A Day In The Life...

Monday, February 26, 2007

Hospital Computers


This is going to be dope, truly the future of healthcare in which the doctor/patient relationship is increased & errors decrease, all while simultaneously decreasing documentation time and converging tasks, software, hardware, and patient management protocols. Then all we need is a national healthcare system to support consolidation and synergistic medical record keeping, payment systems, and coverage options. Thats all i'm asking Santa Claus for Christmas this year.

Check out the motioncomputing MDA (Mobile Clinical Assistant)

There are some cool videos and specks here

Some of the specs (thanks omeed)

-It's a Tablet PC, so it lets you take notes
-takes pictures with a digital camera
-has an RFID (radio frequency) scanner for quick ID
-has a barcode scanner for scanning patients, Care-providers, and their meds (reduced medication erros by 30% in four weeks in one trial)
-has wifi access to the hospital database resulting in real-time access and less paperwork (doctors can order tests, make referrals, and see test results instantly
-unlike a normal tablet pc, it can actually be disinfected and maybe even dropped a few times

Sunday, February 25, 2007

Just because...

I thought I should have this on here













Oh and probably this one too

Drinking Out of Cups

I've been waiting for this moment for quite some time now. As, i'm sure, have you. Dan Deacon is going on tour to a city near you.** He will be playing with Santa Dads, Butt Stomach, & the Video Hippos, all of whom I know nothing about but their names are enough for me to think they are awesome already.

Please get acquainted with Dan:
(also take notice to the number of power cords he has)



Dan Deacon, the excellent lyricist and synth-electronic-reverba-music-player guy who brought the world:
"my own face is f-word"
"the adventures of Mr. Bumpershine featuring dr. wither bean"
"moses vs. predator"
"all wet and no boner"
"I will always have juice today"
"big big big big big" &
"Drinking out of cups"



He is also coming out with a new EP, "Spiderman of the Rings," which (according to pitchfork) should be pretty good:


His tour dates:
03-17 Las Vegas, NV - TBA
03-18 Los Angeles, CA - Il Corral
03-19 San Diego, CA - TBA
03-21 Bay Area, CA - TBA
03-22 Portland, OR - TBA
03-23 Seattle, WA - 1412 Gallery

Did I mention he is a classically trained musician?

**It would be unsafe for you to go to this show if you are not on drugs

Wednesday, February 21, 2007

NeuroMutics


Neuro Physical Exam training today was awesome. Let me explain...

First why it wasn't awesome:
It wasn't awesome because I was always wrong. When asked if proprioceptive neurons were large or small, I said large. And was corrected quickly, "Right, small" by the precptor. Next question, is graphesthesia cortical or primary brain function. My reply: primary. "Yes, its cortical," was the retort. And then, vibration tests posterior or dorsal column function? Honestly, I didn't realize those were two different columns! (Posterior was the answer).

What was awesome was seeing the resiliency of the human body for recovery and how profound a difference good medicine can have.

Unbelievably, we saw a patient with Parkinson's Dx who had been mute for the past few years on account of his disease progression. The patient was wheelchair-bound with a half-full down drain urine bag hanging nonchalantly from the leg stirrups of his chair. His eyes stared blankly from behind his glasses, and the skin on his face was somewhat drooping downward. As I was looked I noticed a tear slowly trail from his unblinking right eye down his cheek and rest at the top of his lip. His eyes tracked our motions as we found our place in the room, albeit slowly. He had no visible Parkinsonian tremors (and later on physical examination he had a positive glabellar sign but did not have Cog-Wheeling or a palmar-mental reflex. It turns out he has been doing quite well with his new medications all but eliminating his tremor and other signs. Although his rigidity and bradykinesia are still apparent.)

Then when the preceptor greeted him, saying, "How are you doing today?" The patient mumbled with clear effort a flat and dampened: "Good." Really this was the first time I saw a preceptor break the guise of professionalism in teaching and truly celebrate. He looked at us and at the patient's wife with a big smile. "Did you hear that! Good, he said 'Good' He hasn't spoken in years!"

The Medications, therapy, and a neurosurgery ablative procedure successfully eliminated his tremor and other signs, as well as gave him higher functionality, some responsiveness, and his voice back! He didn't say much more during the exam. He said "yes" "Birthday" and perhaps a few other words, but what a great success to see. It was his and his wife's 59th year anniversary on Monday and it was transparent how delighted his wife was to hear his voice again. It was truly awesome.


 
. . . . . . "The best is when a synonym becomes a homonym"