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The assault on neurosurgeons’ privileges by software and bureaucrats

98 点作者 soundsop超过 9 年前

17 条评论

vonklaus超过 9 年前
&gt; Fuck Off 45. He hates computers.’<p>&gt; ‘Why forty-five?’<p>&gt; ‘It’s the forty-fifth month since we signed onto that hospital’s system and one has to change the password every month,’ Caroline replied.<p>Every month is a little aggressive of a timeline. Also, stop making users do your bizarre regex passwords.<p>* include caps<p>* include numbers<p>* include symbol<p>* eight charachters<p>* must be recursive backronym<p>Also, stop trying to keep password requirements secret. I am sick of this guessing game. I can relate to Mr. Johnson&#x27;s total indifference to the system.
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engi_nerd超过 9 年前
Most working professionals who aren&#x27;t software developers suffer through this in some way or another. I mean, heck, let me count up all the passwords I need to do my job:<p>* A password for the account request system<p>* A password for the internal services system<p>* My email password<p>* My password for the local network<p>* My password for the product management system<p>* Pass for the old product management system that we still use<p>* Pass to the online drawing and document retrieval system<p>* Password to control room computer systems<p>* Various maintenance laptop user names and passwords<p>* Various passwords to systems I&#x27;d rather not mention, call them about 10 in total<p>That&#x27;s 25 to 30 passwords, total, that I need to remember and use on a regular basis. I&#x27;ve given up NOT writing them down. And IT won&#x27;t give me any kind of secure password manager, so I resort to a password protected Excel spreadsheet. And I&#x27;m not alone.
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baldfat超过 9 年前
&gt; &quot; They sent the scan on a CD but because of that crap from the government about confidentiality they sent two taxis.&quot;<p>Not they sent the scan over the internet but they had to copy the scan on a CD and rush it over to the hospital.<p>SORRY BELLOW is a comment I did this week and it seems just as appropriate.<p>Here is the discussion on Open Source Software for Developing World Hospitals <a href="https:&#x2F;&#x2F;news.ycombinator.com&#x2F;item?id=10675275" rel="nofollow">https:&#x2F;&#x2F;news.ycombinator.com&#x2F;item?id=10675275</a><p>My old comment still reliant. Another story about my journey with my son while he battled cancer. Closed Proprietary image formats and systems HURTS patients. We used the local hospital for Chemo and everything else at the Children&#x27;s Hospital 1.5 hours away for his legs and lungs. I would always have to wait 20-30 minutes to get a DVD of the studies (PET, CT Scan or MRI even ultrasound, but those are worthless) and then bring them to the doctor. The doctor would be forced to use whatever the portable image viewing program that came on the DVD and then they had to be sent to the IT Department to be imported into their system. We would be there to remove some horrible tumor but before half his surgeries (I can&#x27;t count how many surgeries he had) we would have to go in the day before (3 hour round trip) to get the expensive scan done again. One time I had a scan at 11 PM - Midnight and then drive home around 2 AM and be back at the hospital at 7 AM check in for a 10 hour surgery. ALL BECAUSE THE FORMATS ARE CLOSED and SYSTEMS could not connect so that my son&#x27;s records were all the same every where. I carried 20 DVDs with me all the time just in case. In case you are wondering my son unfortunately passed away after almost 5 years of fighting. If you are ever interested in giving to a cancer society please consider stbaldricks.org. Most charities give 0% or 2% to pediatric research and that is why we went over 20 years without a new chemo for children till last year, which St Baldrick&#x27;s funded the research for this amazing new drug to fight a different type of cancer my son did not have.
officialchicken超过 9 年前
Nothing surprising here. Far and beyond IT, surgeons posses a rare and special type of ignorance... typical of your average over-powered decision maker with not enough time to understand or other incentives to make good IT decisions. This is really, really common in health IT, and not rare at all, but here&#x27;s it&#x27;s presented in the form of an over-entitled surgeon. Some people seem to think that brain surgeon is supposed to add gravitas to any conversation, in terms of understanding or something... but your average QA person is 1000x more likely to make a better decision than a surgeon, when it comes to IT.<p>And the source of the problems in this article? The legal dept. So please don&#x27;t blame this one on anyone in IT.
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viraptor超过 9 年前
&gt; ‘I’m not starting a big meningioma at 4 p.m.,’ she declared, turning towards me. ‘I’ve got no childcare this evening.’<p>Without knowing what a &quot;big meningioma&quot; involves, I can only imagine it&#x27;s something like doing a tricky, manual deployment on Friday afternoon. In that case no, this is a completely reasonable response. People have lives outside of work. Yes, &quot;In the pre-modern NHS consultants never counted their hours – you just went on working until the work was done.&quot;, but that doesn&#x27;t mean it&#x27;s a good thing. In pre-modern factory days people of any age worked there whole day, 6-7 days a week. It doesn&#x27;t mean that&#x27;s a good idea to do it now.
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kendallpark超过 9 年前
As a programmer in my first year of med school, I can only confirm the frustrations with medical software. As someone that gives a damn about usability&#x2F;UI&#x2F;UX, most (all?) EHR systems make me want to bang my head against a keyboard.<p>I honestly don&#x27;t know how long I will be able to practice medicine before deciding that I can build something better (as foolhardy a notion as that is).
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bobbles超过 9 年前
I love how &quot;mediocre software developers&quot; are called out in the header, but then it goes on to list about 10 different people in different roles that are causing actual problems, all systematic, where a developer would make no difference whatsoever.
bagacrap超过 9 年前
I find it somewhat distasteful that a doctor would compare an obese patient to a whale while implying it&#x27;s less worthwhile to treat them than other patients. It&#x27;s not the job of medical professionals to pass moral judgment.
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such_a_casual超过 9 年前
This is what happens when people create systems they don&#x27;t have to use (software or otherwise).
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SeanDav超过 9 年前
Very frustrating, I agree. I have another medical computer system horror story - Did you know that the UK National Health Service spent 12 <i>Billion</i> pounds (18 Billion USD) on a computer system and ended up with....nothing to show for it!!!
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bootload超过 9 年前
<i>&quot;... I envy the way in which the generation who trained me could relieve the intense stress of their work by losing their temper, at times quite outrageously, without fear of being had up for bullying and harassment. ...&quot;</i><p>Toxic work environments in surgery are on notice in Australia: <i>&quot;Doctors must stand up to the ‘cowardice’ that is ignoring bullying&quot;</i> Victoria Atkinson, SMH ~ <a href="http:&#x2F;&#x2F;www.smh.com.au&#x2F;comment&#x2F;doctors-must-stand-up-to-the-cowardice-of-ignoring-bullying-20151202-gldgyl.html" rel="nofollow">http:&#x2F;&#x2F;www.smh.com.au&#x2F;comment&#x2F;doctors-must-stand-up-to-the-c...</a>
JabavuAdams超过 9 年前
Was at a party with a group of friends who are physicians, surgeons, and medical researchers. It struck me: we software types are so fucking arrogant. I was definitely not the smartest person in the room, and yet I could see IT and CS types mocking these people for their relative computer illiteracy. You know, the people who are actually saving lives every day instead of figuring out how to distract (er, engage) and bilk (er, monetize) people.
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nickysielicki超过 9 年前
I live in Madison, where Epic is stationed. I run into a lot of people that work there.<p>They hold the records of over 50% of the US. It&#x27;s pretty scary when you think about it.
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sopooneo超过 9 年前
All systems within a medical establishment should be forced to work with a single-sign-on system. That might sound like a lot of effort for a small improvement, but I believe it would be the single highest value change that could be made.
dbwest超过 9 年前
I see opportunity. Let&#x27;s make this better.
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yeison超过 9 年前
Everything that Epic touches turns to dust.
marshray超过 9 年前
When I read the title I was thinking something different.<p>Torture is a real and a nightmarish thing, and in this ever shrinking world of ours, we (i.e., Westerners) can no longer think of such horrors as existing only for other people in faraway lands.<p>Am I the only one who&#x27;s a bit uncomfortable tossing around the term to apply to a well paid professional who&#x27;s facing bureaucratic inefficiencies at work?<p>Or am I just being a sensitive ninny-nanny?
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