Sudhendu Pandey on Quora

scikit-learn

Mon, 05 Sep 2016 16:47:29 GMT

Marathons

Sat, 13 Aug 2016 05:25:45 GMT

What can I do to get better at algorithms?

Mon, 16 May 2016 15:07:22 GMT

38 Answers

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How valid is Giulio Tononi's mathematical formula for consciousness?

Sun, 08 May 2016 07:42:35 GMT

7 Answers

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What innovation, if any, could help physical retail stores stay relevant and maintain market share?

Mon, 04 Apr 2016 05:08:25 GMT

96 Answers

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Panama Papers Leak (April 2016)

Mon, 04 Apr 2016 04:35:37 GMT

What are the best books on Neuro-Linguistic Programming (NLP)?

Fri, 11 Mar 2016 05:48:24 GMT

6 Answers

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Zenefits Turmoil (1Q 2016)

Thu, 11 Feb 2016 05:56:48 GMT

Crossing the Chasm (1991 book)

Thu, 31 Dec 2015 17:23:01 GMT

Mobile Phone Chargers

Tue, 15 Dec 2015 16:35:27 GMT

Progressive Rock

Tue, 15 Dec 2015 16:35:25 GMT

SolidWorks (CAD software)

Tue, 15 Dec 2015 16:35:24 GMT

WWE Raw (TV series)

Tue, 15 Dec 2015 16:35:17 GMT

Video Surveillance

Tue, 15 Dec 2015 16:35:15 GMT

Stone Soup

Fri, 04 Dec 2015 05:49:34 GMT

Remembering Domhnall O'Huigin

Mon, 23 Nov 2015 18:35:56 GMT

It is with great sadness that we announce the untimely death of one of our favorite contributors Domhnall O'Huigin.

For many years, Domhnall was one of Quora's most influential writers and leaders. His contribution to the community was immediately apparent from the beginning. He touched the lives of many people on Quora and built up a large collection of not just followers, but friends.

He passed away peacefully on November 14, 2015, at St. James Hospital Dublin. He is survived by his partner, two beautiful daughters, his mother, father and sister.

Domhnall impressed everyone who interacted with him with his sharp intelligence, compassionate heart, dry humour and yes his epic rants. Some of his more notable contributions are but are not limited to:

He was a three time Top Writer. He earned this for his funny and sharp contributions to Quora.
He was an admin for two years, dedicating much of his free time to help make Quora a safer place for everyone. He enjoyed the discussions with the other admins very much and it is here where he made some of his best Quora friends.
He greatly enjoyed going to meetups and even organised one in London for Christmas 2012. Last year we also had the pleasure of him flying to New York, despite hating to fly, for the Top Writers New York meet-up in 2014. He enjoyed meeting his fellow Quora writers so much and it was his dream to attend another event like this. His last plans were to try and organise a meet-up in Dublin, but it was not to be.
He founded the Credit Co-op — a way of showing support to new, up-and-coming writers on Quora.
His stats: 368 questions; 2,341 answers; 367 posts; 6,407 followers; 464 writers followed; 26,456 edits; 3,499,239 views.

To join the rest of the Quora writing community in celebrating Domnhall's life and memory, you can visit these blogs and pages:

https://domhnall.quora.com. A blog for posting your thoughts and tributes to Domhnall. A few of his friends and family have already read some of these and have been greatly touched.
https://twominutehate.quora.com. A blog for all those rants from Domhnall. He was a passionate man who cared about people being mistreated or taken advantage of.
https://omgdoh.quora.com. A fan blog started by Stephanie Vardavas and supported by his ever widening group of fans. This has his funniest contributions. Please read this if you want to have a great laugh, this is how he should be remembered.
https://quoranoftheweek.quora.co.... A post by fellow former admin Tracey Bryan about Domhnall.
https://www.quora.com/What-are-p.... You can also post your favourite memories of Domhnall here.

Which tech stacks should be used for a real-time data pipeline?

Thu, 12 Nov 2015 09:27:04 GMT

2 Answers

See question on Quora

Fat Burner

Wed, 11 Nov 2015 15:36:59 GMT

Samsung Research India - Bangalore

Wed, 11 Nov 2015 15:36:58 GMT

Mafia and Mafiosos

Wed, 11 Nov 2015 15:36:58 GMT

WWE SmackDown (TV series)

Wed, 11 Nov 2015 15:36:57 GMT

Technology Entrepreneurs

Wed, 11 Nov 2015 15:36:55 GMT

Gaana

Fri, 30 Oct 2015 14:55:12 GMT

Upwork

Fri, 30 Oct 2015 14:55:10 GMT

Notes

Fri, 30 Oct 2015 14:55:09 GMT

Wrestling

Fri, 30 Oct 2015 14:55:09 GMT

Mnemonics

Fri, 30 Oct 2015 14:55:08 GMT

L&T Construction

Fri, 30 Oct 2015 14:55:06 GMT

Concrete and Cement (building material)

Fri, 30 Oct 2015 14:55:02 GMT

Myntra.com

Fri, 30 Oct 2015 14:55:02 GMT

Delhi Public School

Fri, 30 Oct 2015 14:55:00 GMT

Larsen & Toubro Engineering

Fri, 30 Oct 2015 14:54:58 GMT

Samsung India

Fri, 30 Oct 2015 14:54:56 GMT

History of Apple

Fri, 30 Oct 2015 14:54:55 GMT

Family

Fri, 23 Oct 2015 11:01:39 GMT

The Moon (astronomy)

Thu, 08 Oct 2015 05:26:43 GMT

What changes occur in the brain when we close our eyes?

Thu, 01 Oct 2015 09:27:03 GMT

2 Answers

See question on Quora

Volkswagen Emissions Scandal (September 2015)

Thu, 24 Sep 2015 13:43:36 GMT

Education Reform

Tue, 08 Sep 2015 11:56:43 GMT

Google's New Logo (September 2015)

Tue, 08 Sep 2015 11:51:37 GMT

Digit

Tue, 08 Sep 2015 11:32:46 GMT

Revenue Models

Tue, 08 Sep 2015 11:32:44 GMT

Presence of Mind

Tue, 08 Sep 2015 11:32:42 GMT

Release of Windows 10 (July 2015)

Thu, 06 Aug 2015 12:36:54 GMT

Package Design

Thu, 06 Aug 2015 11:18:59 GMT

Death of A.P.J Abdul Kalam (July 2015)

Tue, 28 Jul 2015 10:08:57 GMT

How to build a good EMR, part 5

Sun, 26 Jul 2015 10:37:54 GMT

Continued from How to build a good EMR, part 4

TL;DR: Start by copying Quora entirely and getting a brilliant designer to tweak the UI.

This is a thought I've been sitting on for about a year now: Quora as a whole has so many functions that would be utterly invaluable to a hospital EMR, and I see a lot of potential parallels.

(Don't get me wrong, I'm fully aware Quora is never going to be an EMR company, but it's sitting on top of so many brilliant implementations that it'd be silly not to learn from them)

1) User classes
The notion of user hierarchy works pretty well here. Sure, it needs tweaking regarding specific powers, but the overall idea is about the same as what would be needed

Admin => physician
Reviewer => nurses, PT, OT, etc.
Regular user => patient

2) User profile (healthcare professional)

Tagline => quick blurb (e.g. "third-year medical student")
Details => what floor you're usually on, level of training, etc.
Location, Employment, Education, etc => same
Recent activity feed => tracks notes, orders, consults made
Followed by => cut this, not needed
Following => list all patients being seen by this person

3) User profile (patient)

Tagline => quick assessment (e.g. "27yo male with no significant past medical history presenting with headache)
Details => Past medical/surgical/social history, current medications, code status, etc.
Location => same, replace Employment with Insurance and Education with Preferred Language
Recent activity feed => notes written about them, labs they've received, meds given at X time
Followed by => list all physicians following this patient
Following => cut this, not needed
Topics => could theoretically be made into a list of ICD9 codes for billing.

4) The notion of "Following"
Makes perfect sense. Following will obviously be limited to healthcare professionals following patients and not vice-versa and definitely not patients following patients, but you get the idea.

Being able to see who all is following a patient will allow every physician on the team to quickly get in touch with each other instead of hunting through hundreds of notes trying to figure out who is still helping and who isn't.
Being able to see who all a physician is following will allow for better distribution of work. If a physician is following 60 patients, that may be a bit much, and someone else from the group can help to even things out.

5) Notifications
Not Facebook notifications. Not Google+ notifications. Quora notifications. For the love of all that is good and holy, EMRs need a real-time notification system that's actually fast/useful/good. Quora has the best implementation I've ever seen. Possible translations:

"Kaicheng Liang voted up your answer to How late into flu season is it still worth it to get a flu shot? 10:34pm" => "Dr. Liang co-signed your note for patient John Boomstick, 10:34pm"
"Alex K. Chen wrote an answer for the question Is there such a thing as a stupid or a dumb question? 9:51pm" => "Dr. Chen wrote a history/physical for patient John Boomstick, 9:51pm"
"Stormy Shippy wrote an answer for the question What questions on Quora have the most followers? 8:46pm" => "Dr. Shippy wrote final analysis on cultures for patient John Boomstick, 8:46pm."
"Jaehoon Lee edited their answer for the question What is the most underrated fruit? 10:06am on Sunday" => "Dr. Lee edited their medication orders for patient John Boomstick, 10:06am on Sunday"
"14 notifications on your answer to How can one believe in science and religion at the same time?" => "14 notifications on patient John Boomstick"

If you do this well, notifications alone would set your EMR millions of miles ahead of every other EMR I've seen. Right now, I have to manually check every patient I'm following to check if new stuff has come in. This is an absurd waste of time, and is a detriment to good patient care.

6) Automatic Logs
Automatically tracking changes for text boxes would be amazing. The current implementations I've seen are clunky, and don't show you exactly what was changed--you have to hunt it down yourself. So, for instance, if you don't catch that your radiologist slipped in "No films available for comparison" and then page them asking to compare to old films, you look like a colossal pillock (this is, of course, a purely theoretical example that totally didn't happen to me last week). Put together with notifications, logs are a pretty dang powerful tool.

7) Topics and tagging
Topics would essentially translate over to medical conditions. Tag patients with them, tag notes with them, tag tag tag tag tag like mad. This would be so amazing for research purposes. Think about it--all you'd have to do is click on a topic, and...bam. All the patients who've ever been tagged with, say, "high blood pressure" come up. All the recent ones show up in the feed. The physicians who treat the most of it would come up where the "Top Answerers" is now.

8) Central server
I can access the questions/answers/posts of someone thousands of miles away. It doesn't matter where I am. I'm not limited to answers from Texas, or Silicon Valley, or New York based on my geographic location when I access Quora. This isn't the case with EMRs.

Right now, even if I'm using the exact same EMR as another hospital a 5 min walk away, I can't access that hospital's records, because the two locations are running on separate servers. This is idiotic.

Example: Patient comes into the ER with a badly broken bone. Bone is X-rayed, assessed, and it's determined that patient needs to be transferred to another hospital for better care. Because the two hospitals are not on the same server and records aren't shared, the patient has to undergo another set of X-rays once transferred because the second hospital needs another set for their own records, exposing them to another dose of radiation. Let us suppose this is a very small child. Do you really want to gamble whether that extra dose will affect his/her cancer risk 30-40 years later?

We will have to deal with security issues regarding this, but realistically, banks have had to deal with similar issues for a long time and they seem to be doing an ok job. I defer to security experts for best practices, but this is something that really needs to be done.

Example: Patient comes in with very, very rare syndrome (<1 in 100,000 live births in the U.S.). The expert on that syndrome is the person it's named after, and he practices in another academic center 2500 miles away. I call him, he agrees to consult and offer his expertise to assist the team with the case. We both log in to QuoraEMR; he goes to my profile and sees the patients I'm following; I give him the name and he follows this patient as well. He now has access to all of that patient's records/labs/imaging/etc even though he's 5 states away, and is able to follow along far more effectively than just through e-mail, which is insecure anyways.

9) Inbox
An easy messaging system, please. A prominently placed one, like on Quora. Not some obscure interface that takes 10 years to learn.

10) iPhone app with notifications
This should really be self-explanatory; if it is not, please do not attempt to develop an EMR, as you are clearly not the right person for the task.

I'll add more later if I can, but for now, I really need some sleep.

~~~~~
Questions/comments/concerns/anecdotes/suggestions/requests always welcome.

Cheers,
~Jae

Healthcare Innovation

Mon, 20 Jul 2015 11:51:55 GMT

University of Geneva

Fri, 17 Jul 2015 13:46:18 GMT

Behavioral Economics

Tue, 07 Jul 2015 05:56:12 GMT