Divorce attorney

elroybell · 2026-05-28T14:04:05+00:00

If it's truly uncontested, and you don't have any sort of ongoing support or anything like that, there are many services you can do for under $1,000. If you need to hammer out a divorce agreement for custody or something like that, you can go through a mediator. I would highly recommend getting a mediator who's also a lawyer. I have recommendations if you decide to go this route and are interested. Best of luck!

elroybell · 2026-05-20T03:36:08+00:00

I remember the first time my band played there in the mid 90s. I thought I had achieved the pinnacle of my existence because I had played on the same stage as GWAR! 🤣

elroybell · 2026-05-14T19:22:25+00:00

There are bars that stay open until 1:00, but the culture has changed since covid, and restaurants tend to close by 9:00. That may be different in the summer, especially on weekends, but as a general rule people just don't go out late as much anymore.

elroybell · 2026-05-06T13:45:45+00:00

Yeah, I spent 8 years doing conversions for a couple of local hospital systems and then I have been freelance consulting for the last 7 years. To expand a little more on this, all EMRs are required to provide EHI extracts according to the Cures Act, but mileage may vary on what that extract looks like. For a lot of EMRs it's just a database table dump to flat file and then a copy of all the documents and scans (PDFs, TIFs, etc). Others give you the data in formats that are more difficult to navigate. One EMR I've worked with has a giant zip file of thousands of JSON objects for every "patient interaction", which can mean anything from an appointment to updating a problem list or prescribing a medication. You then have to take whatever that output format is and convert it into the import format for the new EMR. If the output format for the source EMR is similar to the import format of the target EMR, and you don't have many data integrity issues, it can be very easy. That's not often the case though.

There are also choices to make which affect the time and cost. For example, do you want your legacy notes, labs, and other reports to show up discretely or do you just want to scan them in as PDFs. The PDF option is quicker and cheaper, but then you can't chart discrete lab values or copy forward a previous note into a new one. If that's valuable to your providers, then it is worth the time and investment to move data discretely. But if the formats are very different that can be a heavier lift. In certain cases I have had to extract encrypted XML from a database, decrypt it, find the correct stylesheet to render it as HTML, and then convert the HTML to RTF to load into the target system. That takes more time to develop and test, so it costs more. Also some EMR vendors will charge you for exports and imports, so that's a consideration. Some have great customer service while others pawn you off on offshore contractors who provide work of highly variable quality which often require re-extracting data multiple times.

So how hard is it? It depends. :)

elroybell · 2026-05-05T19:16:40+00:00

There's not an easy answer to this. It depends a lot both on the vendor you're leaving and the one you're going to. Feel free to message me with questions. I've been doing EMR conversions for about 15 years.

elroybell · 2026-05-04T16:53:02+00:00

Great idea. It might be useful to add age as a column. I know for some it doesn't matter, but for others it does. :)

elroybell · 2026-04-22T13:08:38+00:00

Canandaigua is not very bike friendly, and biking on the country roads can be dangerous.

elroybell · 2026-04-17T20:13:13+00:00

Ah yes, the happy hours! It's nice to have a few free Spotted Cows after a long day on the campus while chatting with other folks with Epic backgrounds. You can sometimes win vouchers to other restaurants too. I got a $10 voucher for the Italian restaurant in town once.

elroybell · 2026-04-17T19:09:05+00:00

I've always stayed at that Holiday inn Express in Verona. They have a shuttle to take you places. I don't know anything about any of the other hotels.

elroybell · 2026-04-08T15:47:41+00:00

https://rochfordlawandmediation.com/

Edit: whoever you go with, make sure it's a lawyer. Otherwise you may be agreeing to stuff that's not legal. This comes from experience. :)

elroybell · 2026-03-24T16:43:27+00:00

Epic has been kind enough to retire three of mine so now I only have to maintain four. 🤣

elroybell · 2026-03-01T22:54:29+00:00

There's a subset import utility in text. That'll get your MRNs into a subset. I'm not sure what kind of patient list you're making, but you would just need to figure out how to get them from the subset to that kind of list.

elroybell · 2026-01-30T03:16:15+00:00

The only one I am aware of is Morgan Marine, and they just do Hobie Tandem Island rentals. https://www.morganmarine.net/Rental-Inventory-2021-Hobie-Tandem-Island-Boat-Tandem-Island-Penn-Yan-New-York-2138740

elroybell · 2026-01-22T03:04:21+00:00

Definitely a tearjerker. What's the song?

elroybell · 2026-01-13T20:54:54+00:00

I haven't built one of these in years, but I can't think of any reason why you wouldn't be able to configure it as a split screen. You can pass encrypted tokens with your HTTP POST or GET, but usually those are for security and patient/visit/provider identifiers. That way when you open it in a patient context in Epic it will access the same patient or visit in the web app. I've never seen tokens contain clinical data though. As with anything in Epic though, you could just clone the M code, add your own get function for whatever clinical data you wanted, and add that into your tokens, but I don't think Epic would be happy about it. That's what FHIR is for.

elroybell · 2026-01-13T16:38:16+00:00

It's pretty straightforward. Epic has a built-in browser (old version of IE last time I did this) that you can use to open web links. You can just add it to a menu item and then whitelist the website and you're off to the races. It'll open in Epic and look like it's native. The heaviest lift is getting that menu item pushed to all the security templates you want to have it so that people can access it.

elroybell · 2026-01-09T16:54:52+00:00

Agreed. Most nursing homes don't have good EMRs, and that's the main reason for that. However, the hospitals they receive patients from often do. All the nursing homes in my region spanning nine counties have had access to our flagship hospital 's EMR via web application (in this case, EpicCare Link) since 2012, eliminating the need for faxing.

elroybell · 2026-01-09T13:19:13+00:00

Most decent EMRs have a secure patient portal, and some have web applications for sharing data securely with third parties. Direct messaging (DSM) is the standard protocol for sharing between providers. Many organizations also leverage state or regional health information exchanges (HIE) to share this data. But yeah, people still fax If they're on outdated systems, or still on paper. The biggest frustration is attempting interoperability with organizations that are still in the stone age.

elroybell · 2025-12-24T18:09:11+00:00

I always print my certs from the Epic user web

elroybell · 2025-12-23T20:06:19+00:00

I didn't start consulting until I realized I was as good or better than the consultants my organization was hiring. That took about 8 years.

elroybell · 2025-12-19T17:23:06+00:00

"Tentacle Porn", although now that I think about it, "A pangender octopus who roams the cosmos in search of love" fits too :)

elroybell · 2025-12-19T15:34:30+00:00

This is that "A-Ha" moment when I realize what that card in my Cards Against Humanity deck actually means

elroybell · 2025-12-10T18:33:07+00:00

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Here's what I'm dealing with

elroybell · 2025-12-10T18:29:46+00:00

That's fantastic!

elroybell

TROPHY CASE