Earlier quoted context omitted.
Okay but then how is that something "they wish they knew" a month ago? They didn't know then?
That's why I'm perplexed. It comes across as trying to make something more dramatic than it already is. (And, I mean, hospitals being full of patients with a novel disease is already sufficiently dramatic.)
What doctors on the front lines wish they’d known a month ago
141–150 of 192 posts
Re: What doctors on the front lines wish they’d known a month ago
#142> “You put a tube into somebody,” Dr. Levitan said, “and the amount of work required not to kill that person goes up by a factor of 100,” creating a cascade that slows down laboratory results, X-rays and other care. I'd hope this could be a generally applicable lesson after the pandemic. In less overwhelming times, the medical best practice is once someone is in hospital, prescribe the statistically best treatment ev…
”I'd hope this could be a generally applicable lesson after the pandemic.” It may be news to (some) doctors, but that is not a lesson this pandemic taught us. In cost-utility analysis ( https://en.wikipedia.org/wiki/Cost–utility_analysis ), different interventions are compared against each other and against the “do nothing” approach.
Re: What doctors on the front lines wish they’d known a month ago
#143Earlier quoted context omitted.
Yeah the HN userbase can be extremely frustrating to deal with. Your comments will be flagged and you'll likely get some admin telling you to read the HN guidelines as though it means anything or matters. But I want you to know that someone else on this site sees the bullshit within the community that exasperated you so much. The HN crowd will upvoted BS posts and downvote substantial discussion on basically a random…
I have always bit my tongue on here.. I went to Startup School 2012. So I have tried to keep my cool because I thought it might lead to some opportunity. But this site is so bad at this point. I really don't care anymore. I might lose my karma or get kicked off but I frankly do not care... I have read the guidelines. and I defy someone on here to give me a good reason to downvote the original comment.
Re: What doctors on the front lines wish they’d known a month ago
#144Earlier quoted context omitted.
Just so we're clear, can you explain succinctly the key details of how contact tracing has been implemented in the various countries that have rolled it out and which parts you object to? There's a lot of parameters in the "design space" of contact tracing. If you're objecting to simply the most extreme version of it, then duh, anyone would, including the Chinese.
That is hard to answer can you anser what kind of contact tracing are you missing in "the West", and what level of privacy invasion are you comparing it against. In the first stages of Corona we did a lot of old school contact tracing.
There's many different ways of doing contact tracing that involve myriad tradeoffs. Every Asian country that has rolled it out has had negotiations between the citizens and the government over the various dimensions and how to balance between competing concerns (yes, even China). Every country has landed in a slightly different form of contact tracing based on existing resources, societal norms and degree of urgency.
It's shockingly arrogant to assume that Asian citizens haven't grappled seriously with these issues and, even if they have landed in a different position than you would prefer, that the conversations they're having don't have any value.
I've yet to read a single English language piece on Asian contact tracing that has accurately described how contact tracing works on the ground in a nuts and bolts way across multiple countries. Instead, all I read are exoticised, fetishized pieces that focus on technological bells and whistles or highlights a bunch of theoretical privacy violations that either aren't a big deal in practice or easily gotten around with some simple design tweaks.
Then, you get people who go off half cocked and make sweeping statements about an entire category of methods while having done literally no research on how it actually works in a real world context.
Re: What doctors on the front lines wish they’d known a month ago
#145I am following Cameron Kyle-Sidell on twitter (one of the doctors in the video). He has a possible theory on what it's going on. https://twitter.com/cameronks/status/1251233871137574913
why in the fuck was this voted down?? I want a fucking answer. I am sick of this site... Mark my fucking words... I am good at discerning fake news from stuff that shows promise. This is not a 5G tower theory of the disease... this is promising insight that points toward the truth. I am going to link back to this comment and this downvote as the problem with social media. there are too many ignorant stupid self right…
I'm going to put this down to your going on tilt (it happens to almost everyone), but please don't do it again. We all get downvoted. It stings, and it sucks not to necessarily know why, but it happens to everyone and it's the way HN works.
Over time, if your comments are consistently getting downvoted, you should reflect on what might be wrong with them. I looked through your recent account history and it doesn't seem so hard to figure out. In one case, you posted a comment which got a lot of upvotes, but then you pasted it in two other places in the thread and got downvoted for that. Another case was https://news.ycombinator.com/item?id=21983017 which is obviously a bad comment for HN. If one is to judge by these examples, it looks like downvoting is functioning ok.
Incidentally, the user who downvoted your comment upthread is a working doctor. (I hope it's ok for me to say that as long as I don't leak the name.) They are also a fine, scrupulous HN user, so they probably did that for a good reason. You may be disappointed that they didn't give you a substantive reply, but there's no obligation to do that on HN. Sometimes people don't want to get into an argument; sometimes they have their hands full with other things; sometimes they just don't have the energy. It takes a lot of time and energy to think through and type out a substantive comment, especially on a divisive topic where the chance of being misunderstood or attacked is quite high.
Re: What doctors on the front lines wish they’d known a month ago
#146Earlier quoted context omitted.
Yeah the HN userbase can be extremely frustrating to deal with. Your comments will be flagged and you'll likely get some admin telling you to read the HN guidelines as though it means anything or matters. But I want you to know that someone else on this site sees the bullshit within the community that exasperated you so much. The HN crowd will upvoted BS posts and downvote substantial discussion on basically a random…
I have always bit my tongue on here.. I went to Startup School 2012. So I have tried to keep my cool because I thought it might lead to some opportunity. But this site is so bad at this point. I really don't care anymore. I might lose my karma or get kicked off but I frankly do not care... I have read the guidelines. and I defy someone on here to give me a good reason to downvote the original comment.
Re: What doctors on the front lines wish they’d known a month ago
#147> “You put a tube into somebody,” Dr. Levitan said, “and the amount of work required not to kill that person goes up by a factor of 100,” creating a cascade that slows down laboratory results, X-rays and other care. I'd hope this could be a generally applicable lesson after the pandemic. In less overwhelming times, the medical best practice is once someone is in hospital, prescribe the statistically best treatment ev…
Instead of ventilation, wouldn't a heart-lung machine (or other types of external oxygenators) be the preferred method if cost was not an issue? https://en.wikipedia.org/wiki/Extracorporeal_membrane_oxygen...
There are only a few hundred ECMO machines in the US. I suspect that’s less due to cost, and more due to the limited number of patients per year for whom ECMO has a good chance of being a net benefit.
Re: What doctors on the front lines wish they’d known a month ago
#148Earlier quoted context omitted.
I have always bit my tongue on here.. I went to Startup School 2012. So I have tried to keep my cool because I thought it might lead to some opportunity. But this site is so bad at this point. I really don't care anymore. I might lose my karma or get kicked off but I frankly do not care... I have read the guidelines. and I defy someone on here to give me a good reason to downvote the original comment.
My guess, though I have not downvoted, is because it’s off topic. This isn’t a general coronavirus thread. The discussion is about the article posted. Why not submit that link independently?
I did submit it as a separate link and it's got no traction.
My concern is this... there is a lot of fake news... like the 5G tower theory which is absurd. But there are also legit people out there trying to figure out this problem. They are being dumped into the same bucket... by well meaning social media moderators.
I suspected it was downvoted because people think they're doing the right thing... stopping the spread of wild theories or disinformation.
Re: What doctors on the front lines wish they’d known a month ago
#149Here in suffering Sweden 80% of covid patients in intensive care survive. I read that 80% of NY ICU patients on ventilation dies. Are we perhaps using less mechanical breathing devices here i Sweden? Edit: this didn’t come out right... couldn’t find total icu death rate but have read stories about high mortality in NY.
What about the BMI difference, being fat and having covid is higher risk.
https://en.wikipedia.org/wiki/Obesity_in_the_United_States
"The obesity rate has steadily increased since the initial 1962 recording of 23%. By 2019, figures from the CDC found that more than one-third (36.5%) of U.S. adults[5] and 17% of children were obese.[6] A second study from the National Center for Health Statistics at the CDC showed that 39.6% of U.S. adults were obese as of 2015-2016 (37.9% for men and 41.1% for women).[7]"
Re: What doctors on the front lines wish they’d known a month ago
#150Earlier quoted context omitted.
I never conceded that flattening the curve was not about reducing the area, so I have not moved any goalposts. I was going to make a comment on this article about the meme being too effective, in that it convinced people that the only point was to reduce the load on the medical system. Of course the goal is to reduce the load on the medical system, but that's step one, to get though the first wave of infections and t…
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