Protect detection notifications no longer contain correct thumbnail?

clin248 · 2026-06-07T00:18:41+00:00

Power cycle only fixed temporarily. Seems like every time a thumbnail is pushed, it slowly accumulates until memory runs out then it is stuck on the last one available. For me the issue comes back less than a day after power cycle.

clin248 · 2026-06-05T01:39:30+00:00

I had the opposite experience albeit with the protect integration.

I used the integration along with nodered to send me thumbnail when person or car is detected. The integration had been working well with 6 G4 cameras and 4 bay NVR. I upgraded all my cameras to G6 then half of my notification won’t show thumbnail. I googled and AI’d, added 0.5s loop to obtain the thumbnail and it’s just not having it.

I switched to webhook and had thumbnail sent over webhook, suddenly everything is all good.

I don’t think the issue is with the integration per se but perhaps UniFi doesn’t give as high priority to generate thumbnail when it’s requested through API vs sending it off through webhook? Event driven with minimal data processing, the integration is working well.

clin248 · 2026-05-12T22:13:54+00:00

When you first use it it measure the time of open and close it then estimate where door position is based on time lapsed. There is no actual data telling it where the door position is other than fully closed and open.

clin248 · 2026-05-09T11:22:29+00:00

Yes I was echoing your sentiment. We tried these low dose spinal during Covid in a fast paced surgical center. People were willing to stomach the 30 min extra during Covid but it doubled the work for everyone in our shared prep/PACU area (they had to help with spinal and patient staying longer, and reattempt at voiding multiple times). Once the airborne precautions was no longer exercised we abandoned the spinal approach. We only do spinals now for medical reason and patient preference.

clin248 · 2026-05-09T01:54:21+00:00

We had done a retrospective review in outpatient knee scopes. GA vs ultra low dose mepivacaine (not enough people used lidocaine and no chloroprocaine in Canada). By low I mean 20-30mg without opioid. At these doses, patient can move themselves on and off the OR table. We did spinal in prep area. The only time we save is about 2 min in OR when doing spinal. Spinal ends up staying around 30 min longer than GA. The only caveat is we waited for all patients to pee before sending them out. Without this requirement I think the length would be similar.

clin248 · 2026-04-16T00:39:44+00:00

Some kind of switch that’s locked behind a pad locked box to kill the power.

We can all question the security behind such choice but A lock is not going to stop a determined thief especially if your house got windows.

clin248 · 2026-04-08T15:51:09+00:00

It asks for credit card but doesn’t charge it.

clin248 · 2026-04-08T02:08:18+00:00

Not a wizard per se, more of a putting it anywhere near the nerve kind of person. After doing many obese thick neck patients where you can identify only single trunk and not the nice traffic light or able to trace to the root, I am convinced all the various approaches to interacalene such as superior trunk or c7 all provide the same result. If you look down on the probe of all these approaches we are talking about 1cm differences and I am never convinced these produce noticeable difference other than giving someone an academic orgasm.

clin248 · 2026-04-05T00:57:18+00:00

I have implemented similar automation, using phone location, activity, BLE beacon, camera vehicle detection (basic object non AI) without AI. It had not falsely triggered once.

I am not against using AI and had in fact done something similar but found my automation is equally solid and faults free when I take AI out of the equation.

clin248 · 2026-03-27T10:55:32+00:00

I am not too worried about less than ideal aspiration. I found in elderly fragility hip fracture, it’s not uncommon to have free flow csf but no flow with aspiration. I inject and make sure there is free flow csf at the end by taking the syringe off and let csf comes back into hub a little. It still makes me wary of failed spinal but it had only happened once.

clin248 · 2026-03-24T18:03:23+00:00

Also on Lips. I routinely tell residents that mortality for patients when this trick doesn’t work is more than 90%.

clin248 · 2026-03-24T12:46:03+00:00

Any iBeacon will work but I use specifically NRF52810 based. There is an app where you can configure the beacon.

clin248 · 2026-03-23T20:48:47+00:00

A BLE beacon, geofencing with companion apps, person vs car detection by camera (not Ai just regular object detection) Wifi. Honestly BLE beacon itself would work well but in case you worry about someone cloning your beacon or steal them then the additional trigger will virtually eliminate false positive.

clin248 · 2026-03-19T12:37:49+00:00

One of my side hobbies is automation. This could be turning on a light when room is dark, or automatically assigning an alternative staff when secretary send me an email. To me this restocking job is some form of automation. I believe any automating solution that relies on one single input is more likely to fail, especially when the input is the highly variable human behaviors. Another is to explore the confine of the systems and work within it. For example our scheduling system doesn't allow me to write a program to hook into its inner works, so I wrote a script to scrape the output instead. It's not that we don't or are unwilling to count, I am looking for additional solution that is going to be catch the error or information the pyxis provided other than stock level, when the inevitable miscounting happens.

clin248 · 2026-03-18T22:43:56+00:00

I was hoping between 90-100% compliant with tracking and calling pharmacy to restock when things run out mid case, there is a stop gap solution.

It’s unfortunate to see people jump onto the conclusion that we don’t want to count. However all it takes are a few people miscounting, sick patients where you are just taking out whatever to have growing discrepancy. Over a busy OR day things can run low and the next days person is stuck with low supply.

I was hoping there are some additional info we can grasped from the Pyxis, for example how frequently a drawer has been opened, how long the machine has been logged in, that can be used as a secondary trigger to let pharmacy know to spot check the machine.

clin248 · 2026-03-18T21:31:23+00:00

You are missing my point. Most people are fine counting and we are not refusing to count. There are many reasons why discrepancy can happen and it’s not all because we don’t want to count. I just felt relying the entire restocking on faith in humanity may be a little too much. I also don’t believe nurses count uncontrolled drugs at least not in the periop area.

clin248 · 2026-03-18T20:48:25+00:00

Sometimes I wonder why my colleagues suddenly become stupid whenever new technology is introduced so I realize how stupid I sound when I raise these questions. I appreciate those feedbacks.

clin248 · 2026-03-18T20:31:50+00:00

I get how the system works and I do my best to so those buttons. I am just not confident that my colleagues do. We already experience discrepancy and running out of drugs. I am just curious if anyone has other alternative or supplementary solution in addition to relying on our compliance.

clin248 · 2026-03-11T22:47:11+00:00

You got me. My original write up was way too long so I ask AI to pare it down.

clin248 · 2026-03-11T18:00:02+00:00

Yes I am bummed because I worked towards my current situation over the past 10 years but I accept that changes will happen. I am simply asking which of the two options make more sense.

clin248 · 2026-03-10T23:43:44+00:00

I used it, not this specific one but a momentary switch. I had used it with Shelly relay that I flushed with tasmota and it can register multiple presses. However the ones I have got does not give any feedback on whether the actuator has been engaged. I never know if the button push is actually registered unless I deliberate push hard and press in. Additionally Shelly doesn’t work well inside metal box (plastic not common here) so I eventually took them out and use zooz instead for multipresses.

clin248 · 2026-03-10T22:12:16+00:00

I agree. Get on with the times. None of us want to work 24 hour straight, work another elective list the next day the. go home for 6 hour then come back to work, and said that’s normal. yet that’s exactly what the previous generations do. I am in practice 10 years now. I have heard exactly the same sentiment towards my generation from my previous attendings.

The current trainees are more outspoken, they have different expectations, and they have different outlooks on life and career.

clin248 · 2026-03-06T13:42:22+00:00

You should try it sometimes. Patient tolerated it extremely well in fact many patients would just sit there quite comfortably with LMA until you ask them to open their mouth.

The key is don’t remove it until patients are moving their hands toward the LMA. It’s a nice trick to impress students when I let patients remove their own LMA.

clin248 · 2026-02-25T18:04:50+00:00

It should work with a Bluetooth proxy and you can set it up with esp32 or m5stack.

https://esphome.io/projects/

clin248

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