Monday, July 03, 2023

Doctors Organize

I thought of this ridiculous ad campaign:  "I'm healthier than my doctor!"  I jump on stage all sprightly fat, like a Tinkerbell on steroids (which no, I'm not on), and then they wheel my doctor out, all pale with an IV.  The implication is somehow snake oil X is best for you.

Hey, before I go on, thanks to Ms. Vam I got to see the Crystal Skull episode of Indiana Jones last night (thanks to Movie Madness having it in stock, yes a DVD for rent, how quaint right?).  It makes a crater (and I mean that as praise) in the same territory as Asteroid City.  Maybe that's the actual crater it made, with the ETs in question returning to see if they needed the exhibited meteor (nah, scan it and put it back).

And now, my more serious topic, mentioning doctors.  The "systems analyst" role in society is still pertinent, especially the ability to graph workflows, say those of a working ER doc.  Track her movements through the day, in a Tayloresque exercise in collecting big data, but not in a way that quantum perturbs.

That's the issue these days:  the geniuses at the genius bar keep wanting to probe the ER with more forms to fill out, more direct doc reporting, a little more here, a little more there, fattening the living system (trying to live) with clerical bloat-work.  BS jobs are on the rise because too many script kiddies learned React and now want to run society, thinking kiddy knows best.

I exaggerate though, in blaming my geek peers for the flood of forms.  They're less the culprit than those with the magic to serve their overlords.  The bureaucracy hampers working doctors with clerical tasks because that's what the bureaucracy knows how to do.  Clerical Tasks R Us.  The promise of computers, of automation, was to actually streamline workflows and relieve doctors of paperwork.

Example:  ER doc to nurse:  "OK to remove from special diet, standard tray check".  Nurse: "check".

Same thing today:  ER doc to terminal, boot app, navigate menu, pick this pick that, order meal, is or is not Jehovah's Witness, please enter emergency contact...  you get the picture.  Meanwhile, someone dies on the table.

Systems Analysts where are you.  Please openly discuss these problems in ways the doctor lobbies never do, because there are no doctor lobbies (i.e. unions).  Unions, labor organizers, are coming for your family physicians with great bargaining chips, given the slave ship many a clinic has become.