I understand the "if there's an emergency" argument but a country-wide health care information system would not solve that issue effectively.
There are very few (very, very few) true health emergencies where a physician spending time reading notes will be more helpful than hands on treatment. I am defining an emergency as "you'll be dead in 10 minutes."
Per your example: Allergy attack? There is a standard treatment. Allergy attack after life-saving procedure? There is a protocol.
MI/arrhythmia? There is a protocol. Would it be nice to know if there was a relevant history? It might. But the first line treatment to stabilize will not likely change.
Stroke? There is a protocol.
Overdose? There is a protocol.
If you have multiple stab wounds to the head, your history doesn't matter. And if you have multiple stab wounds to the head, they won't make you fill out forms.
I always thought forms were put in place to make sure you really wanted to be there. I mean, if you can't be bothered to fill out your name and check 10 boxes, should someone else be bothered to pick up a tab for the visit?
I use the proprietary systems and had attempts at open systems (there are always "shoot outs" at the medical conferences) and I can say that the proprietary systems suck much less.
It's all about workflow. The open systems fail to understand this concept.
Most important is not extraction. It's stopping the immediate bleeding. Extraction is still very important but a stupid extraction will injure more people and even if successful, an extraction will not be the live-or-die step in saving the wounded.
As you state, injuries are usually obvious. What is not obvious is who will survive their injuries without fully depleting the resources of a forward hospital.
I'm a subcontractor biophysicist on a battlefield medicine project.
Looking at the injuries sustained on the battlefield, http://www.iht.com/articles/2008/08/04/america/wounded.php one should conclude they require massive repairs. As my colleague (one of the authors of the book) has stated, the single most important item to have to survive an injury in a battle is a tourniquet.
Most people go out past the wire with a tourniquet pre-applied (but not tightened) on each limb. When I was there, it was a strong suggestion and may now be a requirement.
Now, I'm not on a snake-like project. If it is more complex (and costs a lot more) than a tourniquet, I'd say it is not going to have the promised outcome any greater than a tourniquet.
Well, an ortho friend was on call for 4 days last week and got 12 cases. Half were non-insured and not likely going to pay. For the patient mix in this county, that's about average.
All had their surgery before the weekend was over and well within the guidelines for treatment.
Done before, using different sensory organ
on
Seeing With Your Skin?
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· Score: 4, Informative
Dr. Paul Bach-y-Rita who was at UW Madison has done something with vision being projected via electrical stimulation on the tongue. It is called sensory substitution.
So he promotes it, but it's a secret, but he brags about it. He sounds very confused. Or someone does. Probably you. When he was collecting money in 2004, he needed to promote himself as the keeper of the pro-choice torch in Illinois when running against (eventually) Keyes. The abortion politics in Illinois celebrate the people who will protect the partial birth case get the extra-good NOW karma points.
Now that he needs to court the moderates, he needs to suppress and deny his past views that are morally undignified.
In reality, this is an extremely rare procedure that is only used in the most dire of circumstances.
Your either spouting a lie or are victim to misinformation. How often is it performed? CDC said there were 17,000+ abortions after week 21 in 1993 and concedes that number is likely under-reported. If there were 17,000 good reasons of saving the life of the mother, I'd really, really like to know what the epidemic is that caused 17,000 last-minute life-or-death decisions to be made per year.
Also, he only became a "millionaire" in the past three years or so after writing a couple of best selling books. He only paid off his and his wife's student loans about five years ago.
The first million is the most difficult. That was what the felon named Tony Rezco did with Barack Obama and his wife, Michelle. For the Obama lovers who will not believe, a source: http://www.youtube.com/watch?v=jOFT8jtuVpo
Some people may remember that in the 70s and 80s, the big three were making several diesel-powered sedans for the American market. Some of these vehicles are still operating, because the diesel engines have very good longevity.
I had a new VW Dasher diesel in 1979 that had three head gaskets by 40K miles in 1985. That's not longevity. It's not like I was drag racing with it, either. It took 14 seconds to get to 60 mph. No wonder people are leery of diesel.
I use a 3D site (expo3d.com) to hold conferences with customers on product updates and use the 3D feature to really demonstrate what I'm saying, holding up objects, pointing at on the object with my avatar and can use my voice to offer more commentary than texting could accomplish. Texting is sooo 1990's. Use your voice. It really helps.
In my business, some customer updates are mandatory. We used to fly people in and out for the update meetings but now we can, for the smaller updates, use this software and in 15 minutes be done. We still all meet face to face a couple of times a year but it's not a monthly obligation.
We've had 100-200 customers routinely join us for our updates. We place our own teams in the audience to answer questions one-on-one via text or voice. We circulate documents. We post advertisements. And the customers love it.
So I've found a way to save money using this type of application with no perverts or gambling.
I use Expo3D (expo3d.com) for this type of application already. In this space, there are professional-looking avatars, 3D spaces, and things to pick up and examine.
Social sites are fine but to make money or business, I need to have a business wrapper around it. Expo3D uses voice, too, and can be private, invitation-only events which are perfect for a transoceanic business meeting.
It's not like all being in one conference room but is a leap ahead of the webinar or conference call.
Just wait until the skeletons in Obama's closet in Illinois start coming out. It's a contest to see if the national media can keep the local media (Sun-Times, Trib, Herald) and prosecutors quiet long enough.
Whitewater and the Clinton-esque cover-up was *nothing* compared to this stuff.
Europe abolished slavery first and its citizens generally get more protection where as the US tends to favor business
Germany used slave labor including child labor through 1945 and France and the rest of the chest-thumping Europeans allowed it as long as Germany wouldn't attack. Europeans abolishing slavery before the US is false. Or did you conveniently forget that?
The Soviets used slavery until at least the mid 1960's.
Many in the Muslim world today have slaves. They are called women.
First, there is iron in the rods and cones of the eye. Some people, when moving through the field quickly, will note flashes of light. This is the inductance caused by movement through the field acting on the rods and cones.
Second, there is ferritin that is deposited during the normal aging process in the brain near the hypothalamus which is why there is signal dropout in T2 scans near this area.
I work with MRI machines every day. 1.5, 3, and 9.4T magnets. Depending on the control room configuration, you can hear the He pump. Not always, though. Sometimes, the machine just sits there. If I am being led to a machine, I can sense it at about 1 Gauss line, most definitely at the 5 gauss.
I've worked with permanent magnets at.2T and there's the same sensation, although the 5 gauss line is much closer to the magnet.
Older magnets did not have very good shielding, so that line extended quite far from the machine.
Back in the day, when CRT monitors were used, a MRI machine would interfere with the monitor, causing the color to shift and the image to rotate--even if the machine was 50 feet away.
I sense it with both supercon and permanent magnets. What makes you think that there is only a field when scanning with a supercon magnet? It's always energized.
Slashdot Mirror
Did you make the same argument the 20 years before that ?
No. The hysteria was not at profitable levels 10 years ago.
20 years ago was the hysteria over acid rain.
There's big money in pushing global warming, too.
I understand the "if there's an emergency" argument but a country-wide health care information system would not solve that issue effectively.
There are very few (very, very few) true health emergencies where a physician spending time reading notes will be more helpful than hands on treatment. I am defining an emergency as "you'll be dead in 10 minutes."
Per your example: Allergy attack? There is a standard treatment. Allergy attack after life-saving procedure? There is a protocol.
MI/arrhythmia? There is a protocol. Would it be nice to know if there was a relevant history? It might. But the first line treatment to stabilize will not likely change.
Stroke? There is a protocol.
Overdose? There is a protocol.
If you have multiple stab wounds to the head, your history doesn't matter. And if you have multiple stab wounds to the head, they won't make you fill out forms.
I always thought forms were put in place to make sure you really wanted to be there. I mean, if you can't be bothered to fill out your name and check 10 boxes, should someone else be bothered to pick up a tab for the visit?
I use the proprietary systems and had attempts at open systems (there are always "shoot outs" at the medical conferences) and I can say that the proprietary systems suck much less.
It's all about workflow. The open systems fail to understand this concept.
Most important is not extraction. It's stopping the immediate bleeding. Extraction is still very important but a stupid extraction will injure more people and even if successful, an extraction will not be the live-or-die step in saving the wounded.
As you state, injuries are usually obvious. What is not obvious is who will survive their injuries without fully depleting the resources of a forward hospital.
I'm a subcontractor biophysicist on a battlefield medicine project.
Looking at the injuries sustained on the battlefield, http://www.iht.com/articles/2008/08/04/america/wounded.php one should conclude they require massive repairs. As my colleague (one of the authors of the book) has stated, the single most important item to have to survive an injury in a battle is a tourniquet.
Most people go out past the wire with a tourniquet pre-applied (but not tightened) on each limb. When I was there, it was a strong suggestion and may now be a requirement.
Now, I'm not on a snake-like project. If it is more complex (and costs a lot more) than a tourniquet, I'd say it is not going to have the promised outcome any greater than a tourniquet.
They have spoken to physicists, but perhaps not listened. I can tell you car traffic, network traffic, and Nash equilibrium are all related here:
http://en.wikipedia.org/wiki/Braess_paradox
No bare breasts. What's gray about that?
Will they ban beach pics of fat uncle Tony who has gynecomastia wearing just his shorts?
Well, an ortho friend was on call for 4 days last week and got 12 cases. Half were non-insured and not likely going to pay. For the patient mix in this county, that's about average.
All had their surgery before the weekend was over and well within the guidelines for treatment.
Dr. Paul Bach-y-Rita who was at UW Madison has done something with vision being projected via electrical stimulation on the tongue. It is called sensory substitution.
I've seen it first hand. It works.
http://en.wikipedia.org/wiki/Sensory_substitution
So he promotes it, but it's a secret, but he brags about it. He sounds very confused. Or someone does.
Probably you. When he was collecting money in 2004, he needed to promote himself as the keeper of the pro-choice torch in Illinois when running against (eventually) Keyes. The abortion politics in Illinois celebrate the people who will protect the partial birth case get the extra-good NOW karma points.
Now that he needs to court the moderates, he needs to suppress and deny his past views that are morally undignified.
In reality, this is an extremely rare procedure that is only used in the most dire of circumstances.
Your either spouting a lie or are victim to misinformation. How often is it performed? CDC said there were 17,000+ abortions after week 21 in 1993 and concedes that number is likely under-reported. If there were 17,000 good reasons of saving the life of the mother, I'd really, really like to know what the epidemic is that caused 17,000 last-minute life-or-death decisions to be made per year.
Anyone who promotes partial birth abortion (intact dilation and extraction procedure) has no character.
Shhhhh. It's an Obama campaign secret. He bragged about it in his Feb 17, 2004 fundraising letter.
No innuendo.
The reality is that Michelle Obama was part of the curiously timed real estate deal between Barack Obama and the criminal Tony Rezco.
Also, he only became a "millionaire" in the past three years or so after writing a couple of best selling books. He only paid off his and his wife's student loans about five years ago.
The first million is the most difficult. That was what the felon named Tony Rezco did with Barack Obama and his wife, Michelle.
For the Obama lovers who will not believe, a source:
http://www.youtube.com/watch?v=jOFT8jtuVpo
VW did learn. I was commenting on 1970's technology, reliability and performance.
I have test driven the new Jetta. I like it. I'm waiting for the BMW 335d to make it to the US.
Some people may remember that in the 70s and 80s, the big three were making several diesel-powered sedans for the American market. Some of these vehicles are still operating, because the diesel engines have very good longevity.
I had a new VW Dasher diesel in 1979 that had three head gaskets by 40K miles in 1985. That's not longevity.
It's not like I was drag racing with it, either. It took 14 seconds to get to 60 mph. No wonder people are leery of diesel.
I agree with the social site disappointment.
I use a 3D site (expo3d.com) to hold conferences with customers on product updates and use the 3D feature to really demonstrate what I'm saying, holding up objects, pointing at on the object with my avatar and can use my voice to offer more commentary than texting could accomplish. Texting is sooo 1990's. Use your voice. It really helps.
In my business, some customer updates are mandatory. We used to fly people in and out for the update meetings but now we can, for the smaller updates, use this software and in 15 minutes be done. We still all meet face to face a couple of times a year but it's not a monthly obligation.
We've had 100-200 customers routinely join us for our updates. We place our own teams in the audience to answer questions one-on-one via text or voice. We circulate documents. We post advertisements. And the customers love it.
So I've found a way to save money using this type of application with no perverts or gambling.
The main problem is that less than a few hundred thousand think it's worth their time to stay.
And even fewer yet who will pay money for something.
I don't know what's up with the goofy avatars.
I use Expo3D (expo3d.com) for this type of application already. In this space, there are professional-looking avatars, 3D spaces, and things to pick up and examine.
Social sites are fine but to make money or business, I need to have a business wrapper around it. Expo3D uses voice, too, and can be private, invitation-only events which are perfect for a transoceanic business meeting.
It's not like all being in one conference room but is a leap ahead of the webinar or conference call.
Rezko. Blagojevich (The Illinois governor who will end up in jail, too)
http://blogs.suntimes.com/rezko/2008/04/obama_bomb_dropped.html
Three cheers for the slumlord presidential candidate.
Just wait until the skeletons in Obama's closet in Illinois start coming out. It's a contest to see if the national media can keep the local media (Sun-Times, Trib, Herald) and prosecutors quiet long enough.
Whitewater and the Clinton-esque cover-up was *nothing* compared to this stuff.
Europe abolished slavery first and its citizens generally get more protection where as the US tends to favor business
Germany used slave labor including child labor through 1945 and France and the rest of the chest-thumping Europeans allowed it as long as Germany wouldn't attack. Europeans abolishing slavery before the US is false. Or did you conveniently forget that?
The Soviets used slavery until at least the mid 1960's.
Many in the Muslim world today have slaves. They are called women.
First, there is iron in the rods and cones of the eye. Some people, when moving through the field quickly, will note flashes of light. This is the inductance caused by movement through the field acting on the rods and cones.
Second, there is ferritin that is deposited during the normal aging process in the brain near the hypothalamus which is why there is signal dropout in T2 scans near this area.
I work with MRI machines every day. 1.5, 3, and 9.4T magnets. Depending on the control room configuration, you can hear the He pump. Not always, though. Sometimes, the machine just sits there. If I am being led to a machine, I can sense it at about 1 Gauss line, most definitely at the 5 gauss.
.2T and there's the same sensation, although the 5 gauss line is much closer to the magnet.
I've worked with permanent magnets at
Older magnets did not have very good shielding, so that line extended quite far from the machine.
Back in the day, when CRT monitors were used, a MRI machine would interfere with the monitor, causing the color to shift and the image to rotate--even if the machine was 50 feet away.
I sense it with both supercon and permanent magnets. What makes you think that there is only a field when scanning with a supercon magnet? It's always energized.