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What company is the #1 market #EHR, makes >$3 billion/yr selling (aka gouging) health systems poor performing software, and now opposes @HHSGov proposal for hospitals to share medical data for their patients?
This one: cnbc.com/2020/01/22/epi… by @chrissyfarr @CNBC
@HHSGov @chrissyfarr @CNBC The term "information blocking" is repulsive.
So it's no wonder this company would support it.
See @dpatil's take:
@HHSGov @chrissyfarr @CNBC It's is not just taking on @HHSGov but also @theNAMedicine strong recommendations on behalf of patients
nam.edu/procuring-inte… by @PeterPronovost and colleagues
@HHSGov @chrissyfarr @CNBC When the anti-info-blockers are like the pro-vaxxers
Thanks @peteratmsr @MSFTResearch
cnbc.com/2020/01/26/mic…
@CNBC by @chrissyfarr re: @Microsoft's support of @HHSGov plan
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Eric Topol
@EricTopol
What is the longer term impact of #AI-algorithms that guide non-expert (uninitiated) humans to acquire ultrasound images?
1. Yesterday the @US_FDA approved the 1st system to do this for heart images (echocardiography)
statnews.com/2020/02/07/fda… @statnews by @matthewherper
@US_FDA @statnews @matthewherper 2. I used this system last month. Software directs the person imaging to the optimum spot for high-quality images and once there automatically records. Example loop:
@US_FDA @statnews @matthewherper 3. Such imaging can ultimately be done anywhere and by anyone, using smartphone-ultrasound as shown here, exemplifying a way that #AI can reduce global health inequalities.
Remote expert interpretation is now possible and eventually cloud-based algorithmic support will kick in.
Read 3 tweets
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Eric Topol
@EricTopol
Cataloguing #Cancer: The day after #WorldCancerDay2020, @nature @naturepub publishes 22 papers w/ majorl new insights from whole genome sequencing. The cover & my v brief summary of the papers; also @NatureGenet @NatureComms @NatureBiotech @nresearchnews
nature.com/collections/af…
@nature @Naturepub @NatureGenet @NatureComms @NatureBiotech @nresearchnews The primary paper here provides a great overview:
nature.com/articles/s4158…
@nature @Naturepub @NatureGenet @NatureComms @NatureBiotech @nresearchnews "The future of cancer #genomics lies in the clinic"
An even better summary of these papers and the requisite next steps in the @nature editorial nature.com/articles/d4158…
Read 5 tweets
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Eric Topol
@EricTopol
The mathematical model for BMI is flawed.
Body mass index =weight / height squared
@DrEugeniaCheng asks why is height squared?
"Humans are 3-D, not flat like pizzas"
"Rocket science is arguably simpler than weight loss"
wsj.com/articles/weigh…
@DrEugeniaCheng Stop it with BMI. Use weight circumference. It's a vital sign. An important consensus statement
nature.com/articles/s4157… @NatureRevEndo #openaccess
@DrEugeniaCheng @NatureRevEndo corrections:
1. Waist (not weight) circumference
2. Stop it with BMI fixation. Waist circumference is a better metric
Need ☕️☕️
Read 3 tweets

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Franck Pachot
@FranckPachot
🔴⏬ Here I start a thread about some Oracle Database concepts. We will see how far it goes - all questions/comments welcome.
🔴⏬ A database (or DBMS - database management system) stores (for short and long term) and manipulates (from many concurrent users/devices) your #data.
🔴⏬ #data is logically structured (tablespaces, schemas, tables, columns, datatypes, constraints,…). The structure is described by #metadata.
Read 73 tweets
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daktre
@prashanthns
#TRIBECON begins #Pravara; felicitations to #AbhayBang @SearchGad & #sudarshan #VGKK for their inspiring work on #TribalHealth; @DrLahariya @whoindia among others felicitated
#abhayBang #healthsystem design for tribal communities need to be relooked for #UHC; strategies & schemes must adapt with local social & cultural context; recollects #Brainstorming with @DesirajuKeshav at @SearchGad leading to #ExpertCommittee #tribalhealth @TribalHealthIND
#TRIBECON #AbhayBang notes with happiness increasing interest in #tribalhealth research, yet this continues to be “off the beaten path”; congratulations to #pravara medical college in bringing this together; the proposed #Bandardhara declaration to improve #tribalhealth research
Read 81 tweets
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Harlan Krumholz
@hmkyale
"Hospitals, Some Members Congress Concerned About Patients Making Uninformed Decision To Share Medical Data W/3rd Party Apps” Ironic since every day hospitals send patient data to 3rd parties w/no idea what is happening to it. @politico @ChrisMurphyCT @rosadelauro @SenBlumenthal
@politico @ChrisMurphyCT @rosadelauro @SenBlumenthal The bottom line is that patients should be informed where their data goes - & should have clear, easily understandable explanations. Most often now they do not even know who has their data. Important because it could contain info that they consider highly personal and sensitive.
@politico @ChrisMurphyCT @rosadelauro @SenBlumenthal And public health and certain research exceptions might exist for the use of deidentified data…but society needs to come together and be clear what is acceptable. The default should be the patient’s preference - with explicit permission.
Read 5 tweets
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RyuZoku
@Ryu_Zoku
There are many forms of computing hardware systems, ever more so these days with TPU (Tensor Processing Units), GPUs, Multi-Core CPUs, Parallela Epiphany cores, FPGAs, Risc-V ISA, Analog Computing, Quantum Bits, Memristors, AI, ML, Deep Neural Nets, ...

thocp.net/biographies/pa…
The linked paper above is one older perspective. It was written just as the age of networking was beginning and published two years before the advent of Smalltalk-80 that brought in a new paradigm of Object Oriented Programming were objects communicate via passing of messages.
Functional Programming makes rather massive claims that it is somehow fundamentally different than the procedural programming that came before it. Both are based upon functions calling other functions with the passing of arguments as in Lambda Calculus mathematics. 🤔 Not new.
Read 44 tweets
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Portlus Glam
@PortlusGlam
NEW THREAD: Why was Rudy Giuliani touring a no-name hospital in New Hampshire on Mar 29, 2018? @PageSix focuses on the "affair" angle, but that singular explanation doesn't add up given the parties involved and his meeting just 2 days prior w/ Ukrainian Gov't officials in NYC.
It is unexplained why Cottage Hospital - which admits a mere 1,000 people a month, has the medical record data of 20 MILLION AMERICANS. Data that Rick Frederick, Cottage’s Hospital’s CIO, says is under "constant attack." @MichaelAvenatti
unionleader.com/health/rudy-gi…
Beside the Ukraine stuff, there's also these facts re Giuliani's NH visit:
1. Athenahealth was subject to a hostile takeover by GOP donor Paul Singer shortly thereafter
2. A significant data breach of NH Health Dept records was discovered on Nov 4, 2016
thedartmouth.com/article/2017/0…
Read 18 tweets
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Jason Danner
@jpdanner
Its @CHCon_nz time!!
Kicking off @CHCon_nz!

#chc17
Now it's @yappare talking about jow to get in & stay in the top 5 in bug crowd!

#chcon17
Read 270 tweets

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