Eye Clinic statisticsWe have done sums to show that the rate of referral to the eye clinic per month is:Acutes (within one week) = 14 semi-acute (within 1/12) = 10and semi-acute (within 6/52) = 13,glaucomas (within 2/12) = 12 Total = 49
Our total new patient allowance each month is 54 patients. This leaves just 5 patients to see each month in the routine category
Mike Mair, Timaru Eye Clinic
Complying with the six month rule will meanNo watery eyesNo early pterygiaNo chalaziaNo more cysts and lumps unless hyper mitoticNo more routine Cataract referralsNo non acute retinal problems.
In addition, to clear a backlog of 49 patients who at present have appointments more than 6/12 ahead, we have an extra 50 new patient volumesThere is a working bee planned for early October, when I have a locum working with me
Mike Mair, Timaru Eye Clinic
Disposal of referrals outside these criteriaWatery Eyes: GP clinics should see these. Training will be given to GP groupsCataract should be seen by optometrist and scored. ? DHB support for this, or self payEctropions (beyond punctoplasty) will be seen by nurse clinic appointments, but surgery can still be done in the public sector.All other cases can be seen by our team as private patients, or referred out of townNB: Other centers have the same predicament
Mike Mair, Timaru Eye Clinic
Good news for the eye clinicDr Ian Cornaish from the UK has been appointed, will join us from early next yearWe plan to move the clinic nearer the public hospital site, again from early next year.TPH has been promised additional cataract volumes (100). There will be extra clinic volumes when Dr Cornaish starts.
Mike Mair, Timaru Eye Clinic
Mike Mair, Timaru Eye Clinic
The Need for a General TheoryA complex and deteriorating worldAll of the graphs appear to go exponentialPolicy hampered by a lack of a theoryWidely divergent ideologies at conflictIsn't it time we understood ourselves?
Mike Mair, Timaru Eye Clinic
Sight, truth, video tape, and the melody of the text
Mike Mair, Timaru Eye Clinic
Project to integrate Natural and Social ScienceReading in anthropology, linguistics, kinesics, psychology, philosophy of science, medicineThe need for a topic which while real, evoked the methodological problems The identification of the human face as topicThe identification of micro-analysis, and the idea of the temporal microscope.Repeat viewing of a record of text to achieve a 'meta-level' about 'what is going on'Grain of the microscope 1/10 secondReal data in the form of a 'musical score'
Mike Mair, Timaru Eye Clinic
Words for experience, and the experience of wordsThe face expresses a blend of emotions (Darwin and Ekman)
or
Her face was an ocean of melting things, I was frightened of all that richness and looked away (Kerouac)
Mike Mair, Timaru Eye Clinic
DarwinEvolutionistBelieved in the separation of base emotion from higher intellectWas therefore a dualist Wrote a book entitled: The expression of the emotions in man and animalsThe modern proponent is Paul EkmanCross cultural studies of emotion words, butFaces are not words]What faces do to us are not words
Mike Mair, Timaru Eye Clinic
What is really true?, the search for dataThe problem of imposition re derivationEchoed in inductive versus deductive reasoningEchoed in projective versus derivativePhysiological quality data the question of grainThe selection of 1/10 second as an appropriate grain setting (which just happened to go with CFF, and film/video).Keen appreciation of the inidirectionality of the time arrow we never enter the same river twice!
Mike Mair, Timaru Eye Clinic
Collecting dataRight angle mirrorSubject aSubject b
Mike Mair, Timaru Eye Clinic
The data: Two people, one interactional model: the question AND the answerHead movement including eye movementVoice movementUp to four tracks per personPhonetic analysisText statement
A physiological quality eight track record
The question simply asked, what is this?
Mike Mair, Timaru Eye Clinic
Mike Mair, Timaru Eye Clinic
Example 1The Bomb Scares fragment
demonstrates:sound and movement synchonomatopoeic head movementalternation of melodic contribcompletion of melody
Mike Mair, Timaru Eye Clinic
Swimming pools: the movieSlide 8
Mike Mair, Timaru Eye Clinic
Swimming pools: The 'score'
Mike Mair, Timaru Eye Clinic
Swimming Pools: the analysis:Demonstrating sound-movement synchronies, rhythmic entrainment, synchronous onset of laughter, rupture of cognitive model (necker cuber)
Mike Mair, Timaru Eye Clinic
Relish the thought: The Movie
Mike Mair, Timaru Eye Clinic
The score: Cant you think of anyone who might relish the thought?
Mike Mair, Timaru Eye Clinic
Cant you think of anyone that might relish the thought? the analysisDemonstrates:Up going melodyDown going stabilizerBrief eye flash (2/10 sec)Sound Movement synchronies
Mike Mair, Timaru Eye Clinic
Lets get away from telling jokes the movie
Mike Mair, Timaru Eye Clinic
2 D nose movement plot, with phonetic placement
Head movement acceleration
Fundamental frequency plotLets get away from telling Jokes because I can never remember any and Im very bad at them
Mike Mair, Timaru Eye Clinic
What binds it all together?Eye contact works as a 'join' between interacting people, synchronizing head movement the head wags the body, and the eyes wag the head. The eyes are the heaviest partHead and eye movement are linked in to utterance with a 1/10 second temporal detailIntegrated as well is voice movementHead gesturing is onomatopoeicVoice movement is a trajectory, is rhythmic, grammatical yet 'expressive' as well
What's going on?
Mike Mair, Timaru Eye Clinic
The Progression of the TextTwo or more people, one interact ional modelthe text
Mike Mair, Timaru Eye Clinic
The Act on the Modelthe brain is a modeling organA continuously updated model of the presentThe virtual world of speech, signs, symbols versus The actual world of movement and visionThe act on the model preserved as the trajectory of speech with movementMirroring in the coming in together of the intercepted visual trajectory
Mike Mair, Timaru Eye Clinic
The text is the continuing argument, can end up as:
Mike Mair, Timaru Eye Clinic
MelodyIs trans modalActs directly on the state of play in the minds of the participantStabilized and de-stabilizesDetermines (within topic) what the other person CAN say next
Segments time
Mike Mair, Timaru Eye Clinic
A model of the text generator
Mike Mair, Timaru Eye Clinic
A Model of the Text Generator
Mike Mair, Timaru Eye Clinic
Mike Mair, Timaru Eye Clinic
The fallacy of misplaced concreteness (Whitehead)I agree with William James that its what is happening to the body that is experienced as the feeling. Any words for it come afterwardsThe expressiveness of tone of voice cannot be contained in simple categories, because it is itself the trajectory of an action which constitutes and segments the text.The melody is intrinsic to the text, part of how it comes about.The text generator is a projective device, directly controlling time immediately ahead.
Mike Mair, Timaru Eye Clinic
4 D trajectory, 5 D modelingThe trajectory of the movement text is 5 DThe modeling must be 5 D or greaterTo make 3D shapes in time, i.e. to enact a 4D shape requires at least 5 DWhen modelling in higher dimensionality than 4, the outcome is controlled for 4D shapes.
Mike Mair, Timaru Eye Clinic
DimensionalityMiller's dictum of 7+/-2 suggests that this is the number of 'elements' or 'dimensions' that we can hold in consciousness. The cardinal human innovation was an increase in the dimensionality of modeling A time trick is involved, to be able to add dimensionality to our modelling, through the sign system of language
See dimensionality movie
Mike Mair, Timaru Eye Clinic
The 'text bicycle, and the global EHR
Mike Mair, Timaru Eye Clinic
The Soap window
Mike Mair, Timaru Eye Clinic
The Melody of the Text
sight, truth, and videotape.
Mike Mair, Timaru Eye Clinic
Mike Mair, Timaru Eye Clinic
checkDocInfo( ) - object operation/method defined for the CDA Header/Access Object to get the meta-data information about the document as part of the matching function required to determine whether there is a match between the document requestor wants and the CDA header stored checkServeTarget( ) - also object operation/method defined for the CDA Header/Access Object to get the patient identified by the requestor for the CDA document required is the target patient for whom the CDA header (in the regional server list) was created forgetOriginatingOrgNetID( ) is an operation/method defined for the the CDA Header/Access Object stored on the regional server. This operation will interrogate the CDA Header List stored in the regional server which should hold the Network ID/address of where the original attestable CDA data/documents are held - the Provider Organisation that created and stores the data/document, or the regional server itself.
Mike Mair, Timaru Eye Clinic
matchReq&DataAccessRole( ) - an object operation defined for the 'Access Lock' object to detemine whether the 'Role for Access' supplied by the 'Request Object' is of the legal role for access the data for which the 'Role for Access' attribute has been defined.
Mike Mair, Timaru Eye Clinic
Mike Mair, Timaru Eye Clinic
Mike Mair, Timaru Eye Clinic
Regional Server data storeList of CDA Headers(or Access Objects)Provider Server data storeLocatesCDA documentsourceEncrpytionkey transfer
Mike Mair, Timaru Eye Clinic
SSLSOAP securitySOAP EnvelopeDigital signaturePublic key certificateSOAP encryptionRole-base access controlSSLSSL
Mike Mair, Timaru Eye Clinic
THE IMMUNOLOGICAL MODEL FOR ACCESS CONTROL TO CDAMike Mair and Stephen Chu New Zealand Acupulco 22.10.2004
Mike Mair, Timaru Eye Clinic
The time fish - an ancient conundrumIs the text already written, and we the hapless onlookers ?Or are we projectors, for ever caught on the advancing edge of time?Is this something we can ever understand?
Mike Mair, Timaru Eye Clinic
Mike Mair, Timaru Eye Clinic
Mike Mair, Timaru Eye Clinic