Clash Of Civilizations: Medical Versus The Basis Edition
During this Covid-19 pandemic, I receive got been staying domicile as well as putting a lot of trust inwards medicine assured that they volition let on a mode to teach us through this. What else tin I do? I don't know close the domain, as well as thence I defer to the experts.
But, several months inwards to the quarantine, amongst the deluge of disheartening word close lack of progress on this problem, I am getting to a greater extent than as well as to a greater extent than worried, anxious, as well as restless. I am sensing I am non alone. There is a clash of civilizations brewing betwixt medical as well as lay people, as well as mayhap to a greater extent than relevant for my domain, betwixt medical as well as information technology people.
OK, this is how nosotros volition produce this. I volition kickoff orbit you lot off-the-cuffs comments from the Cynical Murat. I know that Cynical Murat is incorrect inwards many places, because I don't know anything close medicine as well as he is a caricaturized version of myself to vocalisation my insecurities/worries close the situation. (Oh God, this is getting weird.) So I can't only exit you lot amongst his rant. I follow that upward amongst a reply from around other information technology researcher/practitioner, but somebody who had collaborated amongst medical people a lot inwards the lastly 10+ years.
My impression close the medical people is that they are failing this test. They receive got been really irksome to disseminate best practices as well as human activity on them. The invasive ventilators produce non look effective (very depression survival rates) but they are existence used, because it is the "procedure". The proning technique was withal non practiced fifty-fifty afterwards months. They are irksome to human activity on re-purposing existing drugs. We withal don't receive got a goodness agreement of the illness. Antibody as well as vaccine evolution has uncertain fourth dimension horizons.
If the entire world, vii billion people, the governments, the economies, were belongings their breaths waiting for an "IT problem" to live resolved, regardless of how hard that work is, nosotros would run into much amend progress inwards the information technology domain. For example, the Y2K work was resolved without whatsoever fuss. People came together, best practices were openly shared, as well as things got straightened out quickly.
Why don't nosotros run into a similar coordinated quick reply from Medical side?
1. Is it because IT/tech people receive got amend tools as well as networking? Then nosotros should assay to assist past times giving the medical people amend tools as well as networking back upward for collaboration.
2. Is it because the information technology domain problems are intrinsically easier? (If nosotros had 1% crash charge per unit of measurement inwards servers inwards a cluster, nosotros wouldn't fifty-fifty care. We would only supplant crashed servers periodically, every bit it is non a large deal. Nobody dies.)
3. Or is it because of the intrinsic "slow" civilisation inwards medicine? The civilisation inwards IT/tech is nowadays as well as disrupt. Try many unlike attacks on a problem, including peripheral attacks from left field. When the prize is this big, IT/tech would receive got been crushing things. Maybe in that location is also an incentive work inwards medicine? The scientists don't run into plenty of the prize, which prevents the hordes of scientists working on the problem.
I mean value nosotros require around of that information technology chutzpah to assail this problem. For example, receive got Paul Buchheit. He doesn't know shit close the work domain, but he is trying as well as he is ambitious.
Well, that is my rant. I realize the domains are really different, as well as I don't know anything close medicine. But in that location seems to live a large mismatch betwixt the effort/results out in that location compared to what this crisis requires. And this is non fifty-fifty a really strong bug, I am afraid of worse things to come.
“There is much to a greater extent than to wellness tending than algorithms.”
(Got this quote, past times a MD at Iowa, inwards an MIT Tech Review article close Google's AI)
Second, the physician I function with, an infectious illness specialist, says nosotros receive got known close as well as been using proning for xx years.
Third, the mutual usual coldness is a coronavirus but it is as well as thence mild it is non a catastrophic epidemic. Why hasn't medicine been able to cure or receive got a vaccine against mutual cold? Why don't nosotros receive got vaccines for malaria, for AIDS, etc? Maybe around things are hard, mayhap the coronavirus household unit of measurement (in general) is 1 of those, but similar a shot to a greater extent than coin as well as intensive efforts are existence thrown at it than e'er before, because SARS-CoV-2 is a leading motility of death, for now.
Fourth, close existence slow, it is truthful that medical interrogation is deliberate. Two famous events (and in that location are more) receive got motility medicine to live deliberate. One was thalidomide which tempered the free-wheeling chemist's shop attitudes; around other was the Tuskegee study. Because of these as well as other examples, the formal organisation of ethics impedes progress inwards medicine. And inwards the US, nosotros receive got this horrible public/private, insurance/profit bureaucracy. More recently, in that location is a telephone phone for fifty-fifty to a greater extent than careful as well as deliberate interrogation due to the replication crisis, p-value hacking, as well as the like.
Fifth, you lot (like countless VC types) receive got observed that software people are super smart as well as could solve these things speedily if given the chance. So why don't you? You are much smarter than Elizabeth Holmes :)
(Murat's remark: I am withal unclear if this was written to live sarcastic or super sarcastic.)
Also, you lot mightiness desire to take a await at this, which, I think, indicates around inwards the medical community mean value quite a lot close their mission as well as methods.
We the information technology people should kickoff brand certainly nosotros produce all nosotros tin to help, earlier nosotros start to criticize Medical research. For example, nosotros withal couldn't teach our shit together solving the disinformation warfare problem, which is a critical work during these trying as well as challenging times. (Yes, I used this inwards a judgement finally without existence sarcastic.) It seems hypocritical to criticize the medical people close existence slow, earlier nosotros could produce that.
There mightiness also live several other of import problems nosotros tin as well as should assist with.
But, several months inwards to the quarantine, amongst the deluge of disheartening word close lack of progress on this problem, I am getting to a greater extent than as well as to a greater extent than worried, anxious, as well as restless. I am sensing I am non alone. There is a clash of civilizations brewing betwixt medical as well as lay people, as well as mayhap to a greater extent than relevant for my domain, betwixt medical as well as information technology people.
OK, this is how nosotros volition produce this. I volition kickoff orbit you lot off-the-cuffs comments from the Cynical Murat. I know that Cynical Murat is incorrect inwards many places, because I don't know anything close medicine as well as he is a caricaturized version of myself to vocalisation my insecurities/worries close the situation. (Oh God, this is getting weird.) So I can't only exit you lot amongst his rant. I follow that upward amongst a reply from around other information technology researcher/practitioner, but somebody who had collaborated amongst medical people a lot inwards the lastly 10+ years.
Rants from the Cynical Murat
Let me start past times proverb that I applaud the ER doctors/nurses for their bravery as well as selfless sacrifices. I dubiousness that I would live able to enhance to that level, if I were inwards their place. (I am cynical, but I am non a jerk.)My impression close the medical people is that they are failing this test. They receive got been really irksome to disseminate best practices as well as human activity on them. The invasive ventilators produce non look effective (very depression survival rates) but they are existence used, because it is the "procedure". The proning technique was withal non practiced fifty-fifty afterwards months. They are irksome to human activity on re-purposing existing drugs. We withal don't receive got a goodness agreement of the illness. Antibody as well as vaccine evolution has uncertain fourth dimension horizons.
If the entire world, vii billion people, the governments, the economies, were belongings their breaths waiting for an "IT problem" to live resolved, regardless of how hard that work is, nosotros would run into much amend progress inwards the information technology domain. For example, the Y2K work was resolved without whatsoever fuss. People came together, best practices were openly shared, as well as things got straightened out quickly.
Why don't nosotros run into a similar coordinated quick reply from Medical side?
1. Is it because IT/tech people receive got amend tools as well as networking? Then nosotros should assay to assist past times giving the medical people amend tools as well as networking back upward for collaboration.
2. Is it because the information technology domain problems are intrinsically easier? (If nosotros had 1% crash charge per unit of measurement inwards servers inwards a cluster, nosotros wouldn't fifty-fifty care. We would only supplant crashed servers periodically, every bit it is non a large deal. Nobody dies.)
3. Or is it because of the intrinsic "slow" civilisation inwards medicine? The civilisation inwards IT/tech is nowadays as well as disrupt. Try many unlike attacks on a problem, including peripheral attacks from left field. When the prize is this big, IT/tech would receive got been crushing things. Maybe in that location is also an incentive work inwards medicine? The scientists don't run into plenty of the prize, which prevents the hordes of scientists working on the problem.
I mean value nosotros require around of that information technology chutzpah to assail this problem. For example, receive got Paul Buchheit. He doesn't know shit close the work domain, but he is trying as well as he is ambitious.
Well, that is my rant. I realize the domains are really different, as well as I don't know anything close medicine. But in that location seems to live a large mismatch betwixt the effort/results out in that location compared to what this crisis requires. And this is non fifty-fifty a really strong bug, I am afraid of worse things to come.
Response from my wise friend
First, realize this:“There is much to a greater extent than to wellness tending than algorithms.”
(Got this quote, past times a MD at Iowa, inwards an MIT Tech Review article close Google's AI)
Second, the physician I function with, an infectious illness specialist, says nosotros receive got known close as well as been using proning for xx years.
Third, the mutual usual coldness is a coronavirus but it is as well as thence mild it is non a catastrophic epidemic. Why hasn't medicine been able to cure or receive got a vaccine against mutual cold? Why don't nosotros receive got vaccines for malaria, for AIDS, etc? Maybe around things are hard, mayhap the coronavirus household unit of measurement (in general) is 1 of those, but similar a shot to a greater extent than coin as well as intensive efforts are existence thrown at it than e'er before, because SARS-CoV-2 is a leading motility of death, for now.
Fourth, close existence slow, it is truthful that medical interrogation is deliberate. Two famous events (and in that location are more) receive got motility medicine to live deliberate. One was thalidomide which tempered the free-wheeling chemist's shop attitudes; around other was the Tuskegee study. Because of these as well as other examples, the formal organisation of ethics impedes progress inwards medicine. And inwards the US, nosotros receive got this horrible public/private, insurance/profit bureaucracy. More recently, in that location is a telephone phone for fifty-fifty to a greater extent than careful as well as deliberate interrogation due to the replication crisis, p-value hacking, as well as the like.
Fifth, you lot (like countless VC types) receive got observed that software people are super smart as well as could solve these things speedily if given the chance. So why don't you? You are much smarter than Elizabeth Holmes :)
(Murat's remark: I am withal unclear if this was written to live sarcastic or super sarcastic.)
Also, you lot mightiness desire to take a await at this, which, I think, indicates around inwards the medical community mean value quite a lot close their mission as well as methods.
Conclusions
Well, the medical people, they mean value differently, they function differently, but they are really smart people. So the Cynical Murat is jumping to conclusions prematurely.We the information technology people should kickoff brand certainly nosotros produce all nosotros tin to help, earlier nosotros start to criticize Medical research. For example, nosotros withal couldn't teach our shit together solving the disinformation warfare problem, which is a critical work during these trying as well as challenging times. (Yes, I used this inwards a judgement finally without existence sarcastic.) It seems hypocritical to criticize the medical people close existence slow, earlier nosotros could produce that.
There mightiness also live several other of import problems nosotros tin as well as should assist with.
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