I wouldn’t mind seeing a whole community dedicated to this.

…at this rate I’m pretty sure he could spray bullets from a literal machine gun into a random crowd, and about 2/3 of those who were hit and survived would still give him their approval.

There’s none that I’m aware of that basically anonymizes patient data for use outside of healthcare.

Billing and insurance all falls under HIPAA - those facets and every other aren’t disallowed (legally) from things like printing sensitive info - basically if it’s being used as part of your care, it’s fine.

And students are no exception - when they’re on a clinical rotation, they’re on that patient’s healthcare team and can legally access and print etc that info. The problem is that students still need that data for use outside of that care, and HIPAA doesn’t give a fuck about their homework, so any papers that have PHI on it become a violation when they start being accessed for those things. And schools don’t trust students not to fuck that up, so they’ll come up with overkill-by-design policies like disallowing students from printing PHI, even if it’s for use on that clinical and meant to be shredded before leaving. So, the school wants to play things extra safe.

…this isn’t to say that insurance companies aren’t abusing your data, but can legally handle it within the scope of your billing.

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I have a random suggestion that might be a little more useful/unique than my bitching above, (which you’ve probably heard a few thousand times already…)

One area that’s lacking in EVERY program I’ve used for charting is education. We get nursing students pretty regularly, as have the previous hospitals I’ve worked at (guessing this is pretty universal - where there are nursing positions, there are nursing schools fighting over clinical slots). When I was in school, we were given access to real patient’s charts during clinicals, and we spent a lot of time doing things like sitting at the nursing station and staring at a computer monitor at lists of lab values/meds/vitals trends/etc and whipping a pen out and transposing that shit onto paper so we could take it home and write a care plan from it. Patient data could be printed, but doing so was forbidden by the school program, because HIPAA - and understandably so, given the legal ramifications for fucking that up. Even copying the data into a word doc and manually omitting names and such was still hard no for the same reason - we might miss something and accidentally violate HIPAA.

So, the idea this is all leading up to: in the ‘View’ tab or something, make an option for “student view” that pulls up a plain text summary of the patient – but without any PHI. Anything entered into a patient’s name field will output as “PATIENT”; staff entered will just be “DOCTOR, DOCTOR2, NURSE, TECH” etc. Patient’s age? Round to the nearest 5. Dates? Fudge all of them by a random number of days (RNG on generating a report) , but by a consistent amount for all dates in that report, ie real admission date of Dec 3 2025 and discharge date of Dec 5 2025 --> RNG applies -42 days --> Student View summary reports Admission at Oct 22 2025, and discharge at Oct 24 2025. Labs? Fudge it by RNG with +/- 1% of real value.

You get the gist.

Give me a report that’s useless as fuck for the real patient - no PHI at all. BUT, you’ve essentially just generated a completely fake patient with useful data for a case study. In the student’s mind, there’s no difference - “PATIENT, 75, MALE, hospitalized for 2 days” is effectively the same case study as “Leeroy Jenkins, 73, Male, hospitalized on these specific dates, 2 days apart”. Slightly tweaked labs? who gives a shit, all they care about is if they’re out of range by a clinically significant margin.

And here’s a golden bit: PRINT THAT SUMBICH!! Or fuck it, email the .txt to your student email so you can copy and paste it. There’s no HIPAA, so it doesn’t matter. What matters is the student isn’t wasting their clinical hours fucking around on a computer - get their ass into a patient room where they can do some nursing, cuz they’ll learn more there than the entire rest of the degree program. They can crunch the data for a care plan at home.

…that ended up being really wordy. Sorry about the wall of text. On the off chance anything comes of it, let me know!

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If it makes you feel any better, your post here and now is the first time I heard of it. No clue what the 6 7 thing is, lol.

I got a small taste of that back in nursing school. Our care plans followed a very strict template for our clinical patients, and they were 100% geared toward med surg. My day in the OR made for an especially hard time trying to check all the boxes… I remember a whole lot of “yeah I didn’t assess for that, cuz pt was getting surgery… but, uh, here’s what I’d be looking for if I did! …uh, nope, no interventions, due to the patient still getting surgery, but here’s a few things I could have done if they weren’t being actively cut open”

Fortunately the profs were well aware of that dillemma, so they graded pretty soft on OR days lol. So, you’ve definitely got my empathy on this one - dealing with that garbage every day sounds like a nightmare!

…this is probably the core issue of why so many different departments end up using a completely different software package.

Nurse here. The software we chart with (that I’ve used at least - plenty out there I haven’t touched) ranges from meh to absolute shit. Some of the features on my wishlist would be elimination of redundant charting (like, if put the date down in one section, don’t fuckin ask in 3 others!), a way to save templates without patient-specific data, so when I do the same procedure on 5 different people, I can just click the template and fill in any holes instead of starting from scratch each time. Some actual standardization so different programs can actually talk to eachother. Like, ER, scheduling, preop, surgery, anesthesia, recovery, med surg, and sterile processing are all departments that might be involved in a single patient visit (checked into ER, sent for emergency surgery, then kept overnight for observation before discharge)… there’ll be some overlap, but scheduling, anesthesia, and sterile processing are usually each rocking their own unique software. The others are usually decently linked up nowadays, but still with the odd exception… like trying to get surgical updates from ICU so you know when to have a bed ready; but the chart is just dead and now a PACU nurse is calling report cuz the surgery finished 40 fuckin minutes ago, all because some some jackass in the ER left the patient’s chart open which locked everyone else out of signing their notes. Surprise!

…most of the issues with our charting software boils down to dumb shit like that - proprietary systems that are incapable of communicating, or just good ol’ fashioned garbage design. And it’ll stay that way, cuz oligopoly.

Damn, I can’t believe Halo CE hasn’t been mentioned yet. That game was a musical awakening for the entire industry.

*pokemon battle music*

JUDGE casts Legal Action on MAN-WHO’S-ABOVE-THE-LAW!!

…

…

…

It’s not very effective.

Relentlessly attacks the rights of subset of US citizens.

Criticized for ‘not resonating’.

“Yo Hittler, could you ease up on the whole murdering Jewish people thing? The rest of the globe isn’t really vibing with it.”

Because a moment’s or even human lifetime’s suffering is effectively nothing when compared to eternity. Show me someone who wouldn’t trade a hundred years of suffering for an eternity of bliss and I’ll show you a silly goof.

And if that were a real scenario a mortal was faced with, yeah it’d be a good tradeoff; but we’re talking about god, and he doesn’t need to make those kinds of decisions.

So, just like my friend’s kiddo getting jabbed, yeah, sucks in the moment but no reasonable person would really call it horrific suffering given that, while unpleasant, it lasted under a day compared to her (hopefully) ~ 35,600 days on Earth. Saying because suffering exists on a human time scale when you’re talking about infinity is similarly silly.

The vaccine makes sense for us to do despite the pain because failing to do so leads to more pain - but all of our options regarding vaccines are all within a system that includes pathogens. If we had the option to just magic our immune systems to perfect without any suffering at all, you bet your ass that’s what we’d do. But vaccines are the best we got. But god made the pathogens, and god gave us vulnerable immune systems to those pathogens. God had the power to create a universe without them, or without our susceptibility to them, but he chose not to, allowing us instead to suffer at his whim. Not all good.

You keep coming back to this “why can’t God make free will without evil? If he can’t, he’s not all powerful!” But it’s a basic definition problem. You’re effectively asking God to make 1 = 1 AND 1 = 2, which fine, could do but it eliminates the entire usefulness of 1 as a number.

Did you just skip over that whole spiel? I gave an example of free will without evil. So, now you’re just just whipping up some strawman bullshit about ‘1=1 and 1=2’ - I’ve already explained why that’s not the case. You also skipped over why the ability to commit evil is always so pivotal to the concept of free will. Again, in the system that god made that is our universe, I’m not free to shoot lasers from my eyes or fart out unicorns: why are those any less of a requirement to having free will? Without those freedoms, we’re just automatons, right?

Similarly, if the idea of free will is to find and reward good people and punish those who squander free will (by being jerks) free will probably necessitates the capacity for evil. (Otherwise, just stick with angels. Haven’t read the bible thoroughly but I’m pretty sure that’s basically the point of angels, perfect beings incapable of doing evil except for the one God made rebellious etc.)

Yeah you might want to read it a little more thoroughly before trying to defend it: scripture is pretty explicit about not giving a fuck about you living a sinful life, so long as you repent in the end. …you’re familiar with Jesus, right? That’s kinda his whole story. Like, you could live absolutely stuffed to the brim with sin, defraud your way into a position of high office, use it almost excusively for greed and to do things like start wars to distract the world from your visits to some sketchy island to rape children… and then open your heart to Jesus on your death bed, and enjoy eternity in heaven with no consequences at all.

And going even further than that, according to scripture you can live an extremely moral life and still get thrown into hell if that moral behavior was for its own sake and not as a function that repentance. One of the stories is about the Pharisees, which is a big cautionary tale about walking the walk without actually believing in the message. Doesn’t matter if you’re doing good, if you’re doing it for the wrong reasons, yer gonna burn!

…I grew up in a Christian household, church, sunday school, the whole 9. If your only exposure to it is through sermons and things like sunday school, you’re not going to notice all the red flags, cuz they’re not gonna talk about them. Start reading that shit on your own, and take the time to really understand what it’s saying… it gets pretty fucked up. But again, don’t take my word for it - read the fuckin thing.

Why are you asking me? Those already have established meanings, there’s no need for me to reinvent them, nor do I have any kind of authority on our language even if I wanted to.

Looking at the left side of the trim, that’s the find of shallow groove you could like fit a finger tip in and glide it across, but nothing else.

The right side has a whole quarter of a potato in it, and even if it was that deep that’d still only be like half an inch off the ground, so it doesn’t line up at all with the height of even those small golf-ball sized potatoes.

I mean, I’ve been fooled by weird-ass architecture before, but unless this was built specifically to have an optical illusion type effect from that very specific angle, then yea I’m pretty much 100% sure this is slop.

I couldn’t find the OC, so I made my own shitty version, but you get the gist:

You’re conflating this existence with all of eternity. Those are very different things.

Those are very different things, but I don’t see how or where they were conflated. Nor how conflating them would even be problematic in this context: they’d both be within god’s full scope of control, right?

Similarly, an all powerful, good God can be okay with someone suffering

So, not ‘all good’.

self imposed constraints on power. If I build a system and choose to work within that system, that’s still me being all powerful.

And if that system you just built includes evil, again we’re in not ‘all good’ territory.

I know that a half moment of unpleasantness means an eternity of bliss

According to self imposed rules that include evil

that’s a tradeoff a good and all powerful God may make.

A tradeoff? Why would god need to trade? If he wants something, he just makes it so – unless he isn’t all powerful. Or unless we’re still in the self-imposed-rules that allow for evil, which again is claiming that god is evil.

(so I can reward free will, instead of just creating a bunch of automatons)

Yeah free will usually comes up in these conversations, but right out the gate that’s an attack on god’s power: does he not have the ability to grant free will without also allowing evil? And even if he can’t, and ignoring that that claim is that he isn’t all powerful: why is the ability to commit evil always a criteria for free will? We can’t fly, shoot lasers out of our eyes, or fart out unicorns either, so with or without the ability to commit evil our freedom is still not absolute - does that make us a bunch of automatons?

Or rather, if the ability to commit evil was taken away from us, would we lose our free will? Let’s look at your freedom of choice within the context of dinner. Half a second’s thought, and I’ve got dozens of restaurant options, or grocery stores that allow me to cook up something that might fall outside of what the restaurants here offer: the number of options, while technically finite, are so mind-bogglingly huge that it might as well be infinite: so I’m gonna say my freedom of choice here is almost literally absolute.

One of those dinner options is to kidnap my neighbor’s 4-year old, throw him in the oven, and cannibalize him. Why? Cuz god lets me, right? Sure it’s illegal, but we don’t care about legal authority, we care about god’s. So if god snapped his fingers and changed our reality so that I’m no longer even capable of considering that, let alone committing it, evil is officially off the menu… but the billions of other possible combinations are still open, so I’d argue that my freedom of choice didn’t actually change all that much. Does that make me an automaton?

…and what about the things that I already don’t have the freedom to eat? Most of our reality isn’t edible. And even if it was, I can only fit a few handfuls of it into my belly at a time - I can’t have the moon for dinner, it won’t fit. …does that make me an automaton?

Point is our free will already exists within a system that has limits. Evil is one of many, many, many parts of that system, so even ignoring Epicurean Paradox, why is evil always a focal point of free will?