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salubrioustoxin

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ACD is devastating and insidious. Every baby admitted to the NICU, even for minor breathing issues, should get a rapid genome.

That said, it’s notoriously difficult to call these types of causal microdeletions, outside of a few known ones. Any insights you make on those efforts would advance the field quite a bit.

University of Chicago sued for sharing “de identified” data with Google. Federal District Court and subsequent Appeals Court dismissed the lawsuit. Reason is that patients do not have property interest in personal information and impossible to show harm. I’m impressed they were able to “de identify”clinic notes. Curious to hear thoughts on the suit, seems like this opens door for way more healthcare data sharing.

Yes. Also, even within rare disease this application has desirable features. Obvious bio marker (hearing), relatively isolated organ system with obvious delivery method (inject into cochlea). main downside is that there is an existing alternative (implant) so risk/benefit question is less obvious compared to eg neurodegenerative diseases.

Largely agree w article. However I think it's important to mention that there are other validated ways to detect abuse and that clinical decision making is, or at least should be, based on multiple lines of evidence. Especially with abuse.

In ED and clinic I have had kids that screened positive for TEN 4 FACESp (see https://jamanetwork.com/journals/jamanetworkopen/fullarticle...). One of these babies ended up having b/l subdurals, likely abuse. In the end they may have called that "shaken baby", however there were multiple other red flags, the subdurals was only one piece, and the suspected mechanism of the subdurals was repeated drops / falls.

Agreed "shaking" may not be the mechanism but the author lists other mechanisms that can lead to subdurals and retinal hemorrhage where NAT could play role, eg hypoxia via choking, repeated falls from pushing/drops, neglect in unsafe motor vehicle situations.

MD and CS 13 years ago

Conversely, has anyone currently working in an IT position had to deal with physicians? What was the context? What skills did you wish the physician had? What made it easy or difficult to collaborate on a project?