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 INR 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.
- UCLA Human Genetics - August 22nd, 2017
- Human Genetics Eccles Institute of Human Genetics - August 22nd, 2017
- The Dr. John T. Macdonald Foundation Department of Human ... - August 22nd, 2017
- Genetics | The Smithsonian Institution's Human Origins Program - August 22nd, 2017
- Human Genetics - August 22nd, 2017
- Using Genetics to Uncover Human History - JD Supra (press release) - August 22nd, 2017
- Gene editing used to repair diseased genes in embryos - NHS Choices - August 22nd, 2017
- How Jewish activism has wiped out Tay-Sachs - The Times of Israel - August 22nd, 2017
- Human Genetics - Springer - August 21st, 2017
- UCLA Human Genetics - August 21st, 2017
- The Dr. John T. Macdonald Foundation Department of Human ... - August 21st, 2017
- Life Lessons: Next generation testing - WFMZ Allentown - August 21st, 2017
- Genetics | The Smithsonian Institution's Human Origins Program - August 21st, 2017
- A Closer Look at the Human Gene Editing Lab - Futurism - August 21st, 2017
- Evolutionary Biologists Probe Long-standing Genetics Mystery - Yale News - August 20th, 2017
- Exclusive: Inside The Lab Where Scientists Are Editing DNA In Human Embryos - NPR - August 20th, 2017
- Will Gene Editing Allow Us to Rid the World of Diseases? - Healthline - August 19th, 2017
- Bacteria May Rig Their DNA to Speed Up Evolution - WIRED - August 19th, 2017
- White nationalists see a new enemy in pursuit of 'racial purity': Science - CNN - August 19th, 2017
- Cancer Genetics Expert Katherine L. Nathanson, MD, Named Deputy Director of Abramson Cancer Center - Newswise (press release) - August 18th, 2017
- Idaho dairy industry elevates worker safety, training - Capital Press - August 18th, 2017
- Genetic Variance is Key to Individual Immune Response - Genetic Engineering & Biotechnology News - August 18th, 2017
- Genetic disorder gets name change, but patient's father still not happy - Retraction Watch (blog) - August 16th, 2017
- Why we should all embrace gene editing in human embryos - The Hill (blog) - August 16th, 2017
- Beating the Odds for Lucky Mutations - Quanta Magazine - August 16th, 2017
- Midland to host community conference for genetic conditions - Baylor College of Medicine News (press release) - August 15th, 2017
- The Search for the Missing AD Heritability Turns Up New Rare Variants - Alzforum - August 15th, 2017
- Human Germline Genome Editing - Genetics bodies weigh in on debate with position paper - Lexology (registration) - August 14th, 2017
- Blood test uncovers hidden diseases - Medical Xpress - August 14th, 2017
- LHS Foundation names 9 more Distinguished Alumni - Lockport Union-Sun & Journal - August 14th, 2017
- Orphan Black Was Never About Cloning - Slate Magazine - August 13th, 2017
- Insurance claims reveal new links among diseases - Futurity: Research News - August 13th, 2017
- Americans want a say in human genome editing, survey shows - Los Angeles Times - August 11th, 2017
- Genetic risk factors for autism may affect family size - Spectrum - August 10th, 2017
- Genetic Arms Race: A Threat to Human Dignity And National ... - CNSNews.com - August 9th, 2017
- Grant to compare large-scale genomic sequencing, standard clinical tests for childhood cancer patients - Baylor College of Medicine News (press... - August 9th, 2017
- Modification of genes in human embryos could mark turning point in human evolution - The Globe and Mail - August 7th, 2017
- New look at archaic DNA rewrites human evolution story - Phys.Org - August 7th, 2017
- The Call-In: Genetic Engineering - WBUR - August 7th, 2017
- Israeli Scientists Develop First Haploid Human Stem Cells - NoCamels - Israeli Innovation News (press release) (blog) - August 7th, 2017
- Shrinking Bat Genomes Spark a New Model of Evolution - WIRED - August 7th, 2017
- Scientists use gene editing to correct mutations in humans - DeathRattleSports.com - August 7th, 2017
- Israeli team finds biological basis for rare neurological kids' disease - The Jerusalem Post - August 5th, 2017
- Scientists Remove Disease-Causing Mutations from Human Embryos - Mental Floss - August 5th, 2017
- Scientists find genetic 'trail' to mysterious Biblical civilization - New York Post - August 5th, 2017
- Impact of gene editing breakthrough will be muted - Irish Times - August 5th, 2017
- Here's where experts say we should draw the line on gene-editing experiments on human embryos - Los Angeles Times - August 4th, 2017
- Genetics expert discusses creating ground rules for human germline editing - Medical Xpress - August 4th, 2017
- Ancient DNA solves mystery of fate of Bible's Canaanites - The Columbian - August 4th, 2017
- Morning Break: Nicotine Fight; Birthday Buzzkill; Another Charlie Gard? - MedPage Today - August 4th, 2017
- Geisinger experts say gene editing progress, but have concerns - Sunbury Daily Item - August 3rd, 2017
- Kathiresan and Topol on Genomics of Heart Disease - Medscape - August 3rd, 2017
- Rohan Silva: The genetic revolution is happening in a tiny office or coffee shop near you - Evening Standard - August 3rd, 2017
- Joyce Harper The Conversation - The Conversation UK - August 3rd, 2017
- Shrinking Bat DNA and Elastic Genomes - Quanta Magazine - August 2nd, 2017
- Amyloid precursor protein associated with AD may also be linked to intelligence in children - News-Medical.net - August 2nd, 2017
- Genome Sequencing Shows Spiders, Scorpions Share Ancestor - Laboratory Equipment - August 2nd, 2017
- Marc Malandro of Pitt's Innovation Institute leaving for Chan Zuckerberg Initiative - Pittsburgh Post-Gazette - August 2nd, 2017
- Scientists Claim to Disprove Biblical Account of Canaanites - The Jewish Press - JewishPress.com (blog) - August 2nd, 2017
- Brain development linked to stimulation of genetic variations - Medical Xpress - August 1st, 2017
- Rare whole genome duplication during spider evolution could ... - Phys.Org - August 1st, 2017
- Scientists, Theologians Ponder If Latest Biological Findings Are More Compatible With Religion - Sojourners - August 1st, 2017
- The Era of Human Gene Editing Is HereWhat Happens Next Is Critical - Singularity Hub - August 1st, 2017
- Sophie Aroesty - Tablet Magazine - August 1st, 2017
- Gene editing star Jennifer Doudna calls for public debate on field's benefits and risks - The San Diego Union-Tribune - August 1st, 2017
- Could Science Challenge Our Human Right to be Ourselves? - Lady Freethinker - August 1st, 2017
- History News of the Week: The Biblical Canaanites' Modern Descendants - New Historian - July 31st, 2017
- Report: Scientists edit human embryos for first time in US - CNN - July 31st, 2017
- Scientists, theologians ponder if biology and religion go together - Crux: Covering all things Catholic - July 31st, 2017
- US Scientists Just Edited a Human Embryo for the First Time. (Yes, People Are Freaking Out.) - Mother Jones - July 29th, 2017
- A race is underway to repair our hearing with medicine - TechCrunch - July 29th, 2017
- Scientists Crispr the First Human Embryos in the US (Maybe) - WIRED - July 29th, 2017
- 3 things you probably didn't know about humans' ancient relationship with dogs - Salon - July 29th, 2017
- If you could 'design' your own child, would you? - Washington Post - July 27th, 2017
- New approach may improve translation of immunological research findings - News-Medical.net - July 27th, 2017
- A Cellular Immune Surveillance Mechanism that Detects Cancer Early - Technology Networks - July 27th, 2017
- In US first, scientists edit genes of human embryos - CBS News - July 27th, 2017
- Geneticists Anticipate Deluge of New Studies, Discoveries Following UK Biobank Data Release - GenomeWeb - July 26th, 2017
- Human Ancestor Mated with 'Ghost Lineage' And the Proof Is in Your Spit - Live Science - July 26th, 2017
- Scientists raise ethics alarm over use of DNA for research - Wired.co.uk - July 26th, 2017