Griseowulfin

joined 1 year ago
[–] Griseowulfin@beehaw.org 15 points 1 month ago (1 children)

Lol. I can tell you if you asked doctors what the biggest problem in their clinic, it's the EMR. I can say this myself, I've been in healthcare for a while in various roles, and i'm not to far off from graduating as a physician.

To find out what happened overnight to a patient, I have to sift through pages of computer generated junk to find just a few things. It's even worse in clinic, if I want to read what happened last time a patient was here, I have to sift through a note that is 50% auto generated lists of stuff to find what I really need to know: what the last doctor said the plan was for today.

They mention inbasket messages, and that's a huge issue. Now with the rise of patient portals, patients would message now for something that previously was a visit. Only recently has there been ways to recoup this cost (not that this is appealing to most patients, who see it as nickel and diming, though I empathize, I never can get to talk to a nurse/MA at my own family doc's clinic either).

Doctors are swamped, most of the day is charting, ultimately to appease insurance companies so that we get paid. If you're slotted for a 15 minute visit, and I'm not out after 10 minutes, I'm going to be late to every appointment until lunch or close, then I'll spend time at home finishing up notes and paperwork (prior auths, refilling meds, replying to messages from nurses and other clinic staff). Ultimately, for what good our regulation of healthcare has brought in the US, it remains that it is regulatory capture nonetheless. Healthcare orgs are quickly conglomerating, so the hospital, clinic, pharmacy, and insurance company are all owned by the same company. At the loss of good patient care, doctors are being removed from the equation, care is being fragmented and compartmentalized in a lot of aspects and less of our time in the day is available for patients.

What they call burnout, really is moral injury. People who go into healthcare do it because at some level, they want to help people. It really sucks when you realize 90% of your day is screwing with a computer system that seems to be diametrically opposed to letting you do your job.

[–] Griseowulfin@beehaw.org 3 points 3 months ago (3 children)

I use hispanic and can't say i have much care for the whole latinx/e debate, but if latino or latina just doesn't float your boat, I think latine at least sounds better and looks better.

[–] Griseowulfin@beehaw.org 10 points 10 months ago

Ultimately this a definition issue, and is philosophical more than scientific. I have no doubt he's a great neuroscientist, but it's really not a great take. I think that the whole idea of neurochemistry cascading into the decisions we make doesn't mean we don't have the ability to choose within our neurochemical makeup. I think it definitely pushing a good point in that the root causes of our behavior, especially anti-social behavior, is possibly addressable in how we support and raise our kids.

[–] Griseowulfin@beehaw.org 4 points 11 months ago

I mean, I don't use a scope to listen to pulse. I listen for murmurs, heart sounds, breathing, gut sounds. It sounds nice, but I doubt it is gonna give better info than what can be gotten from a stethoscope, ekg, or ultrasound(this is where a lot of the cutting edge is now in medicine).

[–] Griseowulfin@beehaw.org 5 points 1 year ago

I’ve worked in healthcare for 7 years and have not had any sort of assistive technology that hasn’t doubled my work.

[–] Griseowulfin@beehaw.org 2 points 1 year ago

While I can’t say much about the specifics of Japanese health and nutrition, I’d argue it confirms the general tenet of dietetics that restrictive dieting is largely not good for you (and isn’t easily maintained either).

Eating too little (or unbalanced) taxes your metabolism to free up glucose from your organ stores and store what it has, plus running the risk of nutrition deficiencies too. Plus eating too much also has it’s obvious risks.

I think in regards to keto, the risks of high fat diets are independent from the effects of ketosis. You still run the risk of CAD, obesity, high cholesterol and the issues those bring. (It raises LDLs but lowers triglycerides according to a paper from the ACC, they and the AAND are not convinced one way or another it seems on if keto should be recommended)

[–] Griseowulfin@beehaw.org 6 points 1 year ago (2 children)

Well the EFF defends internet expression and communications interests for users, even when it’s a shitty cause. Kinda like how the ACLU has defended Klansmen and similar groups. They generally believe the right to freedom of speech and expression is absolute, and if speech isthreatened for one group, it sets a precedent for other groups to be threatened too.

[–] Griseowulfin@beehaw.org 9 points 1 year ago

It sits on the edge of the concept of informed consent in the realm of things like SaaS and copyright. Obviously doctors wouldn't hold her down and pull it out, but obviously it probably was not useful to leave in. I wonder if there was a contract stating it had to be removed upon demand, like at the end of a trial or the bankruptcy that occurred. It's something that we're going to likely see in the future, as medical technology starts using computers to actively treat disorders.

 

A study in JAMA Pediatrics found a relationship between screen time as a baby and developmental delays as a toddler. This draws more ground to further investigate the health effects of electronics usage by children and what types of media have detrimental effects on development.

[–] Griseowulfin@beehaw.org 1 points 1 year ago

Ahh, That makes sense.

[–] Griseowulfin@beehaw.org 2 points 1 year ago (2 children)

I mean it read to me like they were saying that cytotoxic T cells became permanently dysfunctional (the term “exhausted” is used in the paper this news article is about) when encountering cancer cells. I’m not sure I see why the title is incorrect.

 

HeLa cells have changed the field of medicine and have led to multitudes of life saving innovations. Unfortunately, the donor, Henrietta Lacks, did not consent to the harvesting of the cell line, and until now, her and her family have not received compensation from companies that profited from products tested and designed with the HeLa cell line. Her family reached a settlement with the company that maintains the cell line for the industry.

[–] Griseowulfin@beehaw.org 6 points 1 year ago

I think this is an important finding to promote in regards to mental health. The mental health of men and boys is not really handled all that well (you either man up or get told to be more vulnerable/open/etc, without any real chance to handle it due to stigma and societal norms). I think one, it can help us spot teens who are having depressive thoughts, and give us a chance to help address it early. I think it also helps open up guys to better understand their emotions, which is the first step to managing depressive thoughts and treating depression. Given the article, I wouldn't be surprised if men grow up with an idea of "i'm not depressed because i'm not sad, hopeless, etc.", when their aggressive reactions are brought out by depressive thoughts (vs crying, loss of motivation, etc).

[–] Griseowulfin@beehaw.org 3 points 1 year ago

Yeah, at a certain point is stops being science and starts being an ethical nightmare.

 

"The incidence of type 1 diabetes in children increased during the COVID-19 pandemic,1-4 but studies have not discriminated between children with and without infection. We analyzed a large population-based, individual-patient data set that included diagnoses of COVID-19 to determine whether there was a temporal association between COVID-19 and type 1 diabetes in children."

This is an interesting study that reflects some anecdotal stories I've heard from doctors, where there's increased amounts of diagnoses of Type 1 Diabetes in the past few years. While this focuses on children (where viral infections are common triggers for T1DM, I've seen and heard of adults being diagnosed with Type 1 Diabetes, generally after a COVID infection. It calls into question the autoimmune effects of COVID that we might not yet know, especially in regards to diabetes.

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