Site Meter Family Medicine Notes

February 28, 2002

We're releasing the new version

We're releasing the new version of oncalls soon.  This has been a long long road.  Well over a year in development, this little site has comsumed most of my free time .. and some of my not-free time too.

It's not XML.  Though it could be.  It's not a weblog.  It doesn't do web services (though I could make it do so! .. just don't have anyone to serve it to... ).   It's just a clean, well designed application that does it's job.  

The core off the application is a database - SQLserver - and a web application - built in coldfusion.  Why Coldfusion?

a) It's easy to learn, and doesn't require "code immersion" as do many langualges.  Have I coined a new term?  .... To code in C or Pascal or -- yes Dave -- Usertalk .. one needs to be immersed in the code.  The programmers get "in the zone." and they work productively.

I already have two jobs.  I'm a family physician and a medical school teacher/hospital infromatician.  I spend my days seeing patients and going to meeting and writing/reading things.  I like my jobs: I find them exiting and educational.  It is truly a priviledge to be doing what I do for a living.

But I also love the creativity of programming.  I don't have 6 hour blocks of time to become immersed in my code.  I have 10 minutes here and 30 minutes there .. and a few minutes before bed.   With Coldfusion, I can start and stop and do pretty well to keep things moving forward.  Complex data structures do get confusing sometimes .. but so long as I leave cooke crumbs along the way .. I'm fine.

b) Collaborative development is easy with coldfusion.  See above.  I'll do this part you do that part.  Sometimes I don't see Dave Ross for weeks and weeks .. but we still work well together.  To be honest -- he's doing most of the developmen tehse days .. but I still understand 90% of what he;s doing . and I can pitch in here and there.  To KNOW what my programmer is doing for/with me is important to me.  I can't manage someone who is implementing somethign I don't understand.  Like the service manager at the car dealership who has never been a mechanic.  This would never work ..

 

c) Coldfusion is fun.  (see a above) .. I teach medical students and they're up to speed in only a few days.  The lerning curve is short because they really can "get it" rather quickly.

February 22, 2002

Celiac Disease - March 1,

Celiac Disease - March 1, 1998 - American Family Physician

Big News:  the USPSTF Recommendation:

Big News:  the USPSTF Recommendation: Screening for Breast Cancer now suggest breast cancer screening every 1 - 2 years after 40.  This remains controversial, but this group has a track record of making good, careful decisions.  I may revise my practice based on this guideline.

 

February 17, 2002

ColdFusion SOAP services is the

ColdFusion SOAP services is the next

MSXML Parser 3.0 SP2 Release is

MSXML Parser 3.0 SP2 Release is part 1 that I need to set up our application to respond to SOAP calls ..

 

February 15, 2002

NIH Guide: NLM INTERNET ACCESS

NIH Guide: NLM INTERNET ACCESS TO DIGITAL LIBRARIES GRANTS

Managing iatrogenic opioid dependence with

Managing iatrogenic opioid dependence with methadone: "The classic withdrawal triad includes neurologic excitability, gastrointestinal dysfunction, and autonomic dysfunction. "

Office-Based Opiate Detoxification - doctordeluca.com

Office-Based Opiate Detoxification - doctordeluca.com

I have a patient addicted

I have a patient addicted to narcotics .. courtesy of other physicians.  Postgraduate Medicine: Opioids for chronic nonmalignant pain provides a nice overview of how we SHOULD prescribe narcotics .. if we do .. but I can't (yet) find anything on the best way to taper.  We're on wek 2 and he's getting lots of n/v.

February 10, 2002

British Researchers Debunk MMR-Autism Link 

British Researchers Debunk MMR-Autism Link  (again)  .. Sorry .. looks like yahoo broke that link .. so here's another one.

Another late night at the

Another late night at the office

February 08, 2002

HIPAA

HIPAA

February 04, 2002

<%params = {"Dave"}; xml.rpc ("127.0.0.1", 5335, "radio.helloWorld", @params)%>

February 01, 2002

The New York City Department

The New York City Department of Health has some pictures of cutaneous anthrax on day 4 ... and day 5, day 7, and day 10.

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