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duffpkg
searching PlanetScale…
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9 ms
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61.
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duffpkg
3y ago
I am pretty hard on phones. Been using lineage for years now on google pixel unlocked phones. 5a and now 6a. I have found both to have some real durability problems. Are there any good alternatives that are unlocked to use with lineage?
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duffpkg
3y ago
I am sorry. That is a terrible disease. To my knowledge John Hopkins currently has the most promising trials for ALS but generally speaking there is not currently a full understanding of the underlying mechanisms of that disease and little,
63.
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duffpkg
3y ago
First, do no harm. This is a foundational tenant that permeates healthcare. As a former health system executive I have been in positition to influence decision making about high risk experimental treatments in certain cases. In the US curre
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duffpkg
3y ago
Doctors are using it inappropriately to diagnose and advise treatment on their phones without telling patients. It is being rolled out in all manner of automated classification, huge amounts of behind the scenes healthcare involves manual r
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duffpkg
3y ago
It is infiltrating healthcare in all of the worst possible ways at present. It is sneaking into diagnosis and treatment in ways that are outright dangerous to patients.
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duffpkg
3y ago
This is a much easier fix in Cerner. I would guess based on the limited information at hand there is something wrong in the setup of the order release rules. IT should hire a Cerner specialist and the problem should be able to be resolved i
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duffpkg
3y ago
Specifically with handwashing which is a problem I have been very successful at solving, time is not the main factor. It is wear and tear on the hands and this comes down to the soap used and water quality, really. If you get those too thin
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duffpkg
3y ago
Webvista and HealthCloud are still utilized by some facilities and maintained as an internal system. EMR as a standalone line was <10% of ClearHealth's business when it was acquired in 2017, I remained involved in some capacity unti
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duffpkg
3y ago
I am lacking all the information as to whether we are even talking about Epic but Epic is a lousy tool. It is still just a tool though. For the unititiated Epic is not some tiny little software program to manage an ICU, it's a city sca
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duffpkg
3y ago
I've managed large enterprise health organizations across multiple sites that use Epic. We built an adjunct system that is still used by some of them that papered over serious problems that doctors using them never knew wasn't onl
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duffpkg
3y ago
This sounds a lot like Epic. Respectfully I don't understand how your facility can face those issues with a system like that and also be considered to have great operations and results. With Epic it is possible to workaround a lot of n
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duffpkg
3y ago
A lot of facilities run on a McDonalds type thinking when they should be looking at how In-N-Out is able to deliver a very similar product that is both dramatically better and either the same price or even cheaper. In-N-Out staff is well co
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duffpkg
3y ago
At ClearHealth/CLH we defined thousands of core business processes in a typical over 100 bed acute care institution. These are complicated animals. A hospital of any size is pretty much a city unto itself. There isn't one thing, t
74.
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duffpkg
3y ago
I created the ClearHealth/HealthCloud open source (GPL) EMR which to my knowledge is the only open source one to receive full federal certification. Operations (not surgery) are so incredibly bad / incompetent in most healthcare s
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duffpkg
3y ago
Wrote Hacking Healthcare, managed hospital systems, blah, blah... I remember first learning about cancer treatment and encology in detail when we took over management of a health system with a large set of encology centers. It was very eye
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duffpkg
3y ago
Wrote Hacking Healthcare, operated/managed hospital systems, blah blah. The study being referenced here is https://doi.org/10.1001/jama.2023.23147 . The conclusion of the study is that the identified set of hospita
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duffpkg
3y ago
I want to be clear that I agree there are significant problems. I understand this commonly held perception but more than 29 states make it outright illegal for a regular for-profit corporation to own anything which engages in the practice o
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duffpkg
3y ago
If you go back and read the various dicussions, arguments and controversies from around 1984 regarding the enactment of HMOs it is my opinion that things aren't dramatically worse than at that point. Executive compensation is an issue
79.
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duffpkg
3y ago
To clarify my point, your insurer spells this out to you, though you as a patient may not understand it to be the case. There is no surprise, its the expected behavior reading the literal minutiae of the giant packet your health insurer off
80.
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duffpkg
3y ago
This seems like a good thread to mention the book "Never Pay The First Bill" by journalist Marshall Allen. I've worked in healthcare for 20+ years. I've been on the collecting side of many bills, it's a good book fo
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duffpkg
3y ago
I have worked a little bit with facilities in the italian health system in my career. As with any health system you build out to handle a certain idea of peak utilization which is much higher than average utilization. My experience in Italy
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duffpkg
3y ago
Location: Phoenix/Los Angeles Remote: yes Willing to relocate: no Technologies: Strategizer, Architect, Senior Engineer. Extensive experience in payments and healthcare including fortune 500. Created the open source HealthCloud/Cl
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duffpkg
3y ago
I don't dispute the headline but this article is a total mess. First referring to the US health system but then citing anecdotes from the english health system. It then mingles US healthcare and dentistry. The US health system is as di
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duffpkg
3y ago
As someone who has worked in healthcare for 20+ years now, at least in those circles it was widely known that phenylephrine was a placebo at best, when it was mandated as the on the shelf replacement for psuedoephedrine (Sudafed) nasal deco
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duffpkg
3y ago
Location: Phoenix/Los Angeles Remote: yes Willing to relocate: no Technologies: Operations Firefighter, Strategizer, Architect, Engineer. Extensive experience in payments and healthcare including fortune 500. Created the open source He
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duffpkg
3y ago
Blah blah blah wrote Hacking Healthcare for O'Reilly, managed large hospital and multipractice groups, ... Self checkout scenarios remind me a lot of the difficuly in building electronic medical record interfaces and workflows. UI real
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duffpkg
3y ago
From a policy standpoint this is an easy thing to say, however tens of millions of americans get a pretty sweet deal as a result of this. To change it you need to make losers out of them so you can make winners out of others. These games of
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duffpkg
3y ago
Respectfully I would say there are a lot more problems than that going on. The federal government has an incredibly dark history with Puerto Rico regarding health, the rhoads scandal alone https://en.wikipedia.org/wiki/
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duffpkg
3y ago
That is the correct book. Acquire it however is most convenient for you, thanks though.
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duffpkg
3y ago
My opinion about the FDA is that it suffers from two major faults, it is always regulating the "last war" and it has the standard federal government incentive structure for policy making which is "do not do anything that acco
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