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Amy Littlefield @amylittlefield
, 5 tweets, 2 min read Read on Twitter
This is an important piece about how hospital consolidation drives up patient costs. But @nytimes has again failed to mention how the Catholic hospitals at the center of this trend restrict reproductive health care: nytimes.com/2018/11/14/hea…
I wrote in July about how any mention of Catholic hospitals in a story like this - particularly when it's about how they are increasingly becoming the only accessible option - should mention these potentially life-threatening restrictions on care: rewire.news/article/2018/0…
.@ReedAbelson aptly writes: "The emergence of a one-hospital town is inevitable in many places." When your town's one hospital is Catholic, it could mean you are out of luck if you want a tubal ligation, birth control, or abortion, even if the pregnancy threatens your life.
See this story for an example of how these restrictions can play out: rewire.news/article/2017/0…
Yet many women still don't know that the hospital they rely on restricts care on religious grounds. It's our job as journalists to inform them. rewire.news/article/2018/0…
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When I read the chilling @jackhealyNYT article on rural hospital closures, a detail stood out to me that @nytimes omitted: The hospital a woman traveled 100 miles while in labor to reach is Catholic (thread) rewire.news/article/2018/0…
I've reported for @Rewire_News on how Catholic hospitals, which follow religious directives, have turned away patients who are miscarrying and refused to terminate doomed pregnancies. rewire.news/article/2017/0…
As other hospitals have closed for the reasons @jackhealyNYT noted, Catholic hospitals have actually expanded, growing by 22 percent in recent years, according to @MergerWatch.
Read 6 tweets

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.@nytimes is trash to publish this & the premise makes no sense - "we" can't miss WASPs cause they never left.

But what kills me is @DouthatNYT trying to pretend these aren't his views - "people" think this way, not him & oh did he mention he's Catholic.

nyti.ms/2DZufmq
If you are going to be racist, have the courage to own your racism.
It's actually sad to want in to a club you're almost in, but not quite, like you have nearly everything a WASP has, but you're Catholic.

So then you think you'll flip that and use it as a meaningful defense to accusations of racism. Yeah, OK.
Read 6 tweets
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Let's have a quick (long?) chat about web performance.

I have the unique situation of seeing data from billions of performance profiles as we help customers with @raygunio's Real User Monitoring look to improve user experience. #webdev #PerformanceMatters #webperf
1. Many folks still think a synthetic test is a Good Thing. That is, pinging a website from a fixed set of servers. It's better than naught, but it's a pretty poor proxy for real customer experience.

You're measuring data center to data center performance (even if nerfing perf)
2. Even with nerfing perf, you're talking high quality interconnects between DCs. This compares poorly, to say, what an actual user experiences on a 3G phone while roaming around somewhere.

You're not getting realistic numbers.
Read 19 tweets
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Dear #hospitals:

Your discharge planning sets #patients up for failure. How? Let me explain (again, & again, & again). #PtExp #PtSafety #PtEng #EHR #interoperability #PatientAdvocacy #medtwitter #GMDD #hcldr

Photo Credit: Rob Potter (Unsplash)
1)Follow up appts, essential to a patient’s health & recovery, are listed as part of the discharge summary. These appts are recommended to be scheduled within 7-10 days. To be best prepared, patients need their records. #healthcare #PtExp #PtSafety #PtEng #EHR #GMDD #medtwitter
2)All records from a patient's hospital admission should be AUTOMATICALLY sent to every listed follow-up physician. Hospitals, you know which drs patients need to see; it’s listed in the discharge plans. This step needs to be embedded in the workflow #PtExp #EHR #interoperability
Read 14 tweets
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#Important:
Yesterday late afternoon #Russia/n forces took 3 positions in Qusseyr and Juseh and established checkpoints. #Hezbollah, not informed of the Russian presence, came close to these forces and asked their immediate pull out+
Following the direct intervention of President Bashar al-Assad, the Russian force pulled out this morning and avoided any clash with #Hezbollah in the area.

hezbollah maantin and kept all positions. The #Russia/n move was not coordinated.+

#Hezbollah did not...I repeat, did not pull out one single element from the area.

I spoke to people on the ground: The Russian decision was unclear and considered unwelcome by the forces on the ground. Still, many elements of this move are unclear.

Read 6 tweets
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I am figuring out what useful being in a hospital can teach me about software development.
I will post my observations into this thread
1/n
Introducing yourself helps to put people at ease and build trust. Don't be a random person asking questions, make sure people understand why you have interest in those questions
2/n
People wait more patiently after you have established the trust that you are busy doing important things and not goofing around
3/n
Read 18 tweets
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A good friend once told me, “Carry your cross, Catholic girl”. Tonight, especially tonight, I know it’s exactly what I have to do.

Becoming Catholic is not like anything else I’ve ever done. It’s not shallow, it’s not half-measures.

#Catholic
It’s radical to say “I have been called to suffer. I have been called to sacrifice. I have been called to take up my cross.”

To the world, it’s the deluded adherence to some sort of invisible sky fairy, to the detriment of my own “reasonable” desires.
I understand why one might take that position. I always have, to varying degrees. “Why be extreme in following God? He loves you, you say, so are you then afraid of going to hell?”
Read 13 tweets

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