A cranky biologist who means well. My hobbies include long walks off short piers and anything science related.

  • 5 Posts
  • 386 Comments
Joined 2 years ago
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Cake day: June 25th, 2023

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  • They seem to have dropped the ball on floods too.

    I don’t want to be a doomer, but I feel pretty confident predicting some awful influenza, measles, covid and other easily transmitted (and prevented) diseases.

    What will make it worse is that as the news trickles out about outbreaks, those reports will be countered by FUD, misinformation, bullshit and prevarication by the federal government. We won’t even be able to agree there is even a problem.

    This will be compounded by local health infrastructure being at reduced capacity due to the precarious financial status of this infrastructure due to constant federal meddling with grants and funding. For many players in our disease prevention and treatment infrastructure, losing even a few percent of Federal money from their budgets can trigger a cascade of cutbacks and personnel losses.

    Someone please tell I am being paranoid. I have worked in biomedical industries for years and I can’t see how we can avoid these consequences now.


  • They seem to have dropped the ball on floods too.

    I don’t want to be a doomer, but I feel pretty confident predicting some awful influenza, measles, covid and other easily transmitted (and prevented) diseases.

    What will make it worse is that as the news trickles out about outbreaks, those reports will be countered by FUD, misinformation, bullshit and prevarication by the federal government. We won’t even be able to agree there is even a problem.

    This will be compounded by local health infrastructure being at reduced capacity due to the precarious financial status of this infrastructure due to constant federal meddling with grants and funding. For many players in our disease prevention and treatment infrastructure, losing even a few percent of Federal money from their budgets can trigger a cascade of cutbacks and personnel losses.

    Someone please tell I am being paranoid. I have worked in biomedical industries for years and I can’t see how we can avoid these consequences now.




  • I can attest from experience with a parent who eventually died of Parkinson’s disease. (The usual cause is finally choking on food.)

    It steadily erases one’s ability to project their humanity. Even more cruelly, it gives occasional respite so you can’t forget there is a complete person suffering in that quivering shell.

    In summary, fuck Parkinson’s and all other neurodegenerative diseases.




  • Drawbacks of EPIC

    Super expensive - only large outfits can even afford it.

    Poor design - a multitude of modules that often use different design principles so knowing one module doesn’t help much with another.

    Extreme vendor lock-in - EPIC is very similar in business model to Microsoft in the first decades, basically a mafia.

    Lack of interoperability - EPIC interfaces poorly with lab and diagnostic equipment, EPIC actively fights development and adoption of interoperabilty standards.

    Dictating Clinical Workflow - EPIC is designed primarily to assist billing, not record keeping for patient benefit. Thus workflows are highly constrained and significant time must be spent clicking about to get the system to let one do normal things.

    I mean, EHR is inherently complex so any EHR, but EPIC makes it much worse than it needs to be.