In training, if the Boss heard “vital signs are stable“ on rounds, he’d give you that facial expression that let you know that you were about to be educated, and then he’d tell you that he assumed the vitals were stable, or else you would surely have told him before then. 🧐🤷‍♂️

Remarkable summary in @TheEconomist of the (many) surgical procedures that appear no better than non-operative care (or placebo). Appendectomy, meniscal “repair,” spinal fusion, rotator cuff…🤯 Many surgical interventions are little better than placebo economist.com/science-and-te…

Not all heroes wear capes… Boudin Man

Sounds frustrating - there are clear guidelines from the ASA @ASALifeline - which will be your strongest evidence for a surgery team to bring practice in alignment with standard of care.

Iceberg lettuce supplied by Taylor Farms to Taco Bell has been linked to a parasitic outbreak that infected thousands of people on.wsj.com/4fqpWAN

Here's something I don't understand. The writing is on the wall, right? To me it's so clear where all of this is going. Why isn't Pep Boys offering bonuses to all of their employees willing to wear a camera like this and narrate what they're doing as they repair a vehicle. Midas or another auto repair shop could even make a special glove or something like the MoCap companies do to capture really fine articulation. Shouldn't every automotive service center be doing this? Don't they know that with enough data they can completely automate maintenance in perpetuity? They have to know this, right? Why doesn't McDonald's or In N Out offer cash bonuses to exemplary employees to generate this kind of episodic training data? You could say that it's dystopian, that no one wants to automate their job away, but you can't convince me that these companies care about that. If McDonald's could build a completely automated franchise they would--they've already been doing the automated kiosk ordering for a long time, directly automating the most customer-facing "human touch" surface before they touched the back. Do they not know they can do this? Companies like Garmin and Jeppesen are sitting on years, maybe decades, of meticulously annotated data. Every month the FAA publishes charts that they have painstakingly merged into GPS maps for their flying apps. I mean they *already* have the data! And if they don't all they need to do is start saving it after each chart update. Have they not heard? Google/Alphabet has invested, what? Hundreds of millions? Maybe billions? Into Waymo. It's working, *amazingly*. Anyone looking at this can say "wow, these cars can drive themselves." Are caterpillar, case, and John Deere looking into this? I haven't seen any announcements, any demos, any invitations to participate in early access programs. I know a lot of people in construction and real estate, and I haven't heard anything about this. Developers like KB homes literally build the same set of floorplans all over the country, again and again and again. Have they invested even a dollar into motion tracking gloves and cameras for their carpenters and tradespeople to gather training data to automate home building? I feel like I'm taking crazy pills. I know the robots aren't there yet. I know that. Everyone knows that. But it's *so* clear they will be. It's crystal clear that the only bottleneck will be training data. Why is all of the investment so limited? Where is the vision? Do they not know? Can someone talk to them and tell them what's coming? It seems to me if you're a big company NOT in tech and NOT in AI this is your big chance. In the time after the dot com bubble giants like sears roebuck were undone by their arrogance. Or maybe their ignorance? They were unable, or unwilling, to offer online services to compliment their retail offerings. Sears got eaten alive by Amazon. Blockbuster by Netflix. Everyone knows these stories! Companies like FedEx and Charles Schwab that started offering internet services early survived, and thrived even. Do they even teach this stuff in business school?? Idk but it feels like they should. I should think if I'm in the C-Suite of some massive national company that changes tires or refurbishes HVAC units or some such "real world" task I would be intensely interested in making sure I don't get displaced in 10 years by some punk who figured out how to get a robot to do it. I should think if I run a surveying company or a digital chart app for pilots that I would want to automate as much of the data processing pipeline as I can with existing computer vision technology and be as prepared as possible to take advantage of the leaps still to come. I might, if I was forward looking, I might even try to be at the forefront of those leaps, recognizing that my business is in a particularly advantaged position to collect the required training data. I might even try to work out a deal with the frontier labs to get *them* to pay for outfitting my workforce with the gear required to create training data from our day-to-day operations and get them to license us free access to the resulting models in perpetuity. Are they trying to do this? I hear of people selling datasets for millions of dollars, but the last time I want to Midas, I didn't see anyone wearing a headset in the garage. This is to say NOTHING about organizations being so slow to adopt technology that already works today!! If you look up "Data Entry" jobs you see thousands of results. Now, some of them are actually, in truth, data annotation jobs. These companies know what's up. BUT. Thousands of these are spreadsheet monkey jobs. HELLOOOO! THAT is a job for Chat GPT. Right here, right now, no advances necessary. Do they not know?? Have they not heard???!>! I don't understand how millions, billions, I'm told even trillions of dollars are being poured into this area of AI, automation, and robotics, and NO ONE seems to be working on a "General vehicle diagnostics and repair" data set. What is going on??

my typo!!! @OchsnerSurgery @OchsnerHealth @ElliotJScottMD @jessica_dahle

Forget GPS: Tucked away in Acadiana, this secret dance hall is 'like a portal' to good times theadvocate.com/acadiana/ent… via @theadvocateaca

Michelle is 4 months since her total thyroidectomy for uncontrolled Graves Disease. Her scar made in her neck crease has faded. Her joy is contagious! ⁦@MountSinaiNYC⁩ ⁦@MSHSSurgery⁩