Thursday, February 18, 2021

Opening a new Adventure

     I have ridden motorcycles since 1983 passing from a '74 Honda CB360 

to a '05 Suzuki Boulevard M50 

and then on to a '14 Honda Goldwing.

I have had the pleasure of visiting many parts of the United States and Canada on these motorcycles for a total of about 80,000 miles as of this writing. Some of these journeys are documented elsewhere on this blog.
    Upstate NY, where I currently live is a particularly beautiful place to ride. And yet, the Goldwing, though designed as the ultimate, comfort touring motorcycle, gets a little skittish when the road gets rough. And so, as I ride with my friends, we pass up exploring unpaved roads that meander into the wilderness. I cannot get the thought, "what lies down these trails", out of my head.
    The Bureau of Transportation Statistics, a statistics agency in the Department of Transportation, estimates that, as of 2019, there are approximately, 2.9 million miles of paved roads in the USA; an admirable goal for any biker๐Ÿ˜€. Yet, they also estimate another 1.2 million miles of unpaved roads! These cannot be ignored!
    In February of 2021, I purchased a new, 2021, KTM 890 Adventure motorcycle with the intent to start exploring some of the more remote countryside.


Adventure motorcycles are designed to handle both paved and unpaved roads. They have a combination of features that provide, if not the best of both worlds, at least the very, very good of both worlds. Riding on unpaved and dirt roads is a new skill to learn. While it looks like a street bike, the techniques for riding on pavement versus dirt change completely, due almost solely to the changing nature of the traction contact between the motorcycle and the ground.
    I started my new learning curve in my local area. My algorithm was to ride down the street and every time I saw a road in worse condition than the one I was on, I took it.



Friday, November 27, 2020

The Difference Between Golf and Chess

I am not much of a golfer but my father, uncle and cousin were terrific golfers. I am not much of a chess player but my grandfather was a champion. In both of these 'games', the difference between champions and pikers is not so much the physical as it is the mental.

In golf, all of the mental energy is focused on the shot you are making right now. The intellectual challenge comes from shaking off the last (bad) shot/hole and not worrying about future challenges. Only the current shot matters; 100% tactics. Get as close to the hole as possible. The best players have a reproducible repertoire of moves for any given context but even those are unrelated to anything other than the current situation. And even the best can mess up, for example 10 strokes on a par 3, just (much) less frequently than the average duffer.

In chess, on the other hand, all of the mental energy is focused on strategy. The best players are thinking 6 or 8 moves ahead. Setting up traps and future feints. Laying defense works. The current move matters but only in the context of a much richer opening, middle game or end game. It is a game of deep research and deep thought (and Deep Blue; sorry I couldn't resist) though in most matches the time of thought is constrained and both plans and decisions must be made under pressure.

This week, while American leadership golfs, we may have had a peek at international chess:
1) On 11/16: Trump Sought Options for Attacking Iran
2) On 11/26: IDF on high alert over possible US strike
3) On 11/27: Iran’s Top Nuclear Scientist Killed in Attack
4) [Edit: 11/28]: If Assassination Fails to Set Back Iran’s Nuclear Program, Blowing Up Deal Is Easy

Because the US National Security Infrastructure shields both national security and national embarrassment, we may never know the truth. Was Trump's suggestion of an attack on Iran just another one of many random golf policy swings by an incompetent President? Or was he influenced in a childlike fashion by Israel or the gallivanting of the much more sly Secretary of State Pompeo through the Middle East. Regardless, the context was set.

Israel probably already had contingencies for lame duck confusion during an incompetent US administration plus/minus popular right wing actions by an indicted prime minister. There is probably a book of chess middle games that includes those very scenarios. Intentionally or inadvertently, therefore, the board is set for Israel to put it's military on alert (something that cannot be done completely without notice) should it wish to take action. Israel even announced it, presumably for the golfers. The country where, "no comment is a comment."

And, then Knight takes nuclear weapons maker. Is there a Nuclear Deal to which Biden can return?

Or, do we think that Pompeo-Kushner-Trump were smart enough to be in on it? That the jet setting about the middle east under cover of 'breakthrough' relations were part of a mis-en-place? The price of a Saudi meeting? The coincident story of  "Jordan scrambles to affirm its custodianship of al-Aqsa mosque" just another red herring, a feint? Do I think our administration capable of this? No. Do I think them capable of lying about it either way? Absolutely. Would I trust an administration response? Absolutely not.

The game continues, the wheel turns. An incompetent, inexperienced, almost childlike, lame duck administration. A Senate ("greatest deliberative body in the World"; ROTFL) and the House, divided, both completely dissociated from each other and their oversight responsibilities. A presidency in the midst of unilateral post-election chaos and unprecedented division of the nation. All of them shielded by our National Security Infrastructure. Dangerous? Uh, yeah.

So, do I relax a bit seeing the cool, calm, confidence of the incoming batch of experienced Cabinet members? A bit. I do, however, want to look into their eyes and ask, "Do you play chess?"

Wednesday, April 22, 2020

Esther Marcovski Channin


Esther Marcovski Channin
(February 5, 1930 – April 19, 2020)


My mother, Esther Marcovski Channin, passed away, in her sleep, on Sunday, April 19, 2020 ื›ื” ื ื™ืืŸ  5780), as result of complications from Covid-19. She was 90 years old. I am the proud son of an immigrant refugee. My mother was born in Romania in 1930. In 1939, just a few months before Nazi Germany invaded, my mother and her parents fled to America.
They were the last of our family to escape.  My mother never considered herself a Holocaust survivor but rather an ‘escapee’
After a brief stint in NYC, they settled in Colchester, CT. A small town with a small Jewish community close enough to the cousins in NYC but also to Hartford, CT which was bustling in war effort. My mother began her career as a teacher at the age of 10. Though both of her parents spoke four languages, none of them were English (Russian, Romanian, Yiddish and Hebrew). My mother would come home from American public school and repeat her lessons in English to my grandparents. She would translate the radio broadcasts for them. I have a strong memory of my Zayde’s black transistor radio constantly tuned to CBS Radio News in NYC.
My mother was a stellar student, top of her class, though, in full disclosure, class size was small. Ironically, for an observant, eastern European, Jewish girl, her school was named, “Bacon Academy".

She had one brother, born in Colchester, Norman, sixteen years her junior
, whom she loved dearly. He and his wife made Aliyah to Israel in 1972.
One of the great pleasures of her life was to visit them, their children Ari and Dina and eventually my grandparents on numerous trips to Israel.


She had a profound, lifelong love of the State of Israel.
From Colchester, she went to the University of Connecticut in Storrs. She received a Bachelor’s degree in Education, there, in 1952, and a Master’s in Education, in 1956. She was active in many aspects of student life, running for student office, and other campus organizations.
This was the breeding ground for what would be a lifetime of teaching and scholarship, but also her lifelong activism on behalf of the less fortunate.
She was also, by all accounts, one of, if not the most beautiful Jewish woman on campus.

We have a picture of her in formal wear sitting on the quadrangle lawn with her dress about her that is movie studio beautiful. So, it was not at all surprising that the prettiest Jewish woman on campus met one of the most popular and dashing Jewish jocks, later a swashbuckling air force pilot. They were married in June of 1956. An older cousin of mine, a child at the time, said that she was like a fairy tale, Mary Poppins, magical aunt.

She worked as a middle school teacher 
while earning her Master’s degree and then after marriage to support her husband in medical school. When I was in sixth grade, my mother came to a PTA meeting. I noticed she had a private conversation with my teacher. I later found out that my sixth grade teacher had my mother for sixth grade, years before.





My mother stopped formally teaching to raise three children.


We moved around a bit as my father completed his training but in 1966 we settled in Sharon, Massachusetts where she remained for the rest of her life. She was a fantastic kosher cook mostly learning at her mother’s side, the latter could have easily won three Kosher Michelin stars had such a thing existed.  We ate well, very well, whether at home or on the road at the grandparents; all the Jewish classics and then some, supplemented by 1970s and 1980s ‘new age’ concoctions.
My mother slowly became more observant and a pillar of the conservative and new orthodox Jewish synagogues springing up in the town of Sharon. She developed many close friendships in the Jewish community, many of them lasting until her death. One close friend wrote, "We loved your Mother. She never looked at life as is, but always as it could be.
She battled fearlessly for the vulnerable and the weak in the work place, the schools and the community. She badgered selectmen, congressmen and senators. No one was spared  her voice or pen.
And children. She loved children! She was a pied piper for all our kids. She shepherded them from cradle to fatherhood  sharing in their triumphs in preschool, boy scouts, graduation and Israel."
She volunteered for every community activity. She was a life member of Hadassah (since 1972) and contributed to the best of her abilities to every Jewish charity and institution. We always had a JNF pushke in the house.


In particular, she enjoyed building a Sukkah every year and having the community visit.




Her generosity extended to important non-Jewish causes as well. We were only allowed to go out on Halloween (a goyish holiday) because we would collect money in the orange, cardboard, UNICEF pushkes
(but she let us keep any kosher candy we got on the side). For several years, she drove us 45 minutes each way to attend yeshiva. She lived a life that was the epitome of Torah, chessed and tzedakah.
After my parents’ divorce, she returned to work as a guidance counselor and tutor. Yes, she was a guidance counselor in my high school while I was a student there, with the resultant stunting of any misbehavior on my part. She was a founder of an alternative high school for talented, creative teens who didn't flourish in traditional educational structures. She was active in the P.T.A and the School Board and a regular contributor of Letters to the Editor of the local paper whenever she felt the local politicians strayed from their duty, especially to students and the handicapped. She was also active in the local chapter of the League of Women Voters and several other civic organizations.
When the second wave of deinstitutionalization of mental health patients came to Massachusetts in the 1970s, my mother worked for the State, as a social worker, to place these individuals in the community. She mastered IQ and other testing with her in house guinea pigs. She was a champion for the disabled and the mentally ill and fought injustice wherever she could find it.
In later years, she lived alone. Her house was filled with books and the many local libraries became a second home to her wherever she lived. Among many other collections, she had a complete, eleven volume set of “The Story of Civilization”, by Will and Ariel Durant and to this day, I am convinced she is the only one to have read it cover to cover. She enjoyed modern Jewish philosophical texts and lectures as well as the social sciences.
She lived to see many milestones of her children


and four beloved grandchildren (Tali, Yoni, Joshua and Arielle) as well as her niece and nephew (Ari and Dina). She saw them all grow into fine young adults. In the end, she was taken by the Covid-19 pandemic. It was not surprising or really unexpected given that she was living in a nursing home and with her high risk co-morbidities.






What is ironic is that her last and deepest wish, to be buried alongside her family in Israel, will be delayed for just a little bit longer.

Monday, December 30, 2019

An American Jew

I am an American Jew, American...Jew.  I am the son of a Romanian immigrant refugee. My mother came to the USA at the age of 9 with her parents in 1939, just a few months before Germany invaded. My grandfather sold a working farm for three boat tickets and considered himself to have gotten the best part of the deal. I have heard tales of pogroms, antisemitism and the ultimate antisemitism, the Holocaust since the day I was born; first in Yiddish then English.

I saw antisemitism, first hand, as a kid, when the goyim in a small Connecticut town harassed my grandfather because his name was Chaim ("Life" in Hebrew; unfortunately, Haimy, in English). Like many of his generation he was a self made success (a story I am writing for another day). They would key his car and bend his license plate (within 500' of a state police barrack). I'm sure they were just trying  to thank him for escaping the Holocaust to teach himself to be a machinist so he could make aircraft engine parts for Pratt and Whitney during the War. Everyone of my grandfather's generation in America had stories of anti-semitic acts against them, their families and friends. It didn't bother them because they knew it could be much, much worse. The opportunity in America outweighed many a small evil.

My father (another great story for another day) was born in Connecticut into a small Jewish community (The Hartford Jews in between the NY Jews and the Boston Jews). He, too, was bullied in anti-semitic fashion but grew up to be a tough kid. With his brother, they could take care of themselves.

I, in my turn, was bullied as a kid, mostly not because I was Jewish, but because millions of kids were bullied every year in America even before the Internet. But, hey, let's throw on some anti-semitism. Slowly, I, too, developed my defensive skills. Skills I have honed them to this day.

We would hear of antisemitic acts around the country; but rarely close to home or to a degree to raise concerns. There has been a baseline of antisemitic acts in the USA since its inception. There are peaks and valleys to the activity. For the most part, at least in my youth, we were much more concerned about the safety of Israel than our own.

Regardless of how you feel about Israel and its politics, however, today, any attack on a known-to-be-Jew outside of Israel, is an act of antisemitism until proven otherwise. (In Israel, it's a bit more complicated in that an attack could be ordinary crime, antisemitic in nature, anti-Zionist, domestic terrorism, foreign terrorism or act of war. It is important to distinguish these cases.) Let me repeat, however, any attack on a known-to-be-Jew outside of Israel, is automatically an act of antisemitism until proven otherwise.

These cannot and will not be tolerated. We will not accept collective punishment for your misconceptions about our religion, its role in our society or your perceived injustices of Israeli politics. Those may be topics for discussion, debate, boycotts and protests, but never violence. 

On the day I am writing this, of course, there was another deadly shooting in a church. An equally heinous act that should disturb the American population as much as the kosher deli shooting in NJ or the stabbing last night in Monsey. I am not sure it does. All hate crimes are on the rise in these divisive times. They stimulate discussion around gun control, but not (yet) around 'hatred control'. Of important note in the Texas church shooting, "Parishioners acted to prevent further deaths". 

 As Jews, we are the people of the book ( referring to the Torah, the Prophets, and Other Writings, in Hebrew abbreviated as the 'Tanach') and, therein, the 10 commandments. Traditionally, we are, indeed, quiet, bookish, well educated, introspective, and communal (living within walking distance of the synagogue and short driving distance to kosher food).

It is is important, however, especially for anyone considering antisemitic acts in the USA, to note that as Americans, we are also people of the Constitution and its bill of rights, therein, especially, the 1st and 2nd. For that document, is the difference between antisemitism in the USA and, for example, France. Their only option is to flee to Israel as they have done in large numbers for the past decade or more.


That is not the American way. We stand our ground. We are not your grandfather's Jew.

Never again means never again.





Thursday, April 18, 2019

ST: Discovery: Not a fan

For me, it is almost exactly 52 years since I first watched Star Trek as a 6 year old. My initial memory is of being scared by the aliens. Of course, I gradually fell in love with it and its credo has had a not insignificant impact on my life; second, perhaps, only to my Jewish faith. As a fan, I, of course, enjoyed the subsequent spinoffs, notably, as most would agree, TNG.
As an adult, a physician and scientist with some experience in writing non-fiction science, I admire, greatly, the imagination and creative juices of not only the Star Trek writers but others in the realm of science fiction and fantasy. Some of these, Roddenberry, Tolkien, Bradbury, Clarke and Asimov (just to name a few) are etched in my memory as in a cathedral to greatness.
STD, though I use that moniker not at all casually, makes me appreciate that greatness of imagination even more so. We have talents producing science fiction and films, today, but they pale in imagination compared to that previous generation. I am not a huge fan of the term, "the greatest generation", but, perhaps, it plays here.
What prompted the creators and writers to go back to the decade before TOS? Lack of imagination. Why did they feel the need to bring new ST tech and new, real world CGI back to the time before? "We will never use holographic projectors on the Enterprise again", said no real captain anywhere. Literary device to cover lack of imagination. Why was it necessary to tie Burnham to Spock? Could she not have stood on her own as an ST lead? Why create a war with the Klingons (season 1) that did not have reference in any other timelines. Why reinvent the Klingons appearance rather than create something new? Even the concept of the Terran universe taken from TOS: Mirror. Why introduce even more technology into a timeline where we now it doesn't exits? The red angel suit: ironman. Even some of Burnham's kneeling positions are taken from Ironman. Why? Lack of imagination. The finale? A Star Wars (gasp!) look alike. Time crystals? Really? Can you spell Deus ex machina? (What's wrong with a good old hyperbolic trajectory toward the Sun?)
Don't get me wrong, there some moments of goodness but few of greatness. I did like Like and number 1. But if you wanted to do a TOS Enterprise prequel you'd had to have focused on story and not tech. Can't do that? Then don't. The spore drive? Good. But it doesn't fit in the timeline so a distraction. I could go on.
The worst part is that, at the end of season 2, we now know that the abuse of the TOS timeline was just a setup for season 3. Well, that, for me, will be only the first test of their creativity and imagination. And even then, they will have to convince me that couldn't have launched season 3 without a more creative introduction.

Monday, October 8, 2018

New England and the Canadian Maritimes - 2018 Foliage Run - Day - Portland to Bar Harbor, 160 miles

The theme for today is, "chiiiilllly". The bike says the air temp this morning is 50°F! I say, "Yikes!" I am wearing my riding boots, heavy wool socks, long underwear, insulated jeans, wicking undershirt and underpants, heavy sweater and my Guideware jacket with a balaclava. Actually, with all this, I am quite comfortable. The temp slowly rises to 55 and we end the riding day at 4 PM at 57. Having dealt with the temp, the riding is otherwise spectacular! We leave Portland on 295 North but pick up Rt. 1, "coastal route" at Brunswick. We continue up the coast to Bar Harbor. Again spectacular seascapes and foliage. Each section of the road is better than the last. The small towns of Rockland and Rockport and Camden are beautiful. Lots of great pictures and video to follow.


Sunday, October 7, 2018

New England and the Canadian Maritimes - 2018 Foliage Run - Day 3 - Sharon to Portland, ME

Our luck is running good. Sunday starts out overcast but warm; over 70. Rain is forecast for later in the day, but for now, the heavy shirt is enough. We ride toward and around Boston on 95. It is pleasantly warm. There is remarkably little traffic and it is one of the most pleasant passages around  Boston I have yet to experience. We are in Portsmouth, NH before we know it. 
Once over the Piscataqua bridge into Maine, we leave 95 for 103 and the Maine coast. This is the quintessential tour of the SE Maine coast and Rivka is enjoying the sights, sounds and especially smells along the way. 
We stop at the very scenic and photogenic, Fort McClary State Historic Site. A lovely place to get the feel of Maine.
 As it is a long weekend, the small towns along the way are filled with tourists queueing in the crab shacks and fish markets for their lobster rolls. The tang of the sea and seaweed is all around us as is a fine mist. It remains warm enough to ride in shirt sleeves. Maine-iacs from all over the east coast are in wet suits surfing and boogey-boarding in a fairly rough chop. It is a classic day at the shore.
 As we move north, the foliage is presenting itself in bright patches of red, orange, yellow and green. Wenlook forward to more foliage to come. The pictures and videos will be spectacular (to follow). This  after the more muted early fall colors of Massachusetts and New Hampshire. 
We continue up the coast to Kennebunkport (no sign of 41) and on to our hotel in S. Portland. Aftee a brief rest, we tour the Old Port neighborhood which has been beautifully gentrified. We end our evening with our picnic dinner at Loring Memorial Park overlooking Portland's back cove. A great day and a great ride. 141 miles:  Sharon to Portland. Tomorrow, on to Bar Harbor.

New England and the Canadian Maritimes - 2018 Foliage Run - Days 1&2

We begin on a cloudy and cool morning in Vestal. Last minute packing is done and we head out. I am riding Xray2, the GoldWing. I have the luxury, this trip, of my companion in her SUV. It is about 55 degrees. I am comfortable in my insulated jeans, heavy shirt and insulated Cabela's Guidewear jacket. We advance up 81 North out of Binghamton picking up 88 to the Northeast. Halfway to Albany we transition from partly cloudy to partly sunny arriving at mostly sunny as we cross into Massachusetts on the Mass Pike. The foliage along 88, although spectacular as scenery, has yet to change color much. We will have to see if this changes on the way back. The ride through Massachusetts is pleasant though we hit inevitable traffic that makes us commit to the Connecticut route for subsequent trips. We arrive tired but satisfied in Sharon for a visit with the folks. Saturday will be a rest day with them. 331 miles: Vestal to Sharon.

Wednesday, December 20, 2017

EMR/EHR Interoperability: The Missing Link

There has been much wailing and gnashing of teeth about the lack of interoperability of our electronic medical and health records (EMRs and EHRs). Some of this frustration can be directed toward a fundamental flaw of the American Healthcare System; lack of a national patient identifier. There is, however, another culprit whose head struggles to rise above the noise, hype and politics of interoperability: lack of a payload for interoperability.
            As a radiologist and imaging informaticist versed in imaging interoperability based primarily on the Health Level 7 (HL7) and Digital Imaging and Communication in Medicine (DICOM) standards and the Integrating the Healthcare Enterprise (IHE) integration profile choreography of those two standards, I am flummoxed that the rest of health care does not have the interoperability that we enjoy in Imaging. We have a patient centered “export all” button and the rest of healthcare does not.
This functionality has three important repercussions for health care. You can go to any digital medical imaging department in the world, and with patient consent ask for all the imaging studies of that patient. In the worst case scenario, you will be given a set of CDs; in the best case, you will be directed to an on-line service provider. Not only will those CDs contain, most often, an end user image viewer with a standardized user interface but after appropriate cross-institution, patient identity management, you can import these studies into a subsequent picture archive and communication system (PACS) for use as comparison studies in the clinical setting.
Of interest is the fact that radiology reports fall somewhere in between medical images and EMR results. Radiology reports are, in fact, often included, on CDs when image studies are exported. They are, however, less well formally defined, there is some variability in both their presence and the ability to import them into electronic medical record systems in a computable fashion.
The second repercussion of having all this data available in a standard format is that it is available for image processing and machine learning. All of the major image processing environments, proprietary or open, are able to process these medical images in any number of ways.
The third repercussion of this function of DICOM and IHE is that you can migrate imaging data, in bulk, from one PACS to another and this happens routinely. PACS systems are still evolving functionality and after 7 or 10 years of service (since PACS have been in service now for almost 25 years!) it is not uncommon for an institution to choose a new PACS and migrate all of the image data from the previous system to the new one. It is not a perfect or painless process due, typically, to a bit of data uncleanliness that builds up over the years, but it is insightful, straight forward, vendor supported and achievable. It happens, without much fuss every day.
None of this is the case for EMR data. The unit of exchange in what we call EMR interoperability (or the lack thereof) is not patient data but rather abstraction of patient data into Clinical Document Architecture (CDA) documents. The name, itself, positions it as nothing more than paving the cow path of the old three ring patient information binder and its paper documents. The aggregation of all of a patient’s CDA documents from all of a patient’s providers by no means represents all of the medical information about the patient.
CDAs are designed, from the get go, to be ‘human readable’ yet they are, for the most part, illegible. HL7 and the Office of the National Coordinator for Health Information Technology (ONCHIT) had to sponsor a challenge last year, to improve rendering of these documents. From a technology perspective, HL7 erred in blending the human readable and machine computable in one document. Much of modern computing is based on the model, view, controller (MVC) paradigm wherein data, delivery and display are separate not the least of why is so that each may be optimized.
Note that HL7’s Fast Healthcare Interoperability Resources (FHIR) specification does not solve this problem. FHIR defines modular resources that represent components of the patient’s record. There is a mechanism for bundling resources and for getting all available resources from a single system. Modular resources have not yet, however, been defined to cover the complete breadth of patient data. They will continue to be developed and released for years to come (as will CDAs). Moreover, vendors are not required to implement any given set of modular resources and, so, availability is and will be haphazard.So, neither the patient’s complete collection of CDAs nor all their FHIR modular resources can be used to develop a complete clinical picture of the patient. Nor can they be used to develop a complete computable data structure of the patient. This hampers the development of new computer applications in health care at a time when the technology for doing so is burgeoning.
Equally important, these collections also cannot be used to migrate patient data from one EMR to the next. This lack of migration stifles innovation and competition amongst EMR vendors. We want vendors to compete on novel ways of capturing, creating and making use of patient data not on the basis of possession of patient data. The lack of a clear, vendor neutral, affordable migration pathway traps the customer steward of patient data in an untenable, expensive situation. We, in Imaging, learned this important lesson decades ago; can you imagine, today, having to purchase a proprietary interface from each imaging modality vendor?!
So, how do we fix this interoperability problem once and for all? I suggest that HL7 International pause and take a breath. They are perfectly suited to develop a single, new extensible markup language (XML) artifact, perhaps based on the Reference Information Model (RIM), which can be used to instantiate all of a patient’s EMR content at a given point of time. Let’s call this the XMR for ‘exportable medical record’. This XMR artifact, though geek readable, does not have to be human readable (and I say that in the nicest way possible). Let the systems that receive, aggregate and process these new artifacts compete on how best to do so.

The problem of the lack of interoperability in health care information systems can be solved as has been done for decades in subdomains like Imaging. This new XMR payload artifact could be transported by any number of proprietary, IHE or FHIR transport mechanisms for any number of purposes. At any point in time, a patient could go to their provider and ask for their XMR (perhaps delivered on a thumb drive). More importantly, using existing exchange and patient record locator services EMRs could query their peers for a patient’s XMRs and these could be aggregated and incorporated, as structured data, into the local EMR. The collection of XMRs could be used to present more complete clinical information, drive the development of novel computer processing of patient data and liberate patient data from proprietary silos where it is now trapped. The ONCHIT could then live up to its name and mandate the use of this XMR artifact and the ‘export all’ button.

Friday, August 25, 2017

Photos From The Great Eclipse Ride (TGER) 2017, Elkton, Kentucky, August 21, 2017

OK, here are the pictures from the eclipse. We rode down from Indiana into Kentucky trying to get as far into the zone of totality as possible before the Eclipse started. I used the Eclipse2017.org app to see where we were with respect to totality. We stopped in Elkton, KY which was not to far from the center line. The town looked quite prepared. The town square had a festive look to it with a small crowd congregating about the Town Hall. Everyone was very friendly and having a great time. (And it was a sincere good time since they are a dry county!) There was music piped in for the occasion.




 Note: All photos of the sun/eclipse were taken with my Google Nexus 6 phone! (I fried my GoPro, but that is another story for another day). I used the Manual Camera App from Geeky Devs Studio (a great app). This app lets you adjust all of the functions you would find on a 35mm camera (ISO, F-stop, shutter speed, focus, etc.). I used an ISO/CE certified Silver-Black Polymer Sheet solar filter from Thousand Oaks Optical over the lens. I cut a square from the sheet and placed it inside my phone case wedging it over the lens so it was held in place. The morning of the eclipse, I did a test shot of the sun rising over our breakfast spot.
For the actual eclipse, before totality, I set the ISO very low, to about 50, otherwise the glare/flare from the remaining sun 'blossomed" on the image. I tried to keep the shutter speed around 1/250 so as to avoid motion.  So the early eclipse looked like this:




As the sliver of sun got progressively smaller, I progressively adjusted the ISO up.
 I was only disappointed that I didn't get the 'diamond ring' shot either coming or going.
 I used the 4X optical zoom for all the photos.
For this next shot, I zoomed out to get the eclipse and, I believe, Venus, just as a point of light in the lower right.

My friend Aaron, had taken a few pictures of the surrounds during totality:

And I managed to remove my filter and grab one as well.

Then, I reversed the progress as the moon withdrew:


Then we went to the local post office to get our envelopes and first day covers canceled:


Overall, a great ride and a great eclipse experience. Planning is under way for 2024 though we won't have to travel far in upstate NY for totality!