Saturday, May 31, 2008
Yellow Fever
Thursday, May 29, 2008
Anal Fissures?
Wednesday, May 28, 2008
When To Stay Home
Answer: when you are running a company that's being besieged by irate shareholders & is fast gaining a reputation for being rudderless, but have foolishly accepted a speaking date at a conference crawling with tech media and bloggers.
Tuesday, May 27, 2008
SV Goes To SD
The great-and-the-good from Silicon Valley and beyond are in San Diego this week (motto: "cheap Mexican drugs just a short drive away") at the All Things Digital conference. Not there myself, a fact that speaks volumes about where I rank, but instead I get the privilege of going around saying that I get to stay in the office and work, thereby avoiding having to rub shoulders with the likes of Jeff Bezos, Steve Balmer and Jerry Yang. Err, hang on, check out the last two names. Yup, both are on the agenda.
Alas, the web site doesn't reveal whether or not they are there at the same time, but one can hope. I do know at least one of the attendees so I'll let you know if I can uncover anything interesting above and beyond what everyone had for lunch or how the golf course was (first item on the agenda, apparently).
Last year featured a head-to-head with Steve Jobs and Bill Gates. What better way to top that than to have Balmer and Yang duking it out?
First to two falls, one submission or a knockout, winner takes all. Now that's what I call a proxy fight!
Monday, May 26, 2008
Graphic Elements
Thursday, May 22, 2008
Santa Cruz Mountains Summit Fire
Just to let you all know, this fire is indeed our area, but located a few miles to the south. Summit Road is quite long and crosses Highway 17, with our house being located on the north side away from the fast-moving blaze. Prevailing winds are blowing the hot spots further away from us, but anyway of course that just means the fire heads more towards where friends and acquaintances live. Someone still gets hit. Estimates are that currently well over 2,000 acres has burned, with some predicting a total loss of over 10,000 acres by the time it's all said and done. 20 structures have burned but so far no one has been injured.
Next big worry is that the town of Corralitos is in the current path the fire is taking.
We lost power at home late this morning but not clear if that's a related incident or not.
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Update, 6 pm: Summit Road seems to be open in both directions, at least for the major sections directly north and south of 17. Winds are still strong but starting to tail down, moving now to blow from the north west, therefore forcing the fire southwards and into further fresh supplies of fuel. Reports say that the fire is "boxed-in" rather than contained so clearly we still have a long way to go before this is over. Thankfully, forecast for tonight & tomorrow is for lighter winds and higher humidity. A dozen homes have been destroyed with hundreds of people now covered by an evacuation order.
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Update, 7 am: Outside, everything is covered by low, grey cloud and a strong smell of smoke hangs in the air. Looks like the wind has dropped resulting in the smoke flattening out and spreading more widely. Will take a look as I head up the road. If things stay quiet today then CDF should be able to make a lot of progress, though if even a gentle breeze sets up directly aligned with a canyon then the fire can more very quickly indeed. (Often what happens in Southern California during the wildfire season.)
More news as it happens.
Wednesday, May 21, 2008
It Shouldn't Be This Hard
Nope, not a warning tale about what to do if you are, err, "excited" for more than 4 hours after taking Viagra, but instead a diatribe against how damn difficult it is to get even simple things done in and around the US health care system these days.
Problem statement: we're off to Africa in July and so I need to get a yellow fever shot in order that my organs don't liquefy at the first insect bite when stepping off the plane. Fair enough. Should take no more than a call or two to arrange, throw in a quick jab and we're done, right? Wrong.
Step one: try and figure out where to go. Seems to be two choices. (A) go to a clinic specializing in such things or (B) have an inane conversation with your doctor's receptionist who is clearly still cutting out the coupons in order to pass the cornflake university course necessary to qualify. Luckily, I had Susan do this part and so choice (A) was that of least resistance, though likely not lowest cost.
Step two: call clinic and find out that they have to have a prescription faxed to them in advance for yellow fever anti-viral in order that they can get it and have it ready for when you come in to their office. Nope, they can't just dole it out, you need paperwork. OK ... so move to step 3.
Step three - and the one where I get involved now: call doctor's office. Speak to receptionist who claims I have to go through public health services in San Jose to get this done. Say what? I repeat the request thinking she may have misheard, but got the same response. I have to hang up before I start shouting at the phone like Grandpa Simpson. Clearly, the only way to resolve this will be to go to the office myself in the hope of locating someone with an IQ that exceeds their age. Rats. History tells me that this won't go well.
Step four: stop at the office on my way to work. Find same receptionist I spoke to on the phone and get same response. I get very quiet and speak very, very slowly. "No, I do not need to go to the public health department. I am going to a Travel Medicine clinic in this same building and you need to Fax them a prescription for yellow fever vaccine." Must have worked because she gave up and handed me over to someone else who, though being no brighter, at least was willing to be more compliant. Or so I thought.
Step five: "Oh, well we can't just write a prescription, you have to see the nurse." Okaaay ... but of course nursey was busy, so I'd have to wait.
Over the next hour, people come and people go. I counted three drug reps who, of course, just breezed right in and, surprise, surprise, met straight away with this near-mythical nurse I'd been told about. Clearly, I was not worthy, having failed to bring with me the necessary offerings of free pens and copious samples of drugs to fix stuff you have never heard of but have seen on TV so it must be good for something, right? I mean, they went to all the trouble to find a drug just to cure restless leg syndrome (fidgeting?) so there must be millions of sufferers and I do have to say I've felt the odd itch down there myself so probably better get it checked out while I'm at the surgery.
Step six: meet nursey. Finally, the home straight. Weighs me, takes blood pressure (100 over 60, which is lower than it's ever been so either my heart had just stopped or they couldn't even get that done properly) and temperature. "You are fine, now go and sit in the consulting cupboard and wait." Err, ok ... I suppose I could do that. Is writing on a pad something that has to be done in private now?
Step seven: read yet another magazine for a further quarter-of-an-hour. Finally the door opens and my doctor walks in, nursey having returned to the altar presumably. "What seems to be the trouble?", he inquires. I refrain from laying out, in minute detail, the charade that had just played out over the past 75 minutes, and instead cut to the chase. I NEED A PRE ... you get the idea. He scribbles on his pad and that's it. Done.
Far as I can tell, the only reason for making me see the doctor is that this causes a material billing event to be generated that they can send off to the health plan provider. Just having the nurse write on a pad wasn't going to cut it money-wise but now they have an honest-to-goodness doctor consult to bill for. Lovely money!
Almost 90 minutes lost to generate a single piece of paper, carrying now an overhead cost in billings and processing that will likely run into the hundreds of dollars. And all of that before I even get the vaccine and have someone else, who will also need paying, shoot me up with it.
The US health care system is in desperate need of root-and-branch reform. It's about the most expensive system in the world and yet seems less efficient than even the dear old NHS in the UK. Sure, if you are critically ill then there's no place better from a care or medical technology standpoint, so long as someone else is picking up the tab of course (ultimately US businesses, whose premiums cover all this stuff.)
But here's the real reason no one wants to touch this issue in Washington: there will be tremendous lobbyist back-pressure to change nothing because everyone does very nicely thank you out of the status quo, despite the fact that rapidly increasing costs will put the whole system into cardiac arrest at some point very soon. Change of any kind means winners and losers, and politicians hate to be in that situation, much preferring instead to play games where they can pretend everyone wins thanks to their insightful and brilliantly constructed legislative efforts. But surely a new president, especially a democratic one, will want to grab hold of this and do what's right for the country and the people? Not a chance. Certainly not GW Shrub mark II (yes, John, I mean you), and as for Hillary then she's still carrying the scars of grabbing that particular hot potato when Bill was first in the White House 15 years ago. Obama? Perhaps, but it's hard to tell. I haven't managed to decode his policy statements in this area given as how they don't go much beyond "cover everyone for everything" without any accompanying explanation of how a system already creaking at the seams would ever cope with such a massive influx of new patients except by driving premiums into the stratosphere.
If the divine trumpet should sound in the coming years, successfully summoning the dead back to life, the newly-resurrected had better make sure that their still-breathing relatives and descendants have kept up their health care payments whilst they've been snoozing underground. Because if not then woe betide them the first time they drop the odd tarsal here or there, or a dog runs off with their left leg. Regardless of social status when they shuffled off this mortal coil, hanging around the emergency room hoping Medicaid will pick up the tab will make them wish they were dead. Again.
Monday, May 19, 2008
You Can't Make This Stuff Up
Sunday, May 18, 2008
On, Off and Now On Again?
I just saw that the news wires are carrying a story that Microsoft and Yahoo! are in talks again, but this time they hinge on something less than a total acquisition.
Icahn must be scarier than everyone thought. For Yang to prefer to go back to the evil empire instead of fighting a proxy battle against the evil corporate raider speaks volumes. (And that's of course the kind of volume that's written in Latin, has a diabolical name and is oft featured in Hammer horror films.)
Race Day
Thursday, May 15, 2008
101 On The 101
Nope, we're not talking speed for once but rather temperature. In fact, according to what my car was telling me today while driving just a few miles on 101 from a local meeting back to the office, it was at least 103 degrees out there.
Good day to be in the office (air conditioned at someone else's expense); bad day to be sitting in traffic (sun beating down, price of petrol, death by frustration, black interior and dash). However, both places are preferable to home where our air conditioner can barely keep the main living room down to a comfortable temperature and stands no chance at all of cooling the main bedroom, conveniently located right under the roof in a open plan house so it's guaranteed to be the hottest room in the place bar none. And no, it doesn't cool off at night when we get these high pressure systems parked over the desert states.
More of the same promised tomorrow, with precious little relief on Saturday when I'll be spending all day in the heat-bowl that's Laguna Seca.