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.
- Baylor named site for NCI proteogenomics analysis, research - Baylor College of Medicine News (press release) - June 27th, 2017
- High performance computing system donated to Marshfield Clinic - Hub City Times - June 26th, 2017
- Gene Mutation Linked to Retinitis Pigmentosa in Southwestern US Hispanic Families - Newswise (press release) - June 26th, 2017
- 10 Amazing Things Scientists Just Did with CRISPR - Live Science - June 26th, 2017
- Mice Provide Insight Into Genetics of Autism Spectrum Disorders - UC Davis - June 26th, 2017
- DNA discovery reveals genetic history of ancient Egyptians - CNN - June 24th, 2017
- New genome sequencing method helps diagnose a rare genetic condition - Scope (blog) - June 24th, 2017
- Settling of the Americas: Searching for pieces of the puzzle - Genetic Literacy Project - June 23rd, 2017
- Gene editing reverses Huntington's in mouse model - ScienceBlog.com (blog) - June 23rd, 2017
- FDA padlocks any new human tests on Seattle Genetics' cancer drug in the wake of more deaths - Endpoints News - June 22nd, 2017
- Technology Boom Boosting Farm Life to a New Level [Opinion] - Growing Produce - June 22nd, 2017
- Did That Fox Just Wag Its Tail? Inside a Bold Genetics Experiment - Undark Magazine - June 22nd, 2017
- 3rd World Congress on Human Genetics & Genetic Disorders - Technology Networks - June 21st, 2017
- High-fat diet leads to same intestinal inflammation as a virus - UCLA Newsroom - June 21st, 2017
- Are You a Magnet for Mosquitoes? - Scientific American - Scientific American - June 21st, 2017
- Rare genetic variants found to increase risk for Tourette syndrome - UCLA Newsroom - June 21st, 2017
- DNA Replication Filmed for First Time Shows How Awkward and Random Genetics Is - Newsweek - June 21st, 2017
- The myth that gender is binary is perpetuated by a flawed education system - Quartz - June 21st, 2017
- David Geffen School of Medicine at UCLA names winner of Switzer Prize for research excellence - UCLA Newsroom - June 21st, 2017
- Are You a Magnet for Mosquitoes? - Scientific American - June 20th, 2017
- CRISPR/Cas9 gene editing reverses Huntington's in mouse model - Medical Xpress - June 19th, 2017
- Genetics Might Be Settling The Aryan Migration Debate, But Not How Left-Liberals Believe - Swarajya - June 19th, 2017
- Nazneen Rahman: 'Science and music are mediums in which I create' - The Guardian - June 18th, 2017
- How genetics is settling the Aryan migration debate - The Hindu - June 16th, 2017
- This Study is Forcing Scientists to Rethink the Human Genome - Gizmodo - June 16th, 2017
- Combining PGD and PGS to Select Embryos Increases Pregnancy Rate But Results in Fewer Transfers - GenomeWeb - June 16th, 2017
- Gut bacteria might one day help slow down aging process - Baylor College of Medicine News (press release) - June 16th, 2017
- Genetics: Recipe for intelligence - Nature.com - June 16th, 2017
- Newly identified method of gene regulation challenges accepted science, researchers say - Phys.Org - June 16th, 2017
- Antonio Giraldez Named Chair of Genetics - Yale News - June 14th, 2017
- Science and Scientists on the Vineyard: Genes at play with CRISPR - Martha's Vineyard Times - June 14th, 2017
- Ancient DNA Could Unravel the Mystery of Prehistoric European Migration - Smithsonian - June 14th, 2017
- How a Galpagos bird lost the ability to fly - Bend Bulletin - June 14th, 2017
- International Study Identifies New Genetic Risk Factors for Testicular Cancer - Lab Manager Magazine - June 14th, 2017
- In genetic disorder cases, it is very important to take off the guilt from the parents mind: Dr. Sheela Namboothiri - ETHealthworld.com - June 12th, 2017
- JScreen Doubles List of Tested Genetic Diseases - Atlanta Jewish Times - June 12th, 2017
- National Geographic Emerging Explorer Keolu Fox Uncovers the Hidden Treasures of Human Adaptation - National Geographic - June 11th, 2017
- Human mitochondrial genetics - Wikipedia - June 10th, 2017
- Division of Human Genetics | Children's Hospital of ... - June 10th, 2017
- Novel compound inhibits lung cancer growth in lab studies - The Hindu - June 10th, 2017
- Biology professor: Trump's presidency will permanently alter human ... - TheBlaze.com - June 9th, 2017
- Biology professor: Trump's presidency will permanently alter human genetics - TheBlaze.com - June 8th, 2017
- Colonizing Mars could spark new kind of super human species - AOL - June 8th, 2017
- Aggro fruit flies may hold genetic keys to human mental illness - Cosmos - June 8th, 2017
- Biology Prof: Trump Presidency Is So Traumatic It Will Change Human Genome Forever - Heat Street - June 7th, 2017
- The Science Behind the Discovery of the Oldest Homo Sapien - Smithsonian - June 7th, 2017
- Crispr May Cure All Genetic DiseaseOne Day - WIRED - June 7th, 2017
- Lab-grown organoids hold promise for patient treatments - Medical Xpress - June 7th, 2017
- A Radical Proposal For Preventing Rare Genetic Diseases - WIRED - June 6th, 2017
- New NIPT Reporting Guidelines, Pilot Quality Scheme Aim to Set Standards for Expanding Field - GenomeWeb - June 6th, 2017
- Hillsboro Native Earns Honors At Vanderbilt - thejournal-news.net - June 5th, 2017
- Fully sequenced deer genome made publicly available - Phys.Org - June 5th, 2017
- Human Genetics Market Analysis and Global Forecast to 2024 ... - Press Release Rocket - April 8th, 2017
- Students present novel concepts at IdeaFest - The Volante - April 8th, 2017
- Employees who decline genetic testing could face penalties under proposed bill - Washington Post - March 12th, 2017
- GOP-sponsored bill may help companies obtain your genetic information - Fox News - March 11th, 2017
- Genetics organization opposes Stefanik-backed workplace wellness ... - Glens Falls Post-Star (blog) - March 11th, 2017
- Mutations in CWC27 result in a spectrum of developmental conditions - Medical Xpress - March 11th, 2017
- Using DNA as a Tool to Understand Human History - Penn Current - March 11th, 2017
- For the first time ever, scientists have edited the genetic makeup of viable human embryos - Quartz - March 11th, 2017
- Mutations in CWC27 result in spectrum of conditions - Baylor College of Medicine News (press release) - March 10th, 2017
- Social phobia: Indication of a genetic cause: Study supports link with ... - Science Daily - March 10th, 2017
- House Republicans would let employers demand workers' genetic test results - STAT - March 10th, 2017
- What does it mean to be human? - The Independent - March 9th, 2017
- Short men are more likely to go BALD claim genetic scientists after exhaustive study - Mirror.co.uk - March 9th, 2017
- Genetic sequencing offers same-day TB testing - HealthCanal.com (press release) (blog) - March 9th, 2017
- A mysterious medical condition gets a name - and a genetic link to deafness - Napa Valley Register - March 8th, 2017
- Study identifies 90 genes in fat that may contribute to dangerous diseases - Science Daily - March 7th, 2017
- History is Altoona man's hobby, and genetics is livelihood - Altoona Mirror - March 6th, 2017
- Lab-grown humans soon - Times LIVE - March 6th, 2017
- A mysterious medical condition gets a name - and a genetic link to deafness - Reading Eagle - March 6th, 2017
- Human cloning a step closer after UK scientists create artificial embryos - RT - March 3rd, 2017
- Assistant professor delivers genetic variation research on pine sawflies - UTA The Shorthorn - March 3rd, 2017
- Apple or pear waist-to-hip ratio and the risk of CHD and T2DM - Nature.com - March 3rd, 2017
- From cloning Dolly the sheep in a lab to gene editing dogs in a shed: progress? - The San Diego Union-Tribune - March 2nd, 2017
- Genetics Underlying Rare Syndrome Identified - Medscape - Medscape - March 1st, 2017
- The Science and Ethics of Editing Human Embryos - Chicago Tonight | WTTW - March 1st, 2017
- Race, Science, and Razib Khan - Undark Magazine - March 1st, 2017
- Striking Number of Genetic Changes Can Occur Early in Human Development - Laboratory Equipment - February 28th, 2017
- UCLA researchers describe methods for diagnosing diseases using genetics - Daily Bruin - February 28th, 2017