markroseman

11 ms·

61.
by markroseman 9y ago
BC actually has both privately run and government run liquor stores.
62.
by markroseman 9y ago
In 1Password's case, I understand their desire to switch over to subscription pricing, and also have some sympathy with the notion that moving people to a cloud-based model reduces confusion and complexity (including their support cost
63.
by markroseman 9y ago
Keep in mind the technology has to fit into the existing regulatory and legal framework. Which also includes, if something goes wrong, who are you going to sue?
64.
by markroseman 9y ago
Or look outside the USA at dozens of other countries that may have some problems with their healthcare systems, but aren't anywhere close to as completely fucked up. Read the comments and listen to the debates, and understand that it i
65.
by markroseman 9y ago
My wife is a doctor, over a dozen years in practice. Tell our mortgage about how she's a millionaire. And to me, a life of her choice would likely have a lot less stress and shorter hours, and not worrying that the income would dry up
66.
by markroseman 9y ago
Two bad things that can happen... one, the order entry procedure on the computer (besides being more time consuming) has usability problems that make it easy to enter the wrong thing accidentally. And an incorrect order looks as official a
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by markroseman 9y ago
Doing things via pen and paper can be safer than doing things by a complex, poorly designed computer system that doesn't take into account actual work practices, patterns of collaboration that involve artifacts like paper as an essenti
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by markroseman 9y ago
I'll just pick up on one piece of what you said, "meds from a psychologist." While I don't disagree that greed may be a part of it, unless that person's extra training involved a medical degree... that's truly
69.
by markroseman 9y ago
One theme coming up here is the idea of just graduating more doctors, but even ignoring artificial pressures to keep supply low, it's not that simple. Many disciplines, particularly things like surgery, have a lot of requirements beyon
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by markroseman 9y ago
Agreed, this culture of abuse goes way back, and is as much rooted in a macho "I went through this, you're damn well going to" mentality. I do think the increasing corporatization of medicine in the USA has accelerated the lo
71.
by markroseman 9y ago
Absolutely it's about the administrative end and not patient care. We've got a situation in our regional health authority (Vancouver Island, BC, Canada) where they're trying to roll out a significant update/expansion to
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by markroseman 9y ago
Dr. Pamela Wible has long been a very loud voice on the issue of doctor suicide. Check out her website http://www.idealmedicalcare.org , which includes a link to her TED talk on the subject.
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by markroseman 10y ago
Not so much. There are pockets, with poor interoperability between them. Multiply this by the different health systems (one per province, plus assorted others) and it's still a mess unfortunately.
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by markroseman 10y ago
Improperly managing side effects (i.e. letting people know ahead of time about possibilities, using compensatory medications or switching altogether) is a big problem with many people who prescribe psychotropics. In competent hands, most pe
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by markroseman 10y ago
For GP's, it's because there's an increasing amount of information in every single field, so it stands to reason they'll be more on top of some than others. Where it gets bad is when they choose not to keep at least slig
76.
by markroseman 10y ago
Agreed. Doctors would never get away with the level of shoddy care or outright patient abuse they often do in any other field except psychiatry. There are some fantastic psychiatrists and GP's who do a fantastic job with psychiatry, bu
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by markroseman 10y ago
I find drugs.com useful, which seems to be derived from product monographs. Knowing that "very common", "common", "uncommon", "rare" and "very rare" have specific meanings (e.g. common ->
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by markroseman 10y ago
While there is some work done on matching people up with specific drugs, this is still very much in the research phase. Still, for many people, it's more trial and error than it needs to be. Many family doctors still don't match u
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by markroseman 11y ago
The separate process stuff has been in there for a very long time. There is still an option to run as a single process but it has long been deprecated (and hopefully disappearing soon too).
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by markroseman 11y ago
That matches my experiences when I was looking at desktop GUI toolkits for another project. I understand it though given most things are web or mobile these days. A recent poll I had on the TkDocs site showed documentation is definitely the
81.
by markroseman 11y ago
Exactly the target audience. I'm not a hardcore Python guy, but got involved because I had reason to try IDLE again recently, and after the initial "oh my $DEITY this is embarrassing" realized that not much effort would be ne
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by markroseman 11y ago
I think Tk is entirely reasonable for the types of "utility" applications that people are primarily using it for; nobody is going to start writing a flashy new cutting edge app in it today. For those with legacy code or other cons
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Modernizing Python's IDLE(tkdocs.com)
155 points by markroseman 11y ago|41 comments
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by markroseman 13y ago
I was doing CS at U of C same time he was. While I have a lot of respect for him in many areas, and found him entertaining to hang out with at times, there is just no way to overstate how abrasive and how much of an opinionated arrogant ass