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:
petru aurelian simionescu 2013
nasa nibiru 10 11 2013
Dr biochemistry gmail edu
techno fruhstuck correspondence heart beat
NASA comet ison update
liberty generator tube
futurists physical therapy
latest indian mision mars
ppsspp monster hunter freedom unite tablet
- NASA Launches New Research, Seeks the Subtle in Parallel Ways - March 11th, 2014
- Microbes and Metabolites Fuel an Ambitious Aging Project - March 11th, 2014
- Jane Peterson is the next president and CEO of Keystone Symposia - March 9th, 2014
- Droplet Digital PCR for Gene Expression and MicroRNA Analysis - Video - March 8th, 2014
- Supreme Court Set to Hear Arguments on Whether Human Genes Can Be Patented - March 6th, 2014
- Dog Genetics Spur Scientific Spat - March 6th, 2014
- This New Genetics Startup Wants to Make '100' the New '60' - March 6th, 2014
- Tomorrow's Medicine - March 6th, 2014
- JScreen public health initiative fights Jewish genetic diseases - March 6th, 2014
- Patient-Specific Human Embryonic Stem Cells Created by Cloning - March 6th, 2014
- Protective mutations for type 2 diabetes pinpointed - March 4th, 2014
- Genetic Mutation Found That Lowers Odds Of Developing Diabetes - March 4th, 2014
- Study pinpoints protective mutations for type 2 diabetes - March 3rd, 2014
- Master Human Anatomy And Physiology course book [awesome way to learn] 2013 - Video - March 1st, 2014
- Genetics May Explain Why Autism Is More Common in Boys - February 28th, 2014
- Study uncovers why autism is more common in males - February 28th, 2014
- Why men are more likely to have autism: Their brains are more prone to genetic flaws, study finds - February 28th, 2014
- Study reveals why autism is more common in males - February 28th, 2014
- DNA Genotek at ESHG 2013 - Dr. Calvin Harley, Ph.D. of Telomere Diagnostics presents at ESHG 2013 - Video - February 27th, 2014
- Today in Science - Video - February 27th, 2014
- FDA Explores '3-Person' Embryo Fertilization - February 27th, 2014
- Tidal wave of cancers Part 2 - February 27th, 2014
- New tumor suppressor gene will facilitate detection of people susceptible to skin cancer - February 25th, 2014
- ASK DOCTOR K: Progress in genetics will lead to better diagnosis - February 25th, 2014
- Plaque On 1000-Year-Old Human Teeth Could Unlock Secrets Of Medieval Diet And Disease - February 25th, 2014
- Bacterial 'tomb' in ancient teeth window for dental care - February 24th, 2014
- Annals of Human Genetics - Spoken Description - Video - February 21st, 2014
- CHOP Researcher Co-Leads Study Finding Genes that Affect Blood Pressure - February 21st, 2014
- Using Supercomputers To Speed Up Genome Analysis - February 21st, 2014
- DNA Genotek at ESHG 2013 - DNA Methylation with Dr. Paul Arnold - Video - February 20th, 2014
- Whole Genome Analysis, STAT - February 20th, 2014
- Supercomputer dramatically accelerates genome analysis - February 20th, 2014
- Entrepreneurial Achievement Award: Bradley Dixon, MD - Video - February 19th, 2014
- Calico cats may help scientists understand human genetics - February 19th, 2014
- Ask Dr. K: Gene studies lead to better diagnoses - February 19th, 2014
- Scientists create interactive map of human genetic history ... - February 18th, 2014
- Pediatric Geneticist David B. Flannery, MD, FACMG, FAAP Joins American College of Medical Genetics and Genomics as ... - February 18th, 2014
- Some Elementary Human Genetics Human Anatomy & Physiology Study Course Review - Video - February 18th, 2014
- Clinical Laboratory Services Market (Clinical Chemistry, Medical Microbiology & Cytology, Human & Tumor Genetics and ... - February 18th, 2014
- Interactive map of human genetic history revealed - February 16th, 2014
- Diabetes Genetics Study Brings In Data From Different Ethnic Groups - February 14th, 2014
- New Interactive Map Reveals Human History Of Genetic Mixing - February 14th, 2014
- Genome Editing Goes Hi-Fi - February 14th, 2014
- DNA Sequencing - Technologies, Markets and Companies - February 13th, 2014
- Human genes reflect impact of historical events - February 13th, 2014
- Down's syndrome discovery dispute resurfaces in France - February 12th, 2014
- Horizon Discovery Signs Distribution Agreement with Haplogen - February 12th, 2014
- DDC Medical (DDC), One of the World's Largest DNA Testing Companies, supports The Prostate Cancer Foundation (PCF ... - February 11th, 2014
- 6.human genetics - February 10th, 2014
- Genome editing goes hi-fi: Editing the human genome ... - February 10th, 2014
- New technique 'edits' human genome for quick fixes - February 10th, 2014
- Pacific Biosciences Highlights Increased Focus on Human Genome Research at AGBT 2014; Releasing 54x Coverage Human ... - February 10th, 2014
- The Genetic Origins of High-Altitude Adaptations in Tibetans - February 10th, 2014
- M.J. Farabee: Human Genetics - Estrella Mountain Community ... - February 9th, 2014
- Studies shed more light on genetic basis of bone marrow failure - February 7th, 2014
- New disease gene discovery sheds light on cause of bone marrow failure - February 7th, 2014
- Ranking disease-causal mutations within whole genome sequences - February 7th, 2014
- A key facilitator of mRNA editing uncovered - February 6th, 2014
- Human Genetics - Buzzle - February 5th, 2014
- Myriad Genetics to Acquire Crescendo Bioscience(R) - February 5th, 2014
- Meet Olufunmilayo Olopade, Nigerias gift to the world - February 4th, 2014
- Researchers look to K-9 DNA to identify human autism genes - February 3rd, 2014
- Neanderthal-Human Breeding Was Hard, But Yielded Benefits - January 31st, 2014
- 'Man'-hunt for 'Adam' - January 31st, 2014
- Biogen Idec Foundation Awards Museum of Science $2.5 Million to Support Hall of Human Life - January 31st, 2014
- Popped Like a Balloon (The Hidden: Source) - Video - January 30th, 2014
- Fossils of Neanderthal DNA clump in human genome - January 30th, 2014
- Genetics Society of America Selects Five Geneticists to Receive Society's 2014 Awards - January 30th, 2014
- Genetics Society of America selects 5 geneticists to receive society's 2014 awards - January 30th, 2014
- Neanderthal, human mixing had gene benefits, drawbacks - January 30th, 2014
- Neanderthal genes are in you - January 30th, 2014
- Neanderthal Genes Found in Modern Human DNA, Studies Find - January 30th, 2014
- ACS Surgical Health Care Forum Northern California - Video - January 29th, 2014
- Obamacare - Health Care On Life Support - Free Market Medicine - The Independents - Video - January 29th, 2014
- How Economic Freedom Promotes Better Health Care, Education, and Environmental Quality - Video - January 29th, 2014
- Nowhere to Go: Mentally ill youth in crisis - Video - January 29th, 2014
- Harvard Professor Martin Feldstein health-care reform not country's best interest. - Video - January 29th, 2014
- Congressman Mike Rogers' opening statement on Health Care reform in Washington D.C. - Video - January 29th, 2014
- People Overusing the ER for Non-Emergencies - Video - January 29th, 2014
- Giving you the choice in your health care: Savanah's Story - Video - January 29th, 2014