The healthcare professional tom munnecke on the article nothing is missing

Before she became a feature's writer for Bustle, she paid the bills by working in an outpatient dialysis clinic with tough nurses and brave patients.

The healthcare professional tom munnecke on the article nothing is missing

Department of Veterans Affairs held a contest to rename their medical software. During the Second Underground Railroad of throughwhen VA staff secretly developed the original versions of what would later become Vista, they had no name for it.

Sometimes they called it the "MUMPS systems" in reference to the programming language it was written in.

The healthcare professional tom munnecke on the article nothing is missing

The "Hardhats" software engineers who worked with them often referred to the endeavor as "committing portability," as though it were a crime, which is how VACO treated the doctors, nurses, other medical professionals, and programmers who "dared" to disobey orders from DC by writing their own medical software to solve their problems and improve care for their patients.

They coined the awkward but accurate initialism DHCP for Decentralized Hospital Computer Program, reflecting some of the most important qualities that had led to its success.

It had no logo, but at least it had a name.

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From to the mid s, VA software development was awash in initials. The name DHCP, standing now for the "old" VA software, would take the blame for everything the congressional lobbyists had figured out they could get to stick.

Meanwhile, the same software - which VA staff liked just fine, lobbyists be damned - with a new, shiny interface that everyone liked, would get rolled out with a new name. During one of the breaks, he played around with making the name of the hotel into an acronym that captured the core ideas of what we were all working to accomplish for veterans, and came up with Veterans Health Information Systems and Technology Architecture.

Unbeknownst to Roy, Cameron later decided to submit it to the competition, and it won, surprising them both. The name change plus the new GUIs bought VISTA more life in VA, allowed users and developers for a while to continue improving the software, before politicization, commercialization, and corruption bogged down VISTA development in a quagmire - a subject for another day.

The healthcare professional tom munnecke on the article nothing is missing

As for the new name, as a new acronym, VISTA would be spelled in allcaps, by the general rules of English capitalization, and for a while it was. They went with a typographic treatment, to convert the "ist" in the middle to spindly pseudo-smallcaps and italicize them, thus overemphasizing the V and the A VA?

Instead of just using it as a logo, though, they then started inserting this special type treatment into the documentation in every place where the name VISTA should have appeared, creating what master typographer disparagingly calls a logogram, a logo masquerading as a word.

Since we were all technical people, not editors or typographers, we did not understand how this violated the rules of capitalization in text matter, so we went with it.

Roy and Cameron had it right to begin with: In text settings with proper typographic tools, smallcaps could be brought to bear to tame the SHOUTING of using allcaps, to help the name blend in better with the surrounding text.

But there was always another option, a better option. If the name VISTA caught on widely enough, then by the same rules that replaced RADAR with radar and LASER with laser, we could replace most of the capitals with lowercase letters, but as a proper noun describing a specific body of medical software, it would always need to retain the capital V.


Ken McGlothlen is pleased with his Choffee, I did not notice that the time for the name to be capitalized "Vista" had come until typographer, programmer, and all around renaissance man Ken McGlothlen pointed it out to me.

Although smallcaps are better than allcaps, lowercase letters are far superior. Those Byzantine and Carolingian monks who spent centuries working to improve the readability of the Latin alphabet knew what they were doing. The greater variety of shapes, the ascenders and descenders, dots and crossings, all help to break up the wall of capital letters, to help the brain distinguish the characters, so we can read and write far more swiftly in lowercase than we can in upper or smallcaps.

As the Vista Expertise Network began its next set of publishing initiatives and new employee Ken got a look at all those smallcaps, he shook his head and reminded me of the rules by which acronyms eventually become words.

Aside from following the rules of decent capitalization, improving readability and writability, making it easier to typeset, being less precious, standing against the pernicious spread of logograms, deflating the aggressive pompousness of the COLD WAR, and all the other reasons, there is one more interesting reason to spell VISTA as Vista and MUMPS as Mumps: As countless medical dramas - and real-life medical experience - teach us, the seriousness of medical situations can too easily become oppressive over time, so that professionals either begin to break down into addiction and other forms of escape or begin to shut down emotionally and become disengaged from caring about their patients.

Successful medical practitioners often address this by honing their sense of humor. Some of the funniest people I know work in lab departments, pharmacies, cancer wards, and other places where the seriousness of their endeavor must be balanced by the cultivation of their own humanity.

The same is true of medical software developers, whose every software bug is a potential hazard to some patient, and yet who work at levels of complexity at which mistakes are inevitable. You have to be able to keep laughing to stay sane and to stay focused.

Octo Barnett, whose pun changed the world It is therefore not a coincidence that Octo Barnett coined the name Mumps the same way Roy Baker coined the name Vista - as a type of pun called a backronym a term that is itself a neologist pun.

When it came time to name this new medical programming language he and his team had invented, like many medical and medical-software professionals, he began with humor.

You could name it after a disease, but that would be gross. For example, you could name it Mumps.Dr. Jolene Brighten is a Functional Medicine Naturopathic Medical Doctor and the founder and CEO of Rubus Health—a root cause women’s medicine clinic specializing in the treatment of hormone disorders, including adrenal, thyroid, and hormonal birth control related conditions.

Mr Abdullah faced the procedure after after writing a letter for his colleague to use, which branded the patient a “professional complainer against NHS staff”.

The Malaysian-born nurse was dismisssed from his job after instigators said he . Guest blogger and healthcare professional Elizabeth Enochs shares what she wishes everyone would understand about what it’s like to work in the healthcare industry. We hope you find this article relatable and encourage you to share your thoughts in the comments below.

Jennifer Johnson, the facility executive director, said in a statement: "Our first priority at Nazareth Health and Rehabilitation Center is the health and safety of our residents and staff. Jun 27,  · Elite athletes sometimes work with multiple coaches and health professionals as part of their training.

Here at our facility, we take a natural, holistic, appropriate and, above all, legal approach to training and recovery for all of our clients. From Hospital Geek: “Re: [health system name omitted.] We started an ambulatory rollout of Epic about six months ago that would have covered physicians.

The project was cancelled a couple of weeks ago.” I omitted the health system’s name because, frankly, I don’t think this is true.

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