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Bruce Nye, MSCE, RN

@thaumaturgern

Solutions Architect, Trauma RN, Advocate, Philosopher, Thaumaturge. Reimagining Healthcare Operations through Operational Excellence and Intelligent Automation for patients, providers, and payors. Be careful how you interpret the world, it *is* like that

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10.11.2024
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Latest posts by Bruce Nye, MSCE, RN @thaumaturgern

Exactly, don't know how they do it for TV but every time I had to doff my suit I was glad for a new set of dry scrubs ;-).

09.03.2026 16:46 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Former HAZWOPER-HC, these episodes had few mistakes - mostly for time. Guessing the toxin until the very end which is often how hazmat works (unless it's an easy train derailment). Lots left off for time, but the basic ideas were solid.

06.03.2026 00:13 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

I'd never have thought that a high-normal would be a problem. After all, isn't clinically WNL supposed to be benign?
Optometrist and Opthamologist reminded me the of fallacy of the mean. Clinical ranges are normal curves around a central value, they may not be right for individual cases.

26.02.2026 17:11 ๐Ÿ‘ 2 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Mine was normal, but high end of normal. Some initial signs of occular nerve damage were showing up (floaters, slight signs of degradation). Did a year of Timoptic drops which helped a bit but we were still in the high end not center of normal.
Had iStents(tm) put in, things resolved well.

26.02.2026 17:08 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Hence the need for Hanlon's Razor; never attributed to malice what is adequately explained by stupidity.
Add George Carlin's warning; Never underestimate the power of stupid people in large groups.

12.12.2025 20:16 ๐Ÿ‘ 5 ๐Ÿ” 2 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Waking up to an article featuring the infamous Gatekeeper of Gozer is definitely a fun moment in time. Fun fact, they named the dinosaur species after the character in Ghostbusters (or was it the other way around <evil laugh>).

03.12.2025 21:02 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Totally blown away by the amount we raised this year. Hooray for everyone's effort. There are a lot of people who will get the best medicine of all - food. โค๏ธโค๏ธโค๏ธ

03.12.2025 15:50 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Just so happy I didn't miss my favorite friendly competition โค๏ธ. Lord knows our food banks need lots of help this year!

02.12.2025 23:03 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

The person is young and never knew about the fight we all led to care for, and find effective treatment, for AIDS. They grew up in a world of safe sex, and anti-retrovirals that work. It was an opportunity to teach that caring buys time and time gains progress. A good lesson for us all.

02.12.2025 06:00 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

I talked with someone who asked about my cancer treatment. I reminded them that advances in controlling the disease have made the difference. My example was that in 1981 an HIV diagnoses was a death sentence, today with treatment those infected can and do lead normal, safe, and vibrant lives. /1

02.12.2025 06:00 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

I get the initial reaction, we saw it again with SARS-COV2. But why does that narrative stick so hard when the facts (and interventions) completely change the risk? All I can come up with is a connection to an inner bigotry, and that's hard to fight. It was then, and it still is today.

02.12.2025 05:49 ๐Ÿ‘ 2 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

I remember my father, a surgeon, wanting to come with me to protest the LA County Nurses who were refusing to care for "AIDS patients".
I remember the incredible cruelty and disdain, the fear.
I remember the loss of so many friends and acquaintance.
#NeverAgain

02.12.2025 05:32 ๐Ÿ‘ 3 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0
Logo for Foodbank for the Heartland

Logo for Foodbank for the Heartland

The competition almost got away from me this year, but IslaOfMisfitToys gets my donation to our local Foodbank for the Heartland once again. Here's to all the unsung heroes who make healthcare possible. Let's make sure the best medicine is not being hungry. โค๏ธ
#HCWvsHunger

02.12.2025 05:09 ๐Ÿ‘ 7 ๐Ÿ” 2 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

After reading the OP article I could probably write the prompt for GPT-5 Thinking's model that would produce that prose.
Caught up in the belief that the LLM / GPTs have a finger on the pulse of today, editors pass this stuff through without question other than 'will it capture readers'.
We are here

11.11.2025 14:46 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

It's a known problem in LLM's that they will gravitate towards a statistical mean aligned with the prompt dialog. Building the counterfactual argument is expensive and often difficult to do (think pseudoscience vs fact filtering). This is a whole 'next generation' step to building interactive GPTs.

07.11.2025 17:54 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Love you George, but it's "has" not "wants" full control. Wresting control out of their hands is going to require a full-court press - legislative, executive, and judicial.

27.10.2025 21:39 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Avarice.

01.10.2025 23:17 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

I and a colleague predicted it in 1987. We coined a term for it - InfoTox: When the amount of information available becomes toxic to the un/under-educated.

Worst part? It's a self-spreading contagion with no known cure.

14.09.2025 20:59 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Boiled down, it's a perceptron - a simple logic formula that, when assembled in a matrix and trained with bias and weights, produce probability of 0 or 1. Easy to train for patterns, differentiation, prediction. Matrix algebra that runs them needs city sized generators and HVAC. But they are fun!!!

14.09.2025 02:47 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

That we are "offloading our thinking" is the truest testament that we have forgotten the difference between "thinking" and "guessing".
In its present state AI is nothing more that a matrix statistical prediction engine.

13.09.2025 23:32 ๐Ÿ‘ 21 ๐Ÿ” 0 ๐Ÿ’ฌ 3 ๐Ÿ“Œ 0

Studying George Washington's Farewell Address... He was prescient in calling us to the better angels of our nature and delineating some of the clear consequences of failing to lean forward towards that, but falling back to the crudity of "human nature".

13.09.2025 23:25 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

I have two dogs (Gizmo and Josie) and my big orange tabby Schrodinger. Everytime I pick up the velvet bags that hold their ashes I break. It's been over 7 years now from Josie, 6 for Gizmo, 6 for Schrodinger. Grief has its own time.

โค๏ธโค๏ธโค๏ธ

13.09.2025 02:45 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Sorry but it has to be Eva and Ryan Gosling...

30.07.2025 03:30 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

I'll endorse that as a KPI. It fits right in with "But we've already done that.", "We've always done it that way.", and "That's not what they're doing" (when presented proof that they **are** doing exactly that).

30.06.2025 21:55 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

One can always take the first case and find the scaling, if nothing else, through division and replication (that's how load balancers work). But the other is a lost cause, and it amazes me how often the sunk cost fallacy takes hold in those circumstances as they try to get it to work.

10.06.2025 17:58 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

The opening lines from "We are the Champions" by Queen.

31.05.2025 15:38 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

In fact, some of those biological system complexities actually get in the way of "modern medicine" because they work so efficiently to solve the problem that we have to, in essence, turn them off in order to actually effect the cure lest they kill the patient. Dijkstra completely ignored biolology.

31.05.2025 15:26 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

The art of rhetoric is buried now under layers of showmanship. There are days I honestly wish we could go back and unplug AOL from the 'internet' in September of '93. But that won't do now will it? We need to work harder to find ways to address and abate the information toxicity.

31.05.2025 03:39 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Oh those old days before the Endless September. Getting your ass kicked soundly because you're a pretender was a real risk. It kept the peace in ways that seem to have been lost in today's world. I loved the usenet groups, approach humbly, ask questions, and learn from the best.

31.05.2025 03:39 ๐Ÿ‘ 2 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

The "single step" processing methods above simply cannot do. That's why people of color look better in movies than they would ever look out-of-camera without a lot of special lighting (who want's to carry a 5-6 light setup on location for portraits?).

09.05.2025 16:43 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0