jmcgough

14 ms·

241.
by jmcgough 2y ago
When you're a software engineer turned doctor you get sent that by all of your friends xD
242.
by jmcgough 2y ago
I don't think you understand the scale of this problem. Computers were not up to print from. Our Epic cluster was down for placing and receiving orders. Our lab was down and unable to process bloodwork - should we bring out the mortar
243.
by jmcgough 2y ago
Hope she's okay. For better or worse, our entire emergency department flow is orchestrated around epic. If we can't even see the board, nurses don't know what orders to perform, etc.
244.
by jmcgough 2y ago
I just had a ten hour hospital shift from hell, apologies if my writing is lacking. I can't think of a better way to try to measure the scope of the damage caused by this.
245.
by jmcgough 2y ago
We have limited visibility into this in the emergency department. You stabilize the patient and admit them to the hospital, then they become internal medicine or ICU's patient. Thankfully most of the work was done and consults were cal
246.
by jmcgough 2y ago
We're really prepared for epic to go down and have an isolated cluster that we access in emergencies. I transitioned from software engineering so I've only been in the ED for a year, but from what I could see there didn't see
247.
by jmcgough 2y ago
No, treating in person. But we can't function as a department without computers. You call cardiology (on another floor) and none of their computers are working to be able review the patients records. You could take the EKG printout and
248.
by jmcgough 2y ago
Without access to Epic we can't place med orders, look up patient records, discharge patients from the hospital, enter them into our system, really much of anything. Every provider in the emergency department is on their computer placi
249.
by jmcgough 2y ago
All of the hardware that's attached to workstations in our hospital are designed for windows. Certain departments have specific needs as well and depend on software that is Windows only. After decades of Windows it develops an insidiou
250.
by jmcgough 2y ago
None of this advice is useful for massive organizations like banks and hospitals who got hit by this. They cannot switch off of windows for a number of reasons.
251.
by jmcgough 2y ago
Took down our entire emergency department as we were treating a heart attack. 911 down for our state too. Nowhere for people to be diverted to because the other nearby hospitals are down. Hard to imagine how many millions of not billions of
252.
by jmcgough 2y ago
It's a bsod loop, so not really.
253.
by jmcgough 2y ago
My entire emergency department got knocked offline by this. Really scary when you have ambulances coming in and are trying to stabilize a heart attack. Update: 911 is down in Oregon too, no more ambulances at least.
254.
by jmcgough 2y ago
I work in healthcare in Portland - our mental health system really feels like it's on life support from all of the recent trauma and the large number of transplants to the city. I have a friend who was having serious depression and wen
255.
by jmcgough 2y ago
Humans have functioned like this as far back as there are records. There's been weird unfounded health crazes for centuries. In the 1920s health spas were putting radon rocks in their pools because radiation was the new health craze.
256.
by jmcgough 2y ago
Here's an even better one - we don't know how alcohol works. I always assumed it was gabaergic in nature but it turns out that it's a really unusual drug with extremely weak binding, which is why it requires large amounts to
257.
by jmcgough 2y ago
The sad thing is that this has worked out well for them in the short term with significantly increased sales. It's too bad that every item is just 40 people reselling the same garbage from AliExpress and it's really hard to find t
258.
by jmcgough 2y ago
If you order your military to murder someone, does it become an official act?
259.
by jmcgough 2y ago
How is eradicating stare decisis considered "solid legal and philosophical principles"?
260.
by jmcgough 2y ago
This is kind of obvious to use semiglutides for this - most OSA is caused by obesity in this country.
261.
by jmcgough 2y ago
Idk, keeping spending low and pumping everything I could into index funds worked really well for me with minimal risk. When you come from a poor background and can't bounce back as easily from setbacks, you may have a different risk pr
262.
by jmcgough 2y ago
I was a teenager in the early 2000s era of internet trans support groups. Lynn's website was one of like three online resources at the time. The goal back then was to transition, pass, and kind of blend in and live your life with minim
263.
by jmcgough 2y ago
American animated shows have been outsourcing to Korea since at least the 90s
264.
by jmcgough 2y ago
Yeah, that was Imaishi though who left to found Trigger - since then has directed Kill la Kill, Cyberpunk Edgerunners, some other great but lesser known stuff like Promare
265.
by jmcgough 2y ago
Most of those problems in the US are caused by lifestyle, and can't really be changed without behavioral modification. And a lot of our health issues are a matter of poor access to healthcare.
266.
by jmcgough 2y ago
Yes, it's part of the rules for titles on HN, and some people want to know if they're clicking on older content
267.
by jmcgough 2y ago
There are a lot of easy ways to give someone pneumonia, like aspiration.
268.
by jmcgough 2y ago
This'll definitely have a chilling effect for future witnesses, which is likely what they paid for.
269.
by jmcgough 3y ago
A diagnosis can mean accommodations, e.g. if you take a standardized test and have a diagnosis, they'll let you take it in an isolated environment.
270.
by jmcgough 3y ago
The biggest things for me were: 1) Realizing that I was autistic 2) Developing better awareness for when I was in a taxing environment and better verbalizing my needs. People are usually happy to accommodate if you can communicate before yo

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