But isn't that a bit like saying Dodge doesn't exist because they are owned by DaimlerChrysler (or whoever it is now)? It is clear that Nuance is keeping the Dragon brand. And essentially that is what a company is, a brand.
I'm just going to say, don't group software development with IT operations.
Saying software developers *only* produce tools that make other people do their jobs more efficiently is like saying automotive companies *only* produce tools that make other people get to their jobs more efficiently.
That and Winamp doesn't make me more efficient. It just makes me happier.
That's the difference between software development and IT operations. Ops provides a service, dev produces a product.
Also, just because *you* can't see why something that your sysAdmin tells you is practical doesn't mean it isn't. It may just mean that you need more education on the subject. Saying that it doesn't matter if something is difficult for sysAdmins is no problem is like saying that it doesn't matter if something is difficult for your doctor. While the sysAdmin/doctor may be trained to handle difficult situations, doesn't mean that things wouldn't go smoother if you made it easier for them.
And generally, when you make it easier for them, you will find that things as a whole become easier.
Somewhat, but not much. There's really only one place around here that we will absolutely not go to based on service. Other than that, it's generally good.
I only really came to notice it when we would go out with some of our friends. Depending on who we were with, we were getting different levels of service than we were used to (even from people who have waited on us before). Some of my friends think that they get perpetually bad service, but in turn, they aren't exactly being nice to the people either.
Although I do feel weird when the wait-staff shows up with our drinks on their first trip to the table due to knowing our habits so well. (It has happened a few times.)
Yeah, that's why I always get good service at places I frequent even though I'm a moderate tipper. Mainly because if the wait-staff looks at my table, I say thanks. I win through being the lowest maintenance patron in the joint.
It's a zen thing. Get great service by not wanting it.
HKCU is a morass and some thing belong in HKLM, especially in an environment with roaming profiles (some mandatory). When I install Word on a box, installation information (where it's located, etc.) should go in HKLM because these are things that are (and here is the kicker) _local to the machine_ and not particular to the user.
You can't install software on a user, so anything a program needs to be successfully run after being installed needs to be HKLM. Now, user preferences etc. should be HKCU, because those are settings that should follow a user.
As someone who is installing and implementing an EMR system into practices, I have something to add (and throw away my moderation capabilities to do so).
Yes, an EMR can reduce the overhead needed by a doctor. But those savings are never realized by the patient. They are realized by the doctor in the form of laying off staff and larger profit margins. I haven't seen anything where a doctor mentions that they started charging less because they became more efficient from their EMR. Plus, EDI is reducing the role of transcriptionist/billing clerk to begin with. Within the next couple of years, the HCFA 1500 and UB92 should be nothing but unpleasant memories. Two very large sources of paperwork. I've seen patient load bounce back after a week. And this is highly dependent upon the staff. Technology cannot fix people no matter what. Yes, medical equipment is the suck when it comes to interoperability and standard communications. HL7 isn't even that great of a standard. As a matter of fact even ANSI X12 4010 (health care claims/remits/etc) is pretty shitty as far as a format goes. Interfacing is always going to be a problem, because even HL7 doesn't address this. It just says that certain bits are certain types (this is a patient account, this is a name, this is a , etc).
Where I've seen the biggest problems in healthcare lies in insurance and billing. The insurances tell the doctors how much their services are worth and pay that much. But they only tell once you submit a claim (with a few exceptions). So a doctor will bill $400 to the insurance for a standard office visit. The insurance will say that it is only worth $130, and that it will only pay $100 of that, and to make the $30 remaining the patient's responsibility. However, another insurance may decide that the visit is worth $200 and pay $150 or it and to make the last $50 the patient's responsibility. So to game the system, a clinic will "charge" insane amounts knowing that most of it will be denied just to get the maximum dollar per visit. And legally, you can't charge different people different prices for the same service, so you can't just figure out what each insurance will pay and just charge that. The fix is easy: Stop allowing insurances to dictate the price. Counter-example: When I bring in my car to get repaired from an accident, my car insurance doesn't tell the body shop how much to charge. No, the body shop says that this will cost $2000. And my insurance plan has a $500 deductible, so I pay $500 and after that, my insurance pays whatever repairs I have for the rest of my term of coverage (in this case $1500, but if I get another repair, I don't pay anything having met my deductible). For this deal, I pay the insurance company something like $100 a month. And if think $2000 is too much, I can go somewhere else. (Actually, my insurance tells me where to go since they have preferred repair shops where they probably have discounts due to providing business). But, the pricing is controlled by the one providing the service, not the one providing the money for the service. Just look at plastic surgery. Most of the time it is considered elective surgery so insurance will not pay for it (and with good reason, my car insurance won't pay for me to get "sweet rims"). However, it is probably one of the more profitable surgical professions. And, for surgery, I think it is "cheap". And by cheap, I mean that fake tits probably cost significantly less than triple bypass surgery.
That's just my take on it having worked with EMR in an actual medical clinic (we're an office in the back).
This is only a step back if people actually use Silverlight to develop content. And we all know Microsoft will, but unless they bundle it and make it the default with Visual Studio, then there probably won't be that large of an adoption.
If I get an email from somewhere I have legitimate business dealings with, instead of clicking on the links in the email, I go to the site "manually" and then handle my business.
You realize that this is running, not jogging, not power-walking, but full-tilt running. You have to be in pretty damn good shape to keep up a full-tilt run for 45min - 1hr.
So, exercise to improve other qualities of your life. Manage diet to lose the weight.
And note, that I'm not advocating not exercising, I'm just opposing the common wisdom of "get off your lazy arse and move".
Exercise has no discernible effect on weight loss. Your body burns anywhere from 1500 - 2500 (depending on size, metabolism, etc.) doing nothing all day. Every pound of fat is worth about 3500 calories. Running for an hour is worth something like 800 calories.
So to lose one pound, you would have to run just under 4 1/2 hours.
Alternatively, you could choose carefully what you eat and avoid the calories in the first place. And you don't have to exercise (even though exercise has other benefits). But the core is, don't exercise to lose weight, you will be disappointed.
I think in this context it could be warranted because they are saying that the new Elite package will sit on the shelves alongside the Core and Premium with an entirely new UPC/SKU rather than replacing the Premium or Core.
I'm sorry, but your IT dept is doing its job and covering its collective ass by requiring those specs. Now instead of saying "I need a report for the fourth quarter accident rates" and getting all huffy when IT doesn't read your mind and doesn't exclude accidents reported in the fourth quarter but for dates that were actually in the third quarter, you have to specify and know exactly what you want before you ask for it.
That's what specs are for, to get you to think about what you want before you just ask for it.
There seems to be some sort of misconception regarding sales taxes. Sales taxes cost a B&M absolutely zero. That's something that they collect on behalf of the government and then give to them. (So they also don't profit from it either.)
And technically, you should declare all items that you didn't pay sales tax on to your state when you file your (state) income tax so you can be taxed accordingly. For those states without an income tax, I'm not sure exactly how that would work.
While I am aware that the original Mac ad evoked the imagery of 1984 and the idea of Big Brother and a totalarian state aren't original in and of themselves. What was imaginative of the Mac ad was the thought behind putting this computer against all of the principles that ideology by having a female runner throwing a sledgehammer at it. (Which, as far a I am aware of, is not in the book.)
That's the difference between an homage/parody and a blatant rip-off, which the Hillary as Big Brother ad was.
Slashdot Mirror
It existed back in the day when programmers were paid for their time and the software they produced was the result of that effort.
When people started selling software, instead of their services as developers of software, things got weird.
But isn't that a bit like saying Dodge doesn't exist because they are owned by DaimlerChrysler (or whoever it is now)?
It is clear that Nuance is keeping the Dragon brand. And essentially that is what a company is, a brand.
Considering we just recently bought Dragon Naturally Speaking 9.0 Medical Edition, it most certainly is still Dragon.
Hell, even Nuance agrees (http://www.nuance.com/naturallyspeaking/). And they should know.
I'm just going to say, don't group software development with IT operations.
Saying software developers *only* produce tools that make other people do their jobs more efficiently is like saying automotive companies *only* produce tools that make other people get to their jobs more efficiently.
That and Winamp doesn't make me more efficient. It just makes me happier.
That's the difference between software development and IT operations. Ops provides a service, dev produces a product.
Also, just because *you* can't see why something that your sysAdmin tells you is practical doesn't mean it isn't. It may just mean that you need more education on the subject. Saying that it doesn't matter if something is difficult for sysAdmins is no problem is like saying that it doesn't matter if something is difficult for your doctor.
While the sysAdmin/doctor may be trained to handle difficult situations, doesn't mean that things wouldn't go smoother if you made it easier for them.
And generally, when you make it easier for them, you will find that things as a whole become easier.
Somewhat, but not much. There's really only one place around here that we will absolutely not go to based on service. Other than that, it's generally good.
I only really came to notice it when we would go out with some of our friends. Depending on who we were with, we were getting different levels of service than we were used to (even from people who have waited on us before). Some of my friends think that they get perpetually bad service, but in turn, they aren't exactly being nice to the people either.
Although I do feel weird when the wait-staff shows up with our drinks on their first trip to the table due to knowing our habits so well. (It has happened a few times.)
Ok. Maybe it is just poorly written installers I have a problem with.
Yeah, that's why I always get good service at places I frequent even though I'm a moderate tipper.
Mainly because if the wait-staff looks at my table, I say thanks. I win through being the lowest maintenance patron in the joint.
It's a zen thing. Get great service by not wanting it.
HKCU is a morass and some thing belong in HKLM, especially in an environment with roaming profiles (some mandatory). When I install Word on a box, installation information (where it's located, etc.) should go in HKLM because these are things that are (and here is the kicker) _local to the machine_ and not particular to the user.
You can't install software on a user, so anything a program needs to be successfully run after being installed needs to be HKLM.
Now, user preferences etc. should be HKCU, because those are settings that should follow a user.
Walking and chewing gum. AT THE SAME TIME.
How do you put YouTube in jail?
Do you put the server in a cell? And if you do, can it have an internet connection?
As someone who is installing and implementing an EMR system into practices, I have something to add (and throw away my moderation capabilities to do so).
Yes, an EMR can reduce the overhead needed by a doctor. But those savings are never realized by the patient. They are realized by the doctor in the form of laying off staff and larger profit margins. I haven't seen anything where a doctor mentions that they started charging less because they became more efficient from their EMR.
Plus, EDI is reducing the role of transcriptionist/billing clerk to begin with. Within the next couple of years, the HCFA 1500 and UB92 should be nothing but unpleasant memories. Two very large sources of paperwork.
I've seen patient load bounce back after a week. And this is highly dependent upon the staff. Technology cannot fix people no matter what.
Yes, medical equipment is the suck when it comes to interoperability and standard communications. HL7 isn't even that great of a standard. As a matter of fact even ANSI X12 4010 (health care claims/remits/etc) is pretty shitty as far as a format goes. Interfacing is always going to be a problem, because even HL7 doesn't address this. It just says that certain bits are certain types (this is a patient account, this is a name, this is a , etc).
Where I've seen the biggest problems in healthcare lies in insurance and billing. The insurances tell the doctors how much their services are worth and pay that much. But they only tell once you submit a claim (with a few exceptions). So a doctor will bill $400 to the insurance for a standard office visit. The insurance will say that it is only worth $130, and that it will only pay $100 of that, and to make the $30 remaining the patient's responsibility.
However, another insurance may decide that the visit is worth $200 and pay $150 or it and to make the last $50 the patient's responsibility.
So to game the system, a clinic will "charge" insane amounts knowing that most of it will be denied just to get the maximum dollar per visit. And legally, you can't charge different people different prices for the same service, so you can't just figure out what each insurance will pay and just charge that.
The fix is easy: Stop allowing insurances to dictate the price.
Counter-example: When I bring in my car to get repaired from an accident, my car insurance doesn't tell the body shop how much to charge. No, the body shop says that this will cost $2000. And my insurance plan has a $500 deductible, so I pay $500 and after that, my insurance pays whatever repairs I have for the rest of my term of coverage (in this case $1500, but if I get another repair, I don't pay anything having met my deductible). For this deal, I pay the insurance company something like $100 a month.
And if think $2000 is too much, I can go somewhere else. (Actually, my insurance tells me where to go since they have preferred repair shops where they probably have discounts due to providing business).
But, the pricing is controlled by the one providing the service, not the one providing the money for the service.
Just look at plastic surgery. Most of the time it is considered elective surgery so insurance will not pay for it (and with good reason, my car insurance won't pay for me to get "sweet rims"). However, it is probably one of the more profitable surgical professions. And, for surgery, I think it is "cheap". And by cheap, I mean that fake tits probably cost significantly less than triple bypass surgery.
That's just my take on it having worked with EMR in an actual medical clinic (we're an office in the back).
I think every single legitimate sale could be considered a victory.
This is only a step back if people actually use Silverlight to develop content. And we all know Microsoft will, but unless they bundle it and make it the default with Visual Studio, then there probably won't be that large of an adoption.
If I go to the site twice, I go twice. If I delete my cache, I have to re-request everything on the page. In any case, I _AM_ causing more traffic.
It would be like saying you don't count as traffic for streets you've previously driven on.
If I get an email from somewhere I have legitimate business dealings with, instead of clicking on the links in the email, I go to the site "manually" and then handle my business.
People are infallible and immune from social engineering attacks and there is no way a shady organization would ever get a .safe domain.
You realize that this is running, not jogging, not power-walking, but full-tilt running. You have to be in pretty damn good shape to keep up a full-tilt run for 45min - 1hr.
So, exercise to improve other qualities of your life.
Manage diet to lose the weight.
And note, that I'm not advocating not exercising, I'm just opposing the common wisdom of "get off your lazy arse and move".
Exercise has no discernible effect on weight loss. Your body burns anywhere from 1500 - 2500 (depending on size, metabolism, etc.) doing nothing all day. Every pound of fat is worth about 3500 calories.
Running for an hour is worth something like 800 calories.
So to lose one pound, you would have to run just under 4 1/2 hours.
Alternatively, you could choose carefully what you eat and avoid the calories in the first place. And you don't have to exercise (even though exercise has other benefits). But the core is, don't exercise to lose weight, you will be disappointed.
Don't blame C. Blame your processor for shitty floating point math.
Sled, it's a sled.
There I saved you 2 boobless hours.
I think in this context it could be warranted because they are saying that the new Elite package will sit on the shelves alongside the Core and Premium with an entirely new UPC/SKU rather than replacing the Premium or Core.
Are you dogging specs?
I'm sorry, but your IT dept is doing its job and covering its collective ass by requiring those specs. Now instead of saying "I need a report for the fourth quarter accident rates" and getting all huffy when IT doesn't read your mind and doesn't exclude accidents reported in the fourth quarter but for dates that were actually in the third quarter, you have to specify and know exactly what you want before you ask for it.
That's what specs are for, to get you to think about what you want before you just ask for it.
There seems to be some sort of misconception regarding sales taxes.
Sales taxes cost a B&M absolutely zero. That's something that they collect on behalf of the government and then give to them. (So they also don't profit from it either.)
And technically, you should declare all items that you didn't pay sales tax on to your state when you file your (state) income tax so you can be taxed accordingly. For those states without an income tax, I'm not sure exactly how that would work.
While I am aware that the original Mac ad evoked the imagery of 1984 and the idea of Big Brother and a totalarian state aren't original in and of themselves. What was imaginative of the Mac ad was the thought behind putting this computer against all of the principles that ideology by having a female runner throwing a sledgehammer at it. (Which, as far a I am aware of, is not in the book.)
That's the difference between an homage/parody and a blatant rip-off, which the Hillary as Big Brother ad was.
Showed imagination?
A rip-off of a Mac ad shows imagination?
Must be some definition of imagination that I'm not familiar with.