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Record W4235764161 · doi:10.1097/aln.0000000000003277

I Remember

2020· article· en· W4235764161 on OpenAlexaff
Saroo Sharda

Bibliographic record

VenueAnesthesiology · 2020
Typearticle
Languageen
FieldMedicine
TopicEthics and Legal Issues in Pediatric Healthcare
Canadian institutionsMcMaster University
Fundersnot available
KeywordsMedicineEnthusiasmPsychologySocial psychology

Abstract

fetched live from OpenAlex

I look up. I see her, racing toward me, baby in arms. Her face is beaming. The unmistakable glow of a proud new parent.“Here he is, Dr. Sharda!” A round, sleeping baby is thrust into my clumsy arms. I steady my posture and look down into his merely days-old face. My fingers, moments earlier swiping and typing at furious speed to answer yet another email before I rush back to the OR, now slow their pace as I gently stroke his foot, his hand, his unbelievably soft hair.“The epidural was amazing!” says his Mum breathlessly.For the first time I look up into her blue eyes. They are bright and betray that heady mix of exhaustion and exhilaration—the hallmark of every new parent. I search that sea of blue, those flecks of brown, trying, pulling, reaching into the recesses of my memory to place this woman standing in front of me, her precious baby in my arms.Did I put in her epidural? Do her C-section?My brain tries to calculate the age of this baby in conjunction with the matrix of my call schedule and I admit sheepishly and silently to myself that perhaps a 4:00 am interaction a week ago has slipped out of my tired mind, merging into the stream of cases I managed that night.Her earnest stare moves from me to baby, baby to me, her smile not breaking, her giddy enthusiasm almost infectious.“I did what you said,” she continues, “Asked for the epidural early, told the nurses the evidence you showed me about early epidurals not prolonging labor, and made sure everyone knew that it would be important for my medical condition that my epidural be placed early, and…and…It was amazing. Everyone was amazing!”I remember. I remember instantly. The consultation. Those bright blue eyes were anxious and scared that day. Sitting together in the preop clinic, those eyes had searched my face for answers, for reassurance. Clinic had run late. I had spent time with her, explaining the analgesia options, going through diagrams and evidence, sharing both anecdote and research on labor and her particular medical condition. I had printed out a research paper and placed it carefully in her chart for my colleagues to also read. I remember. I remember it all.I am at once amazed and incredulous. I had not so much as touched this woman’s back, not so much as provided any ounce of pharmacology, any degree of “intervention,” and yet here we were, her most precious asset lying in my arms, because I had given her, and myself, perhaps the greatest gifts physicians and patients offer one another—the gift of conversation and the art of story.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.010
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: none
Teacher disagreement score0.628
Threshold uncertainty score0.000

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.010
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0040.001
Scholarly communication0.0100.007
Open science0.0020.007
Research integrity0.0030.004
Insufficient payload (model declined to judge)0.6280.532

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.083
GPT teacher head0.348
Teacher spread0.265 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2020
Admission routes1
Has abstractyes

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