Conversations with Tyler

Atul Gawande on Priorities, Big and Small

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Jul 19, 2017
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INSIGHT

Diagnosis Is A Narrative Process

  • Diagnosis is a narrative, interactive process, not just data input for an algorithm.
  • AI can augment clinicians but replacing the human probing and evolving context remains extremely hard.
INSIGHT

CRISPR's Risk Is Cultural And Complex

  • CRISPR's risks depend on cultural, ecological, and multi-gene complexity rather than simple parental selection.
  • Editing single genes is limited; many traits are multigenic and propagate unpredictably across ecosystems.
ANECDOTE

Solving Retained Sponges With Barcodes

  • A persistent ~1-in-1,500 sponge rate led Gawande's team to study 60 cases and 240 controls to find counting was fallible.
  • They solved it cheaply with barcode scanning and near-eliminated retained sponges.
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