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Monday, July 28, 2008
Friday, July 11, 2008
My wife is a physician. In doctor-speak she is in "medicine", which means she isn't a specialist. She works in a practice, caring for adults.
As is typical for physicians, her earnings are proportionate to the number of clinical hours -- hours spent with patients. An arrangement that seems totally reasonable.
But she spends (in my completely unscientific estimation) about 1-1.5x her patient time filing paperwork, much of which is for insurance purposes.
Medical treatment depends on thorough records, so the time investment is understandable and necessary for the patient's care. But, no one pays for the hours of paperwork (besides the doctor of course). Insurance forms are extensive, but bear no cost for the insurance companies - they are only billed for clinical time.
Paperwork is the most infamous time drain in medicine. But there is no incentive to reduce the time spent on paperwork because there is no cost - doctor's don't bill for it.
It's just a hunch, but I suspect that if doctors billed insurance companies for hours spent on paperwork and other vital, but non-clinical time, we should quickly have a far more efficient medical system.
Labels: medicine
Monday, June 09, 2008
Wednesday, March 12, 2008
Saturday, March 08, 2008
Labels: jack
Saturday, January 26, 2008
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Friday, January 25, 2008
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| JF version 2.0 | JF version 3.0 |
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Saturday, January 19, 2008
Meet Jack.
These are some pictures from when Jack was younger than most pastries:
And this is a video of Jack at about 1 hour:
Labels: jack
Monday, January 29, 2007
Just as Yoda tells Luke in Star Wars: to enter the dark tunnel that is the history of OSAF's Chandler, you have to be ready to face your fears. Not scared? You Will Be.
In 2002 the Open Source Application Foundation formed, and kicked off their first project: Chandler.
Chandler was meant to completely revolutionize the way we organize and use our personal information. Notes, Tasks, Calendar Events, were all supposed to seamlessly blend together into a "siloless" world. Instead, all the competing ideas and creative forces at OSAF combined into a spiral of escalating delays and ever slower development.
I also started a software company in 2002. That company also focuses on revolutionizing the way information is organized and used. The name of that company (Tamale Software) is similarly difficult to explain to others. In those and many other ways, this book was like staring into a mirror.
There are some significant differences. We found (and fixed) more bugs (north of 6000 as of now). We released to our initial 5 customers on a nearly daily basis for over 6 months in the early stages. We started our company in the downturn because we were all either out of work or about to be out of work. The air was filled not just with "urgency", but a desperate drive to survive. We worked as though our livelihoods depended on success, because, well, our livelihoods depended on success.
I managed to read this book in a single day, and I am grateful. Rosenberg has created a detailed and realistic account of my worst nightmare. For me, the joy of making software is seeing it run, of meeting people, real actual people that use what I made. At one point the Chandler project is described as a "train wreck". Reading this book is like rubber-necking -- but for too long. It goes past the point of sating your curiosity. This book actually makes you feel like your project is late, and as though you haven't made a clear decision in years.
Sunday, November 26, 2006
I read "The Catcher in the Rye" for the first time when I was fourteen or fifteen. The narrating character, Holden Caulfield, is sixteen. Now I am twenty-nine. Sixteen has transformed from older and worldly when I first read Catcher, to innocent and naive this time around.
Since my first reading, I've acquainted myself with a major character in the book: New York City. As safe as the city is now, the idea of Holden roaming clubs, hotels, bars, streets and parks alone gave me the most peculiar feeling. Rather than identifying with Holden himself, I found myself seeing the whole novel from the eyes of the adults that he encounters. The idea of a distraught young man wandering aimlessly -- half hoping to bump into some consolation, some explanation -- it all made me want to try helping poor old Holden.
Mr. Antolini's half-sober speech -- his earnest but pathetic attempt to save Holden -- left me completely confused and befuddled when I first read it. In fact, the awkward scene that follows dominated my memory of Mr. Antolini's character. I only remembered that Antolini frightened Holden by patting him on the head. I had forgotten that a paragraph earlier Antolini had tried saving Holden from the impending nervous breakdown.
The book evoked sympathy in me; my first reading was mainly confusion, but I did empathize with Holden. The extra years helped me understand Holden's experience and emotional exhaustion. The claustrophobic sense of a narrow path in life (like being stuck in an elevator going up and down) was a mystery to me then. At fourteen, the world seemed infinite. NYC was a concept, an ideal. Now it is a place I go for work; it is a train ride away. Amazingly, what I gained in understanding, I lost in empathy. Just as the city is no longer just an idea to me, a wealthy but discontent intellectual young man has become familiar too. Holden has become merely an archetype, rather than a blurred reflection.
Memory and witness of illness, suicide, abuse, and psychological breakdowns have filled the gaps in my understanding. Holden's experience, then, has become more external. I know better the kind of demons to whom he is succumbing, but knowledge makes my view of his character third person, rather than first.
Re-reading Catcher provoked intense introspection, but also a few new insights and questions about Holden. What I wonder about most almost makes me feel guilty. I feel terrific sympathy for Holden, but I can't help but wonder: how honest is Holden's account? He explains several times his compulsive lying. So, even though the narrative has the feel of a long confession, I wonder if Holden is being completely honest and forthcoming.
The simultaneous sympathy and distrust for Holden is what I appreciate most this time around. Salinger's telling evokes the very sensation Holden explains in his description of his perfect job as "The Catcher in the Rye". Holden is the child you want to save. Holden is the one oblivious to the cliff. The reader feels the compulsion for, and frustration from, trying to save him.
Sunday, August 13, 2006
Goodwin immediately draws you into the Civil War era. The tension and danger are so palpable in her writing, you feel as though you are reading newspaper dispatches instead of a biography. The portrait of the coming war is so vivid, you can practically hear the guns roar at Bull Run.
While the pace and excitement of the writing make the book a pleasure to read, what I admire most is the careful, but not tedious, comparison of Lincoln to his chief rivals for the Presidency. The very men he fought to become President graced his cabinet, and it wasn't all gentility. Lincoln found a way to assert his will, while still accepting counsel from men whose ambitions drove them to attack, badger, undermine, antagonize, deride the man himself.
Goodwin writes with a compelling grace, extolling the Lincoln as a political genius. Her case is well proven; Lincoln must be considered a political genius just for attaining the Presidency from within the ranks of the newly minted Republican party. What I saw in her story, and admired even more, was Lincoln as a management genius.
Lincoln not only survived his political adversaries; he was able to recognize their individual strengths and harness their relentless ambitions to accomplish his own agenda. Goodwin makes a clear, strong case for two personal qualities that defined Lincoln's management style: endless magnanimity; and iron resolve.
Throughout his life, Lincoln avoided two mistakes without exception -- he never held a grudge, and he never reversed public positions. From Goodwin's telling, I would say Lincoln's magnanimity was an innate talent of historic proportions. His consistency in public positions, however, goes far beyond mere talents. Based on this biography, I would argue that Lincoln's remarkably steady public record was the direct result of his cabinet structure. By surrounding himself with powerful, ambitious men that matched his own intellect, Lincoln created a private gauntlet for his own ideas. Often he yielded to the arguments of his "Team of Rivals"1
Goodwin details the story of one reversal -- Lincoln had wanted to provide tremendous leniency to the South in Reconstruction. He even initially planned to allow the Confederate legislatures to reconvene and repeal their own articles of secession and rejoin the Union. With his entire cabinet against the idea, he recanted. Yet, many of the players involved expressed the notion that if Lincoln had won over even one of them, he would have held original position.
His was a careful calculus, weighing the opinion of many gifted peers against his own thoughts. Lincoln's careful judgment about when to be swayed and when to be firm shine through as his singular gift.
Goodwin also saves her best work for the end of the book. She unfolds the night of Lincoln's assassination, while maintaining her steady comparison between him and his rivals. The result is a truly literary concoction of tensions, entwined lives, multiple perspectives, and ultimately, tragedy.
Notes
1. Quoting the title is something I hate reading, but somehow find irresistible when writing. I apologize also.
2. Princess Bride quote verified at the imdb.
Thursday, August 10, 2006
Wednesday, August 02, 2006
See just pictures of our hike to Oberberghorn.
After our long ride to the Jungfraujoch, we were ready to get around by foot for a few days. Near
There is bus service from the center of
. There was also an impressive medieval castle, which was once on an island before the gifted swiss engineers diverted the rivers to open more dry land. We took pitifully few pictures of the castle in fact, only one out of the first floor window
. The hike up to the Beatushohle’s entrance is very steep and provides some great lookouts to the lakes below
. Despite being a few hundred meters up from the road, the Swiss have managed to pave the path and build a lovely spelunkology museum
. I wondered how they kept the three restaurants, the museum, and the facilities stocked – I guess this zip-line/dumbwaiter is the answer:
.
Beatushohle, and the walk to it, were invigorating. So much so, that they inspired us to take a real hike in the
and took a quick video of the paragliders that were landing in front of our hotel all week
.
The hike we chose was regarded as beginner level – mild ascents and descents that net to very little altitude changes. We were meant to walk from Schynige Platt to Oberberghorn (a small rocky peak) and from there on to Laucherhorn (a slightly bigger, rockier peak). The Schynige Platte hosts not only a train station, but also a high-altitude dairy farm
. We took the Wandernweg (hiking path) on the way out, which wound mostly through grassy highland plains. We finally reached the Laucherhorn, where we tried to take some fake stunt pictures of me “climbing” the
. We also ran into an American family that were wrapping up a day long hike down from the town of
On the way home, we decided to take the Panaramenweg (sp? scenic route), which was a LOT more exciting
, and included some sincerely panoramic lookouts
. Alpine beauty was in abundance for flowers
, big skies
, jagged peaks
, rolling valleys
, and combinations of all the above
. The whole way is marked off with tidy, swiss-made yellow signs that include the destinations and the estimated walking times
. The paths are dirt trails that have been rutted into the landscape
, so your feet are always a few inches below the grass, as demonstrated by Caitie:
. The Swiss manage to make even the thin air of high altitude comfortable, and the trails are dotted with little family vacation homes
. On the way home, we walked well above the trail we took on the way out, and were able to peak over the vertical edge of the Platte to see both lakes and the town of Interlaken ![]()
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as well as Moench and Jungfrau (fogged in for our trip)
. The terrain continues to steepen the whole way back, which I tried in vain to capture on film ![]()
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. To come as close to the climbing experience as possible, short of going on belay, you can take the short but extremely steep trip to the top of Oberberghorn (that rocky peak for which the trail is named)
. The hike around the base of the Oberberghorn is a tight switchback, with the turnaround corners apparently levitating over the mountain valleys. The final ascent is assisted by a ladder
and then a gangway
that ultimately provides a view from a small cave out onto the rest of the Alps
. The small peak pokes through an altitude layer and you could feel a significant difference in the air -- which only adds to excitement and perception that you are really climbing a mountain.
For slightly less excitement (and probably equal safety), the end of the hike features a nifty slide (sorry, I took the video with a rotated camera)
and a map (shouldn’t that be at the beginning of the hike, maybe we went around the loop backwards)
.
After all that hiking, we took walked back to the hotel from the train station, and snapped a few last pictures of the gates on the canal
, and the border between Interlaken and Untersee
.
Tuesday, August 01, 2006
Interlaken sits in the valley of the Jungfrau region, between the Thunersee and Brienzersee from which it takes its name (between the lakes). The view from our hotel room window faces west, to some minor hills in the valley
The defining tourist trap for the Jungfrau region is a trip up to the Jungfraujoch, aka the "Top of Europe". We noticed that most of the locals chortle when the ubiquitous automaton voice of the Swiss Rail System (a disembodied floating voice that reminds me of the central computer in I, Robot...). Perhaps they laugh because, no matter which language the train voice is using (german, english, french, italian, japanese) the highest train station in the world is always subtitled "The Top of Europe".
You take three separate trains from Interlaken, to Lauterbrunnen, and finally to the saddle between Jungfrau and Moench that is home to the T.O.E. The second and third trains are cog trains, meaning they use gears to propel them up the steep terrain. The final leg, on the Jungfraubahn, runs through a four mile tunnel. Along the way, there are two stations with windows carved into the north face of the Moench
At Jungfraujoch, the ever-engineering Swiss have built a remarkable structure that includes a museum of mountain transportation (most interesting exihibit was of the two-seater open-air carriage that was the original Jungfrau train), several restaraunts (including a quite fancy one) and a long tunnel into the permanant ice of the glacier that remains on Jungfrau all year. The tunnel is filled with eternal ice sculptures
There is also an "Platte" that allows dramatic views of the Jungfrau glacier, which forms an ice river
Another 300m up from the Platte is the "Top of Europe", which has an outdoor, grated rotunda that provides ample opportunity for vertigo
On the way home, we rode through Grindelwald, one of the major towns in the area, slightly up-mountain from Interlaken. The ride reinforced our impression that Switzerland is actually a life size toy train set, complete with dainty dairy cows
Friday, July 28, 2006
Today, Caitie and I got adventurous. First we walked from the hotel to SchoenBruen Schloess. If you find yourself in Vienna, you need to make the trip. You also need to NOT walk there from downtown. It was hot as ----, and the footpath that runs along another Viennese canal from KarlPlatz to SchoenBruen is devoid of anything interesting at which to look. The best sight on the way there was a Burger King (which was plastered with posters of the European Football (not soccer, but american football) league. weird, eh?).
As terrible (not that terrible, it was just a bit long and boring) as the walk to SchoenBruen Schloess was, it was well worth it. The palace and its grounds are absolutely ginormous. I mean huge. There is no way that the pictures will convey the sheer size of the place
In the distance, atop a massive hill, sits the Glorietta -- a monument built by the Empress to celebrate ... herself and her reign
Of course, Emperors are notoriously difficult to entertain. So, besides the jaw-dropping beauty of the formal gardens and the Glorietta, replete with miles of horse-trotting paths, you need to have diversions to really have proper a palace. I'm talking shrubberies formed into mazes
The Imperial Zoo at ScheonBruen Schluss deserves a day to itself. They have everything from rodents of unusual size
As amazing as the variety of animals is, nothing, and I mean nothing prepares you for the walk-in "Rain Forest". A giant three-story greenhouse filled with flora, fauna, and hot steam. As we walked into the display, Caitie and I remarked how wonderful it was to be able to get close to the animals. We marveled at how well designed and engineered the entire facility was, how ingeniously the architects of this wonderland had crafted displays that managed to protect the animals, the visitors, and still bring the two as close together as possible. Brand new, we immediately appreciated the same aesthetic and design in the Rain Forest exhibit. We saw tadpoles ("look they are on a branch by your head!"), we saw turtles ("I could practically touch his shell!"), and then we saw this sign:
The entrance looked harmless enough. Maybe there was more mist inside, that they were trying to hold back? Maybe there are cooler temperatures? Still, the sign was in very large red letters, and my German is far from fluent. So, Caitie and I decided to wait for a group of native speakers to go first. A gaggle of Austrians, stepped into the gap and took a long hard look at the sign. Said the mother Austrian: "BrillenBlattNasen?" "Sie sind sehr kleiner" replied the Father Austrian. In went the whole family. No noise, no problems. So Caitie and I decided to go ahead. As we pulled back the door covers, I heard a familiar sound -- a kind of flapping, swooshing sound. Then, right in our faces, that god awful black fluttering, flittering, f-ing horrible shape of leathery wings. Then, in an impressive stage whisper, Caitie alerted the entire zoo:
At this point we took a nearby elevator, which allegedly lead to the nearest exit. The elevator doors opened on the open air level, where you can enjoy close views of the animals that live in the "canopy" of the rainforest. Guess what lives in jungle canopies?
GIANT BATS
The sign reads in full (and you have to say this in your head with the voice of the kid in Sixth Sense saying "I see dead people"):
NEW ANIMALS!
PLEASE BE EXTREMELY QUIET!
Here live Seba's Short-tail (flying mouse, or bat) and you are the guest not the host.
I hung around for a few minutes, to see what other "guests" thought of these "hosts". The patrons of the Imperial Zoo hail from all over the world, and speak many, many different languages. However, all humans (except apparently Austrians, all of whom did not flinch in the face of a Fledermausenhole) run in place waving their arms, and make precisely the same sound when the first realize that they are in a confined space with bats: wahooohahahahahaeeee!
So, with that adrenaline rush, we headed for the Zoo exits and home. Of course, we got one more picture of a very large (non-winged) rodent
Thursday, July 27, 2006
Caitie and I decided to just walk around Wien today, and see what we could see. We walked around the RingeStrasse, and then through the StadtPark
The walk to Belvedere is a bit long (though it makes for a terrific run), but the view of the palace over the reflecting pool is well worth it
On the way home, we walked passed KarlPlatz, home to a gorgeous church and associated museum
Finally, the Germans may have Hasselhoff, but the Austrians will always have ...
Wednesday, July 26, 2006
Touring through Vienna is like traveling through time. But, you aren't sent backward; you are hurtled forward. Everything you have ever heard or seen of Vienna is from long ago: Mozart, Strauss, the Austrian Empire, assassination, invasion, occupation, liberation. But the overwhelming feeling of the city is modernity mixed seamlessly with the antique, even quaint surroundings. Vienna exudes the same quality that defines the view to mid-town Manhattan, looking south from Central Park. Your eye can't avoid the contrast: in the foreground trees and grass; in the distance the heights of mid-town. Here in Vienna, you literally feel the passage of time. Standing at the gates of Belvedere-Garten, you're likely to see an ultra-modern Viennese trolley swish quietly over the streets. The architecture in StephanPlatz ranges from Medieval to Bauhaus. The continuity between old and new is so seamless, yet so vivid, you practically feel the centuries rushing past. It is as though you can see all 8 centuries of Viennese history simultaneously.
As usual, Caitie did an extraordinary amount of planning and booked us into the finest hotel in Austria -- the Hotel Imperial. Our rooms were well-appointed to the point of absurdity. I don't think we really needed the curtains for the already extraneous lighting over the bed
The orginal center of Vienna (Wien in German) had walls. Sometime in the 1800s, the denizens of Wien decided that the walls, while decorative, served no purpose (much like the tasseled pillows provided by the Imperial Hotel). So, the walls were razed and replaced with the wide avenues of the RingeStrasse. The RingeStrasse provides a remarkably convenient and intuitive means of navigating the central district of the city. It also makes for a nice walk
The collision and new and old is particularly vivid in StephanPlatz, where you can see the reflection of St. Stephan's in the ultra-modern office building recently added to the square
The roof of the church is supposedly modeled after a persian rug, and is rendered in colorful ceramic tiles
St. Stephen's has two towers, a north (has the bell) and a south (taller). The south tower is currently under construction, but you can take an elevator to the top of the north tower, which affords a view of the whole city
Next, the tiny elevator opens abruptly to a grated platform, providing a perfect view straight down to the plaza. Acrophobia? Done. Finally, you climb steel stairs (lightening crossed my mind, and at this point my feet and hands were sweating so profusely I was sure my sandals would fly off and through the open staircase) to a open platform. Vertigo
Safely descended and decompressed, Caitie and I had a few libations at Do&Co before venturing further. Our next stop was the StadtPark (City Park), where Johann Strauss debuted his now famous compositions. J. Strauss is immortalized in sculpture
It being the 200th anniversary of Mozart's birth, and J. Strauss being Vienna's favorite son, it was easy to (temporarily) forget Herr Beethoven, but he too has dedicated statuary
On our way to the Imperial Palace, we ran across this literal collision of architectural movements:
On the plus side, the Austrian Imperial Family enjoyed the world's finest homes
Instead we toured the Imperial Palace itself. We strolled around the palace, starting with the greenhouse
