[-] Aesculapius@kbin.social 21 points 8 months ago

Especially if it's a cock ring

[-] Aesculapius@kbin.social 15 points 9 months ago

Physician here.
Medicine is one of the few professions in which capital is tied to labor (at least of the licensed independent clinicians). Hospitals, clinics, etc., can't run any test, provide any service, perform any surgery, without a physician (or other licenses clinicians) order.

Health systems rely on their physicians to drive clinical practice. Physicians are the experts after all. It's a mutually beneficial relationship, but at its core, it is a partnership. This partnership certainly has it's ups and downs. But this is what happens when the health system forgets that it is a partnership.

[-] Aesculapius@kbin.social 13 points 10 months ago

I liked it when it first came out and now. That base line bullshit they added in S3 on the other hand....

[-] Aesculapius@kbin.social 19 points 10 months ago* (last edited 10 months ago)

Hear me out: If the GOP could just, I don't know, at least talk to the other 49% of the House, they may be able to get at least some of the things they want.

Apparently I'm really optimistic today.

[-] Aesculapius@kbin.social 19 points 10 months ago

The new uniforms have something like that too:
Command
Science
Coms/Engineering

[-] Aesculapius@kbin.social 13 points 10 months ago

Up until a couple years ago, the Pacifica was the only hybrid available. The Sienna has a hybrid now. But that's it.

[-] Aesculapius@kbin.social 19 points 10 months ago

Security risk is the bigger concern IMHO. These devices are often a security weak point for networks. Putting them on their own wifi network and then isolating that network is critical.

[-] Aesculapius@kbin.social 13 points 10 months ago

I really liked it when the show first started. I thought the divergence from the regular formula at the time was a nice change. The theme of the song was also on point for the theme of the show - humanity coming into their own on the galactic stage. I'm in the middle of my first rewatch since the show first aired. I still like it. As for adding a base line to it in season 3....WTF?

[-] Aesculapius@kbin.social 12 points 11 months ago

Be sure to drink your ovaltine

[-] Aesculapius@kbin.social 15 points 1 year ago

This is great!

Right now there is a serious issue with discharging patients from the hospital environment into skilled care. Since COVID, many nursing homes don't take admissions over the weekend, limit admissions to long term care (as opposed to transitional care which is short term - and better reimbursed), and often have wait times. This has the effect of increasing the length of time a patient is in the hospital unnecessarily, thus decreasing hospital capacity.

Yes, the nursing homes have staffing issues, but they pay for shit. Many of them pay less than $20/hour. You need to goto school to get your CNA license which isn't free. You can get many other jobs for better pay without the investment of education.

Source: I am a hospitalist physician. I work with nursing homes a great deal and my wife used to work at one as a CNA.

[-] Aesculapius@kbin.social 22 points 1 year ago

Physician and Chief Medical Officer here. I started my practice on the tail end of paper records and I have been through, and led, several different renditions of electronic medical records. Like any other software, the technology has evolved and matured over the last 20 years. Electronic Health Records are just about patient information anymore either. They incorporate patient info, clinician orders, billing, and also provide numerous cross checks and safety systems to improve patient care.

The article discusses the issue with digitizing handwritten notes. This is always problematic as they are not searchable, indexed, etc. and can be very difficult to work through. The system where I work has been on the same medical record system for over 10 years. This provides an efficiency that I didn't have when I was working in a paper system. The entire chart is searchable. Medical history sections are filled out and robust.

From a safety perspective, these systems give us so much more than we had. One prime example is bedside scanning. When a nurse administers a medication in a hospital environment the medical record plays a pivotal role. As a physician I enter and order for a medication. If there is an allergy, medication interaction, or a host of other things, the system will alert me to it before the order is signed. Once signed, the order then goes to a pharmacist to review and approve. The patient's nurse will then be notified of the order and be able to pull the medication from an integrated medication storage unit with multiple drawers and compartments to ensure the right medication is taken. Finally, the nurse must use the EHR to scan the patient's armband and the medication barcode. If there is any discrepancy, the medication is not given until the issue is resolved.

From a user perspective, I can now create notes and write orders faster than I could in a paper world, even with dictation. Most docs use a combined template/voice recognition approach which works well. There has been a great deal of work in the Epic world (one of the largest EHR systems) to increase efficiency and improve the user experience.

Are these systems perfect? Far from it. But things are better now, at least where I work, than this article makes it seem.

[-] Aesculapius@kbin.social 17 points 1 year ago

He may be doing this intentionally. He and his team may be looking for a judicial reaction in order to use it as grounds to move the trial to another location citing unfair bias.

Speeding up the trial would be a good move. The judge still needs to be careful so that she doesn't give grounds for appeal. I vote for huge fines.

view more: ‹ prev next ›

Aesculapius

joined 1 year ago