> most skin cancers are very obvious even to a non-expert and the reason they are missed are that patients are not checking their skin or have no idea what to look for
I am a skin cancer doctor in Queensland and all I do is find and remove skin cancers (find between 10 and 30 every day). In my experience the vast majority of cancers I find are not obvious to other doctors (not even seen by them), let alone obvious to the patient. Most of what I find are BCCs, which are usually very subtle when they are small. Even when I point them out to the patient they still can't see them.
Also, almost all melanomas I find were not noticed by the patient and they're usually a little surprised about the one I point to.
In my experience the only skin cancers routinely noticed by patients are SCCs and Merkel cell carcinomas.
With respect, if "most skin cancers are very obvious even to a non-expert" I suggest the experts are missing them and letting them get larger than necessary.
I realise things will be different in other parts of the world and my location allows a lot more practice than most doctors would get.
Update: I like the quiz. Nice work! In case anyone is wondering, I only got 27/30. Distinguishing between naevus and melanoma without a dermatoscope on it is sometimes impossible. Get your skin checked.
Thanks for your kind words with regards to the app and well done for getting such a high score!. I agree that BCC is often subtle. My practice is also largely focused on skin cancer. I would say that the majority of melanomas (and SCCs) that I diagnose would be obvious to a patient that underwent a short period of focused training and checked their skin regularly. A possible explanation for the difference in our experience is that the incidence of skin cancer (and also atypical but benign moles) a lot higher in Australia than in the UK.
There would be quite the difference in our patient demographics.
I have quite a few patients from the UK who have had several skin cancers. Invariably they went on holidays to Italy or Spain as a child and soaked up the sun.
It's not satire. Gemini is much better for coding, at least for me.
Just to illustrate, I asked both about a browser automation script this morning. Claude used Selenium. Gemini used Playwright.
I think the main reasons Gemini is much better are:
1. It gets my whole code base as context. Claude can't take that many tokens. I also include documentation for newer versions of libraries (e.g. Svelte 5) that the LLM is not so familiar with.
Hey thanks for playing! The game resets at midnight ET. I'm working on adding a countdown to the next challenge right now. Apologies for the lack of clarity on that
Hey, small bug to report: When you share your stats, the date seems to be based off local time, not the day of the test. So like here in PT, it's 4/23, but I just did tomorrow's quiz (because it releases at 9pm PT = midnight ET); the share text should say 4/24 but it still says 4/23. Or put another way, I shared two different results with my group chat today that both said 4/23.
I disagree. Doctors can't be expected to be available 100% of the time. The only doctor to see this patient's result was the pathologist (or should have been before being sent off to the requesting doctor). It had not yet been handed over to the requesting doctor in a fail-proof manner.
The pathology company I send my samples to contacts my clinic to ensure we received urgent results. This it's important because there's no guarantee the message ever arrived in the doctor's inbox. If you work in tech you should know this to be the case.
The only way to ensure timeliness is for the pathology company to contact the patient directly if they can't verbally hand over to the requesting doctor.
Yeah, go w/ htmx + vanillajs (or possibly alpine.js or https://github.com/gnat/surreal) would be a reasonable option for many government projects. You can audit the htmx codebase and it is dependency free (same w/ alpine & surreal) and self-host everything, go compiles to a single binary for deployment.
Might be referring to the ATO withdrawing it's previous advice that GP's didn't fall within the extended definition of employee, for the purposes of the Super Gurantee Act.
Good write up of various contractor cases over the last year, here:
"The cases also mark the ATO departure from its long-standing position regarding fee splitting arrangements in the medical field in ATO ID 2011/87, which was withdrawn on 23 August 2021 based on the decision in Moffet. Importantly, ATO ID 2011/87 reflected the ATO’s position for almost 10 years, and has been relied on by many businesses"
People injure themselves panicking around Australian Magpies, far more than anything Magpies directly do. Just avoid their space for a few weeks when they are protective, and otherwise they are very sweet. If you must be in their space (i.e. you live there), invest in feeding them (not cat food!), and your main problem will be the singing gets annoying as they follow you around waiting for snacks :)
You're oversimplify it. You don't know where they are until they are already swooping you. They've drawn blood on me before when I was walking from my car into work. They are a menace for cyclists. A woman tripped over recently when being attacked by a magpie. She was carrying her baby. The baby died.
Sure, if you know exactly where they are on a regular route you might be able to avoid them by taking a different route.
"People injure themselves panicking around Australian Magpies, far more than anything Magpies directly do." sounds just like victim-blaming.
In comparison, koalas just stay in their trees when you walk past.
Of course I'm generalising because the majority of magpies don't swoop and I like hearing their songs. But there are plenty of overly aggressive magpies that do real harm.
I'm interested but most search engines give terrible results for Australian searches (increasingly true for Google too, which used to be good at it). How does this one go at not being America-centric?
Update: I'll answer my own question. They didn't even let me sign up.
I am a skin cancer doctor in Queensland and all I do is find and remove skin cancers (find between 10 and 30 every day). In my experience the vast majority of cancers I find are not obvious to other doctors (not even seen by them), let alone obvious to the patient. Most of what I find are BCCs, which are usually very subtle when they are small. Even when I point them out to the patient they still can't see them.
Also, almost all melanomas I find were not noticed by the patient and they're usually a little surprised about the one I point to.
In my experience the only skin cancers routinely noticed by patients are SCCs and Merkel cell carcinomas.
With respect, if "most skin cancers are very obvious even to a non-expert" I suggest the experts are missing them and letting them get larger than necessary.
I realise things will be different in other parts of the world and my location allows a lot more practice than most doctors would get.
Update: I like the quiz. Nice work! In case anyone is wondering, I only got 27/30. Distinguishing between naevus and melanoma without a dermatoscope on it is sometimes impossible. Get your skin checked.