It does seem to me some doctors are too busy typing things on their screen instead of listening to patients; like at work when I’m trying to have a conversation and someone is busy typing half of what we say in onenote (at this point, may as well email). I found a doctors office not using a computer system, at least not in front of the patients. I found they’re better listeners and don’t miss as many details. I’m guessing this is because they’re not trying to multitask during conversation. And I prefer the more human interaction.
They’re trying to keep up with notes because notes are how they get paid and how they defend themselves against lawsuits.
My wife doesn’t do notes in front of patients, but as a consequence she spends several hours at home after her shift finishing up notes from memory. She does it because she works in the ER and it allows her to handle more patients (she hates it when patients have to wait 3+ hours so she does everything she can to get them seen quickly). It is definitely much more work for her to do it that way though.
Related to the other reply: this honestly seems like a kinda huge ML opportunity. Imagine if your wife and doctors everywhere were able to just talk to patients with microphones recording it and not worry about notes because the system automatically transcribes it and feeds the result into an LLM that automatically writes up the relevant information, so the end of the day bookkeeping is reduced to just checking its work and manually making changes where necessary. Hard to guess without actually being a doctor but that would surely eliminate a tremendous amount of mindless boilerplate busywork for the majority of patients, right?
There’s a few problems with that. There is very little overlap with what goes into notes written for other doctors and insurance companies and what a doctor says to a patient.
And physical exams have a ton of manual components where a doctor is just palpating things and asking if that hurts or this hurts or feeling if a lump is freely moving, or whether someone can rotate something at a specific angle etc…
Without the doctor annotating exactly what they are doing and what the patients response was every step of the way, the LLM would be missing too much data to really be useful.
Has your wife considered dictation software? Things like Dragon can be integrated into some EHRs. She could record what she's saying as she works with the patient and even talks directly to them, then clean it up after the fact.
1. I have met a lot of people who reached out to me by email; sometimes it's fun to find other people with similar interests, it's resulted in many good discussions (even with people with differing viewpoints).
2. I have not landed any jobs from it (but I have been offered a lot of contract work--I have turned every opportunity down because I don't want to take time from my family).
3. Writing helps clarify thought. I often correct my own thinking through the process of writing. I'm not a great writer, but I'm a better writer because of blogging.
4. I also enjoy it, I wouldn't do it otherwise. I don't do it for others, I don't try to optimize for SEO or pick popular topics or grow a large audience. If I see another blog has written a similar post I usually don't see the need to write my own. I write what (a) what I enjoy writing or (b) what must be written even if it isn't popular or (c) what I think will be useful to others.
5. I'm often terrified at how bad my early posts were. At least I can see the growth!
6. Even though it's not the most efficient way to host, there is something special about hosting a blog from a server in your own garage.
7. I have more control on a blog (both in terms of freedom and expression) than I would writing on social media.
8. It's a way to leverage your knowledge. If I figure something out, I'll post it. It might cost me a few hours to write, but then for the next few years thousands of other people may benefit saving hours of time, research or money.
> United States of America reject a Holy God, as long as sexual immorality and idolatry are rampant, the people of America will vote for an evil President who will appoint judges that bend the knee to Moloch. Leftism is a religion, and Abortion is the sacrament of that religion. The left will not give up child sacrifice easily.
From a recent blog post here.
Reading this next to a treatise comparing a new iPhone to a Google Pixel is one of the funniest things I’ve seen on the internet lately. Thank you sincerely for that.
How reliable is the science you are referencing? 50 years ago "Science" predicted an ice age. Recently it's Climate Change. 50 years from now Science will predict we're all doomed from something else. I am not against Science, but a lot of things that pass as Science isn't Science at all. In fact, some of what passes as Science seems more like a Religion.
There is only one race, the human race. There are differences between ethnic groups, but we are all created in God's image because we're all descended from Adam. I don't know anyone who seriously thinks there are no differences with gender? Except maybe some gender confused professors at my University, but that aside does anyone who is sane really think they are the same? Man and Woman, while having physical deferences, different roles, and responisbilities, are nonethless equal before God.
I don't know what you mean by Abortion is science, but I do know that it is wrong because it's killing an innocent human being.
Science is iterative, there's a process to it. It's unreasonable to expect to be perfectly right the first time. But that is still a better effort then any one else is trying. There is logic and visible proof of climate change happening and effecting our world.
I explained my poor wording somewhere else in this thread.
Why do you feel an unviable collection of cells is a human life? It has no thought, that is what makes us human. At that point its a collection of cells leaching off the mother
So I'm saying we shouldn't fully trust in the areas of science that are likely to be wrong, especially those affected by finding, bias or groupthink. Climate change is one of those areas. The climate has been changing since the Creation of the world. God has promised that He will give us seasons and the ability to plant and reap for as long as the earth remains. (Genesis 8:22). That doesn't mean the climate won't change, maybe it will be bad for some parts of the world and good for others. But I do know we have God's promise for seasons and He has kept that promise every year for over 4300 years. He's not going to break His promise. I'm also not saying we shouldn't be good stewards of earth. We need to rule over it and take care of it. But we don't need to be worried about this planet becoming uninhabitable because of climate change, man made or natural.
Humananity is not defined by the ability to think. Even before the first thought the human embryo is not just a collection of cells. It's a distinct organism. It is dependent on the mother but those cells are independent in the sense that it directs itself on how to form. If you could remove an embryo from the womb and give it a good environment and nutrients it would form just the same. The unborn baby isn't slowly assembled out of parts to make a whole, the embryo is already functioning, it's a distinct human life. It is already human. If you define humanity by thought would you say a 3 year old is less human than a 10 year because their thoughts are less complex? What about when you're sleeping, are you less human when you're unconscious? Humanity is also not defined by it's viability. Is a wounded soldier who will die without life support all of a sudden less human or less valuable because his life depends on an outside source?
The embryo is a distinct human being that can direct it's own formation. It is separate from the mother's cells. And that is why it is a human life.
Pickup truck. I bought one 4 years ago. Not having to rely on delivery services has been a game changer. When my dishwasher broke and delivery was 3 weeks out I just went to the warehouse and picked it up that day. When my hot water heater died and the plumber was a no show 3 days in a row (for which I had to take time off work each day) I finally just bought one myself at the hardware store and with the help of YouTube installed it myself for probably $1000 less anyway. I never thought I needed a pickup but I find it helpful once a month for some task: Hauling a server rack that was donated to a non-profit, dump runs, building a tree house for the kids, towing a tractor, etc. As an added bonus the higher ground clearance means I can get out before the snow plow comes.
So much this. Especially if you're a dad, I end up hauling all sorts of things for the kids, sporting equipment, furniture etc and then when they outgrow it, haul it back out. Not sure how I ever lived w/o a truck.
Yes. My employer uses TrueNAS and we have some setup with redundant controllers in an HA configuration as well as multipathing. The HA feature is considered enterprise so it won't be in the FreeNAS ... I mean TrueNAS Core edition.
