Archive for the '[Etc]' category

What I Am Reading: MDs Online

Jun 06 2013 Published by under What I'm Reading

Click for Amazon

Right now, you are reading a blog. You obviously know something about the online world. You probably think of Web 2.0 as a generally friendly and useful place.

Your doctor probably thinks of it like those historic maps: "Here be monsters."

Enter this book by Kevin Pho, of KevinMD fame. His recent book provides a primer on the online landscape for medical practitioners. He outlines  the way patients use the internet and why it matters to healthcare providers. He reviews the usual social media platforms with their potential for good and evil. He also addresses reputation management for search engines; if you get your story out there it will rise to the top and trump what others may say.

For someone who is fluent in Web 2.0, the most interesting section dealt with various physician rating sites. He goes through a dozen of sites and outlines how you can monitor what your patients say. On most sites, physicians can see their information freely. I still haven't gone there; I mean, I have barely had time to write on this blog.

If you are reading this post, you probably do not need to read this book. You may know someone who could use this information, though.

 

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Null Hypothesis REJECTED

Jun 04 2013 Published by under [Etc]

Hypothesis: Having 3 of us performing the patient care load of 4 doctors will interfere with my other activities, including blogging.

About 10 days worth of data support that puppy.

While I am settling into my new life of drama, please give to schools that need our help. Through the 7th, you can double your impact by using the super-secret SCIENTOPIA code at our Donors Choose Page . Also, feel free to donate to a general fund for the Moore, OK, schools that got wiped by an EF5 tornado on May 20 (widget in the right-hand column).

Now, I probably have another patient to see.

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Monster Encounters

May 28 2013 Published by under [Etc]

Yesterday the show River Monsters ran an episode that began at Lake of the Ozarks in mid-Missouri (my in-laws have a place there) and ended in Oklahoma rivers. Apparently, I have swam with monsters.

The episode begins with a family entering a boat for a ride on the Lake. The wind whips up foul waves, and the craft capsized, leaving four passengers missing and presumed drowned. A distraught father hired divers to recover the body, but they found nothing in the murky muddy waters of the Lake. What could have disposed of her body so quickly?

Jeremy Wade begins talking to locals about large fish that dwell on the bottom of the Lake (one guy has the most amazing mullet). He proceeds to attempt to catch some big catfish since both blue cats and flatheads can exceed 100 pounds. The fish he brings in on rod and reel do not meet the criteria for monsters that consume human corpses. He then snags a spoonbill, a plankton-eating fish of the Lake that can get big enough to scare a diver when it comes out of the turbid muddy depths, even though this fish could not engulf a corpse.

Click to learn more at National Geographic

To learn more about the strength of these fish, he then heads to Oklahoma to noodle them. For those of you new to the term, noodlin' (always drop the G) refers to getting your hand into the fish's mouth, then grabbing it by the gills and pulling it up. You may need to go underwater. You will have to shove your hand into the holes where big cats hide, even though you cannot see if there is a fish or something else in there. Something else could be an alligator snapping turtle, a critter that would find your live flesh delicious.

Below Jeremy Wade goes over the finer points of noodlin'. His team brought up 50-55 pound catfish using this technique.

As someone who grew up around the lakes and streams of the Ozarks, I have been interested in the local fish and animals. I find the show quite interesting, given the locations he explores and the interesting variety of river and lake critters he shows the audience. He practices catch-and-release; while I am sure the fish would prefer not to get caught, showing them to people demystifies them, making them far less frightening.

I object to the term "monsters."

Even a 150 pound flathead that consumes a human corpse is NOT A MONSTER. It's a fish, and it evolved to dispose of dead and rotting stuff on the bottom of bodies of water. Yes, it has to get unusually large to take a human head in its mouth, but that just means it's a very successful fish. Other fish in the show may kill and eat children, but they are predators. That is what they do, usually to other creatures. In their minds, humans are nothing special (although the lack of fur and claws and shells may make us a rare delicacy).

Even Animal Planet's more sensational offerings ARE NOT MONSTERS. If we ever do find Bigfoot (or the creature in Loch News or a mermaid), then it will no longer be a monster, the stuff of legends. It will merely be another creature inhabiting the planet earth, even though it might endanger you during a wilderness encounter.

All the real monsters are people, those who bomb, shoot, kidnap, traffic, rape, etc.

 

 

 

 

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Another Way To Help Oklahoma

May 22 2013 Published by under Donors Choose, [Education&Careers]

Click for original site

Whether you watched the massive tornado decimate Moore, OK, from 20 or 2000 miles away, you probably want to reach out and hug those survivors. And most of us want to help.

In case you're not close enough to volunteer your chainsaw skills, or your time in a cemetery wearing clothes you can throw away, there are other venues for official relief funds.

With two elementary schools completely destroyed and others damaged, I was delighted to receive an email from DonorsChoose this morning, asking for donations to a relief fund for teachers in Moore. Right now these teachers are dealing with the same adverse conditions as everyone else, so there are no specific projects to choose. If you like, the organization can show you similar projects funded through donation programs for Joplin in 2011 and Hurricane Sandy in 2012.

You can donate by clicking this link now. If you want to act later, don't worry; they made me a widget for my sidebar! Give early and often.

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Tornado Alley Primer

May 21 2013 Published by under [Etc]

Many US folks think of "fly-over" country where I live as a bunch of fields of crops or grass with cattle grazing. This area does include civilization, and I thought some of my friends and loved ones might like to know a bit more about where those pesky tornados keep dropping out of the sky.

Click to enlarge

Click to enlarge

This map shows interstate 44 which basically traces tornado alley. Point A is in Wichita Falls, TX, just over the border from Oklahoma. It extends to Point B in St. Louis. This route goes through Oklahoma City, Tulsa, Joplin (just over the border in Missouri), Springfield (where I grew up), and St. Louis (where my spouse grew up). As recent years have shown us, tornados can drop anywhere they want, not just in this hot region.

But this is the hot spot.

So let's focus on the Oklahoma City area where I live and where the current disasters occurred.

Click to enlarge

Click to enlarge

On Sunday (May 19) the twisters went north, approximately along the upper black line. My home is in the Edmond area, where the purple asterix lies. This storm first began as a wall cloud near Quail Springs, at the west end of the arrow. A tubular feeder cloud started circulating into the wall cloud, and we watched a ropy finger of wind drop from the sky, then break up. As the storm moved to the east, the process began again just east of the 74 symbol that the path crosses over. This time, the funnel formed bigger and began traveling along the ground toward us. We stood in our yard, on a high spot in the area, and watched. You can tell when the tornado contacts the ground. First a line of birds surges up in front of it, then scatters in all directions. The funnel then fills with debris, making it appear larger and fiercer. The extent of the high winds around the tornado can be estimated by power flashes as electrical lines get tossed about.

We moved between the yard and the television where we could better see the storm's path. Our yard was windy but not necessarily more than any other spring day in Oklahoma. We could hear each other without problem in a normal tone of voice. Every once in a while we felt a sprinkle of rain, but nothing to suggest the storm just a mile or two away.

The tornado appeared to dissipate just to our west, but then had a second wind as it approached Lake Arcadia. There it formed a waterspout that we watched traverse the lake.

This twister rated EF1, causing minor damage - branches down, shingles blown away, but no buildings destroyed.

Monday (May 20) we saw the true power of nature. Moore is a southern suburb of Oklahoma City, lying between the city and Norman where the undergraduate campus of OU and the national weather center both reside. This storm once again began with a wall cloud and a feeder cloud that we watched on television, courtesy of weather helicopters and storm chasers. Once again, a ropy finger stretched out of the cloud to the ground. This time, instead of tenatively touching up and down a few times, the extension widened into a true funnel. The funnel continued to enlarge, becoming a massive wedge at least half-a-mile wide on the ground. High winds around it, estimated by power flashes, extended its reach to a mile-wide swath that slowly made its way through Moore.

I watched the devastation with people who live in Moore and have loved ones there. One woman talked on the phone with adult children in a storm shelter, wanting to know if they could come out yet.

Imagine that your child build a city with the houses and hotels from a Monopoly Game. Picture going through with a very wide vaccuum, sucking up much of the work and scattering the rest. Now envision this at full scale with real people and homes.

When we heard about the schools, I paid attention. Crush injuries often cause acute kidney injury and failure, so I anticipated having those sorts of trauma on my inpatient service today. Unfortunately, the kids fell mostly into two groups. Some had lacerations and bruises and minor physical injuries. The others did not make it. It is especially disheartenining to think of those children who got into the basement of their school, the best possible shelter for a tornado, only to drown.

As daylight comes again this moring, first responders pick their way through the debris trying to find those who may still be trapped in storm shelters. I do not envy them their grim task.

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Friday Fun for Fingers

May 17 2013 Published by under Fashion (or not)

Lately I have been going gaga for nail polish. I have no qualms about how it fits, and nail art scares families less than wild make-up or clothing on their doctor. It's a lot cheaper than shoes as well.

Julep delighted me by creating their Maven program. Julep nail polish comes in 8 mL bottles (drugstore polish usually measures 15 mL), and Sephora is their only retailer in my neck of the woods. Oh, and each bottle costs $14.99,  a fairly hefty price.

To become a Maven, you first take a style quiz that assigns you to a category - Modern Beauty, Boho Glam, Bombshell, Classic with a Twist, or It Girl. I am Classic with a Twist. Each month you get an email showing you your style selections for that month. You can choose your assigned category, a box from another grouping, opt out that month, or even gift your box to someone else. Each month includes 2 or 3 full-size bottles of polish plus a bonus surprise, like nail files, glycolic hand scrub, and other products.

Click to Enlarge the Starter Box

Click to Enlarge the Starter Box

The cost for this goody box is $19.99. You get at least $30 worth of nail polish if sold separately! As an additional bonus, at check-out you can order more bottles of polish at a steep discount. I added a sparkly bronze to my intro box for $4.99.

I like to change up my colors frequently, so I do not mind new small bottles each month. If I find a color I simply must have, I can always buy it again at a discount. So far, I do not see a downside here.

Another perk (yes, more!) are mystery boxes. Each month you can purchase a second box of mystery colors, sight unseen. That box should arrive next week for me.

You also earn points for spending on the site. 2000 Jules (their units) will pay for your $20 box. Referring a friend who signs up as a Maven gets you 1000 points; 2 friends and a month is free!

Classic with a Twist: Natalie and Debra

Classic with a Twist: Natalie and Debra

Everyone needs some fun in their life. For me, nail polish is a cheap thrill, especially at $20 per month. I just finished applying the pinky-coral Natalie (see lower image). I will let you know how it wears!

 

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Summer Shoe-fari Surprise

May 09 2013 Published by under Fashion (or not)

Only $69.99

Only $69.99
(Click to enlarge)

I clicked on an ad recently, and I could not believe my eyes. Look at this cute sandal.

Substantial wedge with arch support...Check.

Heel height 2.5 inches, well in the range the orthopedic surgeon recommended...Check.

Reasonable price...Check.

So what's the surprise?

THESE ARE FREAKING CROCS!!!!11!!!!!

Someone finally noticed that traditional Croc clogs are many things, but "attractive" is not one of them. I have a couple of pairs of their flip flops that I live in during the summer. Their molded sole supports and cushions. I wore them the day we walked 11.5 miles (measured by FitBit) up and down the Vegas strip last week. I also keep a pair of Croc ballet flats in my office in case I need to dash across campus on a day when I have made a fashionable but unfortunate heel choice.

I am delighted that I can get that comfortable engineering in something that looks like a normal sandal. They have other models with leather uppers and some strappier wedges on cork soles. Click the shoe photo or this link to see more at the Croc web site. 

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IPad PDF Annotation: Productive Duo

Apr 30 2013 Published by under [Etc]

When I review manuscripts I just hate wasting reams of paper to print the article, especially when my iPad provides such an ideal reading environment. Unfortunately, annotating PDFs on that device has been less than ideal. Recently I discovered PDFpen, a wonderful app that lets me open PDFs stored in my Dropbox and highlight, scribble, and cross-out to my heart's content. I especially appreciated this easy use when I took on a dissertation; who wants to print out hundreds of pages?

I had one complaint about this system: text selection. Even my fairly small fingers had trouble selecting a word or line of text on the screen. I tried a number of styluses, none of which seemed to be more precise than my finger (although often less dirty).

Click to learn more.

This problem has been solved.

The Jot Pro stylus by Adonit looks like a super-fine-point pen with an extra plastic disk on the tip. That plastic tip keeps it from scratching your screen, but lets you select individual words or the spaces between letters with uncanny accuracy. One letter wrong in an email? This device can take you right there, rather than selecting the entire word and hoping the correct substitute comes up in the suggestion list.

The video below shows this critter in action. I am completely, irreversibly in love with my stylus already. It costs $29.99 online, a bit more than other devices. However, this one works exactly as I need.

Between PDFpen and my Jot Pro, the iPad is now the perfect way to review documents. I highly recommend both.

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End of an Era

Apr 29 2013 Published by under Fashion (or not)

Several years ago, as a social media newbie, I received a link to a blog post written by Isis the Scientist. The post on science rang true, and I dug through her site.

How had I missed this place? There's another woman out there who does science and loves shoes?

Seriously, wedding Uggs?

Apparently, Isis has found the end of this road, if her blog can be believed.

Who will save the world from Uggs?

After tweeting that thought, I realized that those of us who remain in this bloggy world of #FWDAOTI must step up to fill her shoes, fabulous as they are. To that end, I offer my latest acquisition:

Me Too Kaden Flats (Click for DSW)

Me Too Kaden Flats
(Click for DSW)

These shoes truly go with everything, especially the ankle lengths pants that were all over the Boston Convention and Exhibition Center at Experimental Biology last week. Unlike typical ballet flats, these have a bit of padding and arch support. I picked them up at my local DSW for $49.95, and you can get them online if you click the pic.

I will miss our domestic and laboratory goddess and her bloggy hijinks. I will miss dinner challenges. I may even miss some of the fitness douchery she has promoted lately! I wish her well, and I hope she finds time to continue on twitter.

I mean, really, how long does it take to generate 140 witty characters?

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No Trip Goes Unpunished: Many Tiny Receipts

Apr 26 2013 Published by under Travel

One of the "joys" of returning from a trip involves sorting receipts.  Food, cabs, and other expenses have to be documented, either for reimbursement or tax purposes. Manually entering stuff into a spreadsheet seems so last decade...

Expensify provides a 2013 method that even interfaces with Evernote, a ubiquitous clip-and-file app that works across all major desktop and mobile platforms. You get receipts into your Expensify account through several methods, including email (great for airfare), scanned PDFs (hotel bill), or photographs taken with your smart phone (most everything else). The latter can be saved to an Expensify notebook in Evernote which will automatically sync with your online account. Alternately, you can use the smartscan app within the Expensify app to add those items. The service can identify the vendor and total amount without issues. It dates receipts by default with the date of the scan; I wish it would use the date on the receipt instead, as it does for the ones I entered in other ways. You can add comments, tags, and categories for your receipts via the smart phone or web platforms.

You then assemble the receipts into a report. You can cluster your items by category or in other ways. Below is a screen shot from the web site:

The report can then be emailed to other users, saved as a PDF, or merely printed out. The report will include thumbnails of all receipts plus full-sized versions. My four-day trip to Boston generated 18 receipts, mostly for cabs. The final PDF is 25 pages long because it includes all of these images.

The Expensify app is free, and a Core account includes 10 image receipts per month. Upgrading to the Pro level lets you scan additional receipts at $0.20 each, a bargain in my opinion. I had my information organized in a flash this morning, all ready for the IRS in 2014.

 

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