esoleyman

5 ms·

1.
by esoleyman 11mo ago
I have been in the informatics space for some time and none of these ML generated sepsis alerts are helpful in the ED. We can readily tell who has sepsis when confronted with patient appearance, vital signs, and workup. The issue is trying
2.
by esoleyman 1y ago
https://pmc.ncbi.nlm.nih.gov/articles/PMC10121120/ The study performed by AHRQ used incorrect methodologies and datasets to extrapolate its findings. The ED is far more accurate with a much lower error rate than t
3.
by esoleyman 1y ago
There’s a thread about how emergency physicians are paid. It varies from group to group: Physicians can be salaried and receive benefits from their group or hospital Physicians can be 100% productivity based meaning that they will only get
4.
by esoleyman 1y ago
The ED is specifically attuned to these presentations but the sepsis alerts and algorithms in place are horrendous and will fire off even for this with viral illnesses and syndromes. Sepsis alerts are meant to find bacteremia in patients wh
5.
by esoleyman 2y ago
How else would you like for Mozilla and Firefox to diversify their revenue and remain relevant? You can’t complain about them advertising their own services while still producing a leading browser.
6.
by esoleyman 2y ago
You can't automate it. You have to look at the data and charts to figure out the specifics you want and then you plug and chug. I haven't looked deeply at this though but whenever researchers use relative risk and it shows a prof
7.
by esoleyman 2y ago
I don’t like relative risk and relative risk reduction because it tends to overestimate the effectiveness of the intervention. In this case, the absolute risk when measuring for death in the GIM pre-intervention and GIM post-intervention ar
8.
by esoleyman 3y ago
Doctors are paid by the patients that they treat. As an emergency physician, I treat 20-25 patients per shift on average and I am paid by approximately half of them due to not having insurance or money to pay for my services. I am paid roug
9.
by esoleyman 3y ago
Your complaint should be directed towards the hospitals, for-profit insurance companies, and others who profit massively on the backs of patients. My "industry" is only myself as I am beholden to my patients. I work and am paid by
10.
by esoleyman 3y ago
You may be right about the work hours. I possibly mis-remembered an article from several years ago when they compared income and work hours.
11.
by esoleyman 3y ago
It’s inappropriate to link once dissatisfaction with one’s income. There are multiple reasons why US doctors are unhappy about their profession. I’m not sure where you get being oppressed as being the titular complaint. I was an engineer be
12.
by esoleyman 3y ago
They do to a degree but most of the money comes from the government to subsidize costs. I’m not privy to the amount or percentage but they do cry about it when the residency union (CIR) asks for inflation adjusted salary increases.
13.
by esoleyman 3y ago
Are you seriously asking residents to subsidize their own training working 60-80 hours a week [1] and being paid maybe $20-25/hr for 3-7 years while the hospitals make money from their services? If that were the case, then the only one
14.
by esoleyman 3y ago
Martin Makary’s study and the previous IOM one are based on faulty statistics used. The number is extrapolated from a small population to a larger one. I haven’t paid it any attention because of this problem. GIGO. https://www.sc
15.
by esoleyman 3y ago
Give me a few minutes and I can pull up any number of medical studies or references to back up my claims. I don’t have them memorized to the actual URL but I have kept up to date with the latest studies and summaries that pertain to my fiel