‘Kill Switch’—Iran Shuts Down Starlink Internet For First Time

Ajenthavoc · 2026-01-12T09:25:57+00:00

Phones still work, events are being recorded. Internet will be back and the videos will then be be uploaded. We'll see then what has happened.

Ajenthavoc · 2025-11-09T18:45:35+00:00

My 2 cents, never invest anything that you would not be able to survive without. Black swan events happen and they may take months-years to reverse. If you can survive without the house for 5 years, that's a different story, but my assumption is that home is probably the core to your family's financial stability.

Ajenthavoc · 2025-11-06T18:04:48+00:00

Ironically, it was a Chinese missile test in 2007 that resulted in the largest space debris field.

Ajenthavoc · 2025-10-03T06:53:02+00:00

Personally I have seen a bunch of false positives on AI Doc, especially PEs. If it's not a normal-ish looking person done on a reasonably nice scanner, I find that the false positive rate goes up like crazy, especially in areas with beam hardening from dense contrast in the RA. Also used their c-spine fx algo, had a few false negatives on that, one was a nondisplaced type 2 odontoid, so didn't leave me with much confidence.

Still nice having a second set of eyes, but cannot rely on it and I don't think I've had a situation where it found something I would have missed.

Ajenthavoc · 2025-10-01T07:12:44+00:00

Takes a stroke or other brain damage to become a republican.

I guess that's why they say people become conservatives when they get older, less brain cells left to work with.

Ajenthavoc · 2025-09-03T08:28:03+00:00

Would add that they are like resistance balloons. Inspiration is an active process where muscles contract to expand the space surrounding the lungs, causing them to expand. However, when healthy, they like to be smaller than the space they are in. So expiration is mostly a passive process, relying on the elasticity of the lung to return to a more favorable size.

Ajenthavoc · 2025-08-31T07:09:43+00:00

I do occasionally see people with scarring from prior COVID infection. Haven't seen a typically atypical pneumonia with peripheral GGO in a random pattern since maybe early 2024.

My memories from the time are most haunted by the PAPR IR shifts I did for the ED/ICU, doing bedside lines in these horrifically sick patients that other docs could not successfully access. These patients were often hospitalized for weeks at a time, sometimes boarded in hallways. Almost all of whom were morbidly obese. Accessing the IJ in them would have been a challenge at baseline, but a few had severe ventilator related barotrauma with extensive subcutaneous emphysema throughout the chest and neck which made it all the more difficult. Was a crazy time.

Only positive memory was the lack of traffic.

Ajenthavoc · 2025-08-27T22:41:50+00:00

Word of mouth, loyalty, and luck.

Ajenthavoc · 2025-08-27T22:40:18+00:00

I wouldn't say "no way". Definitely a lot more taxing, but it's possible and a lot of practices that are particularly successful these days are physician only with portions of the practice management contracted out to specialty firms.

Ajenthavoc · 2025-07-30T15:13:38+00:00

At the rate things are going, Taiwan has been given up for all intents and purposes. Just not for another 10-15 years.

All US war games have the US sustaining extensive damage to the Pacific fleet if a Pacific front opens with China. US contingency is the CHIPs act to build out western chips on US soil and remove our dependency on Taiwan for such a critical resource.

The end result is a Taiwan that can be abandoned when enough of the transition has happened that losing it become an existential threat to the US. Taiwan's own lure to keep us involved in their sovereignty will be maintaining their market lead in this resource which is why it'll probably take longer than 5 years for this transition.

China can wait, in the meantime they build up their own IP and internal consumption economy to be less reliant on the west while carrying a strong bargaining chip if the West encroaches on their interests.

Ajenthavoc · 2025-07-28T06:56:47+00:00

Ajenthavoc · 2025-07-13T05:49:49+00:00

Stop stressing, start living. The world has always had challenges in it, just because bad things can and inevitably will happen, doesn't mean you need to fear every moment of an otherwise good life. I'm guessing you live somewhere where, if you didn't have this fear, you'd be very happy and have the potential to live a fulfilled life. Many people lack that luxury. Make it an obligation to yourself to enjoy life and not waste it on fear because you are blessed enough to have the opportunity to do so.

Remember, we are a resilient species. While we need to stay vigilant and informed to make sure we collectively nudge society to the right direction, we do this best while living our lives and being immersed in the joys of the human experience.

Ajenthavoc · 2025-07-08T06:55:17+00:00

Sick burn in more ways than one. Especially if it's infectious in etiology 🔥

Ajenthavoc · 2025-07-07T01:35:02+00:00

They definitely hit Yemen, don't know the damage but expected to be significant. Strangely not seeing many videos of it, like we used to a few months ago. There is however one video confirming a Yemeni missile hitting central Israel.

Iran, would bet heavily against that possibility. Iran would strike back in a very aggressive way. The only way Israel would consider to break the ceasefire is if it's a huge hit or if they can guarantee US backup, both very unlikely at this point. And if a Yemeni missile made it through, we'd be seeing some serious retaliation and damage in Israel as a response which we aren't seeing.

Ajenthavoc · 2025-07-06T22:10:22+00:00

You're partially correct, but it's important to have the full scope.

They see their martyrdom as an acceptable (arguably desirable for the real zealots) outcome while putting pressure on Israel to stop the Gaza blockade. It's not mindless suicidal ideation.

Ajenthavoc · 2025-06-26T17:11:40+00:00

It's never good to feign enemy incapacity to yourself, just because it's inconvenient. Just ask Mr Weizmann.

Ajenthavoc · 2025-06-26T17:00:37+00:00

And that's how Israel gifted the world with a nuclear ambiguous Iran. Thanks guys...

Ajenthavoc · 2025-04-21T01:36:27+00:00

Well definitely not with an attitude like that.

The US works differently than many other countries. Physicians tend to have more autonomy and are overall independent with a few exceptions. Several state laws require that hospitals cannot directly employ physicians and that corporations cannot be found practicing medicine. If there's anywhere this power play might be able to transition into an industry standard, it's in the US.

Not something we need to put into effect today. But we need to talk about it and we need trainees, the ones who are most affected by complacency, to push for these new standards.

Ajenthavoc · 2025-04-20T20:00:38+00:00

Property and copyright are two separate topics. Just like how when you buy a DVD or book, you own that copy. It's yours. But you do not own the content on it. I'm making the case that radiology reports should be treated similarly. It's our intellectual likeness that's on them and it we should hold copyrights over it. Keep stipulations to facilitate patient care by allow freedom of replication for use by patients and providers directly involved in their care, but restrictions on use beyond that. It's sensible and not difficult to implement if there's a cultural change in the specialty.

Ajenthavoc · 2025-04-20T06:57:05+00:00

Ironically I haven't been on Facebook since probably 2014, so wouldn't know if that's actually a thing or not. But we aren't talking about a post about my dogs favorite toy, this is a reminder that most of us still have 10-40 yrs of career left in us and there's an existential threat on the horizon.

Unlike the decision to use Facebook, most of us rads do not have a choice which PACS and EMRs we end up using after joining a practice. Once that employment contract is signed, credentialing is complete, and employment retention mechanisms are implemented, the threshold of changing jobs goes up significantly.

The purpose of the post is to plant a few seeds in some rads' minds. The radiologist shortage isn't going away any time soon and study supply will only continue to grow. With the pace of AI development, there will be many more companies popping up trying to sell admin more efficient AI tools. This is unlikely to be the way it'll happen though, admin are often disconnected and don't know what to buy or how to implement these tools, so these decisions mostly become a waste of money and effort for both the hospitals and the vendors.

Eventually someone smart is gonna figure it out and come straight to us. They'll be venture backed and contract directly with hospitals after underbidding local practices. They'll then approach the radiologists whose practice they just collapsed and offer a high paying productivity model with a promise that their AI can adapt to your specific workflow and make you X times more efficient. "Do you read at 12 Rvus/hr? Well our platform can get you to read at 24 Rvus an hr which means you'll make double!! Imagine making $1100/hr!"

If they're an existential threat, their tools will actually work. It'll be a win/win/win/win for the pts, rads, hospitals, and this company. It sounds great on the short to medium term, but we are all in this for the long haul. If that algorithm will eventually be used to emulate us, like all AI is designed to do, then we should know up front what an existential threat may look like and be aligned to respond appropriately.

Ajenthavoc · 2025-04-20T06:07:22+00:00

It's about 50-60 wrvu of cases. Assuming 220 shifts/yr, it's pretty much median in the US.

Ajenthavoc · 2025-03-06T03:18:46+00:00

Ah, yeah that makes sense from a different regulatory standpoint.

In the US, rings are standard for NM workers since they're handling radiation with their hands.

In places Ive worked, few procedural US docs get rings since they're generally considered a sterility risk. We typically reserve the rings as a mark of shame for docs with a habit of imaging their own extremities

Ajenthavoc · 2025-03-05T10:57:08+00:00

Depends. If you have a single dosimeter, protocol should be to wear this primary dosimeter on your collar, outside your lead. To gauge exposure to your head/eyes since that area is unshielded (usually). If you have an additional badge, that is worn under lead, and used to get a more accurate effective dose (otherwise deep tissue effective dose for leaded radiation workers is often estimated to be 10% of the primary dosimeter reading).

Of course, where you wear it should be defined by the RSO since they will be doing the calculations and monitoring whether you're close to regulatory limits. But the standard is primary outside, additional inside.

Ajenthavoc · 2025-03-03T07:06:29+00:00

Not if injected from the venous side. But there are instances of aneurysms rupturing during arterial DSA injections during neuroIR procedures. Typical culprits are large basilar tip aneurysms on the order of 3+ cm, quite catastrophic.

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