Scott Cohen

[Scott Cohen @ProfNob]

A legal scholar told millions on TV that crypto has made ransom payments less traceable than cash.

He compared it unfavorably to 1930s marked bills.

He had it exactly backwards.

The blockchain forgets nothing.

[Scott Cohen @ProfNob]

@AzDermclinic 🕎 From @DermClinicAZ's custom EHR:
• Sunset-based scheduling — no manual seasonal adjustments
• Constraint propagates to fax polling + background services
• 200 lines. One evening. Zero maintenance.

https://t.co/rGEUERkJSZ

[Scott Cohen @ProfNob]

@AzDermclinic • Browser = the universal API when vendors won't integrate
• 7 hrs dev vs years of daily manual clicks
• Automation breaks loud; manual processes fail silent

https://t.co/U6MRdHSkT0

[Scott Cohen @ProfNob]

@rfidguy What 10 hours of integration delivered:
• Automatic patient presence—no manual clicks
• Silent physician alert button
• Fall detection for solo practitioner safety

https://t.co/A8HvTSLuun

[Scott Cohen @ProfNob]

@AzDermclinic The design principle: if automation dies, can the business still run?

Stripe Dashboard = full manual ops, no code needed
Google Docs = human-readable patient records with revision history
Every vendor chosen for its control surfaces, not its feature list

https://t.co/mcTBORzZfz

[Scott Cohen @ProfNob]

$650M for an Epic EHR. $0 for mine. 46 days. 73,102 lines of code. Same result for a specialty practice. Healthcare IT doesn't have a technology problem. It has a pricing problem.

[Scott Cohen @ProfNob]

4.7 million lines of code.
73,000 lines of code.

Both are EHR systems.

Only one of them is right-sized.

The problem with enterprise software isn't capability. It's assumption. 🧵

[Scott Cohen @ProfNob]

73,000 lines of code.
No team. No office hours.
Just 3 AM and a methodology.

Most software gets written between 9 and 5.
Mine gets written while most people sleep.

What that actually looks like 🧵

[DermClinic AZ @AzDermclinic]

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