Downstream is getting better with items such as AI advancements and more sophisticated mechanisms to transfer data between systems both on-prem and cloud-based, however utilization of all of this tend to be stifled a ton by the standard issue of tech moving faster than policy. My frustration/disgruntlement is due to this issue more than anything.

Thanks for the insight and the reminder that my bubble of experience isn't the world - seriously.

I've found I need to stop comparing myself to my late twenties self and understand that my burdens are different and I need to set different expectations of myself. As my responsibilities and noise/interference have grown, my ability to do complex design/development has been inversely effected and waned significantly and _that's ok_. I need better tools and to be better at managing my time and energies to be more targeted/specific and I am much more effective than I was all those years ago. I just have to be more intentional and forgiving of myself.

Maybe it's reasonable to expect a CEO to resign when layoffs happen during a market upswing but... during a market downturn like this it's kind of inevitable to see layoffs in a services-based company when services are the some of the easiest things for consumers to scale back on when belt-tightening occurs. A change in leadership would only further hurt the people staying in the company, IMO.

This is much less of a problem of shiny-object-syndrome not providing a "better" way of solving the problem(s) and much more one of market inertia, IMO. Many people overlook this.

You made me shudder by mentioning BizTalk just now, though. I had long since shut that way in the corners of my mind.

That said, there are absolutely better ways of handling almost any of the cases DICOM supports, the issue is that there is almost no standard that is fully backwards compatible which supports everything DICOM does, so we're sorta shackled to it for better or worse. Otherwise you have to deal with trying to explain to underfunded clinics (not the Mayo or Cleveland type) around the world why their expensive machine that they bought second or third hand is no longer acceptable.

Don't just throw around account access, no matter how pervasive, in the name of impatience. Ever.

The entire issue is predicated on using your google account credentials which isn't really mandatory. Maybe I'm overly cautious but I don't use my google account to auth anywhere. If that's the only option, and it's not a google product.. then it looks like I'm not using that service.