a 3 month (usually) lag time assuming no hemolytic states. Could have been just caught early depending on what you mean by sugar test
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by cfu28 2y ago
Can't speak for them, but its not super common so they're isn't going to be one answer that represents all doctors in this niche. For me: Got CS degree in undergrad, worked as a SWE full time for for 2 years, did OSS and some
16.
by cfu28 2y ago
Yes, that’s why in the medical field we often discuss the sensitivity/specificity/PPV/NPV of these types of tests, and how to interpret them
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by cfu28 2y ago
Ha, I did something similar as a joke with https://aisiteoftheday.foureighteen.dev . Wondering if you did anything special for accessibility and contrast? I found in my examples gpt-4o struggles to generate good text contrast wit
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by cfu28 2y ago
Guessing you’re building off of US Core patient facing API’s for this use case? That’s what I ended up doing for www.meremedical.co
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by cfu28 2y ago
You can build directly with patient facing API’s (USCDI) directly with a patient’s EMR if you’re working with patient data/ building a patient app.
20.
by cfu28 2y ago
They’re not organ specific, they’re disease specific. Despite all being called cancer, they’re not really the same disease and each variant might express different targets or react differently to the same treatment.
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by cfu28 2y ago
80 hours a week, averaged over a month. So individual weeks can still easily go over to 100+
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by cfu28 2y ago
In the US, there is a cap for residents: 80hrs per week, but averaged over a 4 week period so individual weeks can go over
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by cfu28 3y ago
Re: the lack of a standard privacy policy, its a shame that the Model Privacy Notice (MPN) never really took off as a simple, easy to read, privacy policy standard for health apps. https://www.healthit.gov/sites/default
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by cfu28 3y ago
Probably as part of the meaningful use policy in the US. Early adaptors were initially incentivized to move to EMRs off paper charts. Today the incentive no longer exists. Instead theres a penalty in the form of reduced Medicare/medica
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by cfu28 3y ago
Awesome progress, and incredible how much you’ve been able to do in the past year!
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by cfu28 3y ago
You’re required to do 2 semesters of physics in undergrad to apply for US medical school
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by cfu28 3y ago
I mean, it’s called a operating theater for a reason
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by cfu28 3y ago
That’s residency, which is after medical school.
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by cfu28 3y ago
It depends per school, but 4th year students usually fill their own schedules with electives and rotations. You can definitely fill it in a way to make it as intense for the first three years, but it would likely cause students to start bur
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Getting Under the Hood – How Does the Medical Residency Match Work? (2020)(thesheriffofsodium.com)
1 points by cfu28 3y ago|0 comments

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