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Ask Slashdot: Building A Server Rack Into a New Home?

puck01 Re:Also plan for RG-6 for cable / satellite runs (402 comments)

Agreed. I have two runs of RG-6 to each room in my house plus two runs of Cat6a. Use quad shielded RG-6 coax, btw, its a must for some systems such as satellite. Doing this now will prevent lazy installers from drilling holes all over your house later

more than 2 years ago
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Ask Slashdot: How To Go Paperless At Home?

puck01 Re:Fujitsu ScanSnap or similar (311 comments)

I'll agree with this. It just works and does so quickly.

Add a good shredder and a secure redundant storage system and you're good to go.

more than 2 years ago
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Android User Spends 60 Days In WebOS Land

puck01 Re:I just switched last week (137 comments)

Similar story for me. I used a palm pre for about a year. The OS was great. Much more intuitive and easier to use than Android. Its hardware issues and lack of software forced me to change. I use a Samsung Epic now which I like immensely but it has its quirks and took a several days of regular use to become familiar with. On the other hand, the palm pre I had figured out to to a point I was very comfortable with its use in 1-2 hours.

about 3 years ago
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Google+ Growing As a Social Backbone

puck01 Re:My question: how is it growing, not why (267 comments)

I've invited about 70 people since early this month and as far as I know they all registered without a problem. It did take me 24 hours after my invitation was received to be granted access.

about 3 years ago
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Samsung Set To Introduce Android-Based iPod Touch Competitor

puck01 Re:It had beter be able to runs apps. (221 comments)

That's a matter of both taste and opinion. The Itunes software is awful in my opinion.

more than 3 years ago
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How Norway Fought Staph Infections

puck01 Re:This article is so RIGHT (595 comments)

Seriously. If you have an answer then tell me what it is so I can critique it. I'm a physician and part of my job is critiquing articles for a living, so please share.

So far I'm not sure what your point is other than the placebo effect exists which is common knowledge.

more than 4 years ago
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How Norway Fought Staph Infections

puck01 Re:This article is so RIGHT (595 comments)

Subjectively people will get better from a sugar pill during a cold. Good for them I'm not aware of any objective improvement. Are you? I've read quite of few of the studies and must have missed the objective parts....things readily measured, not just reported by patients, like duration of fever or hospitalization rate.

I'm very well aware of what the placebo effect is.

more than 4 years ago
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How Norway Fought Staph Infections

puck01 Re:This article is so RIGHT (595 comments)

So docs should prescribe antibiotics to people unnecessarily just so people think they will get better? Is that what you are trying to say? Give the potential side effects and resistance issues (ie MRSA), that doesn't make a damn bit of sense. We don't rx placebos in practice (only in studies) because it is considered unethical.

more than 4 years ago
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How Norway Fought Staph Infections

puck01 Re:This article is so RIGHT (595 comments)

Using an antibiotic to prevent a secondary infection does not work. It just kills the normal bacteria and allows bacterial that are resistant to the antibiotic to colonize you. Those more resistant bacteria can cause secondary infections just as well as the original.

Multiple studies have shown over and over again, that the course of a cold, sinus infection, bronchitis are in no way altered by treating with antibiotics. Yes, we have given people placebos to people and compared the results to those given antibiotics. Guess what? no difference. So your theory about preventing ER visits and such is just wrong.

more than 4 years ago
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How Norway Fought Staph Infections

puck01 Re:This article is so RIGHT (595 comments)

so because you have had crappy jobs and crappy doctor visits, an antibiotic will fix your cold? I'm not following your logic here.

more than 4 years ago
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How Norway Fought Staph Infections

puck01 Re:This article is so RIGHT (595 comments)

I'd like to know where these financial incentives are for prescribing antibiotics because I've never received one. The drug reps do push there meds, but I don't know anyone that takes them seriously. They're usually just eye candy or a person to be made fun of after they leave.

I'll give you the heckling thing tho. Occasionally after 5 cold visits in a row and multiple demands for antibiotics, some mothers literally screaming at you for not giving their kids antibiotics, one can become weak and may give into a demanding patient later. We are only human after all. I actually very rarely cave like that, but it happens.

more than 4 years ago
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How Norway Fought Staph Infections

puck01 Re:The People Problem (595 comments)

Agreed. Patient education would go a long way. Too many parents and adult patients believe they need an antibiotic for every sinus infection, cold, ear infection or episode of 'bronchitis' they have when in most of these cases an antibiotic is actually not needed. Unfortunately, many docs also have been led to believe some of these problems need an antibiotic, too

I'm not sure what financial incentives physicians have to prescribe abx. God knows I have have never been given any of these financial 'incentives'. The only incentive I have is to prescribe it when I feel it is warranted or because the patient is being a such a pain in my ass and I just need them to leave. The latter rarely happens.

more than 4 years ago
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Visualizing False Positives In Broad Screening

puck01 Re:Screenings do more harm than good? (365 comments)

It depends on the screening test. Some are very good - like colonoscopy. Others can cause more harm than good on average - PSA is a great example.

Early detection is absolutely the way to go, how to do it for any given condition is the hard part. Many cancers have no screening tests because it is a hard to develop good, quality tests (good sensitivity and specificity). Just testing because it can be done is usually a very bad idea.

about 5 years ago
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Visualizing False Positives In Broad Screening

puck01 screening tests in medicine (365 comments)

"The problem is important in any area where a less-than-perfect screen is used to detect a rare event in a population"

Unfortunately, there is no such thing as a perfect screening test for anything in medicine. Some are better than others, but none are perfect. This is a very difficult concept for most people, unfortunately, and for many insurance companies.

It is not such an issue for the better screening tests such as colonoscopy but it is very difficult for things like PSA where there is a large body of evidence it can do more harm than good on average if used routinely even within the recommended ages. For a patient, you're lucky if you can have a meaningful discussion in 5-10 minutes which is an awful large chunk of an office visit that usually has >4 talking points.

It is a problem for doctors and insurance companies because some well intended person with the insurance company will decide to measure the quality of its doctors (which I support in theory) by measuring, for instance, the percentage of age and gender appropriate patients under the care of a given physician that have their PSA checked annually. The problem is, there is absolutely no concensus in medicine that it should be checked regularly as a screening test. I'm not sure I want mine tested when the time comes around unless my family history changes between now and then. So to measure a physician by this marker or other screening tests is fraught with problems, since many patients might opt out for very good reasons. Also, I'm not going to recommend any test because an insurance company wants me to, only if it is right for any given patient.

Bottom line is there are no perfect tests and testing is not always the right thing to do. Most people do not understand that because it is a hard concept to grasp.

about 5 years ago
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iPhone Users Angry Over AT&T Upgrade Policy

puck01 Re:READ THE ARTICLE, FOOL! (789 comments)

I read the article. I did not see that part having read it now several time It said that new customers and those that qualify will get the discount. The 'those that qualify' it implied were the people at the end of their contract. I'm not sure how this is any different then other cell phone providers.

more than 5 years ago
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iPhone Users Angry Over AT&T Upgrade Policy

puck01 Re:BooHoo (789 comments)

I have to agree. I'm not a cell phone guru by any measure, but only offering the discount rate every two years seems to be a fairly standard term in my experience.

more than 5 years ago
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Pirate Bay To Offer VPN For $7 a Month

puck01 relakks (461 comments)

Isn't this what relakks already is? I thought the same guys the run TPB run relakks and relakks is nothing but an encrypted VPN, right?

more than 5 years ago
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Why Doctors Hate Science

puck01 Re:Evidence-based medicine (1064 comments)

I would argue you survive because you have students who are willing to pay to be taught by you, not the other way around.

You made an educated decision, I would guess, when you decided to do what you did. That was your decision, live with it.

more than 5 years ago
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Why Doctors Hate Science

puck01 Re:Evidence-based medicine (1064 comments)

Please. A significant number of MD's do other things that purely practice clinical medicine, such as research. Plus, many PhD's never really contribute in any meaningful way to society or their field of practice. "A few years of residency" can range from 3 years to 7 or even 10 years depending on the training.
One year of residency is much more time consuming and stressful than any PhDs I've known. I'm not trying to make this a PhD vs MD rant, you did that, I'm just trying to point out some gross exaggerations and factual errors in your comment. I have quite a few PhD friends I have nothing respect for, actually. They agree you're making some way over-the-top gross exaggerations.

more than 5 years ago
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What the Papers Don't Say About Vaccines

puck01 Re:Negative headlines sell better (737 comments)

The shingles vaccines is not that same vaccine. Same antigen/virus is used, but in much larger concentration

more than 5 years ago

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