Why Doctors Hate Their Computers

This is a long article (like all New Yorker articles) but very interesting. A few nuggets:

More than ninety per cent of American hospitals have been computerized during the past decade, and more than half of Americans have their health information in the Epic system.

A 2016 study found that physicians spent about two hours doing computer work for every hour spent face to face with a patient—whatever the brand of medical software.

A team at the Mayo Clinic discovered that one of the strongest predictors of burnout was how much time an individual spent tied up doing computer documentation.

Pickup clean up

I spent a couple of hours ripping out some truly nasty carpet and padding from the floor of the pickup. I really wanted to pull the bench seat so I could get it all but wouldn’t have been able to get it out and back in by myself. I leave that for the guys at the upholstery place.

The interior of the cab will need a good power wash to kill all the cooties and then some basic rubber floor mats to cover the rust.

Series Land Rover in Columbia, MO

George K. spotted this beauty in Columbia, MO yesterday. I had heard rumors there were some older Land Rovers up there but this is the first sighting.

UPDATE:  Got in touch with the owner of this 1969 Series IIa. “It is largely original except the frame has been replaced and the charging system upgraded with an alternator. I just use it around the farm and for hunting and fishing. I bought it off the estate of an obstetrician in Pennsylvania. The doc used it to get around the mountains to deliver babies.”

Day One for Truck Two

We started the day with Barb taking me to pick up the newest addition to our automotive fleet. She has been fully supportive of getting an old pickup truck but had only seen photos of the new ride which she immediately proclaimed the Official Truck of the Bittersweet Garden Club.

I used the truck for some errands this morning before meeting George for lunch and a quick ride in Minty Fresh (we were unable to come up with a gayer name). George observed I was dressed the part for a beat up old pickup and there would be no need to add some Carhartt gear to my wardrobe.

Next it was a half hour at the Department of Motor Vehicles where I got a set of historic plates for the truck, followed by a safety inspection. A few (relatively) minor things need fixing before we do much driving (not that we’ll be doing much) but she has 40 years of wear and tear, some of which will get fixed, most will simply add character. I did use up a roll of Gorilla Tape on the seat which will have to be replaced or repaired eventually.

It was fun banging around in the truck but it will — for me — always have back-up status. Used for chores that would otherwise fall to Barb’s Lexus or my Land Rover. I was missing the Rover by the end of the day.

And then there were two

Gonzo Mechanic George Tergin went with me to “take a look” at the old truck I’ve been trying not to buy. It’s a 1977 Ford F150. Straight six engine. Manual 4-speed in the floor. Beat to shit, but in a good way. The current owner got it from a guy in Colorado who was, I think, the original owner. It looks…lived in…but that’s a topic for another post. Mechanic George saw nothing that alarmed him and gave me the green light. We tried to dicker a little but I had my checkbook in my hand, so…

Now I have two trucks. The pickup is called Minty Fresh (by the guy who sold it to me) because… it looks like mouth wash? Once it’s got plates and all that it will live in a storage unit from which Barb and I will retrieve it it for hauling, yard and garden work, or — god forbid — when the Land Rover is in the shop.

Don’t know what the original owner did with the truck but the bed is beat to shit (“distressed”). Driving this truck will up my Testosterone Index by five or ten points. Watch this space for updates.

AI Superpowers

“In his book “AI Superpowers: China, Silicon Valley, and the New World Order,” Kai-Fu Lee, a well-known artificial-intelligence expert, venture capitalist and former president of Google China, argues that China and Silicon Valley will lead the world in AI. But his highly readable book covers a lot of other ground as well, and among the most interesting insights are his descriptions of the differences between Chinese and Silicon Valley tech culture.” (Washington Post review) Not quite finished but here are some excerpts:

If artificial intelligence is the new electricity, Chinese entrepreneurs will be the tycoons and tinkerers who electrify everything from household appliances to homeowners’ insurance. […] Ambitious mayors across China are scrambling to turn their cities into showcases for new AI applications. They’re plotting driverless trucking routes, installing facial recognition systems on public transportation, and hooking traffic grids into “city brains” that optimize flows.

China’s startup culture is the yin to Silicon Valley’s yang: instead of being mission-driven, Chinese companies are first and foremost market-driven. Their ultimate goal is to make money, and they’re willing to create any product, adopt any model, or go into any business that will accomplish that objective. […] The core motivation for China’s market-driven entrepreneurs is not fame, glory, or changing the world. Those things are all nice side benefits, but the grand prize is getting rich, and it doesn’t matter how you get there.

Adoption of mobile payments happened at lightning speed. By the end of 2016, it was hard to find a shop in a major (Chinese) city that did not accept mobile payments. […] By the end of 2017, 65 percent of China’s over 753 million smartphone users had enabled mobile payments. […] It got to the point where beggars on the streets of Chinese cities began hanging pieces of paper around their necks with printouts of two QR codes, one for Alipay and one for WeChat. […]

For 2017, total transactions on China’s mobile payment platforms reportedly surpassed $ 17 trillion—greater than China’s GDP. […] Data from mobile payments is currently generating the richest maps of consumer activity the world has ever known, far exceeding the data from traditional credit-card purchases or online activity captured by e-commerce players like Amazon or platforms like Google and Yelp. […] Recent estimates have Chinese companies outstripping U.S. competitors ten to one in quantity of food deliveries and fifty to one in spending on mobile payments. China’s e-commerce purchases are roughly double the U.S. totals, and the gap is only growing.

U.S. federal funding for math and computer science research amounts to less than half of Google’s own R& D budget.

Between 2007 and 2017, China went from having zero high-speed rail lines to having more miles of high-speed rail operational than the rest of the world combined.

It no longer makes sense to think of oneself as “going online.” When you order a full meal just by speaking a sentence from your couch, are you online or offline? When your refrigerator at home tells your shopping cart at the store that you’re out of milk, are you moving through a physical world or a digital one?In the United States we build self-driving cars to adapt to our existing roads because we assume the roads can’t change. In China, there’s a sense that everything can change—including current roads. Indeed, local officials are already modifying existing highways, reorganizing freight patterns, and building cities that will be tailor-made for driverless cars.

Much of today’s white-collar workforce is paid to take in and process information, and then make a decision or recommendation based on that information—which is precisely what AI algorithms do best.

Fixing Flickr

Flickr, the photo sharing site, launched in February, 2004. I created my account in May, 2005, and have been a user ever since. I have more than 1,800 photos in my account which isn’t a large number. That’s because I don’t upload every photo I take. I’ve never used Flickr as a “warehouse” for storing photos. I put stuff on Flickr that I want to share, although I tend to use my blog for that these days. My photos have been viewed more than a million times (collectively) but I doubt that’s a big number, comparatively speaking.

For most of its existence, Flickr has been owned by Yahoo! who fucked it up in ways too numerous to mention. Earlier this year Flickr was sold to SmugMug, a paid image sharing, image hosting service, and online video platform. The new owners are making changes and a bunch of the 800,000 Flickr users are freaking out. They’ve been getting unlimited storage for free and in a couple of months that ends. The new limit is 1,000 photos or upgrade to a Pro account for $50 a year. (Which I did back in 2005)

The vast majority of Flickr users are not using the service as a “photo sharing” platform. They’re taking advantage of the free terabyte of storage to warehouse and back-up all of their photos. Fun while it lasted but guess what? Internet companies make changes like this all the time. I think this is a logical move will keep Flickr financially healthy. Others think it will kill the service. Time will tell.

What my Pro account give me under this new plan?

  • One of the many dumb things Yahoo! did was make Flickr subscribers get a Yahoo! account and use that to log into their Flicker account. Cluster. Fuck. That ends soon and we can use any email account to log in.
  • Unlimited storage
  • Ad-free browsing. I would HATE having ads on my Flickr pages
  • Better stats to see which of photos are most viewed. Admittedly not a big deal to me.
  • Better support when I need it.
  • Longer (10 min) videos. Up from 3 minutes.

Free is not a business model. And if a dollar a week is too pricey for you… sorry, Charlie. I’m happy to pay for services I like. For those who aren’t, there are free services like Google Photos.

Four-Wheel Drive: ENGAGED!

Shortly after getting the Land Rover in late August I discovered I was unable to engage four-wheel drive. There’s a plunger-like doodad (with a bright yellow knob on it) you push down to switch from two-wheel to four-wheel drive. Mine just never worked and I had visions of owning the only Land Rover in America without 4WD (sob!).

My friend (and wizard mechanic) George Tergin investigated and determined some of the linkage in the transfer case (look it up) was worn so we ordered replacement parts. Since some of them had to come from the UK, it took a while but today he fixed the problem. After which we took the truck for a drive on the Tergin Motor Sports Off-Road Test Track (a field behind his shop)

Turns out it was a combination of worn parts, wrong parts and improperly installed parts. And he let me look over his shoulder (and occasionally assist) for three hours, patiently explaining what he was doing and why.

We’ll eventually get a big snow in mid-Missouri and I’m ready now.

“A Ballad and Bosch Novel”

Just finished the latest Harry Bosch novel (Dark Sacred Night) but but we really can’t call it that. Right there on the cover it says “A Ballad and Bosch Novel.” In 2017 author Michael Connelly introduced the character Renee Ballard in The Late Show and she gets equal billing with Harry in the new book.

In the previous novel (Two Kinds of Truth) Harry was getting on in years. 68 by my count. In this latest story, Renee does some of the more physical stuff it would be difficult to imagine someone Harry’s age doing. He must be getting close to the big seven-oh.

This seems like a real challenge for an author with a beloved character that’s been around for a lot of years. Lucas Davenport — the main guy in John Sanford’s Prey series — is getting on in years but Sandford gave us Virgil Flowers some years ago and he could bring Kidd out of mothballs. I try not to think about how old Lucas Davenport is for the same reason I don’t think about how old my dog is. I don’t want to know.

The late Sue Grafton froze Kinsey Millhone in the 80s but that ruled out tech like mobile phones and personal computers. I much prefer Connelly’s (and Sandford’s) approach: let the characters age. Teaming Renee and Harry in this new book worked for me. They make a good team.