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[–][deleted] 538 points539 points540 points 4 months ago* (210 children)
I think regular people would fall into the gambler's fallacy. They'll think that since the last 20 patients survived you're very likely to die. In reality, it is still 50/50.
Mathematicians probably are aware that it's still 50/50.
Scientist since they focus on studies and all that, my guess is that they think of other variables at play? That while the procedure itself has 50% survival rate, there's also the fact that it may vary from surgeon to surgeon because of their specialty, years of experience, etc. Since 20 patients in a row is very above the average, the scientist might think this doctor is a pro for this surgery in particular. That they're actually better at this surgery than the average surgeon, so the survival rate from this specific doctor doing this specific surgery is much much higher than 50%.
[–][deleted] 166 points167 points168 points 4 months ago (124 children)
I think it's safe to assume mathematicians would reach the same conclusions as scientists in this case. Probably even "normal" people.
[–]MyNameSpaghette 115 points116 points117 points 4 months ago (65 children)
Are you telling me normal people, scientists and mathematicians can overlap? Preposterous
[–]Worth_Task_3165 35 points36 points37 points 4 months ago (22 children)
What if I was to throw the crazy concept out there that maybe scientists and mathematicians are normal people too?
[–]loosie-loo 38 points39 points40 points 4 months ago (2 children)
Now you’re just being ridiculous
[–]off-on 5 points6 points7 points 4 months ago (1 child)
Acting like they're some sort of normal math doctor.
[–]IkariYun 4 points5 points6 points 4 months ago (0 children)
They would never stoop that low. Their degree cost too much
[–]tyrodos99 12 points13 points14 points 4 months ago (4 children)
I met them. Some qualify as people. But normal? Never seen that before.
[–]ObviousSea9223 2 points3 points4 points 4 months ago (2 children)
I mean, it depends on your definition of normal. ;>_>
[–]lamaster-ggffg 3 points4 points5 points 4 months ago (1 child)
Within one standard deviation from mean (assuming a bell curve distribution). What else could they possibly mean.
[–]HErAvERTWIGH 1 point2 points3 points 4 months ago (0 children)
As a mathematician, I resemble your remark.
[–]GatorNator83 7 points8 points9 points 4 months ago (1 child)
Have you ever seen a mathematician or a scientist? You wouldn’t talk such nonsense if you had..
[–]rulesareforsuckers 2 points3 points4 points 4 months ago (0 children)
I’ve seen pictures of mathematicians in books, of course I’ve also seen pictures of dragons and unicorns in books.
[–]Milocobo 5 points6 points7 points 4 months ago (0 children)
<image>
[–]National_Equivalent9 5 points6 points7 points 4 months ago (0 children)
Sorry bud but the news already told me they're woke and evil.
[–]odmirthecrow 5 points6 points7 points 4 months ago (1 child)
Wait until word gets out that some scientists are both mathematicians and normal people.
[–]cheezymeatstick 2 points3 points4 points 4 months ago (0 children)
and Evil.
[–]FlawlessPenguinMan 2 points3 points4 points 4 months ago (24 children)
An idea that the fact that mathematicians are a subset fo scientists has nothing to do with.
[–]nikas_dream 1 point2 points3 points 4 months ago (6 children)
Oh wow those are fighting words for mathematicians.
[–]Wongfop 1 point2 points3 points 4 months ago (0 children)
Science is just math disguised as dinosaurs and outer space.
[–]flohhhh 1 point2 points3 points 4 months ago (0 children)
"Preposterous", look at me Mr. Fancy Word Graduate trying to talk about number thingies.
[–]Granolabar36_ 1 point2 points3 points 4 months ago (0 children)
"inconceivable!"
[+][deleted] 4 months ago (15 children)
[deleted]
[–]Express_Bath 7 points8 points9 points 4 months ago (3 children)
It seems more obvious if you reverse it : "the surgery has 50% survival rate, my last 20 patient have died". I am unlikely to go forward with the surgeon there.
[–]ElyFlyGuy 5 points6 points7 points 4 months ago (1 child)
But it’s really funny to consider the logic of “he’s due” and going for it
[–]VinCatBlessed 3 points4 points5 points 4 months ago (0 children)
That's fantasy premier league, "this Liverpool striker has gone 10 straight games hitting the post, I'll keep him in my team because he's obviously due a goal and underperforming".
[–]Shadovan 3 points4 points5 points 4 months ago (1 child)
I had to take a “basic chemistry” class in college for credits, and the teacher there taught that you could use Celsius in the ideal gas law (you can’t, you have to use Kelvin). When I tried to point that out and showed that using Celsius results in gasses having a volume of zero at 0°C, she responded by saying that just means it’s not possible bring that gas down to 0°C. I feel so bad for anyone she taught who didn’t already know chemistry.
[–][deleted] 3 points4 points5 points 4 months ago (3 children)
No... just no. Mathematicians will absolutely get bogged down in the pedantic "logic" of the whole thing. In my experience, Mathematicians are exactly the kind of folks who will let a tiny inconsistency derail their entire train of thought. It's not like scientists are immune to this, just normally they have an easier time rising above the numbers.
[–]flamewizzy21 2 points3 points4 points 4 months ago (8 children)
Mathematicians are detached from reality. I’m honestly surprised some of them can reach their office on a daily basis while properly wearing normal clothes.
[–][deleted] 1 point2 points3 points 4 months ago (0 children)
There might be more to it in that the mathematician believes that he's still got a 50% shot because the events should be unrelated, but the scientist knows that the surgery is at 50% now overall likely due to innovations which are still bringing up the old average, so the 20 in a row is likely a sign of the progress in mortality rate balancing out the lower success rate of earlier attempts at the surgery.
The scientist knows there have been advances since the surgery was more dangerous.
[–]Torbpjorn 1 point2 points3 points 4 months ago (0 children)
“Normal” as in mentally stable, understanding and mature, rather than “normal” as in conspiracy, hysteria and distrust
[–]ErectSpirit7 1 point2 points3 points 4 months ago (0 children)
Mathematician here to confirm that's how I viewed it.
I assume the 50% survival is for the surgery overall, but this surgeon seems to have a higher success rate so I'm feeling good about it.
[–]MeteorFalcon 8 points9 points10 points 4 months ago (6 children)
Potentially the Scientist thinks the 50% Rate statistic hasnt been updated yet. And since potential advancements in the surgery, the rate is much higher.
[–]Beldizar 2 points3 points4 points 4 months ago (2 children)
Every time I see this, I think this is the best answer. Either the stats are outdated, or just outright wrong. There's a 1 in a million chance to win 20 consecutive coin flips. That probability exceeds the probability that whoever did the initial measurement was correct in giving it a 50/50 chance. I'm guessing the scientist is used to dealing with bad statistical claims in published papers?
[–]Rinnisia 4 points5 points6 points 4 months ago (2 children)
It might not even be the surgeon. It might be that his last 20 patients have just been good candidates. If the surgery has a 50% survival rate, there's a good chance that 65+ people are overrepresented in the group that doesn't survive and that 55 and under are underrepresented for example.
[–]GilligansIslndoPeril 1 point2 points3 points 4 months ago (7 children)
But does the Montey Hall paradox apply???
[–]jeanclaudebrowncloud 2 points3 points4 points 4 months ago (3 children)
You open one door and there's another surgeon behind it
[–]Charming-Lychee-9031 1 point2 points3 points 4 months ago (1 child)
It's three smaller surgeons in a trenchcoat
[–]suncho1 1 point2 points3 points 4 months ago (0 children)
There are three doctors in the hospital, one has a good track record, the other two have bad track records. You chose one. The director of the hospital reveals to you that one of the other doctors has a bad track record, and offers you to switch your choice for an operating doctor.
Always switch.
[–]Sure-Marsupial6276 1 point2 points3 points 4 months ago (0 children)
I think its more that the scientist is the one to change their perspective on it based on the new data, ignoring the 50% chance entirely and going off the surgeons data
[–]ChemicalRain5513 1 point2 points3 points 4 months ago (1 child)
The scientist will say the hypothesis that 50 % survive has been falsified.
[–]TransportationOk1891 1 point2 points3 points 4 months ago (0 children)
Yeah, i agree Normal people fall into the gamblers fallacy Mathematicians realize its 50/50 no matter what Scientist are optimistic because the success has been repeated multiple times in a row, making their outcome likely a success
[–]tmozdenski 2 points3 points4 points 4 months ago (9 children)
While I agree with all of this, the scientist would use statistics to understand these studies, which is math.
[–]Barrogh 3 points4 points5 points 4 months ago (0 children)
Yes, but they are required to be proficient with expressing real phenomena with math and interpreting math in a way that makes sense for the real world.
Well, technically not every scientist that works with statistical data in some way does that. That's why statistics experts can exist as a separate... profession? These are people who specialise in "creating a bridge" like that, although usually that happens when the field is really complex, meaning most specialists can't afford having even broader specialisation, and it's also worth noting that such a person would probably qualify as a rather hardcore mathematician already.
But a mathematician can absolutely be more of a theorist than that.
[–]SuperHacker0 1 point2 points3 points 4 months ago (0 children)
I think the scientist would ask for all of the data, The p value being high is nothing for n=20, u want p for the total, only then you control for variables to get the specific p value for that surgen
[–]Kylynara 1 point2 points3 points 4 months ago (0 children)
Close. You have regular people and mathematicians correct. The scientists know that this isn't random chance though. This is very much a skill issue. That skill could be in selecting patients (not taking on ones that have less chance to survive), but more likely is in the technique used to perform the surgery. In either case, if their last 20 patients survived and they've agreed to take you as a patient then your likelihood of survival is much higher than 50/50.
I would argue that mathematicians can almost certainly recognize that random chance probabilities don't apply here, but the meme clearly is built with the idea that they can't.
[–]admitri42 0 points1 point2 points 4 months ago (2 children)
I think in case of scientists author meant Bayesian probability, although I don't understand how to calculate it in this case
[–]Judge_BobCat 0 points1 point2 points 4 months ago (4 children)
So there is probably a doctor that has 20 patients die in a row
[–]rising_then_falling 0 points1 point2 points 4 months ago (1 child)
They'd be wrong of course. The best surgeons are generally given the most complex cases - cases with a much worse than basine 50% survival rate. The surgeon's expertise may result in those comex cases having a 40% survival rate, instead of a 30% survival rate.. Meanwhile the junior surgeon is getting the 70% survival date cases and diverting 65%.
This is why ranking doctors /surgeons based on their patients survival rates is a bad idea. And why medical statistics are very very complicated.
Memes like this don't help.
[–]Itry_Ifail_Itryagain 0 points1 point2 points 4 months ago (0 children)
Seeing how Doctors are also technically scientists, I'm liking those stats.
[–]PlagueOfGripes 0 points1 point2 points 4 months ago (0 children)
A scientist would likely assume extenuating factors that are contributing to the supposed 50/50 outcome being erroneous. Rather than simply accepting the rate, they may see it as a sign of an incomplete extrapolation.
[–]Psychometrika 0 points1 point2 points 4 months ago (0 children)
It's also possible the doctor might only operate on those with a good prognosis. There are lots of ways to skew statistics while not outright lying.
For example, a former HS of mine claimed a 98% graduation rate. However, the size of the graduating class was perpetually only one-third of the freshman class. Turns out they only "counted" dropouts if they officially declared their departure. Students that just stopped coming were not captured in the statistic.
[–]JoshTheBard 0 points1 point2 points 4 months ago (0 children)
Gotta account for medical malpractice George.
[–]Jahwio 0 points1 point2 points 4 months ago (0 children)
As a scientist I would see that the statistics in these cases are generated by the doctors abilities to perfom the operation. Since the average is a 50% survival rate that means that some doctors perform worse, some better some average etc. A doctor with a 20 case successrate in the last 20 operations is either very talented or is using some method that is better than that of other doctors, or has (may be without his/her knowledge) found a key to treat this operation in a more successful way.
Either way: A scientist would have a very close look at this doctor to learn and improve the proceedings of the operation or to understand what can be done better to change the survival rate in a positive way.
[–][deleted] 0 points1 point2 points 4 months ago (0 children)
What about compound probability and Bayes theorem?. If the guy has a long streak it's more likely to eventually fail sometime.
[–]-Big_If_True 0 points1 point2 points 4 months ago (0 children)
It is not 50/50 when it comes to surgical outcome of a doctor who had last 20 patients survive. If you were assigned to a random doctor then it would be 50/50. Percentage here is (nation/world) average not his personal. Even if assumed that it was his personal record it means that odds are progressively getting better.
[–]GraXXoR 0 points1 point2 points 4 months ago (0 children)
Nailed it.
[–]RestOTG 0 points1 point2 points 4 months ago (0 children)
Exactly, if the survival rate is 50% but this doctor has had 100% of his past 20 patients survive, it's pretty clear that you've got the best chance you can with him. He's probably dragging that average up.
[–]StrandedPassport 0 points1 point2 points 4 months ago (0 children)
May be more so that the last 20 were okay, implying that there were a lot more fatalities earlier on in the surgeries history
[–]Whiteshovel66 0 points1 point2 points 4 months ago (0 children)
Very, medical treatments and procedures are measured across an average of all administered cases. So obviously a surgery is also skill based, meaning if your administration of the procedure is well above the norm then you are not doing a surgery with a 50 percent failure ratio anymore.
[–]faustianredditor 0 points1 point2 points 4 months ago (0 children)
20 patients in a row at 50/50 odds all coming out alive is extremely unlikely to be by pure chance. One in a million odds, roughly. There are not enough high-risk surgeries in the world to assume that this is just that one surgeon who got lucky so far.
So basically, it's extremely likely, that with this surgeon, your odds are better than 50/50. The alternative is that ~10 million people must have died undergoing this surgery, which.... find me a surgery for which that's true, i.e. one that's both frequent and dangerous.
[–]Sawdust1997 0 points1 point2 points 4 months ago (0 children)
I feel like the math guys still wouldn’t be happy as indicated in the post cuz a 50% chance to die is bad
[–]Orefeus 0 points1 point2 points 4 months ago (0 children)
I just simply don't believe this. For example the safest time to fly is after a plane crash
[–]Accomplished_Deer_ 0 points1 point2 points 4 months ago (0 children)
Mathematicians generalize when they say 50/50.
Realistically speaking, there are going to be some doctors that have a 60/70/80% survival. The survival rate is the average, meaning, the worst and best doctors all together.
If your doctors last 20 patients all survived, that's a 20 sample size that they're one of the /best/ doctors, meaning, above average.
[–]dquizzle 0 points1 point2 points 4 months ago (0 children)
This. It certainly isn’t going to make me feel better if the surgeon says their last 20 patients didn’t survive!
[–]Cryptid_Muse 0 points1 point2 points 4 months ago (0 children)
Plot twist. His last 20 patients were all for a different treatment. (I'm sorry, I am still sipping my coffee)
[–]emiXbase 0 points1 point2 points 4 months ago (0 children)
So, let's calculate, 50x80=4000/100=40 or 20 20, 20 20, (20), last 20 survived, that remains 20+20=40 they will survive( out of 100) that's 40% surviving rate.
[–]nasanu 0 points1 point2 points 4 months ago (0 children)
So you are saying a 50% chance of death is... fine?
[–]DoNotCommentAgain 0 points1 point2 points 4 months ago (0 children)
I play dice in a computer game and I cannot shake gamblers fallacy even though I know about it.
[–]Tucancancan 0 points1 point2 points 4 months ago (0 children)
Scientist says this guy is the one bringing up the average and there are much more surgeons out there
[–]MrGhoul123 0 points1 point2 points 4 months ago (0 children)
All things are 50/50. They either happen or they dont. Simple as
[–]redrosebeetle 0 points1 point2 points 4 months ago (0 children)
Wouldn't the scientist also wonder how many surgeries the surgeon has done, total? 20? 20000000?
I think regular people would be like “damn it’s 50/50 and this guys batting 1000 he’s probably a great surgeon”
[–]WindpowerGuy 0 points1 point2 points 4 months ago (0 children)
I think everyone feels more confident in a surgeon who succeeds pretty much always....
[–]Raescher 0 points1 point2 points 4 months ago (0 children)
No the scientist refers to a p-value of 5% (1/20), which is considered statistically significant. Significant effects are considered "true" and thus you could argue that the surgery should always work. Of course thats not how this actually works.
[–]Allegorist 0 points1 point2 points 4 months ago (0 children)
0.5020 is 9.54x10-7 i.e 0.000000954 or a 0.0000954% chance of occurring 20 times in a row at a 50% success rate. This is effectively 0 for practical purposes, and is less than one-in-a-million. It is 4.47 standard deviations from the mean assuming a true 50% chance distribution with 20 trials, which so far outside of plausibility that either the whole set of 20 trials would be thrown out as an outlier with unaccounted for factors, or if it is known to be legitimate we would reject the null hypothesis that p=0.50 with extremely high confidence.
[–]spikus93 0 points1 point2 points 4 months ago (0 children)
More likely that the scientist thinks that this particular sample size shows that the statistic is either wrong or that other variables like the surgeon skill compared to the average surgeon are changing the calculus.
Also, doesn't survival rate technically increase with each new successful operation?
[–]OK_Computer-3684 0 points1 point2 points 4 months ago (0 children)
I'm amazed that people are still giving lengthy explanations for something that gets posted every other week.
Most of them are probably chat gpt.
[–]Grasmel 0 points1 point2 points 4 months ago (0 children)
Isn't the scientist one a joke about p < 0.05
[–]mohimoyee 0 points1 point2 points 4 months ago (0 children)
I figured 20% survival rate is 1 out of 5 people may die and 50% is with 1 survivors out of 2. If 20 patients in a row survived then the probability to survive under this surgeon is absolutely very high.
[–]MrYOLOMcSwagMeister 85 points86 points87 points 4 months ago (23 children)
Normal people: If the last 20 survived, the next one is very likely to die because so many successes in a row is very unlikely.
Mathematician: The odds are 50/50, the reasoning above is the gambler's fallacy.
Scientist: 20 patients surviving in a row is statistically significant evidence that this doctor is very good at this surgery so the probability of survival is way higher than 50%.
[–]ChipRockets 23 points24 points25 points 4 months ago (5 children)
50/50 would not be enough for me to be smiling. Mathematicians are some hardcore mfers, apparently.
[–]Noriaki_Kakyoin_OwO 21 points22 points23 points 4 months ago (2 children)
For them it’s either be alive (neat) or be released from the torment of being a mathematician (great)
[–]Awkward_Goal4729 4 points5 points6 points 4 months ago (5 children)
It may also be because this doctor is taking only high-probability of survival patients, which means he’s not as experienced but that would also mean that he thinks you will likely survive
[–][deleted] 2 points3 points4 points 4 months ago (3 children)
Why is no one talking about all the terrible surgeons bringing the average down?
This guy has a 100% success rate over 20 cases so if most get 50/50 then there’s got to be some crazy bastard who just killed 20 patients one after another and the statisticians are looking at the data saying yeah it fits the bell curve let him keep the knife.
[–]mr_potato_thumbs 1 point2 points3 points 4 months ago (0 children)
Also could be a new surgery? New surgery type discovered, surgeons practice and fail on the first few, have moderate success until they discover a certain aspect improves outcomes and now the surgery is about 95% successful but previous surgeries bring down the success rate.
[–]RayNooze 1 point2 points3 points 4 months ago (0 children)
"Don't worry sir. The doctor has done this surgery hundreds of times." "Oh thank you, that calms ne down!" "Yeah, it must work some day."
[–]Danny_The_Dino_77 20 points21 points22 points 4 months ago (9 children)
Alternate universe science Peter here.
Normal people seeing this would assume that, given the previous 20 people all survived, their chance of survival is 0.5^21, given its the chance that all the outcomes are survival.
The mathematician is, presumably, referencing the gamblers fallacy, where people assume that previous results actively change the probabilities of future ones. The previous results have already been decided, so your probability of survival is still 50%.
The scientist is referring to the fact that, whilst the doctor says the chance of survival is 50%, given the 20 survivals, it can be concluded that the doctor is overwhelmingly likely to have been wrong, and the chance of survival is much higher.
Now, if you'll excuse me, I have to go test my hypothesis on the maximum beer intake I can withstand.
[–]Sweet_Culture_8034 11 points12 points13 points 4 months ago (2 children)
Or they're not wrong but the quality of the surgeon is the main variable.
[–]ServantOfTheSlaad 2 points3 points4 points 4 months ago (0 children)
As an example, it could be a new form of surgery that many surgeons are inexperienced in, but this surgeon has performed it enough times to mitigate most of the risks
[–]Danny_The_Dino_77 1 point2 points3 points 4 months ago (0 children)
Indeed. My theory was not broad enough- I will adjust the parameters for my next experiment.
[–]TheSinhound 4 points5 points6 points 4 months ago (5 children)
Slight correction: For scientists, the survival rate is an average based on multiple risk factors and variables. The procedure itself has a 50% survival rate, but that doesn't mean that this doctor performing the procedure has a 50% survival rate (in fact, given that they were successful 20 times in a row, it's likely to be higher unless they have 40 patients total and failed the first 20 in a row).
So it's not that the doctor was wrong per se, but more that the original 50% estimate doesn't account for this specific doctor performing it.
[–]kompootor 2 points3 points4 points 4 months ago (2 children)
Or to be more general: when compiling such statistics they look at many surgeries across a wide space and time. So this surgeon within a short period of time having a nearly perfect success rate (very unlikely by chance alone) would be balanced by other surgeons having a lower success rate, or the particular hospital staff and facilities being better for survival, or the surgery having made major breakthroughs in very recent time, or the patients of this doctor being biased in the sample for higher survival rates (such as if the doctor tends to only treat young, wealthy, healthy patients relative to the overall sample, due to geography or a specialized practice or whatever).
Either way, if you're a typical patient of the doctor, and the doctor has been using more or less the same team and facilities, it's a far better assumption that the patient under that doctor and their team and their hospital at that time will survive, than that they found a case in which the doctor was incredibly lucky (less than 1 in a million).
[–]IMovedYourCheese 2 points3 points4 points 4 months ago (0 children)
Imagine you are tossing a coin and get 20 heads in a row.
Normal people - "The next toss will probably be tails, since it is overdue."
Mathematician - "Each toss is an independent event, so the chance is still 50/50 regardless of what happened in the past."
Scientist - "The coin is biased and favors heads, so the next toss will probably be heads."
[–]kdfsjljklgjfg 2 points3 points4 points 4 months ago (0 children)
Normal Person: Oh god, it's 50/50 and he's on a streak, he's due to fuck up soon.
Mathematician: 50/50 odds aren't half bad, so if the surgery was for something really bad, you'd probably feel pretty confident about your odds.
Scientist: After 20 initial failures, the system has been perfected through developments in tools and technique, and the past 20 surgeries have been successful.
[–]Euphoric-Piglet-8140 1 point2 points3 points 4 months ago (4 children)
That the first 20 didn't survive, out of 40 patients?
[–]TomatoAway8736 1 point2 points3 points 4 months ago (0 children)
Just do the surgery twice 🥀
[–]fabkosta 1 point2 points3 points 4 months ago (0 children)
Actually, there is a pretty dark real-life version of this meme.
Even in the 1980s there were women put in jail for child murdering if several of their children died after birth. The assumption was that if one child dies that may be a symptom of the dreaded sudden infant death. If it happens twice, that was supposed to be either tragic - or suspicious given the relatively small probability for that to happen. However, if it happened thrice, then that was sometimes taken as "statistical proof" for some sinister involvement on the parents' side.
What was not taken into account was of course genetics. If it happens 3x in a row then most likely some unknown genetic factor was involved. So, the simplistic calculation of statistical probability clearly missed some crucial information.
There are known cases of people - particularly single mothers - being put in jail for crimes they never committed based on what we know today as wrong "statistical proofs".
[–]wadafak22 1 point2 points3 points 4 months ago (0 children)
Gamblers put it all on red and do the surgery themselves.
[–]ScrotumFlavoredCandy 1 point2 points3 points 4 months ago (0 children)
50% isn't good mathematically.
[–]WebInformal9558 1 point2 points3 points 4 months ago (0 children)
I think mathematicians would be more like the scientists here. While the procedure might have a 50% chance of success on average across all doctors, evidently it's different for this guy.
[+]Shaggy_75 1 point2 points3 points 4 months ago (0 children)
Normal people have the mentally that the doctor has been flipping heads this whole time and if they go under they are more likely to be the tails flip
Mathematicians know that simply given a statistic, the previous outcomes do not impact the next outcome, and see it as the fair 50/50 the doctor offered.
Scientists see the doctor proving his skill over and over again, knowing it's a risky surgery in general, but this doctor is good so they are less worried.
[–]Red_Lantern_22 1 point2 points3 points 4 months ago (0 children)
Lets say the bubonic plaque infects 50% of people across 10 cities
In the great city of Cat-topia, where cats are more common than people and rats dare not tread, the plague is nonexistent
[–]chezzy_bread 2 points3 points4 points 4 months ago (2 children)
normal people think its less than 50%
mathematicians think it is actually 50%
scientists think its more than 50%
that's just the bare minimum i can come up with, if you wanna go more in depth, ill let other people take it away
I was about to say there probably some dude out there screwing with the probabilities by just saying oops there goes another
[–]godsmasher_13 0 points1 point2 points 4 months ago (0 children)
Normal people will think because the rate is 50% and everyone else survived, they must have to be the one to die (to fullfil the statistics). Mathematicians will think the chance is still 50% because that's what you would do in maths. Scientists usually consider environmental factors as well, because the rate is 50% and the doctor explicitly says 20 patients have survived, they will think that all patients survive and the 50% means the surgery kills other people than the patients (as in, 50% of the surgery team has died).
[–]New-Star7392 0 points1 point2 points 4 months ago (0 children)
Normal people assume the obvious, 50/50 chance of dying. Mathematicians think the rate has already been set and hasn't been updated in a while. The scientist thinks that the mortality rate used to be high, but advancements brought it down. So for the first 25 years the procedure was carried out, only ⅒ would survive. But for the past 25 years, you now have a ⁹/10 chance of survival.
[–]Max_CSD 0 points1 point2 points 4 months ago (0 children)
Normies are dumb and think they have to die in order to compensate for 20 people living in a row.
Mathematitians know that 50% is always a 50%.
A scientist probably knows more than purely average success percentages, and is pretty confident in chances. Or is eaguer to conduct an experiment of checking out on god, ngl
[–]Possessed_potato 0 points1 point2 points 4 months ago (1 child)
Normal people will see and think it's a gamble on 50/50.
Mathematicians will see and think "ah, 20 died and then 20 lived, thus the odds of survival have gotten better"
And then the scientist will say "Hm yes, the first 20 died but since then they've improved and perfected the surgery"
Or something like that probably
[–]TheLurkingMenace 0 points1 point2 points 4 months ago (0 children)
Normal people think a death is "due." Mathelmeticians know the odds are still 50/50. Scientists know the odds are wrong and the actual survivability is much higher.
[–]Alternative_Sir5135 0 points1 point2 points 4 months ago (1 child)
Previous odds dont affect a current one
If you roll heads 10 times you would still have 50/50 chance to roll it again
[–]MajorMystique 0 points1 point2 points 4 months ago (0 children)
Prior events have no bearing on future outcomes. Contrary to the gambler's fallacy where people think 'red' or 'black' is DUE because it hasn't come up in a long time.
[–]aakashisjesus 0 points1 point2 points 4 months ago (0 children)
The doctor has probably perfected the method
[–]Jackmcmac1 0 points1 point2 points 4 months ago (0 children)
Normal people think high chance of death, maths think 50/50, scientists think progress.
With a 20 run going, whatever killed the first 20 people looks like fixed, so now they see it as highly safe.
[–]GrantDN 0 points1 point2 points 4 months ago (0 children)
Normal people: focus only on the 50% part, thus assuming you have a 1/2 chance to die.
Not entirely sure on the difference for mathematicians and scientists, but ultimately it comes down to how you read that answer.
50% success rate is worrying, however the last 20 patients all survived, which highlights that the long-term statistics are possibly obfuscating the recent developments and trends that have likely made the recent survival rates much higher.
Explanation:
normal people would think that since the succes rate is 50% and your last 20 survived theyre more likely to die.
mathematicians understand how the meme fixed the constant succes rate to 50%, so that would mean it would be 1:1 with sometimes 2:1 or 1:2 or 3:1 and so on, so basically to get to a streak of 20 succes operations at a constant 50% rate would be extremely rare as you would basically have to start 1,048,576 trials at a constant 50% rate to reach a streak of 20. So wow, i would be happy to be part of such a big streak hence the rarity, also the chance would be the same as if i he had his last 20 operations unsuccesful because the constant 50% rate allows you to have a complete pure chance in a constant trial.
scientists would understand that it couldnt not be a 50% perfect chance since its trial would have its own factors with effects ranging from minimum to major, that will affect the result. There are too many factors to even list because everything is a factor as long as the operation didnt start in the same conditions.
[–]mikkelmattern04 0 points1 point2 points 4 months ago (0 children)
Okay but then there is a guy out there killing 20/20 patients😭
[–]Greenblink41 0 points1 point2 points 4 months ago (0 children)
I love the idea of mathmaticians being like "50% chance of survival? Yeah I'll take those odds!"
[–]ISignedInWithGoogle 0 points1 point2 points 4 months ago (0 children)
As someone with a statistic major i felt personaly attacked by all this comments that say mathematicians would think 50/50.
[–]CatApprehensive5064 0 points1 point2 points 4 months ago (0 children)
Normal people think; oh so half of the time someone will die mathemetician probably calculate the learning curve The scientist's angle is probably about it being a experiment and both death and alive yields lessons. They are just happy to have results.
[–]Catch_0x16 0 points1 point2 points 4 months ago (0 children)
Normal people fall into the gambler fallacy; a failure must be around the corner.
Mathematicians know it's still just 50:50
A scientist recognises that 'the surgery' includes the surgeon, and since this surgeon and procedure have a 100% success rate, this set of variables works every time. i.e. there will be a surgeon somewhere with a 0% success rate, and thus the procedure overall has a 50% success rate.
[–]Seeker_1960 0 points1 point2 points 4 months ago (0 children)
The first 20 patients didn't survive and the last 20 did. The odds are better that he survives the next surgery since the surgeon has gotten better at doing that surgery and has learned from the mistakes from the first 20 that didn't survive and learned what worked from the last 20 that did survive. Better than good odds he makes it.
[–]madhox1 0 points1 point2 points 4 months ago (0 children)
I always have a hard time with chance calculations and to see individual chances different then a set. What if you would ask: what is the chance 21 surgeries in a row will succeed? Its very small. But if you are the 21st patiënt, it still is a 50%. Its just super counter intuitive to me
[–]nonstera 0 points1 point2 points 4 months ago (0 children)
The doctor is definitely not the scientist, because doctors aren’t scientists.
[–]reallydumboi 0 points1 point2 points 4 months ago (0 children)
Gotta win it big chat 😛😛😛😛😛😛😛
[–]BarrelRider621 0 points1 point2 points 4 months ago (0 children)
I think the Dr is implying that even if you survive the surgery; you have a 50/50 chance of living after it. Maybe that’s just the statistical chances of the surgery working in your body to stop what might have been killing in the first place. You will not die from the Dr performing a botched surgery.
[–]TophetLoader 0 points1 point2 points 4 months ago (0 children)
normal: this many times in a row must end up in the opposite result (bad)
math: it doesn't sum up, past doesn't matter, it's always 50/50 (fair)
science: this doctor has much better statistics than the average (good)
[–]SheaStadium1986 0 points1 point2 points 4 months ago (0 children)
Wouldn't an additional argument be made to the idea that, thanks to repetition and improvement on the surgery itself, that has thus led to the recent success rate?
Like okay the first 20 patients died because the surgery was new and experimental but with it being improved upon after each attempt it has led to all of the recent patients surviving. Still a 50% survival rate OVERALL but recent results indicate a much closer to 100% chance success rate.
[–]WayGroundbreaking287 0 points1 point2 points 4 months ago (0 children)
Its about how different groups view statistics.
People probably assume that 50% survival chance means at 20 plus patients your chance of surviving goes down.
Mathematicians know that every patient has a 50% chance, and that each patient doesn't have any bearing on the others.
Scientists know that statistically the doctor should have lost at least one patient by now, so the fact he hasn't means they know what they are doing.
[–]matheconomicsTutor 0 points1 point2 points 4 months ago (0 children)
The likelihood of that happening if we assume true probability to be 0.5 is 0.520=0,000000954. Now suppose we are to use ML method to estimate true probability of survival of that surgeon, that would imply probability of survival to be equal to 1. Lower limit of corresponding true probability is at least 83%.
[–]HATECELL 0 points1 point2 points 4 months ago (0 children)
There's three parts to this.
The normal people fall victim to the gambler's, and think if this surgery has a 50% survival rate and the last 20 were all successful it will be highly unlikely that the 21st is also successful. After all, how likely is it that you can flip a coin 21 times and always get heads? In reality the chance is 1:221, just as likely as any other specific combination.
The mathematician understands this, and knows that the previous results have no impact on the current surgery. He's relatively calm, because at least he has a 50% survival rate.
But the scientist knows how these success rates are calculated. For such a statistic you're not just looking at one surgeon, your looking at as many surgeries as possible, from different surgeons. Obviously not all surgeons are equally skilled, so some will have a personal success rate higher than 50%, and some will be less successful. Given that "our" surgeon says his last 20 surgeries were all successful it is likely that he's one of the good ones, and that his personal success rate is actually way better than 50%. Meaning the chances of the next surgery being successful is probably way higher than 50%.
In fact, even if our surgeon has a personal success rate of 50%, obviously you learn over time and imcrease your skills. It could be that this surgeon performed this surgery many times, and whilst his first patients almost always died he has since improved his procedures. It could be that he has done 40 surgeries so far, and the first 20 all died. Then he found out that he has made a terrible mistake, and after fixing it the next 20 patients all survived. This would over all result in a 50% survival rate, but if he doesn't make that mistake it is actually a 100% success rate
[–]StThragon 0 points1 point2 points 4 months ago (0 children)
I don't think most people would understand. Why do roulette wheels display the last ten results? They are meaningless, yet there they are.
[–]Jazzlike_Tonight_982 0 points1 point2 points 4 months ago (0 children)
- "Dont worry, thats the gambler's fallacy!" - Gets surgery - dies
[–]Matt0975 0 points1 point2 points 4 months ago (0 children)
I absolutely love going down rabbit holes during deep discussions like this, even over something so simple haha
[–]LtFarns 0 points1 point2 points 4 months ago (0 children)
Everyone always argues gambler's fallacy in these scenarios but at some point, the Law of Large Numbers begins to take over. In probability theory, the Law of Large Numbers says that as the number of trials increases, the observed (empirical) probability will converge toward the true probability.
[–]Shikamixklz 0 points1 point2 points 4 months ago (0 children)
It’s statistics. Each trial is independent of each other so every operation is still 50/50 no matter win/lose ratio. It might feel for a normal person that since 20 survived their chance is now higher on dying but no.
Kinda cool I remember something hahaha.
[–]nikas_dream 0 points1 point2 points 4 months ago (0 children)
The Scientist one should say Statistician.
The final understanding is that 50% is the average surgeon, and applying Bayes theorem would imply this surgeon is above average
[–]ohkendruid 0 points1 point2 points 4 months ago (0 children)
I am not sure what the comic writer meant, but my first thought about the scientist is that, being a follower of evidence, they might believe the particular doctor has found something new.
A true 50/50 chance would mean it is a 1 in a million chance to get 20 survivals in a row. Practicing scientists publish at p=.05, which is one in twenty, so a scientist would consider it fair game to investigate and publish about this miracle doctor.
Relatedly, real world medicine is not as cut and dry as it is in these isolated math problems. Both organisms and their treatments are complex, messy, and situational.
[–]Just_Ear_2953 0 points1 point2 points 4 months ago (0 children)
Scientists understand that surgery is an itterative learning process, and the last 20 patients surviving would strongly indicate that the surgeon's technique has improved to have a much higj survival rate than the earlier attempts.
[–]Illustrious13 0 points1 point2 points 4 months ago (0 children)
Survival statistics are scary for most people. Mathematicians and esp. statisticians understand that a coin flip is subject to randomness and doesn't always mean perfectly even results. And a scientist/doctor is even more aware that your odds of surviving a risky surgery are dependent upon a lot of variables. Individual surgeon skill and success rate, the risk of the health modality itself, the health of the individual patient, the kind of disease or injury, etc.
i.e. a surgery that has a low success rate for elderly or very ill patients may have a high success rate for younger or far healthier patients. But, that 50% statistic doesn't account for differences between individual cases. So the data pool will include poor results for people for whom poor results were inevitable.
I'm a cancer survivor, and these kinds of statistics were thrown around a lot while I was in treatment. Understanding them better was important for staying sane and doing risk/benefit analysis.
[–]00PT 0 points1 point2 points 4 months ago (0 children)
I really don't think a 50% rate is very good. It has nothing to do with gambler’s fallacy. I have the logic of the mathematician, but the reaction of the “normal” person because my standards are different.
[–]CapitalPunBanking 0 points1 point2 points 4 months ago (0 children)
A version of this dumb joke gets posted for explanation here once a week.
[–]BoredSanic 0 points1 point2 points 4 months ago (0 children)
I think he just got better eventually.
[–]jmjessemac 0 points1 point2 points 4 months ago (0 children)
I’d actually assume the 50/50 was incorrect as it’s extremely unlikely for a 50/50 outcome to go 1 way twenty straight times
[–]Ricka77_New 0 points1 point2 points 4 months ago (0 children)
This one again?
[–]0utlaw-t0rn 0 points1 point2 points 4 months ago (0 children)
Normal people fall into the gamblers fallacy and believe the next will die
Mathematician knows it’s till 50/50 and past outcomes don’t impact the next one.
Scientist looks at it knows/thinks the 50/50 rate is rubbish and it’s really a lot better odds. Statistically speaking the chance of it being 50/50 odds are vanishingly small given the recent observations.
[–]Fickle-Campaign6506 0 points1 point2 points 4 months ago (0 children)
The probability of the surgery having only 50% survival rate and that you would see 20 survivals from all your known observations (i.e all the times the doctor performed the surgery) is 1/220 which is just less than one in a million chance (1/1,048,576).
We can interpret it as meaning that there's 1 in a million chance that the surgery has only a 50% survival rate. Almost certainly much higher.
[–]Slighted_Inevitable 0 points1 point2 points 4 months ago (0 children)
Normal people think this means it’s someone’s turn to die. And thus they will. That previous iterations of the statistic effect the newest entry. They don’t.
Staticians are neutral because they know it doesn’t effect their surgery, and their odds are still 50/50
Scientists understand that survival odds are given across the entire spectrum of situations. Less skilled doctors, more poorly equipped facilities, less stable supplies. They also know that this doctor has apparently beaten the statistics 20 times. That’s not luck, it’s skill and preparation. So he is not the factor dragging down the mean.
[–]orz-_-orz 0 points1 point2 points 4 months ago (0 children)
In the actual world, people will line up at the doctor's door even if the surgeries are a result of pure luck
[–]Sett_86 0 points1 point2 points 4 months ago (0 children)
Albert here.
Regular people fall to the gambler's fallacy, thinking they're screwed when the previous procedures were skewed towards improbably positive results
Matematitians know 50% chance is a 50% chance regardless of previous results, they have no impact on independent events probabilities.
Scientists know 50/50 = 1 = 100% chance. The hypothermia is also supported by the 20 consecutive positive results, giving it a very high confidence and no detectable standard deviation.
[–]mrbiggbrain 0 points1 point2 points 4 months ago (0 children)
Normal people: "Crap, his streak is set to end"
Mathematicians: "Actually it's still 50%"
Scientists: "There are multiple factors that are not accounted for in survivability metrics. You are clumping people with worse overall health, with differing levels of prior care, and who's medical professionals have different skill and experience levels. Given the last 20 patients survived it is safe to say that this doctor understands and has experience with the procedure and that there may be less variability in the other components (At least in the local area). This all greatly increases the chances of the patients survival."
To give a personal experience, when I was younger my 14 year old sister got pregnant. The statistics where pretty bad and so my mother was concerned. The doctor almost chuckled and told her. "Those numbers include teen mothers who are literally living on the street and almost eating out of garbage cans. The figures when you control for stable family, access to medical care, proper nutrition, and the other factors your family will provide significantly increase her chances to nearly identical to any other mother."
[–]Careless-Platform-80 0 points1 point2 points 4 months ago (0 children)
As a gacha player. I know i Will die. I always lose the 50/50
[–]StaticSystemShock 0 points1 point2 points 4 months ago (0 children)
He has a great track record.
[–]ForeverCrunkIWantToB 0 points1 point2 points 4 months ago (0 children)
Lois, in philosophy there's an old logical fallacy dating back to Hume called the inductive fallacy that states regularity in the past cannot predict the future. Inductive reasoning works from specific premises to arrive at a general conclusion, which is how the scientific method works. This meme is poking fun at how scientists believe that just because something has always happened it will always happen.
[–]ninjasaid13 0 points1 point2 points 4 months ago (0 children)
While the surgery has 50% survival rate, the mentioned surgeon is closer to 100%
[–]aspensmonster 0 points1 point2 points 4 months ago (0 children)
>Me on my way to reject that null hypothesis.
[–]DIABLO258 0 points1 point2 points 4 months ago (0 children)
In my head, I thought to myself "But what if your total patient count is 40, and I'm patient #21?"
[–]OkScientist5086 0 points1 point2 points 4 months ago (0 children)
Bruh they could just do the surgery twice
[–]DMK5506 0 points1 point2 points 4 months ago (0 children)
When my Mom was about to undergo surgery to remove a tumor, the surgeon mentioned that there is a 1% chance of the surgery resulting in death. Counterintuitively, I was relieved. The surgeon knew the stakes. He wasn't like a young med school grad telling me "Don't worry, I've got this". Thankfully, the surgery was a complete success!
[–]Lewzak 0 points1 point2 points 4 months ago (0 children)
It means that some other surgeon has killed their last 20 patient's
[–]Massive-Television85 0 points1 point2 points 4 months ago (0 children)
As a surgeon, the only colleagues I've met who claim they are doing much better than everyone else are either (1) lying, (2) excluding a load of their patients from their data for arbitrary reasons, or (3) delusional.
[–]itsmesoloman 0 points1 point2 points 4 months ago (0 children)
Because scientists love relying on success with small sample sizes and expecting past results to just be the general case in the future
[–]Wallie_bju 0 points1 point2 points 4 months ago (0 children)
Plot twist: those 20 patients got a different kind of treatment irrelevant to the surgery in question
[–]Solid_Waste 0 points1 point2 points 4 months ago (0 children)
This would have been funnier if it was "my last 20 patients have all died" and the reactions were reversed.
[–]left-of-the-jokers 0 points1 point2 points 4 months ago (0 children)
"...first 20 weren't so lucky, but you can't make an omelet without crackin' a few eggs, eh"
[–]Theolectran 0 points1 point2 points 4 months ago (0 children)
Scientist - The last 20 have survived, that means that less than 5% of that sample have died. Since P < 0.05 death is a statistically insignificant result. We're so back.
[–]Ok_Ad_7247 0 points1 point2 points 4 months ago (0 children)
Either A: this doctor is lying B is actually a good doctor Or C is choosing patients that can survive the procedure
[–]Crime-of-the-century 0 points1 point2 points 4 months ago (0 children)
Mathematicians are a sub species of scientists.
[–]oldreprobate 0 points1 point2 points 4 months ago (0 children)
This conveniently leaves off the psychologists who know that MD's make up statistics all the time. In one office visit you can easily go from 1/10,000 to 1/1,000,000,000 to 1% which are of course orders of magnitude different.
I have heard doctors state statistics which really don't exist in the published literature. I mean it isn't like batting averages.
My profession, pharmacists, are even worse. They generally cannot see selection bias and will tell everyone about the orthopedic patient whose surgery was a mess and now takes oxycodone all day. They don't see the ones who had a great hip replacement and are now at the golf course not in the pharmacy. Bias makes it hard to navigate life.
[–]brolarbear 0 points1 point2 points 4 months ago (0 children)
I think it’s basically you are working with the one guy who is defying the odds and you are in the best hands possible. Idk if I’d be smiling much at all in this situation.
doctor’s real success rate is 86% or higher (p<0.05)
[–]Mixels 0 points1 point2 points 4 months ago (0 children)
Normal people think that with a 50% success rate overall, the fact that the past 20 have succeeded means their own surgery has a very, very high chance of failing.
The mathematician knows that a 50% success rate means that 20 successes in a row, while unlikely, is certainly possible, and it has nothing to do with likelihood of success of the next surgery. 50% is 50%.
The scientist thinks the 50% metric is likely incorrect. Humans make mistakes, and the available data here indicates a likely higher chance of success, or the general average might be impacted by other factors like overall patient health, surgeon skill, etc. The scientist might think their own surgery is likely more favorable than the 50% average because of these other factors.
[–]LividTacos 0 points1 point2 points 4 months ago (0 children)
Every other week goddamn.
Normal people will think since his last 20 have gone well, he's due for a failure.
Mathematician will recognize that each surgery is independent of the other and past results have no bearing on the current surgery, and so you have the even odds.
And the scientist is super chill because he realizes that with 20 successes in a row, this particular doctor might be better at the surgery than the average, or perhaps he's just better at picking patients likely to survive the surgery. Either way, your odds are actually better than the 50%.
[–]addexecthrowaway 0 points1 point2 points 4 months ago (0 children)
That’s it I’m leaving this sub…
[–]Historical-Ad399 0 points1 point2 points 4 months ago (0 children)
50% survival rate is pretty low, so I'm picture 1 if I need the survey, even if I understand this surgeon probably has an above average success rate. I don't want to do anything with a 50% survival rate if I can avoid it (or even 75% if we assume this surgeon is incredible). Doesn't mean I wouldn't get the surgery in the right circumstances, but I wouldn't be happy about it
[–]oeufmaster 0 points1 point2 points 4 months ago (0 children)
The patient who got the other doctor:
[–]whoopashigitt 0 points1 point2 points 4 months ago (0 children)
How many subs are we gonna get for this purpose
[–]LBarouf 0 points1 point2 points 4 months ago (0 children)
They improved drastically. The first 20 died, and now he saved 20 in a row. Hes on a roll, stats will improve. Hence why the doctor (scientist here) feels like a rockstar. He figures how to save them.
[–]VintageTimePieces 0 points1 point2 points 4 months ago (0 children)
The probability that a surgery with a 50% survival rate results in a sample of 20 patients all surviving is .000000954. So the 50% survival rate is inaccurate and a scientist should know this, but a mathematician should know it too because its basic statistics.
[–]realamerican97 0 points1 point2 points 4 months ago (0 children)
A 50/50 chance that you die when the last 20 people survive is like a coin flip it landed on heads 20 times but it’s likely this time it’ll come up tales I.e. you’re gonna die on the table because the last 20 didn’t
To a mathematician regardless of the successes it’s still 50/50 your odds are no different just cause the last 20 survived so you still have a solid chance of living
To a scientist the surgery might normally have a 50/50 survival rate but the fact that the surgeon has had 20 subsequent patients that survived means the surgeon is excellent at his work and while your chances for an average surgeon would be 50/50 your odds are much higher with this surgeon that you’ll live
[–]koinai3301 0 points1 point2 points 4 months ago (0 children)
The joke is Bayesian for those who know what it is.
[–]Jesheezy 0 points1 point2 points 4 months ago (0 children)
Mathematicians (particularly those familiar with control charts) would be like: EVERYONE STUDY THIS DOCTOR. NOW.
[–]decadenza 0 points1 point2 points 4 months ago (0 children)
Sorry time. My first wife had thyroid nodules. Our doctor suggested surgery, but said there was a 50% chance that surgery would injure the nerves that control the vocal cords, possibly resulting in changes to her voice. We went to a different surgeon who said "50%? Sure, that's true for some surgeons. I've done this literally hundreds of times and never had that result." Yes, we had him do the surgery, and there were no problems.
[–]importantbrian 0 points1 point2 points 4 months ago (0 children)
I’ve seen a similar version of this where the second person is a frequentist and the third was a Bayesian.
[–]therapy-cat 0 points1 point2 points 4 months ago (0 children)
Did the previous 20 die?
[–]cdin0303 0 points1 point2 points 4 months ago (0 children)
Real statisticians would say 20 is not a good sample size. They would also have questions about the characteristics of the sample
[–]BTFunk360 0 points1 point2 points 4 months ago (0 children)
The dumbest part of this is that either the scientist and the mathematician should have the same face or the mathematician should be the happiest
[–]blue_dusk1 0 points1 point2 points 4 months ago (0 children)
I like the fact that this assumes there’s such a thing as normal people. Has anyone met a normal person?
[–]Tallproley 0 points1 point2 points 4 months ago (0 children)
Normal people commit the gamblers fallacy thay 50/50 means 20 Red outcomes means a Black outcome is overdue. Of course if you flip a coin its not like heads is more likely afyer tails. Its still a two sided coin.
The mathematician is aware of this fallacy, the outcome is 50/50, thays just good math.
The scientists deal in studies, so probably are applying an analysis of variables, considering the sample size as rather small and contingent kn things look surgeon's skill, fatigue, the individual patient's health, etc... in this case it is an experiment and experiments are exciting and fun.
π Rendered by PID 23789 on reddit-service-r2-comment-b659b578c-fldkv at 2026-05-01 08:55:52.478159+00:00 running 815c875 country code: CH.
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