osmano807

6 ms·

1.
by osmano807 3mo ago
Probably liability... on the amputations I indicated and contraindicated, it's increasingly difficult to navigate trough patient perceptions while not disclosing so much as to give them rope to hang us. Some decisions are a game of pro
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by osmano807 8mo ago
In my hospital we have ample experience with another technique using polypropylene sheets for defect coverage, popularized in Brazil orthopedics as "Figueiredo's technique", which is in practice an extension of common techinq
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by osmano807 1y ago
Through the years I've worked with several EHR, be helping their development be using it in my practice, and each had it's idiosyncrasies. In my country there was proposals by the government of integration, but as all things that
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by osmano807 2y ago
I really like this, as from an outsider it seems that CL doesn't have a community and the few packages it has are more like building blocks for customizing and implementing you required functionality rather than packaged black boxes. W
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by osmano807 2y ago
Unless we have a clear indication, plates are not meant to be removed. For example, plating children we usually remove the plate as to not interfere with growth, or in some cases a fibula plate can irritate the tendons and should be removed
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by osmano807 2y ago
Functional outcomes seem similar, trough we have a increased rate of malunion, delayed or non-union with nonoperative treatment. We usually indicate surgery if it's an active patient.
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by osmano807 2y ago
I downloaded and opened an CDS for osteoporosis from the link (as a disease in my specialty), I need an API key to view what a "valueset" entails, so in practice I couldn't assert if the recommendation aligns with clinical pr
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by osmano807 2y ago
I know it's not the same, but in many areas we have this "follow the arrows" system in many guidelines. For some examples, see the EULAR guidelines with it's fluxograms for treatments and also AO Surgery Reference with
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by osmano807 2y ago
Those sites have something like Phoenix LiveView or it's something ad hoc like a simple SSR template engine? Would be nice to have something to handle migrations in the client side code to match the server side API.
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by osmano807 2y ago
Unrelated, all my devices freeze when accessing this page, desktop Firefox and Chrome, mobile Firefox and Brave. Is this the best alternative to access code ai helpers besides the GitHub Copilot and Google Gemini on VSCode?
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by osmano807 2y ago
Isn't there any UI framework alternative for the web that doesn't use JavaScript or Typescript? Something like DaisyUI but using other languages when needing interactivity. Also, tested the DatePicker and it's examples with t
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by osmano807 2y ago
HN really strange, page jumped from front to page 3... I'm still searching for the holy grail of web development without Javascript or TypeScript, still not found. Leptos still ahead but still imature, recently with panic! with signal
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by osmano807 2y ago
Thanks for your experience, that's important to remind us (me) of the other side. Sometimes I feel really sad that the bus factor of some treatment is 1, and double sad when that one is me. No one should have delayed care just because
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by osmano807 2y ago
Brazil too have notification with the numbers published weekly by each State of the country, all cases are notified even without laboratory confirmation. They too have zoonosis agents which inspect locations, but they're not allowed to
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by osmano807 2y ago
Why's lithium a 'folk remedy? We have scientific evidence of the efficacy of lithium as adjunct in depression treatment and anti-suicidal.
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by osmano807 2y ago
There's some practical limits as neurons start to have irreversible injury after 6 hours of ischemia and 8 hours on muscles. Usually we don't put tourniquets for more than 2h30min in lower limbs because after circa 2h we start to
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by osmano807 3y ago
Maybe someone have NixOS configs with all the settings, generating live ISO based on those configs. So the matter is just generating/booting those ISOs and you have a clean system with your configs. Put in some impermanence, and you ha
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by osmano807 3y ago
The lesson to learn is to entrench fail-deadly protocols in as much infrastructure as possible in case of termination.
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by osmano807 3y ago
As if Saxenda/Victoza or Ozempic didn't cost nearly one minimum wage per month. At least they're focusing on diabetes I guess.
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by osmano807 3y ago
So similar to NixOS with Impermanence? Does it have home read-only too?
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by osmano807 3y ago
From their FAQ https://valetudo.cloud/pages/faq.html Valetudo is the roman name for the greek goddess Hygieia, which is the goddess of health, cleanliness and hygiene.
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by osmano807 4y ago
Surgeon here. I'm about more surprised by the discussion here than from the article itself. > 2. There are many consults, but the ICU attending is king (or queen). There's a concept called doctor's autonomy . The attendin
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by osmano807 4y ago
Are you sure? I'm scared for traffic costs on data that sometimes I would need rapid access. B2 1TB/storage/month ~ $5 250GiB/traffic/month ~$2,5 On OneDrive 1TB/storage/month ~ $7 (home user, there's
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by osmano807 6y ago
Just lobby the government to put call centers in "essential services". In my state they are open even with a partial lockdown.