symtym
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Medicare docs can get bonuses for using EHRs and e-prescribing in 2008 | GHIT | 11.5.07 For the first time, the Medicare program will pay bonuses to doctors and other health care providers for us...
Concierge medicine: Rx for stressed health care system? | AJC | 11.8.07 Concierge medicine — the name itself implying highly personalized services — has sprouted as a rebellion against what’s perc...
Health insurer tied bonuses to dropping sick policyholders | LAT | 11.9.07 Woodland Hills-based Health Insurance Inc. avoided paying $35.5 million in medical expenses by rescinding about 1,600 poli...
Doctor tried to avoid giving ER care to poor, state finds | Des Moines Register | 11.9.07 A doctor at Davis County Hospital in Bloomfield tried to avoid treating low-income people in the hospital’s...
Uwe Reinhardt eloquence: [O]n 10 July 2007, President Bush casually shrugged off the plight of the uninsured with the remark, “I mean, people have access to health care in America. After all, you j...
Your Doctor’s Business Is Your Business | WSJ | 11.20.07 “There should be a discussion between physicians and patients about financial involvements,” says Dr. Zuckerman, chairman of orthopedic surg...
USA Today: Dr. Daniel Carlat sank into a choice seat at Lincoln Center, surrounded by other psychiatrists, all staying at the same four-star hotel in Manhattan and attending the same show for free....
5 year old Border Collie trying to herd water in the gutter by drinking it. Author: symtym Keywords: dog Added: April 18, 2008
symtym: Physician disciplinary actions, the highs, lows and controversies: http://snurl.com/27u90 and http://snurl.com/27u92
symtym: Core issue, are surge assets wholly dependent upon funding (regardless of source)? Any drop affects surge capacity?http://snurl.com/27x11
symtym: Bringing in the dead: NYC to dispatch ambulances to preserve bodies of the newly dead; http://snurl.com/27x49
symtym: Big fight coming over cream-skimming (cherry-picking)? AHA v AMA, see http://snurl.com/27x5q
symtym: Yes! Should Medicare have a billing code to cover time taken in discussions about DNR orders? http://tinyurl.com/6hbgbb (via @lesmorgan)
symtym: #RHIO for-profit competition? Profit comes from the reduction in duplicate services. http://snurl.com/27xtl
symtym: #RUC = unintended consequences: http://tinyurl.com/6h27og (via @kevinmd)
symtym: #RUC = RVS Update Committee (http://snurl.com/27yrt) = a zero sum = how the physician reimbursement pie is sliced
symtym: The humor behind health care reform: http://snurl.com/27ysf
symtym: @lesmorgan Thanks, I was just looking for that after your tweet on Technorati. Do you know if there is one for del.icio.us?
symtym: Technorati: Technorati Profile
symtym: The wreck of the good ship -- #EMTALA http://snurl.com/285hf
symtym: With #EMTALA there is also the companion to unintended consequences, unintended expectations: http://tinyurl.com/62dmtx (via @kevinmd)
symtym: Tried Tumblr for the first time (http://symtym.tumblr.com/) -- very nice. The posts are in Markdown (http://snurl.com/285ip).
symtym: Tort reform is only a low-hanging fruit, what is affecting medicine/healthcare is much insidious and malignant: http://snurl.com/285k4
symtym: Attorney suggests "increasing requirements for doctors to take call" to solve #ER on-call shortages: http://snurl.com/285mn
symtym: "A lawyerly solution --turn the doctors into public utilities! That will cause doctors to rush to Florida!" http://snurl.com/285n4
symtym: "Drafting doctors for ER duty" (http://snurl.com/285no) -- Canada has tried that, their expense, US gain -- proving docs can be incentivized
symtym: @lesmorgan so true, "Medicare's burden on taxpayers will become increasingly unsustainable, both politically and economically."
symtym: @lesmorgan Is the aggressive marking a form of cream-skimming the Medicare population? Only the fit can meet for lunch or answer a phone.
symtym: Financial deportation? http://snurl.com/28fyf
symtym: Great Web 2.0 database http://app.blist.com/login
symtym: @digg: http://snurl.com/28g5m ; Google TiSP: http://www.google.com/tisp/ ; Reality: http://snurl.com/28g5k
symtym: About "feeding the bears": http://tinyurl.com/5gagpx (via @kevinmd) and http://snurl.com/28izk
symtym: #humor, my favorite book on physician-patient incentivized behavior http://snurl.com/28j09 by http://snurl.com/28j0d (warning music)
symtym: @Scobleizer is there a way to use Dipity to generate a timeline?
symtym: the #Satisfaction_Cult, at times, has no medical sense and no common sense (via @kevinmd) http://snurl.com/28j88 at "Unintended..."
symtym: "Yep...'consumer-driven healthcare' movement: leaving little to impact your real medical care..." http://tinyurl.com/6ys5gg (via @drval)
symtym: re: Consumer Driven Healthcare at http://snurl.com/28ja2 should be "information is power" we're not yet to "knowledge is power..."
symtym: Congressman Steve Kagen, MD, goes w/o health insurance, promotes #HR5449 at http://tinyurl.com/55md7k (via @lesmorgan)
symtym: Fragmentation Ends? Friend Connect http://tinyurl.com/6bgotz (retweet @mashable) (via @lesmorgan)
symtym: re: Consumer Driven Healthcare, is there a semantically progression? Data, information, story, knowledge... "Health 2.0" is at information.
symtym: @icmcc I checked it out this morning -- we're sharing the same bandwidth; what'ver we ascribe "health knowledge" to on the web -- it's & ...
symtym: @icmcc that didn't come through well, should have been "health knowledge" must be greater than "Health 2.0" -- semantic web, semantic health
symtym: will Google end-run the walled-gardens? http://snurl.com/28jgx
symtym: @lesmorgan I'm not sure I agree w/ all of that article -- there is an analogy, we don't drive w/ information, we drive w/ knowledge
symtym: AOL's walled-garden was circumvented -- I suspect FaceBook's and MySpace's walled-gardens will be retasked
symtym: re: Friend Connect; one of my favorite Patton quotes (re: Maginot line): fixed fortifications are monuments to the stupidity of man
symtym: True -- "sometimes when I talk to a Windows person about using a Mac, I feel like I'm explaining Van Halen to a horse." (via @hotdogsladies)
symtym: @icmcc we're almost 12 hours off-set -- I'm off to work, later...
symtym: Developed countries' drug research not sustainable -- another result of the coming baby-boomer implosion: http://snurl.com/28osn
symtym: #HIPAA; Farrah words have a true general ring: [no] strong...deterrents to stop...breach[es]...to invade...privacy... http://snurl.com/28ouz
symtym: "Champion[s of] P4P are mistaken in the most dangerous way...incentives [may] cause more harm than good", http://snurl.com/28p0i
symtym: The don't care how much you know... http://snurl.com/28p9o
symtym: #P4P never has a singular intended response: http://tinyurl.com/6fg3kc (via @kevinmd)
DB’s rant: [T]hose who champion P4P make an unfortunate assumption. They believe that you can push one button, and only impact the desired outcome. They are obsessed with measurement, and believe ...
symtym: All too familiar #EMTALA dialog at http://snurl.com/28pzi (via @kevinmd)
symtym: First line of common sense: http://snurl.com/28q0a
symtym: Incentivized Healthcare (aka #EBM, Cookbook Medicine): where #P4P is the carrot and #NeverEvents are the stick, http://snurl.com/28q0s
symtym: New terms for the week: #Medicalization (http://snurl.com/28q28) and translational research (http://snurl.com/28q22)
symtym: Irony: Sugar Substitutes Linked to Weight Gain, http://snurl.com/28q2m
symtym: #EHR and more carrots and sticks: http://snurl.com/28q5m
symtym: Technorati claiming FriendFeed: Technorati Profile
symtym: #P4P may cull "safety-net" hospitals (http://snurl.com/28uh4) -- imagine that, market competition might favor those best able to compete...
symtym: #Aging: hair will not grow where men want it; hair will grow where women don't want it
symtym: #Aging: nose-hairs are only seen with reading glasses
symtym: @Ihnatko for an ER doc, Cheetos are wonderful in the waiting room vending machines, residual dust is not consistent with reports of vomiting
symtym: So true: What do emergency physicians do?: Here's a taste. http://tinyurl.com/6cxuz6 (via @kevinmd)
symtym: learning all about #Htrae and #Htraesians at http://snurl.com/28vcf
symtym: #Htraesian stereotypes: http://tinyurl.com/69cupm (via @kevinmd)
symtym: Tuition-Free, Debt-Free Academic Physicians: http://snurl.com/28xh3
symtym: Universal health care would add to U.S. doctor shortage: http://snurl.com/28xmj
symtym: Never heard of Google Pages, tried it out at http://symtym.googlepages.com/home
symtym: @lesmorgan will this be appealed federally under the ERISA preemption because of the obvious insurance implications? CA S. C. 2B overturned?
symtym: LA preliminarily approves fines for patient dumping http://snurl.com/290nb
symtym: Another use for Summize (http://summize.com/) create a feed for your username - see where username crops up becuz of http://www.scoutle.com/
symtym: #EHR privacy core requirement for Wired for Health Care Quality Act (S 1693): http://snurl.com/291e4
symtym: #WHCQA: Wired for Health Care Quality Act (S 1693): http://snurl.com/291eh
symtym: as a Boomer with 3 Gen Y sons this is so true: http://snurl.com/293z4
symtym: The battle: “Consumer-Driven” v. “Patient Centered” Healthcare http://tinyurl.com/6nthuv (via @icmcc)
symtym: Herlzinger: convenience,control and choice. Capitation? MediCAID? What of the 4th "C"= cost? http://tinyurl.com/6nthuv (via @icmcc)
symtym: Where there is "entitlement," "no-cost" and convenience are king -- common in the ER (facilitated by #EMTALA). Even w/ capitation.
symtym: consumers in control of #EHR, maintain physician-patient relationship, get the system out of the way http://tinyurl.com/5pjuxp (via @icmcc)
symtym: I'm finding a lot of similarity between #EHR/#PHR and Data Portability, Friend Connect, social graph, etc. -- similarity = person-centric
symtym: listening to Gillmore Gang on #DataPortability (http://snurl.com/298of), excellent discussion; #HIE and interchanging data much more complex
symtym: @doctoranonymous so twitter instead of a warm glass of milk... ;)
symtym: @jenmccabegorman re: MedicareSaver, interesting needed service; the founders (via LinkedIn) are brothers: pharmacist, nurse/CTO
symtym: Balanced Billing war continues: http://snurl.com/29ahf
symtym: very tied up through the end of July -- working full time and studying for the California Bar; do you make to the left coast -- California?
symtym: @jenmccabegorman sorry, that should have been a reply; my site/blog is sort of dysfunctional now -- I keep mitigrating it from...
symtym: @jenmccabegorman mitigrating from ExpressionEngine to WordPress to Movable Type, back to EE and WP -- I'm really into housekeeping...
symtym: @jenmccabegorman come August (when I've got a life again) -- try and figure out what the site/blog should be -- for now micro-blogging is it
symtym: @jenmccabegorman at-symtyp destroys the allusion to symptom (the original concept) and the reverse backronym
symtym: @jenmccabegorman interesting combo of sponsors: Target and Fast Company...
symtym: [scanman] Here's someone else from northern CA @ruraldoctoring PCP --> Hospitalist & new blogger.
symtym: this is a big problem: http://snurl.com/29f6y and very common in the ER
symtym: Doctor ratings: http://snurl.com/29f9p and http://snurl.com/29f9t
symtym: nice way of wording death talk from palliative care specialist: "When you die, will you allow me to let you go naturally?" (via @drrwinters)
symtym: "we travel in tribes" and "Twitter's value has nothing to do with the technology." http://snurl.com/29jw9
symtym: Carrots still available at http://snurl.com/29jzq
symtym: Necessary: http://snurl.com/29jzx , my first son was fed for a year on "free" pre-mixed formula -- retrospectoscopically an ethical smudge
symtym: Hospitals underrate malicious intent in data breaches: http://snurl.com/29k09
symtym: @mdbraber my experience w/ PayPal is that it acts like a pseudo-escrow agent; the receiving registrar should be able to furnish a PayPal...
symtym: @mdbraber should be able to furnish a PayPal account for you to transfer funds; when I transfer money it is usually recorded in 2 steps
symtym: @mdbraber recent e.g., I contracted with a service and authorized the $$ transfered, the other party did not provide the service...
symtym: @mdbraber ...PayPal then disputed on my behalf and had the $$ returned -- psuedo-escrow like activity
symtym: Big yes here -- Hospital Night Shift Needs Attention at http://snurl.com/29k7a
symtym: Every politician moans that entitlement spending is out of control...scene of this crime is Medicaid...swindle works: http://snurl.com/29k85
symtym: [A}t that moment my patients started to feel like friends again—and not simply like liability risks.http://tinyurl.com/6dkts8 (via @kevinmd)
symtym: Drats, "[t]hings are trending well for the Lone Star State...docs are movin in, lawyers...heading west...California" http://snurl.com/29mkb
symtym: #NeverEvents , institutionalizing common sense, time-outs, listening to your inner-mother, Hawthorne effect... http://snurl.com/29mmb
symtym: Uninsured young invincibles: http://snurl.com/29mns
symtym: #EBM can be harmful...; “[o]ur effort is to eliminate the unwarranted, unjustified peculiar eccentricities...” http://snurl.com/29mpq
symtym: Medi-Cal brings back musical chairs: http://snurl.com/29mrn
symtym: Open source tracks source: http://snurl.com/29mva
symtym: Photoshopping the yearbook: http://snurl.com/29mz1
symtym: about time ---> Google Health Launched http://tinyurl.com/6k2hut (via @Techmeme) and http://snurl.com/29n5o
symtym: @scanman good night; a variation on a theme -- I'll be "nighthawking" emergency services -- wait, that can't work...those shadow readers...
symtym: #SCOTUS upholds (http://snurl.com/29nms) PROTECT {http://snurl.com/29nml): “[c]hild porn[] harms and debases...defenseless of our citizens,”
symtym: @doctoranonymous I believe (and use) it to repurpose a tweet into a different conversational context with attribution.
symtym: @doctoranonymous analogies: reply is analogous to a blog comment and retweet is analogous to a blog trackback
symtym: Google Health's profile feature allows not only different profiles per person, but allows you to have different persons/account -- families!
symtym: Google Health works fine with FireFox 3.0 RC1 not so good with Safari 3.1.1
symtym: Twitter is #twitipated again...interesting, I can post via Twhirl and it shows up in FriendFeed and then as the Twitter feed in Twhirl...
symtym: @mdbraber re: *.mht you might want to try File Juicer (http://echoone.com/filejuicer/), great app: http://snurl.com/29qem
symtym: The "3T’s" Road Map to Transform US Health Care: http://snurl.com/29ttz
symtym: Anyone interested in Evernote (http://www.evernote.com/) -- I have 9 invites, FCFS
symtym: Finalized definitions: #EMR, #EHR, #PHR, #HIE, #HIO, #RHIO at http://definitions.nahit.org/
symtym: been using AWS S3 for backup since January -- great service and price, tried it w/ JungleDisk, but like FTP better, http://snurl.com/2a24h
symtym: Google Sites now open to all; I've been using Google Apps/Sites on my domain name but now you don't need a domain: http://snurl.com/2a279
symtym: @projectdp haven't seen that, thanks -- I'll check it out...
symtym: @projectdp I looked, I still like using Transmit to FTP to S3 (just a matter of taste and experience), but thanks for the info
symtym: Ah, the semantical spectrum http://snurl.com/2a2ay
symtym: foolish ER doctor and foolish hospital (#HIPAA): http://snurl.com/2a4sm
symtym: @projectdp sorry about the delay, see http://www.panic.com/transmit/
symtym: Twitter the platform (excellent):"12 ways to use Twitter to increase your productivity..." (http://tinyurl.com/64bha8) (via @GrantGriffiths)
symtym: @rlbates I do a lot of facial closure in the ER, would the barbed suture be something to look at? never heard of them before; Quill SRS?
symtym: @GrantGriffiths TextMate, CSSEdit, Transmit ( sometimes Coda), MarsEdit; from MySQL backups and migration: Navicat; MAMP for desktop trials
symtym: The new ER panacea (anything to "fix" over-crowding except the cause): "quick triage" , http://tinyurl.com/5jugsm (via @kevinmd)
symtym: @rlbates most of our stellates are scalp (staples); what length do you think would be cost effective?
symtym: @rlbates that's what I'm thinking -- eyebrow/forehead/chin in the 2-3+ cm range; some pts it would be good to send out w/ subcut...
symtym: @rlbates ...others where compliance and infection are issues I'll do interrupteds and have them come back
symtym: Google Health and #HIPAA at http://www.google.com/health_hipaa.html
symtym: Excellent new features! #FriendFeed adds Reshare and Rooms feature: http://twurl.nl/h6nwej (via @laughingsquid)
symtym: Can #FriendFeed become the dominant social mashup? Someone (web 2.0) needs to dominate this space.
symtym: Its not just a cliché, elbow room: http://snurl.com/2a7tk
symtym: ER note: social engineering is closed for Memorial Day weekend
symtym: ER note: you know it's a holiday weekend when mother and daughter come for detox
symtym: Holidays, any holiday, you get all the interesting overdoses -- tonight an ingestion of Red Flower Oil, http://snurl.com/2aiok
symtym: @scanman as with many ingestions the amount is never really known -- probably a couple of ounces; salicylate was in toxic range
symtym: @scanman WTG, the description is almost as good as a twitter-cam
symtym: @FierceHealth but only Congress can officially state the obvious (re: CBO on EMR)
symtym: Mac users; BusySync (http://www.busymac.com/) great tool to sync iCal w/ Google; to be commended: rapid tech support on a holiday weekend
symtym: @FierceHealth re: pay for online work -- I see a Peter/Paul problem here, assuming zero-sum game; thinkers to be reimbursed for tech work...
symtym: Patient privacy for sale at http://is.gd/mrB
symtym: :) SEEDIE: the Society for Exorbitantly Expensive and Difficult to Implement EHRs, http://seedie.org/
symtym: Fomites all: white coats, neckties, stethoscopes: http://tinyurl.com/5dhkt4 (via @kevinmd)
symtym: Commodification, it has happened to Emergency Medicine -- Hospitalists next? http://tinyurl.com/5f9wl6 (via @kevinmd)
symtym: Surprise? wide Medicare expenditures and wide perception of medical care quality, http://is.gd/mEp
symtym: @ruraldoctoring nice: http://is.gd/mIl
symtym: @mdbraber re: Why conversation... reminds me of the Cluetrain Manifesto -- lots of similarities between the "marketplace" and healthcare
symtym: @jenmccabegorman interesting phenomenon when talkling with patient you have to address what Google said as well as their Aunt; internetitis
symtym: Nocturnists to improve care on the "graveyard shift" http://is.gd/mPU
symtym: Extormity (http://www.extormity.com/index.html) (via @drval) is Seedie (http://www.seedie.org/) endorced.
symtym: MySpace: Google Gears To Power Messaging; now only if Twitter offline/backup w/ Gears; http://tinyurl.com/6kun72 (via @TechCrunch)
symtym: The thing w/ Twitter is you don't know if it is Twitter or 3rd party apps, I just did a Mac 10.5.3 upgrade: Twhirl FF works but no Twitter
symtym: must have been Twhirl this time -- seems to be working fine now
symtym: About time iCal in Mac OS X 10.5.3 sync's Google Contacts (Official Google Mac Blog) http://tinyurl.com/6nwyyp (via @Techmeme)
symtym: @doctoranonymous re: Mac 10.5.3 -- I did it, iPhone sync'd but not turn on -- had to do a iPhone restore; trying the iCal Gmail contact sync
symtym: @scanman besides I don't think Dr. A and I are surgeons -- no os from us
symtym: favorite "Disruptive" articles: http://is.gd/nn2 re: Ozzie, Microsoft and Google http://tinyurl.com/6gr7yb (via @timoreilly)
symtym: @jenmccabegorman a start: http://is.gd/nqU
symtym: I try this URL (http://tinyurl.com/4ka8rv (via @KidneyNotes)) and get this: http://twitpic.com/1lr6 I have Flash and Shockwave in Safari?
symtym: @scanman re: waiting, someone has to be the canary... BTW my YouTube stuff works fine -- there's some call to a different plugin.
symtym: @scanman re FF3, I usually have 2 browsers open -- it works fine w/ FF3; BTW the YouTube video viewed on YouTube in Safari goes fine...
symtym: @scanman XHTML validator suggests there is invalid markup of the embedded video; Safari can't handle and FF3 is tolerant
symtym: @KidneyNotes have you considered doing a Mashup from FriendFeed? You can create a FriendFeed room which creates a feed.
symtym: @Peggikaye during the 4 years I lived in Tulsa (original from LA) I was always impressed w/ how many vehicles in the ditches you saw
symtym: @KidneyNotes actually, FriendFeed creates a mashup for the individual's activities and then the room creates a mashup of all the individu...
symtym: @KidneyNotes ...cont. FriendFeed will Mashup all kinds of different sources (e.g,. Twitter, YouTube, Delicious, Technorati...) and comments
symtym: @KidneyNotes e.g., http://friendfeed.com/symtym
symtym: @KidneyNotes re: FF don't believe there is a manual-populate; the room populate by members joining room -- room content then varies with...
symtym: @KidneyNotes ...varies with members and with what services the members are having FF do a mashup of -- a mashup of mashups...
symtym: @KidneyNotes ...disadvantage = no auto-populate, advantage = ability for dialog > 140 characters + comments on more than just twitter ...
symtym: @KidneyNotes compare w/ Pipes; Pipes: individual creates a static mashup; FF Rooms: individuals create a dynamic mashup
symtym: @drrwinters I take it you must be blending...
symtym: @Peggikaye 144 minutes, http://www.imdb.com/title/tt0499448/
symtym: @jenmccabegorman hoping not to wait that long (re: big bang, galaxies, 2 secs) -- only off by a magnitude of 10^15, but who's counting... ;)
symtym: trying out Acrobat.com (https://www.acrobat.com/) -- Google Docs competition; Buzzword (https://buzzword.acrobat.com/) now for Safari 3.1.1
symtym: @ruraldoctoring subQ gas around = sinus?
symtym: @scanman @ruraldoctoring -- well facial did not bring Ludwig's to mind, I have had 3 Ludwigs in the ER (18 years of practice); seen mucor do
symtym: @Peggikaye med school, then Fresno then Fair Oaks (east of Sacramento)
symtym: @ruraldoctoring PSVT + HTN = labetalol; is this the one in CHF?
symtym: @ruraldoctoring CHF, rate, BP -- the old chicken/egg dilemma -- who came first?
symtym: @Peggikaye ORU; we lived in Clovis and did my combined Internal/Emergnecy Medicine residencies in Fresno
symtym: the only thing that makes studying for the bar tonight minimally enjoyable is a new album from http://is.gd/pNP
symtym: @ruraldoctoring know Selma well; moonlighted in residency: Hanford and Dinuba; you can't bet more rural than Dinuba -- oh wait, Avenal...
symtym: @Peggikaye of course, north-west of Oakhurst -- I would bicycle ride from Clovis to Oakhurst; we would get transfers in Fresno from all over
symtym: @Peggikaye what about their water? what is that odor? I did two weekends @Hanford Community -- luv'd the brown ice in the frig
symtym: @Peggikaye the arsenicals are colorless, the hydrogen sulfide = color/odor, http://tinyurl.com/6deovc
symtym: @Peggikaye 81-85; in the 4th the 10th was the last class
symtym: @ruraldoctoring "the ER has yet another admission" -- that what we do ;) -- the 4 phases of EM: meet'm, greet'm, treat'm, excrete'm...
symtym: @ruraldoctoring and, any dispo is a good dispo...much to the hospitalist's chagrin... ;)
symtym: @Peggikaye Laurie? negative -- don't think I knew a Laurie there; my wife worked L&D at big pink -- St. Francis
symtym: @ruraldoctoring BTW, luv hospitalist -- we just got them at my main hospital about 9 months ago -- good quality colleagues always there...
symtym: @Peggikaye don't recognize the Cronins
symtym: @ruraldoctoring too much anaerobic liviing...what was that about a "nomal ABG"
symtym: @ruraldoctoring my peeves: "BP is high," "pulse is low," "02 sat is bad" -- tests give objective numbers, not subjective opinions
symtym: Energetic apathy: A lot of energy and passion devoted to maintaining the status quo. http://is.gd/pQB
symtym: why social networks have downtimes: http://is.gd/pAC
symtym: Pageonce is out: http://www.pageonce.com/ nice 2C competition for Netvibes
symtym: @scanman @ruraldoctoring started w/ Mac+ (1987), IIci, LCIII, PB160, Quadra 650 -- then 8y in a windaze then Intel came: MBP, iMac
symtym: @scanman @ruraldoctoring fastest WinXP is my iMac running Fusion; PRN w/ either Boot Camp or Parallels on the MBP; wife/2 sons on MBs
symtym: too cool, had been waiting for Delicious-Monster 2 to come out the other day -- went w/ Rov BT scanner option: http://is.gd/8bO ...
symtym: from JAMA: Legal Reforms Necessary to Promote Delivery System Innovation, http://is.gd/qiA
symtym: from JAMA: #NeverEvents the stick to #P4P the carrot, http://is.gd/qiM
symtym: going to work...see what I can drum up for the hospitalist...
symtym: E-Prescribing Gets Support in Congress: Medicare carrot/stick or zero-sum game: http://is.gd/rfA
symtym: @FierceHealth agree on e-prescribing coming -- going to be incentivized bigtime
symtym: @FierceHealth re: now you're just joshing me; beats me what Twitter is doing -- not sure how that post occurred, so I deleted
symtym: [FierceHealth] ah, an ER doc. maybe YOU can explain to me why they do EKGs but no echocardiograms in the ER?
symtym: Twitter is twarting real bad tonight...tweets from hours ago are now appearing minutes ago -- some direct msg are now posted to all...
symtym: [scanman] U could delete those tweets, of course.
symtym: [scanman] U may have gotten the syntax wrong for direct tweets. I noticed [name]. twitter may not have recognized '[' ']'
symtym: @scanman Twitter is twarting real bad tonight... see what I mean... firing triplets; also strange that the direct msg was sent by Twhirl...
symtym: @scanman ... and not be the web as the tweet indicates, have no where the square-brackets are coming from -- I didn't do it
symtym: @scanman HealthVault, http://www.healthvault.com/
symtym: @ruraldoctoring hm, I believe that is the Space Station -- but no doubt those in the shuttle's glide-path would be happy too...
symtym: [FierceHealth] did you see the column I wrote drawingon your work? it got a great response. thanks again!!!!
symtym: rational "rationing" will have to come; a 3rd-rail (http://is.gd/uvb) activity; http://is.gd/uv7
symtym: Hm, do you have to get that close? Preparation H for baggy eyes: Does it work? http://tinyurl.com/5o6zjc (via @kevinmd)
symtym: @lesmorgan re: 10% MediCal cut; may well be the inflection point for the state, where average cost is greater than average reimbursement
symtym: the full 107 minutes is well worth it, but if you don't, then 60 seconds: http://is.gd/utR
symtym: agree! because they created two legs to stand on: consumer and enterprise; Palm 1st, RIM 2nd... http://tinyurl.com/5e7wrv (via @Techmeme)
symtym: too early, but RIP RIM has a nice ring...
symtym: Distinct advantage: a webinar, the marketing dude can't tell you left the room ten minutes ago. Talk about _win-win_. (via @hotdogsladies)
symtym: @jenmccabegorman striking: 42% of U.S. adults were underinsured or uninsured
symtym: @jenmccabegorman and "underinsured report high levels of access problems and financial stress" -- chief reason for ER utilizations
symtym: @jenmccabegorman only if "fine" = cusp of failure; from my perch our national healthcare policy is "just go to the ER"
symtym: @jenmccabegorman aside, ambulances are utilized for just about everything (I can't be shocked anymore), now seeing more becuz of gas prices
symtym: Health care is finite resources applied to an infinite appetite. http://is.gd/uHF and http://is.gd/uHI
symtym: alternatively, supply and funding are limited, demand is unlimited -- US Healthcare in 10 words or less
symtym: Jargon watch: "micro-boredom," what you do with those bits of downtime. Courtesy of KPMG at OnHollywood. (via @dhowell)
symtym: @GrantGriffiths old: http://tinyurl.com/ywoh5z
symtym: @GrantGriffiths re: Jaiku, all I've seen is the big stall -- Twitter has the inertia for the time being
symtym: @GrantGriffiths the putative Twitter-killers: Pownce and Jaiku, IMHO Twitter will either fix itself so that it scales, gets bought, or...
symtym: @GrantGriffiths ...or Twitter falls to the yet to be seen next big web 2.0 app that captures Twitter's mass -- needs 2B an integrating app
symtym: @GrantGriffiths agree on the new Twhirl; I guess with plurk -- puke was taken...headless pig indeed...
symtym: @GrantGriffiths like timeline in plurk, too confusing; have you looked at Dipity? http://www.dipity.com/user/symtym/timeline/symtym
symtym: @GrantGriffiths its spontaneous generation -- instead of rats from old socks in the corner, we get web 2.0 apps...
symtym: http://twitpic.com/245m - @scanman @ruraldoctoring my antipole = -38.5167 121.5, just talked with him ;)
symtym: @lesmorgan bet that CA will handle MediCal in like fashion to help "balance" the budget -- counting beans on #NeverEvents now
symtym: @scanman and if a weblog sees a comment, then its 6 more weeks of blogging... http://is.gd/vhm and http://is.gd/vhp
symtym: @scanman no swim, bottom-dweller... ;)
symtym: @ruraldoctoring agree, it redefines neighbor, colleague, etc. -- to some degree it replaces "what" with "who"
symtym: does anyone know how @YourSaviorGOD inserts itself in to your "following" --no "block" option -- religious spam is spam no less
symtym: once you remove @YourSaviorGOD from follwing you then you can block; the block option should be available for anyone you follow
symtym: on model: http://tinyurl.com/6b55ts (via @drval)
symtym: YCMTU, Ninth Circus performs again: http://is.gd/vlG
