App icon sketch for my new company, Splint. We’re making apps that will help bedside-nurses take better care of their patients.
Twice this week I’ve noticed something strange: tiny smiley faces hidden in plain sight on otherwise unassuming web pages. They look like the exact same face, but I found them on two completely unrelated webpages. See them for yourself:
1) Studio on Fire, a letterpress print shop in Minnesota.
2) Project Medishare, a medical non-profit in Miami.
So, our serious Republican [Romney] is committed on ideological grounds to demolishing successful programs and replacing them with conservative fantasies that have failed repeatedly in the past. Maybe we would actually have been better off with Rick Perry, who might have left good government programs in place because he couldn’t remember what they were
Nurse practitioners are not physician extenders. We are highly skilled and educated nurses who provide evidence-based care grounded in the nursing model. We are not “extensions” of anyone. We are colleagues and collaborators, independent clinicians and experts in our own right. Our purpose is to provide comprehensive care, promote health, educate, and advocate. It is not to relieve interns, supplement physician education, or be the low-cost alternative when physicians have to “do more with less,” as Medscape quoted one of the study authors. Yes, we should be integrated into health care teams, surgical and otherwise—because nurses provide a distinctive aspect of care that research has repeatedly shown to be essential to good patient outcomes.
Apple is so focused on its vision that it does things in a very careful, deliberate way. It only introduces a very few number of products a year, and I think Apple’s strategy has always been to make sure the platform is so attractive and so easy for developers to work with that if there’s an opportunity in something like health care, then Apple can participate by the fact that people will go and build applications on top of its platform. Apple does magical things, but it does magical things that are a combination of a product, a service, a system, and an experience with no compromised standards.
Here’s a rough spec of what I think would comprise my ultimate note keeping environment. I’m writing this down in the hopes that someone will implement it, as I don’t have sufficient spare time.
“Have you tried…?”
Yes, I’ve tried that app. It didn’t do at least one of the following things.
…
The iPad app for the New Yorker could be great, but as it is now, it isn’t.
First, the Newsstand version of the app has been very disappointing. The app is not downloading new content automatically. I’ve updated my iPad to a fresh copy of iOS 5. I’ve downloaded and redownloaded the New Yorker app several times. I’ve ensured that “download content automatically” is enabled in the Settings app, and kept my iPad powered on, connected to AC adapter power, and connected to a reliable, persistent, wifi connection to the internet. The only “content” that is automatically downloaded is a fresh cover to the magazine’s app icon. I launch the app, see that there is a new issue available, but I cannot view it without downloading it. What was the point of migrating to Newsstand if it doesn’t fetch new issues automatically? Currently, the tin mailbox outside my house fetches new issues more easily than my $650 iPad.
Furthermore, downloading a new issue is an enormous hassle compared to other iOS apps that fetch similar amounts of content from a server (Instapaper and Reeder, e.g.). It won’t continue to download new issues if the app leaves the foreground. The app not only stops the download, but purges it’s progress, forcing the download to begin again from zero when I try again. Not only that, but the download sizes are enormous by iPad standards: 150MB per issue is ridiculous for content that is primarily text-based. The size of the average download, combined with the fact that background downloading is either broken or impossible, is sloppy and unprofessional compared to the effortless experience of Instapaper or Reeder.
Lastly, the iPad app adheres too closely to the paper magazine’s format. What makes the New Yorker “The New Yorker” is its fantastic content, not its paper medium. Use the iPad’s unique strengths to rethink what the New Yorker experience could be. Simply plopping a bloated magazine UI metaphor onto a touch screen is not the answer. Your great content deserves a great app. I expect better from you guys. Thrill me, surprise me, turn me into an evangelist for the New Yorker. Don’t make shit. Be the best. Make something so great that I’m writing letters like this to Instapaper and Reeder instead of you guys.
With tough love,
Jared Sinclair
From Mona Simpson’s eulogy of her brother, Steve Jobs:
Even ill, his taste, his discrimination and his judgment held. He went through 67 nurses before finding kindred spirits and then he completely trusted the three who stayed with him to the end. Tracy. Arturo. Elham.
One time when Steve had contracted a tenacious pneumonia his doctor forbid everything — even ice. We were in a standard I.C.U. unit. Steve, who generally disliked cutting in line or dropping his own name, confessed that this once, he’d like to be treated a little specially.
I told him: Steve, this is special treatment.
He leaned over to me, and said: “I want it to be a little more special.”
Intubated, when he couldn’t talk, he asked for a notepad. He sketched devices to hold an iPad in a hospital bed. He designed new fluid monitors and x-ray equipment. He redrew that not-quite-special-enough hospital unit. And every time his wife walked into the room, I watched his smile remake itself on his face.
For the really big, big things, you have to trust me, he wrote on his sketchpad. He looked up. You have to.
By that, he meant that we should disobey the doctors and give him a piece of ice.
Note: It’s a damn shame that I even have to post this. MobileMe customers pay $99 bucks a year or more because they value having their data sync across all their devices, and yet they’re the ones who will experience the most headache when trying to upgrade to iCloud! C’mon, Apple, get real!
If you’re like me, you have stored all of your contacts, calendars, and bookmarks in MobileMe, but have made all your iTunes and App Store purchases with a separate AppleID. Now that iCloud is out, you want to combine all of your stuff into one iCloud account. Here’s the problem: You can turn your MobileMe account into an iCloud account, but you’ll have to repurchase all of your songs and apps with this new ID. Not interested in spending thousands of dollars all over again? Me neither. Officially, Apple says that there is no way to sync this data at all (at least not yet, unless they’ve added a solution today), but there is in fact a way to do it, but it won’t sync your MobileMe email. It can’t be done on a Mac, only on an iOS device. Here’s the solution:
Backup your device, and then update it to iOS 5, but don’t set up iCloud. Not yet. If you’ve already set it up on your device, go to the iCloud settings page in Settings and delete the account from your device. If it asks you to keep your iCloud calendars, contacts, or bookmarks on your phone (and you’re sure that your MobileMe account is up-to-date by verifying it on another device, or Mac, or online at me.com) tell it no.
Go to Settings and make sure MobileMe is enabled and your settings are correct, including all the stuff you want to sync over to your iCloud account. Check your Contacts, Calendars directly to make sure they’re up-to-date.
Now delete your MobileMe account in your Settings app. Trust me on this. This is why you must do it on an iOS device. iOS will ask you if you want to keep your data on your phone after deleting the MobileMe account. Tell it yes.
Now, go to the settings for iCloud on your iOS device, and set up an iCloud account using your AppleID — not your MobileMe account. This is the AppleID you’ve used to make all your iTunes and App Store purchases. After getting it set up, make sure all the stuff you want to use (contacts, calendars, etc.) are turned on. Give things a chance to sync.
At this point, you’ve now copied all your old data from MobileMe to iCloud, with one sad exception: there’s no way to bring your MobileMe emails across to this new iCloud account. Oh well. Now for your Mac(s).
Back up everything first! Check your backups!
Update to 10.7.2.
Go to iCal’s preferences and delete your MobileMe account.
Go to System Preferences sign out of MobileMe from the MobileMe preference pane. Go to the “Mail, Contacts, & Calendars” preference pane and delete MobileMe from there, too.
Go to the iCloud preference pane in System Preferences and log into your iCloud account you created in step 4 above.
Give things a chance to sync, and then check Address Book, iCal, and Safari for your stuff. You should be good to go!
Thank you, Steve. The world will sorely miss you.
Abigail Zuger, MD writing for the NY Times:
Take what must be the greatest cheap medical fix in all of history: the bar of soap. Soap never stops proving itself. As recently as 2005, a study from the slums of Karachi, Pakistan, showed that free bars of soap (and lessons in how to use them) cut rates of childhood killers like diarrhea and pneumonia by half.
But you don’t find soap in American hospitals anymore, at least not in its classic solid rectangular form. A variety of expensive improvements have replaced it, all created in response to the various ways in which modern doctors and patients reflexively undermine good, inexpensive tools.