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Comment Power struggle (Score 1) 103

As the saying goes, "Never let  a good crisis go to waste."

Shanghai's "Coviid Lockdown" is actually cover for a power struggle between President Xi Jinping whose political base is around Beijing, and former President Jiang Xemin, whose base is around Shanghai. Many people believe power has become too concentrated in Xi.

Comment Creutzfeldt-Jakob Disease (Score 5, Interesting) 63

This has been an issue for years since the recognition of Creutzfeldt-Jakob Disease as a prion disease. Hospitals are more and more moving to disposable equipment, although this is not yet possible for neurosurgical instruments. Special cleaning procedures are already in place for surgeries having a high risk of contamination.

Comment Re:Let's $2000 for the doctor to install it + soft (Score 1) 20

Put your money where your mouth is... how many RVUs will the physician earn doing this procedure? My guess is 2-3 at most, if he/she is there in person. At $70 per RVU, we're looking at about $200. This includes overhead of maintaining an office, nursing staff, clerical staff, etc, if he/she is one of the increasingly rare independent practice physicians

Most physicians I know spend a lot of time doing activities for which they earn nothing... especially email and phone calls,

Comment My bazel BUILD file (Score 1) 103

My bazel BUILD file:

cc_binary(
    name = "HttpEchoServer",
    srcs = ["src/HttpEchoServer.cpp"]
            +glob(["src/common/**/*.cpp"])
            ,
    includes = [],
    copts = ["-g","-std=c++1z","-I/usr/include/mysql++","-I/usr/include/mysql","-Isrc","-Isrc/common"],
    linkopts = ["-L/usr/local/lib",
                "-lcairo","-lcryptopp","-lpq",
                "-lPocoCrypto","-lPocoFoundation","-lPocoJSON","-lPocoNet","-lPocoNetSSL","-lPocoUtil",
                "-lboost_date_time","-lboost_unit_test_framework","-lboost_random","-lboost_system","-lgtest",
                "-lproxygenhttpserver","-lfolly","-lglog","-lgflags","-lpthread"],
)

Comment Drug alternatives (Score 1) 1038

Executing a prisoner is not difficult. We have 4 commonly used drugs to cause unconsciousness: thiopental, propofol, etomidate, and ketamine. Any of those will do. Of the 4, ketamine also produces intense analgesia. So, a reasonable drug combination would be midazolam, fentanyl, and ketamine, followed by potassium chloride. A single drug that might also be adequate for execution is bupivacaine IV. It causes analgesia and, when given in large enough doses (2.5 mg/kg or more), causes seizures, unconsciouness, and ventricular fibrillation, leading quickly to death. Of course, most executions add a paralytic agent, mainly so that the spectators aren't disturbed by the agonal movements of the dying prisoner. Unfortunately, the American Society of Anesthesiologists prohibits it's members from participating in executions, even though anesthesiologists would be the persons most likely to be able to administer a pain-free execution. The ASA and ABA will in fact revoke a physicians board certification for participating in an execution.

Comment A lot more than meets the eye... (Score 1) 121

I work in healthcare, actually for one of the organizations mentioned in the article.

Healthcare organizations have a big incentive to show "meaningful use" to the federal government. The federal government will reimburse healthcare organizations a substantial amount - up to $44,000 per physician under Medicare or up to $65,000 over six years, under Medicaid - if they adopt electronic medical records and show "meaningful use" of those EMRs to improve patient care. (Note: this money doesn't go to physicians, it goes to healthcare organizations.)

What we are seeing in this article are 2 healthcare organizations trying to show a tiny bit of "meaningful use" so that they can partake of the federal government's financial largesse. Nothing more.

The study described in the article would be an "observational" study. Observational studies are one of the weakest forms of medical evidence. A positive finding would indicate something that should be investigated further. What we are really interested in in medicine are randomized controlled trials showing an intervention results in a positive (good) outcome and, for big data in medicine, such studies aren't even on the horizon.

Comment What about self-driving automobiles? (Score 1) 333

California's High Speed Rail is a boondoggle. I speak as a Californian. The problem is not simply traveling from SF to LA, it's how to get to where you are going once you are there. In each large city, the public transit system is not comprehensive enough to make travel easy. I don't take my family on BART to SFO because it costs $50 each way. These billions would be better spent enhancing BART or LAs subway system. What no one has yet commented on is the impact self-driving cars will have on transportation. Driving from SF to LA will no longer be so onerous if you can do work on the way. We will see the birth of the working commute.

Comment Black hole information loss? (Score 5, Interesting) 236

The article loses me almost immediately when it states that information is lost in a black hole. Anyone who's read Susskind's book knows that this implies all sorts of unpleasantness like the irreversibility of the the S-matrix, and so it is likely incorrect; ie, information is not lost when objects fall into a black hole. This makes sense, because to an outside observer, an object never falls into a black hole, it only approaches the event horizon without ever quite reaching it. Therefore, one would expect that information from objects falling into a black hole is written on the surface of the event horizon. This represents the highest information density possible. This is Susskind's thesis, and it was my understanding that it is becoming the accepted view. Stephen Hawking was a proponent of black-hole information loss, and Palmer was a student of Hawking (20 years ago). Therefore, it is not surprising his theory is based on rejected premises.

Comment Why didn't this hospital have neonatal dialysis? (Score 1) 476

My first thought when I saw this article a few days ago on news.google.com was... Why didn't this hospital have a neonatal dialysis machine, or transfer the child to a tertiary care center that did? Is this what it's like in the NHS, that they are willing to let a baby die for lack of renal replacement therapy? I can't help but think that in the US, no physician would have had to develop this piece of equipment in his garage, because many tertiary care centers have this equipment already.

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