Throwing more intelligence at a problem doesn’t necessarily pan out financially otherwise we wouldn’t have single underemployed biology PhD.

Y2K was overblown how it was portrayed by the media but is irrelevant to the analogy of unsubstantiated extrapolation of early exponential growth.

What's your source for this? I take this flight a lot and I find it hard to believe it's more than 5.5-5.75 on average. Looking at the last few weeks for one of them[0] supports my experience.

Maybe your number has TSA/airport time included.

[0] https://www.flightradar24.com/data/flights/ua1777

Health and wellness apps aren’t covered entities under HIPAA so these disclosures are not violations of it.

Time spent in a medical encounter is tied to patient satisfaction but there is rapid drop off for clinical benefit especially in the current day where investigations are more important than a physical exam in most cases and more than history in a substantial portion.

15 minutes is what we book as follow-ups or minor assessments in US+Canada, usually sufficient for most things. New consults or complex patients are 30-60 minutes.

Infodumping is not particularly helpful. Doctors are trained to use a combination of open and closed questions to guide the encounter based on their thinking and understanding of medicine. It’s relevant past medical history as not every symptom or past disease is necessarily useful in assessing what’s wrong today.

Probably incorrect in most studies, especially large population ones that influence treatment guidelines.

It’s academic and doesn’t practically matter though.

The pathogenesis of hypertension related disorders (kidney failure, heart failure, stroke etc) is well known.

It’s not in doubt that sustained hypertension is bad, that there is increased risk with higher blood pressure and that patients with high blood pressure undergoing treatment suffer less of these bad outcomes.

Acquiring the images is the hard part in obstetrical ultrasound, reporting is very mechanical for the most part and lends itself well to AI.

It’s probably very low in the context of CGM and diabetes as the potentially harmful treatments require prescriptions.

Device prescription requirements are usually due to product labelling and the manufacturers application. There are OTC fingerstick glucometers and CGMs approved.

Prenatal ultrasounds are one of the most rote and straight forward exams to get right.

Unlike Eli Lilly (who use chemical synthesis for Zepbound) they use yeast for synthesis and have decided not to contract out production to protect manufacturing trade secrets which makes ramping up slower, have to wait for their Denmark plant upgrade to come online.

Is there a reason you suspect a connective tissue disorder to be the unifying diagnosis? I have not heard this theory before.

Not really. SIBO prevalence increases with age and goes up to 80% in elderly patients.

hEDS prevalence is between 0.005% and 0.02%.

The symptoms/diseases you listed are very common. We don’t really use hypochondriac anymore but the reason these are common is because they’re vague constitutional symptoms that have 1000 different possible causes or nothing at all.

> What is very unorthodox about about my view is that this flexibility is not an essential component so a lack of flexibility is not sufficient to rule it out even if it does reduce the likelihood.

There is nothing unorthodox about this, it’s part of the 2017 international criteria for hEDS.

https://www.ehlers-danlos.com/wp-content/uploads/2022/03/Mal...

It’s extremely challenging if not impossible to obtain informed consent in this situation.

We’ve been through this before where a fancy new treatment with promising early/lab results usurped conventional therapy only to later be found inferior.

Earlier TKIs and NSCLC are a recent example that comes to mind.

Unless the prescription is marked as “do not substitute” pharmacists generally have the discretion to substitute for a generic, in fact a few states require it.

With that said, Viagra was initially developed for high blood pressure and chest pain. Testing didn’t pan out but it worked wonders for erections so it was rebranded. It is also used in pulmonary hypertension.