51–60 of 88 posts
uhh guessing it halves the % of failures is what they actually mean 30k deaths / 4 million procedures is 0.75% death rate going from 99.25% to 99.6% survival isn't doubling anything also 'success' doesn't appear anywhere in this article, guessing '30 day mortality' is the thing they're measuring
Almost certainly the selection bias plays a major role - surgeries done early in a week are different than those scheduled later in the week.
They do take this into account in the text. Odds ratios imply less risky procedures were normally done on weekends anyway, and you see the effect on all days other than Monday (to a lesser extent).
Earlier quoted context omitted.
If I were a surgeon, after a few days off of leisure to rewind, I certainly wouldn't start with my most risky, potentially problematic cases. Instead, I would try to pick operations that were the most straightforward. These would be almost like "warm ups" for more complex surgeries I would do later in the week. I'm also not a surgeon...
Sure, but that implies that surgeons control the operating room schedules. I am not sure that's true (it might be), but it's a contested resource in most hospitals.
I can't imagine they don't look at their schedules regularly and talk to whomever does scheduling to make their lives more bearable.
When they're on ER rotation, surgeons of course really have no possible way to manage this. My question would be: what's the ratio of emergency to planned/scheduled operations?
Earlier quoted context omitted.
I'm no expert but aren't you exposing one patient to the previous patient's poop? There could be anything from a lovely c-diff payload to something the next guy is allegeric to like nuts. As a layperson it hardly seems harmless.
I have a feeling OP means they are sterilized or autoclaved but some (now non-dangerous) particles remain as there is no medical point in thoroughly cleaning them after sterilization. Which would make sense.
Something that looks unclean can be sterile and harmless while something sterile and visually clean can be incredibly harmful as well (e.g. water with certain toxins or compounds).
Earlier quoted context omitted.
And if they are and yet still contain fecal matter, how does going in the next day help? Your appointment is still after someone else's. Do they use a new scope?
Theoretically, some bacteria could have died overnight, which would be good. In general, simple instruments constructed of stainless steel or other solid non-porous materials are easy to wash off and autoclave. Complicated constructions in which multiple parts fit precisely inside other parts constructed of different materials are not easy to wash and autoclave. Scope manufacturers would be encouraged to design more…
He seems to be suggesting that the fecal matter can be avoided by a gap of 16 hours versus a gap of (say) 30 minutes. I'm at a loss for the mechanism by which this might occur.
Pro tip: if getting a colonoscopy, always always get the first appointment of the day. I work in med devices and ummm those scopes still have poop left over between procedures. Its not harmful, but still...
Why are they not cleaned thoroughly? Just curious.
Earlier quoted context omitted.
Yeah, this reminds me a lot of the "Impossibly Hungry Judges" problem[0]. [0] http://nautil.us/blog/impossibly-hungry-judges
> If hunger had an effect on our mental resources of this magnitude, our society would fall into minor chaos every day at 11:45 a.m. ...this has potential! Scrape GitHub, find closed issues marked 'bug', do a blame on the offending line or lines, find the timestamp and plot.
Earlier quoted context omitted.
Theoretically, some bacteria could have died overnight, which would be good. In general, simple instruments constructed of stainless steel or other solid non-porous materials are easy to wash off and autoclave. Complicated constructions in which multiple parts fit precisely inside other parts constructed of different materials are not easy to wash and autoclave. Scope manufacturers would be encouraged to design more…
I am trying to make sense of the original post while stipulating that the claim about it not being harmful is true. Assuming only sterile fecal matter is left on the device, how does having an appointment the next day help? He seems to be suggesting that the fecal matter can be avoided by a gap of 16 hours versus a gap of (say) 30 minutes. I'm at a loss for the mechanism by which this might occur.
Pro tip: if getting a colonoscopy, always always get the first appointment of the day. I work in med devices and ummm those scopes still have poop left over between procedures. Its not harmful, but still...
Some of the clinical challenges https://www.sciencedirect.com/science/article/pii/S200103701...