Incredible article.  A real eye opener in terms of common understanding of healthcare in the US.

JAMA Network | JAMA | The Anatomy of Health Care in the United States.

Favorite: “US health care is not a system, as it is neither coordinated by a central entity nor governed by individuals and institutions that interact in predictable ways.”

I’ve seen lists like these (and made up my own from time to time).  I thought this one was spot on and well written.  A good practice regimen, regardless of your instrument. Customer Reviews: BIC Cristal For Her Ball Pen, 1.0mm, Black, 16ct MSLP16-Blk.

Gotta love Amazon for having the sense of humor to leave these comments on line.  This might be the funniest thing Amazon is selling.

Data Proliferation

Author: Lyle

From DOGHOUSE | Someone help..

Gizmodo pointed me to this, its got to be a universal problem for anyone who has had to upgrade technology.  All your media, messages, and data get scattered across a dozen file formats, storage technologies, and physical locations.  One answer would be to consolidate everything to one; not possible.  Another would be to be very good about moving and converting every time you buy a new piece of equipment; also not possible.

What bothers me most is the proliferation of Email accounts.  Its a lot of work to move an Email account, which is probably why I still know people with domains.

Click on the link – informative and funny.

Just keeping track of this link:

Class Central • Free online courses AKA MOOC aggregator.

Trey sent this to me, very useful service for trolling through on line courses for new things to do.  I just finished my first Coursera class, and enjoyed the experience very much.  The quality of the material was extremely high, and the cost was extremely low (zero).  Absolutely worth the time commitment.  Others in the class not so happy, as they disliked the peer review grading system.  But, to me it was easy to ignore low value peer input when the material was so high quality and some of the peer review input was very valuable.

Someone at work pointed to me this TED talk on changing the healthcare model. Some very good ideas in here, as well as the great presentation delivery which is a characteristic of TED. This type of forward thinking is unfortunately missing from the national efforts on “reform”.


Just keeping track of this.  I had a minor role in data collection.


J Am Coll Radiol. 2012 Jun;9(6):403-8. doi: 10.1016/j.jacr.2012.01.006.

Physician documentation deficiencies in abdominal ultrasound reports: frequency, characteristics, and financial impact.

Duszak R JrNossal MSchofield LPicus D.


Mid-South Imaging and Therapeutics, Memphis, Tennessee 38120, USA.

Still Crazy, Almost

Author: Lyle

I’m taking a songwriting class.  More about that later, but it is a great experience for a number of reasons and the professor’s material is really brilliant. As we’re discussing melody and song choices he snuck in this link:

It is a somewhat timeless piece of American television, when regular programming was intellectually interesting.  I don’t know all of Mr. Simon’s work, but some of it I like a ton and this particular song was influential when I was younger for a number of reasons, including a performance on Saturday Night Live while wearing a turkey costume.  Anyway, I really enjoyed seeing this in the context of a work not yet completed, talking about note choice, and like great foreshadowing in a movie we know that he will end up putting in a great bridge,a great sax solo, and the song eventually becomes AABA and one of his greatest works.

Enjoy, including the awkward jump to commercial break.  The final product.


The oldest April Fool joke in the world has been the fake news story.  The problem is that on the Internet more than half the material is fake, so its not funny, it’s just annoying.  Just give it a rest and do something more important, like rigging a bucket full of confetti on top of a doorway.

I’m taking a class right now (more on that later), and in the assignments for the week was buried:

“So many. I had not thought songs had undone so many.”
(Extra credit for recognizing the quote I just mangled.)

When I was in school, answering this question would have required being fairly well read in things I normally don’t read.  Of course, in this current, very modern time of 2013 when we’re all walking around with a network terminal in our pocket its a simple matter of plugging in the quote above into your browser.  In seconds, Google returns what many college poetry majors spend years learning.

Naturally, this kills the value of recognizing the quote (but perhaps the credit is a tiny fraction of a point, reflecting the effort of recognizing).  The more important thought is how Google impacts mental processing the way the electronic calculator has impacted doing math in your head.  Just like no one spends time working arithmetic, perhaps soon no one spends time remembering facts.