John McHarry wrote:
> On Thu, 06 Apr 2006 17:29:21 -0400, TELECOM Digest Editor wrote:
>> I knew I had _something_ still wrong with me when I came back from
>> Jane Phillips Medical Center in Bartlesville, but I attributed it to
>> continued weakness from the heart attack. I still had very labored
>> breathing, (sort of an emphsezma/COPT condition) and was using oxygen
>> when I slept at night. But I _assumed_ it was all under control. It
>> now appears I had pneumonia when I was admitted to Jane Phillips;
>> Mercy Hospital (here in Independence) had assumed I would stay in JP
>> until all was cured; JP on the other hand wanted to first deal with my
>> heart attack (and the stent they put in me) as the first priority,
>> then they sent me back home figuring I would deal with the pneumonia
>> on an outpatient basis with Mercy.
> If the system you describe in Independence were linked with the
> Bartlesville system, presuming they have one, that wouldn't have
> happened. Information handling in medicine is really culpably poor.
>> OB-TELECOM and MERCY HOSPITAL DATACOM: _Everything_ at Mercy Hospital
>> is computerized. Everytime a human being came into my room to
>> variously change the antibiotic bag or feed me some pills or pound my
>> back or for that matter to dump my piss-pot urinal in the toilet they
>> would make entries on a lap top computer they brought with them and
>> plugged into a connection in my room.
>> ...and he said among other things, it did remove
>> the possibility of 'human error' in noting the administration of
>> drugs to the patients, etc.
> It certainly reduces it, but I don't believe it eliminates it. Let's also
> hope they have the system properly backed up and decoupled from any
> Internet access.
>> Not a single _wired_ phone where staff is concerned. Patient phones
>> were wired, of course, but every staff person had a cellular phone.
>> They called them 'hospital phones', and claimed they were on a
>> different frequency than cellular; to me they just appeared to be
>> cellular phones, and not their personal cells either. They would
>> answer them _by their department name_ even when in patient rooms. On
>> the roof of the main hospital building here and there I would see
>> little antennas stuck around everywhere, that is what they worked
>> with I guess.
> It doesn't sound like the building is very tall, but if it is one of
> the taller structures in the area, it may well rent out antenna
> space. Also hospitals tend to have pager systems, links with various
> other emergency services, etc. The few of them I have been on the roof
> of had fairly impressive antenna farms.
>> Even though these 'hospital' (really cellular?) phones
>> looked and acted like cell phones in general, I noticed that when
>> they had occassion to call another employee or department they only
>> punched out four digits as though it was an extension.
> That could work either way. It is possible for cellular systems to
> implement Centrex groups with internal dialing plans.
>> Dr. Higknight's phone was the same way, four digits dialed got him
>> the intake department across the street at the hospital, and '9' got
>> him an outside line. His phone was a 'hospital' (cellular?) phone as
>> well.
> If they don't think it is cellular, it still might be some variation of
> it. If they want to cover the entire town, it would almost have to be, but
> if it only needs to work near the hospital, it might be some sort of
> standalone system. The latter would have the distinct advantage of being
> less likely to saturate in an emergency, or of being able to implement
> precedence and pre-emption, like military systems at least used to do.
>> Well, that's what I have doing all this past week.
> Sounds like you were better entertained than anyone, yourself most of
> all, would have wished. Glad to have you back.
> [TELECOM Digest Editor's Note: The previous time I was there, some
> three or four weeks before as an emergency room in-patient of course
> was when I had the heart attack. (My third one of God knows how many I
> will go through before I finally depart.) I really did not feel very
> well that time around; not well enough to critique the phone system. I
> do not think they intend to saturate the entire town; that is what the
> public phone system is for. I do know the switchboard has a 'tie-line'
> or two between B'Ville OK, C'Ville KS and Independence. I suspect that
> Labette County Medical Center (next county east of us) is on that line
> as well, as are Wichita and Topeka, and probably Tulsa. Those main
> cities (Wichita, Tulsa, Topeka) are all the principal medical centers
> in our area; All three are about equally distant (100-150 miles?) from
> the center core (B'ville, C'ville, Independence) where rural medical
> services are needed. I do not know what the various antennas on top of
> Mercy Hospital do, but I have heard on my scanner radio when calls
> went out to the helicopter which transports patients around. And I
> know City of Independence has an antenna up there as well, but I do
> not know why, City Hall, (police and fire stations) as well as the
> County Court House (sheriff and correctional center [or, as we call it
> the 'jailhouse']) are all within about one mile of each other, and all
> have antennas on their roofs also.
> I do know that on top of each of those buildings there are also siren
> horns, to warn of tornados, which is our big problem around here. When
> I got dismissed from Mercy yesterday about noon, I had been home about
> two hours and the sky got _very_ black and the horns went off; then
> police took over the cable system telling people 'get into cover' and
> drove down the street making the same demands, so I went and stood in
> a certain spot (a closet in between a couple of outside walls where
> one can sort of crunch down) to wait until the 'all-clear' was sounded.
Moto and others sell cell phone technology based private systems. They
work especially well in places like hospitals. Look for little 1' or
shorter antennas in the halls. The nice thing about cell technology is
that it can be designed for a limited area such as a hospital and the
surrounding support businesses. And can easily have multiple places
tied together.
> Something very odd, to me at least: In 150 years, Independence has
> never once been directly hit by a tornado. They say that is because we
> are in a low-lying valley area. Things sort of blow over the top of
> us. Elk City State Park, five miles west of us got hit by a very big
> tornado about a week ago however. And that one was a *weebitclose* IMO,
> as the far west side of town got some damage and -- God Forbid! --
> even Walmart had to go into a lockdown that day for twenty minutes; no
> one admitted to or allowed to leave the store during the storm. PAT]
Tornadoes have a very small foot print compared to other weather
systems. I've been within 5 miles of a tornado 5 or 10 times in my life
yet never seen or heard one. And this covers 3 very separated homes in 2
states. The closest I ever got was we almost bought a house when moving
to Raleigh but rented instead. The 2 weeks after moving in, a really big
tornado grazed the back yard of the house we almost bought. :)
[TELECOM Digest Editor's Note: I understand the _height_ of buildings
in a community make a difference also. For instance, I have never seen
nor heard of a tornado in downtown Chicago (for example; is it even
possible?) nor in Manhattan, NY. I _assume_ it may have something to
do with the overall height on average of the buildings. Am I correct
on that? Our tallest buildings here in Independence are, approximatly
in this order: 'Professional Building' downtown, 6 stories; the 'Arco
Building' (also known as 'Independence Corporate Office Center'), 5
stories; a portion of Mercy Hospital, 4 stories; 'Penn Terrace' (a
senior citizen housing complex), 6 stories; Saint Andrews Roman
Catholic Church, the Presbyterian Church, and Epiphany Episcopal Church
each of which have steeples about 50-70 feet high. And they are all
scattered about town, not right next to each other, as for example one
would see buildings along Michigan Avenue in Chicago. Unlike a place
like Chicago, where one town ends and another suburb immediatly
begins and the only thing you notice is a sign saying now leaving
suburb X and entering suburb Y, same style houses and continuing
streets, you leave one town here, go through a rural area and then come
eventually to the next town, five to fifteen or twenty miles
away. That may make a difference in air/wind patterns also. PAT]
DLR (news22@raleighthings.com)