Monthly Archives: August 2017

Old Apps

A cute little monkey.I got an email from Apple a week or so back letting me know I needed to upgrade one of my apps to 64-bit. I knew right away it was Arrgly but wasn’t really sure if I wanted to update it.

On Sunday morning I received an email from an Arrgly user asking if I was going to update it because he likes the app. It felt good to know someone else found my goofy app useful. I decided at a minimum I’d publish a little framework someone else could use to write their own version of the app if I couldn’t get to it, or couldn’t finish it on time.

It took less than an hour to create the project and get it published. If you’re doing Mac or iOS development and you need to shorten or expand URL’s for a YOURLS based service you’re welcome to use YOURLSKit. It’s all Swift 3 but should be fine with Swift 4 projects and iOS 11 or macOS High Sierra. It’s a tiny bit of code, but it does the job.

Apple Watch as an Heirloom?

When the Apple Watch was announced I saw some pictures on apple.com that gave me hope Apple would make the guts replaceable. (If someone knows of a picture showing an exploded view of the Apple Watch I’d love to hear about it.)

For some crazy reason I thought it could become an heirloom, like the watches my grandfather passed to me. Those watches are very special to me. They’re physical objects that still work and remind me of my grandpa.

When Tim Cook said the Apple Watch was “The most personal device we’ve ever created” I took him at his word. It is a very personal device to me. I have great affection for all of my Apple devices, but they all feel like tools compared to the Apple Watch.

I still really want a device I can wear for the remainder of my life and pass it down to someone else and have it continue to function. This is something Apple could do, if they wanted. I know I’m asking for a lot. But, if I can’t do this it means the Apple Watch is really an expensive throwaway item. Because it does feel so personal, I hate that idea.

I think the first test of this devices longevity is approaching. The battery is not

Muddy Watch

so great. It managed to last for over two years but now dies mid-afternoon. At some point I’ll take it in and hope I can get a replacement battery. I don’t want a new watch, I just want a new battery. When my iPhone 5c’s battery went bad they just replaced the entire device, which was fine with me, but I feel a need to keep my watch. The face and body are scratched and that makes it really unique to me.

If there is no way to replace just the battery from now until I croak I’ll just switch back to one of my many analog watches and keep my Apple Watch Series 0 as an artifact of an interesting time for Apple.

My Medical Records

Medical records need disrupting. I’ve made little quips here and there on Twitter about this. I should own my medical records and they should be shared with physicians and their facilities as needed.

Why? In the words of Joe Biden “None of your business.” Seriously though, why should our medical records be locked in a system we cannot access? We can learn something from Twitter, Facebook, and Google. We should own our medical records — via an open standard — and allow doctors and hospitals to ask our permission to see them. Much like friending someone on a social network. The doctor looks me up, asks if they can see my records, I get a message saying the doctor would like access to my records, and I choose to let them or not. My choice, my records.

Case in point. I have a problem with one of my knees. In 2004 I had surgery to remove cartilage, a bone spur, and some arthritis from that knee. It was a fantastic decision. It made my day to day life much better. Fast forward to 2017 and that knee has become an issue. It hurts — constantly, it swells, on occasion it fails causing me to stumble, and it’s unstable. I don’t trust it and I’m tired of the constant pain it causes.

Getting to the point. I made an appointment with my family doctor to discuss the problem. Before going I tried to locate the doctor that did the surgery back in 2004, but she’s moved on. I contacted her old group to see if they had my records. Nope. All they have are records dating back to 2006. Ok, no proof of the surgery and more importantly I don’t have a record of what was done to the knee. Swell.

I visit my doctor last week. Tell her what’s going on. She puts the knee through some tests and understands there is something going on. Great. I explain there is a history here but I cannot tell her exactly what was done. My only explanation is I had surgery in 2004 to do X, Y, and Z. But I don’t know the exact terms nor do I know where the cartilage was removed or how much.

She orders and x-ray and while she’s doing this she explains she’d like to do an MRI but the Insurance company requires she order an x-ray and order physical therapy before doing the MRI. What?

She knows it’s wrong but her hands are tied. She can’t see what’s already been done to the knee and to top it off the insurance company has it’s checklist she has to fulfill before she can order what she really needs.

Now I get to go through — what I imagine will be quite uncomfortable — physical therapy because my records are lost.

I have to believe if a service existed, based on open standards, I’d be able to share these records with my doctor so she could see exactly what was done in 2004 and the insurance company would also have evidence physical therapy didn’t work back then so why not go right to the MRI and avoid the expense of the x-ray and physical therapy.

This is broken.

I know the EHR is only a tiny fraction of our dated system but I’d like to have a complete medical history. It’s my history.

To fix this will take eons. Medicine is so far behind when it comes to technology. Look at systems like Epic. It is seen as a leader in its field, but it’s a closed system. How does that benefit anyone but Epic? It doesn’t.

We need an Open API with services offered by many providers that are patient driven. Allow data to move between systems. Don’t make your money by holding patient data hostage. Make your money by building the better service.

Hopefully, someday, we’ll have a Single Payer System in America. As part of that system it’s my sincere hope good patient outcomes becomes the center of attention and data is allowed to flow between systems at, at least, national level.

Someone please disrupt this industry with an open system.