Dave deBronkart

Browsing history, I just ran across this observation. VERY true, and it's why if you want change, a big consulting firm is not the one to ask. AmIRight?

@ImmunoFever @threadreaderapp And is there any way to convince us all whether that's what I have going on? I'm keenly aware that endothelial cells are also what make the glomeruli work (I have only one kidney, and primary aldosteronism) and that they make up the blood brain barrier, so leaking is NOT good

@ImmunoFever @threadreaderapp That's what I thought. So now my big question (which none of my docs can help with, yet) is: what can humble ol' me do about this??

I want to ask you to follow this dot with your eyes. Was that easy? Without you even having to give that much thought, your brain is telling your eye muscles where to move to keep your focus on that dot. 1/

@Resolut46967 I only noticed this now. I followed.

@ePatientDave @ePatientDave Kindly follow us and send a DM so we can prioritize your case and assist you promptly. 💬✨

@SAS For my first trip with you today, I've had multiple major problems with online tech. Still cannot get app to register me - keeps saying "Sorry, we couldn't fetch the terms & conditions." So, no mobile BP. Website offers "download BP" but sends a non-working PDF. Help!!

@ImmunoFever @threadreaderapp Yes, I'm a subscriber and rolled it up myself! So tell me - I've long suspected I have post-COVID endothelial dysfunction, with many ramifications, from VO2max to brain fog. Am I correct in thinking that's essentially what your magic lining cells are? epatientdave.com/2023/05/15/cov…

@threadreaderapp @ePatientDave You may prefer the full thread here @ePatientDave : x.com/i/status/20442…

Cook Political moved Trump from Lean Antichrist to Solid Antichrist.

@Edsterko @krassenstein I'm thinking out loud so don't yell at me. Max exempt tip amount is $25,000. If she gains $3k in takehome that's the 12% marginal bracket. $25k of tips would be $125k of checks at 20%, $10k/month, $2400/day. $4k would require being in 16% bracket (there is none)

And how much has the American citizen gained from, no tax on tips The door Dasher, that delivered to the White House today, claims her income is up between 3 and $4,000 because of this new Trump instituted policy. Just one example of Americans earning serious additional money because of trump policies.

This one is so much more accurate than the original.

@ImmunoFever @threadreaderapp unroll

We’ve spent the last 4 years collecting over 1 million data points per participant. Data that has been missing from this puzzle of why some people can’t just bounce back after an infection. Now we’re trying to figure out how it all fits together. 23/

Generative AI (in the form or large language models) will act as the ultimate interface between healthcare professionals and a range of AI-based and other digital tools. Here is another proof of my prediction. Cleveland Clinic is the first health system to pilot "Chart Chat for Nursing", the first EHR-integrated AI conversational tool for inpatient nurses. "𝑇ℎ𝑒 𝑡𝑜𝑜𝑙 𝑝𝑢𝑙𝑙𝑠 𝑓𝑟𝑜𝑚 𝑡ℎ𝑒 𝐸𝐻𝑅 𝑡𝑜 𝑎𝑙𝑙𝑜𝑤 𝑛𝑢𝑟𝑠𝑒𝑠 𝑡𝑜 𝑎𝑠𝑘 𝑞𝑢𝑒𝑠𝑡𝑖𝑜𝑛𝑠 𝑜𝑛 𝑝𝑎𝑡𝑖𝑒𝑛𝑡𝑠’ 𝑐ℎ𝑎𝑟𝑡𝑠, 𝑤𝑖𝑡ℎ 𝑒𝑎𝑐ℎ 𝑟𝑒𝑠𝑝𝑜𝑛𝑠𝑒 𝑝𝑎𝑖𝑟𝑒𝑑 𝑤𝑖𝑡ℎ 𝑓𝑢𝑙𝑙 𝑐𝑖𝑡𝑎𝑡𝑖𝑜𝑛𝑠, 𝑡ℎ𝑒 𝑐𝑜𝑚𝑝𝑎𝑛𝑦 𝑠𝑎𝑖𝑑 𝑖𝑛 𝑎 𝑝𝑟𝑒𝑠𝑠 𝑟𝑒𝑙𝑒𝑎𝑠𝑒. 𝑁𝑢𝑟𝑠𝑒𝑠 𝑐𝑎𝑛 𝑎𝑠𝑘 𝑝𝑙𝑎𝑖𝑛-𝑙𝑎𝑛𝑔𝑢𝑎𝑔𝑒 𝑞𝑢𝑒𝑠𝑡𝑖𝑜𝑛𝑠, 𝑝𝑢𝑙𝑙𝑖𝑛𝑔 𝑓𝑟𝑜𝑚 𝑝ℎ𝑦𝑠𝑖𝑐𝑖𝑎𝑛 𝑝𝑟𝑜𝑔𝑟𝑒𝑠𝑠 𝑛𝑜𝑡𝑒𝑠, ℎ𝑜𝑠𝑝𝑖𝑡𝑎𝑙 𝑝𝑜𝑙𝑖𝑐𝑦, 𝑑𝑜𝑐𝑢𝑚𝑒𝑛𝑡𝑎𝑡𝑖𝑜𝑛, 𝑜𝑟𝑑𝑒𝑟𝑠 𝑎𝑛𝑑 𝑟𝑒𝑐𝑒𝑛𝑡 𝑙𝑎𝑏𝑠 𝑖𝑛 𝑠𝑒𝑐𝑜𝑛𝑑𝑠." It seems healthcare professionals are about to "chat" with the EHR systems across specialties and disciplines, just like what patients do at home. Source: fiercehealthcare.com/providers/ambi…

@heygurisingh PLEASE! No sloppy wording!! Study did NOT prove that; did not test thoughtful use by thinking people. PLEASE! It showed that LAZILY RELYING on a tool makes you lose your edge. That's very different. Correct? Fix it please? We energetic thoughtful users resent YOUR sloppy work.

🚨BREAKING: Scientists just proved ChatGPT is making you stupid. Not "might." Not "could." Proved it. 1,222 people. Carnegie Mellon, Oxford, MIT, UCLA. 10 minutes of ChatGPT use was enough to wreck people's ability to think for themselves. When the AI was taken away: → Solve rate collapsed from 73% to 57% → Skip rate nearly DOUBLED → People literally gave up on problems they could solve before 61% of participants used ChatGPT to get direct answers. That group got hit the hardest. Their performance dropped BELOW where they started. Read that again. They got worse than their own baseline. After ten minutes. And the scariest part? They didn't notice. They felt faster. They felt smarter. They felt more productive. The data said they were cooked. Every "quick ChatGPT check" is costing you something. The researchers call it "cognitive debt." I call it what it is: you're training yourself to quit. The muscle that makes you push through hard problems is atrophying in real time. And the people with the worst habits, the "just give me the answer" crowd are losing it fastest. Stop outsourcing your brain. Struggle first. Ask second. Or don't, and watch yourself become the kind of person who gives up the second something gets hard. You've been warned.

@StateDept Golly, perhaps in the way that DJT doesn't believe in staying away from war crimes? Like genocidally ending a whole civilization?

SECRETARY RUBIO: The whole world has been impacted unfortunately because Iran is violating every law known by striking commercial vessels in the Straits of Hormuz. Iran is a regime that doesn’t believe in laws, rules, or anything like that. It’s a state sponsor of terrorism.

@atrupar I believe this is called genocide, a war crime. I don't understand why you're not calling it that. Or maybe I do - but I thought Rupert was gettin' religion about TACO Prez, like most of humanity has

Bret Baier: "I just got off the phone with the president. He called. He said '8pm is happening. If we get to that point, there is going to be an attack like they have not seen.' He's sticking to that at this point."

@FoxNews I believe this is called genocide, a war crime. I don't understand why you're not calling it that. Or maybe I do - but I thought Rupert was gettin' religion about TACO Prez, like most of humanity has

🚨 BREAKING: Trump warns 'whole civilization will die tonight, never to be brought back again' if Iran doesn't agree to deal to end war

Also, website says checkin 30 hours before flight but for me it was actually 22, but I didn't know that, and *three* different phone people didn't know that and gave me wrong answers, including "Sometimes the website doesn't work for checkin."

I'm reposting this (a week later!) just to remind everyone not to believe a single word out of TACO DJT's mouth. His whole MO is to mislead, head-fake, and keep people off balance.

@urigoren @ManuKumar Toda raba!!

@ManuKumar @ePatientDave

I'm in two minds about sharing this. My wife is recovering from a serious travel-related infection that could have very easily gotten a lot worse had it not been for AI helping me to navigate this situation to advocate and push for the right care. The experience underscores the importance of AI in healthcare and I felt it is important to share this experience so that patients and doctors everywhere understand the value that AI can bring to healthcare.

@gardenbev @JetBlue On my FL trip in the blizzard last month I learned that staff *at the airport* often have access to information and powers that don't exist for web & app users AND PHONE STAFF. Note: ChatGPT told me that, not a human. I went to BWI and in THIRTY SECONDS impossible was done.

@ePatientDave @JetBlue New comment as I think about this - so the app thought row 17 was full but what, the gate agent's computer knew it was empty? Don't these things align or are made to align? It's like analyzing your blood on 2 different machines; they are calibrated together.

@JetBlue your app really screwed me today though I usually love you. I had extra cost boarding pass and tried to upgrade again for MORE money. Apparently it FIRST released my seat THEN found there were no more seats available so at boarding I ended up as NOT checked in. More:

@gardenbev @JetBlue I don't know how it's programmed. It does seem evident that the app and reality are not aligned.

Ironically, though it said there were no seats available, Row 17 was in fact wide open, so having paid extra I ended up 11 rows back and am more likely to miss my bus on arrival. Bad app. Spank it. Ironic, since I tried to give you MORE money.