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Joined 10 months ago
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Cake day: January 13th, 2024

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  • I blame my tech background for being intensely suspicious of pretty much all AI. The AI developed by MIT for early detection of preliminary stages of breast cancer on mammograms that was trained on an extremely rigorously vetted and sanitized data set is probably the only breed of AI I would actually trust in medicine.

    I once had ideas about creating a learning algorithm (not quite as complex as AI and not a black box) that uses data from medical professional input to generate suggestions for triage and protocols in emergency medicine. My idea was to feed it the triage notes, vitals, labs, diagnosis, and disposition with patient demographics (and NO PII) to create a statistical model that would look at the triage notes and the intake vitals to make a suggestion for triage level and empiric labs/testing to expedite care.

    Obviously, the triage nurse (or any other staff member, really) could override it and input a higher level of triage because there’s no good way to reliably teach a machine gestalt or heuristics. A really experienced healthcare provider will almost always have a good sense for which patients are currently just compensating and will be crumping shortly. I just think having a statistical model that puts in empiric orders to get stuff started while the patient is still waiting to be brought back could expedite care a lot.

    The thing that made me think of this is the fact that every time I have seen a kiddo come through the ER with vision changes that were not fixed by glasses, they had some kind of intracranial mass, and it would just make stuff go so much faster if the head CT was already done by the time the physician could actually see the patient. (Or patients that are on the border of meeting SIRS criteria having a bunch of labs already done.)














  • I’m saying that getting methamphetamine as a replacement for Adderall is a terrible idea because of the problems with contamination and legal repercussions. If you don’t have access to the psychiatric care, getting started with drugs that are cut with god knows what at highly unreliable doses is not likely to make things much better, definitely not in the long run.



  • The problem is that the purity of the drug you’re getting is not guaranteed or regulated at all. For a lot of recreational/street drugs, the bigger problem is often the filler and crap they get cut with. If you’re paying enough for actually reliably pure drugs, you might as well just pay out of pocket for the psychiatrist and avoid the risk of drug charges.