| William Pollard |
Poe's law: the quickest way to get an answer on the Internet is not to ask the question, but to post the wrong answer as a fact.
— Tanay Jaipuria (@tanayj) April 21, 2016
@tanayj the number of people quote tweeting this with "It's called Cunningham's law" is amusing me greatly
— Tanay Jaipuria (@tanayj) May 22, 2016
Marc Jamoulle (@jamoulle) a fait une superbe réponse sur la liste de diffusion du CISP Club après que j’y avais attiré l’attention sur la vidéo "End of Guidelines – a parody of End of the Line". Je ne résiste pas à publier ici le travail de James McCormack (@medmyths) et le texte de Marc.
Bonjour
Je pense que vous n’avez pas pris la mesure de l’importance de la vidéo lancée par Mc Cormack et ses amis.
Ces gens la ne sont pas des rigolos; ce sont le plus souvent des grands auteurs, certains épidemiologistes cliniques, d’autres journalistes médicaux de talent auteurs de livres à succes, d’autres médecins de famille. Ce sont tous des champions de l’EBM. Il suffit de googler leur nom pour comprendre qu’ils savent de quoi ils parlent.
Ils sont aussi tous anglosaxons soit le monde US+UK+CAN+AUST dans les quels les assurances ne rigolent pas avec les applications EBM.
Ici en Belgique ou en France si vous ne respectez pas une guideline, personne ne va venir vous cherchez des pous.
Ce n’est pas forcément le cas pour les auteurs de la vidéo et par exemple Iona Heath ex présidente des MG UK sait que ne pas respecter une guideline, c’est s’attirer les foudres du NHS.
Nos collègues utilisent une video comique pour denoncer des situations absurdes et déclarer, ce à quoi nous devrions réfléchir intensément, que c’est le patient qui est au centre du jeu, que c’est pour lui qu’on fait la médecine et que c’est à lui, en connaissance et conscience, qu’il revient de décider. Vous voyez là l’influence du concept Shared Decision Making si bien défendu par Legare ou par Dee Mangin.
Ne vous y trompez pas, il ne s’agit pas ici de l’establiment médical mais de dissidents, qui lancent un cri d’alarme, cri très entendu dans toute l’Amérique latine si j’en crois les réactions sur les listes P4
Ayant dû intervenir sur les machines de plusieurs de mes utilisateurs sur lesquelles la mise à jour Windows 10 se déclenchait automatiquement (dans un cas, sur une machine utilisée comme serveur, en interrompant les processus en cours), il est temps pour moi de noter de façon pérenne comment on se débarrasse de ce truc.
En suivant la procédure indiquée par Korben.info, les trois étapes sont :
La suppression et le masquage des mises à jour s’automatise avec le script remove_crw.cmd qui lance des commandes du type :
start /w wusa.exe /uninstall /kb:3035583 /quiet /norestart
Ajout au 6/6/16 : On m’a dit le plus grand bien de l’utilitaire Never10
Great illustration of an article by Nogah Senecky (@NogahSenecky).
How to stop time: kiss.
How to travel in time: read.
How to escape time: music.
How to feel time: write.
How to release time: breathe.
A page from Reasons To Stay Alive by Matt Haig (@matthaig1)
Picture by Pascal Dumont (@DumontPhoto)
From workcompass.com
Photo REUTERS – Jean-Paul Pelissier
Business, for the most part, is about making money. Sure, the business might have a "higher purpose" attached to it, but hey, serving that higher purpose isn’t much use if you can’t make payroll.
And money, commerce, is this fluid thing that happens in between people and companies. It isn’t a solid, it’s a liquid.
The beginning of the end happens when the people in charge forget this, when they start thinking that their liquid is a solid. That things will never change.
And then some other liquid comes along and eats their lunch. Uber: liquid. Yellow Taxis: solid. You get the idea.
Stay in flow, people. Stay liquid.
Image and text by @gapingvoid
Sadly we must begin with a few words about France which on Friday suffered the deadliest attack on its soil since World War II.
Look, it’s hardly been 48 hours, and much is still unknown, but there are a few some things we can say for certain. And this is when it actually helps to be on HBO, where those things can be said without restraints. Because after the many necessary and appropriate moments of silence, I’d like to offer you a moment of premium cable profanity.
So here is where things stand:
First, as of now we know this attack was carried out by gigantic fucking assholes. Unconscionable flaming assholes. Possibly working with other fucking assholes. Definitely working in service of an ideology of pure assholery.
Second, and this goes almost without saying: Fuck these assholes. Fuck them, if I may say, sideways.
And third, it is important to remember, nothing about what these assholes are trying to do is going to work. France is going to endure and I’ll tell you why. If you are in a war of culture and lifestyle with France, good fucking luck. Because go ahead, bring your bankrupt ideology. They’ll bring Jean-Paul Sartre, Edith Piaf, fine wine, Gauloise cigarettes, Camus, Camembert, madeleines, macarons, Marcel Proust, and the fucking croquembouche. You just brought a philosophy of rigorous self-abnegation to a pastry fight, my friend. You are fucked, that is a French freedom tower.
So to the people of France, our thoughts are truly with you.
A beautiful comment by Blackpoodles from Santa Barbara explains why Paris may be the favorite target for salafists:
France embodies everything religious zealots everywhere hate: enjoyment of life here on earth in a myriad little ways: a fragrant cup of coffee and buttery croissant in the morning, beautiful women in short dresses smiling freely on the street, the smell of warm bread, a bottle of wine shared with friends, a dab of perfume, children paying in the Luxembourg Gardens, the right not to believe in any god, not to worry about calories, to flirt and smoke and enjoy sex outside of marriage, to take vacations, to read any book you want, to go to school for free, to play, to laugh, to argue, to make fun of prelates and politicians alike, to leave worrying about the afterlife to the dead.
No country does life on earth better than the French.
Paris, we love you. We cry for you. You are mourning tonight, and we with you. We know you will laugh again, and sing again, and make love, and heal, because loving life is your essence. The forces of darkness will ebb. They will lose. They always do.
No need to say that the French won’t change because of a bunch of terrorists, as well illustrated by @SophieLambda.
Naturally, Paris is nervous these days, with most monuments closed and many fake alerts. But there is also this epic man, pulling his piano with his bike in order to go and play Imagine in front of the Bataclan.
Paris will mourn, despair of current "lost generation" of politicians… but also be very proud of the worldwide solidarity that was born from these awful events.
As the cartoonist @joannsfar nails it, please don’t #PrayForParis, open a bottle of French wine instead and enjoy it with your best friends (if you could find some French cheese and a genuine baguette, it would be perfect).
Man, if I had a nickel for every time I’ve heard the "ideas don’t matter, execution matters" riff, I could buy a lot of beer for my friends.
Even if I think there are a lot of good reasons for thinking this (which I do), well, Congratulations! You’ve just dispensed with the need for Beethoven, Picasso, George Eliot and Einstein. Hell, you can say goodbye to Apple, Ferrari and The Boston Red Sox, while you’re at it.
The truth is that the silver bullet is talent AND execution – focus, determination and people who can help make all that talent shine to the outside world. Without execution the world doesn’t ever get to see the talent, and without the talent, there is just a check list.
Image and text by @gapingvoid
The gem in this text by Hugh MacLeod (aka gapingvoid) is IMHO "without the talent, there is just a check list".
Currently, probably because they fear innovators and the mess they induce in long organized systems, governments react by building checklists. Open your eyes and you will notice that, for example, most public health records, that were announced a decade ago, still remain checklists (often multi-billion bucks checklists, and counting).
Actually the opposition between "talent" and "checklists" work in both directions: if, as pointed to by Hugh MacLeod, checklists are what remains when there is no talent around, a checklist a day is also the best way to keep talent away.
Scott Waters is a 66-year-old commercial artist and photographer from St Augustine, Florida. A few weeks ago he visited England, and he decided to share his observations on Facebook. The post became viral.
I was in England again a few weeks ago, mostly in small towns, but here’s some of what I learned:
- Almost everyone is very polite
- The food is generally outstanding
- There are no guns
- There are too many narrow stairs
- Everything is just a little bit different
- The pubs close too early
- The reason they drive on the left is because all their cars are built backwards
- Pubs are not bars, they are community living rooms.
- You’d better like peas, potatoes and sausage
- Refrigerators and washing machines are very small
- Everything is generally older, smaller and shorter
- People don’t seem to be afraid of their neighbors or the government
- Their paper money makes sense, the coins don’t
- Everyone has a washing machine but driers are rare
- Hot and cold water faucets. Remember them?
- Pants are called “trousers”, underwear are “pants” and sweaters are “jumpers”
- The bathroom light is a string hanging from the ceiling
- “Fanny” is a naughty word, as is “shag”
- All the signs are well designed with beautiful typography and written in full sentences with proper grammar.
- There’s no dress code
- Doors close by themselves, but they don’t always open
- They eat with their forks upside down
- The English are as crazy about their gardens as Americans are about cars
- They don’t seem to use facecloths or napkins or maybe they’re just neater then [sic] we are
- The wall outlets all have switches, some don’t do anything
- There are hardly any cops or police cars
- 5,000 year ago, someone arranged a lot of rocks all over, but no one is sure why
- When you do see police they seem to be in male & female pairs and often smiling
- Black people are just people: they didn’t quite do slavery here
- Everything comes with chips, which are French fries. You put vinegar on them
- Cookies are “biscuits” and potato chips are “crisps”
- HP sauce is better then catsup
- Obama is considered a hero, Bush is considered an idiot.
- After fish and chips, curry is the most popular food
- The water controls in showers need detailed instructions
- They can boil anything
- Folks don’t always lock their bikes
- It’s not unusual to see people dressed different and speaking different languages
- Your electronic devices will work fine with just a plug adapter
- Nearly everyone is better educated then we are
- If someone buys you a drink you must do the same
- There are no guns
- Look right, walk left. Again; look right, walk left. You’re welcome.
- Avoid British wine and French beer
- It’s not that hard to eat with the fork in your left hand with a little practice. If you don’t, everyone knows you’re an American
- Many of the roads are the size of our sidewalks
- There’s no AC
- Instead of turning the heat up, you put on a jumper
- Gas is “petrol”, it costs about $6 a gallon and is sold by the liter
- If you speed on a motorway, you get a ticket. Period. Always
- You don’t have to tip, really!
- Scotland, Wales, Ireland and Cornwall really are different countries
- Only 14% of Americans have a passport, everyone in the UK does
- You pay the price marked on products because the taxes (VAT) are built in
- Walking is the national pastime
- Their TV looks and sounds much better then ours
- They took the street signs down during WWII, but haven’t put them all back up yet
- Everyone enjoys a good joke
- There are no guns
- Dogs are very well behaved and welcome everywhere
- There are no window screens
- You can get on a bus and end up in Paris
- Everyone knows more about our history then we do
- Radio is still a big deal. The BBC is quite good
- The newspapers can be awful
- Everything costs the same but our money is worth less so you have to add 50% to the price to figure what you’re paying
- Beer comes in large, completely filled, actual pint glasses and the closer the brewery the better the beer
- Butter and eggs aren’t refrigerated
- The beer isn’t warm, each style is served at the proper temperature
- Cider (alcoholic) is quite good.
- Excess cider consumption can be very painful.
- The universal greeting is “Cheers” (pronounced “cheeahz” unless you are from Cornwall, then it’s “chairz”)
- The money is easy to understand: 1-2-5-10-20-50 pence, then-£1-£2-£5-£10, etc bills. There are no quarters.
- Their cash makes ours look like Monopoly money
- Cars don’t have bumper stickers
- Many doorknobs, buildings and tools are older than America
- By law, there are no crappy, old cars
- When the sign says something was built in 456, they didn’t lose the “1”
- Cake is is pudding, ice cream is pudding, anything served for desert is pudding, even pudding
- BBC 4 is NPR
- Everything closes by 1800 (6pm)
- Very few people smoke, those who do often roll their own
- You’re defined by your accent
- No one in Cornwall knows what the hell a Cornish Game Hen is
- Soccer is a religion, religion is a sport
- Europeans dress better then the British, we dress worse
- The trains work: a three minute delay is regrettable
- Drinks don’t come with ice
- There are far fewer fat English people
- There are a lot of healthy old folks around participating in life instead of hiding at home watching tv
- If you’re over 60, you get free tv and bus and rail passes.
- They don’t use Bose anything anywhere
- Displaying your political or religious affiliation is considered very bad taste
- Every pub has a pet drunk
- Their healthcare works, but they still bitch about it
- Cake is one of the major food groups
- Their coffee is mediocre but their tea is wonderful
- There are still no guns
- Towel warmers!
- Cheers
Work is solving problems. The industrial approach was detached from customers and there are many problems without a mass-market solution
— Esko Kilpi (@EskoKilpi) September 1, 2015
The new rules
From this article by Serene Assir (@SirenaAssir), we quickly understand that the lucky ones are simply those who survived.
That so many of them drowned is the truly ugly face of the current challenge Europe must address. It is high time we decide to treat it as a humanistic opportunity and now consider the pretty face of what happens, as embodied by the light of hope on this migrant girl’s head.
A migrant child gets assistance to remove her life jacket after arriving in Kos on August 13, 2015 (AFP Photo / Angelos Tzortzinis)
Je viens de passer la soirée avec ma (seule et unique au demeurant) copine de fac.
#LTHeuJeSaisPasTropQuoiIncoming
— Jaddo (@Jaddo_fr) August 21, 2015
Je viens de passer la soirée avec ma (seule et unique au demeurant) copine de fac.
Après qu’on ait vu le chef du resto maltraiter sa serveuse pour pas un rond, on a causé.
Au bloc, genre en 3ème année de médecine, sur une bartholinite.
Son chef lui demande "Tu sais à quoi servent les glandes de bartholin ?"
Elle hésite.
Elle sent bien que si elle dit "À lubrifier" ça va faire rire.
Elle choisit ses mots en silence.
Le silence est coupé par son chef. (Son mentor. Sa référence. 3ème année) "Ça sert à mouiller ton con, chiennasse." #TonConVirguleChiennasse
Elle me raconte qu’elle a ricané, qu’elle a dit "Ahah merci, j’aurais pas retenu sinon."
C’était la seule chose à dire.
Fallait valider.
Dans le bloc, hein.
Devant tout le monde. L’anesthésiste, les deux internes, les trois infirmier/ères, les externes.
#TonConChiennasse
Moi, je lui ai raconté qu’une fois j’ai croisé mon chef et mon interne dans l’ascenseur après une nuit particulièrement difficile de garde.
Une morte, une annonce de bientôt mort, une autre morte à recoudre, un mec qui avait frappé l’infirmier : des trucs durs.
Je récupérais.
Le mec, pour cette fois, ne m’avait pas dit que j’avais une bouche à pipe.
Ni qu’on ferait La Moore demain ahhaha.
Ni que "J’avais l’air sauvage après une nuit de garde et que je devais être très belle après l’amour".
#AhAhOhVousMeFaitesRougirMonseigneur
Dans mon esprit habitué, je vous jure #LaVieDeMaMère que je m’étais paniquée.
Pas de blague de cul, j’avais sans doute fait une connerie.
Vraiment, alors que je faisais partie des dures à cuir, je m’étais dit “Merde, j’ai pas bien travaillé. J’ai tué un patient ? Seigneur !”
On en était rendues là.
"Héhé t’as trop une bouche à pipe" = "T’as vraiment fait du bon boulot cette nuit".
Sans avoir ça, je paniquais.
On a recausé, beaucoup.
On s’est rendues compte d’à quel point l’hôpital tel qu’on l’avait connu ne passerait pas 15 minutes aux prudhommes.
Le pire, c’est qu’au fond de nous, quand même, on avait une petite voix qui disait : "Hey, tu l’as vécu comme ça, c’est pas la mer à boire."
On était malgré nous d’accord pour dire que les filles qui râlaient aujourd’hui, c’était des mijaurées, parce que hey, ça va quoi.
Yep, le lavage de cerveau va jusque là.
Deux féministes qui trouvent que "pour mouiller ton con, chiennasse", c’était presque le bon temps.
