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Yes, the biggest problem with Healthcare AI assistants right now is that there is no way to "prompt" the AI on what a physician needs in a given scenario - eg. "only include medically relevant information in HPI", "don't give me a layman explanation of radiographic reports", "include direct patient quotes when a neurological symptom is being described" etc.

And the prompt landscape in the field is vast. And fascinating. Every specialist has their own preference for what is important to include in a note vs what should be excluded; and this preference changes by disease - what a neurologist want in an epilepsy note is very different from what they need in a dementia note for eg.

Note preferences also change widely between physicians, even in the same practice and same specialty! I'm the founder of Marvix AI (www.marvixapp.ai), an AI assistant for specialty care, we work with several small specialty care practices where every physician has their own preferences on which details they want to retain in their note.

But if you can get the prompts to really align with a physician's preferences, this tech is magical - physicians regularly confess to us that this tech saves them ~2 hours every day. We have now had half a dozen physicians tell us in their feedback calls that their wives asked them to communicate their 'thanks' to us for getting their husbands back home for dinner on an important occasion!

[Edit: typo and phrasing]


> there is no way to "prompt" the AI on what a physician needs in a given scenario - eg. "only include medically relevant information in HPI", "don't give me a layman explanation of radiographic reports", "include direct patient quotes when a neurological symptom is being described" etc.

There is, it is called RLHF.


Have you tried Signoz (https://signoz.io/) yet?


To answer your specific question about where to store data - use Cockroach DB. Where do you plan to host? I'd recommend Netlify - it has good support for Next and integrates well with Cockroach DB.



There is a huge mistake in this reasoning! Time dilation goes to infinity at the center of the black hole - at the singularity, not at the event horizon! The event horizon could be millions of miles (many AUs) away from the singularity. Near the event horizon, her husband is likely to be falling rapidly into the black hole and is not going to be stuck indefinitely. So, it's Murder 1, immediately.


> Time dilation goes to infinity at the center of the black hole - at the singularity, not at the event horizon

That is incorrect. The inside and outside of the black hole are causally disconnected. For someone who passes the event horizon the entire future history of the universe plays out above them as the universe warps down into a single beam of light as the black-ness engulfs you.

From the perspective of someone outside, nothing ever "crosses" the event horizon - it just slowly redshifts into darkness and appears to take infinity to "touch" the even horizon.

There is nothing "happening" inside of any black hole right now that has any corresponding time in the outside universe. From our perspective, it happens in the infinitely far future.


"For someone who passes the event horizon the entire future history of the universe plays out above them"

I believe this is only true if you have found a way of lingering with zero speed at the event horizon. If you are entering it at near light speed, as you likely would, you will be ingested as a part of "treadmill" containing yourself as well as all the light and will not see much of the future history.


Think of it this way: 1) the closer to the speed of light the bigger difference between your time frame and an external observer's. 2) at the speed of light the universe will age to infinity as you watch 3) inside the event horizon, even the speed of light is not enough to escape.

For an external observer you'll appear to slow down as you approach the event horizon. However feeding blackholes do increase is size obviously (or they would all be the same size), which may well save you from the (from an external perspective) an infinite descent.


> There is a huge mistake in this reasoning!

No there isn't. As far as external observers are concerned, an object falling into a black hole takes an infinite amount of time to cross the event horizon. It vanishes from sight because its emissions get red-shifted beyond detection range, but in principle you could still see it however far in the future you care to go, "frozen" in place over the horizon, still approaching it asymptotically.


Not a physicist, but Wikipedia seems to disagree with this.

> Due to this effect, known as gravitational time dilation, an object falling into a black hole appears to slow as it approaches the event horizon, taking an infinite time to reach it

https://en.wikipedia.org/wiki/Black_hole#Event_horizon


Wow, that's salty! Mismanagement compared to what? An omniscient entity that understood exactly what global advertisement demand and capital costs would look like in advance? The real world is messy and runs on estimates for everything. If Google is 6% off on their estimate for human resources, it should not be labelled 'mismanagement'.


Management goes beyond C-suite. Upper management makes predictions of their needs, their productivity, what they achieve and don't all the time, it's literally a job req. My org has consistently less than 2 percent error in predictions while growing.

Other orgs however grossly miscalculated the performance of their products and their capacity to deliver, by being wasteful and overambitious.


While not relevant to google, it is very difficult for me to sympathise with C suite with articles like this one[1] showing up.

[1] https://nypost.com/2023/01/19/microsoft-held-sting-concert-i...


This may be better explained by the Hygiene hypothesis - hunter-gatherers get exposure to all sorts of microbes and parasites early in their life while city-dwellers could be shielded from equivalent exposure. See: https://en.wikipedia.org/wiki/Hygiene_hypothesis


See some videos on YouTube of Warren Buffet and Charlie Munger conducting Berkshire's annual shareholder meetings. It will help.


Quick link to 2022: https://m.youtube.com/watch?v=E_seuUbfUGw

Although I get the impression a large part of Buffet's normalcy is because he's chosen to spend his time making money for other people.

If you're ridiculously rich... you could do worse than thinking of common people as your boss, for perspective.


With the barrage of Astronomy articles that have been hitting HN front page of late, perhaps we should start asking, "Is it Aliens yet?"


Darwinian


They aren’t synonymous?


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