This was from when I tried to “prove” to Steve that “you can’t just write stuff on scraps of paper.”
Basically, the conclusion of this conversation was (as Steve will attest), “your egghead airforce crap is all ‘lazers and shit,’ but here on the ground I have a wall of bodies here beating down the door and every dumbshit chuck-a-chuck two bits to an NPI is gunning down every open phone line to get me to sign something or read something and then refuses to pay me and meanwhile I have two infant children and people in the hospital, so get this fucking billing out. I can’t just type this into a computer, patients hate that, and I’m dying here.” But as you can see from previous posts, Steve and I have mutually made some progress.
Basically: I’ll trust you that this shit works… if you trust me to give me the shit that actually works now.
This was “why you can’t just throw a nurse at it.” There was another board where I showed that every staff member you add that isn’t a provider themselves adds overhead downstream of the actual event which accumulates exponentially per unit medical provided. The idea here was that it greatly mattered in medicine how easy it was to enter the data into the iPhone because there was an inflection point where technology just required too much attention and the doctor has to revert to paper, and that if you can’t reliably overcome that activation energy of attention, then all your computer systems are worthless.
Haha, this was from when I taught Steve binary; I think because he asked something about “why 128 ASCII characters?” or something like that, so I made him figure it out over the course of the day. This was also a bad day; I remember some real estate agent had tried to sell Steve a “great unfinished property in an upcoming neighborhood” in the cold rain, and over subsequent lunch with the agent at Greenwich Hospital, I told the agent to his face that his property was a “knock down piece of shit” and then listed the construction and neighborhood flaws I had noticed, and then I scolded him for wasting my time. So this hotshot thirty something blueshirt is sitting there while some kid in a t-shirt deconstructs his entire psyche over salads. This agent now tries to avoid me —for some reason— when he tries to pitch Steve other real estate opportunities.
My goal is to build a “solid state” medical office. The idea is that if everything in “one unit doctor” can be represented by a graph of [web addresses] (emails, HTTP requests, ICD, CPT, and medical keyword addressing), and that this “one unit doctor” itself operates at a profit independently, that one could then continue to add doctors to the system without incurring the overhead which currently keeps medicine local while “solving medicine” as we currently know it via graph analysis.
This is hard to do in practice.
I’m posting some of my ideas because frankly: I need more help because I’m tapped on activation energy running both the office and my personal life which, as a preview, here’s how I spent today:
- Woke up in a hotel to “engineering” demanding to know from behind me door if “my floor is damp.” Why am I in a hotel? Yes. Is my floor damp? Not that I noticed, but considering that yesterday the problem was “the fire alarms keep going off because ‘they’re drawing too much power in the conference room’, this was an improvement. I bet you that this hotel costs more per day than a mortgage for a house.
- Waited for an hour to get expensive salad. Tried to connect to Internet.
- Waited for an hour to get a car pickup.
- While in the hotel lobby waiting for said car, had to track down the contact information for a patient on my iPhone internet, call several times from three different phones while in the hotel lobby trying to get past the patient’s family’s screen of “telephone calls are always solicitors and debit collectors”, and inform irate “member of the family who handles persistant phone calls” that the patient had an of [GO TO THE EMERGENCY ROOM, NOW] to “GO TO THE EMERGENCY ROOM, NOW.”
- Car took me to other side of town to car rental agency, car agency refused to rent me a car without a credit card because a debit card is not acceptable by “Connecticut law?” The girl at the desk at this dank car depot wanted me to produce paystubs and home utility bills “like, from the Internet or something.” I told her no. Car drove me back to hotel.
- Called another car, $20 cab ride to office; it is now 3pm.
- Started doing work, but then an elderly patient wandered into the office because I forgot to lock the door and I scheduled an appointment for her and talked with her about “life.”
- Locked door.
- Wrote these posts.
So yah, could use a little help… and unless you’re into the unemployed-if-not-now-then-soon mortgage derivative finance blueshirt scene… not really much of a culture here in Connecticut that doesn’t make you want to go all Tyler Durtin all the time.
In software, I’m currently writing authenticated robots to navigate insurer websites for Google App Engine. (I’ll share my code so far at Google I/O for anybody into Python Google App Engine.) This is hard because insurance is not in the business of telling you how to bill them for money. Also, this is hard because of the organic profitability of incompetence and a culture of “typing is for secretaries.” This is also hard because I can’t effectively do data entry and write software to do the data entry at the same time from the back of a cab.
Incoming Post Search Feeds:
futurists physical therapy
ppsspp monster hunter freedom unite tablet
NASA comet ison update
Modern marvels regenerative medicine
liberty generator tube
petru aurelian simionescu 2013
nasa nibiru 10 11 2013
Dr biochemistry gmail edu
- 09 Lecture 09 Human Genetics - Video - May 27th, 2014
- A Shot in the Arm for Evolutionary Genetics Research | Pew - Video - May 24th, 2014
- Broad Paper Vids: Natural selection and infectious disease in human populations - Video - May 23rd, 2014
- Research and Markets: Global Human Identification Market Report 2014-2018: Thermo Fisher Scientific, Promega Corp ... - May 23rd, 2014
- Untangling Whole Genomes of Individual Species From a Microbial Mix - May 23rd, 2014
- Fish study could advance medicine - May 23rd, 2014
- Medical Genetics Specialty Board Changes Name - May 22nd, 2014
- Nine young scientists awarded by the Genetics Society of America for fruit fly research - May 21st, 2014
- Beryllium Strengthens Collaboration with Key Partner, UCB - May 20th, 2014
- Saying 'I Do' Because of Similar DNA? - May 20th, 2014
- Family makes donation to fund research on rare neurological disorder at Texas Children's Hospital, Baylor College of ... - May 20th, 2014
- CSHL Keynote: Dr. Peter Donnelly, Wellcome Trust Centre for Human Genetics - Video - May 16th, 2014
- New Study in Nature Genetics Reveals Interplay between Genetics and Metabolism in Complex Disease - May 16th, 2014
- NewLink Genetics to Present at the ASCO 2014 Annual Meeting - May 16th, 2014
- Rutgers' Human Genetics Institute Wins $19 Million Federal Contract - May 15th, 2014
- CorTechs Labs and Human Longevity Inc. to Collaborate on Comprehensive Diagnostics by Combining Deep Sequencing with ... - May 15th, 2014
- Intro to Human Genetics - Video - May 12th, 2014
- Atlas shows how genes affect our metabolism - May 12th, 2014
- What Science Says About Race and Genetics - May 10th, 2014
- What if race is more than a social construct? - May 10th, 2014
- Human Genetics Project - Video - May 9th, 2014
- What Is Human Genetics: How Important Is It To Science Today? - May 9th, 2014
- human genetics - definition of human genetics in the ... - May 8th, 2014
- Human Genetics | MIT Biology - May 8th, 2014
- Statistical test increases power of genetic studies of complex disease - May 8th, 2014
- Department of Human Genetics - University of Michigan - May 8th, 2014
- Leveraging Nature's Experiments: Mitigating Drug Discovery Risks Through Human Genetics - May 8th, 2014
- Power of GWAS to detect human disease can be increased using statistical testing - May 8th, 2014
- Dogs pick up directions from human voices - May 6th, 2014
- NewLink Genetics Corporation Reports First Quarter 2014 Financial Results - May 6th, 2014
- Exploring genetics behind Alzheimer's resiliency - May 3rd, 2014
- Baylor College of Medicines Human Genome Sequencing Center (HGSC) Receives Best Practices Award from Bio-IT World - May 2nd, 2014
- A new syndrome caused by mutations in AHDC1 - May 1st, 2014
- Panel Discussion "DNA" - Video - May 1st, 2014
- Identification of genetic mutations involved in human blood diseases - April 29th, 2014
- Stem Cell Therapy | Genetics and Rheumatoid Arthritis - Video - April 28th, 2014
- Reading human history using ancient chicken DNA and chili peppers - April 27th, 2014
- Dive into Human Genetics - Video - April 25th, 2014
- Mount Sinai Researchers Identify Genetic Alterations in Shared Biological Pathways as Major Risk Factor for Autism ... - April 25th, 2014
- Women Shaping a Better Tomorrow: Penn Association of Alumnae 100th Anniversary Colloquium - Video - April 24th, 2014
- International collaboration unravels novel mechanism for neurological disorder - April 24th, 2014
- 91 Percent of Americans Know Genetic Information Can Influence Their Health - April 24th, 2014
- Software Identifies Gene Mutations in 3 Undiagnosed Children - April 23rd, 2014
- University of Utah software successfully identifies diseases with unknown gene mutations in three separate cases - April 23rd, 2014
- Applying math to biology: Software identifies disease-causing mutations in undiagnosed illnesses - April 23rd, 2014
- New computational tool identifies undiagnosed illnesses and unknown gene mutations - April 23rd, 2014
- University of Utah's New Phevor Software Identifies Disease-Causing Gene Mutations in Three Undiagnosed Children - April 22nd, 2014
- Discovery of oldest human DNA in Spanish cave tangles human family tree - April 22nd, 2014
- Interleukin Genetics Secures Approval in New York State to Offer PerioPredict - April 22nd, 2014
- Neanderthals Lived in Small, Isolated Populations, Gene Analysis Shows - April 22nd, 2014
- Sex determination: More complicated than you thought - Aaron Reedy - Video - April 21st, 2014
- Remote Genetics - April 21st, 2014
- Humans May Have Dispersed Out of Africa Earlier Than Thought - April 21st, 2014
- Human Genetics and Personalized Medicine, Dr. David Cox - Video - April 20th, 2014
- How to Make a Human Being:ABody of Evidence by Christopher Potter review - April 19th, 2014
- Researchers Have Fully Sequenced The Deadly Human Pathogen Cryptococcus - April 19th, 2014
- Genomic Revolution: Catalina Lopez-Correa at TEDxHECMontreal - Video - April 18th, 2014
- Neanderthal genetic landscape reveals key differences with humans - April 18th, 2014
- DNA looping damage tied to HPV cancer, researcher discovers - April 17th, 2014
- Daniel J. Rader, MD, Named as Chair of the Department of Genetics at the Perelman School of Medicine at the University ... - April 17th, 2014
- Refining language for chromosomes - April 17th, 2014
- Refining the language for chromosomes - April 17th, 2014
- 23andMe Appoints Dr. Jill Hagenkord Chief Medical Officer - April 16th, 2014
- Dame Bridget Ogilvie: Women in Science - Video - April 14th, 2014
- The Division of Structural Biology (STRUBI) - Video - April 13th, 2014
- Wellcome Trust Centre for Human Genetics - Video - April 10th, 2014
- Artificial Reproductive Technology: Constructing a Dystopia - April 10th, 2014
- Avera Medical Minute AMcK: Researching the human genome - April 10th, 2014
- Are Human Pheromones Real? - April 10th, 2014
- Human Genetics Biology Project - Video - April 9th, 2014
- Biomarkers and ageing: The clock-watcher - April 9th, 2014
- Neanderthals Interbred With Humans? New Method Closes A Hole In Evolution Argument - April 9th, 2014
- HISTORY OF TORTURE DEVICES - Discovery/History/Science (documentary) - Video - April 8th, 2014
- Center for Reproductive Genetics Established With $10 Million Grant - April 8th, 2014
- Myriad Genetics Submits Premarket Approval to FDA for BRACAnalysis(R) - April 8th, 2014
- UPDATE: Myriad Genetics Submits Premarket Approval to FDA for BRACAnalysis(R) - April 8th, 2014
- Wistar findings suggest link between colon microbiome and genome stability - April 7th, 2014
- 2. Inheritance pattern in human - Video - April 6th, 2014
- Bacterial gut biome may guide colon cancer progression - April 4th, 2014
- Can mathematics predict the future of Bit Coins? - Video - April 2nd, 2014