- > 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.
- DistroSea is amazing. I just tried it and it worked well. Though huge latency for me.
- I created a script to pack it into a markdown file. Later I found this which does a better job, so I use it now.
- 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.
2. Gemini has a more recent knowledge cutoff.
3. Gemini 2.5 Pro is a thinking model.
4. It's free to use through the web UI.
- You don't need to apologise. You created something cool and my family enjoyed playing it.
- Looks like I also have to play "guess the timezone of the creator of this game".
I enjoyed playing it yesterday. It's now 11am today and it's still not open again. I have no idea when it will be.
- Alpine CSP version works fine. You just can't write JS code in strings, which one may wish to avoid anyway.
I also didn't have a problem with CSP and HTMX.
Nor with SvelteKit.
I'm not sure why you think these are all equivalent to DataStar's hard requirement on unsafe-eval.
FYI, this is the reason I didn't try out DataStar.
- 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.
- I would assume he would use HTMX, being the creator of it.
- Can you please link me to the source for this? I'm a GP and I've always found this a bit strange.
- 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.
https://www.abc.net.au/news/2021-08-09/qld-baby-dies-after-m...
"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.
- Koalas are fine. I don't know anyone who has ever been attacked by one. They just keep to themselves.
Magpies are much worse. I don't know anyone who hasn't been swooped by one.
- 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 liked using it too, but it's not on Linux and I don't use Windows anymore.
- I'm a skin cancer doctor in Queensland. I find skin cancers in patients almost every day. In fact, I think there have only been a few days of working this year where I didn't find one.
This is from screening. People in Australia generally understand the importance of skin cancer screening because most people know of someone who's had skin cancer.
- Ars Technica article suggested Australia's new laws also makes that illegal.
As an Australian, I think this is silly. Our current government really sucks with technological issues.
- How can they possibly login without the password being available to them?
- Doesn't that mean she knows the shared passwords?
- The experiment you linked was on mice.
Anyway, that's the opposite of what you said before. Treating heart to improve balding is not the same as treating balding to improve heart.
And finasteride is not a cure for balding. At best it slows it, with variable results among different people.
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.
Keep up the great work.