I just found an email I didn’t reply to from 1999


So here’s my reply:

“Oh shit. I’m so sorry it’s taken me so long to reply, Rob. Things have been CRAZY BUSY here.

Let’s definitely hang out after biology class in the lockers outside Ms. Snuckheim’s office, but we graudated years ago so everything that’s happened in human history is basically after biology class, but…

Yeah, nothing much is new here. You know, just stuff with the wife and the kids. How’re you? Are you still mad at your dad for grounding you?

I think it’s probably a little late to go to your Y2K party now.



Haha…I know what this feels like! My inbox is down to 311 unread messages.

98,000 lives lost each year from medical errors in 1999. 98,000 lives lost each year from medical errors in 2009.

Jane is always on:

Consumers Union asserts that preventable medical harm still accounts for over 100,000 deaths a year in the U.S., and a total of over 1 million American lives in the past decade. What factors continue to cause these fatal errors?

  1. Few hospitals have adopted computerized prescribing and dispensing systems which, when effectively deployed, prevent errors.
  2. There continues to be a lack of transparency in error-reporting by hospitals – notwithstanding the fact that this was a recommendation published in the the IOM report.
  3. There is no national organization tracking patient safety or progress in reducing medical errors. CU believes that the AHRQ falls short of fully tracking progress.

The bottom line: clinicians are no more competent in managing patient safety in 2009 than they were in 1999.

We get paid for practicing quantity medicine, not quality medicine in America. There are few, if any, realistic or economically rational incentives in America to practice safe medicine. Doctors and hospitals get paid to do as much as we possibly can. Therefore, we do as much as we possible can. And quantity medicine is grossly unsafe. With no real way to track quality in medicine, we will continue to kill 100,000 people per year due to avoidable errors. “If you can’t measure it, you can’t improve it.” And with only 15 to 20% of all docs using computers, you can’t measure chicken scratch on paper.

98,000 lives lost each year from medical errors in 1999. 98,000 lives lost each year from medical errors in 2009.

Caring for Your Introvert

Are introverts arrogant? Hardly. I suppose this common misconception has to do with our being more intelligent, more reflective, more independent, more level-headed, more refined, and more sensitive than extroverts. Also, it is probably due to our lack of small talk, a lack that extroverts often mistake for disdain. We tend to think before talking, whereas extroverts tend to think by talking, which is why their meetings never last less than six hours. “Introverts,” writes a perceptive fellow named Thomas P. Crouser, in an online review of a recent book called Why Should Extroverts Make All the Money? (I’m not making that up, either), “are driven to distraction by the semi-internal dialogue extroverts tend to conduct. Introverts don’t outwardly complain, instead roll their eyes and silently curse the darkness.” Just so.

Caring for Your Introvert

Small Firms Face Choice Between Health Coverage and Jobs

This is the reality folks…

We’re working damn hard on building Hello Health for Business (very similar to Zipcar for Business) where employers can create an account on Hello Health and sign up their employees for Hello Health. The employer decides how much of each visit that they cover (anywhere from 0 to 100%) and at the end of the month, the employer gets a bill from Hello Health for all of their employees’ usage. Also, we’ll keep your employees at work, productive and healthy rather than taking all day off work to sit for hours in a doctor office.

If a small business can’t afford the ridiculously large insurance premiums, at least they can pay for their employees’ doctor visits. In other words…“When insurance doesn’t work for you, access to a doctor will.”

Small Firms Face Choice Between Health Coverage and Jobs