OT - NO POLITICS Off Topic 2020 part XXI - Punxsutawney Phil says EARLY SPRING!!!!! ( We are doomed )

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Glove Malfunction

Ference is my binky
Jan 1, 2009
15,875
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Pleasantly warm, AZ
@Glove Malfunction As you know I have seen Epic work flawlessly (Partners and Cambridge Health Alliance) and as a disaster (Mount Auburn). Mount Auburn is finally getting the kinks out after 3 years but it is still unsettling that My Chart has info I can see but my PCP can not but I blame the culture of the hospital itself not Epic.
Maybe it's because I worked at both CHA and Partners, but not Mt Auburn?:sarcasm: Seriously though, from an analyst perspective, this is very intriguing to me. And it bothers me that it has either not been reported to IS, or has yet to be addressed.

Interestingly, a pharmacist consultant I worked with on the contract I just finished in Reno had a verbal offer for a job at Mt. Auburn, and they took so long getting the paperwork done, he got a consulting offer and he was submitted, interviewed, offered and accepted while Mt Auburn was playing tiddly winks. So I can see it being a culture thing there.
 

Aussie Bruin

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Aug 3, 2019
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Victoria, Aus
This popped up in my Facebook memories. Just shy of 20 years ago, the Big E (Enterprise, not Eric Lindros lol) stopped in Pensacola for a brief visit during carrier qualifications. I remember the lines were outrageous, but it was fascinating to get to go on an active carrier. We got to ride on the jet elevator, go up in the tower, the whole works.

The next year, she was in the Gulf after 9/11.

View attachment 324997 View attachment 324999 View attachment 325001

Very cool. Never been on an aircraft carrier, but we're going to New York in April and will visit the USS Intrepid. Looking forward to it!
 

Fenway

HF Bookie and Bruins Historian
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Sep 26, 2007
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Maybe it's because I worked at both CHA and Partners, but not Mt Auburn?:sarcasm: Seriously though, from an analyst perspective, this is very intriguing to me. And it bothers me that it has either not been reported to IS, or has yet to be addressed.

Interestingly, a pharmacist consultant I worked with on the contract I just finished in Reno had a verbal offer for a job at Mt. Auburn, and they took so long getting the paperwork done, he got a consulting offer and he was submitted, interviewed, offered and accepted while Mt Auburn was playing tiddly winks. So I can see it being a culture thing there.

A couple of years ago my PCP wanted me to come in for some tests and be admitted overnight. The procedure was before going upstairs the ER would declare me medically stable. So they take blood and give me an EKG and then an hour goes by during which I get an email with the results of the blood work. Finally, I ask the nurse what was the hangup and she said we are just waiting for your results and I showed her the email. She then gets the doctor and he is livid as the ER still didn't have the data.
 

BNHL

Registered User
Dec 22, 2006
20,020
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Boston
A couple of years ago my PCP wanted me to come in for some tests and be admitted overnight. The procedure was before going upstairs the ER would declare me medically stable. So they take blood and give me an EKG and then an hour goes by during which I get an email with the results of the blood work. Finally, I ask the nurse what was the hangup and she said we are just waiting for your results and I showed her the email. She then gets the doctor and he is livid as the ER still didn't have the data.
A friend had this exact thing happen yesterday with a pathology report.
 

Dueling Banjos

Registered User
Oct 29, 2014
7,103
5,867
Next time you're in Flagstaff, take the half hour trip to Williams. A great little city that really embraces it past as a stop on old Route 66.

Yeah Williams is great, Kingman, Seligman too.

Next time i ll drive east to Winslow and explore eastern Az - big area, often overlooked i'd say.
 

Mainehockey33

Powerplay Specialist
Jul 15, 2011
10,225
7,764
Maine
The femoral head is the "ball" in the ball and socket joint, and is actually a lot less common in elderly patients than a femoral neck fracture (the neck is the part of the bone connecting the shaft of the femur to the ball or head). Fractures to the neck are much more common in the elderly, and femoral head fractures are typically associated with trauma (from the force of the head (ball) hitting the acetabulum (socket)),and are often accompanied by a hip dislocation. Sounds like things are heading in the right direction though, so that's good. best thing you can do is do your PT exercises! they've gotten really good, and in a youngin' like you, they'll work wonders, even though they'll suck while you're doing them.
I think it’s actually the femoral neck.

33018-BED-0351-4711-88-C8-6-ED697-A29-E1-A
B3-D8-D44-F-FC39-462-E-837-C-863-FD6-A2-E692

I’m home in bed now, pretty sore. They said today and tomorrow will probably be the worst.

That’s really cool you worked in Rumford. It was crowded when I came in but they took good care of me. My nurse was one of my friends younger sisters and she was great. I was in a lot of pain then but they did their best to manage it. They were actually a little stingier with the pain meds in Lewiston I think.

Here’s what my hardware looks like. I’ll see if I can get a picture of my gamma nail at the checkup.

Fig. 2 AP view of a trochanteric fracture treated with a Gamma nail....
 

Glove Malfunction

Ference is my binky
Jan 1, 2009
15,875
8,921
Pleasantly warm, AZ
Yeah Williams is great, Kingman, Seligman too.

Next time i ll drive east to Winslow and explore eastern Az - big area, often overlooked i'd say.
I was born about 30 miles east of Winslow, in a little town called Holbrook. It's the closest town to the petrified forest. If you stop get Mexican food at Romo's. While you're exploring Eastern AZ, make sure you get to Canyon de Chelly (pronounced de-Shea). It's smaller and not as overwhelming as the grand Canyon, but still really impressive. And some of the canyon walls still have pueblos built right into them.
 
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Glove Malfunction

Ference is my binky
Jan 1, 2009
15,875
8,921
Pleasantly warm, AZ
A couple of years ago my PCP wanted me to come in for some tests and be admitted overnight. The procedure was before going upstairs the ER would declare me medically stable. So they take blood and give me an EKG and then an hour goes by during which I get an email with the results of the blood work. Finally, I ask the nurse what was the hangup and she said we are just waiting for your results and I showed her the email. She then gets the doctor and he is livid as the ER still didn't have the data.

A friend had this exact thing happen yesterday with a pathology report.
My first thought was that pathology and EKG reports often flow through an interface, but you wouldn't have gotten them through MyChart if they weren't in Epic, so they must have been there. Which leads me to think that one of two things happened: A) Their results routing schemes are not set up right, so the results did not get sent to the ER doc, but to someone else (like your PCP, or the ER attending, but not the ordering doc), or B) the ordering doctor information was put in incorrectly (which would be related to A, but a different root cause). Another option, also related to results routing schemes, is that the results were sent to a pool (similar to a distribution list), and they were either marked as "done" by a nurse or other doctor, or the ordering doctor has signed him/herself out of the pool and didn't see it. Lots of possibilities, which of course, means I'll usually have a little job security.
 
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Glove Malfunction

Ference is my binky
Jan 1, 2009
15,875
8,921
Pleasantly warm, AZ
I think it’s actually the femoral neck.

33018-BED-0351-4711-88-C8-6-ED697-A29-E1-A
B3-D8-D44-F-FC39-462-E-837-C-863-FD6-A2-E692

I’m home in bed now, pretty sore. They said today and tomorrow will probably be the worst.

That’s really cool you worked in Rumford. It was crowded when I came in but they took good care of me. My nurse was one of my friends younger sisters and she was great. I was in a lot of pain then but they did their best to manage it. They were actually a little stingier with the pain meds in Lewiston I think.

Here’s what my hardware looks like. I’ll see if I can get a picture of my gamma nail at the checkup.

Fig. 2 AP view of a trochanteric fracture treated with a Gamma nail....
Ouch, yeah, that's the neck for sure. No fun, but really easier to effectively treat than a femoral head fracture. Glad you're home and on the mend.
 
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Dueling Banjos

Registered User
Oct 29, 2014
7,103
5,867
I was born about 30 miles east of Winslow, in a little town called Holbrook. It's the closest town to the petrified forest. If you stop get Mexican food at Romo's. While you're exploring Eastern AZ, make sure you get to Canyon de Chelly (pronounced de-Shea). It's smaller and not as overwhelming as the grand Canyon, but still really impressive. And some of the canyon walls still have pueblos built right into them.

Thanks, great tips!
 

TD Charlie

Registered User
Sep 10, 2007
36,455
16,414
Maybe it's because I worked at both CHA and Partners, but not Mt Auburn?:sarcasm: Seriously though, from an analyst perspective, this is very intriguing to me. And it bothers me that it has either not been reported to IS, or has yet to be addressed.

Interestingly, a pharmacist consultant I worked with on the contract I just finished in Reno had a verbal offer for a job at Mt. Auburn, and they took so long getting the paperwork done, he got a consulting offer and he was submitted, interviewed, offered and accepted while Mt Auburn was playing tiddly winks. So I can see it being a culture thing there.

hey don’t be taking too much credit. Somebody had to build out the interfaces.
 
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TD Charlie

Registered User
Sep 10, 2007
36,455
16,414
I avenged my childhood and finished Crash Bandicoot on the Switch today. I had finished 2 and 3 a few weeks ago, but the original was still giving me fits. Also finished the remaster crash racing

Spyro 1-3 will be next. I’ve never played Spyro.

I really need to look into the Resident Evil titles on the Switch. The original RE games on ps1 are some of my favorites
 

Deleted

Registered User
Nov 11, 2017
1,044
2,900
Put our little girls name down on the school list recently. She will be going to a gaelscoil which is an Irish language school where everything is predominantly taught through the Irish language.

Now her mother and I both learnt Irish in our regular English speaking schools, as everyone here does, but like most other people here we have retained very little! So we are both essentially going to have to learn the language from scratch again which is both daunting and exciting at the same time (I've always been sorry that I didn't learn the language properly, so I see this as an opportunity to right that wrong).

So if anyone has any tips when it comes to an adult learning a new language, I'm all ears.
 

talkinaway

Registered User
Mar 19, 2014
6,973
4,126
On the couch
Put our little girls name down on the school list recently. She will be going to a gaelscoil which is an Irish language school where everything is predominantly taught through the Irish language.

Now her mother and I both learnt Irish in our regular English speaking schools, as everyone here does, but like most other people here we have retained very little! So we are both essentially going to have to learn the language from scratch again which is both daunting and exciting at the same time (I've always been sorry that I didn't learn the language properly, so I see this as an opportunity to right that wrong).

So if anyone has any tips when it comes to an adult learning a new language, I'm all ears.

Last time I learned a language from scratch was in college when I was 21, so not quite an "adult", but not quite a kid - I had to take two years of "intensive" (ie 5 days a week for an hour) Spanish thanks to a distribution requirement and the fact that my parents forced me into Latin in 7th and 8th grade. My high school dumped Latin, and what did I pick? French? Spanish? German? Nope, Japanese. It was run by a broadcaster from Japan - nice guy, but always smelled like cigars. We basically learned "Japanese I" over and over again for 4 years, so I had zilch in terms of language going in to college. Since I was going to have to start Spanish from the beginning anyway, I delayed it to sophomore/junior year. My first semester was awful - naturally, native speakers and others who didn't feel "confident" in their language skills were in my class, while I was literally learning all the vowel sounds from scratch and having to watch a horrible cheezy PBS telenovela - and this was in the days when you'd have to GO to the language lab and watch it on VHS.

For yucks, I actually re-watched some of the telenovela - over 25 years later, they STILL run it on PBS! I even downloaded Duolingo to brush up on Spanish and see if I could learn French. Admittedly, I gave it up after a month or so.

If you're looking to review vocabulary, there's a flashcard program called anki. It's free for laptop/desktops, but I think it's like $25 for mobile. I actually use it to memorize name/jersey number combos for the Bruins. It's based on the concept of a Leitner box - the idea being that if you get a card right, you "promote" it to a box where the number of days until you review it next is a little bit longer. If you get it wrong, you review it tomorrow, and then when you see it again, if you get it right you promote it to a box that you see in 3 days, 6 days, 10 days, etc., each time increasing the spacing.
 

JRull86

Registered User
Jan 28, 2009
27,476
15,095
South Shore
I avenged my childhood and finished Crash Bandicoot on the Switch today. I had finished 2 and 3 a few weeks ago, but the original was still giving me fits. Also finished the remaster crash racing

Spyro 1-3 will be next. I’ve never played Spyro.

I really need to look into the Resident Evil titles on the Switch. The original RE games on ps1 are some of my favorites
I don't know if they put the RE2 remake on Switch, but if they did, it's phenomenal. They are redoing RE3 as well, and it comes out in March I believe.
 
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