Dreams

While I'm not a subscriber to the current fad of eschatological fervor, nor do I consider myself particularly old, I have recently been having a lot of strange dreams recently, which has led me to think of the verse from Acts,

"'In the last days, God says, I will pour out my Spirit on all people. Your sons and daughters will prophesy, your young men will see visions, your old men will dream dreams.

Prior to this, it has been a while since I remembered many of my dreams, and even longer since I've had any disturbing dreams, but some of these dreams have bordered on disturbing. As an example, in one dream, Kim pushed a salesman down a ladder when he tried a particularly upsetting bait and switch. The man was rushed off to a hospital and was replaced by his brother, an even more annoying sales person. In another dreams, I ran into some people I had worked with over two decades ago. It was at an airport, with all kinds of issues with getting through security, waiting for long periods in the frequent flyer lounges that even had exercise machines. One of my friends got into some sort of indeterminate trouble.

Last night, some of the same characters returned in a dream that had a similar feel. I was working in some space, with lots of small offices and there was some sort of technology issue or an upgrade going on. At another point, I was at some sort of large conference. Taking various passage ways, I ended up in a large building with multiple floors of gyms. These were high end gyms available to people working for specific companies, and I was given a tour of the facility by the person in charge of the company that owned the facility. The spaces reflected the companies they were serving. Generally, they were healthy, but one floor, dedicated to muckraking journalists was had a smoking room packed with humidors and cigars.

Now, there isn't anything prophetic or revelatory I can find in these dreams, but it has returned me to thinking about dreams. Can we learn anything interesting from them, about ourselves or the cultures we are living in? Can they provide us ideas about what is to come, or actions we should take to make our world better?

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#smwhealth Debrief - Jay Walker and New Mental Models of Health

Thursday I headed into New York for part of Social Media Week. The first speaker was Jay Walker, @TedMedJay. He spoke about how we are living in a world of evolving systems that engineering thinking just doesn't work for dealing with such systems. Instead, he spoke about how we need to think about mental models. He started off by looking at a simple, powerful, and frequently used mental model, "What Would Jesus Do". He then moved on to talk about mental models in health care; invincible teenage boys, the born lucky model, where people think that health outcomes won't affect them, because they're lucky, and the car mechanic model where folks go to the doctor simply to get fixed up. He then went on to talk about models like the 'specialist' model, which is getting more and more challenged by more and more specialization and the Star Trek model where nanobots will fix everything. There is also a 'rational actor model' whereby patients are believed to make better health decisions if they are simply presented with better information.

Yet, technology, Jay went on to say, doesn't solve problems, it creates tools that can be used to help people solve problems based on their mental models. For example, technology, in and of itself, cannot end racism. And as to the rational actor model, it fails to explain why so many people, even though they know smoking is bad for them, still smoke.

All of this was well and good, but the thing that would have been more interesting would have been a discussion about how we help establish new mental models. Jay did talk talk about 'personal informed model', based on being open minded and continuously learning. It sounds like a good idea, but as Jay noted, too many people decide they are done learning when they leave school.

Looking at bigger systems, the pharmaceutical, insurance, medical complex is not set up to encourage doctors and patients to pursue more cost effective health outcomes. So, the bigger question becomes, how do we challenge and change the pharmaceutical, insurance, medical complex?

Perhaps some of the discussions that took place during the rest of the day provides clues, but that will have to wait for another blog post.

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#ff #smwhealth @faircaremd @pjmachado @paintmd @tummler10 @careplanners @elleehenry

One of the metrics I often use, when thinking about conferences I attend, is how many interesting new people I interact with. The Health Hub at Social Media Week in New York, #smwhealth resulted in a smaller number of new people I interacted with, but a much higher quality of interactions.

Starting off the list is Alex Fair, @faircaremd. "Chief Instigator at FairCareMD, The 1st Open Healthcare Marketplace where Patients and Doctors can meet and agree on fees that are fair to both." He's fairly serious about tweeting from conferences and during the second half, we sat next to each other, shared a power outlet and various comments about the conference.

Next is Paulo Machado, @pjmachado. "Husband-Father-Friend-Passionate about driving the adoption of innovation that improves the healthcare delivery model." He was wearing a @reginaholliday jacket and did a lot of good tweeting as well.

Mike Painter, @paintmd "Senior Program Officer at RWJF" He did some good tweeting while @TedMedJay was on the stage. I only got a chance to meet him briefly in passing.

Then, there was Jerry Weinstein, @tummler10. "Cynical Idealist. Competitive Zen. AKA: Writer. Editor. Strategist. Producer. Certified Mediator." We did not get a chance to meet face to face, at least as far as I know. However, we did have some fairly interesting interactions on Twitter that I hope to follow up on.

A couple other people that I interacted briefly with, included @careplanners @elleehenry. I'm probably missing quite a few others, but these are the people that I remember particularly jumping out at me. Thanks for a great #smwhealth. Happy #ff everyone.

#smwhealth - The Train Ride In

Today, I'm attending Social Media Week in New York City and caught an early train in from Milford. It's been quite a while since I took the train into New York, and several things caught my eye. In the pre-dawn light, we passed a small pond surrounded by fir trees. It looked idyllic, as if it were out of Maine or perhaps a Scandinavian country. The train continued on its way into Bridgeport where I saw empty fields in sections of the city. It made me think of some of the urban gardening initiatives I've been reading about so much recently. As we approached the train station, I saw red sun peaking up over the horizon. There wasn't a ferry at the port and the water looked still, placid. Slowly, the sun climbed into the sky bringing a a yellow hue to the the scene.

We passed an old decrepit factory. The courtyard, which once saw masses of labors changing shifts was now empty, except for litter that had blown in from somewhere, and perhaps, to a discerning eye, the ghosts of workers from a bygone industrial era.

A young woman entered the train and the guy in the seat in front of me shifted over as if he knew her, was expecting, perhaps even longing for her. They softly spoke with one another but betrayed no emotion. Were they just coworkers who took the train together, or was there some other hidden dynamic. The song "So Much In Love" came to mind, mixed together with "Brown-eyed girl"

so in love are we two
that we don't know what to do

In the misty mornin' fog
With our, our hearts a-thumpin'

Another woman entered the train and sat down to read one of those glamour magazines.

As we rolled into Stamford, I looked at the new construction and my thoughts shifted to Cat Stevens,

Well I think it's fine, building jumbo planes.
Or taking a ride on a cosmic train.

I know we've come a long way,
We're changing day to day,
so tell me, where do the children play?

Back on our way, we passed through Old Greenwich and past a frost covered golf course. What that some sorted twisted metaphorical response to the question the songs in my head were asking? I watched the ads as the flew by, BBC is now available on Cable. Use a smartphone or a DVR. Other ads were harder to figure out and I drifted back to sleep.

Arriving in New York, there were people wandering around in summer clothing talking on conch shells. Apparently, it was a flash mob advertisement for a cruise line. "The Sea is Calling". The only way I figured that out was from some tweets after the fact, where one jaded New Yorker responded, "Sorry, wrong number".

I had a similar reaction. The first person I saw talking on a conch phone I thought was some young artsy type trying to make a statement. I then wondered if it was part of Fashion Week, some new line of cruisewear. Ultimately I guessed it was for cruise line, but I had no idea which one.

Yet as I looked more and more, it seemed like a bad scene out of Snow Crash, or some other science fiction movie where people became part of some cult worshiping the sea and acting erratically. The bad premonition was amplified by seeing robocops on their motorized tricycles.

Finally, I have made it to New York. It is lunch time and during the break, I write down these thoughts. The next session starts soon and I expect it will be a long afternoon and evening.

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Wordless Wednesday



My Digital Fingerprint, originally uploaded by Aldon.

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