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Joined 1 year ago
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Cake day: May 31st, 2023

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  • Lol. I can tell you if you asked doctors what the biggest problem in their clinic, it’s the EMR. I can say this myself, I’ve been in healthcare for a while in various roles, and i’m not to far off from graduating as a physician.

    To find out what happened overnight to a patient, I have to sift through pages of computer generated junk to find just a few things. It’s even worse in clinic, if I want to read what happened last time a patient was here, I have to sift through a note that is 50% auto generated lists of stuff to find what I really need to know: what the last doctor said the plan was for today.

    They mention inbasket messages, and that’s a huge issue. Now with the rise of patient portals, patients would message now for something that previously was a visit. Only recently has there been ways to recoup this cost (not that this is appealing to most patients, who see it as nickel and diming, though I empathize, I never can get to talk to a nurse/MA at my own family doc’s clinic either).

    Doctors are swamped, most of the day is charting, ultimately to appease insurance companies so that we get paid. If you’re slotted for a 15 minute visit, and I’m not out after 10 minutes, I’m going to be late to every appointment until lunch or close, then I’ll spend time at home finishing up notes and paperwork (prior auths, refilling meds, replying to messages from nurses and other clinic staff). Ultimately, for what good our regulation of healthcare has brought in the US, it remains that it is regulatory capture nonetheless. Healthcare orgs are quickly conglomerating, so the hospital, clinic, pharmacy, and insurance company are all owned by the same company. At the loss of good patient care, doctors are being removed from the equation, care is being fragmented and compartmentalized in a lot of aspects and less of our time in the day is available for patients.

    What they call burnout, really is moral injury. People who go into healthcare do it because at some level, they want to help people. It really sucks when you realize 90% of your day is screwing with a computer system that seems to be diametrically opposed to letting you do your job.


  • Ultimately this a definition issue, and is philosophical more than scientific. I have no doubt he’s a great neuroscientist, but it’s really not a great take. I think that the whole idea of neurochemistry cascading into the decisions we make doesn’t mean we don’t have the ability to choose within our neurochemical makeup. I think it definitely pushing a good point in that the root causes of our behavior, especially anti-social behavior, is possibly addressable in how we support and raise our kids.





  • I’m sorry you had to handle that. Though, this is an inevitable problem for a site hosting user-generated content of any sort. I think not hosting your own content is the biggest first step. It might be better to depend on external image/filesharing sites like how things used to work with imgur, photobucket, flickr, etc. (is photobucket around anymore, lol?). This does pose a risk for link rot and what not, but I think given the scale of this operation, there’s no reason to having to be scanning your own servers for illegal content any more than you have to for basic moderation. I’m not sure how this issue works with federation (if another lemmy instance hosted a bad image/thumbnail/message, does that get copied over to beehaw?), but if your risk tolerance doesn’t want to deal with it, a non-federated option would give you more control.

    In general user generated content is always going to pose a risk to the website hosting it. It’s a matter of good risk management, from prevention and mitigation to an effective response, that will best serve both the administration and the users in terms of ensuring a safe service and minimizing legal risk.





  • If the bad things are going to happen, there’s little we can do to stop it, once it has been set into motion (no one person led to climate change). What we can do is control our response. We can do our best to mitigate what risks we can, and ultimately we can do our best to make the most of the situation we are in. That’s the one thing we can do as individuals to make things better for our future selves and our descendants, we can be compassionate to those around us and work to inspire our communities to do that too.

    All in all, nothing tonight that you can think up will change the climate or the world’s response to it. We can worry about the future, but we only will know what the future holds as it occurs, so it doesn’t do much good to assume that the worst is necessarily going to happen. Catastrophizing sucks, and I know what you’re struggling with right now. Perhaps a counselor/therapist could help you understand and manage your anxious thoughts. You’re definitely not the first or only one to have these fears, so don’t feel bad about it. I hope some of the comments put you at ease and help you get some rest.





  • The funniest thing is seeing the rage from Star Citizen fanboys about all this. They keep saying “it’ll be buggy and awful on release” like SC isn’t already. I know with Bethesda, they’ll fix it up and the modders will go wild with patches and add ins, delivering all the stuff Chris Roberts said they would. Meanwhile, I try and play Star Citizen and i’ve died or failed a mission due to glitches any time i’ve tried to play this past week.