It was a legitimately nonprofit hospital and he probably was overpaid, but at least he was a practicing physician at one point and did seem to give a damn about his staff.

I once worked at a hospital in the ER where the department director was a union-busting bastard, but the CEO was pretty reasonable. After I left, one of the other ER techs went to the CEO about our pay being messed up and got everyone $5-6/hour raises to actual market rate. Also, there were a few weeks when we were really understaffed that the hospital encouraged admin folks to volunteer as “candystripers” in the ER to do stuff like help clean/turn over rooms, and answer patient call lights for water, blankets, etc. And the CEO was down in the ER for a couple hours every evening helping out most of that time period. It was encouraging to see the CEO of the hospital putting on some gloves and helping us with basic stuff like cleaning and stocking.

The problem with AI and poorly educated professionals is not the ability to diagnose and treat based on evidence-based medicine. The problem is that you have to know enough about medicine, and enough about real human people to know what kinds of questions to ask in the first place. If nothing else, there is a massive amount of information gained from a patient’s body language, mannerisms, behavior, and the physical exam itself that would be extremely hard to quantify in a meaningful way for someone without the background education and experience to come to any useful conclusions.

Were I in any other field, I might agree with you, but given that I am in the medical field, stupidity and incompetence cost real human lives and I cannot tolerate that if it can be at all avoided.

It’s not quite a catchphrase yet, but when discussing cases or whatever, I frequently use the sentence: “I’m not sure, lemme go look that up.”

I worked professionally in medicine for a few years before starting medical school, and thus far my approach has been to entirely disregard anything they said on the subject and continue as normal unless the nonsense they’re spouting has the potential to cause serious harm. Our patient care professor is training us to listen attentively, then dismantle the nonsense as politely as possible while guiding the patient’s viewpoint back to something approaching reality.

There’s some things you look for that are difficult to describe to someone who hasn’t seen it before. That’s part of why experience is so valuable in Emergency Medicine, and it’s not uncommon to put your best nurses out in triage. People will do this kinda twitchy/wilting/loss of focus/change in pallor/change in posture right before they go down. I don’t have a good way to describe it, and it might be easier to draw even, because it really is a body language thing and the general appearance of the patient that can inform your decision making.

I have thought about trying to plan out a learning algorithm that could spit out suggestions for triage level and preliminary tests based on input data like vital signs, symptoms, and complaints… but I would never implement something like that as anything beyond a tool for the nurses at triage to use. There would have to always be an option to override the algorithm because there’s some aspects of patient presentation that are not easily quantifiable. I’d never be able to explain it in a way that one could input it into a computer, but even with my limited experience, I can tell which patients are going to crump on me.

NPs working under a physician with actual oversight is fine. The ones I have problems with are the ones that have a physician sign the hundreds of notes a month while maybe reviewing a handful, and worse, the ones pushing for independent practice without even that sham of oversight involved.

At least I can rest assured of the fact that AI will be next to useless in my intended field. Emergency medicine is an environment where you get a random constellation of symptoms and complaints with very little direction on which are related to the current illness, and which ones are not currently relevant. Also, in the time it would take to get all the info into the AI for a trauma/cardiac/code situation, the patient might be dead or rapidly heading in that direction.

I try to remind myself that I’ve only gotten as far as I have because of hard work. I don’t have any special talent, I’m not some kind of genius, I just know how to work hard for the things that matter.

Makeship is having a sale on their new Glow in the Dark plushies. It’s not a huge discount, but the proceeds go towards supporting independent artists which is always a good thing.

https://www.makeship.com/shop/gitd-2023

What strikes me is the complete discordance of the realities of Israelis and Palestinians shown in the pictures attached to the article. There’s multiple pictures of a grand funeral with flags, pomp, and circumstance…and compare that to the white sheets and mass graves in Gaza. The Israeli soldier gets a military funeral with honors and fanfare while innumerable Palestinians are interred in barely marked mass graves with little to no ceremony because the number of dead simply does not allow for paying respects to each victim.

Let’s rewind to the part where you look at why they are mortal enemies, and realize that the same problem is still happening in the West Bank at the same time as the mass murder in Gaza.

Israel lost 0.014% of its population to the Hamas attack. Gaza has lost about 0.52% of its population to Israel’s rampage and that over 40% of those deaths are children. How is that comparable at all?

One thing that Blizzard has always been good about it making games that can run on a potato. It’ll look like crap and your view distance will be obnoxiously short, but you can run WoW on a potato of a laptop and still participate in the core gameplay. Obviously, there’s lots of options to crank up the graphics to 11/10 if you have a powerful computer, but I really appreciate that they lower the hardware barrier to entry where they can.

I think in this case it is more apt to realize that the artist painted this on the wall of his dining room in his house where he never had any visitors. The definition of “happiness” in this context would have to be a tad…malleable though.

Although he initially decorated the rooms of the house with more inspiring images, in time he painted over them all with the intensely haunting pictures known today as the Black Paintings. Created without commission for private display, these paintings may reflect the artist’s state of mind late in a life that witnessed the violence of war and terror stoked by the Spanish Inquisition.

https://en.wikipedia.org/wiki/Saturn_Devouring_His_Son

I’m grateful that none of our cadavers were unclaimed remains. All of them had info sheets with demographics, profession, and a brief health history. Our school also holds a Donor Memorial ceremony every year, but I don’t know if that’s common or ubiquitous among medical schools.

Bitcoin is evil in the sense that Bitcoin mining has likely done irreparable harm to the environment through energy usage and it’s associated pollution. I also find it to be a very predatory market that relies on small investors to bolster the overall value, but usually gives little to no benefit in return for that investment. All of the hype and media around cryptocurrency encourages people in precarious positions to buy in with the hopes of making it big. It’s just gambling.

In my experience, people who use and trade cryptocurrency in significant quantities are likely either gambling on it, or using it as money laundering for nefarious things.

Before you jump into your tirade about how you have all this education and how you’re so much smarter than everyone else, I’ll head you off at the pass to say that you probably know a lot more about computer and software engineering than I do. However, I have a fairly extensive education in the humanities and biological sciences. So if we’re going to be all stupid about it, I guarantee that I’ll be more useful and more employable in any kind of post-crash society than you would be, so I’d encourage you to take other kinds of intelligence into consideration before you get all sanctimonious about stuff like this; especially in subjects that don’t really matter that much in the grand scheme of things.

I want to work in emergency medicine when I’m done with medical school and emergency room patients will just cough straight into your face no matter what they have. Even without COVID, I’ll probably keep wearing an N95.