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Dr. Bitcoin, MD
4f4f82846698ff66ae5fa9fad4c0c4eb7823afb07fa9f54ea9d15f1217ae96cc
Bitcoin OG since 2010, former laptop solo miner, blockstream satellite node runner, #2A rights user, radiologist

Live in Illinois and need to store your guns and/or magazines in a free state? Happy to hold your boom sticks if you want to come on over. I promise I’ll let you pick them up whenever you need.

Back in my day, #footstr had chicks with hot feet…now it’s all dudes & socks…bah humbug. Up-hill, both ways… rotary dial up internet…and other old people things.

The Durham report proves you can launch a soft coup against the president and it is fine. Not a problem. No crime committed. Government slaves are allowed to run the world and frame presidents for treason. No big deal…

Red & blue, ass & elephant, rep & dem should be terrified.

Blackface is bad…

But somehow womanface is not.

Documenting permission to share a patients medical record with other treating physicians is explicitly NOT required by law (called the HIPPAA act). But most places make people fill out forms granting permission to share data with treating providers anyways (because penalties are massive for sharing with non-treating folks).

Somehow people want to shoehorn data transfer and permission slips together into something bitcoin-ish…but the walled garden model is incentivized by the penalties built into the law.

If I paint my face black, it’s racist.

But if I dress like a woman, it’s…?

I don’t see this as solving a problem…but as a way to liberate money from stupid VC types, it has worked to some effect in the past.

I’ve been down this road about a decade ago. The two main issues boil down to permission slips and where data gets stored. Distributed storage means permission slips are irrevocable. Revocable permission slips require centralized storage.

Permission slips tend to be handled via face machines, scanned paper documents, etc in medicine today with centralized disparate databases.

Replying to ea50fcbe...

Well, nostr:npub1sg6plzptd64u62a878hep2kev88swjh3tw00gjsfl8f237lmu63q0uf63m I am here. Hello my fellow plebs. Dr Jack Kruse has arrived

Howdy doc! Your friendly cyber-radiologist checking in for duty, sir!

Remember geocities.com?

HTML broadened the developer base…this massively helped the internet to grow.

I don’t know if there can be an equivalent for nostr apps, but having everyone and their brother able to build something fast is a massive advantage.

A fee sats for your future.

Radiology is the best job in the hospital. You’ve chosen well. If you enter private practice, pick a group that allows you to interpret good images efficiently…

A lot of hospitals buy shitty machines that work fast. As I’m certain you know, fast MRI necessitates decreased image quality, all else being equal. Hospitals know this but don’t GAF. they buy cheap machines and run them fast; some radiologists don’t mind having no imaging evidence of the problem they didn’t dictate because they couldn’t see it. It’s bad incentive alignment.

Wherever you work, help your institution buy the right equipment. It’s tough and technical and salesman are scumbags.

Patients frequently find their own cancers. It’s less common for patients to ignore their cancers for “too long,” but that’s not rare either.

I’ve spoken with many women whose physicians haven’t performed a breast exam in years. Some have been said that they’re too old for breast exam because they’re 50,60,70…ugh…

I love ultrasound. But it’s a shitty substitute for MRI in screening. Less sensitive and less specific, easily can miss cancers that can be palpated. In fact, I biopsied a palpable cancer on Thursday that appeared, if anything, as a 5 mm mass…which was a stretch as the sonographer could tell by feel there was a problem but couldn’t really see anything…so she used every technical parameter in the book to inject artifact to simulate an abnormality. Dense on mammo with no appreciable abnormality.

I biopsied her using “the force” and she’ll be getting an MRI to see how big her cancer actually is (if opting for breast conservation therapy).

If she had a different US tech, she would have almost certainly been returned to her PCP for management based on clinical findings…which in an ideal world would have been referral to a breast specialist or surgeon or diagnostic breast MRI.

You wouldn’t believe how small a fraction of ordering providers that feel a cancer bother to mention where it is or how large it is…about half don’t even bother to indicate left or right breast.

All in the delivery.

That said, the hacker story in the video is interesting. The whole channel is interviews with technically criminal hackers.