A cranky biologist who means well. My hobbies include long walks off short piers and anything science related.

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Joined 1 year ago
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Cake day: June 25th, 2023

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  • Not much love here for the Pi Zero W. I love them for being so flipping cute. I have a couple I use when I am learning a new system admin tool or service and I need to be able to let it run undisturbed to observe stability and function.

    Lately I am learning MQTT so am using one as a broker to manage some homemade smart devices.

    If I can ever find one in stock, i want a couple of Zero 2 for similar projects that would benefit from the extra oomph.



  • Thank you for chiming in on the slightly spurious billing claim. Yes, billing and charge codes are woven throughout EHR systems but that’s just because everything we do in health care costs time/money. It’s as much about cost tracking as cost recovery.

    We measure what we treasure however and if you look at the structure of any EHR, they are steadfastly patient-centric. Billing is ubiquitous but it is more like tinsel on a Christmas tree, sort of draped lightly over and connecting everything. Pick off the tinsel and the core patient care features are unaffected.

    It will take years to see the effects in large scale but I like the features that allow patients to see their test results the minute they are released. As a patient myself, it gives me a feeling of having a bit more ownership of my own healthcare.

    I was intrigued to learn recently that better EHR use a patients highest education level to tailor the way genomic test results are presented in the patient-viewable chart. The same results are reported to anyone but apparently patients with higher education levels will take positive actions when provided with sufficient depth of background information. Conversely, too much background info can be off-putting for others and reduces proactive behavior changes.

    I get it, it’s really easy to be cynical about health care especially in the USA where it is kinda bad in many ways for no good reason. But at least pick the right things to complain about.


  • That was my intuition, based mostly on the typical behavior of allow/block lists generally. Thank you.

    As I understand it, the best way to promote small instances is to have users from other instances subscribe and contribute. This makes the communities visible on the subscribers instance so more people will see it.

    Even small instances have to have something interesting enough to attract subscribers, there’s no substitute for interesting content.

    OP, I understand and endorse the desire to help elevate the smaller instances, so it’s a worthwhile discussion the post has stimulated. Thanks!


  • I ask this partly as a question and partly to start a discussion I hope educates me on these details. I host a small instance too and definitely want to know these things better.

    Is it necessary to add an instance to the allowed list? If federation is enabled, isn’t an instance ’allowed’ by default? Wouldn’t subscribing to communities on the small instances be of better benefit?

    Thanks to anyone who understands the mechanics at play here and is willing to break it down.