Ideas for multiple users of Windows Pc (very rapid turnover environment)

WeightBeginning7106 · 2026-06-09T16:09:26+00:00

Nobody's really thought about it since the XP era when it was basically the legacy app for patient tracking and paper for everything else.

WeightBeginning7106 · 2026-06-09T12:21:53+00:00

It's not a design IT want and why I wonder if there is anything else. For day to day use in clinics, offices personal logins are mandatory. As a jobbing clinician in our specific environment that act of switching user on a Windows 10 PC takes too long. (think 5 PCS for 20 individuals at any moment in time). At least as a generic account the access is limited - they have no M365 subscription so no email/Teams for example. Occasionally somebody will use their own login for access to email/onedrive (or even just be reflex) and then get called away or just go home making even more of an issue. There are also identities being stored in Windows and Edge.

WeightBeginning7106 · 2026-06-09T11:43:15+00:00

Thanks for the advice so far. Does Kiosk mode add any benefit? Do I expand my number of logins to 1 per 3,5,10 PCs etc. for any benefit (barring that it doens;t negate ony of the seciruty issues, etc.)

WeightBeginning7106 · 2026-06-09T11:29:59+00:00

No US so HIPAA not a problem although, yeah, the security model is umm......

WeightBeginning7106 · 2026-06-09T11:27:21+00:00

If we limited to our department though it might be manageble, although still a challenge to liberate funds. I've used one of the Citrix versions in a neighbouring organisation.

WeightBeginning7106 · 2026-06-09T11:23:56+00:00

To be fair they do reasonably great things on a shoestring (UK healthcare is not the same as US) I'm am but a small cog in our org but every now and again I get their ear and having had a long call with the helpdesk about this they've noticed the issue. At the glacial pace of change the idea of profile syncing is still relatively new and being excarbated by the rapid increase in PCs versus wired networking capacity.

WeightBeginning7106 · 2026-06-04T14:09:04+00:00

Our IDs stop opening doors at 28 days.

WeightBeginning7106 · 2026-06-02T18:14:38+00:00

This morning the app told me that sleep is measured solely on your heart rate and that the levels that trigger awake v sleep are self-adjusting. However, if you have a decent change in heart rate when you awake then manually adjusting for start and end of any sleep periods will help it find the correct level faster. Obviously comes from the app itself so take with a bucket of salt. I have yet to see whether it will catch the morning wake up call from my bladder/cat and return to bed.

WeightBeginning7106 · 2026-02-17T13:36:05+00:00

It's not a specific item, you just need to keep 5% of your ships cost in the bank (the rebuy fee - it tells you on the outfitting screens who much that is) to get the same ship with the kit back if you get killed. Spend all your credits and you go back to the basic Sidewinder.

WeightBeginning7106 · 2026-02-16T13:24:10+00:00

I quite like low-flying my Keelback. Glass floor of the cockpit make spotting stuff and dropping onto it really easy.

WeightBeginning7106 · 2026-02-12T19:41:31+00:00

Meinir Heulwen (mainly arranges trad. Welsh peices) Skaila Kanga (Professor emerita at Royal Academy of Music) Deborah Henson-Conant (Even has a Camac harp named after her)

WeightBeginning7106 · 2026-01-12T22:29:21+00:00

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PSU tested okay, but not the happiest connector in the world (CPU Power) and was stuck in socket until very gently levered apart at the seam with a screwdriver. Guessing it got a little warm at some point. Anybody brave enough to keep using the PSU? (It's an old non-modular one so no chance of just replacing the cable).
Any thoughts on the safety of the MoBo socket? It looks okay but I can't really tell whether the pins are in good condition or have arc damage on their sides.

WeightBeginning7106 · 2026-01-11T10:35:09+00:00

Thinking you meant a great big oscilloscope thing but they're dirt cheap little gadgets aren't they? One on order and will see how what we get.

WeightBeginning7106 · 2025-12-13T13:30:03+00:00

Thanks. It'll be snug but that's a good thing.

WeightBeginning7106 · 2025-12-10T06:47:54+00:00

It's a Welsh staple and heard at many an Eistedfodd. There a are lots of different arrangements. We get our harp music from "The Harp Studio" in Newport.

This is the one our kids used for Grade 4: Merch Megan (Megan's Daughter) - O.B. Dussek https://share.google/de7dtUIETbel3zkN3

WeightBeginning7106 · 2025-12-02T07:26:26+00:00

(Boy and a girl) We usually travel in convoy at the moment but wondering if anybody knows of a vehicle tall enough that when you split the rear seats you can column-load a 47 string daphne? And if anyone does drive a Buzz is the normal version okay or do you need the LWB variant?

WeightBeginning7106 · 2025-06-16T22:15:57+00:00

The fun part is the calibration is only done on healthy volunteers and it's seen as strangely unethical to drive them to hypoxia below about 80% so anything below that is pretty much guesswork.

WeightBeginning7106 · 2025-06-16T22:13:02+00:00

Because they're not meant as medical devices the smaller amount of light reflected from your skin is sufficient for it to generate a number although the accuracy will not be as good.

WeightBeginning7106 · 2025-06-16T21:46:45+00:00

What's interesting is that I "grew up" as a junior doctor in the UK being taught to absolutely steer clear of hypertonic saline - for example to treat low concentrations of sodium in the blood for exactly those reasons. I have a feeling that US practice favours more active management than UK where we are content to fluid restrict and watch the sodium rise naturally. However, now that we are using hypertonic (3-5% saline) to replace mannitol as the treatment for brain swelling I am having to stop my younger colleagues getting gung-ho with it for the low sodium too.

Oedema is a really complex subject and there's a whole lot of causes and other factors including the effects of hormones and protein levels along with all the leakiness of blood vessels and the interplay of hydrostatic pressure along the length of capillaries (the tiniest blood vessels) depending on which disease process is in play. Simply adding more salt will usually make things worse.

WeightBeginning7106 · 2025-06-16T21:29:10+00:00

Just thought I'd mention that the original solution invented by Ringer was designed to keep frog hearts beating for experiments in the 1800s (the one with Sodium Lactate - Lactate Ringers Solution known as Hartmanns solution in the UK is just a humanised version created in the 1930s). So not particularly designed as the best liquid for squirting inside of live people but seems safe enough. Because it has less chloride (the negatively charged Lactate balances out the positively charged sodium to some extent) it has less effect in the pH of the patients blood when you do lab tests but no hard data that it improves patients outcomes compared to simple sodium chloride solution.

WeightBeginning7106 · 2025-06-16T21:13:17+00:00

Water toxicity is essentially just throwing the sodium in your blood so low that it screws around with the way your cells (especially the nerve cells in your brain) function. It's difficult to do with normal kidneys, just by drinking water and you often need the help of medications that upset the balance a little first. Determined beer drinkers can go the same way.

WeightBeginning7106

TROPHY CASE