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FDA has historically not been empowered to regulate the practice of medicine. The Food, Drug, and Cosmetic Act explicitly prohibits it. FDA can control which substances and devices are allowed on the market, but they cannot tell doctors how to treat their patients. Or rather, they couldn’t prior to this year. A section in the fiscal year 2023 omnibus broke the firewall, authorizing FDA to scrutinize off-label uses of medical devices. I said at the time that this was a terrible thing to open the door on, and the attempts by the Fifth Circuit to revoke approval of mifepristone soon underscored that. The so-called “abortion pill” (actually used to treat a variety of conditions), being a pill, remains behind the intact half of the firewall. And FDA is currently headed by a Democratic appointee who is not interested in making abortions unsafe or illegal, so the Fifth Circuit had to act against FDA by declaring that the drug should not have been approved more than twenty years ago What should be obvious is that prospect of taking the Oval Office, appointing their own FDA commissioner, and interjecting themselves into the practice of medicine nationwide is an attractive one for regressives. Half of a firewall isn’t going to look so great in one year, five years, nine years. Sooner or later, FDA will have a hostile head.
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Dec 1, 2023 23:14
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Would you mind explaining more about how permitting the FDA to scrutinize medical device use had anything to do with a court revoking approval of a drug over the objections of the FDA? I think I'm missing the connection.
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Dec 1, 2023 23:23
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Won't matter too much if the Supreme Court strike down Chevron. FDAs mandate will evaporate over night.
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Dec 1, 2023 23:38
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Revoking approval wholesale is disruptive, because drugs have multiple uses, and more likely to be struck down by higher courts, which is where the mifepristone issue is at right now. The weird compromise of “well the drug can stay, but we’re putting up some hoops to get it” was a concession to the reality that it’s a bold stroke to, in 2023, revoke an approval made in 2000, against the wishes of the agency that made that approval. If they can instead have FDA forbid some uses but not others, that’s much cleaner. They’re not there yet, but they’re closer than they were at any time since 1938. BlueBlazer posted:Won't matter too much if the Supreme Court strike down Chevron. FDAs mandate will evaporate over night. The effects would compound with each other. The practice of medicine is mostly a state issue. If FDA involves themselves in it, that’s one thing, and if Chevron deference falls, then the federal courts are living vicariously through FDA, second‐guessing and overruling administrative decisions as they please.
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Dec 1, 2023 23:49
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There are some downsides to the practice of medicine being the sole domain of the states. As of March, Stella Immanuel held medical licenses in Arizona, Arkansas, Colorado, Connecticut, Kentucky, Louisiana, Michigan, and Texas. quote:Before Trump and his supporters embrace Immanuel’s medical expertise, though, they should consider other medical claims Immanuel has made—including those about alien DNA and the physical effects of having sex with witches and demons in your dreams. Platystemon fucked around with this message at 00:04 on Dec 2, 2023 |
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Dec 1, 2023 23:57
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Nenonen posted:Right on, just like we should distrust Arabs for giving us alchemy... it even sounds like alqaida, coincidence??? I save my distrust for that inscrutable Algebra
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Dec 2, 2023 00:10
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Baronash posted:Would you mind explaining more about how permitting the FDA to scrutinize medical device use had anything to do with a court revoking approval of a drug over the objections of the FDA? I think I'm missing the connection. It’s also a godawful idea in its own right because the process of getting FDA approval is incredibly difficult and expensive. For a newly-developed product that’s one thing, since whoever’s creating it can at least hope to recoup costs, but there’s no money in going through that for off-label use of medical devices even when that use is widely accepted in the medical literature. Never mind emergency situations - off-label use of medical devices saved a lot of lives during the height of covid. Also, Agents are GO! posted:I save my distrust for that inscrutable Algebra
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Dec 2, 2023 00:21
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Agents are GO! posted:I save my distrust for that inscrutable Algebra Variables can be anything they want? And they're teaching this to kids?!
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Dec 2, 2023 00:21
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Hexadecimal? I won't let my kids dabble in witchcraft!
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Dec 2, 2023 00:44
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Electric Wrigglies posted:Don't be silly. Farming is 1k's of years older and taking shortcuts (the banal definition of "move fast and break stuff" kills famers every single week. Shout-out and air horns to Lysenko, the real life agriculture version of the bay area tech bro. Farmers doing dumb poo poo is just the equivalent of idiots loving around with fork lifts. This guy was the real Move Fast and pumpinglemma posted:We’re in the goddamn tech thread, how has no-one pointed out the real Great Satan yet? They gave us algorithms. It’s all their fault! Uh, no they didn't, it's right there in the name. Al Gore Rhythms It's how he gave us the Internet.
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Dec 2, 2023 01:05
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Suck my series of tubes
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Dec 2, 2023 02:02
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pumpinglemma posted:There used to be a cast-iron principle that the FDA doesn’t tell doctors what to do. That principle got weakened, and it sets (currently weak) precedent for e.g. a Republican-picked FDA head telling doctors not to perform abortions (or setting prohibitively difficult “safety” requirements on them). Or, for that matter, saying that mifepristone is now approved for conditions x, y and z but no longer approved for abortion. Where that particular ruling comes in is that it would have been more dangerous and harder to strike down if they could have ruled that the FDA was wrong to allow doctors to use mifepristone for abortions, but not to allow them to use it for conditions x, y and z. Here’s a direct example for medical devices: There are no implantable medical devices approved in the United States to help people who have had phalloplasty get and maintain erections. People undergoing phalloplasties are instead offered devices approved for the treatment of erectile dysfunction, used off‐label. It’s a bad idea to give a federal agency the authority to eliminate a surgical option for transgender men, and I don’t even want to think about the feds gunning for IUDs. Platystemon fucked around with this message at 03:50 on Dec 2, 2023 |
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Dec 2, 2023 03:46
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Agents are GO! posted:Suck my series of tubes Rude!!
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Dec 2, 2023 07:26
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Agents are GO! posted:Suck my series of tubes Not until you help me reorganize my storage drive and empty my recycle bin
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Dec 2, 2023 08:05
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Foxfire_ posted:Sort of. The FDA does not independently test your device, they look at the documentation you provide with your submission. There is an assumption that you are not just completely fabricating things. e: also lol at insulin pumps being class II. But the software must be class C, right?? ANIME AKBAR fucked around with this message at 15:48 on Dec 2, 2023 |
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Dec 2, 2023 15:02
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 https://fortune.com/2023/11/30/lucid-dream-startup-prophetic-headset-prepare-meetings-while-sleeping/
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Dec 2, 2023 15:59
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REM-detecting sleep mask startups pop up every few years (since the 90s at least) and they all have the same problem - you're most likely to be woken up by the effect.
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Dec 2, 2023 16:50
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Ruffian Price posted:REM-detecting sleep mask startups pop up every few years (since the 90s at least) and they all have the same problem - you're most likely to be woken up by the effect. What I liked more was the article itself, the joyful enthusiasm of “look how cool, employees gonna be able to work even when they sleep!”
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Dec 2, 2023 16:54
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I mean if i could work in my sleep but wake up refreshed and then have the actual day to not work and do whatever I want that might be intriguing Somehow doubt that’s their aim though!
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Dec 2, 2023 17:17
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pumpinglemma posted:Chat-GPT can't code worth a drat on its own yet, but I'll bet there are still thousands of people copying-and-pasting directly from it into tomorrow's code for raising and lowering that suspension bridge. I'm a non-programmer (I learned HTML in the 90s, if that counts) and I decided on a whim to start learning Python, and I've been using GPT as an aid. I've definitely made faster progress with it than without it, mostly because I can get it to generate something and then get it to explain it to me line by line, which is really helpful when following a tutorial for something and they do some "rest of the owl" bullshit... but  even I can tell GPT can't code for poo poo. It keeps changing its code halfway through generating it and I'll have to trace it all back to figure out where it decided to just start renaming variables and poo poo. Which is great for learning but  at actually thinking you could use any of its code.But people do think it is a magic box that spits out miracles. Oh god we are so hosed.
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Dec 2, 2023 17:27
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Elias_Maluco posted:
The dumbest part of this is that it doesn't jive at all with how dreams work. Yeah, dreams are important for problem solving and sleep improves learning and retention, no you will never be able to use that mechanism to make PowerPoints. You literally can't read printed text in dreams because (iirc) Broca's area, which is important for language use/processing isn't engaged during sleep, how the gently caress are you going to make coherent presentations or notes?
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Dec 2, 2023 18:06
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Is that really true? I feel like I've read things in my dreams before.
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Dec 2, 2023 18:08
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Reading in dreams is at least significantly hosed up - if you "read" something, look away, then try to read it again then it changes.
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Dec 2, 2023 18:27
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My understanding is that you're transposing meaning, and your brain may interpret that as text. However you're not actually reading. But I could also be completely wrong.
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Dec 2, 2023 18:34
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Tagra posted:I'm a non-programmer (I learned HTML in the 90s, if that counts) and I decided on a whim to start learning Python, and I've been using GPT as an aid. I've definitely made faster progress with it than without it, mostly because I can get it to generate something and then get it to explain it to me line by line, which is really helpful when following a tutorial for something and they do some "rest of the owl" bullshit... but I'm glad you see this as a beginner. One of my routine worries at my work is people on my team just trusting it to much. To be fair, a lot of these companies are just out right lying about what it can and can't do, microsoft copilot promises that they scan for security vulnerabilities yet it will just out right suggest SQL injection to you at the drop of a hat. https://codeium.com/blog/github-copilot-security-scanning-does-not-work Codium of course is a competitor and having tried both I think its slightly weaker in ability than copilot but at least they don't make the claims Microsoft is making. Mega Comrade fucked around with this message at 22:43 on Dec 2, 2023 |
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Dec 2, 2023 18:40
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Angepain posted:Reading in dreams is at least significantly hosed up - if you "read" something, look away, then try to read it again then it changes. Happens every time for me
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Dec 2, 2023 19:13
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The REM meetings would be bizarre. You'd have somebody naked, another one shooting out the door at stuff, one more on their stomach, floating four inches off the ground. Then you would have to excuse yourself because your high school lost your transcript and you have to retake Spanish class.
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Dec 2, 2023 19:20
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Rocko Bonaparte posted:The REM meetings would be bizarre. You'd have somebody naked, another one shooting out the door at stuff, one more on their stomach, floating four inches off the ground. Then you would have to excuse yourself because your high school lost your transcript and you have to retake Spanish class. We just call it a Monday.
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Dec 2, 2023 19:22
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Mega Comrade posted:To be fair, a lot of these companies are just out right lying about what it can and can't do I was forced to sit through a demo at work because a higher-up fell for a sales pitch at a conference and got all excited about some company's miracle AI that will solve all the problems of the world. The instant I heard about it I was like "oh no" but there was no talking them out of it. "Just see what they have to offer before making a decision!" One of the worst sales pitches I've ever had to sit through in my life and it SEVERELY reduced my opinion of the exec who dragged us into this. The company spent the entire pitch making GBS threads on GPT, which made me assume they don't use GPT, but they wouldn't say what their model was. We finally had a chance to ask questions and the very first question was "Which model are you using?" The guy said "Open source. And proprietary." Thankfully it was a Zoom meeting so I could turn my camera off and laugh. They wouldn't even show us the thing working in real time. They just kept promising to set up a demo for us. Wtf was THIS demo if you aren't even going to show your magical AI that is better than GPT in action?? Oh my god. What a waste of everyone's time. To be fair, I haven't seen it in action. Maybe it really is better than GPT.
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Dec 2, 2023 19:39
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Tagra posted:The guy said "Open source. And proprietary."
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Dec 2, 2023 20:15
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Levitate posted:I mean if i could work in my sleep but wake up refreshed and then have the actual day to not work and do whatever I want that might be intriguing This is pretty much the what Severance is about.
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Dec 2, 2023 20:32
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Rocko Bonaparte posted:Then you would have to excuse yourself because your high school lost your transcript and you have to retake Spanish class. This is one of the recurring themes in my dreams, except that like an idiot I'll do the entire grade schedule or something before I realize "oh I guess I could just arrive only to go to this one class and then leave" instead of trying to Billy Madison it. I loving hate this recurring dream.
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Dec 2, 2023 20:41
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Rocko Bonaparte posted:The REM meetings would be bizarre. You'd have somebody naked, another one shooting out the door at stuff, one more on their stomach, floating four inches off the ground. Then you would have to excuse yourself because your high school lost your transcript and you have to retake Spanish class. It would be like working in a Roguelike
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Dec 2, 2023 21:09
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Elias_Maluco posted:What I liked more was the article itself, the joyful enthusiasm of “look how cool, employees gonna be able to work even when they sleep!” on a somewhat similar note, musk and other robo car people saying "your peons will be able to work during transit!" ah yes doing unpaid work outside my hours for my godking boss. lol at techbros wanting to get 100% output for work.
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Dec 2, 2023 21:24
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Vegetable posted:Is that really true? I feel like I've read things in my dreams before. I mean, it's possible I'm garbling whatever fact I'm trying to convey but a cursory Google seems to agree that Broca's area and a similar region called Wernicke's area are generally shut down during REM sleep. Basically, your dream logic dictates that you gain knowledge from looking at an item that should contain that knowledge, but you can't actually read. One recurring pattern in my dreams, for example, is receiving a text and just knowing who it was from but not being able to actually read it or write a response to it. Sometimes this gets worked around by handing the phone off to another person and then they convey whatever concept to me, or just by definitively stating what the content of the message is when someone asks what it says, but I can't remember a time when I actually read a thing in a dream. In fact, that's pretty much exactly how one of the most common dreams goes - you go to take a test, but when you look at the paper the entire thing is gibberish in what you assume is Spanish or some other language because you can't actually read it Another similar one is having a dream about being lost and trying to read the street signs or pull up Google Maps on a phone but it doesn't work. For me, when I try to inspect a map in a dream I get what amounts to an artifacted jpeg with roughly the right color palette, then I'll try to zoom in or out or hit the recenter button but nothing works and there's never a way to match anything from the screen to whatever intersection I'm at. Ironically, that's usually the trigger for me to go "oh, I'm dreaming, it doesn't matter that I'm lost, I can just decide to go to the place I'm trying to go" - so it works itself out in a way Edit: I also can't say that dreams work exactly one way for every person, and it isn't like this kind of subject is a super hot field with tons of reliable data - brain mapping and all of that sort of stuff is pretty far from settled science to begin with, certainly compared to something like chemistry. Still, there is SOME amount of research on the subject, it matches with my subjective experience, and it seems to me that it also explains some of the archetypical dreams that are more-or-less universal, so while there might be outliers (either in that any person could have an occasional dream where they DO read legible writing, or that some subset of people dream differently) I stand by my statement that trying to make a powerpoint or write a word document using lucid dreaming would be an exercise in futility even if you had magical future tech to transcribe for you BougieBitch fucked around with this message at 08:02 on Dec 3, 2023 |
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Dec 3, 2023 07:52
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Volmarias posted:This is one of the recurring themes in my dreams, except that like an idiot I'll do the entire grade schedule or something before I realize "oh I guess I could just arrive only to go to this one class and then leave" instead of trying to Billy Madison it. It's a super common dream, which probably says something about our society.
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Dec 3, 2023 08:02
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It says a lot about society that I thought that that dream world could be real.
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Dec 3, 2023 08:43
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I literally don’t remember the last time I had a dream or what it was. I just close my eyes at night and next thing I know it’s like 5-7am.
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Dec 3, 2023 13:38
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I can't wait for tech workers to automate themselves out of a job
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Dec 3, 2023 13:57
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Elias_Maluco posted:
Wish I could get VC investment by going "uhhh, Hypnospace Outlaw but real?"  It's also a good simulator of the real internet (geocities) before it was ruined.
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Dec 3, 2023 14:11
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