Science & Technology

Duuu.. Duuu.. Looking Out My Back Door (Or, Oh Hail!)

(With apologies to CCR)

So I have training in Orlando all this week. For the locals, that means I-4 both ways. Prayers and good wishes are accepted.

Today, the first day of spring we had a nasty storm come through. And as usually happens, it hits Orlando before it hits Daytona. So I’m in class and the storm moves through dropping about marble sized hail. But it clears by the time I get out of class. No problems the entire time on I-4.

But as soon as I get off the interstate it starts to rain. But I can deal with rain. I even managed to get home before it started racing hard. Then out of nowhere I hear what sounds like branches falling on the roof. It wasn’t branches, it was good sized hail.

Hard to see through the screen, but I wasn’t going out there!



Scary Email Phish

(In case you are not aware of what a “phish” is, in broad terms, it is an email designed to make you click on a link, or open an infected attachment. Once the link is clicked or that infected attachment opened, your machine (and this works on Windows, Apple, and Linux) will become a “host” for a variety of nefarious activities.)

This information came from one of the vendors we use at the city, KnowBe4. We use the tools they provide to send simulated phishing attacks to all our employees. It’s one of the fun aspects of my job. Here is a very specific phish threat they sent a notice about. I felt it important enough to pass along.

I was alerted by a customer about a really difficult scenario that’s becoming all the more frequent. While there’s probably little that can be done in terms of tuning your spam filters and endpoint security tools, new-school security awareness training can make a difference. Here is the story:

“Over the past few months, we have been hit with increasing frequency with an attack that follows this 5-step pattern;

  • A known vendor or customer falls victim to a phishing attack. Their email credentials are compromised, and the “bad guy” gets access to their email account.
  • They start by changing the password, so that the victim no longer has control.
  • They then comb through past email correspondence, and using the victim’s account, signature, and logo, send out targeted emails crafted to closely resemble legit correspondence they have had with our company in the past.
  • Depending on the “bad guy’s” dedication to his craft, these could be fairly generic, or extremely specific. We’ve received one with an inquiry that referenced a specific real invoice # for that individual.
  • The email always includes a spreadsheet or PDF. The name can be generic, or can be really specific. We’ve received one titled with a specific real invoice # for that individual.

Because these emails are coming from a real email account for a real business partner, they are very hard to identify, and in some cases they are literally impossible to detect, as they are carefully crafted copies of past legitimate emails. Naturally, there are a few that cast a wide net, so they are more generic and often contain corrupted grammar or spelling, but others are indistinguishable from real emails.”

What To Do About This Threat

Granted, this is a frustrating and dangerous situation, as the majority of the red flags users have been trained to watch for simply aren’t present if the scammer uses a highly targeted approach like this.

However, there is one cardinal rule that you need to stress with your users to protect against a scenario like this: DID THEY ASK FOR THE ATTACHMENT?

If they did not, before the attachment is opened, it’s a very good idea to double check using an out-of-band channel like the phone to call and ask if they sent this and why it was sent . There is little else that can be done.

Yes, that is a little more work. But also, better safe than sorry. You have to constantly work on and reinforce your security culture, anywhere in the world.

As you can see, this is very scary. Especially in a corporate environment. The biggest thing to take away from this is if you get an email with an attachment THAT YOU DIDN’T REQUEST, DO NOT OPEN THE ATTACHMENT! This holds true even if you recognize the sender. The sender field on an email can be spoofed very easily.

So, as I’ve said before, keep your antivirus/antimalware up-to-date, and scan your machine on a regular basis. One of the catchphrases of KnowBe4 is “Think Before You Click”. Wise words to live by.

Happy and safe interneting my friends.


Twitter  Facebook

Empty Post

No need to like this post, it’s simply a test post. Seems that every time I post something, I will get at least one “like” within seconds with no views recorded. No way someone could have read my entire post that quick. So I’m checking for who has a script running. I figure it’s a ploy to get views on their (probably virus-laden) site.

So here goes nothing… And I’ll throw in a video to make it interesting.


A Review Of The Google Pixel 2XL And The Google Mini

My old LG5 was having major issues. It wouldn’t charge most of the time requiring me to keep it plugged in both at home and on my desk at work, texting would suddenly just not respond. The keyboard.. well I won’t go into all the problems I had with that.

So I ordered myself a Pixel 2XL directly from Google. I decided to by-pass by cell carrier, Verizon, for two reasons. First, by buying directly from Google I get the monthly security updates AND any OS updates long before big red will send them out. Second, no app bloat. The phone didn’t come loaded with all the usual Verizon apps that I never use anyway. Seriously, has anyone ever used the NFL Mobile app? So this is a much cleaner phone, and therefore runs much smoother.

I also opted for the 128GB model so I could download my Spotify playlists and not burn up data when I don’t have a Wi-Fi connection and want to play my music.

I have had this phone now for about two months, I do not have any case for it yet, nor does it have any screen protection. I really, really hope to have both of those issues remedied this weekend.

But here’s what I’ve learned in the first two months.

  • This screen is extremely sensitive. Since I don’t have a case, I keep it in my pocket most of the time. I’ll take it out and there will be 3 or 4 apps open, the texting app will have picked a random contact and is sending pure gibberish. I’m hoping a case (one that I can clip to my belt) and the “gorilla glass” type of screen protector will help alleviate these problems.
  • The “Google Assistant” isn’t all it’s hyped to be. I understand that this app is still “under development”,  but it still needs lots of work. I primarily use it while driving to be “hands-free”.  Many times (after I use the “catchphrase” either ‘OK Google’ or ‘Hey Google’) nothing happens. Usually, the second time I call it, it answers. All you get is a musical tone to let you know it’s ready. The most common use, for me, is to text someone (usually Wifey®). So it’s “OK Google” (wait for music), “Send a text” (it will then ask “Who do you want to text?”), “Text <contact>” (You can simplify this by saying “Send a text to <contact>”, but that doesn’t always work. Last time I tried to do it that way, it started reading me the news and weather. I couldn’t figure how to stop that, so I had to wait for it to finish. If the contact has more than one phone number, you will be asked to pick which number to send it to.  This is good for folks that may have more than one cell phone, like myself (one business and one personal), but usually, it’s overkill. Let’s face it you can’t send a text message to a fax machine or a landline (who has a landline anymore anyway?). But more than that, when I’m in the middle of dictating a text and a new text come in, the assistant basically stops and the message will be displayed on top of everything, and it erases whatever I had already dictated. Very frustrating. And forget about asking it read incoming text messages. Most times it doesn’t respond at all, or when you can get it read a message and it asks you if you want to “Reply, Ignore, or go to the Next Message”. No matter how quick I say my answer (usually it’s Reply) or how long I wait, all it does it repeat my choices. I finally just have to wait it out and start all over again with the “Send A Text Message”.
  • I do like the GUI. Instead of the usual swiping right or left for screens (although it does have a Google News feed if you swipe to the left, and a user-configurable screen to the right), all apps are available by swiping up. And even more importantly, for me anyway, they are automagically arranged alphabetically. One thing I have hated from the days of my OG Droid was having to manually configure apps so I could find them. I love this feature.
  • This phone has an excellent camera. And not only that, pictures are automagically backed up to Google Photos (if you have an account). I also mine set to back up to my Amazon Prime Photos and even my Verizon Cloud. We’ve lost lots of photos before, don’t want that happening again.
  • I like the fingerprint option for unlocking (you can also set a 6 digit numeric pin). This also allows me to securely log into most of my banking and credit card apps. Saves me a lot of head scratching trying to remember what my damn passwords are.

On to the Google Mini.  I received my mini free.  Google sent it to me as a “gift” for buying the Pixel from them. I can understand why they gave it away, it’s pretty much useless to me.

One of the big things that Google touts for any of its home systems (the mini or Google Home) is the ability to control a “smart home”. Well, my house is more along the lines of a “Flintstone House”. We have absolutely nothing that can be voice controlled. And in all honesty, as an IT professional, I’m not sure I want a house like that. Hacking an IoT (Internet of Things) is pretty easy.

  • So, the main use of this mini is to play my Spotify playlist. Good thing I didn’t pay for it. This is something I can do (and much better) with either my phone or tablet. here’s the problem; As usual, you wake it up with the “Ok Google” or “Hey Google”. No problem there. To play my “combo” playlist (a test list I made on Spotify), you tell it “Play combo playlist”, it responds “playing Spotify playlist combo”. It will always start with the first song that was added to the playlist.  This playlist has just over 1500 songs, from about 30 artists. I would guess an average of 30 songs per artist. So it starts at the top of the list, in the order that the songs/artists were added. According to the instructions on Google to make the mini shuffle the songs, you will next tell the mini (after the required “OK Google”), “Shuffle the playlist”. It will respond, “OK, will shuffle the playlist after this track has finished”. Fair enough. You can next tell it (again after the required “OK Google”) “Skip this song”. This is supposed to make the mini pick a random song from there on out. But it doesn’t appear to work that way.
    • Let me explain it like this. Let’s say I had 5 artists, and each artist has 5 tracks on the playlist. We will call the artists, A, B, C, D, and E. The tracks we’ll call 1, 2, 3, 4, and 5. Simple enough. So when you start the playlist, it will always start on artist A, track 1. When you get it to skip command it will always go to artist B (which is the next artist added when the list was created) and track 1. Then it goes back to artist A and track 2, followed by artist B, track 2. And so on until it finishes artist A track 5, then it will go to artist C track 1 and so on.
    • So with a playlist of over 1500 songs, I’ve never gotten through the first 3 or 4 artists before I get frustrated and turn it off.
  • And that’s where the mini sits.  On my nightstand, with the mic turned off. Every now and then I hit it and it tells me the mic is turned off and how to turn it back off. I just look at it with contempt and tell it “Shut the hell up!”

Anyone else having issues with a Google Mini?  Leave me some suggestions as to what I’m doing wrong, please!


Falcon 9 Heavy

As a little boy, I wanted to be an astronaut, not uncommon for young boys. As since I grew up in Florida, we visited Cape Kennedy (it has now reverted back to its original name of Cape Canaveral, and the Kennedy Space Center has been built for tourists) several times. Looking at the rockets that came back, everything from the original Mercury capsules and the giant Saturn 5 rockets that took us to the moon (or did they? – think I’ve been watching too many X-Files), and especially the Shuttles kept the wonder alive for me. But I have to admit, over the last years, as NASA has constantly had their budget cut and less and less space programs are originating here in the USA, my interest has waned.

But today we have another “big boy” launch. The Falcon 9 Heavy. This excites me. I worked at Cape Canaveral for a short time (it was cut short by 9/11 when my sub-contract was terminated as many others were).  And if I’m not mistaken, this was the launch pad I worked on.

But one thing I find almost humorous is that Elon Musk (@ElonMusk) has put one of his Telsa Roadsters, with a “spaceman” in the driver seat (no one is in the suit, in case you were concerned). The mission, as I understand it, is not only a real test of the Falcon 9 Heavy engines but to travel to Mars.


Tesla Roadster with its Spaceman driver

Not only is this cool as hell, it reminds me of one my all-time favorite movies, “Heavy Metal“.  This animated movie, released in 1981 (not good for little children – see the link), starts off with a spaceman leaving orbit in a 1959 Corvette and reentering earth.


Heavy Metal

This intro always intrigued me. It was obvious that no one could survive such a reentry, but what the hell, it’s a cartoon, and we well know that physics do not apply in the world of cartoons.  I was down with it. Now, this Telsa Roadster will sadly, not be landing on Mars just left orbiting for eternity. Still a cool accomplishment.

So now we have a roadster blasting off into space, or as Elon said: “it blows up in a million little pieces”.  It could go either way, this is the first launch of this rocket model. And no matter how much testing they put it through, it’s still a bit of a crapshoot.

If you want to watch the launch from the comfort of where ever you’re reading this, the launch window is 1:30 – 4:00 PM EST. You can watch the live webcast at the SpaceX website (along with a host of other sites). The feed usually goes live about an hour prior to the launch window opening.

I’ll be watching, hope you can too!



PC Security… Again


So once again here I am at the hands of Stupid End Users.  I have to keep reminding myself that these fools pay the bills.

I want to make one thing perfectly clear. INSTALL ALL THE SECURITY UPDATES FOR WHICHEVER OS YOU HAVE (Windows, Apple or Linux). Nothing and I mean NOTHING is more critical to the smooth operation of your computer (and even your smartphone – this applies to Android and Apple phones as well) than keeping these up-to-date.

Case in point. I am working on a laptop for one of my co-worker’s son. He claims the screen went blank “while doing school work”. Neither dad nor I buy it. Right now, his screen doesn’t work, the mouse and keyboard are not functioning properly (even with USB versions). I could not do anything (since the screen was black) without plugging in an external monitor and resetting the BIOS (the Basic In and Out System – what controls almost everything on the motherboard) to recognize the second monitor.

I still cannot get any of the usual tools I would use to scan the system for viruses (virui?), check the hard drive for errors, or even check the display properties. All of those options are missing from the system.  Normally I would do a “System restore”. This is a very nice feature that Microsoft added some time ago (in Windows ME – probably the only good thing to come out of that version of Windows). Since this machine belongs to a college student, there is a real good chance he was doing something “he shouldn’t have been doing”.

No matter how good your anti-virus/malware is if you visit “questionable” sites (and I’m not talking strictly porn – many download, or ‘warez’ sites are riddled with viruses) you run an elevated risk of getting an infection. There is an increasing problem of sponsored ads on respectable websites that are pushing viruses without you doing anything. We refer to these as “drive-byes”.

Normally you can access System Restore through the Control Panel and “Advanced Features”. Naturally, that’s missing on this machine as well. The other way to get to System Restore is by booting into “Safe Mode” and running it from a command prompt (the old DOS black & white screen where you have to type everything. Oh how I miss those days.) But for whatever goddamn reason Micro$oft took the “F8” feature out of the boot cycle in Windows 10. In previous versions, you could hit “F8” while the system was booting to be presented with a menu of boot options or just use “F5” to go straight into Safe Mode. Micro$oft, you made a stupid, stupid, stupid decision to remove that.

So now, 3 hours of working on this machine and I tell it to reboot, hoping (beyond hope) that at least the mouse and keyboard will work. What happens? My options are “Apply Updates and Restart or Shutdown”. So now I’ll have to wait for it to apply who knows how many updates before I can go back to troubleshooting. (edit: so far 90 minutes on the “Getting Windows Ready” screen).

There is a very good chance that if these updates had been applied when first available (the last update from Micro$oft was 2 weeks ago), what has crept into this machine may have been prevented. Even though this machine has a reliable Anti-virus installed (I cannot tell if it’s up-to-date though), without these security patches something can get through.

Wifey’s® office will not install any updates for fear it will “break” a program or something. Now, yes, it’s true. M$ updates have been known to cause havoc. But when that happens it’s (usually) easily reversible. A simple “roll back” (sometimes you need to go to safe mode) is all it takes. And M$ is pretty good about fixing those bad patches, either by sending a remote uninstall or an updated patch within 72 hours.

Second example.

Working on another laptop (this one city owned). The user claims the screen “scrolls on its own”. Looking at the machine when he brings it in (interrupting lunch as usual), I see it is doing just that.

Looking a bit deeper I see that there have been no updates applied to this machine since it was issued to the user almost one year ago. Now this machine could be considered “mission critical”. But instead of being out in the field, where it’s needed, and up-to-date, it’s sitting here on my desk slowing applying a years worth of updates. One update at a time. Because that’s how fucked up this machine is.

It not only needs updating to the latest version of Windows 10, it needs every security update since the beginning of time.

Also, keep any Anti-Virus and/or Anti-Malware product you use up-to-date (you do have an Anti-Virus/Malware program installed, Right?? RIGHT???), and scan your machine on a regular basis. There are many excellent free choices out there, pick one, any one. My favorite is Malwarebytes (I do not get any money from them, but I’ve been using their product for over 10 years without a single infection). They have both a free and a paid version, I HIGHLY recommend the paid version. Last I looked, if you download the free version you get a 2 week trial of the paid version, so it’s worth a look. The extra benefits of the paid version make it a good investment for your PC.

Malwarebytes has blocked very many of the “drive-by” ads I mentioned above. I will get either a little notice that says “access to <website name> blocked”, or just a blank spot on the webpage where the ad would have been.  You can also look into an “ad-blocker” for your web browser that can plug into either Chrome or Firefox (I’m not sure about Safari as I don’t have a Mac). IE and Edge users are out luck. Drop those and go with either Chrome or Firefox (I like and use both of those).


I apologize for the rant, but it has been Monday all month here at work. My frustration level is quite high for many reasons, just not here at work. (Don’t ask me about yesterday’s useless dentist appointment)….


I’ve Been Tagged!

My friend Kiersten over at Once Upon A Spine tagged me as part of the “Unique Blogger Award”. I have no idea what makes my blog unique, as it tends to meander its way around various subjects without ever really coming to any conclusions.

But anyway, first thanks for the tag Kiersten (and you folks should go read her blog. Some excellent books reviews that my Wifey® has found helpful.)

Here are the “rules”;

  • Share the link of the blogger that has shown you love by nominating you.
  • Answer the questions.
  • In the spirit of sharing, nominate 8 – 13 people for the same award (not sure I know that many bloggers).
  • Ask them 3 questions.

Onto the questions I was asked!

First – If you were to choose a different topic/theme for your blog, what would it be?

Since this blog has no theme or topic (hence the name Random Ramblins’), this is a bit tough for me to answer. When I first thought of coming back into blogging I knew I was not going to go back to the old technology blog I had years ago. Things have changed so much, I couldn’t keep up with it. My next thought was something about faith and my struggles with mainstream Christianity and why I’ve left it. But that was boring. And lots of people can explain it better than I. Then I thought food, who doesn’t love food? I love to cook and eat, but then health issues got in the way and I’ve had to change everything there, so that went out the window. How about mental health? I do have Bipolar Disorder type 2, some anxiety and social issues, but compared to what I’m reading on other blogs, mine is rather mild, or maybe my meds are just working better I don’t know. But again, better things are being said already.

But what I’d really like to do is humor. Back in the day (as in pre bipolar meds) I had a knack for telling the right joke at the right time. I could cheer someone up (even when I was struggling) with just a little humor. I had a flair for what my Soon-To-Be-Wifey® called “Gonzo Journalism” (a term stolen from the late, great Hunter S. Thompson, one of my favorite authors of all time). But since I’ve been on the meds, it seems my creativity level, my Gonzo if you will, has left me.  Maybe the meds are doing too much, or not enough, I don’t know.  But humor is what I’m shooting for.

Second – If you could befriend any author in real life, who would you choose? Why?

Another difficult question mainly because I feel I could do better with a really good copy editor than with an author. Come on, you’ve tried to read some of my stuff and just had to shake your head because it made no sense what so ever. Between the typos and the left out words…

But to answer the question, finally, I would choose Dr. Bart D. Erhman. From his Facebook page (easier to copy and paste – still looking for an editor you know) – Bart D. Ehrman is the James A. Gray Distinguished Professor of Religious Studies at the University of North Carolina, Chapel Hill, and is a leading authority on the Bible and the life of Jesus. He is the author of more than twenty books, including the New York Times bestselling Misquoting Jesus, God’s Problem, Jesus, Interrupted and Forged. I have read many of his books and I think his reasoning for leaving the Christian faith very closely echoes my reasons. Find him here. A close runner-up would be Dr. Pete Enns. I don’t have all his details, but he is an Old Testament professor. Find him here. One more to add to list is Dr. Amy-Jill Levine. A Jew who teaches New Testament. Such an oxymoron that I love it, plus she has a great sense of humor. Alas, she has absolutely no web presence.

Third – What’s the weirdest blog post you’ve ever written?

A long time ago (thinking about 2002) I wrote a post on my original website about my somewhat dysfunctional family. Nothing out the ordinary, just questions like “How did you get mashed potatoes on the back of your head son?”.  That site is long gone now, couldn’t find it on the “Wayback Machine” either. So for this blog, I’ll have to go with News You Can Use…No Not Really.

Questions for my nominees:

  • What is the one subject you wish you knew more about? A course you wish you had taken even just a seminar or such? And why.
  • Anybody alive or dead you’d love to have dinner with, and what would you talk about?
  • And since I ask this every time I get to sit on an employment interview committee; Star Fleet Academy or The Vulcan Science Academy and why? You’d be surprised how many supposed IT Geeks don’t understand the question.

Now I have to nominate folks… I don’t have many followers so I’ll only add these;

Sorry I don’t have more to add, but feel free to join in even if you’re not listed.

And free feel to send along any cheap copy editors, Wifey® says she won’t do it anymore. Well not really, she just can’t do it while she’s at work, and then I’d probably forget to post anything by the time I got home and she could edit it for me.


P.S. Thanks again Kiersten!

Before and After

One of the “joys” of working in IT is how fast the technology changes.  Due to this phenomenon, most IT office seem to get cluttered quickly.  Mine is no exception. Add to that fact that I work for a city it only makes matters worse. We have to submit requests for bids from salvage companies and then have our city council approve a contract which whichever firm they decide on. The process can take months, if not longer.

When I left work last Friday, this is what the front “working” area of my office looked like;



This is about a 6-month accumulation of “junk” anything from dead monitors, printers, PC, cameras, mice, keyboards, battery backups, you name it.

Today we finally had a salvage company pick up most of the junk. There are still two more rooms in another building to pick up. Unfortunately, the guy ran out of room in his truck!

So here’s what the office looks like now;



Still some work to do, but much better.  My main concern is how quick will we fill it up again?


True Stories From The Workbench

In case you don’t know, I have been an IT guy since 1995 when I retired from the Army (but I did get my first experience with computers in 1975 doing Cobol programming using punch cards. That’s when I first realized that not only am I very poor at spelling, my typing is even worse. I quickly left the programming field.)

These are just three true stories I have personally experienced over the years. The names have been left out to protect the stupid end users.

About 1995, helping a law firm with the legal version of Word Perfect. Now, this is just before Windows 95 came out, so we’re still dealing with DOS 6 and Windows 3.11 (if you’ve never heard of those versions go read about them somewhere, things were quite a bit different).

In Word Perfect, several options were accessed by using the function keys. These are the keys on the very top of your keyboard that have the letter F and a number (i.e. F10). Take a look, they’re up there. So in this version of Word Perfect (which is a program like MS Word, and at one time was much more popular. It’s still in use in some specific places such as legal offices), the use of these functions keys did many things, such as insert pre-composed paragraphs. One of the legal assistants would call the shop I worked at on a regular basis, saying her keyboard wasn’t working. We would go through the usual testing procedures and never find a fault. She would show us the “problem”.  When in Word Perfect and you had to use one of the function keys, she instead would type it out. So instead of just hitting the F10 key, she would type the letter F then 1 and 0. Which of course, did nothing but add the “F10” text to her document and not do the desired function.  We would have this call at least 3 times a month until they fired her.

Move to about 1998. This is the time frame when sound cards & CD-ROMS were just becoming standard in the PC world. One of our regular customers brought his PC in to have a sound card and CD player added. Not a tough task for our shop.  The software that came with the package had a GUI (graphical user interface) that looked like a standard stereo system you’d find in your home.

I called the unibomber gentlemen letting him know he can come pick up his PC and I will have it set up on the demo table on the sales floor to show him how everything works.  We go through the demo with no problems. I stress that the software will work “just like your stereo at home”. He claims he understands.

About an hour later he calls in and the call gets routed to me since I was the tech that did the work. First thing I ask is if everything is working correctly, CDs play, sounds are coming from the speakers etc.. No problem there is he says, but I have a question he says.  “How do I rewind the CD?” Well, that made no sense to me, so I ask him to repeat the question so I make sure I didn’t misunderstand him. He asks the question again word for word, “How do I rewind the CD?” In disbelief, I say the question back to him, “You need to know how to rewind a CD?” This immediately gets my fellow techs attention, and they stop what they are doing and gather behind me to hear what’s going on. I again tell him that the system works just like his home system. His reply was “I understand that, but if I stop a CD in the middle of a track, how do I rewind it to start over?” At this point, I had to point him on hold so we could all laugh.

It took about 10 minutes of explaining how things work, but he got it in the end.

Finally, about 1999, working for a telemarketing firm as the “IT Manager” (it was a one-man IT shop, so take the title for what it’s worth).  I get a call from one of the offices upstairs that her monitor wouldn’t power on. When I get to the office the first thing I notice is that’s dark. They usually didn’t turn on all the overhead lights, but this time all of them were off. So I ask, “Why is it so dark in here today?”, thinking maybe someone was hung over (a common occurrence). She tells me “Oh we lost power”. And you wonder why your monitor won’t turn on???  About this time the department manager comes out of his office asking what I needed. When I tell him, he just shakes his head and does the classic facepalm. Took us about 45 minutes to hunt down the breaker box to get power restored.

I have more, but that’s enough for today.  If you’d like to hear more leave me a comment, or if you have some similar experiences, leave a comment or two!

Thanks for reading.


The Problem With Doctors

Well, the problem is not with doctors themselves but when you have multiple doctors and the “failure to communicate” to quote Cool Hand Luke.

This is a relatively new issue for me. Most of my early adult life was spent in the military. So most doctors were in one building, the base hospital. For soldiers that were assigned to units other than the hospital itself, they had a “Battalion Aid Station” (BAS), basically an Urgent Care center. They could go there for “sick call” (early morning time for folks with colds, injuries etc..) and usually, they saw a P.A. (Physician’s Assistant). If they needed specialized care they would have an appointment made for them or were sent to the ER if needed (i.e. a broken bone that needed to bet set immediately).

Once they were under the care of a specialist, a surgeon, urologist,  internal med, orthopedist or OB/Gyn for the ladies, they would stop by the BAS, get their medical records and go to the appointment. This way the specialist had all tests, x-rays, lab work etc.. right there for each and every visit. It was a fairly good system. And if one doc had a question for a doc in another department, it was a simple walk down the hallway or just a phone call away.

What do we have now? Multiple specialists spread all over creation who only talk to each other when the patient asks. And then only if “the situation needs it”.

Case in point. I had blood work done last week. I asked the lab tech if the results of the labs ordered by my primary care doc be sent to my bi-polar doc, and the labs ordered by my bi-polar doc sent to my primary care. “Nope”. It’s not on the order.

Now I understand HIPPA laws. Back in the day, when I was doing websites (thankfully I don’t so that anymore), the Christian group I was playing webmaster for (and yes I was a “Christian” at that time and belonged to the group) wanted a “prayer request” page.  When I pointed out that a page listing names and illness and such violated HIPPA laws, they didn’t seem to care. They wanted it anyway. When I refused to do it on the grounds that as the “webmaster” it would expose me to a federal lawsuit, they still didn’t seem to care. The “We’re should be allowed because it’s for a good cause” was the mindset. No need to say I am no longer a member of said group.

But back to the blood work.  So I had to call my primary care doc had her office fax over the lab work to both my cardiologist and my bi-polar doc. No worries there. Her office is quite up to standards electronically, as is my cardiologist. My bi-polar doc? Not so much. The young lady I spoke to was very confused as to what I need to be sent and to where. How difficult is it to understand that I need the lab results the doctor you work for ordered sent to my primary care doc? Apparently quite difficult, as she called me back several hours later asking why did she need to send the lab results that my primary care doc had over back to them? So again I had to explain I only needed the results that YOUR doc has sent to my primary doc.

One thing that would fix that is a general repository of medical records. A giant database that everything goes to and any doctor you see, whether it be a new primary care if you’ve moved, or a new specialist you need to see, can pull your data out of the “cloud”.  But that is not likely happen. Too many hackers and that would be a prime target. If that data was breached and held captive people would die.  And that’s not good.

But what about a scheduled day once a month for doctors to get together and discuss patients that they have in common. I imagine a “Skype” or a conference call, doesn’t have to be video, where doc “A” can talk about patient “X”‘s recent lab work, and doc “B” may express concern that it may be cancer, while doc “C” says, it may just be a drug reaction. I figure if every doc took one day a month to handle their patients with multiple specialists, they could discuss every one of those patients at least once a year, and maybe every 6 months, with as many of the other docs as could attend. Maybe I’m just dreaming, but there hs to be a better way for doctors to communicate.

Got any better ideas?