
Week 11


Week 9
It takes all the running you can do to keep in the same place --The Red Queen
Do not go where the path may lead, go instead where there is no path and leave a trail. --Emerson
iPhone Mods - tips and tricks
I have been playing with my iPhone 3G a lot lately and having a lot of fun figuring some useful mods out. This reminds me of early computer days in terms of user-end changes and experimentation. Anyway, all of these ideas are stolen from other sites and just synthesized here in my logic - which is at the level of a retarded 3rd grader.
How to Sync Your iPhone on Multiple Computers (e.g. your desktop and laptop)
1. Download the free programUltraEdit
2. Find your itunes library
3. Locate the file "iTunes Music Library.xml"
3. Open the file with any text editor (e.g. notepad or UltraEdit)
4. Find the entry between the
5. Copy the entry down exactly on a piece of paper.
6. Close the file.
7. Make sure itunes is not running
8. On the other machine you want to sync with (e.g. laptop or work computer), open the file "iTunes Music Library.xml" in a text editor and, again, find the entry between the
9. Copy the entry down exactly on a piece of paper.
10. Now, replace that entry with the entry you copied in step 5 - don't change anything else. The new entry should also be 16 characters and match that on your first computer.
How To Jailbreak Your Iphone
1. Download WINPWN 2.5
2. Download Firmware 2.0.2 IPSW
3. Plug in iPhone to USB
4. Power off iphone
5. Run WinPWN 2.5
6. Select the 2.0.2 Firware file when prompted
7. Follow steps to put iphone in DFU mode
8. WINPWN will shop up on iPhone with message to restore custom IPSW
9. Hold SHIFT button and push the restore button in iTunes
10. You will be prompted to select your IPSW
11. Select the ISPW you must built (it will be called something like “Custom_2.0.2” and will likely be in My Documents
How To Tether Your 3G (using your iPhone to get your laptop on the internet)
1. Jailbreak your Iphone
2. Download 3Proxy in Cydia
3. Download Terminal in Cydia
4. Create an “ad-hoc” network by right clicking on the two computers in the bottom right hand corner of XP or Vista
5. In the first box of the create ad-hoc dialog, type in anything you want for the network name. I named mine “3G Net”
6. In the second menu, select, “No Security/Open Access”
7. Create Network
8. You will temporarily lose your internet access as your laptop starts the ad-hoc network and leaves the wireless you were on
9. Now go to your Iphone
10. Go to Settings à Wi-Fi and your newly created Ad-Hoc Network should be listed there
11. Join that network
12. Now you need to write your new IP Address down for your Iphone by clicking on the blue dot to the right of the network name in settings
13. Write the IP Address down, you will need it in a moment
14. Now go to the “Terminal” program on the 3G
15. Type in “socks”
16. Nothing will seem to happen, but it does
17. Hit the home key
18. Go to Safari and then type in a URL (e.g. http://www.google.com)
19. Your Iphone won’t be able to get on the web through the Ad-hoc and will automatically switch to 3G but it will keep the ad-hoc network running in the background
20. Now go to your laptop and open up Firefox
21. Go to Tools à Options àNetwork à Settings
22. Click “manual proxy configuration”
23. On the last line that says SOCKS Host, type in the Iphone IP address you wrote down earlier
24. Type in 1080 for the port to the right
25. Click ok
26. In the URL of firefox, type in “about:config”
27. On the Filter line, type “socks”
28. Click on network.proxy.socks_remote_dns
29. This will change the value from “false” to “true”
30. In the URL box, type in a URL (e.g. http://www.google.com) and you should be good to GO!!!!
31. If you need more help, go to
a. http://cre.ations.net/blog/post/how-to-tether-your-iphone-3g-and-browse-the-web-using-your-3g-co
How to get NES ROMs on your Iphone
1. Download WinSCP on your home computer or laptop
a. It’s free at
i. http://winscp.net/download/winscp416setup.exe
2. On your iPhone, go to Cydia – you will need three programs
a. WifiToggle
b. OpenSSH
c. NES
3. Connect your 3G to a WiFi network
4. Get IP Address of the iPhone (Settings à Wifi à blue button on the right)
5. Disconnect the phone from the Wifi Network
6. Go back to WinSCP and type in the iPhone IP Address in the “Host Name” field
7. Type in “root” as the username and “alpine” as the password but DO NOT try to connect yet
8. Go to the iphone and hit “Toggle Wifi”
9. This will enable the WiFi and give a message that says “Enabling in 3 seconds” and then disappear when you join
10. Right when the message disappears, or just before, hit “Join/Connect” on WinSCP
11. The timing is important – otherwise the iPhone security features will load up and not allow you to connect
12. If you connect successfully a file explorer screen will come up with the iphone on the right side
13. Now you are ready for ROMs
14. ROMs can be placed in …..
a. You might need to create a directory called “NES”
15. To find ROMs, you need a torrent programs, like uTorrent
a. http://download.utorrent.com/1.8/utorrent.exe
16. Go to http://www.mininova.org and search for NES games
17. You can usually find all the ROMs as one zipped file
18. Download the file using uTorrent
19. Now you just drag and drop the files using WinSCP from your computer to the correct folder on the iPhone
How to Create Ringtones
1. First, you need to go to Control Panel à Appearance and Personalization à Folder Options à Show Hidden Files and Folders à and make sure that “hide extensions for known file types” is NOT selected
2. Go to itunes and select the song you want (if using itunes, you can’t do this with a song purchased through itunes).
3. Right click on the song and select “Get Info”
4. Put in the start and stop time of the ring tone you want to create in the dialog box (max = 40 seconds)
5. Select “OK”
6. Now, right click on the file and go to “Convert Selection to AAC” and click on this
7. Itunes will do some magic and the new file will appear
8. Right click on the file and select “display in Windows Explorer”
9. Find the file in Windows Explorer
10. Make sure that the file has the “m4a” extension – if not, see step 1
11. Select the file and right click on it and select “rename”
12. Rename the file from whatever.m4a to whatever.m44
13. You should get a message from windows telling you that this will be an unstable file. That’s good. If you don’t get the message, see step 1.
14. Go back to itunes and add the file into the library
15. Now sync or drag the file into ringtones
References and Software
1. How To Sync Your iPhone to multiple computers
2. UltraEdit
3. WinPWN 2.5
5. iCafe
7. Sleepers

















I'm giving the following talk as part of National AHEC Week (see below)
http://hscweb3.hsc.usf.edu/health/now/?p=414
The Case for Single-Payer, Universal Health Care in the United States
Jason W. Wilson, MSIV
National AHEC Week 2008 (March 24th-28th)
USF AHEC luncheon Tuesday, March 25
Noon - 1:00pm / MDC 1097
Open Invitation to All USF Health
To mark the start of National AHEC week on Tuesday, March 25 USF’s Area Health Education Center (AHEC) Program will host a luncheon & presentation entitled "The Case for a Single-Payer Universal Health Care in the United States". The thought provoking presentation will be delivered by medical student Jason Wilson, President of the Class of 2008.
"In order to resolve health disparities, we must focus on possible systematic and structural origins of outcome differences," states Wilson, a fourth year medical student. "A major area where we see large disparities between populations and individuals in this country is in access to health care services. Unfortunately, access is often limited due to lack of health insurance or inadequate coverage. Equal access won’t solve all of our health care problems, but certainly we can address many AHEC goals by working towards better policy and economic structure."

College of Medicine’s Class of 2008 President, Jason Wilson, and Cynthia Selleck, Program Director of USF AHEC and President of National AHEC Organization.
USF’s AHEC Program Director is also the President of the National AHEC Organization. Cynthia Selleck, DSN, ARNP, says AHECs plays an important role in the workforce development, training and education component of the nation’s health care safety net programs. "AHECs focus on improving the quality, geographic distribution and diversity of the primary care healthcare workforce and eliminating the disparities in our nation’s healthcare system." There are 54 AHEC programs throughout 47 states operating 208 centers in rural and medically underserved areas.
The March 24th luncheon on the campus of USF Health is open to all, with food provided by Gulfcoast North AHEC.
A Closer Look at USF AHEC and the national organization…
The University of South Florida AHEC was created in 1993 and has placed thousands of medical, nursing, public health and other health professions students in medically underserved and community-based sites to provide health care during clinical training rotations.
Congress established National AHEC Week in 2006 as an opportunity to recognize AHEC’s valuable contributions in the recruitment, retention, education and training of health professionals in medically underserved areas.
Linking Title IV of the College Cost Reduction and Access Act to EMTALA.
The benefits of the Public Sector loan forgiveness clause.
Recently, current medical students and residents received a scare after the passage of HR 2669 – The College Cost Reduction and Access Act. As many now know, the language in the bill would have ended the so-called 20/220 debt-to-income rule that allows most residents to receive economic deferment status of federal loan repayment during postgraduate training. It is possible to qualify for the 20/220 pathway if an individual’s debt burden is greater than 20% of income and if their debt to income ratio is less than 220% of the federal poverty level for a two person household. Any resident with $100,000 of federal loans (2/3s of all medical school graduates) would qualify for the deferment during all three or four years of post-graduate training.
Instead, the CCRAA would have implemented an income-sensitive repayment plan. There is an important difference between deferment and forbearance in regards to delaying repayment and many residents would have had to seek forbearance during their training. Deferment means that subsidized student loans will continue to be subsidized during the deferment period. When the CCRAA passed, 20/220 pathway to deferment looked to be out the window. Furthermore, the income-sensitive repayment plan proposed a cap on borrower’s repayments at 15% of their income with a minimum of $4,200 per year. This would result in approximately a payment of $350 per month beginning in 2009 and given residents and unwelcome choice between this large monthly bill or the accumulation of interest.
Here is the problem with that in comparison to the old plan: If you pay $350 per month during 3 years of residency ($12,600 over 36 months) you have essentially just taken a pay cut of about $4,000 per year and you will still owe the same on your loans as you would have under the old deferment model that paid the interest for you. Why? Assuming you have the maximum aggregate subsidized loan, you will only be touching the interest during that 36 month period – the interest that would have been paid by the government in the deferment model. Thus, residency salaries essentially decrease by $4K.
Fortunately, while the CCRAA did pass, the 20/220 rule was NOT eliminated thanks to hard work by the AAMC, AMA and AMSA. You can help ensure that the 20/220 stays intact by supporting S. 2303 and visiting www.ama-assn.org/go/cola for more information.
So, now that the fear of monetary loss has subsided, is there anything good about the CCRAA? Does it have any impact on EM or medicine more broadly? Well, indirectly the answer is “yes”, more directly, the answer is “maybe”. Let’s take a look at the CCRAA and explore some ways I think that the bill’s language might allow improvements in our own discipline by putting this law in the context of other federal legislature such as EMTALA (or at the very least brings in to question some areas of EMTALA that could be improved by further advocacy).
First of all, the CCRAA does some very important things that should be commended: the law increases the amount of a federal Pell grant by almost $1100 by 2012 and establishes a $4,000 a year grant for future teachers. For those of us in or near repayment, the new bill also decreases Stafford loan interest rates to 6.8% if disbursed between 2006 and 2008. Eventually, interest rates will be 3.4% for loans disbursed in 2012. The new law also increases grant funding through College Access Challenge Grants for underserved student populations. In addition, specific funds are disbursed to minority serving institutions.
While all of these aspects of the CCRAA are laudable, I would like to turn our focus to Title IV of the legislation. This part of the CCRA discusses loan forgiveness and outlines a program to increase public service employment among new graduates. More specifically, the portion of the bill allows for full Federal Direct Loan forgiveness after 120 months of income sensitive payments occurring simultaneously with 120 months of public service employment. Borrowers who have FFEL or other federal loans could consolidate/reconsolidate their loans under the Direct Loan program to qualify.
So, what qualifies as a “public service job”? Well, let’s look at the language of HR 2669. The CCRAA defines a public service job as follows:
A full-time job in emergency management, government, military service, public safety, law enforcement, public health, public education (including early childhood education), social work in a public child or family service agency, public interest law services (including prosecution or public defense or legal advocacy in low-income communities at a nonprofit organization), public child care, public service for individuals with disabilities, public service for the elderly, public library sciences, school-based library sciences and other school-based services, or at an organization that is described in section 501(c)(3) of the Internal Revenue Code of 1986 and exempt from taxation under section 501(a) of such Code; or Teaching as a full-time faculty member at a Tribal College or University as defined in section 316(b) and other faculty teaching in high-needs areas, as determined by the Secretary.
Is “EM physician” a public service job? I would argue that the answer to this question is “yes” for two reasons.
1. The language of the bill specifically states that those with a full-time job in emergency management are considered public service employees. Certainly, an EM Physicians manages patient services, an emergency department, as well as broader aspects of emergency care (including EMS and disaster planning). These are all components of the job duties found in emergency medicine physician positions.
2. Federal mandates to treat all comers defined by EMTALA specifically link emergency medicine services to public service. The ED is often the last resort for patient care in our current health care setting. There is a legal and ethical responsibility to treat every patient that enters our doors and this responsibility is taken up by EM physicians when other fields refuse. This treatment, however, does not come with any guarantees for reimbursement nor are we protected from litigation resulting from undesired outcomes. The services we provide to the community and the risks of increasing our legal exposure during difficult cases suggest that we provide a public-service as a full time job. Thus, EM physicians should be eligible to qualify for the loan forgiveness provision.
When the CCRAA was passed this year, no one envisioned the potential burden to current and future medical residents. This was an unintentional consequence and, once it was pointed out, was quickly resolved. Now, we are left we a CCRAA that will likely be modified to make the 20/220 pathway permanent. Therefore, we can turn our attention to positive aspects of the CCRAA. We have invested heavily into higher education in this country. The interest on our student loans will finance education in this country for the next generation. Thus, as heavily invested shareholders, we have a stake and claim to an associated piece of legislature that affects the economic and monetary rewards of that system. The recognition of EM physician as a public service job will lead to some relief from a heavy loan debt for many young members of this field.
The issue of funding in relationship to EMTALA can be taken a step further (and outside the context of the CCRAA). This debate reminds us that, while we are obligated to treat all-comers to the ED, there is no guarantee of monetary reimbursement associated with that responsibility. Whether we work through the language in the CCRAA or not, we must continue to advocate progress in the current structure of EMTALA. More specifically, until funding and exposure issues are resolved, we will continue to fail at resolving the problems laid out in the 2006 IOM report on emergency medicine. The on-call shortage is inherently linked to this issue and, in the current context of medico-legal liability, it is up to us to find creative approaches at raising awareness to the problems that exist within emergency medicine. If that means using a new law as a tool for advocacy, so be it.