The term Metabolic Syndrome X has been around for more than a few years, unless nearly 40 is few (and I absolutely relate to that sentiment), just saying that concept was revved up in the 90s and of course has been an academic discussion going back to the early 20th century.
I don't know anything about the bug other than my provider who I'd communicated and demonstrated the behavior to came back to me confirming that it was a real bug and was being fixed.
> Paracetamol is the most common cause of liver failure in the US.
This is also a bit misleading, it’s the most common cause of acute liver failure which is overall quite rare in developed countries. The most common need for transplants are still by far progressive chronic liver diseases leading to cirrhosis.
Yea, seriously. These riddles to avoid naming companies are so bizarre. Why do people do this? Does OP really think the AT&T thug squad is going to come to his house to break his kneecaps because he posted about them on HN?
Probably a little nostalgia. The SMS sound chip is one of the cheapest and most primitive jellybean sound chip of the era (only 3 square waves, noise and no envelope generator either). That isn’t to say appreciating the art of doing more with less isn’t valid. It’s sort of like a MS Paint type of thing though.
I agree. I had an SMS growing up and always noticed the music sounded "cheaper" than the NES, almost childish. I think it really was just the square waves making everything sound the same. The NES had more interesting output with its triangle and sawtooth wave output and it gave it more edge and character.
It may not have had a sawtooth but it did have the DMC (sample channel) which although very quirky could create a lot of variety - and used melodically to give you, for instance, a sampled bass - or drums - or an orchestral hit!
The NES' own sound chip didn't have a sawtooth channel, but some games had an onboard sound chip that added one, like Konami's VRC6: https://www.nesdev.org/wiki/VRC6_audio
The Japanese Mark III had an available Yamaha FM expansion kit that could sound pretty great. US-based gamers couldn't listen to the soundtracks at the time, but emulators and whatnot make it possible to experience today.
HSAs are triple tax advantaged retirement accounts. Not taxed on contribution, gains, or withdrawals for qualified expenses. In the worst case it becomes like a pretax IRA because after age 65 you will not pay a penalty on non qualified expenses - but qualified expenses tend to increase with age. For many it should be their primary retirement account.
Even for people with certain chronic conditions (not in perfect health), depending on how good/expensive the PPO offered by the employer, it might still work out better to do HDHP/HSA.
You can get as many basically free HSA accounts from Fidelity.
Nah, dishwashers are pretty light too. With a muscle mass of 1% I usually just flip it over to work on it. This is just peak HN, PhDs still phased by something requiring an 8th grade level of education. In the US, the supply is usually a screw on, the drain a clamp and if the wiring isn’t already a quick connect just throw some Wagos on.
Dishwashers are ok, depending on flooring - if you want to get it out and guarantee no scratches on the floor, it may be simpler to get some kind of "dolly" mechanical assistance.
Washing machines, on the other hand, tend to have a brick in the bottom to stop them from walking around on their own.
(periodic recommendation: if you buy a Miele, you will pay twice as much for several times the expected lifespan of a cheaper machine. My parents have a Miele dishwasher that's over 30 years old.)
> People also don't want (their loved ones) to suffer, especially needlessly.
You might be very surprised how family actions very often are not consistent with this supposed desire. 98 year olds in the hospital with multiple end stage illnesses - full code, happens all the time. Ask any healthcare worker in the US, pretty classic the elderly rotting away in a nursing home, rarely visited, then they get admitted and their healthcare proxy wants “everything done”. Often seems to be a reflection of their own guilt. Sometimes it’s just poor healthcare literacy.
But no, regardless of what you think these people may
> In the US, exactly because of situations like this, that sort of thing is a lot harder today to pull off.
This is basically false. Most large systems have comfort care order set, with opioid drips. Transition to hospice is readily available. Usually the barrier to these are patients themselves or their families.
Also even the US, the principle of double effect prevails in palliative care.
> This is basically false. Most large systems have comfort care order set, with opioid drips. Transition to hospice is readily available. Usually the barrier to these are patients themselves or their families.
I could be wrong, but it's my understanding that a fair number of laws have been passed tracking opiates specifically to try and stop this from happening. The dosage, amount, and time is pretty closely monitored. (Could be a state by state thing).
Mainly because a lot of people lost their minds about the idea of someone ending their life early. Jack Kevorkian spawned a number of laws against euthanasia.
Sure tracking exists, but doctors do not hold back for a patient in comfort care in the inpatient setting, where a patient and their doctor are now optimizing for comfort not quantity of life.
I think we sort of agree, but have different lived experiences (no doubt because we're in different countries).
The crux, to me, is that healthcare isn't as patient centric as it should be, either because of "greedy" healthcare providers, families thinking more about themselves and not the patients, government/politics, combinations of all of the above, etc.
> Most large systems have comfort care order set, with opioid drips. Transition to hospice is readily available.
Most systems do, but some allow the end to be sped up more than others, either informally or formally.
I dunno, QuadraMed that was used by at least NYC H&H for years before their imperiled transition to Epic prominently displayed “Revenue Cycle Management” on the splash screen of its decrepit provider facing frontend.
Both of you are overstating your cases. That said, it’s hard to overstate how heavily charge capture and billing are prioritized to the detriment of other aspects.
> I can think of zero instances where an organization switched to EHR without being forced by a deadline from an outside source.
There were major EHR deployments in the 80s through early 00s, before most government mandates. Surely later mandates were an incentive This reflects a lack of tenure.
One example was already given. Epic dates back to 1979, certainly they were doing something prior to 2009 (as was Cerner and Meditech). Other than HITECH, what other major regulation in the US are you referring to?
This is a legacy of old apache configurations, the common mime type configuration files used .html to send the straight file, and .shtml to turn on the server side processing instructions. Server side includes could be static files or executable scripts that generated text on STDOUT. If you were using a lot of server side includes, it was cleaner just to turn on server side parsing for the whole site.
https://www.ahajournals.org/doi/10.1161/01.atv.0000111245.75...
https://pubmed.ncbi.nlm.nih.gov/3056758/