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BC ICU Doc

@LPorayko

Intensivist & Anaesthesiologist. Aspiring stoic. Avid Nak Muay. Professional value investor. Proud and grateful husband, step-father and grandpa. Slava Ukraini!

Victoria, British Columbia Beigetreten Haziran 2013
2.9K Folgt960 Follower
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Roman Sheremeta ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡บ๐Ÿ‡ฆ
Roman Sheremeta ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡บ๐Ÿ‡ฆ@rsheremeยท
John McCain famously said that โ€œrussia is a gas station run by a mafia that is masquerading as a country.โ€ But Ukrainian strikes on oil refineries and ports are ensuring that russia is not even a gas station anymore. All that remains is a โ€œmafia masquerading as a country.โ€
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Mark Roseman
Mark Roseman@markrosemanยท
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tobi lutke
tobi lutke@tobiยท
Share a bit. I donโ€™t want to belittle the category of software. People did amazing work in the world of payroll software (agile manifest etc). But at some point a csv is created and it has a row per payee and it happens twice a week. Shopify pays out millions of businesses and moves billions a day. And we took 20m of financing ever before we went public (and had it all still in the bank when we did). The scale of nonsense thatโ€™s happening with government bespoke software is just unexplainable without fraudulent intent. But it also tracks with everything else you hear about government efficiency (minus maybe military). Itโ€™s not that it costs 10b to make a payroll software that is the problem. Itโ€™s that it costs this much for anything that the government tries to do itself. The only conclusion is that the government needs to do a lot less.
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Patrick S. Tomlinson
Patrick S. Tomlinson@stealthygeekยท
By 1943, the Allies had forbidden any new assassination attempts against Hitler because they viewed his paranoia, incompetence, drug abuse, and megalomania as so damaging to the Axis war effort they considered him a net strategic positive. History doesn't repeat, but it rhymes.
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BC ICU Doc
BC ICU Doc@LPoraykoยท
@austincamp You guys are worth your weight in gold. That is understatement! ๐Ÿ˜ƒ
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Austin Camp
Austin Camp@austincampยท
MONDAY Me: Hello! Iโ€™m the ICU pharmacist. We usually do rounds at 9 if you're up for it? New locum intensivist: Oh uh well okay thatโ€™s fine. FRIDAY Me: He- NLI: Omg Iโ€™m glad youโ€™re here I have questions on this and need help with thatโ€ฆ Predictable but feels good every time!๐Ÿคทโ€โ™‚๏ธ
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Kuppy
Kuppy@hkuppyยท
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BC ICU Doc@LPoraykoยท
@JohnRustad4BC It makes me grateful that I am closer to the end of my career than the beginning of it. Sadly.
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John Rustad
John Rustad@JohnRustad4BCยท
What this bill really does is send a message, and itโ€™s not subtle: fall in line or risk your career. You build a system where every complaint, no matter how small, gets dragged into the open, where discipline is ultimately overseen by government-appointed bodies, and where thereโ€™s no appeal if they decide you stepped out of bounds. Then you act surprised when professionals stop speaking freely? Of course they will. Because now imagine youโ€™re a doctor who questions the prevailing line, maybe you raise concerns about โ€œsafe supply,โ€ maybe you donโ€™t parrot โ€œtrust the scienceโ€ on every issue, maybe you think a struggling kid needs counselling before life-altering decisions. Under this framework, thatโ€™s not just a conversation anymore. Thatโ€™s a risk calculation. This doesnโ€™t build trust. It builds silence. It creates a system where the safest move for any professional is to keep their head down, repeat the approved script, and never challenge anything even when their training, their experience, or their conscience tells them something isnโ€™t right. #bcpoli
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Richard Woodruff ๐Ÿ‡บ๐Ÿ‡ฆ
Richard Woodruff ๐Ÿ‡บ๐Ÿ‡ฆ@frontlinekitยท
I fucking LOVE Ukraine ๐Ÿ‡บ๐Ÿ‡ฆ To be honest, at first I doubted the ability of Ukrainians to use the "Patriot" system due to its complexity, but they have mastered it so well that now the US Army is learning from them, โ€” a general of the US Army European Command.
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Brian Day
Brian Day@DrBrianDayยท
More Government control = greater inefficiency, more bureaucracy, and political interference in patient care.The way B.C. health-care workers are regulated is changing April 1 | Vancouver Sun vancouversun.com/news/bc-healthโ€ฆ
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Mark Roseman
Mark Roseman@markrosemanยท
That annual increase of $2.375 billion in bureaucracy would sure pay for a lot of front-line care. It would pay for ~6000 more family doctors. (BC has ~8000 family docs now, but several thousand do something OTHER than longitudinal family medicine). Spending choices matter.
Mark Roseman@markroseman

What area of health spending has grown the fastest since the BC NDP came to power? Hospitals? Long-term care? Physicians? Drugs? Nope. While absolute spending rose in each of these, as a %age of overall health budget spent in each of these areas, they all DECREASED. Biggest %increase? "Corporate" (health authority head office bureaucracy etc.) Grew from 6.80% to 9.18% of total budget. An additional $2.375 billion per year.

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Mark Roseman
Mark Roseman@markrosemanยท
What area of health spending has grown the fastest since the BC NDP came to power? Hospitals? Long-term care? Physicians? Drugs? Nope. While absolute spending rose in each of these, as a %age of overall health budget spent in each of these areas, they all DECREASED. Biggest %increase? "Corporate" (health authority head office bureaucracy etc.) Grew from 6.80% to 9.18% of total budget. An additional $2.375 billion per year.
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BC ICU Doc
BC ICU Doc@LPoraykoยท
๐Ÿคฃ๐Ÿ˜ญ๐Ÿ˜‚
Om Patel@om_patel5

this guy let an AI agent handle his scam texts for a week a scammer asked him to buy a $500 gift card the agent spent 4 hours "driving" to target. sent status updates like "i'm at the red light now, there's a very handsome squirrel on the sidewalk. do you think he's married?" then it said "i forgot my purse, going back home. wait, this isn't my house" it sent a screenshot of a captcha to the scammer claiming its "eyes were blurry" and it couldn't see the buttons to wire money the scammer actually solved the captcha for the AI the scammer eventually typed: "please just stop talking. i don't want the money anymore. god bless you but leave me alone" total time wasted for the guy was 14 hours the script should be open source lol

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Ron Chusid
Ron Chusid@RonChusidยท
Study investigating whether Covid vaccines can lead to sudden death in young health recipients found that risk of sudden death was actually lower in those who received the vaccine. journals.plos.org/plosmedicine/aโ€ฆ
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Nick Mark MD
Nick Mark MD@nickmmarkยท
Itโ€™s a really interesting observation that in AI can improve physician performance at tasks like polyp detection but that performance drops below baseline when the AI is removed. Iโ€™ve heard the same argument about docs using VL instead of DL for intubation, or POCUS instead of landmarks for central line placement. Outside of medicine, pilots are criticized for being over dependent on automation even though flying has never been safer. I think itโ€™s OK to depend on technology if it meaningfully improves outcomes. But we need to be certain that there is real and sustained benefit.
Berci Meskรณ, MD, PhD@Berci

One of the biggest fears about healthcare's AI revolution is that AI can erode physiciansโ€™ expertise and their performance may drop when AI is removed. A new scoping review provides examples for that. In colonoscopy, the adenoma detection rate dropped significantly from 28.4% to 22.4% when endoscopists reverted to non-AI procedures after repeated AI use. In radiology, erroneous AI prompts increased false-positive recalls by up to 12%, even among experienced readers. In computational pathology, over 30% of participants reversed correct initial diagnoses when exposed to incorrect AI suggestions under time constraints. "๐ด๐‘™๐‘กโ„Ž๐‘œ๐‘ข๐‘”โ„Ž ๐‘™๐‘–๐‘š๐‘–๐‘ก๐‘’๐‘‘ ๐‘–๐‘› ๐‘›๐‘ข๐‘š๐‘๐‘’๐‘Ÿ, ๐‘’๐‘š๐‘๐‘–๐‘Ÿ๐‘–๐‘๐‘Ž๐‘™ ๐‘ ๐‘ก๐‘ข๐‘‘๐‘–๐‘’๐‘  ๐‘๐‘œ๐‘›๐‘ ๐‘–๐‘ ๐‘ก๐‘’๐‘›๐‘ก๐‘™๐‘ฆ ๐‘‘๐‘’๐‘š๐‘œ๐‘›๐‘ ๐‘ก๐‘Ÿ๐‘Ž๐‘ก๐‘’ ๐‘กโ„Ž๐‘Ž๐‘ก ๐ด๐ผ ๐‘๐‘Ž๐‘› ๐‘–๐‘›๐‘Ž๐‘‘๐‘ฃ๐‘’๐‘Ÿ๐‘ก๐‘’๐‘›๐‘ก๐‘™๐‘ฆ ๐‘–๐‘š๐‘๐‘Ž๐‘–๐‘Ÿ ๐‘โ„Ž๐‘ฆ๐‘ ๐‘–๐‘๐‘–๐‘Ž๐‘›๐‘ โ€™ ๐‘๐‘’๐‘Ÿ๐‘“๐‘œ๐‘Ÿ๐‘š๐‘Ž๐‘›๐‘๐‘’ ๐‘œ๐‘Ÿ ๐‘Ÿ๐‘’๐‘‘๐‘ข๐‘๐‘’ ๐‘œ๐‘๐‘๐‘œ๐‘Ÿ๐‘ก๐‘ข๐‘›๐‘–๐‘ก๐‘–๐‘’๐‘  ๐‘“๐‘œ๐‘Ÿ ๐‘ ๐‘˜๐‘–๐‘™๐‘™ ๐‘š๐‘Ž๐‘–๐‘›๐‘ก๐‘’๐‘›๐‘Ž๐‘›๐‘๐‘’. ๐‘†๐‘Ž๐‘“๐‘’๐‘”๐‘ข๐‘Ž๐‘Ÿ๐‘‘๐‘–๐‘›๐‘” ๐‘๐‘™๐‘–๐‘›๐‘–๐‘๐‘Ž๐‘™ ๐‘’๐‘ฅ๐‘๐‘’๐‘Ÿ๐‘ก๐‘–๐‘ ๐‘’ ๐‘ โ„Ž๐‘œ๐‘ข๐‘™๐‘‘ ๐‘๐‘’ ๐‘๐‘œ๐‘›๐‘ ๐‘–๐‘‘๐‘’๐‘Ÿ๐‘’๐‘‘ ๐‘Ž ๐‘๐‘’๐‘›๐‘ก๐‘Ÿ๐‘Ž๐‘™ ๐‘๐‘œ๐‘š๐‘๐‘œ๐‘›๐‘’๐‘›๐‘ก ๐‘œ๐‘“ ๐ด๐ผ ๐‘ ๐‘Ž๐‘“๐‘’๐‘ก๐‘ฆ ๐‘Ž๐‘›๐‘‘ ๐‘Ÿ๐‘’๐‘ ๐‘–๐‘™๐‘–๐‘’๐‘›๐‘๐‘’ ๐‘–๐‘› ๐‘š๐‘’๐‘‘๐‘–๐‘๐‘–๐‘›๐‘’." The study: sciencedirect.com/science/articlโ€ฆ

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Jeff Gilchrist
Jeff Gilchrist@jeffgilchristยท
*** Ontario COVID Hospitalization Rates by Age *** Data is now available for hospital admissions due to COVID by age group going back to Oct 2021. This provides interesting insights into how much children have been impacted with serious infections compared to adults. ๐Ÿงต1/
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Darth Putin
Darth Putin@DarthPutinKGBยท
OTD 1933 Adolf Hitler was officially sworn in as chancellor of Germany. He immediately pardoned 8,000 violent Nazis, many of whom were involved in the failed 1923 coup.
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