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Comment Re:What a bargain (Score 1) 132

When you have to pay $10/mo for Xbox Live, you're out another $120/year.

Both Xbox Live and PS+ are available for $50/yr, and you can find it them on sale for $35-40/yr.

When you have three people in the house and have to pay $40/yr for PS+ or Live on each of their consoles, you're out another $120/year.

I believe that MIcrosoft has a family plan that allows 5 accounts to all be connected simultaneously for $80 or $100 a year. I'm not sure the exact price or the exact number of users but I had considered doing it with friends as it is cheaper than the discounted prices you'll find.

Comment Re:Amusing Conjunction (Score 1) 132

Headline on the story just below this one:

"Microsoft Can't Shield User Data From Government, Says Government"

That certainly does make for a ringing endorsement that you should buy an Xbox one and attach an always on microphone...

They no longer bundle the Kinect with the Xbox. In fact, they also freed up the resources that they had dedicated to the kinect to allow developers to have more horsepower. Not only that, but the article you're referencing is the government's claim that Microsoft cannot shield the data, not Microsoft's actual position on the matter.

Comment Re: Really Meyers thinks she is staying? (Score 1) 181

I'm sure the participation trophy CEO will be just fine. All the people who actually work there whose lives got ruined are another story but in the US workers are irrelevant anyway to most people including other workers.

She probably worked something into the sale that gives her a guaranteed position at the company for a fixed term. This is very common, I have never seen a company acquired without such a deal for the executives who wanted it. And it's a pretty cushy gig, too. You get paid to watch someone else run the company while you cash checks.

Comment Re:Brazil wasn't far off (Score 1) 325

Yeah, but you understand the reason you're not supposed to eat is that you could be risking your own life if you have food in your stomach while you're under general anesthetic. You can puke and choke on it. (Risk may be doubled depending on origin of meal...)

Hahaha of course I understand the reason for fasting before a surgical procedure. The McDonald's likely congealed in the patients stomach and would not have come up without tearing a hole in their esophagus anyway ;)

Comment Re:My PCP has a "scribe!" (Score 1) 325

Yes, I suppose if you put your mind and wallet to it, you could access all the paywalled medical journals and learn navigate the system of publications to find what's relevant to your particular medical need. If you took that a step further and gave yourself a "full workup" examination, you, too, would have found your hernia - that's standard practice dating back 50 years or more.

The point is, doctors do this daily, they're practiced, and they have a fair idea about common problems and how to spot them - you should go through the "front line" of diagnosis of common problems, like hernia, before digging deeper into the latest research. But, when you fall into the group of people with medical needs that aren't adequately addressed with common, front line diagnosis and treatments, that's where the new stuff becomes valuable. Things that would have gotten a shrug of the shoulders and Rx for some pain killers last year might actually be treatable today. I remember in 1991, a colleague had ulcers, and his doctor was stuck firmly in 1989, telling him to avoid food and drink that irritate the ulcers and basically hope they'll go away on their own - thing was, in 1990 they published the causal connection between H.pylori and common ulcers, making them curable with a short course of antibiotics, which is common practice today, but his doctor wasn't "up on these things" so he was left to suffer.

And how quickly do you expect that research to be available in an expert system? Or are you imagining that these record systems are automatically indexing these journals as they publish?

Comment Re:'Nother reason I want single payer (Score 1) 325

the constant battles on the part of doctors to get paid by insurance companies who's single goal is to not pay. In no other part of my life are my goals (getting care) and the service provider's goals (not paying for that care) so diametrically opposed. I've got family members with nasty health complications from easily treatable problems that were let go because the doctor didn't want to order tests in case they came back negative. If a test comes back negative the doctors never get paid. Come to think of it I see this in one other place. B2B transactions. In so many of them business A won't pay the invoice for business B until A needs B's services again. I read somewhere Don Trump is famous for that, but having worked for small businesses it's so common he could just be going with the flow.

I have this exact problem with multibillion dollar corporations. You literally have to hold their own goals and projects hostage to get paid a $20,000 invoice on some travel expenses THEY required. You ask me to fly across the country last minute (read same day) because you can't schedule something properly and then you want ME to float the $2,000 plane ticket until you need me to save your project again? I don't think so.

Comment Re:Thank you Democrats? (Score 1) 325

No, Democrats thought that electronic records would reduce paperwork, and redundant tests. So, in 2009 & 2010, they passed bills coercing EHR use. So now medical records suck up doctor time. Wise governance?

I don't believe this. For one thing, every doctor now has to ask their patients if they are a drug addict in order to bill medicare. It doesn't matter WHY you're seeing the doctor. You could have a cold and the doctor is still supposed to not only ask whether you smoke pot but if your parents or siblings do. How does that help anyone?

Comment Re:Brazil wasn't far off (Score 5, Funny) 325

Patients are horrendously unreliable. The classic is hospital surgery. "Have you had anything to eat since last night." "No, just a bacon and egg McMuffin on the way in this morning." *

*actual conversation I heard while waiting for surgery. The person didn't think don't eat meant don't eat.

TO be fair to the patient, I would hardly call that food.

Comment Re:My PCP has a "scribe!" (Score 1) 325

Modern practice of medicine absolutely does make doctors into data entry clerks. Big data is telling them what works, what doesn't, improving diagnosis and treatment, the volume of data and pace of discovery are such that no human being could possibly keep up with it in the traditional med school + residency + practice & annual CE fashion. If your doctor isn't "jacked into the cloud," you're not getting the best out of modern medicine.

This is ABSOLUTELY not to say that the best medical care comes from doctors who attempt to practice cloud connected medicine, effectiveness of practitioners varies tremendously, and the best traditional doctors are far far better than the worst "big data" based doctors - but, if you think you might need a procedure performed, it's probably best to consult with an MD who is "up on the cloud" in your area of need, and simultaneously guaranteed NOT to profit from you going ahead with the decision to have an expensive procedure performed.

I'm not sure that I believe this. For one thing, anything that is "in the cloud" I can look up myself. For another thing, sometimes solving a patient's healthcare problem is more about being a good problem solver than knowing the latest and greatest anything. I once had extreme pain when urinating. All of the symptoms pointed towards one of two things: an STD or a kidney stone. An expert system would have said kidney stone since I (being a basement dwelling Slashdot user) was not exposed to any STDs prior to the onset of the symptoms. Did I have a kidney stone? No. It turned out that I had a hernia that was not causing me any discomfort whatsoever. At least, it hadn't for years until it finally pushed against my urinary tract and caused a very serious kidney infection. Not being in the right risk category for a kidney infection, my doctor decided to do a full physical and that is when he discovered the cause of the problem. The expert system could only indicate where there was a symptomatic problem, the doctor found the asymptomatic cause of the entire mess.

Comment Re:Bull Stuff (Score 1) 325

It depends on their tech setup. One heathcare provider has a workstation in every room, and it takes the doctor about 1 minute to review patient records and a couple more minutes to update it after the exam is over. Another heathcare provider takes notes and transfers them all at the end of the day. Yet another still uses paperwork and is very much not organised.

It depends on their tech setup. One heathcare provider has a workstation in every room, and it takes the doctor about 1 minute to review patient records and a couple more minutes to update it after the exam is over. Another heathcare provider takes notes and transfers them all at the end of the day. Yet another still uses paperwork and is very much not organised.

I don't want to use explictives, but they are warranted to the most extreme degree possible. This 1 minute talk, it takes that long to login..if the system is polite, then to open the chart, then to find the actual note, then to load the CT scan... There are multiple hard studies that show 33% reduction in efficiency that cannot be recouped.

Patients just love when you stare at a computer instead of talking to them....

This is crazy, I fight with my nurses every day. They tell me I have to input codes, I have to reconcile X, or Y or whatever.

F. That! I talk to my patients. I deal with them, and I deal with that screaming on the back end, but I'm not typical. I fight to talk to people like I would want to be talked to if I was a patient. I am burnt out, I can't fight forever. They will wear us down, your care will suffer. You let this happen, you asked for it through shitty laws that paid doctors 20% more to be part of a hospital system. You will suffer and you asked for it.

Practicing Surgeon MD

I just recently was consulting with a surgeon (who actually recommended I not have surgery but still took care of my injury with multiple follow ups to see how I was doing) who has his staff come in and prep everything. It looks like their system requires a password to switch charts. So the MA comes in, pulls up your chart and imaging and then leaves it up for the doctor. Of course, I could probably attempt to break into the system but feel like that would be impolite. It might be a HIPAA violation, I am not sure, but it certainly keeps him from looking at the computer instead of me.

Comment Re:Weapons and ammunitions guides? (Score 1) 252

Isn't on the battlefield a little late to be reading weapons and ammunition guides?

These types are usually trained on foreign service weapons in their area of operation. They may be using scavenged weapons and may need to look up a more complicated task that they have not performed on a regular enough basis to have memorized. Same with ammo.

Comment Re: The Republicans want to make everyone work (Score 1) 1135

Bankruptcy doesn't mean what you think it means, It occurs when a person's or Company's cash flow is insufficient to meet it's obligations; a Company can be quite profitable due to the ways capital assets are depreciated, yet have insufficient liquid assets to pay it's bills.

Most truly wealthy people have several bankruptcies; to become that wealthy you have to be much less risk adverse than the average person.

I used to work for a bankruptcy law firm, I am aware that one can be forced into bankruptcy due to a lack of liquid assets. Anyway, we all know that when Trump puts a value on his net worth that he says:

[My networth fluctuates] with markets and with attitudes and with feelings, even my own feelings

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