You come in with a document that says "takes 4 80 mg Oxycontin twice a day for back pain" and ask me for a refill, I am rather likely to check the veracity of the claim. You come in with a document that says you had your gall bladder removed, I just might believe you (but I'd look for the scar, if appropriate).
That's an issue with the doctor writing pejorative terms in the chart. If you look at really old records (like before we told people they had cancer) you would get verbiage that would make you freeze in your tracks.
Any doctor that writes "McDonalds addiction" in the chart deserves whatever hassle they get. It's stupid and unnecessary. Yep, there are docs that do that but not very many. And if you are their patient, you'd do well to understand where this clown is coming from and find a better doctor.
Yes. I'm not sure what axe the TFA is trying to grind.
“The medical record is information that really belongs to the patient, but it’s treated like a classified document,” said Susan B. Frampton, president of Planetree, a nonprofit organization based in Derby, Conn., that promotes patient-centered approaches to health care. “It’s symbolic of the power differential in health care.”
Really is bullshit. In the US you have an absolute right to a copy of your records. For a reasonable price. In my ER, we send tourists home with copies of all the relevant tests we do and a nice little CD of any radiographs. We'd send the dictation except that it hasn't been done by the time the patient leaves. The discharge instructions do have the phone and fax number of Medical Records and we generally encourage people to show the form to their local doc when they get home.
If you are at all interested in your health (which describes only a small subset of the patient population) it's not hard to get copies of everything.
Now, it's a bit disorganized, nobody is taking any pains to put it all together in one nice little product, but the entire system is rather fragmented.
Actually, for most teenagers that I know (I'm looking specifically at my niece), cleaning up their room would be hard labor. Probably on the order of a Superfund site.
Other that the NASA guys who are obviously PhDs, try with George Miley from UIUC. He claims to have reproduced it. Or Brian Josephson, the nobel laurate, from Cambridge University. Or a couple of Swedish physics profs from their royal academy. Once you look into this it actually becomes more credible.
For example, mixing minerals with water tends to decrease their melting point, and the resulting hydrated magma tends to have lower viscosity, so there you have one possible Mount-Doom-like scenario in real life.
Why is at a 'heck of a lot better'? (Curious as to your thinking). From a brief perusal of the site, it seems to be similar to Dropbox albeit with end to end encryption. That's nice - I get around that by storing the data that I think needs to be encrypted in password protected sparsebundles (on OS X). Seems to work just fine. Much of the stuff I have on Dropbox could be shared openly on the Internet with the only downsides of confusing a whole bunch of people.
It is true that they are tied their individual platforms, but that could also be considered their primary advantage over DropBox. Everyone who buys an iPad automatically benefits from iCloud integration, for example.
I don't want it tied to Apple's limited world view of what is good or bad. I don't want it tied to Microsoft's bizarre implementations. I don't want it tied to Google's manifold desire to sick advertisers on me.
I just want it to work. On OS X at home. On Windows at work. On Linux, BeOS, CP/M (well, I give that a pass) or whatever. The vendors all have an agenda which, so far, hasn't jibed well with mine.
You do realize that the Middle East has been a hot bed of religious intolerance, hate, warfare and genocide since, oh, about 6500 BCE? While the British and US (and France and Germany) have helped stir the fire in the Middle East, the embers have been glowing for quite some time.
Unfortunately it does work. Pick up Unbroken, a story about a downed WWII flyer who, amongst other fairly horrid episodes, got interred in a Japanese POW camp. He remained there till the end of the war and describes leaving the camp. The area had been carpet bombed previously (and hit with the atomic bomb). The civilian population - which previously had been ready to sacrifice themselves when the Allies invaded were basically shocked into submission.
Don't make the mistake of conflating how we persecute 'war' these days with all out and out military aggression which has not been seen on a large scale since WWII. We would have won in Vietnam, would win in Iraq and Afghanistan if we did that (and likely be set up for war crimes). War is really ugly business. We're just playing at low level conflicts for now. (Not that it makes it morally or politically correct). Hopefully we won't get there again, but with humans being the ugly little monsters we are, I wouldn't bet on it.
Fear and hatred are not mutually exclusive. I'm sure that the Taliban rank and file have jolts of pure fear when they see an American patrol (and vice versa). They can well hate us for various reasons, including instilling the fear in the first place.
War is a horrible mix of the best and worst in human kind. Be nice if we could figure out how to get around it, but I rather doubt that's going to happen short of some uber powerful alien race coming down and telling us to grow up.
But the big flap over urinating over the Taliban corpses is just that - a flap. I think it just reflects on the total inanity of the general media these days. You don't want to talk about big, complex issues so you make little stupid things go nuclear.
Slashdot, can we have a system where people can be tagged as shills, not just per-comment but as a lingering account attribute?
Think about that for a second. It would be abused in one virtual jiffy. Now, instead of only being able to ignore ACs you could auto downmod anybody who groupthink doesn't like.
"Ah, I see you have the machine that goes ping. This is my favorite. You see we lease it back from the company we sold it to and that way it comes under the monthly current budget and not the capital account. "
The third problem (once you solve the first two) is what the hell you do with all that information. At present, having a complete readout of your genome doesn't get you very far. Even after you've figured out what diseases that you are more at risk for, what do you do? Well, you keep an active, healthy lifestyle, drink in moderation, don't smoke etc. You didn't need all of that info for me to tell you that.
I don't see this in doctor's offices (except for the boutique practices that do everything to / for you for the specific purposes of lightening your wallet). Maybe it will allow smaller research groups to tackle projects that they couldn't afford to do. But it's a long way to clinical utility.
It is becoming common problem in EU too. Maybe not totally resistant TB, but very hard to cure. What amazes me, is that in North America the TB vaccine is not standard (read my leaps: FREE), and the result is that when (not if) some american catches TB, he will be helpless.
There is no good tuberculosis vaccine. There is the BCG vaccine which confers some measure of immunity, but it's not very impressive. The problem with BCG is that is screws up SCREENING for TB via the PPD (skin prick test). Once you've had a BCG vaccination, you are going to test positive for TB in that screen, so you have to go to expensive and slightly dangerous X rays to determine active disease and you're pretty much hosed at determining 'latent' disease (where someone has been exposed, has the bug stuck deep inside their lungs but the critter hasn't multiplied - yet - in a couple of percentage points of people with latent TB it will go active at some point in their life so they often get treated before it progresses).
In countries where TB is epidemic, it often makes sense to use BCG. In the US and Western Europe, probably not but it's a complicated argument.
We really need 1) better vaccines and 2) better ways of detecting early infections. It's not for want of trying, it's just a nasty little bug.
I thought that between them the DARPA challenge entrants pretty much had that one sorted? Admittedly the regulatory process to get them on the roads will be long and arduous, for good reason (for once), but the tech's looking good.
Right. The tech is all settled out, just like Thorium Cycle Reactors, holographic storage and hydrogen powered cars. A few prototypes do not an entire technological infrastructure make. It's going to be a long time before you can cruise down the Freeway maxed out on Ecstasy and Caffeine, mindlessly updating your Facebook page and Twittering about the asshole in front of you.
Personally, I look forward to the day when cars drive themselves through rush hour traffic, and all I have to do is have some tea, read the newspaper, and enjoy the scenery.
That's fine. I'm waiting for my Pony and a Matter Compiler.
And while I'm thinking about it... The hardware store would probably have to post the "no dildos" rule pretty quick. But I think it is still a valid business strategy.
And no Steve Jobs dolls, and no naked chick dolls and no Jurassic Park toys and no Happy Meal thingies....
Slashdot Mirror
You come in with a document that says "takes 4 80 mg Oxycontin twice a day for back pain" and ask me for a refill, I am rather likely to check the veracity of the claim. You come in with a document that says you had your gall bladder removed, I just might believe you (but I'd look for the scar, if appropriate).
We're not that stupid.
That's an issue with the doctor writing pejorative terms in the chart. If you look at really old records (like before we told people they had cancer) you would get verbiage that would make you freeze in your tracks.
Any doctor that writes "McDonalds addiction" in the chart deserves whatever hassle they get. It's stupid and unnecessary. Yep, there are docs that do that but not very many. And if you are their patient, you'd do well to understand where this clown is coming from and find a better doctor.
Yes. I'm not sure what axe the TFA is trying to grind.
“The medical record is information that really belongs to the patient, but it’s treated like a classified document,” said Susan B. Frampton, president of Planetree, a nonprofit organization based in Derby, Conn., that promotes patient-centered approaches to health care. “It’s symbolic of the power differential in health care.”
Really is bullshit. In the US you have an absolute right to a copy of your records. For a reasonable price. In my ER, we send tourists home with copies of all the relevant tests we do and a nice little CD of any radiographs. We'd send the dictation except that it hasn't been done by the time the patient leaves. The discharge instructions do have the phone and fax number of Medical Records and we generally encourage people to show the form to their local doc when they get home.
If you are at all interested in your health (which describes only a small subset of the patient population) it's not hard to get copies of everything.
Now, it's a bit disorganized, nobody is taking any pains to put it all together in one nice little product, but the entire system is rather fragmented.
Actually, for most teenagers that I know (I'm looking specifically at my niece), cleaning up their room would be hard labor. Probably on the order of a Superfund site.
Hey - it's nearly double. That has to be significant. Especially with that many decimal places.
You forget that cleaning one's room counts for 'hard labor' in the US.
Turn that damn light off, you jerks!
Other that the NASA guys who are obviously PhDs, try with George Miley from UIUC. He claims to have reproduced it. Or Brian Josephson, the nobel laurate, from Cambridge University. Or a couple of Swedish physics profs from their royal academy. Once you look into this it actually becomes more credible.
Show. Me. The Voltage.
What could possibly go wrong . . .
For example, mixing minerals with water tends to decrease their melting point, and the resulting hydrated magma tends to have lower viscosity, so there you have one possible Mount-Doom-like scenario in real life.
It's only Portland. Calm down.
Alternate universe post?
Thanks. Interesting. That would allow me to look at the sensitive data on Windows if I needed to.
Why is at a 'heck of a lot better'? (Curious as to your thinking). From a brief perusal of the site, it seems to be similar to Dropbox albeit with end to end encryption. That's nice - I get around that by storing the data that I think needs to be encrypted in password protected sparsebundles (on OS X). Seems to work just fine. Much of the stuff I have on Dropbox could be shared openly on the Internet with the only downsides of confusing a whole bunch of people.
It is true that they are tied their individual platforms, but that could also be considered their primary advantage over DropBox. Everyone who buys an iPad automatically benefits from iCloud integration, for example.
I don't want it tied to Apple's limited world view of what is good or bad. I don't want it tied to Microsoft's bizarre implementations. I don't want it tied to Google's manifold desire to sick advertisers on me.
I just want it to work. On OS X at home. On Windows at work. On Linux, BeOS, CP/M (well, I give that a pass) or whatever. The vendors all have an agenda which, so far, hasn't jibed well with mine.
You do realize that the Middle East has been a hot bed of religious intolerance, hate, warfare and genocide since, oh, about 6500 BCE? While the British and US (and France and Germany) have helped stir the fire in the Middle East, the embers have been glowing for quite some time.
Unfortunately it does work. Pick up Unbroken, a story about a downed WWII flyer who, amongst other fairly horrid episodes, got interred in a Japanese POW camp. He remained there till the end of the war and describes leaving the camp. The area had been carpet bombed previously (and hit with the atomic bomb). The civilian population - which previously had been ready to sacrifice themselves when the Allies invaded were basically shocked into submission.
Don't make the mistake of conflating how we persecute 'war' these days with all out and out military aggression which has not been seen on a large scale since WWII. We would have won in Vietnam, would win in Iraq and Afghanistan if we did that (and likely be set up for war crimes). War is really ugly business. We're just playing at low level conflicts for now. (Not that it makes it morally or politically correct). Hopefully we won't get there again, but with humans being the ugly little monsters we are, I wouldn't bet on it.
Fear and hatred are not mutually exclusive. I'm sure that the Taliban rank and file have jolts of pure fear when they see an American patrol (and vice versa). They can well hate us for various reasons, including instilling the fear in the first place.
War is a horrible mix of the best and worst in human kind. Be nice if we could figure out how to get around it, but I rather doubt that's going to happen short of some uber powerful alien race coming down and telling us to grow up.
But the big flap over urinating over the Taliban corpses is just that - a flap. I think it just reflects on the total inanity of the general media these days. You don't want to talk about big, complex issues so you make little stupid things go nuclear.
Nothing to see here, move along.
Slashdot, can we have a system where people can be tagged as shills, not just per-comment but as a lingering account attribute?
Think about that for a second. It would be abused in one virtual jiffy. Now, instead of only being able to ignore ACs you could auto downmod anybody who groupthink doesn't like.
You know, you can always just make them a foe.
"Ah, I see you have the machine that goes ping. This is my favorite. You see we lease it back from the company we sold it to and that way it comes under the monthly current budget and not the capital account. "
The third problem (once you solve the first two) is what the hell you do with all that information. At present, having a complete readout of your genome doesn't get you very far. Even after you've figured out what diseases that you are more at risk for, what do you do? Well, you keep an active, healthy lifestyle, drink in moderation, don't smoke etc. You didn't need all of that info for me to tell you that.
I don't see this in doctor's offices (except for the boutique practices that do everything to / for you for the specific purposes of lightening your wallet). Maybe it will allow smaller research groups to tackle projects that they couldn't afford to do. But it's a long way to clinical utility.
Of course, that behavior is quite similar to what happens when you open the moderately complex docx document in Word.
Are you new here?
It is becoming common problem in EU too. Maybe not totally resistant TB, but very hard to cure. What amazes me, is that in North America the TB vaccine is not standard (read my leaps: FREE), and the result is that when (not if) some american catches TB, he will be helpless.
There is no good tuberculosis vaccine. There is the BCG vaccine which confers some measure of immunity, but it's not very impressive. The problem with BCG is that is screws up SCREENING for TB via the PPD (skin prick test). Once you've had a BCG vaccination, you are going to test positive for TB in that screen, so you have to go to expensive and slightly dangerous X rays to determine active disease and you're pretty much hosed at determining 'latent' disease (where someone has been exposed, has the bug stuck deep inside their lungs but the critter hasn't multiplied - yet - in a couple of percentage points of people with latent TB it will go active at some point in their life so they often get treated before it progresses).
In countries where TB is epidemic, it often makes sense to use BCG. In the US and Western Europe, probably not but it's a complicated argument.
We really need 1) better vaccines and 2) better ways of detecting early infections. It's not for want of trying, it's just a nasty little bug.
I thought that between them the DARPA challenge entrants pretty much had that one sorted? Admittedly the regulatory process to get them on the roads will be long and arduous, for good reason (for once), but the tech's looking good.
Right. The tech is all settled out, just like Thorium Cycle Reactors, holographic storage and hydrogen powered cars. A few prototypes do not an entire technological infrastructure make. It's going to be a long time before you can cruise down the Freeway maxed out on Ecstasy and Caffeine, mindlessly updating your Facebook page and Twittering about the asshole in front of you.
Oh. Wait.
Personally, I look forward to the day when cars drive themselves through rush hour traffic, and all I have to do is have some tea, read the newspaper, and enjoy the scenery.
That's fine. I'm waiting for my Pony and a Matter Compiler.
In the meantime, sit down, shut up and drive.
And while I'm thinking about it... The hardware store would probably have to post the "no dildos" rule pretty quick. But I think it is still a valid business strategy.
And no Steve Jobs dolls, and no naked chick dolls and no Jurassic Park toys and no Happy Meal thingies....
Get my drift?