Site Meter Family Medicine Notes

June 28, 2005

Folder Sync

Non-medical post:  Nice little folder sync software.  free

June 17, 2005

Pitted Keratolysis

My partner saw a case of Pitted Keratolysis today.  Now we remember how to treat it .. and so do you.

  • Keep feet dry
  • Drysol
  • Alcohol-based cleaning gel stuff
  • erythromycin ointment for resistant cases

June 09, 2005

Stumble

Stumble is an interesting Firefox plugin .. here's the Medical area of stumble

June 04, 2005

Apple iMac G5 - DOA & service troubles

Well . perhaps it was the OS 10.4 reviews (generally good) and the
trouble we had with editing movies with the crappy Windows software ...
or I just wanted to see how the other side lived again (my 1st
computers were Macs .. and I lived over there on the "light side" for
!0 years before defecting in about 1995. 



So far, the next Mac decade isn't going so well.



The imac arrived today and Sam set it up in the family room.  All
was going OK until he called me in and suggested that I should help get
it to go on.



Everything was hooked together right, but it just wouldn't go on.



He said that it had powered up once and then "fell asleep." after about 30 seconds.



Subsequent efforts to get it on were unsuccessful.



That was about 10:00 PM



Apple Support is closed .. but they have "24 x 7 chat support" and an online troubleshooter.



I tried the troubleshooter while waiting for the online chat to
respond.  The troubleshooter was good, but I hit a dead end when
it told me to push a button that doesn't exist on my model.



So far - it looks like we are victims of the well-documented G5 imac
power supply issues.  But I think we have a world record for how
long the machine lasted.  (under 1 minute!)



Here's the transcript of my chat session with Apple -- after waiting in their cue for 2 hrs:



-------------------

Jacob:

Hello.

Agent:

Thank you for contacting Apple Chat support. My name is kaushik.Please give me a moment while i pull up your records.

Jacob:


Received brand new imac today

Agent:

ok

Jacob:


powered up for 30 seconds

Jacob:


went dead

Jacob:


now won't power up

Jacob:


followed online troubleshooter ...


Agent:

Please give me a moment while i pull up your records.

Jacob:


LED #1 os on .. but pressing internal power button does nothing

Jacob:


online troubleshooter says to push ?SMU button but none there on this model

Agent:

are you getting the chime?

Jacob:


no

Jacob:


nothing at all

Jacob:

Is thsi Mac just DOA or is there somethgin else I should try?

Jacob:


Hello?

Agent:

i am here

Agent:

checking your issue

Agent:

let me put you to the product specialist and he will be in a better position to assist you with

Jacob:


OK

Agent:

Has transferred you to:

Jacob:


?

Agent:

My name is Mike one moment while I review your previoius chat

Jacob:


ok

Jacob:


uuuh .. still here?

Jacob:


it wasn't exactly Moby Dick ..

Jacob:


;-)

Agent:

To
reset the SMU, do the following steps:Unplug all cables from the
computer, including the power cord.Wait 10 seconds.Plug in the power
cord while simultaneously pressing and holding the power button on the
back of the computer.Let go of the power button.Press the power button
once more to start up your iMac G5.

Jacob:


tried this. No luck

Agent:

Your notes indicate you tried to reset SMU but could not find the button. This computer does not have an SMU button

Jacob:


yes .. i see that .. 

Agent:

Have you tried these exact steps ?

Jacob:


the steps you outlined above?

Jacob:


Yes

Agent:

yes

Jacob:


and repeated just now again

Jacob:


as well as the steps outlined in the online troubleshooter. I noticed
that there are four solder joints in the position that the SMU button
is in the picture .. so it is clear that this model has no SMU button





Agent:

Do you get a boot chime ? Do the fans turn on ?

Jacob:
no chime .. but when I press the "internal" power button as instructed in the online troubleshooter, the fans turn for about 1/10 second
Jacob:
about 1/30 revolution .. and a tiny squeak comes out of the computer from somewhere .. and LED #2 comes on .. ever so briefly .. less than a second.. then it goes off.
Jacob:
then silence
Agent:
Please contact our support center at 800-275-2273 between 6A to 6P for your issue.
Jacob:
you are kidding, right?
Jacob:
I waited 2 hrs for you to tell me to call in the AM?
Agent:
You will need to call for this issue
Jacob:
and they are closed on the weekend?
Agent:
Open 7 days a week
Jacob:
website says M-F
Jacob:
if I bring it to the local apple store .. can you authorize a swap or somthing?
Jacob:
are you agreeing at least that this is DOA?
Agent:
I am not agreeing this is DOA or that it will be swapped. I am advising you to call our call center. You will be transferred to a product specialist
Jacob:
YOu are not a product specialist? kaushik said you were a product specialist!    pls understand this is frustrating to wait 2 weeks for new machine .. spend 1 hrs troubleshooting on my own .. wait 2 hrs to talk with you .. and now you tell me call in AM!?
Agent:
I understand but for this issue you need to call
Jacob:
what exactly do you think "this issue" is?
Agent:
I aplogize but there is nothing else we can do for this problem by chat
Jacob:
thanks, Mike.
Agent:
Thanks for using AppleCare chat support
---------------------------------------------------------------------------------------------

Well - clearly Mike is instucted to avoid saying anything in writing to acknowledge that this is DOA or that it has a problem that Apple has yet to publicly acknowledge is very-bad-indeed as many of the discussion boards will confirm.

I really am questioning this purchase.  Hmm ..

We'll see if tomorrow goes any better.

I'll call at 6 AM Pacific ...

June 03, 2005

Medical Office Telephone Systems

A colleague of mine recently spent $40,000 on an office phone system.  When we opened 4 years ago, we spent $3000 on ebay and I though it was a lot. 

But phones can do more now .. and I think that an idea system would look something like this.

If you agree, please consider adding to the "bounty" so we can all create an excellent phone system for medical offices that doesn't cost $40,000.  And of course if you have suggestions or additions .. please modify the description .. as it's on a wiki over there at voip-info.org.

 

June 02, 2005

Dead blog?

My wife declared my weblog dead yesterday.  She's not far from the truth.  And she complained that the few posts I've made in recent weeks/months have been too boring.

Hmm.

Perhaps the weblog is a thermometer for how I'm feeling.

Not-so-good recently.

I enjoy my work as a family physician.  Worked yesterday from 9 AM to 8 PM and felt pretty good at the end of the looong day.  Saw lots of patients and yet didn't feel too rushed.  Didn't finish all of my notes during the day - which is a perpetual struggle for me.  The usability of the EMR stinks .. which is a part of the problem (but not all of it).

When I am in the room with a patient, I do my best to focus on the interaction with the patient

Links

Creative Commons License
This weblog is licensed under a Creative Commons License.
Powered by
Movable Type 3.2