@jhx I never really tried #Python ... but this neverending story about #python2 #EOL and upstreams not managing to update their build(!) systems to #python3 (so, there must be some massive breaking changes I guess?) leaves some bitter taste....

@hauschildt piece is powerful, but maybe best digested one story at a time as we think of #ICU care and #EOL care as #ActuallyProvided rather than as #WeWishWereDone

more tomorrow

EOL is a bs excuse to maintain and support perfectly usable hardware. #throwawaysociety #eol #climatechange

@hauschildt @sociology

This article changed my approach to #EndOfLife #EOL care

It asks deep questions about the difference between EOL Work-as-imagined and Work as ACTUALLY carried out at these hospitals

#FOAMed

#geripal crew, I think you may find it of interest as well

https://journals.sagepub.com/doi/10.1177/00221465221143088 @sociology

#new article by @hauschildt

Whose #GoodDeath? Valuation and Standardization as Mechanisms of #Inequality in Hospitals

https://journals.sagepub.com/doi/10.1177/00221465221143088

Although most clinicians have come to perceive invasive life-sustaining treatments as overly aggressive at the end of life, some of the public and greater proportions of some socially disadvantaged groups have not. Drawing on 1,500+ hours of observation in [4 ICUs] and 69 interviews…

@sociology #EOL

@hauschildt @sociology

This article changed my approach to #EndOfLife #EOL care

It asks deep questions about the difference between EOL Work-as-imagined and Work as ACTUALLY carried out at these hospitals

#FOAMed

#geripal crew, I think you may find it of interest as well

#new article by @hauschildt

Whose #GoodDeath? Valuation and Standardization as Mechanisms of #Inequality in Hospitals

https://journals.sagepub.com/doi/10.1177/00221465221143088

Although most clinicians have come to perceive invasive life-sustaining treatments as overly aggressive at the end of life, some of the public and greater proportions of some socially disadvantaged groups have not. Drawing on 1,500+ hours of observation in [4 ICUs] and 69 interviews…

@sociology #EOL

Another #AlisonTurnbull paper I missed:

https://pubmed.ncbi.nlm.nih.gov/29902555/

Inter-Rater Agreement of Intensivists Evaluating the Goal Concordance of Preference-Sensitive #ICU Interventions [via chart-review]

I might summarize as 💩

"Percent agreement between pairs of raters ranged from 59% to 86%. The intraclass correlation coefficient for ratings of goal concordance was 0.50 (95% CI 0.31-0.69) and was robust to patient age, gender, ICU, severity of illness, and lengths of stay"

#EOL #palliativecare

May 2020 from #AlisonTurnbull #HopkinsPCCM so I know why I missed it, but...

"Physician Self-assessment of #SharedDecisionMaking in Simulated Intensive Care Unit Family Meetings"

"33 participants (43%) reported that they offered care focused on comfort, but blinded colleagues rated only 1 (4%) as explaining this option in a clear manner"

https://pubmed.ncbi.nlm.nih.gov/32427323/

#argh #ICU #EOL #palliativecare

#gemini, #P2P, #tor, #i2p, #freenet, #cli, #tui, #vim, #mutt, #monero, #70s, #80s, #90s, #anarchoSyndicalistm, #communism, #socialism, #space, #asteroidMining, #scienceFiction, #polyAmory, #nsfw, #EOL.

(2/2 glad to be on a technically-minded instance)

I agree, and look forward avoiding the web stack, in particular web browser; because they are slow, bloated, in the control of companies that are not aligned with what the world needs, and if not impossible, web browser are very difficult to understand, and develop for.

Also, the mentioned problem, it also astray into the cosmos of late capitalism, and #EOL. It used to be called 'open' platform, is not anymore.

The sheer amount of effort, and money explains why the web stack is still around.

@cafkafk

I know both ruby, and python are slow. I do not know about JavaScript perfomance.

The biggest problem I have with those PL, and their implementations is the heritage of "good enough" and "worse is better".

Those approaches have a silverlining, their army are the biggest.

Tho, the consequence can be dire such as #EOL

woe is me, i am in hell
woe is ... of the great innocence we were supposed to sing--woe to the flowers, woe to the waters ...

this is #anSOS. wake the fuck up.

are you sure you want to get closer to the sun, maybe we would all be better off just "sitting shiva; and loving #EOL