[PLUG-TALK] Electronic "Health" Records Re: AT&T buying

[Ted Mittelstaedt]

The %1 thing anyone can do to increase their longevity is maintain their
physical fitness.

1) Weigh yourself daily and eat only what your body needs.  Your body WANTS
to get you fat, this is a survival mechanism, this is why food tastes good
and it is easy to overeat.  EVERYONE who maintains weight, particularly when
they are older, has periods during the day when they feel hunger - and
ignore it - because they know their body doesn't NEED the food.  Us humans
are mentally wired up to make it easy peasy to eat too much and hard to eat
the right amount - deal with it.

2) Do cardio/aerobic exercise.  The easiest way to know for a normal person
if you are doing enough cardio and your weight is good is if your BP is
below 120/80

3) Do anerobic/strength training exercise or just lift heavy stuff
regularly.

You do those 3 things if your body metabolism is normal and your chances of
living are highest.  And, unfortunately, nowadays doctors DO NOT tell people
they are fat because the "body positivity" movement has turned being told
you are fat from a statement of fact, into an assault on your "inner beauty"

OK fine.  I'm sure your beautiful fat will make you look even more beautiful
when you are laying in the coffin, having died of heart failure at an early
age.

Ted

-----Original Message-----
From: PLUG-talk <plug-talk-bounces at lists.pdxlinux.org> On Behalf Of Keith
Lofstrom
Sent: Saturday, May 24, 2025 1:44 PM
To: Off-topic and potentially flammable discussion
<plug-talk at lists.pdxlinux.org>
Subject: [PLUG-TALK] Electronic "Health" Records Re: AT&T buying

On Fri, May 23, 2025 at 03:46:44PM +0000, Eldo Varghese wrote:
> EHR systems have multiple ways to talk to each other, the standardized 
> way is FHIR (and it's predecessor XDS). Implementations vary across 
> the board, the FEHRM and MHS system for example does have this capability.
> While EPIC can do this, most system operators choose to sign onto 
> their propitiatory system called EPIC everywhere.
> i.e I have an EPIC record with UCSF that is accessible to my providers 
> at OHSU.

Connectivity begins between the ears.  Sadly, that pathway is missing in too
many medical organizations. 

Last week, I went to the Tigard Oregon Clinic.  They did NOT look at my
Electronic Medical Record from my prior or my current MD, and prescribed
imaging for a Providence "urgent care event" that resolved (with imaging)
two years ago.  Legacy, Providence, Kaiser, and Oregon Clinic do not
interoperate, even after recent mergers.

If you've seen one instance of EPIC EMR, you haven't seen any of the other
idiosyncratic instances.

The Oregon Clinic online record shows my height as 4ft 9in (rather than 5
foot 6) and my weight as 152 pounds (rather than 138 pounds naked), hence a
very high body mass index
(33 obese rather than 22 normal).  The med-tech did not give me time to
empty my tech-heavy pockets, nor subtract an estimated weight for clothing,
shoes, etc.

BTW, a decent BMI calculator here:
https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm

And yes, I have personally maintained an electronic medical record system
(OpenEMR) for my wife's internal medicine practice, which we closed this
year.  She's 75, still competent, but increased restrictions, requirements,
lawsuit risks, and the televisionizing of patients has made wellness
medicine impractical, leading to reduced life expectancy in the US.

We have MANY retired doctor friends; we will figure out something for
ourselves.  I fear for the rest of you, but if you don't learn what medical
excellence is, and don't enable it, you won't get it.  

Keith L.

(P.S. BMI is defined as weight in kilograms divided by the square of height
in meters.  It does not distinguish between muscle and fat, full or empty
stomach and bowels).

-- 
Keith Lofstrom          keithl at keithl.com
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