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eigenrobot's profile
eigenrobot
eigenrobot
eigenrobot
@eigenrobot

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eigenrobot

@eigenrobot

robot. friend.

eigenrobot.substack.com
Joined July 2013

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    1. eigenrobot‏ @eigenrobot Sep 28

      https://twitter.com/St_Rev/status/1442872429051850754 …pic.twitter.com/NSHkrT5qLa

      10 replies 25 retweets 327 likes
      Show this thread
    2. eigenrobot‏ @eigenrobot Sep 28

      eigenrobot Retweeted George Purcell

      oh shit is THAT what causes it i know someone else who experienced it, apparently a common problemhttps://twitter.com/gpurcell/status/1443019674623557632?s=19 …

      eigenrobot added,

      George Purcell @gpurcell
      Replying to @eigenrobot
      My dad got ICU psychosis from this.
      8 replies 1 retweet 130 likes
      Show this thread
    3. eigenrobot‏ @eigenrobot Sep 28

      "wow people we treat keep going crazy when we lock them in here for days and dont let them sleep. were the brightest minds in medicine but cant figure out why. what a mystery is the human body!!!!"

      13 replies 9 retweets 227 likes
      Show this thread
    4. eigenrobot‏ @eigenrobot Sep 28

      eigenrobot Retweeted

      fair https://twitter.com/HMBrough_/status/1443022416897323009?s=19 …

      eigenrobot added,

      This Tweet is unavailable.
      9 replies 0 retweets 82 likes
      Show this thread
    5. eigenrobot‏ @eigenrobot Sep 28

      eigenrobot Retweeted bosco

      on the other hand theres like semmelweis and thishttps://twitter.com/selentelechia/status/1392157498698715136?s=19 …

      eigenrobot added,

      bosco @selentelechia
      maternal fury continues to be extremely powerful, for better or worse (in this case? for better) pic.twitter.com/5rVd6sevsL
      Show this thread
      2 replies 0 retweets 58 likes
      Show this thread
      eigenrobot‏ @eigenrobot Sep 28

      ok a physician has just had a phone call with me laying out a bunch of helpful information i will append it in fifteen after eating a plate of tendies in the mean time my apologies to @HMBrough_ and the other physicians of twitter for being Too Mad Online

      7:18 PM - 28 Sep 2021
      • 69 Likes
      • Guy UHF243 zywiec james stewart Calm Cold Quiet Sssgth Jamin Pirkka-Joose Sempé 27 5'3'' Sirsfurther
      1 reply 0 retweets 69 likes
        1. New conversation
        2. eigenrobot‏ @eigenrobot Sep 28

          ok. central claim: ICUs specifically tend to be awful places to be for a patient, and not only because of sleep deprivation. however, 1. ICUs tend to be places where patients stay for the minimal amount of time possible 2. this is partly because they are terrible to be in, but

          1 reply 1 retweet 58 likes
          Show this thread
        3. eigenrobot‏ @eigenrobot Sep 28

          . . . partly because economics have led to a sort of Just In Time approach to ICU beds where they often operate close to capacity and so there's not much leeway to keep people in for longer than needed

          3 replies 4 retweets 59 likes
          Show this thread
        4. eigenrobot‏ @eigenrobot Sep 28

          so, the extent to which patients are kept in the ICU is in a sense a min-maxing outcome, and there aren't a lot of dollar bills lying on the ground "we are making you psychotic" yes but imagine the counterfactual where you werent in an ICU which seems reasonable

          2 replies 0 retweets 53 likes
          Show this thread
        5. eigenrobot‏ @eigenrobot Sep 28

          the margin on which things might be improved is on identifying specific treatments that require ICU-level badgering/monitoring and determining they don't actually help things eg maybe measuring blood pressure every 60s doesnt generally improve outcomes in some case

          1 reply 0 retweets 42 likes
          Show this thread
        6. eigenrobot‏ @eigenrobot Sep 28

          the problem with this is that once a treatment is used in practice it becomes difficult to do research demonstrating that no actually its not helping even tho it seems like it should (IRBs dont like denying people what seems like an important treatment just to see what happens)

          1 reply 0 retweets 41 likes
          Show this thread
        7. eigenrobot‏ @eigenrobot Sep 28

          so, this margin for dialing back treatment intensity is pretty inflexible in practice, and not for crazy reasons

          2 replies 0 retweets 35 likes
          Show this thread
        8. eigenrobot‏ @eigenrobot Sep 28

          expanding on this general theme to the rest of the hospital, my friend observed that brute economics come into play here too hospitals apparently used to be very comfortable places. you could ask nurses to give you a massage. but economic pressures have degraded this

          5 replies 0 retweets 39 likes
          Show this thread
        9. eigenrobot‏ @eigenrobot Sep 28

          insurance companies and government (medicare, VA, whatever) are paying specifically for treatments or perhaps outcomes that are easy to measure typically the consumer (patient) is not

          2 replies 2 retweets 38 likes
          Show this thread
        10. eigenrobot‏ @eigenrobot Sep 28

          so you have a sort of multitask problem where "nice experience" is ruthlessly selected against because it is difficult to measure compared to (eg) patient survival, and so not a good goal metric for (eg) public health officials

          3 replies 0 retweets 47 likes
          Show this thread
        11. eigenrobot‏ @eigenrobot Sep 28

          anyway much to think about, very interesting problem massive thanks to anonymous doctor who dropped all of this on me, you know who you are king

          1 reply 0 retweets 40 likes
          Show this thread
        12. End of conversation

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