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joshgel commented on UUID v7   commitfest.postgresql.org... · Posted by u/Recursing
BillinghamJ · 2 years ago
I'm not sure why that'd inherently be a problem? Knowledge that some record exists about a medical event at a particular time is not too problematic, compared to _who_ it happened to
joshgel · 2 years 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)
joshgel commented on The Password Game   neal.fun/password-game/... · Posted by u/kretaceous
geluso · 2 years ago
Your password must be at least 5 characters.

Your password must include a number.

Your password must include an uppercase letter.

Your password must include a special character.

The digits in your password must add up to 25.

Your password must include a month of the year.

Your password must include a roman numeral.

Your password must include one of our sponsors:

The roman numerals in your password should multiply to 35.

Your password must include this CAPTCHA:

Your password must include today's Wordle answer.

Your password must include a two letter symbol from the periodic table.

Your password must include the current phase of the moon as an emoji.

Your password must include the name of this country.

Your password must include a leap year.

Your password must include the best move in algebraic chess notation. (picture of chess puzzle)

← This is my chicken Paul. He hasn't hatched yet, please put him in your password and keep him safe.

The elements in your password must have atomic numbers that add up to 200.

All the vowels in your password must be bolded.

Oh no! Your password is on fire. Quick, put it out!

Your password is not strong enough

Your password must contain one of the following affirmations:

Paul has hatched! Please don't forget to feed him, he eats three every minute.

A sacrifice must be made. Pick 2 letters that you will no longer be able to use.

Your password must contain twice as many italic characters as bold.

At least 30% of your password must be in the Wingdings font.

Your password must include this color in hex.

All roman numerals must be in Times New Roman.

The font size of every digit must be equal to its square.

Every instance of the same letter must have a different font size.

Your password must include the length of your password.

The length of your password must be a prime number.

Uhhh let's skip this one.

Your password must include the current time.

Is this your final password?

joshgel · 2 years 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…
joshgel commented on Capabilities of GPT-4 on Medical Challenge Problems   arxiv.org/abs/2303.13375... · Posted by u/bumbledraven
jonathan-adly · 2 years ago
Clinical pharmacist for 10 years here. Yea, base model is very good. Better than first year residents - but not necessarily experienced clinicians.

Now - throw a punch of clinical guidelines in a vector database and give it context and it’s 10x better than me and any doctor outside their speciality or all the mid-levels. (I.E, it’s better than cardiologist doing infectious disease - but not cardiologists doing cardiology). This because there are very niche stuff as you specialize where it’s only like 5 doctors who see it in the whole world on a consistent basis (and they don’t blog!)

I trained it on the IDSA guidelines (infectious disease) and put up a proof of concept on GalenAI.co - just as way to start talking to health systems and clinicians. it’s going to be very different world in medicine in a couple of years from now!!

joshgel · 2 years 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 school! I still learn stuff, all the time, and I’m not just talking about new research.

So, while impressive and clearly part of the future world, we shouldn’t get too far ahead of ourselves with the current models.

Edit: oh I should add that there are more clinically relevant exams that would be more likely to reveal d clinical usefulness, for example “board” exams. These are taken after training, usually before practice. Not knocking LLMs, just ensuring that people don’t misunderstand passing the USMLE as being clinically useful.

joshgel commented on Using GPT3, Supabase and Pinecone to automate a personalized marketing campaign   vimota.me/writing/gpt3-kl... · Posted by u/vimota
roseway4 · 3 years ago
I've seen really good results using BERT and other open-source models for matching symptoms / healthcare service names to CPT/HCPCS code descriptions. Even for specialized domains, some of the freely available models perform well for ANN search. While BERT may not be viewed as state-of-the-art, versions of it have relatively low memory requirements versus newer models which is nice if you're self-hosting and/or care about scalability.
joshgel · 3 years 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)
joshgel commented on I analyzed hospital price lists so you didn't have to   dolthub.com/blog/2022-07-... · Posted by u/PainfullyNormal
sl-dolt · 3 years ago
I'm as surprised as anyone to see this #1 on HN. Glad y'all like it. AMA.

Feedback, criticism, comments, directions to go, whatever.

joshgel · 3 years 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 billing, while DRGs are exclusively for inpatient acute care billing. If you are admitted to a hospital, you’ll probably have to deal with both.

joshgel commented on Why does iron deficiency cause fatigue, even in the absence of anemia?   twitter.com/tony_breu/sta... · Posted by u/panabee
Coolerbythelake · 3 years ago
So things that can look like anemia can be other things! Case in point, my wife was misdiagnosed for months with Anemia. What she really has is several tick Bourne diseases. For 5 months her doctors kept giving her blood transfusions as he hemoglobin reading was around 4-5 and it should be 12-13 for a normal person. Can't tell u how many specialists and emg room visits. Finally found a female md that listened to her and gave the approval to do a comprehensive tick panel. Sure enough rocky mountain spotted fever, erlicheaosis, recurring Lyme fever and regular old Lyme. The blood they were giving her was basically like throwing gas on a fire. Almost was ready to make funeral arrangements. Let me say tick diseases are going bonkers and a lot of people don't know they have it. Plus a lot of doctors won't believe or authorize tests. Advocate for yourself or you might die! Not kidding !
joshgel · 3 years 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 illnesses, especially if they have been in an endemic area. But lots of other things worth checking too, many more dangerous than tick-borne illnesses.

joshgel commented on Heartbeats and heart attacks (2016)   tabletopwhale.com/2016/10... · Posted by u/Tomte
joshgel · 3 years 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. You have seconds to minutes to get a normal rhythm back.

The charts colors made me feel like they were implying a-fib was the worst rhythm listed. (Though they list the severity in the descriptions in small text)

joshgel commented on Ask HN: Who is hiring? (May 2022)    · Posted by u/whoishiring
joshgel · 3 years 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 healthcare in the U.S. exceeds $350B a year. That’s not the cost of care; that’s not what is paid to doctors or nurses; that is just the friction of collecting payments from insurance companies (so not a cent of that provides value to patients)! SmarterDx improves this process and ensures payments are more accurate. 2. *We have real traction.* Our product directly ties to customer revenue. As a result, our founding team was able to grow the business to over $1M in contracted revenue without raising. But we believe we can 10X that in the next 1.5 years and have raised $5.7M from Floodgate, a top-tier SV fund, and Flare Capital, a top-tier Healthcare fund, to drive that growth. 3. *We are a close-knit team that cares about your growth.* All three founders are technical (two are physicians who code, and the third led quant engineering at a global investment bank). We select for mission-oriented teammates who are deeply thoughtful while being biased towards action; and who can disagree with others (a side effect of having novel viewpoints) while being genuinely nice and respectful. In return, we will do our best to help you grow your career and achieve a great personal outcome.

## About the role

We are looking to hire a *Senior or Principal Full Stack Engineer* to join our small but growing team. As an early employee, you’ll have an opportunity to work with awesome people (like an ex Apache board member!) and your work will influence all aspects of the product and business. You will also help shape our core engineering culture and grow the team.

As such, you'll have to be willing to get your hands dirty with (and learn) everything across the stack: healthcare data, APIs, frontend, backend, data engineering, algorithms, analytics, bug reporting, etc. (but the codebase is still small and we will do our best to give you time to dive deeply into specific areas).

## Our stack

- React & GraphQL - NextJS & Python - AWS

Interested? Please send your resume to hiring (at) smarterdx.com

u/joshgel

KarmaCake day1379January 18, 2013
About
Founder at SmarterDx. Email is josh at above company name .com
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