
lena p
628 posts

lena p
@frogandabog
ai and crit care medicine. not medical advice.
New York, NY Katılım Ekim 2024
205 Takip Edilen154 Takipçiler

i think people generally perceive this and don’t look beyond it to see if the extension holds. which is why culture rewards it so much. though, there’s something to be said for being disciplined in even one area, i don’t think a lot of people are. besides. fitness has been peak aesthetic for as long as history goes
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@ChrisCroy @tenobrus unfortunately for it’s a delicious “struggle meal” that’s hard to find in any similar capacity in the northeast US
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@tenobrus Japan is 122 million people on an island the size of California and only 12% of the land is arable, so they're heavily dependent on imports. Their national dish - rice & raw fish wrapped in seaweed and served with exactly two seasonings - is the definition of a struggle meal.
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i just found out that when you adjust for purchasing power japan is the most expensive country in the world to eat meat


宇田@41_36_22
アメリカという国は、格差は激しいし薬物汚染はひどいし政治は(ご存知の通り)終わっているしで、どうしてあんな国が大国面して回っているのだろうと思っていたんだけど、最近タイムラインに10000件ほど流れてくるありえないサイズの肉塊の山の写真を見て、その物質的豊かさを急速に理解させられている
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@tszzl You understand that is not a Japanese person. The Japanese is not even close to what a Japanese person would actually say.
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‘we've been messing around with wordplay in short-form verses for over a thousand years, ya know.’
ランドナー@irukaotoko
アメリカのニキたちが「オイオイ、JAPのヤツらホントはクソおもしれーじゃねェか─」と日本人のセンスに気付き始めてて草。こちとら英語は話せないけど、1000年以上前から短文で言葉遊びしてきてるンだわ。
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@deepfates literally sleep, exercise, and trying to reduce your stress
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@rambling_28 anyone know where in the US one can source fish like this from
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I’m tired with this specialty
You blink and there’s a new study going contrary to what you just learnt!
Conrad Fischer@SeeFisch
FASTER CORRECTION OF SODIUM IS BETTER Sodium Correction Rates and Associated Outcomes Among Patients With Severe Hyponatremia: A Retrospective Cohort Study: Annals of Internal Medicine: Vol 179, No 3 acpjournals.org/doi/10.7326/AN…
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@davidasinclair don’t you think it’s irresponsible to advocate for non-guideline based regimens? aspirin can be used for colorectal cancer prevention via COX-2, but, importantly, *not* for primary prevention of heart disease.
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@nikillinit to be honest i haven’t found OpenEvidence to be particularly useful. i get 90% of clinical evidence lookup from Amboss and the remainder from ChatGPT. i haven’t found a use case where OpenEvidence surpasses either
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are free products that advertised to doctors good or bad? One dimension to think about this is cost vs. utility
UpToDate costs $550+/year per physician. OpenEvidence being free means any physician can access AI-assisted evidence lookup regardless of where they practice or how much their employer spends on IT. I think it’s bad to keep stacking fees on top of doctors/providers - you can think of this as a way to shift those expenses to pharma instead.
My belief is that getting AI tools in the hands of doctors as a clinical decision assist is important and a net benefit for society. So we should try to reduce the barriers to doing that. If using an advertising based model speeds that up, then that’s probably net good.
This also puts competitive pressure on the legacy providers who've been charging $550+/seat for decades. UpToDate now has to justify its price against a free alternative that physicians are voluntarily choosing. That kind of market pressure is healthy and means UpToDate has to provide $550 of value that feels worthwhile.
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Codex Security is still free FYI - check it out during this preview period!
We’ve seen rapid and steadily increasing adoption since launch.
Thousands of organizations are leveraging it to identify hundreds of thousands of security issues.
The potential run rate when we start charging, based on current usage, truly blew my mind 🤯
If you’ve tried it, would love to hear any feedback or ideas on how to improve!
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@MartinShkreli your best bet is to use the codex app and set up a hook such that every time it’s about to stop it continues with a prespecified injection
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@EvidenceOpen this is a great starting solution to a problem that disenfranches lots of physicians
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“Doctors shouldn’t finish a 12-hour day and then spend the evening making sure they get reimbursed accurately. Coding Intelligence reviews clinical notes and generates CPT codes, E&M recommendations, and diagnosis codes at the end of each visit.”
Modern Healthcare@modrnhealthcr
OpenEvidence releases AI medical billing feature. #Echobox=1774548474-4" target="_blank" rel="nofollow noopener">modernhealthcare.com/health-tech/mh…
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The House GOP report argues the NRMP Match acts as a monopoly that harms residents by:
- Suppressing pay: uniform starting salaries (~$66,700 in 2024), with little variance by specialty/region/experience; stagnant in real terms vs 1970s levels despite residents doing work comparable to higher-paid NPs/PAs.
- Limiting bargaining: no pre-Match offers or negotiations; backing out risks blacklisting (1-3+ years).
- Worsening conditions: frequent violations of 80-hr ACGME caps, pressure to falsify logs, high rates of burnout, depression (3.5x national avg), harassment.
For future residents: exacerbates physician shortages (projected 140k+ deficit by 2038) by deterring applicants and bottlenecking spots (thousands unmatched yearly, leading to stressful SOAP process). Repealing the 2004 antitrust exemption could allow competition for better terms, but the Match's defenders note it prevents pre-1952 recruiting chaos.
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#BREAKING: New Report Exposes How Medical Residency Hiring Monopoly Harms Patients and Doctors
Newly obtained documents reveal how the Match placement system for resident physicians operates as a monopoly in the medical residency hiring market.
Its monopolistic practices harm resident physicians, impede patients' access to care, and constrain the growth of America's physician workforce.
A special-interest antitrust exemption currently shields the Match’s anticompetitive conduct from scrutiny, allowing it to harm the public while avoiding judicial oversight.
Read the full report here: judiciary.house.gov/sites/evo-subs…

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The post links to a new interim staff report (Mar 27, 2026) from House Judiciary Committee Republicans titled "Medical Mis-Match: How a Residency Hiring Monopoly Harms Patients, Doctors, and the American Public."
It targets the NRMP "Match"—the centralized algorithm pairing ~40k med school grads yearly with ~6,500+ residency programs (run since 1952 to end chaotic early offers). Programs & applicants submit ranked lists; algorithm matches them.
The report claims it functions as a monopoly (plus ACGME accreditation control): suppresses resident pay/hours via lack of bidding, restricts workforce growth amid doctor shortages, harms patient access. It cites newly obtained docs on anticompetitive practices & notes the 2004 antitrust exemption shields it from lawsuits.
Background: Exemption added in Pension Funding Equity Act to protect the system from Sherman Act challenges. Prior 2025 hearing explored repealing it for more competition.
Report PDF should appear soon on judiciary.house.gov. It builds on oversight letters to NRMP.
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