122217-an-apology-to-the-dev-team-and-the-people-who-fix-bugs

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Actually, the one for ArenaNet is loaded with a lot of truth. It helps if you actually read the reviews; it's pretty easy to separate whining from dissatisfaction.


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Yes, in ways. During construction, we have to maintain key features, but several will change. The hospital we're planning phasing on right now will need to relocate the main entrance to one used by the paediatrics wing. This will, essentially, mean that the mothers and children entry will cease to exist in concept as the main entry inconveniences the current patients. There is no less intrusive way to do it, though, construction cannot continue until that entry is closed and an active construction area needs to be isolated, especially in a hospital where it is an infection control issue. That's just what I'm working on right now. That kind of thing has to happen during construction. Billing, you might have to ask since that's not a part of architecture. There's certainly a lot of insurance fraud and denial going on, so yes, that happens. The hospital is accessible to everyone up to the standards of the Americans with Disabilities Act and the standards of health care, but immobile patients and emergency patients must still pay extra for an ambulance to take them to the hospital. Health care also still costs money. Departments communicate through the hospital, however, the people in the surgery wing do not understand the architectural considerations that happen under their feet. There are issues where med gas has to be parsed out because the container storage being in a central location was simply creating a crisis where a department would take too many canisters. It is only with this latest phase of development that the problem will be sorted by creating med gas storage at the same location on every floor. And yes, the promised emergency department expansion will send imaging to another floor, meaning patients will have to travel farther from the main entry to get there. Design is hard, Eclips. Nothing in huge-scale design projects like this is a clean process. It's messy, it has to take in the needs and opinions of hundreds of different groups of people and form it into the best possible consideration for design, often with quite a long time in the process of construction. This "phase" of construction we're doing is the second, has been two years in design, will constitute six different building permits, and will take a minimum of two years to build, all the while requiring temporary construction to go on to maintain basic functionality. Not everybody always wins everything and yes, we do have departmental head doctors from specific departments throwing hissy fits about who got a "bigger" office or a "better" procedure room, whether or not those rooms are or are not objectively bigger or better. I can't just wave a magic wand and the hospital is suddenly bigger in every department, everything is better, and everyone is happy. I wish I could, but if it was that easy, anyone could do it.


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