At the time the estate tax is being considered isn't that usually down to a single surviving individual? I imagine it's uncommon for a couple to die at once to qualify for the 27m exemption.
You don’t have to die at the same time. If you leave everything to your surviving spouse, it’s also possible to transfer the benefit of your remaining estate tax exclusion.
> They love to misdiagnose hypothyroid or diabetes so they can begin destroying your endocrines
Im sorry but as a doctor this made me crack up. I don't know what it is about HN that makes people jump into every medical thread and say really absurd things. Skipping screening tests isn't one-upping your PCP. You just get to play harder with specialty when stuff starts to break. Good luck buddy.
It's not just medical threads, it's tech too. You (probably, I'm assuming) just don't know the tech as well as you do the medicine, so it doesn't stand out as absurd to you.
I have expertise in both. I think the difference is that when moving from the highly rigid world of medicine into tech, I expected the varied level of skill and knowledge that exists. It just throws you off seeing people in tech with no background in medicine talk about medicine like they know it.
Most of my closest friends are docs. A couple of times at a brewery I've had them read some braindead takes from here for laughs. The people here making wild comments on the architecture of o1 or whatever don't get the same reaction from the crowd.
I see people speaking complete falsehoods about things I have material knowledge of here, and either don't have the energy or the latitude to correct them.
And those reactions to (e.g.) o1 speculation are happening in (e.g.) OpenAI, I'm sure, haha.
I intend not to die of chemotherapy. And no, I shall never regret being a prudent steward of taxpayer resources. Let's consider the collective good over an individual's selfish longevity.
What would Mr. Spock say about "The Good of the Many"?
Maybe not a diagnosis, but dependent on history if my patient is throwing repeatable >200 systolic that's probably not one I'm going to just sit on waiting for repeat measurements.
Doctors recognize that non-invasive BP measurement is an imperfect screening tool. Anybody worth their salt isn't getting worked up about these level of details, because it's largely a waste of time and effort. The solution to an error prone screening tool is not to repeatedly use the screening tool. You move on to more accurate and focused methods of testing.
> The solution to an error prone screening tool is not to repeatedly use the screening tool.
It can be. Repeated in office blood pressure measurements increase sensitivity and lower specificity. It's not as good as 24 hour monitoring but sometimes that's the best you've got.
> You move on to more accurate and focused methods of testing
Yes, AFTER the imperfect tool gives you something to worry about. So you still need the imperfect tool, which is what I think a lot of people are missing in this conversation.
> are the studies always really done with far more accurate blood pressure readings, where the patient sits still for 5 min beforehand, keeps their legs uncrossed, is totally free of stress and anxiety, didn't exercise beforehand, etc.?
In situations where blood pressure really matters, we aren't playing around with the cuff and hand positioning. The patient gets an art line.
Oddly, at least a decade ago, at least one Bay Area hospital stroke protocol required manual BP readings with a sphygmomanometer. And the patient had an art line.
Not sure if they didn’t have the equipment for art blood pressure or what, but good BP readings were important. And they had all the fancy equipment. Patient presented with an ischemic stroke, and was getting a stent + thinners, so anything problematic was likely due to something immediately life threatening.
They didn’t want an automatic cuff system because it could cause something to burst with the pressure ramp up. At least that is what the surgeon said.
Source: I was the EMT-B on his clinicals who stayed with the patient in the OR while he got stented and took readings every 5 minutes because none of the nurses were ‘current’ on the manual cuff. or so they said. I was pretty fresh, and was pretty good at it at the time, but I think they were just making excuses now haha. I held his hand through the procedure to help calm him down too, which seemed
to help a lot.
Patient 20 something that day. Emergency Rooms are quite an experience. I volunteered for Halloween Night, which added to it I’m sure.
PS. Watching the Dr install the arterial catheter (or maybe it was a port?) in the ER was wild. Literal stream-of-blood-shooting-across-the-room-and-spraying-on-the-wall wild. Never seen anything like it before or since. I was glad I had my safety glasses on.
You probably will not find a worthwhile project outside of your area of expertise. The market for "a guy who can code built a software for your industry" is pretty saturated now.
Unless you can split hairs on why specific products don't appeal to people in a given niche/industry, at the technical level that the users care about, you probably won't find much success.
In my personal experience I come from the medical side of things. The amount of garbage software written by people who know nothing about how we work is obnoxious. They all advertise themselves as the "next generation, streamlined, efficiency boosting" magic pill for us, but it's about as convincing as your 5 year old telling you they can do your taxes.
So my advice is find something to do in an area of expertise you already have.
