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On Dec 1, 6:41 pm, Tēm ShermĒn °_°
I would expect that if everyone had proper lights, reflectors, brakes, and rode in a vehicular cycling manner while sober, those 700-800 deaths per year in the US would drop to less than 100. No. They might drop by about half. Most of the adult victims are in fact killed while riding lawfully. |
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#672
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In article ,
Simon Lewis wrote: Tim McNamara writes: I have to deal with a half dozen EMR systems in my consulting practice. They range from bad to execrable. A pen and a piece of paper- or a typewriter- remains faster, simpler, easier and more reliable than any computer system. I spend twice as much time on documentation now as I did 10 years ago, with the advent of computerization. To my observation in my practice, EMRs do not make documentation more accurate or easier to find. Ludicrous. Then your systems are poorly chosen and/or you didnt learn how to use them. I've yet to see an EMR that isn't a poor system. All of them have been cumbersome and slow. The best of a bad lot that I have seen is Matrix. I've never used EPIC so I don't have that comparison. The docs I know who do use it pretty uniformly despise it. It seems that you've never been a health care provider trying to contend with one of these idiot systems. Most software designers seem to fail to grasp the fundamental idea that their job is to make information available in an effective manner. Most of them clearly have no training in how medical providers actually think about information, organize it for use, comprehend it and arrive at diagnostic and treatment decisions. -- Gotta make it somehow on the dreams you still believe. |
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In article ,
AMuzi wrote: Tim McNamara writes: I have to deal with a half dozen EMR systems in my consulting practice. They range from bad to execrable. A pen and a piece of paper- or a typewriter- remains faster, simpler, easier and more reliable than any computer system. I spend twice as much time on documentation now as I did 10 years ago, with the advent of computerization. To my observation in my practice, EMRs do not make documentation more accurate or easier to find. Simon Lewis wrote: Ludicrous. Then your systems are poorly chosen and/or you didnt learn how to use them. You may be unfamiliar with this area. The goal of most business computer systems is an enhancement to the organization's overall quality or efficiency or both. Medical electronic records are unencumbered by those goals. LOL! Good summation. -- Gotta make it somehow on the dreams you still believe. |
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On 12/1/2010 8:08 PM, Tom Ace wrote:
Yeah I know. Screw the references to other industries; this is medicine, not bike parts. You tell me if you think it's a decent state of affairs that uninsured customers are charged more for prescriptions. Insured customers are charged less. The uninsured customers could have chosen to buy health insurance. In the U.S. it's almost a given that the more well-educated and well-off people will pay less for everything because they understand how the system works and they have the resources to buy insurance. For those without health insurance and without any money to buy it, they're typically getting health care anyway, just in a very inefficient way, often via the ER where they simply don't pay. It's amazing that the U.S. is the only industrialized non-communist country without universal health care. |
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In article ,
David Scheidt wrote: Jobst Brandt wrote: :Tom Sherman wrote: : : :Thanks for the link. : : : : :Since we disagree about the fundamental points of the statistics, : : :I'll : : :leave you to ignore my points. : : : : What's that? You made a specific claim, which you can't support, : : because it's false, that smoke detectors have no safety benefits. : : I'm not ignoring your point. I'm disproving it. Did you have some : : other point. : : : :Why do you use a colon instead of the standard greater-than sign to : :indicate the level of quoting? ![]() : Why do you post in a broken 8 bit code page? : You do not like UTF-8? Why are you avoiding my question? :He has a broken newsreader as many MS people do. They and their :systems don't understand "bottom response" or citation symbols. Read my headers. No microsoft involved. Interesting, you are not using UTF-8 which I had assumed you would, given your comment upthread. Does tin support UTF-8? I've never used tin. I use MT-NewsWatcher or Emacs/Gnus. -- Gotta make it somehow on the dreams you still believe. |
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In article ,
Duane Hébert wrote: On 11/30/2010 11:56 PM, Jobst Brandt wrote: Tom Sherman wrote: : :Thanks for the link. : : :Since we disagree about the fundamental points of the : :statistics, I'll leave you to ignore my points. : : What's that? You made a specific claim, which you can't : support, because it's false, that smoke detectors have no : safety benefits. I'm not ignoring your point. I'm : disproving it. Did you have some other point. : :Why do you use a colon instead of the standard greater-than sign :to indicate the level of quoting? David Scheidt wrote: Why do you post in a broken 8 bit code page? You do not like UTF-8? Why are you avoiding my question? He has a broken newsreader as many MS people do. They and their systems don't understand "bottom response" or citation symbols. The latest version of Windows Live Mail has solved this problem by removing the ability to automatically quote completely. Cool. The new feature is fewer features. -- Gotta make it somehow on the dreams you still believe. |
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On Dec 1, 6:17*pm, Tēm ShermĒn °_° ""twshermanREMOVE\"@THI
$southslope.net" wrote: On 12/1/2010 1:53 AM, Radey Shouman wrote: The premise of the question was that the plumbing was done, but the bill was many times the estimate. *I would think your options would be to pay the bill (and maybe learn plumbing for next time), negotiate, take the plumber to court ... If I did that at work, the clients would only pay up to the estimate, and tell me to sod off if tried to collect the rest (and the courts would agree with them if I sued in an attempt to collect of the excess fees). An estimate is an estimate and not a bid -- although some contractors treat bids like estimates. A bid is an offer to perform work for a specific charge, and once accepted by the customer, it is binding. An estimate is just a projection of cost based on standard charges (like hourly rates). I got a bid from a geotech recently, and the final bill was actually less than the estimate -- which made me pretty happy. I was also happy to find out that my house was not slipping down the hill. -- Jay Beattie. |
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On Dec 1, 8:49*pm, Tēm ShermĒn °_° ""twshermanREMOVE\"@THI
$southslope.net" wrote: On 12/1/2010 9:29 PM, DirtRoadie wrote: On Dec 1, 7:19 pm, T m Sherm n _ ""twshermanREMOVE\"@THI $southslope.net" *wrote: On 12/1/2010 11:04 AM, Phil W Lee wrote: Radey * *considered Wed, 01 Dec 2010 02:53:42 -0500 the perfect time to write: Tim * *writes: In , * *Radey * *wrote: Did the plumber give you an estimate? Yes. What would you have done if his bill were ten, or a hundred times the estimate? Turned him down and learned to do it myself. *It's plumbing, not rocket science. *Whether I could learn to do it cheaper than paying him is an open question; I generally find it more cost-effective to pay someone with expertise to do something rather than learning to do it myself (unless, of course, it's something I want to learn to do for its own sake). The premise of the question was that the plumbing was done, but the bill was many times the estimate. *I would think your options would be to pay the bill (and maybe learn plumbing for next time), negotiate, take the plumber to court ... I'm not sure about your legal system there, but over here I'd pay him the sum agreed on the estimate, and invite him to take me to court if he thought he could increase it. If he then tried, I'd produce the original estimate as proof of the agreed price, and invite him to pay for my costs in defending the claim, along with his own in bringing it. That is how it would work here also. I assume you expertise comes from your having been sued a BUNCH or from trying to collect on unjustified billings. DR I would assume to be excrement, and I would be correct. Cleverness beyond comprehension! |
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On Dec 1, 10:19*pm, James wrote:
On Dec 2, 1:33*pm, Frank Krygowski wrote: On Dec 1, 8:49*pm, James wrote: On Dec 2, 11:50*am, Frank Krygowski wrote: "Although the risk of injury while bicycle commuting is real, it has been difficult to accurately measure. *Two large retrospecive studies of North American bicycle commuters found the injury incidence to be between 6.0 and 18.6 per 100,000 miles commuted. *A 2-week pilot study of commuters in Nottingham, England recorded no injuries." google "A 2-week pilot study of commuters in Nottingham, England recorded no injuries" Hit this.http://hej.sagepub.com/content/60/4/293.abstract "We calculated that commuters covered 5368 km, averaging 4.6 km per journey (range 0.8 to 7.6 km), 57 per cent of it on roads. Twenty- eight cyclists reported 53 incidents (10 per 1000 km: 95%CI 7 to 13). Segregated cycle paths had the highest rates (43 per 1000 km: 95%CI 26 to 67). In 46 cases the incident involved taking action to avoid an obstacle, a pedestrian, another cyclist or a motor vehicle. No injuries were reported in these incidents and nobody involved in the incidents attended the hospital A&E department. " Not a particularly long study, if there were 20 injuries per 100000 miles, they may easily have missed seeing an injury over that 2 week period, and of course if the injury rate is lower the likelihood of any injury being recorded diminishes further. Nottingham may be a relatively safe area to cycle. *Where I cycled in the UK, near Crawley and south to Brighton, I felt in less peril than I do riding to Melbourne from home. You should take up roller blading, James. *Clearly, cycling stresses you out. Clearly you don't like the fact that someone shot a hole in your statistics. Clearly this throws doubt into all the statistics you love so much. Oh please. You really think your "feelings" shoot a hole in real data? Your "feelings" tell us only about your mental state - in this case, the anxiety you feel when you ride a bike. Since a description of that anxiety is the main theme of your posts, you should remove the anxiety. If riding a bike really makes you think people are out to kill you, if you really think your life is constantly in mortal danger, if you're really as stressed as you proclaim, you need to find something else to do. Cycling is a bad fit for you. - Frank Krygowski |
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