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Comment Re:"Risks of clinical errors" (Score 1) 80

Glad you made it!

One of the best uses for LLMs is criticism. I'm a software guy, but I rarely have LLMs write code because I'm fast enough as it is after doing it for a long time. What I really need is a super thorough critic to look over my shoulder, and current LLMs excel at it. Your idea is great and coupled with an advocate would really help improve outcomes.

Comment Re:"Risks of clinical errors" (Score 1) 80

If you grew up in the US you will probably remember that most Dr were promoting DARE, which has been debunked as a scam to defraud money (look it up). The food pyramid has also been debunked as made up pseudoscience. in the 1990s margarine would protect your heart, while butter would give you heart attacks; debunked.

I'm in my late 50s and absolutely remember all of that--plus the wonderful high fructose corn syrup that was saving us from the evil cane sugar and many other things.

It's really important to have an advocate when the chips are down. I have filled this role for friends and family. One friend credits me with saving her life after I flat out bullied some ER doctors into doing their jobs after they dismissed her as a crybaby: she had a deep vein thrombosis. As I get older, I find myself more and more in need of the same kind of help--cognition goes to hell when you're in a medical crisis.

Comment Re:"Risks of clinical errors" (Score 1) 80

My fucking arm was broken. What kind of quack can't figure out a displaced fracture? X-rays aren't expensive. Why are you defending this shit?

Pneumonia routinely kills people, but zero fucks given. They seemed annoyed when proven wrong except to say, and I quote, "wow, you must feel like you've been run over by a truck." with kind of a laugh.

Don't even get me started on some of the more recent stuff. I had some long conversations with hospital administrators who, to their credit, took me seriously and worked with me to identify the culprits. This is with a pretty big and well-regarded organization in a major city. About 1 in 8 people who experience the symptoms I exhibited, resulting from their manifest fuckup (in direct contravention of the drug manufacturer's BIG UP FRONT DOSAGE DIRECTIONS), drop dead in less than 24 hours. This kind of thing is super common, the statistics are terrifying. Glad you had a better ride, but maybe it's survivorship bias.

Comment Re:"Risks of clinical errors" (Score 0) 80

I had a shoddy diagnosis in my past, the price of which I pay to this day, but I forgave and forgot. And I still trust that doctors mostly get it right.

I forgave and forgot and my careless former GP tried to kill me in collaboration with asleep-at-the-wheel pharmacists a few years ago. No fucks given by either party. California's tort reform laws mean I can't do a thing about it.

Some of the things I have forgiven and forgotten are:

- The ER MD who argued with me about my badly broken left arm: he said it wasn't, and I said it was. He refused X-rays and wanted to just discharge me until I got in his face. When imaging came back it was plain that both my radius and the surgical plate holding it together from a previous surgery were super obviously broken. No apologies.
- The urgent care MD who all but called me a hypochondriac and wanted to send me to CVS for Robitussin when I presented with 3 days yo-yoing high fevers, severe body aches, etc. ... after an argument, I finally got sent for imaging and sure enough there was a huge blot low in one lung from pneumonia. idk, yeah, whatever.

The list goes on. I've had good luck with surgeons and getting stitched up etc. at urgent care. But the absolute horror I've endured in the past few years along with the utter indifference shown by almost everyone involved with some ongoing health issues has left me completely without trust in the competence and humanity of the system as a whole.

Comment Re:Frozen at starting salary of $135K? (Score 1) 54

Cronyism in tech is rampant, but I saw the same in other businesses in my youth. I was quoting a common proverb: it's not a conspiracy but rather human nature.

My 41-year career has mostly been the opposite.

I haven't had a job interview since 1991 or so, nor have I asked/applied for employment since then. I just know the right people. They know what I can do and invite me to tackle whatever-it-is as an employee, consultant, or co-founder. Sometimes I'm interested, sometimes I'm not or I have too many other commitments. We help each other out regardless of formal involvement. I know a bunch of other people with similar stories. I'm presently trying to retire "early" (it doesn't feel early!), but now a friend and I are backing our sons in a new venture. It's fulfilling to pass the torch.

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