<rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:atom="http://www.w3.org/2005/Atom"><channel><title>Hacker News: themantalope</title><link>https://news.ycombinator.com/user?id=themantalope</link><description>Hacker News RSS</description><docs>https://hnrss.org/</docs><generator>hnrss v2.1.1</generator><lastBuildDate>Mon, 13 Apr 2026 13:44:45 +0000</lastBuildDate><atom:link href="https://hnrss.org/user?id=themantalope" rel="self" type="application/rss+xml"></atom:link><item><title><![CDATA[New comment by themantalope in "Pro Max 5x quota exhausted in 1.5 hours despite moderate usage"]]></title><description><![CDATA[
<p>I’ve switched to open code and openrouter.<p>I only did the $20/month subscription since 9/2025<p>It was great for about 5 months, amazing in fact. I under utilized it.<p>For the past month, it’s basically unusable, both Claude code and just Claude chat. 1-2 prompts and I’m out. Last week I prob sent a total of 15 messages to Claude and was out of daily and weekly usage each day.<p>I get that the $20/month subscription isn’t a money maker for them, and they probably lose money. But the experience of using Claude has been ruined</p>
]]></description><pubDate>Sun, 12 Apr 2026 19:26:24 +0000</pubDate><link>https://news.ycombinator.com/item?id=47743412</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=47743412</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=47743412</guid></item><item><title><![CDATA[New comment by themantalope in "Fighting Fire with Fire: Scalable Oral Exams"]]></title><description><![CDATA[
<p>There is a lot in this comment I agree with, however I think may universities have backed themselves into a corner with the degree of tuition inflation that has taken place over the last 20+ years.<p>I graduated from a SUNY school in 2012. At the time, you could still actually go to school and work part time and get through it. Not saying it was easy by any stretch but it was possible. Tuition + living expenses were about $17/year on campus , less expensive housing was available off campus.<p>Now, even state schools have tuition which is only affordable through family wealth or loans. Going to university is no longer a low stakes choice - if you flunk you’re stuck with that debt forever. Not to say students aren’t responsible for understanding that when signing up, but the stakes are just a lot higher than what it used to be.</p>
]]></description><pubDate>Fri, 02 Jan 2026 22:39:51 +0000</pubDate><link>https://news.ycombinator.com/item?id=46470380</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=46470380</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=46470380</guid></item><item><title><![CDATA[New comment by themantalope in "Show HN: Dealta – A game-theoretic decentralized trading protocol"]]></title><description><![CDATA[
<p>Interesting but how would this prevent against “off-chain” collusion? A fraudulent seller captures brokers on the buy and sell side? Seller backs out of the deal unless they know who the brokers are?<p>I think this kind of behavior in principle would be detectable but in principle with enough concentration in the market, a fraudulent seller could in practice get brokers and jurors to collude with them.</p>
]]></description><pubDate>Fri, 02 Jan 2026 18:43:21 +0000</pubDate><link>https://news.ycombinator.com/item?id=46467931</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=46467931</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=46467931</guid></item><item><title><![CDATA[New comment by themantalope in "Growing up in “404 Not Found”: China's nuclear city in the Gobi Desert"]]></title><description><![CDATA[
<p>你可以把中文版发到网上吧</p>
]]></description><pubDate>Sun, 28 Dec 2025 15:11:05 +0000</pubDate><link>https://news.ycombinator.com/item?id=46411612</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=46411612</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=46411612</guid></item><item><title><![CDATA[New comment by themantalope in "Ultrasound is ushering a new era of surgery-free cancer treatment"]]></title><description><![CDATA[
<p>A few points based on comments I’m seeing about the article.<p>This method of ultrasound treatment is called histotripsy. The underlying mechanism it uses to treat tumors is by focused ultrasound beams that mechanically disrupt cell membranes . It basically turns the lesion into soup. It does not treat the lesion by heating, although there are other techniques that do use ultrasound to ablate tissue with thermal energy.<p>Where I have seen it used and discussed is in the liver, whether that be metastatic disease to the liver or primary liver tumors.<p>One challenge is that in the liver you can’t use it for lesions that are near the capsule of the liver. It can also be difficult to keep the ultrasound beam focused on the lesion with respiration, especially if the tumor is small.<p>It’s an interesting technique and I think more people will use it over time. Whether it will be better than other established techniques like microwave ablation or radioembolization (for liver tumors) remains to be seen. I’m an interventional radiologist.</p>
]]></description><pubDate>Tue, 14 Oct 2025 19:28:52 +0000</pubDate><link>https://news.ycombinator.com/item?id=45583800</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=45583800</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=45583800</guid></item><item><title><![CDATA[New comment by themantalope in "Demand for human radiologists is at an all-time high"]]></title><description><![CDATA[
<p>Haha, I’m also an IR with AI research experience.<p>My view is much more in line with yours and this interpretation.<p>Another point - I think many people (including other clinicians) have a sense that radiology is a practice of clear cut findings and descriptions, when in practice it’s anything but.<p>At another level beyond the imaging appearance and clinical interpretation is the fact that our reports are also interpreted at a professional and “political” level.<p>I can imagine a busy neurosurgeon running a good practice calling the hospital CEO to discuss unforgiving interpretations of post op scans from the AI bot……</p>
]]></description><pubDate>Fri, 26 Sep 2025 18:45:58 +0000</pubDate><link>https://news.ycombinator.com/item?id=45389738</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=45389738</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=45389738</guid></item><item><title><![CDATA[New comment by themantalope in "An end to all this prostate trouble?"]]></title><description><![CDATA[
<p>I am an interventional radiologist. I’ve done procedures to embolize the prostate (helps shrink it), and gonadal vein embolization (for varices).<p>The gonadal veins are in a different vascular territory from the prostate. The prostates vascular territory is the anterior division of the internal iliac. The gonadal veins arise directly from the inferior vena cava.<p>I had not come across this research before it’s interesting because as mentioned above, these organs are in different vascular territories but when venous structures begin to reflux the blood may find other collateral routes through other territories.<p>I skeptical that this works, but it is really interesting.</p>
]]></description><pubDate>Sun, 27 Apr 2025 18:40:54 +0000</pubDate><link>https://news.ycombinator.com/item?id=43814137</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=43814137</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=43814137</guid></item><item><title><![CDATA[Ask HN: How do you handle long PDFs?]]></title><description><![CDATA[
<p>I'm working on a niche market document product with LLM powered search and data extraction. Ive been developing with nextjs for the frontend and using pdftron for rendering PDFs in the browser. PDFs are linearized and size optimized, but loading times can be very long, 10+ seconds before I see the queried page rendered. I think this is because the PDFs are very big (sometimes 3000+ pages).<p>How would you handle this? Should I figure out a way to break into smaller files? Is there a better front end component for loading/rendering pages? Should I move to a nextron type app and make sure the files are present locally? Any suggestions appreciated.</p>
<hr>
<p>Comments URL: <a href="https://news.ycombinator.com/item?id=42947637">https://news.ycombinator.com/item?id=42947637</a></p>
<p>Points: 1</p>
<p># Comments: 0</p>
]]></description><pubDate>Wed, 05 Feb 2025 12:36:57 +0000</pubDate><link>https://news.ycombinator.com/item?id=42947637</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=42947637</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=42947637</guid></item><item><title><![CDATA[New comment by themantalope in "I had to take down my course-swapping site or be expelled"]]></title><description><![CDATA[
<p>GET A LAWYER</p>
]]></description><pubDate>Thu, 09 Jan 2025 03:17:40 +0000</pubDate><link>https://news.ycombinator.com/item?id=42641258</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=42641258</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=42641258</guid></item><item><title><![CDATA[New comment by themantalope in "Sleeping our way to being productive"]]></title><description><![CDATA[
<p>Now in my fifth year of residency after finishing medical school, the effects of sleep debt are astounding. It’s difficult to describe how much better I feel and energetic I am when I have at least 3-4 days off work and get several consecutive nights of adequate sleep .</p>
]]></description><pubDate>Mon, 12 Feb 2024 00:47:24 +0000</pubDate><link>https://news.ycombinator.com/item?id=39340316</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=39340316</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=39340316</guid></item><item><title><![CDATA[New comment by themantalope in "Ask HN: What apps have you created for your own use?"]]></title><description><![CDATA[
<p>I made an app for text and reverse image search. I’m a radiologist.<p><a href="https://raddex.ai" rel="nofollow noreferrer">https://raddex.ai</a></p>
]]></description><pubDate>Wed, 13 Dec 2023 11:22:46 +0000</pubDate><link>https://news.ycombinator.com/item?id=38625745</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=38625745</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=38625745</guid></item><item><title><![CDATA[New comment by themantalope in "Histotripsy – a technique that harnesses soundwaves to attack cancer"]]></title><description><![CDATA[
<p>That’s the basic idea. You’ll still get some heating of tissue as ultrasound waves pass through other tissue but won’t be destructive.<p>Radiation therapies use similar principles but non-target tissue is still exposed to ionizing radiation which causes collateral damage.</p>
]]></description><pubDate>Sat, 14 Oct 2023 16:51:46 +0000</pubDate><link>https://news.ycombinator.com/item?id=37882074</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=37882074</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=37882074</guid></item><item><title><![CDATA[New comment by themantalope in "Histotripsy – a technique that harnesses soundwaves to attack cancer"]]></title><description><![CDATA[
<p>Saw some talks on this at the CIO meeting last month. Data so far is good but technique is limited to solid organs than can be targeted on ultrasound.<p>Regardless it’s an interesting treatment.</p>
]]></description><pubDate>Sat, 14 Oct 2023 16:50:09 +0000</pubDate><link>https://news.ycombinator.com/item?id=37882057</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=37882057</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=37882057</guid></item><item><title><![CDATA[New comment by themantalope in "Ask HN: Show me your half baked project"]]></title><description><![CDATA[
<p>I made a search engine for radiologists (I’m also a radiologist). Have some articles indexed. Working on indexing videos and streamlining the backend processing. Front end is next js. Any feedback appreciated!<p><a href="https://raddex.ai" rel="nofollow noreferrer">https://raddex.ai</a></p>
]]></description><pubDate>Fri, 13 Oct 2023 11:16:01 +0000</pubDate><link>https://news.ycombinator.com/item?id=37869304</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=37869304</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=37869304</guid></item><item><title><![CDATA[New comment by themantalope in "Ask HN: I want to create a personal health dashboard, what should I use?"]]></title><description><![CDATA[
<p>This is cool. I’m a radiologist. Do you have PACS?</p>
]]></description><pubDate>Fri, 09 Jun 2023 16:10:22 +0000</pubDate><link>https://news.ycombinator.com/item?id=36259973</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=36259973</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=36259973</guid></item><item><title><![CDATA[New comment by themantalope in "CPR's true survival rate is lower than many people think"]]></title><description><![CDATA[
<p>Weird way to say that people should talk to their doctors about how they want to die before the time is upon them.<p>Major problem in the US. See it every day at my job.</p>
]]></description><pubDate>Mon, 29 May 2023 21:10:26 +0000</pubDate><link>https://news.ycombinator.com/item?id=36118141</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=36118141</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=36118141</guid></item><item><title><![CDATA[New comment by themantalope in "Study: ChatGPT outperforms physicians in quality, empathetic answers to patients"]]></title><description><![CDATA[
<p>Working as a surgery resident and now in IR, I can tell you it’s much better to be a little overprescritvie in addressing post-op pain than to get behind and underdose.<p>Also opiates in a short term setting are good meds. Pain control is good and people are able to get moving faster.</p>
]]></description><pubDate>Sat, 29 Apr 2023 19:06:56 +0000</pubDate><link>https://news.ycombinator.com/item?id=35756043</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=35756043</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=35756043</guid></item><item><title><![CDATA[New comment by themantalope in "DeepDoctection: Document extraction and analysis using deep learning models"]]></title><description><![CDATA[
<p>I’ve used this repo. It’s ok. For very simple layouts, it probably works fine. For more complex layouts it fails miserably. I’ve also had cases where it didn’t detect half the text on the page (machine generated text).</p>
]]></description><pubDate>Thu, 27 Apr 2023 09:39:17 +0000</pubDate><link>https://news.ycombinator.com/item?id=35725561</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=35725561</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=35725561</guid></item><item><title><![CDATA[New comment by themantalope in "DeepDoctection: Document extraction and analysis using deep learning models"]]></title><description><![CDATA[
<p>The paddlepaddle project has nice models. Not well documented though and can be hard to use, so proceed at your own risk. But it is popular.</p>
]]></description><pubDate>Thu, 27 Apr 2023 09:35:42 +0000</pubDate><link>https://news.ycombinator.com/item?id=35725530</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=35725530</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=35725530</guid></item><item><title><![CDATA[New comment by themantalope in "Revolutionary Stroke Treatment Will Save Millions of Lives"]]></title><description><![CDATA[
<p>It’s interesting that the media is just picking up on this now. The first major trial results that showed benefits of thrombectomy was the DAWN trial and if I recall the data was first published in 2016-2017. The hospital I work at adjusted stroke treatment practices years ago to reflect this.</p>
]]></description><pubDate>Thu, 02 Mar 2023 19:04:37 +0000</pubDate><link>https://news.ycombinator.com/item?id=35000204</link><dc:creator>themantalope</dc:creator><comments>https://news.ycombinator.com/item?id=35000204</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=35000204</guid></item></channel></rss>