Viewing profile — cfu28

I played around with it to build a little "intro to python" walkthrough on my blog a while back. It worked surprisingly well! I had a little trouble giving users the ability to ctr…

Case studies are used in medical decision making only when there is no better form of evidence available, or there is a gap in current evidence. It is not the first place to look

I think this is a misconception. The reason this phrase is so commonplace is because doctors, and particularly medical students, often consider esoteric disease they learn about in…

I know nothing about what happened in your fathers case, if it is exactly what you mentioned it sounds a little inappropriate but I’m wondering if something is lost in translation.…

Sure tracking exists, but doctors do not hold back for a patient in comfort care in the inpatient setting, where a patient and their doctor are now optimizing for comfort not quant…

Yes, really. I’ve had to restart my Citrix session to make it go away or dismiss it like the writer did. You’ll get something like “sepsis criteria triggered by wbc 13, cr 1.5, hr …

Most sepsis alert implementations ironically do block review of the data to see if the sepsis is real, what triggered the alert, and what treatments are appropriate. Part of the se…

Have you been on the other side of this? I get dozens of sepsis alerts a day, usually on the same patient, and the criteria that triggers them is so broad and non specific they are…

Obviously not every moment of every hour in a residents day is deep clinical thinking with high cognitive load, but we’re definitely not “zoning out” when making medical decisions.…

I feel like I keep running into your comments on HN. There are dozens of us!

I struggled with this landscape a few years ago when building Mere Medical to manage my own medical records. To be fair, I was aiming for not just offline-first, but offline-only (…

While true, this is slightly overblown. I work at a liver transplant center where we treat patients with end stage liver disease and Tylenol is often the safest choice given these …

I guess I’m confused, A1c is a measurement used for diabetes, not fatty liver/nafld. Can absolutely be correlated with diabetes and elevated A1c but those are two independent thing…

I mean, it is well known that A1c has a 3 month (usually) lag time assuming no hemolytic states. Could have been just caught early depending on what you mean by sugar test

Can't speak for them, but its not super common so they're isn't going to be one answer that represents all doctors in this niche. For me: Got CS degree in undergrad, worked as a SW…

Yes, that’s why in the medical field we often discuss the sensitivity/specificity/PPV/NPV of these types of tests, and how to interpret them

Ha, I did something similar as a joke with https://aisiteoftheday.foureighteen.dev . Wondering if you did anything special for accessibility and contrast? I found in my examples gp…

Guessing you’re building off of US Core patient facing API’s for this use case? That’s what I ended up doing for www.meremedical.co

You can build directly with patient facing API’s (USCDI) directly with a patient’s EMR if you’re working with patient data/ building a patient app.

They’re not organ specific, they’re disease specific. Despite all being called cancer, they’re not really the same disease and each variant might express different targets or react…

80 hours a week, averaged over a month. So individual weeks can still easily go over to 100+

In the US, there is a cap for residents: 80hrs per week, but averaged over a 4 week period so individual weeks can go over

Re: the lack of a standard privacy policy, its a shame that the Model Privacy Notice (MPN) never really took off as a simple, easy to read, privacy policy standard for health apps.…

Probably as part of the meaningful use policy in the US. Early adaptors were initially incentivized to move to EMRs off paper charts. Today the incentive no longer exists. Instead …

Awesome progress, and incredible how much you’ve been able to do in the past year!