Diego Peñailillo Güenante

🔴 Cabify se alinea con el gobierno de Kast y anuncia que como empresa absorberán el 100% del alza de los combustibles Todos tienen que hacer un sacrificio, bien acá la empresa @Cabify_Chile

@Carito21SA Que todo salga excelente, un abrazo!

Por favor les pido oraciones y buenas vibras 🙏🏻💫 Mi mamá tuvo una complicación quirúrgica y ahora está en la UCI 🥺 De corazón se los pido

@danimanouchehri Por mas que busco sus reclamos en esta fecha del 2022, no los pillo...su gobierno los nombró un 31 de marzo, ahí no le preocupaba si había emergencias?

@ShishirShelke1 Also, a pleasure to work in a MacBook 💎

Yeah because its battery actually lasts unlike most windows laptops

Totalmente de acuerdo con Gerónimo.

Mientras el mundo debate cómo absorber el shock del petróleo por la guerra en Medio Oriente, Santiago ya tiene 4.400 buses que no sienten el alza. El 68% de la flota RED Movilidad es eléctrica. Eso son 352 millones de kilómetros anuales completamente desindexados del precio del crudo. A 1,8 km/litro de rendimiento real en urbano y 80.000 km/año por bus, la flota eléctrica evita 195 millones de litros de diésel al año. Al precio actual, con el shock de Irán, eso equivale a más de US$200 millones anuales que no se incorporan al precio del petróleo. Más de US$500.000 al día. Pero el número puntual no es lo más importante. Lo más importante es la estructura del costo. Los contratos de buses diésel tienen indexación al precio del combustible. Cuando el petróleo sube 34% como esta semana, el subsidio estatal al sistema sube automáticamente. Los buses eléctricos no. Su costo energético está anclado en contratos de largo plazo con generadoras de energía renovable. El shock de Irán no les llega. Chile tomó esta decisión en 2017, antes de que nadie supiera que el Estrecho de Hormuz iba a estar en jaque. Lo hizo por calidad de aire y equidad territorial. Pero resultó ser también la mejor política de seguridad energética del transporte público que pudo haber tomado. Continuó porque hacía sentido para los que siguieron. Piñera se mandó el salto, y luego Boric lo aceleró. Hoy, cuando el gobierno debate si puede sostener el MEPCO con el alza del petróleo, los 4.400 e-buses de Santiago son un escudo fiscal estructural e invisible. Cada bus diésel que se reemplaza por eléctrico es exposición permanentemente eliminada al precio del crudo. La próxima vez que alguien pregunte si la electromovilidad en el transporte público vale la pena, muéstrenle esta semana. Y si se lo pregunta en la Alameda, con 60% menos ruido va a poder responder porque se escucha. Fuentes: DTPM 2° Informe Electromovilidad 2025 · ISCI datos reales RED · UTM marzo 2026

I kept texting my ex-coworker after she quit. Just memes. Funny stuff from the office. “You’re missing this chaos.” She’d reply with laughing emojis. We did this for months. Then she stopped responding. I figured she moved on. Made new friends. Forgot about our inside jokes. Kept sending memes anyway. Once a week. No responses. Just kept going. Felt stupid but couldn’t stop. She’d been my work best friend. Only person who got my humor. Six months of silence. Then one day. “I’m so sorry I haven’t replied. I’ve been in treatment. Depression got really bad after I left that job. Your memes were the only thing that made me smile some days. I’d read them in group therapy. Saved every single one. They kept me going” I sat at my desk crying. Had no idea she was struggling. No idea those stupid memes mattered. “Why didn’t you tell me?” She replied. “I couldn’t tell anyone. But knowing you were still thinking of me. Still trying to make me laugh. It helped more than you know” We meet for coffee now. Once a month. She’s doing better. Showed me her phone. Folder labeled “Hope.” Every meme I sent. Hundreds of them. “On bad days I scroll through these. Remind myself someone cared enough to keep trying.” I still send memes. But now she responds. And now I know they matter more than I thought. —Jake M., Texas

Como es posible se permitan estos anuncios en las redes sociales. Venta de licencias médicas

...porque si no pagas tú, paga el Estado. El banco cobra sí o sí. Porque es tu AVAL...el Estado. Porque es un CRÉDITO que le pediste al banco CON AVAL del ESTADO. CRÉDITO CON AVAL DEL ESTADO. POR LA CRESTA.

Administración de vasopresores por vía periférica, pónganse vergas: Revisión sistemática con metanálisis, >30,000 pacientes incluidos -BAJA incidencia de eventos adversos menores (dolor, edema, extravasación, infiltración): 2.3% -Eventos Adversos Mayores (Trombosis, necrosis), incidencia de 1.4%, pero, sorpresa: Cuando hubo trombosis del vaso fue porque usaron un Catéter Central de Inserción Periférica a la Línea Media, particularmente, y fueron solo 3.2% de los casos. Y hubo SOLO 1 CASO de necrosis, de todos los 29,596 pacientes (así que no tengan miedo) -Lo Mejor: usar vasopresores por vía periférica evitó la colocación de catéteres venosos centrales en el 60% de los casos. ja.ma/4btNGSr

@adrrich “Proceso inflamatorio agudo y crónico intestinal” 💀

Para que voy con in radiólogo! Mi primo le sabe al ultrasonido y cobra barato!

@NotoriousS1Q3T3 LET’S GOOOOO!! 💪💪

DELAYED, NOT DENIED!!!!! I AM GOING TO BE AN EMERGENCY MEDICINE PHYSICIAN!!!!! 😭😭😭😭😭 This last year was quite literally the hardest year of my life. Opening that email a year ago and feeling my heart sink into the pit of my stomach was the worst feeling ever, compounded by the demoralizing process of having to go immediately compose myself enough to go through the SOAP. And, it was made even worse by the fact that, though I love my TY program and the growth I have had this year, I ultimately did not get an EM position in the SOAP, which was what I really wanted. But despite wanting to give up, I kept my nose to the grindstone and I persevered, working relentlessly to overcome the failure of my 2025 Match. Hard work pays off. Pardon the French, but I fucking did it y’all. I am quite literally shaking and crying in clinic. It was all worth it. Every single moment of effort was worth it. I am good enough, and I deserve to be an emergency medicine physician, which is the farthest thing imaginable from how I felt this time last year. 😭😭😭😭😭

dear apple, the iPod needs to come back. not for nostalgia. for the parents who want their kids to love music and audiobooks without a browser, social media, and the whole internet attached to it

vibecoder asks claude code to build a chat app, gets a working prototype in 20 minutes, immediately tweets "just killed slack and discord"… brother you don't even know what a distributed system is. you don't know what database replication means. you have no idea how websocket connections behave at scale or what happens when 50k people are online at once and someone's message needs to show up in 200ms across 3 continents slack has engineers making $300k+ who have spent a decade solving problems you don't even know exist yet. race conditions, eventual consistency, message ordering, presence systems, file storage at scale, search indexing across billions of messages your app works on localhost with 2 connections. that's not the same thing as "killing slack" that's a college homework assignment the prototype is maybe 0.5% of what makes these products actually work in production. the remaining 99.5% is infrastructure, reliability, edge cases, and years of iteration on problems that only surface when real humans use your thing at scale and the worst part is the confidence. "yeah its not perfect but ai one-shotted it, just need to adjust a few things and deploy" - the few things you need to adjust IS the entire product. thats like pouring a foundation and saying you basically built a skyscraper, just need to adjust a few things ai is genuinely incredible for building tools and prototypes. i use it every day. but there's this weird thing happening where people who have never shipped anything to real users at scale now think the hard part of software is writing the first 200 lines of code it never was bro

Hace tiempo no volvía acá, pero vale la pena contarlo: Me pasó algo lindo q surgió de una situación muy triste. Había encargado un regalo (impresión 3D) para alguien, pero a los días de hacer el pedido él terminó nuestra relación 💔, así q les escribí para intentar cancelarlo

@danimanouchehri Mejor sería que hicieras realmente la pega que te pagamos por hacer

La manipulación de alimentos exige guantes, mascarilla y cubre pelo. Son protocolos sanitarios básicos. En La Moneda también deben cumplirse. Oficiaremos a Contraloría y al Seremia de salud para que investiguen y determinen responsabilidades. El Estado funciona con reglas. La Moneda no es un fundo.

@drterrysimpson Saladino is a disgrace for our profession. And I save those kinds of comments for really the worst offenders.

The “Ozempic body” insult is just aesthetic snobbery dressed up as health advice. When someone loses 20–30% of their body weight, blood pressure drops, sleep apnea improves, joints hurt less, and their risk of heart attack falls. If that offends an influencer’s sense of beauty, medicine will somehow survive. And the irony is thick: Saladino rails against “pharmaceutical shortcuts” while selling a cabinet full of supplements that have far less evidence than GLP-1 therapy. Yes — eat real food. Yes — move your body. I recommend the Mediterranean pattern all the time. But pretending obesity is solved by telling people to “eat like your great-grandmother” ignores genetics, metabolism, medications, environment, and decades of clinical research. GLP-1 drugs aren’t a shortcut. They’re the first effective medical treatment for obesity we’ve had in a century.

This whole thread is deeply unsettling....

@MichaelMindrum Yes. There’s so much legacy stuff in software like epic that making everything compatible would be a nightmare. But it’s really TONS of work. So much can go very wrong and almost every node is mission critical

@nachX Would be easier to build it from the ground up than retro fit it with a beast like epic

Okay, I have way too many ideas of how to utilize Claude in terms of making medicine more effective, efficient, ....and essentially work myself out of a job. So as I see patients, I put Claude to work. Problem is, I have too many ideas, not enough time, and could likely use someone who knows what they are doing to actually bring things to the market!

@MichaelMindrum That’s where a fine tuned local LLM may shine. A refined query on unstructured text to extract data and then… eternal happiness. My dream is to do a top to bottom EHR with all this stuff baked in.

@nachX Awesome. The bridge I see that needs to be done is taking unstructured data like an AI scribe note and putting it into structured fields or taking actions in the EMR