Is that really why you quit, or an engaging PR backstory? As an entrepeneur, you'll have to deal with clogged sinks, office rentals, legal filings, and lots of other hassles similar to carrying around a piece of paper.
Why I quit medicine
21–30 of 119 posts
Re: Why I quit medicine
#22I see why it's important to have secure patient records. It would be devastating to have your personal medical information up on pastebin. But you know what's worse? Dying because the doctor misses a vital piece of information which can't be found in disorganized paper notes, or a bureaucratically designed medical information system (which set the hospital back roughly the cost of a new life-saving machine).
So it's not always a choice between privacy and death. In fact I'd hazard a guess that this is the case the majority of the time.
Re: Why I quit medicine
#23Sounds a lot like the medical data startup I joined ten years ago. We were so, so painfully naive about the realities of medical software. Medical records are a trivial technical problem, but an almost insurmountable political and regulatory challenge. I knew our company was doomed when we were talking to another medical software company and saw the literal wall of binders that represented a single FDA approval proce…
It happens far too often. Right now I'm looking at a government RFP (request for propsals) that fits what I'm doing very well. But everyone I speak to tells me that it's an entirely doomed process, and that the government will never choose a tiny tech startup over a large corporation. I'm pretty sure they're right.
Government contracting really is a different world.
Re: Why I quit medicine
#24Is that really why you quit, or an engaging PR backstory? As an entrepeneur, you'll have to deal with clogged sinks, office rentals, legal filings, and lots of other hassles similar to carrying around a piece of paper.
I bet he also believes he can make some money too, but I don't fault him for omitting that. Surely that goes without saying.
Re: Why I quit medicine
#25Re: Why I quit medicine
#26Sounds a lot like the medical data startup I joined ten years ago. We were so, so painfully naive about the realities of medical software. Medical records are a trivial technical problem, but an almost insurmountable political and regulatory challenge. I knew our company was doomed when we were talking to another medical software company and saw the literal wall of binders that represented a single FDA approval proce…
Thinking about this more, its actually a bit scary if I do create something and he is able to get them to use it as I could be opening myself up to a lot of liability. I figure, as a doctor, he should be aware of all this but not 100% sure how up on this he actually is, maybe I should get him to sign something having him take full ownership and responsibility of the software
Re: Why I quit medicine
#27- locking: only one person able to change the record - auditing: keeping records of who read what, when, and where they did it - signing: any additions are cryptographically signed and timestamped - sharing: many clinicians need to be able to access the data across a wide range of hospital networks.
The UK NHS spent £11bn on a system which was late or didn't appear.
(http://www.bbc.co.uk/news/uk-15014288)
About 10,000 people in England die each year because a clinician makes a mistake with the meds. While that risk is very low (because there are a huge number of patients taking a huge number of meds) it'd be nice if something simple could be done to reduce that number.
Re: Why I quit medicine
#28Good on you, man. I'm in medical school currently and the emphasis on locking down patient data is one of the most frustrating things to see. I'm convinced that it's a policy that everyone knows has little benefit and yet pushes for ethical brownie points. What's to be gained from freeing up the data far, far exceeds what could potentially be lost. Even freeing up anonymized patient data seems to be met with oppositi…
(http://www.badscience.net/2011/03/when-ethics-committees-kil...)
Re: Why I quit medicine
#29Sounds a lot like the medical data startup I joined ten years ago. We were so, so painfully naive about the realities of medical software. Medical records are a trivial technical problem, but an almost insurmountable political and regulatory challenge. I knew our company was doomed when we were talking to another medical software company and saw the literal wall of binders that represented a single FDA approval proce…
I did some very basic research for an essay on "Healthcare in the Cloud", and yes, the regulatory side sounded very painful. Among the relevant regulations, the big ones are HIPAA and HITECH: http://en.wikipedia.org/wiki/Health_Insurance_Portability_an... http://www.hhs.gov/ocr/privacy/hipaa/administrative/enforcem... A big point that I remember was that a HIPAA breach was up to 1.5 million dollars in fines. "A maxim…
Re: Why I quit medicine
#30Sounds a lot like the medical data startup I joined ten years ago. We were so, so painfully naive about the realities of medical software. Medical records are a trivial technical problem, but an almost insurmountable political and regulatory challenge. I knew our company was doomed when we were talking to another medical software company and saw the literal wall of binders that represented a single FDA approval proce…