News for hackers. Stuff that matters.
Re:The U.S. tried to build a new fleet of ventilators by ALittleLight on Sunday March 29, 2020 @08:06PM (#22723942)
Again, nobody is saying that ventilator boot camp graduates should replace doctors. If there is a concern that there will be more people who need ventilators than we have medical professionals to operate ventilators - then the answer is that we need to quickly increase numbers of ventilator-operators - even if they are substandard.

Perhaps you think our capacity won't be overwhelmed. Then it would make perfect sense not to bother training amateur operators. If you think an amateur operator is worse than no operator, I'd like to see your evidence. If all you have is your intuition then my intuition is that you're wrong.

Re:The U.S. tried to build a new fleet of ventilators by omar_a1 on Sunday March 29, 2020 @08:28PM (#22724078)
No, it's that I'm aware that "ventilator bootcamps" would be a resounding failure that would kill more people than it saves.

Going from zero to medical professional - not a doctor, just someone who can perform invasive medical procedures without killing a large number of people - isn't 30 days of work. Ignoring that reality will recklessly endanger people's lives.

If we're talking veterinarians, dentists, nurses, residents, MDs in unrelated specialties - then sure! They actually have the requisite knowlege and manual dexterity to cross-train. But going from, say SWE to ventilator operator, is not a 30 day crash course.

> If you think an amateur operator is worse than no operator, I'd like to see your evidence. If all you have is your intuition then my intuition is that you're wrong.

Because then you end up wasting a life and keeping a ventilator occupied, when there are much more efficient ways to kill patients that don't involve misusing a ventilator.

Former scientist, including (lab side) FDA trials. Medicine is complicated. Even sterile technique, to make sure you don't inadvertently give your patient a life-threatening infection in the process of "helping" them, can take years to get right. This is true of the most routine aspects of any kind of medical work.

But, do tell: since my "intuition" is so obviously wrong, I want to hear all about your empirical research. Or let's just start with your credentials, medical or otherwise.

Re:The U.S. tried to build a new fleet of ventilators by ALittleLight on Sunday March 29, 2020 @09:16PM (#22724348)
Earlier in this thread it's stipulated that the bottleneck is not the number of ventilators but the trained people to operate them. As such, training more operators is an obvious solution, and allowing the new operators to be substandard will mean we can get more operators faster.

This pretty much dissolves your only real objection, that we'd be keeping a ventilator occupied that would otherwise be in use. Nope. The solution to a deficit of ventilators is producing more - not letting people die without them.

Generally, you are trying to invent reasons and restrictions to make trying to train ventilator-operators seem like a bad idea rather than understanding or advancing how the idea might be viable. An example of this is how you acknowledge that training other medical adjacent professionals (e.g. vetrenarians) would likely work. Great, you agree the idea could work. If you expect that our capacity will be overwhelmed then presumably you think we should training additional operators. Instead of reaching that conclusion you imagine reasons to object to the idea though.

A SWE would likely be worse than a vet after a bootcamp. That's a good reason to have some entry requirements to the bootcamp and those requirements could be relaxed or strengthened depending on where we expect demand to be in 30 days relative to supply. A SWE through a 30-day bootcamp would likely be better than nothing.

The other main constraint you've imagined is that they would need to save more people than they kill to be worthwhile. No, they'd need to save more people than would die without them. If it would be better to just struggle to breathe than have an amateur operator, that would be an argument against them.

Your credentials, whatever they are, haven't equipped you to clearly communicate your reasons for opposing this idea. As I mentioned, it seems like you actually support some version of it.

[dead]
Re:The U.S. tried to build a new fleet of ventilators by marnett on Sunday March 29, 2020 @11:01PM (#22724847)
As the contrarian, can you at least enlighten us to what, in your opinion, would be the best strategy to proactively address potential bottlenecks? I think we can all agree, career shaming aside, that medical professionals and engineers of all varieties actively participate in mindsets geared towards problem solving.

So in a hypothetical situation, where existing permanent healthcare infrastructure is at capacity, field hospitals are setup and existing medical professional staff need to be divided amongst the existing and newly supplemented infrastructure, what is your suggestion to save the most lives?

This exercise of sharing ideas, informing, critiquing is what this forum is for. Disagree and casting shame for a lack of first-hand professional experience is not educational and it’s not what this forum embodies.

I want to be as informed as possible so I can call BS when politicians say “nothing at all could have been done.”

Re:The U.S. tried to build a new fleet of ventilators by omar_a1 on Sunday March 29, 2020 @11:18PM (#22724927)
I fail to see how explaining that, "Yes, you need to know medicine to practice medicine, or people will die" is considered being contrarian. Would you rather just revel in ignorance?

So here's my idea: stop treating invasive medical procedures as something that can be trivially learned in a short amount of time. In short, drop the God complex. You're out of your depth here.

The need for action doesn't mean acting foolish. Irrational behavior in the name of "just doing something" will needlessly deplete more resources.

Re:The U.S. tried to build a new fleet of ventilators by marnett on Monday March 30, 2020 @12:59AM (#22725378)
> The need for action doesn't mean acting foolish. Irrational behavior in the name of "just doing something" will needlessly deplete more resources.

I am genuinely interested in what your suggestion would be though. This is me asking. What would you do to address in the hypothetical I proposed?

Re:The U.S. tried to build a new fleet of ventilators by omar_a1 on Monday March 30, 2020 @01:32AM (#22725503)
For one, if I were hypothetically responsible for addressing this crisis, I would be talking to the nurses and doctors to figure out what level of training is actually necessary to operate these ventilators. I'd also ask what else they actually need: if we get them ventilators but nothing else they're short on, we're still in trouble. In other words, I would recognize that I'm out of my league here and ask the actual professionals on the front lines of this crisis.

As I mentioned above, cross-training medical professionals in adjacent fields sounds more practical. Allowing nurses to do more of what the doctors typically do is another. Even just offloading some of the administrative paperwork for clinicians to admin staff might make a significant dent. Relaxing any bottle-neck non-essential bureaucratic requirements slowing down access to treatment or acquisition of new equipment and supplies.

Having said that, I also recognize that the ideas I just came up with in the last 30 seconds are just that: ideas off the top of my head, coming from someone with no actual experience in healthcare management.

Basically, my first priority would be to make an informed decision, and that starts with figuring out what I don't know, and filling in those gaps. Rather than uncritically insisting, quite emphatically, that medicine can be solved with a 30-day boot camp. Because, hey, if it worked for tech then it must work for medicine!

Re:The U.S. tried to build a new fleet of ventilators by ALittleLight on Sunday March 29, 2020 @11:00PM (#22724842)
You seem like you're not making real arguments, so I'll leave the conversation at this.
[dead]
Re:The U.S. tried to build a new fleet of ventilators by omar_a1 on Monday March 30, 2020 @03:09AM (#22725846)
They asked for evidence. I did as much, explaining a very, very basic concept in medicine, "sterile technique," and how even that can take years to get right. And was told, in response, that I'm just imagining reasons to object. Evidentally, keeping tools sterile in medicine is something I just conjured up!

Perhaps you should take your own advice, rather than responding with personal vitriol directed at the users countering your point.

[dead]
Re:The U.S. tried to build a new fleet of ventilators by DonHopkins on Tuesday March 31, 2020 @03:05AM (#22735478)
Maybe it's because you always immediately change the subject from the one other people posted, so you have no right to whine when somebody does it to you.

I'm still waiting for you to reply to the questions I asked in the thread that you kept trying to change the subject away from. When I wouldn't let you do that, and kept bringing you back on topic, you ran away because you'd painted yourself into a corner with glaring contradictions in the things you said, and there was no way you could resolve the contradictions except by admitting you didn't really mean what you said.

Re:The U.S. tried to build a new fleet of ventilators by omar_a1 on Monday March 30, 2020 @05:13AM (#22726352)
Because you're making a point of singling out every single reply in this thread that you disagree with, and making your objection about the user posting the comment rather than the comment yourself. Or broadly asserting that the parent comment never claimed points that were plainly written, and insisting on textual support. Your actual contrarianism is rather distracting.
[dead]
Re:The U.S. tried to build a new fleet of ventilators by omar_a1 on Monday March 30, 2020 @05:51AM (#22726521)
No.
Re:The U.S. tried to build a new fleet of ventilators by DonHopkins on Tuesday March 31, 2020 @03:13AM (#22735505)
Good answer!
Re:The U.S. tried to build a new fleet of ventilators by mistermann on Monday March 30, 2020 @06:04AM (#22726588)
No, as in you are unable to provide evidence, or no as in your are unwilling?
Re:The U.S. tried to build a new fleet of ventilators by DonHopkins on Tuesday March 31, 2020 @03:14AM (#22735509)
Poor answer. Your postings are being flagged, downvoted, and you're on your way to getting banned. Keep answering like that, and you will be gone. And it will be easy for us to recognize you next time you make another troll account, so don't try it again.
[dead]
Re:The U.S. tried to build a new fleet of ventilators by mistermann on Monday March 30, 2020 @08:31PM (#22733784)
Once again, your description of the conversation is quite inconsistent with the words written on the page, but I think there's not much hope in making any progress.

I'll share a piece of advice that a good friend of mine told me a few years ago: The mind is a wonderful servant, but a terrible master.

I didn't really understand what he was talking about at the time, I thought it was just another one of those silly platitudes that people who've smoked a bit too much drugs say. But after pondering it over the years, it has become one of my very favorite sayings.

Re:The U.S. tried to build a new fleet of ventilators by omar_a1 on Monday March 30, 2020 @10:11PM (#22734333)
No.
Re:The U.S. tried to build a new fleet of ventilators by DonHopkins on Tuesday March 31, 2020 @03:12AM (#22735503)
Good answer!
Re:The U.S. tried to build a new fleet of ventilators by stainforth on Monday March 30, 2020 @12:00AM (#22725106)
Maybe I'm the first to bring up this comparison, but don't people deliver babies incidentally all the time (couldn't make it in time to the hospital, etc.) An event where I'm sure some would say only a doctor is qualified to handle it. And yet we still do what we have to.
Re:The U.S. tried to build a new fleet of ventilators by omar_a1 on Monday March 30, 2020 @12:22AM (#22725217)
Childbirth is a bodily function that the species is biologically predispositioned to perform. It will happen whether a doctor is present or not, to say nothing of the numerous possible complications. Ventilation is not a comparable analogy here.
Re:The U.S. tried to build a new fleet of ventilators by jacquesm on Monday March 30, 2020 @02:46AM (#22725781)
Yes and when we do it like that the risk to mother and child goes up tremendously.