kyouens

6 ms·

1.
by kyouens 5d ago
I don't see much chance of a slowdown without government regulation; the economics make it practically impossible. And I don't seem much chance of government regulation unless there is global consensus. With the entire global or
2.
by kyouens 3mo ago
Please let the zillions of people still fogging into my hometown (an Austin suburb) know!
3.
by kyouens 1y ago
Funding is mostly controlled by the federal government, via Medicare and Medicaid, and if I am not mistaken the funding levels are set by Congress.
4.
by kyouens 1y ago
I am a doctor and I run a graduate medical education program. The constraining resource is generally funding, not limits imposed by ACGME. For example, my program is ACGME-approved for two trainees per year, but we have funding for one.
5.
by kyouens 4y ago
In this conversation, it’s important to distinguish science itself (which, along with facts, are already under attack in our politics) from failings of the research industry .
6.
by kyouens 5y ago
You are right, to an extent. Health systems and EHR vendors both have historically had an economic disincentive to share data. Think “ecosystem lock-in”. My impression is that things are gradually changing for the better.
7.
by kyouens 5y ago
Couple of points: The 21st Century Cures Act has recently expanded rules for information portability, which will make it much easier to get access to your data in the future. The challenge here has nothing to do with radiologists hoarding
8.
by kyouens 9y ago
I'm also a physician. I am generally satisfied with my work, but I do feel distressed by what feels to me like erosion of the social contract between doctors and society that flourished during the second half of the twentieth century.
9.
by kyouens 9y ago
The limiting factor to creating more skilled physicians is not medical school admissions. It's residency training slots. Most residency training slots rely on federal government funding. Pretty much everyone, including the AMA, agre
10.
by kyouens 11y ago
The issue of positive predictive value versus specificity comes up almost every day in my work as a pathologist. There is widespread misunderstanding, and in my own anecdotal experience, it very frequently results in unnecessary lab testin
11.
by kyouens 12y ago
I am doing the same thing without the HDMI audio extractor. The Chromecast is plugged directly into an HDMI port on the receiver. It works fine. Maybe whether the extractor is necessary depends on the receiver.
12.
by kyouens 12y ago
Whether it will work seamlessly may depend on the receiver, but I have a Chromecast plugged into an HDMI port on my Yamaha unit. (Note, there is nothing plugged into the HDMI out port on the receiver.) This setup works flawlessly for stre
13.
by kyouens 12y ago
Don't think so. I think it'd be the same force as it would be anchored, just distributed along more of the rope.
14.
by kyouens 14y ago
As long as Rdio isn't in the same boat, we'll be OK.
15.
by kyouens 14y ago
I can tell you why I use the NY times mobile site instead of the Android app on my Galaxy Nexus: the ads. The ad on the mobile app stays on the screen when you scroll the content. It's frequently an obnoxious color that distracts from th
16.
by kyouens 14y ago
I am really starting to like Google docs as a possible Evernote replacement, as soon as they improve their offline editing support. One thing I can't figure out is how to change the default font for new documents. I try saving the "Normal
17.
by kyouens 14y ago
I actually like the ribbon, especially when working on tables, charts, and the like. My only complaint is that it takes up so much vertical screen real estate.
18.
by kyouens 14y ago
Yes, I think you're right. I guess my feeling is that I would rather pay for the service. That way I am the customer, I'm not the product.
19.
by kyouens 14y ago
Should I worry about my privacy if I use this "free" service? I don't really want them to serve me targeted ads based on the contents of my Google Drive. I don't know whether they plan to do anything like this, but still. Giving Google a
20.
by kyouens 14y ago
I can't speak for everyone else, but for myself, "tunnel vision" explains it pretty well. At some point in high school, I just decided being a doctor was a totally awesome thing to do. I can't remember the real reasons why I chose medicine
21.
by kyouens 14y ago
There is a certain element of truth to what you are saying. When I was early in my training I was dissappointed in my choice of medicine as a career because I also thought it lacked an outlet for creativity. As a now experienced physician
22.
by kyouens 15y ago
In my view, one of the reasons for runaway healthcare cost may the way that insurance coverage distances the patient / consumer from the true costs involved. (e.g. "My statin costs $5 a month because that's how much my co-pay is." No.) Ins
23.
by kyouens 15y ago
Microsoft Office. LibreOffice is pretty good as a standalone product, but when I used it regularly I had nagging document formatting problems when exchanging files with my work colleagues.
24.
by kyouens 15y ago
While I'm as much a fan of productivity pr0n as the next guy, every time I look at an org.mode customization walkthrough or something similar I'm reminded of this classic blog post by Merlin Mann: http://www.43folders.com/2005/05/18/becau
25.
by kyouens 15y ago
I agree. This is also evidenced by the way they dribble out their leaks in the most politically damaging (for the US government, particularly) way possible, accompanied by press releases and interviews. If they are about freedom of inform
26.
by kyouens 15y ago
Agreed. There's got to be a happy medium between failures on this end of the spectrum and failures on the other. GIMP? Really?