So, I don’t usually tackle serious topics on this blog, unless you consider severe anal trauma to be a subject of national importance. But I’m going to go ahead and break my informal rule.
Full disclaimer: I work in the field of electronic health records (EHR, also known as electronic medical records, or EMR). I’m not a vendor, and I’m not a provider, but rather I work at a nonprofit advocacy group for the modernization of American healthcare.
The USA is behind in so many ways. Most of our citizens’ health records are still on paper that must be schlepped from office to office, from hospital to hospital. Perhaps if you don’t have a chronic health issue, you don’t realize the inconvenience and incompetence this systems fosters. Imagine having cancer and having to carry a stack of files taller than 15 iPads stacked on top of each other to every specialist you see. Picture having to trust your medical records to a family member because you are too ill to take care of them. Wonder how a doctor will ever be able to read the horrible handwriting on a an old, yellowed piece of paper from 1992 that nonetheless may hold the key to diagnosing your condition.
Paper health records slow down a process that is already painful enough on its own. If you are admitted to an ER after a horrible car crash, how will the doctors and nurses on staff know about your allergies or past medical conditions? Yes, you could carry a flash drive or something on you at all times, but who’s to say it didn’t get crushed in the crash? What if the nurse on duty doesn’t have access to a computer that can view your files? In short, the system is FUCKED.
But this is not only a problem for John and Jane America. As Jon Stewart has recently brought up on The Daily Show it affects our veterans as well.
(I would embed these videos, but that feature apparently doesn’t work on WordPress. Lovely.)
Watch those two videos (er, assuming you have an American IP address, and try this app if you don’t), and tell me that those veterans don’t deserve better. That they should somehow be expected to wait over a year to hear a decision regarding their benefits. Benefits they never would have been eligible for had they not been wounded serving our country. To have recently returned soldiers grappling with their physical and psychological trauma with NO assistance from the government or anyone else is criminal.
The barriers to implementation are two-fold. One is the resistance of the old guard to change their ways. Though this sector is rapidly decreasing, it is still there, and it is full of providers who performed their jobs just fine on paper since the 1960s, and see no reason to change to a newfangled electronic system now. Why fix what ain’t broke? The second is the sheer cost of purchasing and using an electronic health record system. Imagine a room full to the brim with paper records. As Stewart pointed out, the weight of them can be enough to collapse through floors. Now think about the work and time required to transfer all of those to an electronic system. Is it impossible? No. But for many smaller practices, at least, the prospect of closing a practice for a week or more to perform the switch is simply unthinkable. The lost revenue alone makes it a nearly impossible scenario. Then of course there is the cost of the EHR system itself (not cheap), and the training needed for staff to actually use the new technology. There are government incentives available to qualified small practices to help subsidize this huge cost, but for doctors close to retirement, the benefits simply do not outweigh the investment.
However, for Veterans Affairs? What is their excuse? They are not a single doctor practice. They are not even an urban hospital. They are responsible for ALL US MILITARY SOLDIERS. The thought of them spending money on a new hand-crank filing system rather than investing in EHRs is laughable. They have the means, they simply seem to lack the will.
Though of course, even once you have an EHR system, there is still the difficulty of having each system talk to each other. That is what the first Daily Show clip addressed. Two systems, though electronic, cannot speak to each other unless the same vendor supplied both. This is one of the things my organization is currently working on – how to get all these disparate systems to talk to each other so that information simply FLOWS instead of becoming bogged down in red tape and misery.
Yes, there are many complexities associated with EHRs. What of privacy issues? What of security? What about the records of minors? But we have to face it – the future is coming, whether doctors, patients, or government bureaucrats want it or not. And to spend resources fighting against it rather than working to ensure its success dooms not only our generation, but the next to the medical inadequacies of our forefathers.
So, SantaCon is (by this point) an international parade of Santas and drunkenness.
The NYC one is pretty huge every year, though I had never gone before. Mostly because I didn’t want to be trampled by surly Santas. But since I’m never one to turn down an opportunity to wear a costume in public, I decided to attend.
The celebration was on December 15 this year, and it was crowded, but luckily not the shit show I had been anticipating. I dressed as a reindeer and swam as a furry lump of brown in a sea of cheap red velveteen. People were drunk, and I got stepped on a few times, but most people were actually more jolly than out of control. Every bar even vaguely on the Santa route had people lining up for 30+ minutes just to get inside, so my co-worker and I popped into the largest bars we could find. Once inside, it was nearly impossible to get a drink, but with patience, we were finally able to enjoy ourselves amidst the nearly 30,000 people dressed up and hammered that day.
Also, these photos have once again reminded me that I need to lose some weight. Sigh. Below are also photos of a packed Santa bar (off the route, so at least you could breathe in there), and this one girl’s awesome homemade menorah costume. All the candles lit up!
Yes, I understand why it was cancelled, and it was clearly appropriate to do so, but I can’t help but be disappointed all the same. I spent so much time and energy on my costume, only to miss out on the annual NYC Halloween Parade.
Oh, well. Next year!
I at least did get to dress up on the Saturday before Halloween, though the pictures I took were terrible since I was in a rush, and I figured I’d get better photos the day of the parade. Oops? So I have no close-ups of my makeup, though I’ve linked to the YouTube tutorials I used below.
A group of teenage girls ran screaming from me in the street, then came up to me and wanted my photo, so I think the costume was a success! According to many, I looked terrifying (and unrecognizable) at night in NYC.
I used a combination of makeup tutorials, mostly from this video and this one. I used black and white Wolfe FX makeup, and lots of cheap black eye shadow and makeup brushes from the dollar store. I actually completely forgot to paint in the cracks on my skull, which I’ll have to fix if I ever do this makeup again. Most parts of the costume were from China via eBay. I look super short and stumpy in this photo because 1) I am really short, 2) The skirt was long (below the knee), which didn’t help matters, and 3) My roommate who took the photo is considerably taller than me. Sigh.
As has been covered on this blog before, I really like pumpkins and Halloween. Last year, I wrote about my annual pumpkin party, where friends get together to eat pumpkin goodies and carve late into the night.
This past weekend was my 6th annual pumpkin party, and this year’s internet-themed pumpkin is, of course, Gangnam Style. In the past, I’ve done LOLcat (LOLkin?) and Dramatic Chipmunk/Prairie Dog pumpkins.
This year, I tried to raise the bar by attempting text not only in English, but also in Korean. This took ages, and was pretty much a terrible idea, but I think it turned out okay in the end. I messed up the first “a” and “n” in “Gangnam,” but I tried my best!
So, I’ve sampled a lot of pumpkin-flavored beverages in my day. I’ve tried Brooklyn Brewery’s Post Road Pumpkin Ale, O’Fallon Brewery’s Pumpkin Ale (still my favorite), Morgan Street Brewery’s Pumpkin Honey Wheat, Coors’ Blue Moon Harvest Moon Pumpkin Ale, Samuel Adams Harvest Pumpkin Ale, Schlafly Pumpkin Ale, and Smuttynose Pumpkin Ale. And probably a few others that I can’t remember at the moment.
The point is, I like my pumpkins and booze to intermingle. So here are two reviews of varieties I tried for the first time this year.
Harpoon Pumpkin Cider
Boston, MA and Windsor, VT
Ingredients: fermented apple juice, pumpkin, cinnamon, ginger, cloves, and nutmeg.
140 calories, 4.8% ALC/VOL
- Looks: 7/10 – I actually don’t know since I never poured it into a glass, but instead drank it straight from the bottle. What can I say? I’m fancy. But as far as I can tell, it’s your standard clear cider drink.
- Smell: 8/10 – Smells heavily of apples (no surprise there) and cinnamon. Given the ingredients list, that’s no surprise.
- Taste: 6/10 – Though the pumpkin taste is certainly there eventually, it mostly tastes like apple cider first and foremost. It’s quite sweet, but has a slightly bitter aftertaste. It’s not bad at all, but not my favorite form of pumpkin booze either. When will we get a pumpkin-flavored vodka on the market?
- Overall: 7/10 – It’s mostly FINE. So maybe I should knock it down to a 6/10 or something. I always overrate my alcohol, mostly because I get buzzed after a few sips. Basically, when it comes to pumpkin alcohol, beer is still the best pairing. But hey, if you gotta have your harvest duo of apples and pumpkins TOGETHER, knock yourself out with this drink.
Shock Top Pumpkin Wheat
St. Louis, MO
Belgian-style wheat ale brewed with ripe pumpkins, nutmeg, cinnamon, and cloves.
168 calories, 5.2% ALC/VOL
- Looks: 8/10 – Um, looks like beer. Once again, I’ve come to this startling conclusion by peering into the top of the bottle, since I’m not using a glass.
- Smell: 5/10 – No pumpkin aroma whatsoever. If I didn’t know better, I’d say this smelled like a Budweiser. Maybe that’s just because Anheuser-Busch makes it? (Note: I took most of my college classes in Anheuser-Busch Hall. Way to go, Washington University, for making that building devoted to East Asian Studies.)
- Taste: 4/10 – I…don’t get it. I taste no pumpkin. Well, maybe a slight hint of spice one second after swallowing? Seriously, I’m confused. Did I get a messed up batch?
- Overall: 5/10 – I’m really disappointed by the lack of pumpkin flavor, but it’s okay as a regular beer. I suppose. Man, maybe I was wrong about beer being the proper complement to pumpkin. Apples are winning hands down at this point.