throwbmw (u/throwbmw)

throwbmw commented on AI is stifling new tech adoption? vale.rocks/posts/ai-is-st... · Posted by u/kiyanwang

kaonwarb · 7 months ago

My position is informed by my own experience; I am not a physician, but have worked closely with a large number of them in a healthcare-oriented career. I've repeatedly noted long-term resistance of many physicians to updating their priors based on robust new evidence.

There are definitely many physicians who do take in the latest developments judiciously. But I find the long tail of default resistance to be very, very long.

throwbmw · 7 months ago

It's not bad actually, considering how many times the new shiny thing has turned out to be quite dangerous a few years later. In a field as high stake as healthcare you want the whole spectrum, from early adopters to die hard skeptics. Especially since we know the reproducibility problem of research, the influence of big pharma and big insurance on healthcare, etc etc

throwbmw commented on Francis Crick's "Central Dogma" was misunderstood asimov.press/p/crick... · Posted by u/ctoth

transcriptase · 9 months ago

It seems the articles purpose is less about what could best be described as dunking on what 10th graders are taught about molecular biology for simplicity’s sake, and more about discrediting Watson by reframing the past, and chipping away at his legacy because of… well, you know.

throwbmw · 9 months ago

What?

throwbmw commented on Commonly used arm positions can overestimate blood pressure readings: study medicalxpress.com/news/20... · Posted by u/wglb

throwbmw · 10 months ago

People shouldn't worry about accuracy too much. Everybody in healthcare knows about the problems in various measurement methods as well as individual responses to measurement anxiety and the physical and emotional state you are in that particular time. The only accurate measurements are direct measurements through an arterial catheter which is a very invasive procedure. Routine clinic measurements are used only to have a general idea about trend and secondly to catch severely high BP which is usually due to a secondary disease. Also, if BP is high above a certain limit it is significant regardless of if you took rest for 5 minutes and other precautions. Because if BP is high the normal BP regulating system should kick in and lower it regardless of the cause. With advancing age and hardened arteries this response becomes less optimal and you need the support of anti hypertensive medicines. You can see this in real time in patients under anesthesia. A young healthy patient would have an initial peak in response to pain or other surgical stimulus but they will be able to lower it either spontaneously or with minimal outside intervention. Whereas in older individuals much more effort is required to control and lower the BP. The general trend has been to treat both hypertension and diabetes early because the microvascular complications start much earlier before they become apparent clinically.

throwbmw commented on WordPress.org bans WP Engine techcrunch.com/2024/09/25... · Posted by u/openplatypus

throwbmw · a year ago

Agree 100 percent. Perhaps the present generation doesn't know about the early days of Wordpress. Also, all this wording may be because Matt is very committed and so emotional about the protection of open source projects

throwbmw commented on WP Engine is not WordPress wordpress.org/news/2024/0... · Posted by u/pentagrama

throwbmw · a year ago

throwbmw commented on Incident: Wordpress.org has blocked WP Engine customers from registry wpenginestatus.com/incide... · Posted by u/_morgs_

throwbmw · a year ago

throwbmw commented on WordPress.org bans WP Engine techcrunch.com/2024/09/25... · Posted by u/openplatypus

throwbmw · a year ago

throwbmw commented on The Algorithm and the Hippocratic Oath hedgehogreview.com/web-fe... · Posted by u/blueridge

throwbmw · a year ago

Excellent article. Practicing anesthesiologist of 25 years. Agree 100 percent with the problems highlighted in the article. These problems are increasing day by day with increasing algorithmization and protocolization of everything. So as the article mentions , there are two many individual variations and edge cases in day to day practice of medicine. An experienced doctor will have a a pretty good idea if following a protocol blindly can harm a patient but if they act on their experience and deviate from protocol they are open to liability even if the outcome was good. But I don't believe humanities education us the answer to this problem. It needs a system wide reset.

throwbmw commented on Migrating from DokuWiki to Obsidian kaeruct.github.io/posts/2... · Posted by u/kaeruct

itsjustjoe · a year ago

The third party plugin community is fantastic as well, I use it for GMing TTRPG sessions and I have a pretty powerful workflow built out.

throwbmw · a year ago

Please write a blog about it