* Posts by Tashritu

8 publicly visible posts • joined 12 Nov 2015

FDA clears way for an AI stethoscope to detect heart disease

Tashritu

As a recently retired doc I can comment on the AI tool with some confidence. No doc (and that includes Cardiologists) nowadays would dream of relying on auscultation for much information about heart valves! We listen to hearts sometimes but that is a tiny part of any serious assessment.

If there is any doubt about the heart valves then some combination of echocardiogram, ECG and blood tests would be a minimum.

The reason for doing those tests is seldom that a murmur has been heard. You can of course have severe heart and valve problems without abnormal heart sounds.

In the pre-antibiotic era gross valvular heart disease causing murmurs was common. Now it is pretty uncommon if not rare in developed societies.

The tool may well be better than most docs at finding abnormalities. Most modern ECG machines produce a printout showing abnormalities too. Nearly all these can be ignored on sight as they are of “no clinical importance” - in other words they don’t matter at all. They just worry patients and sometimes cause unnecessary further investigations.

The question is does the tool produce clinically useful results - does it improve patient care?

Sometimes shining a light on a nuclear problem just makes things worse

Tashritu

OC71

I met, and cursed, the man at Mullard who changed the black paint on the OC71 to a black filling so you could not scrape the paint off and get an OCP71 (the photosensitive version). They sold the photosensitive version for a much higher price by leaving the paint off and relabelling them. A long time ago but I think 36 shillings and sixpence with no paint and nineteen shillings and sixpence painted! Bastards!

Nissan EV app password reset prompts user panic

Tashritu

The BMW App is crap too. Not reliable, very slow sometimes and you have to keep it open until confirmation of a command comes back. Also it uses “CLIMATISE” as the command to heat or cool!

An upset tummy and a sphincter-loosening blackout: Lunar spaceflight is all glamour

Tashritu

Re: Lunch from both ends?

Before The D Day landings it was found impossible to test anti-seasickness medication on troops as the test subjects believed the tabs were to make them sick. So many managed to spit out or not take tabs that the results were meaningless. I had this from one of the ruthless physiologists who anaesthetised medical students and dumped them in swimming pools with life jackets on to find the best design! He tried hard!

New Zealand school on naughty step after ransomware failure

Tashritu

Old School

Can I plead for 4 daily tapes (removable physically disconnected storage), three weekly tapes, 12 monthly ones and one out of cycle for months with 5 fridays! If maintained properly that is as good as it gets!

NHS IT bod sends test email to 850k users – and then responses are sent 'reply all'

Tashritu

Update

NHS e-mail totally stuffed. Non functioning and fair number of "remove me from this list" reply all mails coming through in Hertfordshire. Mon pm.

NHS e-prescription service goes TITSUP: Problems since Monday

Tashritu

Curate's egg.

I am a GP. We have used the system for 3+ years and it is much better for REGULAR prescriptions than paper. We get many less queries about missing ones than we used to.

If anything goes wrong it is a nightmare to sort out because the structure of the program is so rigid.

The Dept of Stealth and Total Obscurity believes that everyone collects their prescriptions every 28 days. No-one ever looses tablets or has them taken by the hospital or has any need to vary their timings because of holidays. They insist that we and pharmacies print paper copies of SOME prescriptions. Basically it is a partial and transitional system

Given all that I electronically signed 166 prescriptions this morning. I could not have handled them on paper.

Some chemists handle it badly. So do some GP practices. Overall it is hugely helpful. But it remains a pig to use!

Oz e-health privacy: after a breach is too late

Tashritu

Same in the UK

Your NHS record at your local surgery is linked to the "Spine". This central registry is checked and updated every time your record is accessed. It contains (amongst other things) your name, address, ethnicity, religion, telephone and contact details. This might be considered to have a use to the State? It can be searched for by almost all parts of the NHS to ensure that the right budget is charged for your treatment. No-one seems to care about this here!