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Mac OS Sierra, The Missing Manual by David Pogue book review

David Pogue’s Missing Manual’s series from O’Reilly Media, truly saves having to hire a consultant or call Apple every time I have a question about Apple’s latest Operating System.  It’s 879 pages of information, organized into 6 parts – #1 covers the desktop and it’s environs, #2 covers programs on the Mac, # 3 the components of the Mac OS, #4 the more advanced ares of technologies it has, #5 internet features, #6 are the appendixes include guidance on installing this operating system; a troubleshooting handbook; a Windows-to-Mac dictionary (to help Windows refugees find the new locations of familiar features in macOS); and a master list of all the keyboard shortcuts and trackpad/mouse gestures on your Mac., so I found it a good reference for the future, and I also have the eBook version on my iPad and iPhone, both recommended for those times when you have no idea of how to do something.  Cost is fair, $22.84 for print ( Amazon).

As the reader considers it’s worth, I found that it spoke to us, no matter our skill level,  from beginner to power user, with shaded boxes of tips, or Power Users Clinic.  Some of the chapters come with free downloadable appendixes—PDF documents, available on this book’s ‘Missing CD’ webpage —that go into further detail on some of the tweakiest features. (You’ll see references to them sprinkled throughout the book.)

What’s New in Sierra:

Optimized Storage
Desktop and Documents Folders on iCloud.
Copy/Paste Between Devices
Auto-Unlock with the Apple Watch
Apple Pay on the Web
Window tabs
Picture-in-picture
Messages upgrade
Touch Bar and Touch ID

I like the book, it’s layout, and ease of finding what you want quickly.  Well written by David Pogue’s team.

 

Siri, Am I About to Have a Heart Attack?

Siri, Am I About to Have a Heart Attack?

Big data could provide early warning of disease—if medical records can learn to talk to one other.

By Andy Kessler Jan. 9, 2017 7:16 p.m. ET. Wall Street Journal

ObamaCare was always about paying for health care—costs have outpaced inflation for decades—but seldom about keeping people healthy. As Republicans repeal and replace, they need a vision for the path to better care. Technology now exists to provide cheaper and higher-quality health care, but giant roadblocks stand in the way.

That technology is artificial intelligence and machine learning. The algorithms behind AI are painfully complex, but the final product is simple—think Google Translate or Amazon’s Alexa. Saying a phrase and immediately having it translated is cool. Being told that your week of bad sleep and slight stomach pains could be cancer is life-altering.

Machine learning is already invading health care. Experts at Kaggle, an artificial-intelligence research firm, shared a few real-world applications of the technology with me: Predicting heart failure by looking at massive amounts of MRI scans, diagnosing diabetic retinopathy from eye imaging, and successfully predicting seizures with a machine analyzing electroencephalogram data.

The key is data. With more of it, accuracy gets better over time. At least on the surface, the Obama administration did something right—the Health Information Technology for Economic and Clinical Health, or Hitech, Act. Part of the 2009 stimulus largess, it set aside some $20 billion worth of incentives for hospitals and doctors to show “meaningful use” of electronic health records, or EHRs.
Photo: Getty Images/iStockphoto
Tons of data come with medical records. Then there are digital scales, Fitbit steps, WellnessFX blood tests, Apple iWatch data and 23andMe genetic test results. Eventually there will be daily commode sensors measuring blood sugar and prostate-specific antigen levels, among other things. Now imagine all that data being crunched, in real time, by machines looking for patterns—which then put out a simple text message. “Your Hemoglobin A1c has spiked again. I thought we agreed to cut back on the linguine.”

Describe this to anyone in health care and you’ll get two words back: Dream on. Instead of advancing electronic health record “interoperability”—a fancy word for being able to share and access electronic health records—the Hitech Act ended up as a funding mechanism for electronic health-record firms like Epic Systems, Cerner and Allscripts. By 2016, the government scheduled $23.8 billion in payments for firms that could achieve full electronic access and true interoperability for the full calendar year. It was later changed to a much easier 90-day reporting period for a subset of patients. Call it meaningless use, but the money kept flowing.

If you try to transfer your records from one hospital to another or to a doctor, you’ll probably end up “walking with paper,” as they say in the industry. The average doctor still deals with reams of faxes every day. A friend tried to send records from a Boston hospital to Miami; both places use Epic Systems’ electronic files. The records were faxed.

Epic Systems, a private company based in Verona, Wis., is the industry leader, controlling close to half of all American medical records. Still led by 73-year-old founder Judy Faulkner, Epic also appear to be the leading obfuscator when it comes to transferring records and interoperability.

In 2015, competitors Cerner, Allscripts, Athenahealth and others have set up a group known as CommonWell Health Alliance to ensure health IT interoperability. Epic, with annual revenues easily north of $1 billion, refused to join, citing the $1.4 million upfront fee and $900,000 annual payments. Oh, and Epic didn’t want to sign the nondisclosure agreement.

My industry sources tell me Epic won’t sign nondisclosure agreements with anyone but makes outsiders agree to them. The company doesn’t co-develop applications with outside companies. Third parties don’t have access to application programming interfaces, APIs, which are the gateway for record data. Hospitals and doctors can have access, if they beg hard enough, but then they must hire inside developers to customize their system.

The company avoids titles, but good luck contacting any of its 9,000 employees, who are forbidden to give out their cellphone numbers. Epic has one phone number to the main switchboard. It’s still the 1970s in many ways.

I called it. Eric Helsher, vice president of client success at Epic, responded: “Today 100% of health systems using Epic are sharing patient information to better care for patients. They exchange over 1.3 million patient records a day and interoperate with all major EHR vendors and government agencies.”

Epic is talking up something it calls the App Orchard, a portal for vendors to sell apps that dig into Epic’s electronic records. Except the proposed pricing comes to four cents per message sent. Machine learning would drive millions or billions of messages. The company might cap fees at 30% of the vendor’s revenue: Even Apple isn’t that greedy.

I’m trying to get my medical records from a hospital with Epic systems. The best I have been able to do is a PDF file, a modern way of walking with paper.

How do we fix this? Dr. Eric Topol at Scripps in San Diego proposes health records be patient-owned and controlled, perhaps on a flash drive or iPhone or in the cloud. Maybe next to health savings account info. It’s a start.

But forget government mandates. The real incentive is insurers paying for this data, and they are figuring out that early detection is worth it. It’s a lot cheaper to find a disease before it turns into expensive chronic care for heart disease or cancer. The machine learning output might be: “You may have pre-Stage 1 cancer in your pancreas, but no worries—we can zap it out for you.”

That’s how you bend the cost curve in medicine. Make firms like Epic look at interoperability as an incremental profit center rather than an opening for competitors. The dream of smart machines crunching health info is real. Don’t let the dream walk with paper.

Mr. Kessler, a former hedge-fund manager, is the author of “Eat People” (Portfolio, 2011).

AirPods review: They sound great, but Siri holds them back

AirPods   MSRP $159.00   review from MacWorld

When Apple pulled the headphone jack off the iPhone 7, it also unveiled a new set of wireless earbuds called AirPods, and claimed they were so great, users wouldn’t mind the missing headphone jack. The AirPods didn’t come out for nearly three months after the new iPhone’s release, but now that they’re here, they’ve solved every problem an iPhone 7-using music lover could have, right?

Oh, heavens no. Like so many Apple products before them, the AirPods bring with them as many problems as they solve. With no onboard buttons, the AirPods require users to ask Siri to do everything, from changing a track to adjusting the volume. What’s more, Siri doesn’t have the same abilities in all music apps—an arbitrary restriction set by Apple to steer you toward Apple Music.

The fit

But let’s start with the first question everyone has about the AirPods. Aren’t you worried they will fall out of your ears? As soon as they were announced, even Conan O’Brien had to make fun, producing a parody of the old iPod commercials, only with AirPods flying off in all direction with the slightest move of the dancers’ heads.

apple airpods review adam with earpods Adam Patrick Murray
The wireless AirPods resemble the EarPods, but the AirPods have a heftier, more substantial design that stays put in my ears.
That’s funny, but it’s bull. The AirPods stay put when I’m dancing, headbanging, jogging, hanging upside down, riding my stationary bike, sprinting to catch the bus, and shaking my head around smacking my temple like I’m trying to dislodge water stuck in my ear. Really, they aren’t going to fall out. Check the video above for proof.

My skin is on the oily side, and sometimes in-ear ’buds with silicone tips get a little oily, and I have to wipe them off or keep shoving them further into my ears for a good seal. The wired Apple EarPods (you know, the cheap pair that comes with your iPhone) fit me OK, and I’ve been wearing them since the iPhone 7 launch. But the EarPods wire does trip me up from time to time, getting snagged on armrests when I’m on the bus, or requiring adjustment when I’m wearing a scarf.

So I wanted to go wireless, and knew the AirPods had to be comfortable enough to wear all day, and not fall out. It turns out they’re very comfortable, virtually the same shape as the EarPods but with more heft. They perch right in my ear openings and stay put better than the EarPods or silicone-tipped earbuds.

The sound

I care more comfort than sound because I’m not an audiophile. I listen to tons of music, and can tell good earphones from terrible ones, so Apple’s bundled free EarPods suit me just fine for streaming music and podcasts. I used to rock a $130 pair of Bose MIE2i in-ear ’phones (since discontinued) when my iPhones had jacks for them, and I expected the AirPods to fall somewhere in between these earphones and the EarPods. Well, I’m happy to report the AirPods sound great—just as good as the Bose set, with full, detailed sound and plenty of volume.

apple airpods review adam closeup Adam Patrick Murray
The AirPods sound better than the EarPods, but they have that same kind of fit, where the bud itself just rests in your ear opening, instead of going way down into your ear canal. And since they don’t have a silicone or foam tip like the ’buds that get shoved more deeply into your ear, they don’t seal off outside noise as fully. But their impressive volume quickly drowns out your surroundings. Once my iPhone is at about 60 percent volume, I can no longer hear myself speak at a normal volume while I’m wearing the AirPods.

The white stems that hang down from the AirPods hold the microphone, which you’ll need for voice calls, and speaking with Siri. I used Siri to make a voice call both indoors and outdoors, and the people I chatted with reported a slight echoy sound common to Bluetooth phone calls, but only when I really pressed them to evaluate my sound. All in all, the sound was good enough for calls.

The controls

Speaking to Siri, though, somewhat mars the AirPods experience. To turn up the volume with the free EarPods, you simply click a button on the inline remote. With the AirPods, however, you have to double-tap one AirPod, wait for your music to pause and the Siri chime to sound, and say “Turn it up” (or, even better, “turn up the volume,” just to make sure Siri will understand). Then you wait another couple of beats for your music to resume, now two notches louder. If you say “Turn it up to 50 percent,” the volume still gets turned up two notches louder. It’s an annoying process, so you’re better off using the volume controls on your phone—if your phone is in arm’s reach.

siri spotifyIDG In this case, “Go back a track” would start the current song over, but who wants to engage in trial-and-error with laggy Siri when you used to have a button for this?
Siri can also control Apple Music and your own music collection stored in Apple’s Music app. But Apple chose not to give full Siri control to third-party music apps, and that’s a huge bummer when you try to use earbuds that require the use of Siri. In Spotify, I could turn the volume up and down, and skip to the next track. But to start a song over (three clicks on the EarPods remote, thank you very much), I couldn’t say “start this song over,” though “go back one track” was more responsive. And, obviously, I couldn’t call up specific artists, albums, playlists, and songs. The AirPods are at their best when you are all-in with Apple devices and services. If you’re a die-hard user of Spotify or Pandora, these might not be the headphones for you.

But either way, Siri is just too slow and buggy to be a rock-solid control set. I quickly found myself wanting to just use the controls on the iPhone itself. As a side note, I’ve never appreciated iOS 10’s Raise to Wake feature so much until I got my AirPods, since I can bring up the lock screen play/pause, forward, and rewind buttons so easily, and leave Siri out of it.

UPDATE: I forgot to mention, you can go into Settings > Bluetooth, hit the little i button next to your AirPods, and change the double-tap gesture to Play/Pause or Off. A second gesture would still be helpful. I’d love an experimental mode that apes the click patterns on the EarPods remote (single to play/pause, double to advance a track, triple to back up).

apple airpods review adam no tangles Adam Patrick Murray
The EarPods are easier to control. But the AirPods never tangle, so…
The auto-pause feature does work well, and mostly seamlessly across apps. When you are listening to the AirPods, and you take one out of your ear, the sound pauses. When you put it back in your ear, it starts playing again. While the feature is mostly solid, it isn’t a sure thing. A few times the music would start playing again after I’d stuck one AirPod in my jacket pocket while talking to a cashier. Other times, taking an AirPod out would pause a podcast in Pocket Casts, but putting it back in wouldn’t start it playing again. Instead, I had to hit Play on the iPhone itself. If you do want to play music on only one AirPod for some reason, you can just press Play on the iPhone after taking one out.

Even with a little finicky behavior, I love this feature. I’m also testing a pair of Libratone wireless headphones right now, and they have a feature where you can mute the sound by cupping your hand over one ear. I’m glad companies are thinking about easy ways to silence the sound so you can say hi to neighbors or conduct a transaction politely. But pausing is better than muting, especially for podcast fans, so AirPods have the edge there.

The little things

Because Apple makes these, the AirPods are locked in to iOS 10 like no other headphones will ever be. You can check the battery life in the Battery widget in Notification Center. Even just opening the charging case with the AirPods inside will pop up a notification on your phone showing the charge level of your AirPods (left and right—strangely, they don’t wear down at exactly the same level) and the case.

The charging case is brilliant. It’s small and white and easy to stash in a pocket or bag. It kind of looks like a fancy package of dental floss, with a top that flips open and shut with a tight magnetic click. The AirPods charge inside this case, so if you keep them there when they’re not in your ears, and then remember to charge the case now and then, keeping the AirPods charged isn’t too much of a burden. The case itself charges via a Lightning port, so I just try to remember to top it off while I’m using the AirPods at my desk.

In my tests, the AirPods easily get Apple’s stated 5 hours of music time per charge. I’m at 5 hours on my stopwatch right now, in fact, and the AirPods have 12 percent charge left according to the Battery widget in iOS 10. Apple says the case should have about 24 hours of battery life in it, and just 15 minutes in the case can power your AirPods for three more hours (it got me from 4 percent to 79). The AirPods make a sad little sound when they reach 10 percent so you’ll know they’re almost out of juice.

Connecting the AirPods to an iPhone for the first time is as easy as opening the case. A message pops up on the iPhone offering to connect, and when you do, the AirPods also appear in the Bluetooth menu of any Macs (running macOS Sierra) you use with the same iCloud account. Switching to an iPad and Apple Watch with the same iCloud account is similarly easy, and you don’t have to trick your iPhone into unpairing with the AirPods to listen to them on a different device. They’re always paired to everything, and you can just select AirPods on that thing and press play.

apple airpods review adam case back Adam Patrick Murray
This button lets you pair to a non-Apple device, if you must.
The back of the charging case has a round white button that’s barely visible. With the AirPods in the open case, you can press and hold that button to turn a tiny LED in the case white. That means they’re in pairing mode, and you can pair them to an Android phone or another Bluetooth device, although without Siri or the extra features. I haven’t experimented with that for this review, but we’ll do a followup soon.

Bottom line

The three-button remote on wired earbuds is a much faster, easier way to control your music than double-tapping one ear and then trying to get Siri to do what you want. But I can’t help liking the AirPods—the cool design and powerful sound just keep me coming back. I just wish they had another gesture, or smarter/faster Siri, to be as convenient as what they’re replacing.