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The Other Half

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Re: The Other Half

#271
post #199

Earlier quoted context omitted.

That's great, but it's totally irrelevant to the style of writing linked here.

I disagree. Glancing down the headlines on the front page right now, I'd say ~half would be better if they were written in that style.

By 'here', I specifically meant this article.

If you don't want to read that style of writing, then I would suggest not clicking links with this style of title.

Re: The Other Half

#272
post #252

As the article started out describing spending an exorbitant amount of money to achieve a bunch of non-essential goals (not counting being with his father, of course) I was expecting "the other half" to refer to a friend or acquaintance without "means" dying in an alley due to lack of funds for medical treatment.

I'll get it better next time.

Re: The Other Half

#273
post #268

Earlier quoted context omitted.

We can start by asking if capitalism is inferior at providing health care, at least. People sometimes assume that capitalism means free markets. In practice it can also mean oligopolies, monopolies, rigged systems, and scams. That may describe the US health system, propped up with government regulations and subsidies.

For my part, I don't see a need to try out a more capitalist health care system when there are lots of people showing a good working socialized model in lots of other countries. I'd say, go with what works.

Usa says: no we are zealots, forget your evidence!

Re: The Other Half

#274
post #244

Earlier quoted context omitted.

What do you do if you've had symptoms for weeks/months? Until you've been diagnosed with a heart attack, the word "mild" does mean much. People over the age of 35-40 have many chronic mild pains

If you've had symptoms for a few hours that are untreatable by medication (like I said), then you call your doctor. Your doctor will tell you whether or not to come in. If it's chronic old-person pain, your doctor will find that out, and tell you next steps. If you've had symptoms for weeks/months, well, I guess that's probably not a heart attack, good job? Still should have gone in within the first day.

You're spot on with your previous post, but just wanted to add a note to anyone reading that if you've been having intermittent chest pain or discomfort for weeks/months, it still could be a heart problem (or reflux or a host of other things) that needs to be checked out. You could have a partial blockage of a coronary blood vessels (the blood vessels that provide blood/oxygen to the heart muscle itself) that provide insufficient blood flow, either when you're active, or randomly.

(this is not medical advice!)

Re: The Other Half

#275
My dad dropped dead from an arrhythmia whilst at work. People nearby performed CPR on him immediately, the ambulance was there within 7 minutes and he was rushed to the Alfred hospital in Melbourne.

He was literally dead for 20 minutes, but they managed to revive him and a few weeks later, with a newly installed pacemaker, better than new.

He had a very, very, very high probability of dying, or requiring specialised care due to brain damage from brain hypoxia. Those that knew CPR, and did it properly for those excruciating 7 minutes gave him his life back.

The moral of the story is, if something feels awry, go and see a doctor (he wasn't taking it seriously), and learn CPR, you might just save someone's life.

Oh, and our hospitals and doctors/nurses are top notch. He was in intensive care for a few days and the final bill was a few hundred dollars. Hooray for universal healthcare!

Re: The Other Half

#276

Earlier quoted context omitted.

To properly rule out a heart attack you would need a) A twelve-lead EKG - which requires twelve wires to be connected to specific locations on your body and b) Blood tests Therefore for a consumer-grade device to properly rule out a heart attack it would need to be a large EKG machine with multiple connectors as well as a blood test analysis machine. And that's not even considering that proper analysis of an EKG trac…

Is that very different from a Holter monitor? Those are cumbersome, but seem like they could be a feasibly portable technology at some point. Also, those two tests are necessary for getting a relatively immediate result. Might a) alone provide valuable insights over a longer period of time? I could see your EKG over the course of 48 hours having the potential to provide a comparably accurate test result. Layman, obvi…

A Holter is essentially an EKG that's left on for a longer period of time. If a patient is coming in with chest pain and your want to evaluate for a heart attack, you really just need a single EKG (and ideally, an older EKG to compare to) to look for the characteristic EKG changes, and blood work to look for signs of damage to the heart muscle. It's really an instantaneous yes/no decision since if the answer is yes, you're likely going to the cath lab or the operating room within minutes (we're often judged on our "door to balloon time", meaning the time from the patient entering the ER to the time the stent is deployed in the heart)

There are other heart conditions that manifest intermittently for which a Holter can help diagnosis. There are a few companies out there working on innovative approaches to make the Holter less cumbersome -- I think iRhythm's ZIO patch was the first on the market and there's several more now. There also some interesting evidence that more subtle signs in the EKG or even unrecognizable-to-humans features of the electrical signal can help proactively predict heart attacks before they happen, but I think that's not yet validated or ready for clinical use. If those type of metrics/analyses prove useful, you could make a case for using Holter-type monitoring to identify a heart attack before it happens

Re: The Other Half

#277
post #100

Interesting story. Having a skilled doctor is essential to making it out of those situations unscathed. I was lucky enough to have one of those too. I had an ischemic stroke at the age of 21 while studying abroad in Prague. Rushed to ER and emergency cutting edge surgery, intra-arterial thrombolysis, ensued. This is a 'test' procedure in many parts of the western world. They went through my groin to get to the blot c…

>For all the 'making the world a better place (at a macro level)' that us devs are doing

Speak for yourself... I'm just automating peoples jobs and subsequently making them unemployed, lol.

Re: The Other Half

#278

First job out of high school was working in a department store. One of the sales guys I worked with was Keith. He smoked, liked to drink and go to Disney World. After returning from a Disney World trip, he told me how he spent most of it on the hotel room floor because he 'threw his back out' and had general chest pain. Nothing excruciating, just annoying enough that he wasn't up for hours of walking. His friends tol…

Seneca talks about this a lot. When I first started going to war in my early twenties, I began confronting my own mortality, and found myself slowly being funneled towards the great Stoics.

Re: The Other Half

#279

My dad dropped dead from an arrhythmia whilst at work. People nearby performed CPR on him immediately, the ambulance was there within 7 minutes and he was rushed to the Alfred hospital in Melbourne. He was literally dead for 20 minutes, but they managed to revive him and a few weeks later, with a newly installed pacemaker, better than new. He had a very, very, very high probability of dying, or requiring specialised…

I'm glad that your dad is OK. Was he experiencing symptoms prior to him falling unconscious at work?
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