āThere is no iceberg. Youāre seeing thingsā
āEven if there is an iceberg it is smaller than predicted based on available modelsā
āYouāre getting paid
š§µFor months, healthcare professionals have been hanging on to the guardrails of the top deck of the Titanic.
We have been screaming at the top of our lungs that there is an iceberg dead ahead and begging the captain to turn the wheel.
We have had other passengers who are
āThere is no iceberg. Youāre seeing thingsā
āEven if there is an iceberg it is smaller than predicted based on available modelsā
āYouāre getting paid
We are on the ship too. So we are watching the ship approach an iceberg knowing full well that we are going down with the ship.
Do we keep screaming? Even though nobody is listening? Do we jump ship and save ourselves? The water is freezing
Do we gather up the other passengers who can see the iceberg and form a human shield to take the impact on ourselves? Do we bum rush the captain and demand he turn?
Or do we stand still, silent, frozen in a state of fight or
Never in a 14 year career would I have imagined I would see this day.
How are we supposed to feel when a critically ill patient has survived cardiac arrest
What do we say to the patientsās wife when a patient who was fine 48 hours ago is now maxed on 4 pressors, too unstable to flip on his belly to help his lungs get enough oxygen? He is in his 50ās, maxed on full life support.
How should I respond when I have explained the above to
What do I say to the APP from a rural area in my state
I am a surgeon. I fix problems. When patients come in after having been shot and their heart stops in the ER, I am trained to open their chest, clamp the aorta, and buy enough time
We are used to big sensational grand slam home runs. We are used to winning in double OT. We throw the Hail Mary when we should kick. Itās who we are.
So when I tell you
And when I tell you that I am humbled and terrified by what I have seen in the COVID ICU, it is also not hyperbole.
What is coming in many states across the country is akin to the
So, you tell me... how do I tell a husband that his wife is going to die tonight when he canāt see the tears welling in my eyes? How do I express my sorrow to him without looking him in the eyes
He came in to see his wife as we transitioned her to comfort care. He was only allowed to stay for an hour. I never met him in person.
Do you want to know what this dear man said to me when I
And then, he asked me to please please let the whole healthcare team know how grateful he was for all we had done for her. He
Sometimes I wonder which of these situations will haunt me in 5 years. The hug that I missed? The patient who couldnāt transfer to us? The woman who couldnāt get
But then I remember that I go back on shift in a few days. And I am finally home with my parents, celebrating a small delayed Thanksgiving after finishing my quarantine. I realize
It also is worth mentioning that I have very carefully worded this post to avoid any HIPAA violations. If any patients or families would
More from Health
Now you know I love to sh-t in Harvard. But I also like accuracy. So I decided to go look at Harvardās catalog to see its lack of military history that this article describes (they only teach history of pets it claims) and what I found shocked me! Shocked me! A thread: 1/
First off, Harvard students literally have multiple sections of military history that they can take listed. (It appears these ones are taught at MIT, so they might have to walk down the street for these) but... 2/
Say they want to stay on campus...they can only take numerous classes on war and diplomacy...3/
They have an entire class on Yalta. Thatās right. An entire class on Yalta. 4/
But wait! There is more! They can take the British Empire, The Fall of the Roman Empire for those wanting traditional topics... 5/
\u201cMilitary history\u201d is only in decline if you\u2014like the author & experts in this obnoxious piece\u2014see the subject as a narrowly defined, white dude-oriented, guns & bayonets approach. The field is 1000% better off w/today\u2019s diversity of topics & historians. https://t.co/dUf3OWyVpQ
— Jonathan S. Jones (@_jonathansjones) February 1, 2021
First off, Harvard students literally have multiple sections of military history that they can take listed. (It appears these ones are taught at MIT, so they might have to walk down the street for these) but... 2/
Say they want to stay on campus...they can only take numerous classes on war and diplomacy...3/
They have an entire class on Yalta. Thatās right. An entire class on Yalta. 4/
But wait! There is more! They can take the British Empire, The Fall of the Roman Empire for those wanting traditional topics... 5/
You gotta think about this one carefully!
Imagine you go to the doctor and get tested for a rare disease (only 1 in 10,000 people get it.)
The test is 99% effective in detecting both sick and healthy people.
Your test comes back positive.
Are you really sick? Explain below š
The most complete answer from every reply so far is from Dr. Lena. Thanks for taking the time and going through
You can get the answer using Bayes' theorem, but let's try to come up with it in a different āmaybe more intuitiveā way.
š
Here is what we know:
- Out of 10,000 people, 1 is sick
- Out of 100 sick people, 99 test positive
- Out of 100 healthy people, 99 test negative
Assuming 1 million people take the test (including you):
- 100 of them are sick
- 999,900 of them are healthy
š
Let's now test both groups, starting with the 100 people sick:
ā«ļø 99 of them will be diagnosed (correctly) as sick (99%)
ā«ļø 1 of them is going to be diagnosed (incorrectly) as healthy (1%)
š
Imagine you go to the doctor and get tested for a rare disease (only 1 in 10,000 people get it.)
The test is 99% effective in detecting both sick and healthy people.
Your test comes back positive.
Are you really sick? Explain below š
The most complete answer from every reply so far is from Dr. Lena. Thanks for taking the time and going through
Really doesn\u2019t fit well in a tweet. pic.twitter.com/xN0pAyniFS
— Dr. Lena Sugar \U0001f3f3\ufe0f\u200d\U0001f308\U0001f1ea\U0001f1fa\U0001f1ef\U0001f1f5 (@_jvs) February 18, 2021
You can get the answer using Bayes' theorem, but let's try to come up with it in a different āmaybe more intuitiveā way.
š
Here is what we know:
- Out of 10,000 people, 1 is sick
- Out of 100 sick people, 99 test positive
- Out of 100 healthy people, 99 test negative
Assuming 1 million people take the test (including you):
- 100 of them are sick
- 999,900 of them are healthy
š
Let's now test both groups, starting with the 100 people sick:
ā«ļø 99 of them will be diagnosed (correctly) as sick (99%)
ā«ļø 1 of them is going to be diagnosed (incorrectly) as healthy (1%)
š
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"I really want to break into Product Management"
make products.
"If only someone would tell me how I can get a startup to notice me."
Make Products.
"I guess it's impossible and I'll never break into the industry."
MAKE PRODUCTS.
Courtesy of @edbrisson's wonderful thread on breaking into comics ā https://t.co/TgNblNSCBj ā here is why the same applies to Product Management, too.
There is no better way of learning the craft of product, or proving your potential to employers, than just doing it.
You do not need anybody's permission. We don't have diplomas, nor doctorates. We can barely agree on a single standard of what a Product Manager is supposed to do.
But ā there is at least one blindingly obvious industry consensus ā a Product Manager makes Products.
And they don't need to be kept at the exact right temperature, given endless resource, or carefully protected in order to do this.
They find their own way.
make products.
"If only someone would tell me how I can get a startup to notice me."
Make Products.
"I guess it's impossible and I'll never break into the industry."
MAKE PRODUCTS.
Courtesy of @edbrisson's wonderful thread on breaking into comics ā https://t.co/TgNblNSCBj ā here is why the same applies to Product Management, too.
"I really want to break into comics"
— Ed Brisson (@edbrisson) December 4, 2018
make comics.
"If only someone would tell me how I can get an editor to notice me."
Make Comics.
"I guess it's impossible and I'll never break into the industry."
MAKE COMICS.
There is no better way of learning the craft of product, or proving your potential to employers, than just doing it.
You do not need anybody's permission. We don't have diplomas, nor doctorates. We can barely agree on a single standard of what a Product Manager is supposed to do.
But ā there is at least one blindingly obvious industry consensus ā a Product Manager makes Products.
And they don't need to be kept at the exact right temperature, given endless resource, or carefully protected in order to do this.
They find their own way.
