joshgel

7 ms·

1.
by joshgel 3mo ago
This is definitely a part of standard follow up for small findings and part of the guidance for incidentally detected lung nodules smaller than <8mm. I think mammography is a great example. Many people are quite surprised to hear that th
2.
by joshgel 5mo ago
I love the line on the landing page with a link back to hn: > That must be worst website ever made. the level of confidence (this is a second time founder after all) to put that on their website gives me confidence that they can make thi
3.
by joshgel 3y ago
very rare diseases may be an exception, especially in known geographic locations. that can become identifiable (and is governed by HIPAA in the US)
4.
Why you should join SmarterDx(whyyoushouldjoin.substack.com)
1 points by joshgel 3y ago|0 comments
5.
by joshgel 3y ago
I threw this into ChatGPT and got a lot of the way there in one shot. Then had to go back and add in some stuff like the wordle answer and captchas…
6.
by joshgel 3y ago
Ya, internist here. For some context, the USMLE is taken during medical school. The amount I have learned about actually practicing medicine since graduating is probably an order of magnitude more than everything I learned in medical scho
7.
by joshgel 4y ago
I’m curious what problems you’ve applied this to. Would love to chat if you are open. (My email is in my profile)
8.
Amazon Purchasing OneMedical for $3.9B(techcrunch.com)
5 points by joshgel 4y ago|0 comments
9.
by joshgel 4y ago
> You have to hope your hospital uses CPT codes and not, say, DRG coding, or something else entirely, otherwise you'll need to look up those codes too. This is a bit of a misunderstanding. CPT codes are part of professional services
10.
by joshgel 4y ago
Err it’s more that tick-borne diseases cause anemia. There are lots of things that cause anemia! And someone with unexplained anemia deserves a complete work up (especially with hemoglobin levels in the 4-5 range), including for tick-borne
11.
by joshgel 4y ago
Just want to point out that Atrial Fibrillation and Atrial Flutter are (usually) very benign, chronic conditions. Many people have for years without symptoms. Ventricular fibrillation, ventricular tachycardia and torsades are acutely deadly
12.
by joshgel 4y ago
Looking for a Senior/Lead full stack engineer SmarterDx | Competitive salary + equity + benefits | NYC or Remote | Full-time | Experience: 3+ years ## Why SmarterDx 1. *We solve an important problem.* The cost of transactions for hea
13.
by joshgel 4y ago
It's really amazing to see travel nurses come back to work at a place they just left. They are now doing the same job as before, are getting paid almost twice as much with better schedules and are working next to people that they know
14.
by joshgel 5y ago
“JAFFA, March 10 (Reuters) - Israel’s parliament on Thursday passed a law denying naturalization to Palestinians from the occupied West Bank or Gaza married to Israeli citizens, forcing thousands of Palestinian families to either emigrate o
15.
by joshgel 5y ago
I've thought about building an API that integrates Twillo with the HN API. Lots of planes/airlines have free messaging wifi, but not free wifi. But, if you could text a number and get the top n stories, then read the comments and
16.
by joshgel 5y ago
Isn’t the fact that they got cut in half (and other examples, peloton for example) evidence that this isn’t a bubble. There are companies that are exploding in value, yes, but also companies just getting crushed left and right. If you’re gr
17.
by joshgel 5y ago
Sorry that happened to your aunt. Doctors aren’t reimbursed for prescribing medications directly (except chemotherapy infusions). Was the physician selling the medication directly? That’s not commonplace. Clinicians may financially benefit
18.
by joshgel 5y ago
Like cigarettes? I have no sense of whether FB is physically addictive like smoking. But, if a company directly contributes to decline in civil discourse and harms democracy, and thereby harms the users, then isn't it a government ro
19.
by joshgel 5y ago
Not GP, but anecdotally know that there are way more respiratory viruses now (summer in the US) than usual. For data, you might look at RSV trends compared to usual. (Usual is winter spike). https://www.cdc.gov/surveillance&
20.
by joshgel 5y ago
Don’t they just both correlate with socio economic status? Can’t read actual methods to check if this was adjusted for…
21.
by joshgel 5y ago
I’ve been trying to decide whether to move a Django-DRF API to one of these.
22.
by joshgel 5y ago
yes! I'd probably argue that a majority (or at least significant plurality) of acute care (hospital care) in the US is the direct result of the failure of social services. I include in this mental health issues directly resulting in po
23.
by joshgel 5y ago
It’s actually mandated now that providers allow free, on-demand, API access to patients for their medical data.
24.
by joshgel 5y ago
The GI side effects of metformin are usually short lived. They tend to last about a week or so after starting the drug or increasing the dose. Some people do have longer lasting side effects, but metformin is one of the best tolerated drugs
25.
by joshgel 5y ago
I think what you are assuming is that early intervention in infection is good. Very likely to be true. And that we can reliably detect early infection. Much less likely to be true. The biggest issue is the costs of false positives, which wi
26.
by joshgel 5y ago
CRP can’t really confirm an infection. It’s a marker of inflammation. Inflammation often correlates with infection but not always. Can be lots of other things too, including a lot of the things that are false positives on these sepsis algos
27.
by joshgel 5y ago
Basically everyone admitted to the hospital is at some level or risk from sepsis which is why the proxy markers become important.
28.
by joshgel 5y ago
Sepsis is pretty well defined between SIRS and qSOFA. But the definition has a subjective component which has very poor inter-rater reliability. And you’re 100% right that the definition overlaps with other very common conditions, such as p
29.
Supreme Court limits prosecutors’ use of anti-hacking law(apnews.com)
1 points by joshgel 5y ago|0 comments
30.
by joshgel 5y ago
can you share what group you work with?

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