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It's not bad actually, considering how many times the new shiny thing has turned out to be quite dangerous a few years later. In a field as high stake as healthcare you want the whole spectrum, from early adopters to die hard skeptics. Especially since we know the reproducibility problem of research, the influence of big pharma and big insurance on healthcare, etc etc

People shouldn't worry about accuracy too much. Everybody in healthcare knows about the problems in various measurement methods as well as individual responses to measurement anxiety and the physical and emotional state you are in that particular time. The only accurate measurements are direct measurements through an arterial catheter which is a very invasive procedure. Routine clinic measurements are used only to have a general idea about trend and secondly to catch severely high BP which is usually due to a secondary disease. Also, if BP is high above a certain limit it is significant regardless of if you took rest for 5 minutes and other precautions. Because if BP is high the normal BP regulating system should kick in and lower it regardless of the cause. With advancing age and hardened arteries this response becomes less optimal and you need the support of anti hypertensive medicines. You can see this in real time in patients under anesthesia. A young healthy patient would have an initial peak in response to pain or other surgical stimulus but they will be able to lower it either spontaneously or with minimal outside intervention. Whereas in older individuals much more effort is required to control and lower the BP. The general trend has been to treat both hypertension and diabetes early because the microvascular complications start much earlier before they become apparent clinically.

Agree 100 percent. Perhaps the present generation doesn't know about the early days of Wordpress. Also, all this wording may be because Matt is very committed and so emotional about the protection of open source projects

Excellent article. Practicing anesthesiologist of 25 years. Agree 100 percent with the problems highlighted in the article. These problems are increasing day by day with increasing algorithmization and protocolization of everything. So as the article mentions , there are two many individual variations and edge cases in day to day practice of medicine. An experienced doctor will have a a pretty good idea if following a protocol blindly can harm a patient but if they act on their experience and deviate from protocol they are open to liability even if the outcome was good. But I don't believe humanities education us the answer to this problem. It needs a system wide reset.

I think people have difficulty in comprehending the risks just from having been presented data and not seeing or talking to somebody having complications. For example I work in healthcare and have never seen an Opthalmology consultant to chose these procedures for themselves or their family.

John Carmack on AI 3 years ago

"Any AI (e.g., ChatGPT) changes the configuration of the human brain of those who use it.

Can you elaborate more?

Many of the characteristics of these beings are consistent with Jinns as described in Islamic teachings. Initially described in Quran and further elaborated in Hadith and then by various Sufi masters. Sufi masters engagement with these creatures was through intense meditation. And according to their estimates there may be more than 5 billion of them.