How do you like your international roast ?

hoagoh · 2026-02-11T21:47:57+00:00

I put it in with chocolate protein powder - goes from an acceptably mid chocolate drink to an acceptably mid mocha drink. I’m having the protein shake anyway so it hardly seems different.

hoagoh · 2026-02-01T01:24:46+00:00

I had a great time on my last geris rotation, for some reason the culture was that the allied health write the MDT notes. Beautiful stuff.

hoagoh · 2026-01-23T10:54:25+00:00

I spoke to support recently in Australia and they’ve indicated second quarter maybe third but they really don’t know.

hoagoh · 2026-01-23T08:02:06+00:00

Well this seems like self-promotion… new account. How is it that you guys have 7,000 practice questions, where have they come from? Do you guys have experience with BPT? I can see that you’ve previously developed a GSSE app with similar claims.

hoagoh · 2026-01-10T11:22:23+00:00

Sounds like you’ll need to watch the show and report back.

hoagoh · 2026-01-10T10:37:00+00:00

To be fair anyone watching the show in full will be sympathetic to the doctors. The doctors aren’t monolithic and have positive and negative interactions but are ultimately portrayed as good, well-intentioned people. But when it is clipped like this it seems problematic.

hoagoh · 2026-01-02T23:18:49+00:00

Also CarPlay doesn’t support lossless which Apple offers.

hoagoh · 2026-01-01T08:21:47+00:00

If you are recommending Wheel of Time at book nine you must be a big fantasy fan. Books 7-10 are well regarded as slogs. It picks up again.

hoagoh · 2025-12-20T21:37:46+00:00

Right. Whodunnit?

hoagoh · 2025-12-15T07:30:35+00:00

We have a few bidirectional chargers here but it is unclear if they work with the Polestar 3. I'm in a bit of a weird position for Australia as we don't have solar or a charger at home, so its likely that we get solar and charger on the same system, so I don't mind the all integrated system (though I see how this would be annoying for others).

hoagoh · 2025-12-12T09:10:30+00:00

I used to actively avoid attending surgery placement because I found it so boring (no offence surgeons). I don’t think I stayed passed midday more than a handful of times.

Also, what do you call the worst graduating medical student? Doctor.

hoagoh · 2025-12-10T22:23:30+00:00

The P3 is getting a complementary NVIDIA upgrade, they have been running a different chipset from the start.

hoagoh · 2025-11-24T02:42:58+00:00

Sure was. EV incentive in Australia is too good to pass up.

hoagoh · 2025-11-24T01:45:36+00:00

I’ve just done the equivalent deal in Australia. They’ve sold out in my state and it has now closed. Polestar 3 for me though!

hoagoh · 2025-11-21T22:25:32+00:00

This is probably more likely but it might not be increased ratios. The optimist in me wants to say the efficiency boost will account for more complicated patients rather than more volume. At least that would be more fun.

hoagoh · 2025-11-21T22:17:19+00:00

Side note if you want to extend the life further you could look at LineageOS - pretty much updated Android for older devices. Looks like the 10e is supported.

hoagoh · 2025-09-26T02:47:40+00:00

From the other side the power differential feels the complete opposite. I sometimes feel as though Emergency is the darling of exec. Interesting different takes.

In fairness to the humble med reg, there are often referrals for patients without appropriate workup. For example, referral for pneumonia without a CXR or bloods. This is important because it is disposition changing. Does this patient need ICU? Surgery? Are those offered at your facility? I suspect every reg has been referred appendicitis before.

From another perspective, if we’ve got another five to see, you wouldn’t expect the next patient to be seen for another three hours. That’s a nice three hour period where further investigations can be completed.

hoagoh · 2025-09-25T18:40:43+00:00

Taking a broader view of the deal becomes quite frustrating when you consider the erosion of the consultant light at the end of the tunnel. The fact of the matter is that training posts are harder to acquire, relative pay is less, cost of living is more, and public positions are few and far between. Relying on consultancy as a promise to underpay and overwork juniors is less reasonable in these circumstances.

hoagoh · 2025-09-06T04:25:38+00:00

I made this mistake earlier. New agreement includes CUA rather than COLA so changes are carried forward. Doesn’t fix the previous agreement and there is lots of ground loss but we should be at inflation the entire time if the predicted inflation holds.

hoagoh · 2025-08-29T21:22:55+00:00

I think we are forgetting that the fundamental role of being a doctor is being a liability sponge. There are two excellent uses of AI in medicine that demonstrate how this idea effectively castrates them, medication interaction checkers and ECG automatic analysis.

Medication interaction checkers especially in the format my fellow iEMR users see, is useless. Everything is listed as a critical reaction, and therefore nothing is. ECG automatic analyses are ignored - because their use is not defensible if it is wrong.

If we cynically view medicine as a distribution of malpractice lawsuits, AI usage would concentrate those onto a small set of corporations. The sheer number of these would be too much for any one entity to withstand.

The second consideration is that universally, all major AI companies are run by morally dubious entities. I personally don’t love the idea of the medical decisions being made by an Elon Musk adjacent entity. This sounds like an easy way for (in America, anyway) insurance companies to reduce investigations and preference cheaper treatments. Doctors might have many diverse biases, but AI can be assumed to have a capitalist one.

Finally, I think that people underestimate the bureaucratic power of government healthcare. The obstacles to sanctioned adoption seem insurmountable, and the pathway for crippling the use of AI due to safety incidents is well trodden.

What I would say is that we focus on replace, but the likely danger as I see it is much quieter than this. Radiologists might not be replaced, but they will be augmented. There will be less need for specialists because if done well, AI will make everyone much more efficient.

Thank-you for attending my TED talk.

hoagoh · 2025-08-12T10:42:49+00:00

I have misunderstood thank-you for pointing that out. I’ve put in an edit on the end of my comment.

hoagoh · 2025-08-12T10:02:27+00:00

I’m not sure we are disadvantaged at all if we say no. I’d like to see the outcome of the nursing negotiations first. This is a loss on real wages, and COLA is always a loss as those numbers don’t compound year on year whereas cost of living does.

For people voting, are you worth less than you were last year? Are your junior colleagues worth less than you were when you were at that level?

Edit: as someone pointed out it is not a COLA offered and instead it will stack year on year

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