prostheticvamp

I don’t know when it was last updated, but as far as I can tell, it’s feature-complete for my needs (with zero lock-in).

I actually just tried out OP’s Obsidian and ... it’s nice. In my workflow it would replace Sublime, as the desktop wiki editor sitting on my existing folder of wiki files.

There isn’t any of the lock-in I was getting concerned about from peoples posts here, and personal use is free. I’ll continue to play with it.

I use Kiwi to create a personal wiki on my phone. It sits in a Dropbox folder I always have open as a project in Sublime. It’s also the folder that my NotePlan app uses - so my todo list, calendar, and wiki are all the same set of markdown files.

It’s super portable (just a pile of markdown docs in a Dropbox folder), does knowledge base management, and ties my knowledge base directly into my todo/project management/time management. And it costs peanuts (kiwi is buy-once; I don’t remember what I paid for NotePlan).

People remember wikis, right? “Interconnected markdown” isn’t some new feature, and sure isn’t worth a monthly subscription fee.

Mistaking “book club” for “book class” isn’t a small category error.

So...

Erickson, among other things, makes provably false statements about the prevalence and mortality of covid19. You’re allowed to be misinformed as a private citizen; you’re not allowed to grandstand in public as a physician and spread misinformation. He’s lucky he only got deplatformed, rather than have his license taken.

You make it sound like he was expressing an unpopular interpretation of the data, rather than actively spreading untrue assertions.

No one who went into that article without a pitchfork in hand is likely to emerge with one.

I meant that aside from the conflict over PPE - which has happened more than once - I am not aware of instances of the state and federal government working against one another.

You make it sound like they spent months trying to finagle a way out of working.

EMR systems lock us (healthcare systems) into proprietary formats to make migration to new clients difficult; likewise, we don’t (didn’t) push for interoperability because exporting data to other healthcare systems cost us more than it benefited us (we didn’t fight it, we just weren’t gonna spend our money to make it happen).

HL7 and other interoperability tech only emerged because CMS reps made their way to -a lot- of conferences and, with varying levels of bluntness, said “find a way to improve interoperability on your own, or you’ll see it show up in federal regs 12 months from now.”

This is a change that came from active regulators doing their jobs correctly, in spite of the active efforts of the tech industry and the indifference of the hospital industry.

So, I rarely say this but, thank you CMS.

“This thing has absolutely no evidence of reliability or safety in a critical environment” is not criticizing it for being less-than-perfect. It’s criticizing it for being possibly inferior to the status quo.

Here’s one simple example:

Staff gowning up for routine rounds are much more careful, and safe, than staff rushing into an emergency code. If this thing throws up even the occasional false alarm, its cost to staff (in exposure) could easily outweigh, massively, and reduced rounding requirements.

That’s not “oh, well that’s not perfect.” That’s “oh, that might be worse, masquerading as better.”

“Perfect is the enemy of the good” is a wildly irrelevant comment.

If you mean visas and the like, also yes; to go from Egypt to Israel requires both an exit visa from Egypt and a tourist visa from Israel.

No that is not. We treat disease. Pretending we can fine-tune personality traits is quackery, and no respectable mental health specialist would lay claim to that.

But don’t worry - quacks abound, and they even take your insurance.

I read a book by him once. It was short and vapid and full of pseudo-profundity. It was cheap and highly rated on Amazon, so I’d given it a try. I didn’t realize he was banking on his name as an investor. Now I understand why anyone would bother reading his writing once, but not why they would read it twice.

Human tears also have antibacterial properties that have been explored for antibiotic purposes. The tears of grieving parents used to save future children from death!

Or, you know, it’s just a protein, and the tear is just the fluid where it was initially found, and you’re adding all the extra meaning yourself, which is a reflection strictly on you.

Every country in the world is hunting for N95s right now. For the US to institute price controls just means the supply will shift to another country that doesn’t.

And P100s were sold out early into this adventure.

The vast majority of patients take months or longer to get acclimated to the machine. Most will say they feel /worse/, because the machine gets in the way of their sleep at first.

I look forward to hearing more medical pearls from the web design community.

Admittedly, (b) is now less of an issue since there are a handful of auto-titrating machines on the market now. They’re less reliable than a sleep study, but they’re better than nothing.

When someone comes up with data finding a safe way to do so, the masks won’t go in the trash. In the meantime, I’d you have the masks to spare, you -should- be using them safely. Masks are pointless if you use them in a way that will get you sick.

But that’s beside the point. Almost all disposable medical supplies are cheap in isolation. They build contracts for a whole bunch of supplies, in massive quantities, over time.

Those pennies add up.

Again, operating margins <2%.

Until you’ve internalized what that means, I don’t see a high value in going back and forth.

We run into fraud and scammers trying to take advantage of our desperation on a daily basis. Probably about 20% of our supply leads. So, yeah, there’s a definite element of wariness - we don’t just take anything from anyone at random. Lives depend on us sourcing actual equipment, rather than squandering limited resources on falling for a scam. And, you know, not being the FBI, for many of us this falls to a lone harried admin plus-or-minus their boss talking it over and making a gut call before moving on to put out the next fire.

> Montell and lead author Nicole Leung, who recently completed her predoctoral studies at UC Santa Barbara, suspected opsin molecules might be at work in detecting subtle chemical signals as well, via a signal amplification process.

Yeah, but why did that formulate that hypothesis? What was the line of reasoning?