riceart

7 ms·

1.
by riceart 3y ago
Insurance exists to cover losses from unexpected events. Medical complications are unexpected events. Your hungover surgeon is a bullshit strawman - most complications have nothing to do with provider malice or incompetence. Again since tha
2.
by riceart 3y ago
> Like I shouldn't be billed extra if my surgeon is hungover and things don't go smoothly. That’s what you think is the common root cause of complications? You clearly are not interested in a productive discussion. As for a fee
3.
by riceart 3y ago
> The service seems to be by a company called Epic (www.epic.com), based in Wisconsin. Lol, that mom and pop shop. That’s the largest EMR vendor in North America and second in the world. They’re the provider of the patient portal fronten
4.
by riceart 3y ago
Without cryptographic techniques that is all easily forged.
5.
by riceart 3y ago
Have you ever had to enter codes as a provider in Epic for instance? The UX is fucking terrible. Incentives are completely misaligned for accurate coding in academic institutions. Finally the ontology of ICD codes are trash on their face.
6.
by riceart 3y ago
Right from the about page: > Our clinical vignettes serve multiple purposes. They provide a distinctive, engaging learning tool for medical students and healthcare professionals looking to familiarize themselves with the ICD-10-CM system
7.
by riceart 3y ago
> X-rays confirmed a sprain in Gus's wrist Eh, ok. Yet more of the laziest cynical AI generated garbage. AI winter can’t come soon enough. Seriously I see nothing here of interest to a healthcare professional. > The ICD-10-CM cod
8.
by riceart 3y ago
> I'm confused why you don't believe me that internet penetration in the salt lake valley was very limited in 1994 I do believe you. Really have no dispute with any details you’re putting down. I suppose the distinction I’m mak
9.
by riceart 3y ago
Ok not “way” after - really splitting hairs here. Point still stands public commercial dialup internet was available pretty much everywhere. Call them early adopters or whatever - but the internet already had established communities well be
10.
by riceart 3y ago
> The internet was still the land of the nerds until the early 2000's The first dot com boom, sort of the genesis of fortunes that make this site exist was prior to the early 2000s. The early 2000s was the bust period.
11.
by riceart 3y ago
> This is not correct for access open to the general public. The first commercial ISP in Utah, Xmission, was founded in 1993. Yes, many of us had internet access through the University of Utah before that (Pete Ashdown, the founder, had
12.
by riceart 3y ago
1994 was way way after dialup Internet access was mainstream (both Yahoo and Amazon were founded that year). Any first access in the state would be sometime in the 80s. By 1993 there were already national level dialup ISPs. > that was ab
13.
by riceart 3y ago
Eh, I think the person you’re replying to would assert that Usenet thrived prior to 1993. We don’t need a lesson about eternal September either.
14.
by riceart 3y ago
> In embedded work, you don't get extra credit for being faster than necessary. You absolutely do when you can cut power requirements and get by with cheaper CPU/hardware. I ran a whole consulting business redesigning poorly de
15.
by riceart 3y ago
> IRC was never federated. What? What do you think the term “relay” in IRC means? The jargon term netsplit used even for newer federated networks (even used in these comments elsewhere) comes from IRC. There is literally an entire networ
16.
by riceart 3y ago
> With federation, there is no longer an incentive to do so, because you don't have a moat Domination is orthogonal to a technical federation feature. Once there is enough imbalance you defederate and that’s that. There’s nothing t
17.
by riceart 3y ago
I dunno maybe I’m wrong about the technical stuff. My minor point is that this software has some technical flaws today - forums and link aggregators are solved problems over and over again so implementation excellence is at least a unique v
18.
by riceart 3y ago
> Sharding, caching and queuing doesn't break federation. That's not a core flaw. I didn’t say it did, but it doesn’t enhance it either. > As the ecosystem grows, a shortlist of popular, robust, federated instances will crop
19.
by riceart 3y ago
It’s a federated system without any of the affordances that would make it usable (or particularly interesting to me). Literally load balancing by going to a long list of alternate instances. The sites own documentation just says, find one
20.
by riceart 3y ago
Let’s be real here this system is flawed at its core though. This can’t even handle the load of some moderately popular PHP forums with simple deployment or even this site nothing took decades to harden. And this is due to gross flaws in a
21.
by riceart 3y ago
No. In games AI is a jargon term for the behavior of an NPC. It has a long history in this use. When people talk about a game’s AI it is often clear what is being discussed regardless of the specific technology used. It is therefore useful
22.
by riceart 3y ago
> it effectively includes all programming with if/then logic gates based on program input. And? You think that is the totality of a physical safety critical system?
23.
by riceart 3y ago
> Is this really still a thing? Why wouldn’t it be? Compilers haven’t advanced tremendously in the past two decades in terms of optimizations and don’t have much new to add to high performance SIMD numeric kernels.
24.
by riceart 3y ago
> Time will tell if we'll eventually look back some of Rust's design decisions as bad or unwieldy (probably). I think time has already told for things like async and lifetimes.
25.
by riceart 3y ago
> a design is something that stays forever and you see vestiges of No, that’s not how it works - this is engineering, not Deepak Chopra. Apple is not big on backward compat and legacy and when a compromise has to be made to favor either
26.
by riceart 3y ago
Successful resuscitation after traumatic arrest is extremely rare. It is more rare than bystander field CPR administered to those that are not in actual arrest (unconscious but with a perfusing rhythm). What was the confirmation of arrest?
27.
by riceart 3y ago
> What I miss from IRIX, that no other system has yet replicated: 1) Realtime mode. RTLinux doesn't count. FWIW, SGI didn't seem to agree. From SGI's own whitepaper: "In addition, REACT for Linux adds unique capabilit
28.
by riceart 3y ago
You realize you are speaking about 2 different people as if they are one?
29.
by riceart 3y ago
It’s a bunch of crap. Maybe shouldn’t look for medical information from a social worker on a clickbait site. Diabetes (specifically Type 2) is correlated with Alzheimer’s - how that makes for a useful new classification of diabetes is nonse
30.
by riceart 3y ago
Web hello world in rails is literally a single command and seconds.

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