"Excellent venue, especially given that it's in town, very quiet space. Sports Massage with Sara *exceptional*, someone who knows anatomy, really works muscles, she may very well be one of the best…"
- Peter Fenton
10 Questions .... Russ Cucina, MD, MS, Assistant Professor of Hospital Medicine in the Department of Internal Medicine and Associate Medical Director of Information Technology for the UCSF Medical Center - http://medschool.ucsf.edu/gme...
"The VA system is not an option even though it is possibly the best inpatient clinical system around. Because it’s from the VA, it doesn’t do pediatrics, obstetrics/gynecology, or billing, which means it can’t be installed at a general hospital. It is also written in a now-obscure programming language called Mumps for which it is very difficult to find programmers." For some reason this just cracks me up.
- Jim Norris
from Bookmarklet
It's weird that coverage of pediatrics and ob/gyn are considered fundamental features of a software system for hospital administration. I would have thought that any such system would be generic enough that if you decided to open a Spleen Center treating only diseases of the spleen, that it could deal with that, even if no other hospital has a Spleen Center. In other words, why are assumptions about the basic categories care is divided into baked so deeply into the code?
- ⓞnor
I guess pediatrics and ob/gyn are a little different. In obstetrics, new patients are literally appearing in the hospital, which might complicate the admissions procedures somewhat. Pediatrics is special because, uh, there is always a guardian who is managing the patients' care? But that will be the case in other departments as well, so... yeah, I don't really understand what kind of otherwise complete system couldn't be expanded to handle pediatrics.
- ⓞnor
All about MUMPS, the programming language: http://en.wikipedia.org/wiki.... It seems like learning MUMPS the language should be pretty trivial for a decent programmer compared to the vastly larger task of becoming familiar with the giant code base and incredibly intricate requirements that any clinical software system must involve.
- ⓞnor
ⓞnor: I don't know what the special needs are in pediatrics or ob/gyn. It seems like it wouldn't be too hard to add support, but maybe there are so many particulars involved that it's impossible for a single institution to accomplish that. I'd guess that MUMPS wouldn't be hard to learn, but who would want to spend their day writing code in a dead language for a huge legacy system like that?
- Jim Norris
I dunno, who wants to spend their day writing code in a live language for a huge legacy system like that? Seems like you'd mostly want to slowly whittle the legacy system back to core "business logic", treating it as a sort of very fancy SQL stored procedures, and add surrounding interfaces using fancy modern hotness, like J2EE portlets. That way you can pull down a fat stimulus-funding healthcare-payola paycheck and also pad out your resume.
- ⓞnor
I would think there would be a huge amount of work integrating any existing system into an actual hospital. Are pediatrics departments really more different from other departments than individual hospitals are from each other? I dunno, I just get the sense that the guy isn't actually that clever about IT, or doesn't really want to explain all the details, but has made up his mind that sticking with the GE contract is the right thing to do and needs some easily understood reasons to justify that.
- ⓞnor
Maybe the regulatory issues are what's common between hospitals and what's hard to code around. And you could imagine all kinds of regulations specific to pediatrics and ob/gyn. Anyway, I like how it's clear in the article that everyone absolutely hates UCare.
- ⓞnor
what a small world, I just met with the company providing the VA system to the broader market, Medsphere. They deliver the VA system for hospitals with all variety of needs, and are based on opensource business model. It of course threatens the legacy providers (GE) who can take the doctors golfing and to strip clubs to help them make their purchase decisions. They delivered this system at Midland hospital at 1/5th the cost of something like the GE system
- Peter Fenton
It never surprises me when the UCSF administration does something inefficiently.
- Melinda Owens
"6000 births a year, customer focus, and well-oiled machine of care giving....this is the place to give birth. My wife had a C-Section, and the whole team had a grace in motion that you see in…"
- Peter Fenton
I don't know anything about giving birth, but all my doctors were CPMC doctors when I lived in the city, and everything was top notch.
- Tudor Bosman
"Very unreliable for long lead time deliveries, they failed to meet delivery date given in August for 60 days, never called, and then when pressed said "homeland security bought all the items". All of…"
- Peter Fenton
What a cool guy, i had no idea until i saw him interviewed tonight and thought, "wow, he's humble, smart, and taking it all in"....hope he wins!
- Peter Fenton
from Bookmarklet
It was not so cool when his Rays beat the Red Sox!
- Sarah Leary
"Great attitude, young artists that aren't over marketed, and a sense of humor about the craziness of the whole thing. The selection really is worth seeing, and Lisa does a masterful job of letting you…"
- Peter Fenton
"Hedy and Farzin just completed a major project at our house and having worked with dozens of AV folks in the past, I can say they are the *BEST*. three things stand out: -perfection: they get it…"
- Peter Fenton
"If you are ever in the market for binoculars or telescopes, this place is a MUST visit. I made the mistake of buying some binocs at REI thinking they would be fine (lazy and didnt want to go to…"
- Peter Fenton
"time to "pile on"...great food, and open late....a very rare breed of restaurant in SF, and I hope they enjoy a Zuni like lifespan. the list of rhones was a wonderful surprise, as was everything we…"
- Peter Fenton
"If you are ever in the market for binoculars or telescopes, this place is a MUST visit. I made the mistake of buying some binocs at REI thinking they would be fine (lazy and didnt want to go to…"
- Peter Fenton
"Epi Dupin in San Francisco. If you've eaten at Epi Dupin in Paris, this will remind you of how awesome it is...and how lucky we are to have the sister restaurant here. The service and ambiance have no…"
- Peter Fenton
I didn't know you had a place there - so sorry to hear it.
- Bret Taylor
thanks, we're really bummed, but big sur will still be there and we can rebuild...i hope nobody reading this EVER has loses a place near to their heart like this
- Peter Fenton
Peter, I'm so sorry... I hope you can manage to have a happy birthday in the midst of the challenge.
- Bradley Horowitz
Ai!! That is truly awful. I am so sorry. And not just the house, but the gardens too, all those roses ... is it all black all around there? Anything salvageable?
- Stewart
will know more tomorrow, but it looks like a total loss...
- Peter Fenton
Sorry to hear this, it looks like such a beautiful area.
- Jim Norris
My husband and I were greatly saddened and distressed to hear about the destruction of the Stone House and so much of the surrounding area that was dear to my husband's father, Harry Lafler, who-- as you know-- built the Stone House in 1925 and homesteaded Lafler Canyon in 1909. We are following the story on the Internet but would also appreciate hearing from you when you know the extent of the damage.
- Joanne Lafler
Joanne, amazing you found me! i'm heading down today, hoping to see what's there, hoping to the high heavens that the stone work remains....will send an update once i know more
- Peter Fenton
Thanks for your reply, Peter. I found you through Denise Sallee, who was the first to inform us about the ravages of the fire. The house has not been in the Lafler family since the early 1960s, when John's mother was in a bad financial way and had to sell the remaining Lafler property in Big Sur, but John and I had spent our honeymoon there some years earlier and we still feel a strong...
more...
- Joanne Lafler
.just back from the remains of house, hill still on fire we had helicopters above us dumping water as we climbed up the smokey hillside. heartbroken, but also still felt the magic of the place. i'll post photos tonight. needless to say i shed more than a tear. joanne. pls email me at pfenton@benchmark.com. would love to share photos, etc
- Peter Fenton
"I'm a huge fan of the breakfast here, the service can be exceptional, the food is awesome, and the ambiance is very couth. Breakfast places seem to either be fast service bad food, or painfully slow…"
- Peter Fenton
WOW... a BABY Buchheit entered the world while I wasn't looking...amazing! great secret there Paul!! Congratulations on your new addition to your family!! :-)
- Susan Beebe
"*WARNING* AVOID LATE RESERVATIONS (after 9pm) *WARNING* I really hesitate to write a negative review, especially for restauranteurs who give their life to creating a wonderful experience for others.…"
- Peter Fenton
"One of the easiest ways to shoot down good ideas, interesting policies, or worthwhile experiments is by injecting the assumption that whatever you’re doing needs to last forever and ever."
- Paul Buchheit
Or effective engineering decisions...
- Jim Norris
gee i wonder why rails has a rap for not scaling ;-)
- Peter Fenton
married to Benchmark EIR David Goldberg
- Peter Fenton
Couldn't you do something similar to what delicious does: everyone who posts a story ends up being lumped together because everything's keyed off the permalink.
- Adewale Oshineye
"What Brassarie Balzaar is to Paris, Zuni is to San Francisco. for me, this institution is defined by 4 dishes, which I heartily recommend and rate as 5 stars (the rest of the menu is 3-4 stars):…"
- Peter Fenton