Likewise - I tried the demo recently, and it's really impressive. I wanted to try it because the new CAD package I'm using (Sharpr3D) runs on it, and it seemed like a good idea to try that. (Unfortunately, despite being one of the most impressive and serious 3D apps for VisionPro, it's not one that the Apple store (at least here in Austin) was able to demo.)
But the demo also really convinced me that there is no damn way I'm going to want that ridiculously heavy and bulky hardware on my head for more than a few minutes. It's impressive, but pretty expensive, and completely impractical. It makes a great demo, but it's a miserably uncooked product - very well though out in some ways, but missing big targets like weight and comfort by a mile. Maybe in a few more years...
FYI, We just had world-class cellist Steuart Pincombe here in Austin last month performing the last three Bach cello concertos along with three matched brews from the excellent local Lazarus brewery as part of his occcasional "Bach and Beer" performances.
He's a flat amazing cellist, and watching him perform that last concerto you really realize how hard he's working to get it done - it's a workout. Anyway, it was a really good evening. (FWIW, this was part of the Arts On Alexander program this year, which is one of Austin's lesser known gems of amazing live classical music performaces.
Correction: Being a Founder is fine. Just make sure you own the company, and are not at the mercy of venture or Private Equity funds. 60% of America's economy is small privately held companies. With the leverage we now have with AI and other advanced tools (CNC, 3D printing, 3PL, etc.), it's never been easier to start your own company - and be able to survive and let your family thrive, if maybe not take over the world...
Hacker News is getting really useless. I thought I'd heard this some time ago, and yep, clicking through,this is indeed "news" that is OVER A YEAR OLD.
Are we just completely ignoring the "News" part of Hacker News now?
Of course it does. Math is not programming - it's almost entirely irrelevant to programming and certainly to software and architecture development. Most modern programming only involves math for trivial things like counting.
This classic article explains the real issue - like Mike Gancarz' classic on the Unix Philosophy, this is something all younger hackers should read, but few have, since these are the fundamental ideas that have created our modern world of computers: https://web.archive.org/web/20000529125023/http://www.wenet....
The fixes for such things are often quite amusing. One of these days, i'll get around to telling the story of how a major computer manufacturer was forced to make the BIOS smarter than the OS...
Even the best photography does a very poor job of capturing what many works of art actually look like. This is an area where tech is not the answer, and those that insist it is are just ignorant of the subtleties of actual artwork. BTW, this isn't some woo-woo claim, there are myriad things that cameras capture very poorly, if at all, starting with the obvious things like reflections (amny types), refractions (ditto), transparency and translucency (esp. in marble!), and many, many more.
We'll see how this holds up. I currently have nearly 3283 tabs in my primary Firefox window. (The other six windows only have 35-125 tabs at the moment. I sort of use the windows as tab groups.)
To its credit, Firefox is the only browser that does not either slow to a crawl or just fall over dead with that many tabs.
I still need a good tool to merge bookmarks from a bunch of older Firefox profiles, though. Does anyone know of a good tool to do that?
This attitude is still presenet among doctors, and is one reason why electronic Medical Records still suck, and why Obama's "Affordable Care Act" has made American healthcare simultaneously the most expensive in the world as well as among the worst in the world. Doctors consider their time too valuable to be used in slow and fiddly data entry, so they offload it to additional staff.
They're not entirely wrong in this regard - modern EMR web UIs are arguably inferior in many ways to some light pen driven systems of the 1970s-80s (I'm thinking especially of the old TDS system, which nurses (and the few docs that used them) loved because it was so easy and quick - replacing or "upgrading" it was like pulling teeth, and the nurses fought hard to keep it in every case I ever saw.)
Physician time is valuable. There is essentially a fixed supply and other bottlenecks in the healthcare system make adding more doctors a very slow process. That's why forward-thinking health systems employ medical scribes to offload data entry.
The TDS Health Care System had some unique advantages but unfortunately it was tied to obsolete technology and ultimately a dead end. Web UIs aren't necessarily a problem. Some of the most popular EHRs such as Epic use native thick client applications. The fundamental issue is that healthcare is inherently more complex than almost any other business domain, with every medical specialty needing a different workflow plus beyond the clinical stuff there are extensive documentation requirements imposed by payers and government regulators. Sometimes clinicians and administrators insist on certain functionality even when it makes no sense due to ego or ignorance. EHRs can be improved but I know from painful experience how expensive and time consuming it is to get everything right.
The younger docs seem more amenable but there still seems to be a ton of electronic paperwork for the benefit. That said, my "community hospital" got bought by one of the two big systems in my area and, from a patient standpoint, things like prescriptions and labs especially seem much more automated than in the past.
The amount of electronic paperwork seems to be much more than when it was all on paper.
When I was a kid my medical chart was paper. When I was around 13 years old the pediatrician’s office moved to an EMR.
It was more or less a digital version of the same chart.
As I have grown older, and with the benefit of having medical professionals in my family, I’ve seen how EMRs have changed from a distance. From an anecdotal perspective it seems like charting is more time consuming than it used to be. I’ve witnessed many different medical professionals using many different EMR platforms, and poor design seems to be a factor there.
They also deal with more information on a patient and in an aggregate form than paper charts ever did. From what I’ve observed I would venture a guess that more than a little of that is the result of neuroses and anal tendencies on the part of healthcare executives rather than quality improvement initiatives or research oriented objectives. There are other externalities like bad vendor implementation for CMMS requirements, or the continued granulation of conditions into ever more ICD codes, which then need crosswalk databases and interfaces and cross checks.
On the patient side, I’ve only ever truly been impressed by Epic’s portal. Every other one I’ve used is comparative garbage. I have recently been having a conversation with a manager at my doctor’s office trying to understand why and what changed so that chart data that used to be visible to me are now only visible to them, and why they can’t change that. It seems like the vendor implemented a forced change and I may just have to live with having ambiguously incomplete access to data I used to have access to, with no insight into what’s incomplete unless I already know.
With all of that said, at least there’s some access to one’s own health data. And comparing that to my birth records, which are functionally illegible (likely forever), at least what records are kept will be decipherable twenty years from now. Presuming they’re not mangled by a migration, which I’ve seen happen several times.
