Monday, October 26, 2020

Two Political Experiences on TV: West Wing Special, Trial of Chicago 7

 Two political experiences hit video at the same time this month.

On HBO MAX*, they reunite the cast of WEST WING and do a beautifully staged reading of an election night script from the original series twenty years ago.  The filming is stunning: on the bare stage of a 1920s theater in downtown LA, with a handful of stage props and brilliant lighting.  The purpose of it all is to get people to vote, with numerous cameos in the place of commercials (Michelle Obama, Lin-Manuel Miranda.)  In his two minutes, Lin-Manuel does a star comic turn.  (He's at 32:55).  The reunion runs an hour.


On NETFLIX, see TRIAL OF THE CHICAGO 7.  In a two-hour movie, Aaron Sorkin creates the backstory to the Democratic Convention riots while placing most of the film in the courtroom.  The courtroom is run by a senile, vindictive, and show-stealing Frank Langella in the best acting performance I've ever seen by him.   Sascha Baron Cohen plays the central figure Abbie Hoffman with a Worcester Mass accent.  Cameo by Michael Keaton as the prior Attorney General.


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* If you haven't figured it out yet, HBO MAX is the current internet or phone app version of HBO.  You log on with your cable TV credentials if you have HBO - or you can subscribe to HBO MAX directly.  

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Quirk:  I watched the first fifteen minutes of TRIAL Saturday night, and when I got in the car Sunday morning, it began running automatically on the bluetooth audio in the car.  I ended up listening to most of the two-hour movie while driving or biking on Sunday as if it were a radio play.   I don't recommend this but it worked pretty well.  


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Thursday, October 22, 2020

A Few Words on Dictation Software

 Since 2000, I occasionally used Dragon Naturally Speaking, the original dictation software.   While Dragon became 99% accurate, and is still available, it's probably been largely superseded by other applications such as built-in dictation in Windows and both Android and iPhone smartphones.

Dragon was designed to transcribe-as-you-watch, so it was designed to convert punctuation words into symbols (comma, period, new paragraph) and provided real time editing (scratch that = erase last word).  So using Dragon was a pretty manual process.   The last time I tried it with an mp3 file, the results were quite bad.

Windows has built in dictation software now, with the advantage that, like Dragon, it will work inside a program like a Word document or an email window.  I think it's pretty darn good but I don't use it much.

Auto Transcription in the Cloud 

If you go outside Windows free software, one of the best choices is Otter.AI.  Otter has a basic service for three (I think it's 3 files per month) and it seems designed for uploading MP3 files and then transcribing them over a few minutes.   It's quite accurate and attempts to completely supply punctation (including commas) and paragraphing.  It also segregates voices, which is pretty accurate (Speaker 1, Speaker 2, Speaker 3).  If you identify voices (Speaker 1 in one document equals Bruce) it will find and label that speech pattern in any future transcripts.   

Sometimes, Otter.AI is too choppy.  You might get a timestamp 4:31 min/sec and a few words, and then another time stamp 4:35 min/sec and a few more words, rather than a coherent paragraph by one speaker.  

Otter vs Siri

What's interesting is the comparison between Otter.AI and iPhone Siri dictation.   In my experience, Siri works great for variable 10 to 30 words, and then freezes, stops.  On the other hand, Otter.AI is designed to chug along even with a 4 hour mp3 file.   So you can dictate paragraphs and paragraphs into Otter.AI and it will keep up with you.  So if you want to dictate for 15 minutes, I can't get beyond 30 sec in Siri but I can do that in Otter.

One difference is that iPhone Siri is set up as "dictation" software - recognizing words like period, comma, paragraph - while Otter.AI is auto-transcribe software from a voice track, so it will type "comma" for the word comma and it will insert punctuation solely where it thinks it should, automatically.

Otter - Not free, but real cheap

I mentioned Otter.AI has a limited free service (a few files a month).  You get a huge amount of time (I think it's 100 or 500 hours) for a nominal monthly charge (like $9.99), so if you buy into Otter at all, you can upload mp3s to your heart's content or dictate (into Windows or into an iPhone otter app) to your hearts content.  All the dictations show in a consolidated list of documents in your Otter account. 

Bells and Whistles

Otter has a function called auto transcript in ZOOM which I believe is an extra fee.  All the participants on a Zoom call can then see a track of the transcription in real time.

A relatively inexpensive human transcription service is is REV.com.  This is $1.20 per minute or $72 an hour for a highly accurate human-curated transcript.   (REV will also do only an autotranscript for $0.20 per minute or $12 an hour, which is pretty high for an auto transcript).   REV will accept link files like link-to-youtube as input, Otter will not.  For example, to get an auto transcript at Otter of a Youtube file you would need to record it and then upload as an MP3.

Take Home Lesson

Sometimes I used to use Dragon to dictate notes while reading, or dictate notes from a page of handwritten meeting notes.  I can get back to doing that with Otter, whether I am doing it online in Windows on my Otter webpage account, or whether via a matching phone app on the same account.

Wednesday, October 21, 2020

June 2020 Correspondence on COVID, LOINC, CDC, HHS

 

Sent: Thursday, June 4, 2020 

Alert - HHS has significantly increased laboratory reporting requirement for SARS-CoV-2


HHS/CDC released new reporting requirements for SARS-CoV-2 at this link: 


https://www.hhs.gov/sites/default/files/covid-19-laboratory-data-reporting-guidance.pdf


This document:


·         Significantly expands requirements for reporting of laboratory results,

·         Wants each laboratory order to include 7 ask-at-order entry questions,

·         Wants results to be reported to states/CDC within 24 hours of the result being released.


 Challenges


·         Some required data elements are not tracked in many if not all information systems (e.g., FDA Unique Device Identifier, the actual zip code of the ordering provider when they place an order since this can be done from anywhere).


·         Not all of the data being requested will be in a single database (e.g., Employee testing data may be housed in an LIS and not transmitted to an EHR for privacy reasons mandated by law, patient zip codes may be in the EHR only, and employee zip codes are in a different database entirely).


·         There is no mention of how laboratories should handle reference lab testing despite there being explicit instructions on prior communications from HHS regarding which reference laboratory reporting had to be duplicatively reported to the government and which did not.


·         The significantly increased burden of data collection is being passed to our providers as well as to those healthcare workers responsible for getting this data together.  Many of our healthcare workers are exhausted, some are on involuntary furloughs due to financial constraints created by the pandemic, and significant time has been required to meet testing needs amid shortages of swabs, reagents, and platforms.


·         The document is enforcing use of a coding system which is significantly flawed with up to 19% of common tests being coded incorrectly.  This data is not surprising given that, for SARS-CoV-2 molecular testing alone, there are no less than 50 different LOINC codes 


https://loinc.org/sars-cov-2-and-covid-19/





There are 17 codes for antibody testing.  None of them, that I can tell, support the use of a single LOINC code for an order or a result which is a combination of the recommended use of two gene targets.  All of them are for single gene targets, and this creates a barrier because many lab systems only support the use of a single LOINC code per result.


 #####

https://www.hhs.gov/sites/default/files/covid-19-laboratory-data-reporting-guidance.pdf




https://www.cdc.gov/csels/dls/sars-cov-2-livd-codes.html




IVD Connectivity Consortium


http://ivdconnectivity.org/livd/





 

 

Tuesday, October 20, 2020

A Million Ways to Organize Tasks with Software: ZenKit Seems Good

 I have always cycled between different task management systems.  In this post I discuss:

1. PAPER

2.  TRELLO

3.  LISTS (MS TO DO, TODOIST)

4.  TOO COMPLICATED (CLICKUP, NOTION)

5.  ZENKIT


PAPER

Sometimes I use a paper notebook diligently.  The format I use is a large notebook (at least 8x10), lined, and I draw three columns.  The left column is To Do's (e.g. mail a check, wash the car), the middle column is WORK (e.g. six client projects, with a circled number estimating the hours it will take), and the right column is INBOX.   

My written tasks rarely take more than the top half of the page which leaves the bottom half for miscellaneous - I might jot down five things to discuss in a new blog, or it could be a place to scribble phone numbers I'll need shortly.

Lined paper notebook, 3 manual columns (To Do, Work, Inbox)


TO DO APPS

TRELLO.

I've mostly gone back and forth on two very different To Do apps.  One is TRELLO and one is MS-TO-DO.

I've used Trello for years, just to store notes as "cards" for things like movies seen or that I want to see. 

But for work: I can also set up a page for To Dos.  Typically, I have a left column for INBOX, a column for TODAY and one for TOMORROW, and then several columns such as WORK 1, WORK 2, WORK3, where I informally and intuitively place tasks by priority for the next several day work period or longer.  (This is my version of Kanban).   TRELLO has a date-due function but I never used it consistently.  

I've never used Trello for more than a week or two as my main work task app.

Trello is a classic


TASK LISTS:  MICROSOFT TO DO, TO DO IST.

Microsoft TODO should be the go-to app.  It's free. It has a Windows app and a good iOS app.   Online, it gives you a lot of space for comments, links and attachments (it's sort of a storage box for the task).   Basically, you get a series of lists (e.g. Work, New Marketing Ideas, Shopping, Office Tasks) and you can tap on any combination of tasks to elevate them to a home page called MY DAY (today).  It also has a calendar view (in the form of a vertical list by date) but I don't use it consistently, and therefore Calendar View becomes an outdated mess pretty soon.

I've set up TODO multiple times as my main work task app, but I like Trello, I drift away after a week.   An app like TODO is good for storing fairly static lists, like "restaurants I want to try" or "movies I want to see."

TODOIST is pretty similar, but recently it added a KanBan (Trello-like) options.  You can have a work list of 20 items in order, but then switch to a KanBan view where you can quickly drag and drop the tasks left or right on columns you find helpful.  I believe to get comment fields and attachments on the back side of the tasks, you have to pay a premium.  It's web-based plus an iOS app.

One issue with list apps is that each list is basically a silo (although they might be brought together by a calendar view).   That's sometimes OK - a storage list of future movies I want to see really has no business mingling with a list of client work tasks for today and tomorrow.  But a Kanban view where the different lists live side beside can be much better than an index view of the classic list apps, where each list is one entry in a vertical column at the left of the window and you click on them one at a time to see each categorized list of items.

NICE BUT TOO COMPLICATED

I looked at two services that are nice, but get too complicated and in particular, break down on iOS because they are complex.  NOTION and CLICKUP are very interesting, and let you switch among views like calendars and Kanbans, and importantly, you can run a full complex notes system of memos and documents, just like an Evernote or OneNote.   (You might think of these NOTION and CLICKUP as as "OneNote + TODO" put together).   

If you stuck with it, and committed to it, either NOTION or CLICKUP could be very powerful solutions, with all your tasks and all your hundreds of research and meeting notes under one roof. 

But the task manager function is really mission critical, especially for never losing track of anything and adding things easily, and I think these apps are too complex to use on a iPhone easily.  (It's 10X easier to use MS-TO-DO in iOS).  

While intriguing, CLICKUP has that design style with lots of white space and tiny faint gray lettering, which somebody thought was a clever idea, but it's not nearly so clear to use and read at a glance in Kanban format as Zenkit or Trello.

TRYING:  ZENKIT

ZENKIT is a new app that is more powerful (at least to me) than TRELLO.  

You can use it in KANBAN view and toggle to LIST view, TABLE view (which is very similar to LIST view, the rows of the table are basically the list with a cell for each task data element making it a table).   You can also toggle to CALENDAR view.   

ZENKIT has several very nice features.  

First, the native task cards have two HTML comment fields, and I think you can add more of them on "the back of the card."  You can also add Checkboxes for subtasks.

You can sort the KANBAN by multiple labels VERY easily and intuitively. This is great.  For example, if every task has a CLIENT label and a KANBAN label (what is usually called a STATUS label), I can instantly toggle between seeing the cards in columns under either form of organization.   KANBAN VIEW for me uses the master status labels Inbox, Today, Tomorrow (yes, I use those manually with Kanban even if I use a calendar), WORK 1, WORK 2 storage lists, and so on.   Each ZenKit card has a field for HOURS (Time) and both the KANBAN or the CALENDAR view automatically add up the work hours currently assigned to that column or day.   

ZENKIT lets you have several INDEPENDENT label fields.  When you view by CLIENT (a tag field I created and added my dozen clients), you see a Kanban column for each client, with active tasks on top and finished tasks below, which makes it handy if you are writing up a verbal summary of what you did for that client in the past month by skimming the top layer of finished tasks. (FN1)  

Unlike Trello and MS TO DO, you don't get attachments.  And you have to rely on some other software (e.g. Evernote) for memos, research, and meeting notes, which would have been integrated in CLICKUP and NOTION.

In the first pic below, my tasks are ordered by KANBAN STATUS and you also see color tags for CLIENT.  (FN2)  In the second pic below, I've toggled to CALENDAR view.  Uncalendared tasks line up on the far left.


ZenKit in Kanban ("Status") view

ZenKit now instantly in Calendar view

Many Columns

My KANBAN lists go wider than one screen.  Here are two reactions.  First, you can make the screen magnification (typically shift and MINUS) and they are still readable. Second, I realized my mouse (MX Master) has a sidewheel for left-right scrolling, which I've never used but which might be handy for these columns.

OTHERS

I've played with FLOAT, which has a monthly fee, and lets you move around projects in blocks sized by the number of hours the tasks is expected to take.  Each card has a "back" with a comment box.  FLOAT is a nice planning idea, but I don't use it normally.  It's one of the things I try for a few days and drift away from.

TEAUX DEAUX has a style I really like, which is a calendar day by day in columns that runs across the top half of the screen, and on the bottom half of the screen, an independent series of columns you name any way you like.  For example, at bottom you could have four columns which store tasks - Shopping, Urgent Work, Upcoming Work, Home Tasks - and then you can freestyle drag and drop each task onto a calendar day  up on the top half of the screen.   Any tasks that are calendared and don't get done roll forward overnight to land on the new day.   (This almost means if you set up 6 tasks a day for a week, and and drift away from Teaux Deaux, when you come back to have 42 tasks piled up on "today.")  

TEAUX DEAUX is a very clever idea, both simple enough and complicated enough, and unlike anything else I've seen.   (FLOAT adds a feature to show task by hour size/height, but FLOAT lacks the lower storage area for future tasks you've listed but haven't faced yet by assigning a day.) 

However, one problem with TEAUX DEAUX is there is no "back of card" - all you get is 20 letters or so on the front of the card to name the task.

Teaux Deux: Store tasks bottom, drag to day top, that's it



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FN1
Re: Kanban Views in Zenkit:
The view style is KANBAN, the label set is CLIENT, and the top to bottom vertical sort is STATUS, where I have placed "Done" at the top of the STATUS rankings, which makes it sort to BOTTOM in this column view.  See a short explanation in PPT, here.  The "Checkbox/Done" status in ZenKit isn't an independent function, it is just the tag in an existing list of your choice which is assigned as the action target of the checkbox square.  For example, if you have Label Set 1 (10 labels) and Label Set 2 (8 labels) you could set Checkbox to force the label (Label Set 2, Label #4).  But that means the checkbox status is only in operation as a sort function if you are sorting (either horizontally in Kanban columns or vertically) on the same label field that holds teh Done checkbox value.

FN2:
Re: Seeing Labels in Kanban view in Zenkit:

Go to Kanban, Edit, Size.  As you slide left to right, more features are added to the view, first adding including descriptor text, then hours, and then any additional labels.


Sunday, October 11, 2020

Improving my Home Video for ZOOM Business Meetings

I had a couple issues in adapting to Zoom for constant business meetings.   My office is very narrow, with a bright sunny window immediately behind my head.   For months, I just blocked the window with a 30x40" black foamboard.

I've been using a Logitech C920 camera (which I had to get at scalper prices in March), which is OK.

This past week, I got a faster laptop (after several crashes of my old one during video meetings).  I got an upgraded camera and a high quality video lamp that stands behind my monitor for facial lighting.

In the picture below, you see the improvements from left to right.  Click to enlarge.


I've put the story in a deck in the cloud here.

The light is an Elgato Key Light Air Professional; the camera a Sony VZ-1, and the new laptop a Lenovo Y740 15" with 1 TB SSD, technically a gaming laptop hence a good video chip.  Newly released Sony Imaging Edge Webcam software (Windows) allows the camera to directly input video to the PC and Zoom, just like an internal camera or a common C920.

If you invest in a ZV-1, I recommended the Gary Friedman guide to using the camera - here.