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Rep Retirement Lodge 199 - Dumb Poll of the Month

Rep Retirement Lodge 199 - Dumb Poll of the Month

  • Total voters
    18
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Re: Rep Retirement Lodge 199 - Dumb Poll of the Month

FadeToBlack&Gold said:
Bells during the consecration? Haven't seen that in 20 years, and even then that was at a very rural parish where my mom had to explain it to me (she hadn't seen it in ages, either). Incense, yes of course, during a High Mass.
Click to expand...

FIL church the triangle/bells are big- sounds like a demented kid they go on so long. Incense with funerals. The rest has been altered beyond recognition. They reworded everything. mr les goes one time a yr (Christmas Eve) to get the 'real' cookie. Now he can't follow along. "I just say what I used to". I would venture to guess he is less connected than ever now they have decided to eviscerate the traditional Masss (except the demented triangle). Looking around there were a bunch of people looking confused and not saying what they were supposed to. I guess you can tell who goes regularly.... Then there is the FIL- he is a traditionalist. He knows what they are saying and won't say it- sticks to the old stuff.
 
Re: Rep Retirement Lodge 199 - Dumb Poll of the Month

leswp1 said:
FIL church the triangle/bells are big- sounds like a demented kid they go on so long. Incense with funerals. The rest has been altered beyond recognition. They reworded everything.
Click to expand...

You misunderstand. Bells during consecration. Like, choir bell "trees" (or other bells) rung immediately after the "This is my body, which is given up for you" moment. *ring*ring*ring*ring*.

EDIT: OK, I see what you mean. *shrug*

leswp1 said:
mr les goes one time a yr (Christmas Eve) to get the 'real' cookie. Now he can't follow along. "I just say what I used to". I would venture to guess he is less connected than ever now they have decided to eviscerate the traditional Masss (except the demented triangle). Looking around there were a bunch of people looking confused and not saying what they were supposed to. I guess you can tell who goes regularly.... Then there is the FIL- he is a traditionalist. He knows what they are saying and won't say it- sticks to the old stuff.
Click to expand...

https://en.wikipedia.org/wiki/Altar_bell#Use_at_Mass

Oh FFS, who even knows what is expected/appropriate. :rolleyes:
 
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FadeToBlack&Gold said:
Bells during the consecration? Haven't seen that in 20 years, and even then that was at a very rural parish where my mom had to explain it to me (she hadn't seen it in ages, either). Incense, yes of course, during a High Mass.
Click to expand...

Had the bells right before communion. All in all, it came off as a very impersonal service.
 
Re: Rep Retirement Lodge 199 - Dumb Poll of the Month

Hammer said:
Had the bells right before communion. All in all, it came off as a very impersonal service.
Click to expand...

I'm not surprised. I feel like a lot of times, it depends on the local bishop.

And here comes joecct to whine that this is why Catholics are leaving the Church... ;)
 
Re: Rep Retirement Lodge 199 - Dumb Poll of the Month

I remember the bells, was raised hardcore Roman Catholic. Ugh.

Evening, Lodge. Enjoying the drunken madness on CNN right now. Don Lemon is white girl drunk, most of the other hosts aren't far behind, including Anderson Cooper. Note: I'm a fan of both of them.
 
Re: Rep Retirement Lodge 199 - Dumb Poll of the Month

Good Morning, Lodge and Happy New Year!

Been sick all weekend. Called into work yesterday. I am feeling better. Just glad to be able to rest.
 
Re: Rep Retirement Lodge 199 - Dumb Poll of the Month

FadeToBlack&Gold said:
You misunderstand. Bells during consecration. Like, choir bell "trees" (or other bells) rung immediately after the "This is my body, which is given up for you" moment. *ring*ring*ring*ring*.

EDIT: OK, I see what you mean. *shrug*



https://en.wikipedia.org/wiki/Altar_bell#Use_at_Mass

Oh FFS, who even knows what is expected/appropriate. :rolleyes:
Click to expand...
It might be the bells in the link but it sounds like a kid who is given a triangle in music class. They ring it forever. A lot longer in this church than in other churches I have been to.
Pre-1970 editions of the Roman Missal prescribe either a triple or a continuous ringing of the bell at each showing of the consecrated elements.
Click to expand...
THis sounds about right.

Good Afternoon and HAPPY NEW YEAR Lodge!
 
Re: Rep Retirement Lodge 199 - Dumb Poll of the Month

My church did the triple-ringing.

Evening, Lodge. Back to the grind tomorrow.
 
Re: Rep Retirement Lodge 199 - Dumb Poll of the Month

Hammer said:
Had the bells right before communion. All in all, it came off as a very impersonal service.
Click to expand...

Haven't been to funeral mass, but was at a memorial celebration a little bit back. They were going to have the mass the following day. Priest mentioned how the memorial was for friends and family and the mass would be for God. I think that was the way to have the personal celebration/remembrance of life, knowing the mass would be more impersonal.
 
Re: Rep Retirement Lodge 199 - Dumb Poll of the Month

wolverineTrumpet said:
Haven't been to funeral mass, but was at a memorial celebration a little bit back. They were going to have the mass the following day. Priest mentioned how the memorial was for friends and family and the mass would be for God. I think that was the way to have the personal celebration/remembrance of life, knowing the mass would be more impersonal.
Click to expand...

That is interesting. Never heard of that. mr les side is Catholic as they come. Multiple parishes. I don't think any of them are remotely the same in how they do funerals.

Good Morning Lodge!
 
Re: Rep Retirement Lodge 199 - Dumb Poll of the Month

leswp1 said:
Sorry!!! I didn't get on my laptop until just now. I FB you my #. I will be around most of tomorrow We have company coming at some point in the afternoon.

Not Epic. Was on Medinotes, ECW and as I left they were forcing a change over to Cerner (universally hated).

What I don't get and no one seems to answer this= why must the providers adhere/adjust to a system invented by people who do not practice medicine and have no care for what works for Provider / nurse/staff flow? The way most people practice came about for a reason. It was took into consideration how decisions/diagnoses are made, it was efficient, it worked and it prevented errors. Now they invent this new system, insist that we do things to adjust to the system that does not work if using a decision tree, creates more work, is less efficient and is more prone to errors. Why can they not 'electrify' the current systems that are, for the most part, functioning well?

Well, I know the answer is because it isn't about any of those things but about keeping insurance co happy and able to mine data but it still aggravates. This isn't just about rethinking daily tasks. The thinking is structured the way it happens for a reason. Medicine is NOT linear. There are complex decision trees. You need to be able to go in a few directions at once, adapt/respond to what is happening. This is utterly impossible when trying to order or document in an EMR. Some of the young Docs are useless when you throw them any kind of non-linear thing because they need everything to fit into the false linear narrative of an EMR. For complicated notes I would end up hand writing the note first, then go thru entering the multiple components as well as free handing large portions in the EMR. There just was no little box to put some of the info that was important and gave context.

And reading these posts/responding just reinforces the reason I would never return to practice unless I could do it paper based/insuranceless. Sadly I know I am not alone. In the last yr 6 of my friends/colleagues have also pulled the 'chute. A few more are actively working to get out. In my area we are having a wicked shortage of Primary care providers because they are all leaving to do things other than medicine. (fun factoid- 64% of Primary Care providers are experiencing burnout. One of the major reasons cited was EMR)
Click to expand...

I'm not particularly familiar with Cerner so I can't really judge it. I know ECW a little bit and think it's a disaster - completely counter-intuitive and backwards-thinking in terms of workflow. It's a local company and I'd love to root for them, but alas.

Epic (and to a lesser extent Cerner) do try to incorporate actual practicing workflow as well as a more flow-focused user interface. But as you say - a main problem is that the programmers/designers/developers are not usually medical and medical folks aren't likely to spike that lifetime of learning and go learn to be programmers. So you end up with this need for "subject matter experts", which is a fancy way of saying "opinionated people that hate the tool and don't know how to communicate the actual problems".

I do think that if you jumped into a practice that's running the newest version of Epic, you'd be fairly pleasantly surprised. The 2017 version (and even moreso with the 2018 version) finally started paying attention to outpatient needs. I support this module so my life was rather significantly improved. The inpatient side is less glowing about the new version as their changes were less impac***ul. Of course there'd be a learning curve but I think you'd find it far more intuitive than anything you'd used previously. Integration with speech-to-text is substantial, so if you don't like note templates, for example, you can just go that route. Pre-charting actually exists. The "place orders" button is everywhere, you no longer have to remember the one location for it and step out of whatever you're doing to place that lab order.

Anecdote: My doctor works for UMass, who went with Epic (coming from a totally home-grown system). Their implementation went so-so, as UMass refused to pay for any kind of meaningful customization, which is extremely short-sighted. He knew I worked with Epic on the outpatient side so on my first visit after their go-live, we spent a good half hour going through questions. When I went back for a follow-up some months later, he had gone from "OH MY GOD F THIS THING" to "Ok, I think I got this now, we're good".
 
Re: Rep Retirement Lodge 199 - Dumb Poll of the Month

Swansong said:
I'm not particularly familiar with Cerner so I can't really judge it. I know ECW a little bit and think it's a disaster - completely counter-intuitive and backwards-thinking in terms of workflow. It's a local company and I'd love to root for them, but alas.

Epic (and to a lesser extent Cerner) do try to incorporate actual practicing workflow as well as a more flow-focused user interface. But as you say - a main problem is that the programmers/designers/developers are not usually medical and medical folks aren't likely to spike that lifetime of learning and go learn to be programmers. So you end up with this need for "subject matter experts", which is a fancy way of saying "opinionated people that hate the tool and don't know how to communicate the actual problems".

I do think that if you jumped into a practice that's running the newest version of Epic, you'd be fairly pleasantly surprised. The 2017 version (and even moreso with the 2018 version) finally started paying attention to outpatient needs. I support this module so my life was rather significantly improved. The inpatient side is less glowing about the new version as their changes were less impac***ul. Of course there'd be a learning curve but I think you'd find it far more intuitive than anything you'd used previously. Integration with speech-to-text is substantial, so if you don't like note templates, for example, you can just go that route. Pre-charting actually exists. The "place orders" button is everywhere, you no longer have to remember the one location for it and step out of whatever you're doing to place that lab order.

Anecdote: My doctor works for UMass, who went with Epic (coming from a totally home-grown system). Their implementation went so-so, as UMass refused to pay for any kind of meaningful customization, which is extremely short-sighted. He knew I worked with Epic on the outpatient side so on my first visit after their go-live, we spent a good half hour going through questions. When I went back for a follow-up some months later, he had gone from "OH MY GOD F THIS THING" to "Ok, I think I got this now, we're good".
Click to expand...
I am glad people think it is a bit better. Haven't met anyone I know with that opinion but I thankfully don't do much with it anymore. I know that all my in-pt friends compare Cerner to Satan. My old office transferred to Epic this past Fall and the staff hates it with a passion. Most of the outpt Providers I know take EMR as an obstruction and time suck to what they need to do but are too beat down to say much about it except mentioning anecdotally what went wrong that day.

How do they deal with the issue of needing to data mine or transfer to newer version/system? All the dictation stuff previously didn't fit into any sort of place so was just banked and never transferred. How do they deal with the ability to get in a chart and miss important stuff that used to be on the front of the chart? One of the systems we had used a pop up but you needed to dance thru hoops and it was so complex/time consuming no one did it.

If they could actually mimic the thought process used and allow the ability to look at a few windows at once I would be convinced. I understand why they didn't allow it but I would much rather have a chart where I can flip back and forth than having to light up 3 screens or open multiple versions to be able to look back and forth.

I am having PTSD with this.
 
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