iPhone notes app is the purest reflection of our humanity (Wired.com) and a medical informatics observation

What’s on your notes app in your phone? WIRED argues that this simple, unfiltered blank page is the easiest place for us to store our unfiltered thoughts. How true. For me: fragments of blog post ideas, books I hear about, movies to watch, hilarious quote from family members, messy to-do lists. Hotel room numbers. Parking garage locations. Who knows? What’s on yours?

https://www.wired.com/story/iphone-notes-app-purest-reflection-of-our-humanity/

Sometimes the simplest note-taking apps are the most profound.

As medical records technologists going back to the 1800’s discovered, if we over-engineer our tools, doctors and nurses will break the bounds of what is allowable documentation to let the story come out.

From Annals of Internal Medicine (requires login) a brilliant history of medicine article by Eleanor Siegel

https://www.acpjournals.org/doi/10.7326/0003-4819-153-10-201011160-00012

The image:

What is fascinating is that: in the 1800’s, hospitals began keeping paper medical records, one book for each HOSPITAL WARD of about a dozen patients. No patient-specific medical records. If you wanted to look back, you would find the ward book for the year, find the day the patient was in the hospital, then look for the patient’s name.

Each patient would be an entry on the page for the day. There was only room for ‘intervention’ and ‘outcome’. No place to write thoughts, observations, theories, learnings.

So, doctors would at times turn the page over and use the blank back of the paper to write (in this case):

This patient came in with what appeared to be an apoplectic stroke. He was interesting in that he had a dextrocardia. He later developed a clinical picture which we could not explain.
Diagnosis: Hemorrhage into cerebrum
Complication: ?Syphilis

Sharing Science Through Story: Fergus McAuliffe at TEDxDublin

How can dry science be communicated in a way that the public can understand? How can science recover the standing that it had years ago, when the Royal Society in London was THE place to be, to hear scientists talk about their latest work? In fact, Albemarle street had to made ONE WAY, the first one-way street, because of the popularity of these talks that the traffic was otherwise unmanageable? This is a compelling talk you have to hear.

Fergus McAuliffe, scientist, tells of the key elements of science: precise language, objective findings, volumes of data.

He points out that these are also the barriers that keep science communication from being effective with public audiences: too dry, too much, not engaging.

The solution: STORY.

CMIO’s take? This is 13 minutes of your life that will serve you well. Communicate science through story.

 

Bluesky is plotting a total takeover of the social internet (Wired.com)

Social media has needed a redesign to help us recover our humanity. Could Bluesky be the beginning?

https://www.wired.com/story/big-interview-jay-graber-bluesky/

Something is brewing over at Bluesky. I have always worried that the grand social media experiment has no guardrails.

Unlike interacting in person, where some social conventions keep our darkest motives and urges in check, it is too easy to be anonymous, too easy to have extreme opinions and start a flame war, with very little consequence.

Furthermore, our current social media empires: Facebook, X, have removed much of central content moderation, so fake news and fringe opinions are difficult to discern from responsibly reported news, and consensus-driven ideas.

Bluesky looks to change that by building a web3 framework called AT (Atmosphere) where Bluesky is just one app. Then other apps can join, and you can bring your Bluesky identity to the other apps as you desire. So far there is Skylight, that is like TikTok, Flashes, that is like Instagram. The platform is open for any other app innovations.

I still have a poor understanding of the idea, but it sounds like smart people are constructing a platform, having learned from our prior experiences that has feedback and self-correcting mechanisms that allow “freedom of speech” distinct from “freedom of reach.” Interesting, to allow all kinds of content creation, but that the apps and feeds that are created can turn the volume up and down, with both creators and users able to participate.

Read the article and see if you agree. I am hopeful.

How to give a talk (advanced) CT Lin’s version 2025. Closing. Part 4 of 4

OK, you’ve told a story, you’ve fixed your visuals, you can stand and hold the stage, how do you tie up and finish? Finally, let’s be both great scientists and innovators AND ALSO great communicators.

If you set a hook at the beginning, answer the question before the end, but not too early. Keep them thinking.

Lots of folks take photos with their smartphone. Do you make it easy for them to take a lesson back home?

Plan your talk to be 5 minutes too short. You will not regret ending early. Ending late when everyone is getting up to walk out while you rush to finish completely ruins what might otherwise have been a great talk. Don’t be that guy.

Make a 1-page handout summarizing your best points. Make it so that it can stand alone, even if they did not hear you speak. Even better, store your document online and make a QR code so they can take it home in their fancy little mobile device.

When you wrap up, create a clear call to action. Keep It Simple, Stupid. Audiences will typically have lots on their mind. They might remember ONE THING. What one thing should they remember?

You decide.

The best talks have moments of mirth.

Thank your audience at the end. I can’t tell you how many talks get to the end and the presenter ruins a great closing by, “… and so that its it. Any questions?” And the audience cannot tell if they should clap or be quiet for the first hand-raise. Just take all the doubt away and ask for applause by saying, “THANK YOU.” Then after the applause, say “We are open for questions!” or “Please come up front, we’re happy to chat with you.”

A small point, but so much clearer. The opening and ending moments are what an audience will remember the most.

I like to have a summary slide with my biggest points, and then my contact info on the same page, that I can leave up during the question and answer period.

And, if the audience has been nice to me, I may take out my ukulele and strum some relevant EHR song parody.

CMIO’s take

Did you make it this far? Do you agree? Are you interested in the entire deck? See the link below to the PDF of the slides. Do you have a favorite book on how to make slides or give a talk? Have you seen Steve Jobs and his infamous Reality Distortion Field? Have you watched TED talks and seen how different they are from most dry academic lectures?

Let’s be both: great scientists and innovators, and also great communicators.

LINK to PDF of How to Give a Talk, Advanced: CT LIN

https://www.dropbox.com/scl/fi/2fstbq44vgk35vkn6th1h/2025-05.How.to.give.a.talk-advanced.CTLin.pdf?rlkey=78jgcibakerv0210rkdxl4z26&dl=0

How to give a talk – advanced. By CT Lin. Presenting. Part 3 of 4

OK your slides are done, how do you actually stand up there and do the thing in front of a dozen, a hundred, maybe a thousand people? OMG.

Practice. I presume you will have read other books on presentations. When you think about being anxious, I love the idea of taking that tachcardia, those palpitations and heart-flopping sensations and re-interpreting them NOT as anxiety, but as excitement.

You are the expert. You have done more reading and more research that just about everyone on the planet. With extremely rare exception, everyone is here to support you and learn from you.

Speak to the person in the very back of the room. When you do that, you will find yourself projecting your voice more, and waving your arms more to make a bigger point. This works for your entire audience. Don’t look at the front row where you hope your friends are sitting.

Worst case, if you have frowny faces in the audience, look for anyone who is nodding or smiling, and use them as your islands in the sea and rotate your attention between them.

Avoid MONOTONE. Vary your speed, volume. Practice speaking clearly. Consider recording yourself and listening for verbal tic’s, or for swallowing the ends of your sentences (I do that, get quiet at the end of a sentence), or have someone listen and give you feedback. DON’T let anyone tell you your natural speaking voice is too fast or too slow. If you are excited about your topic, go for it, just make sure you don’t slur your sentences together.

Too many words. And, sitting behind a desk or standing behind a podium hides most of your body. Unless you are doing a technical demo, get out from behind and the them see your whole body and your non-verbal communication.

Dr. Corey Lyon is a dynamic speaker and does exactly that.

Try this! To engage your audience, hide a piece of paper. Have it be a printout of one of the slides with the answer to your question. Now you have at least one member of the audience who will respond to your question!

Pose the question (top right).

Your designated audience member finds the paper. Ask them to stand up, speak loudly and tell us the ANSWER! It is a surprise move that most audience have not seen, and it works well to wake people up and break the routine from your monologue.

CMIO’s take?

Do any of these presenter’s tricks resonate with you? Do you have other tricks? Let me know!

How to give a talk (advanced) CT Lin’s version 2025. Visuals. Part 2 of 4

More lessons on how to talk good #2. Polluting the channels.

See part 1 of 4, prior post.

Don’t skimp on the size of your images, even if Powerpoint suggests framing them in cute little frames. No.

Full-bleed, a term from the days of the printing press, where you would size your photo/image to the edges of the press, so that the color ‘bleeds’ off the edges of the print, give an impression that there is no border between the image and real life. Make your images big as possible for more impact.

Tiny images are a waste of effort. And please don’t pack the page full of words. Please.

More like this. Full-bleed image. Then, talk about your points.

Yes, this is a full bleed image of some dummy. But please do prepare. Your preparation will show in how well you convey your ideas.

Too many words. How often have you heard people say “I know you can’t read this, but …” or “I’m sorry …” You control the slide. You decide what images to use, how to crop it, how to emphasize your point. Don’t passively paste something and the heave a big shrug “not my problem.”

YOU make it work or not work.

Here is an alternative. Keep your big ideas over a large icon or image, and then tell some stories to make your points. Talks are never about being comprehensive. They are about setting fire to someone’s imagination.

Please put some effort into making your ideas clear and easy to grasp.

Don’t make the audience work to figure out what you are trying to say.

Just because you have all these formatting tools does NOT mean you have to use them. The formatting should stay out of the way so that your ideas shine through. You want your audience to go “Wow, what a great idea” instead of “Can you read that? What do those words mean anyway?”

For example, when I see word widows (one word wrapping over onto the next line), I completely stop learning and get mad at the way the words show on the screen. What an aggravation and a waste for both of us.

Go read Richard Mayer’s work from 1988. Or Andy Goodman who writes about good communication for public interest companies http://thegoodmancenter.com. Specifically, this post:

https://www.thegoodmancenter.com/blog/icymi-say-the-words-show-the-pictures/

The point is: your learner has 2 channels: an audio channel, and a visual channel. If the information you are sending complements each other, more gets through. For example, show a picture with no words. Then, the Visual channel is uncluttered. Then, speak the words, telling about water vapor condensing into clouds. The Audio channel is uncluttered, and learning occurs.

HOWEVER! If you put words on the screen with the visual, the words and image clutter the visual channel. Even if speaker is silent, having both words and image on screen is WORSE for learning than a wordless image and a spoken lesson. There is a lot to absorb visually.

EVEN WORSE. If the screen contains an image, and also explanation words as above, AND THEN the speaker says the words or similar explanation, the learning is EVEN WORSE. The audio channel interferes with the visual channel and the learner automatically starts comparing comparing your spoken words with the written words, and now no one is paying attention to the idea, they’re all stuck on comparing words.

THIS IS TERRIBLE and WE ARE ALL GUILTY OF PUTTING WORDS ON SCREEN AND THEN VERBALLY EXPLAINING WITH SLIGHTLY DIFFERENT WORDS.

I call this Polluting the Channels. I do it, you do it.

I both love this and hate it. I have now encapsulated my entire idea on one slide. And it is exactly, according to Dr. Mayer’s theories, the worst way to do it.

CMIO’s take?

Giving a talk, it turns out, is really hard. Knowing what we know now, how will you change? How will I change? Good luck to all of us.

How to give a talk (advanced) CT Lin’s version 2025. The Arc. Part 1 of 4

Everyone thinks they know how to give a powerpoint talk. Everyone is wrong. Only I do. =and if you believe that…!=. Part 1 of 4

I hate this, don’t you?

OK, lets see if these make sense to you.

Thanks to Dall-E for showing an asian doctor afraid of the scary In Basket Hyperobject part of the EHR.

I often forget that I’m talking to an audience whose needs might be different from what I want to talk about.

Make sure to start with a hook that will keep your audience from leaving. In this case, talk about Story and about the ABT technique, but don’t explain yet.

Sound smart by quoting smart people.

Here’s one of many books I’ve read on storytelling. Randy Olsen is a tenured professor of marine biology who went on to become a Hollywood script writer, one of the working-class storytellers of our age. We can trust his experience.

Olsen tells us that too many scientific presentations and articles are written in AAA style. This is the DEATH of communication: a litany of achievements with no story. Instead go after the strong bones of a good story: ABT: and … but … therefore.

Here’s an example.

CMIO’s take?

Practice your ABT this week. Come back next week for more lessons on presenting. The terrible state of scientific and indeed EHR communication means that it won’t take much to elevate your talk above the average. Let’s go!

Want to live longer, happier? Cultivate social connections (Wired.com)

How are you coping with the pandemic of loneliness?

https://www.wired.com/story/want-to-live-longer-healthier-and-happier-cultivate-your-social-connections-wired-health-kasley-killam/

For me, as the world accelerates, I am pulled more online, and find that in-person social connections are harder to initiate and maintain. It seems this is a global phenomenon.

Yet the research is clear: social connections are the root of much of human happiness, health, and longevity. If we want to be happier, making such a change seems stupidly simple.

XGM FOMO generator #14. UCHealth secure chat experience

Grateful for a team doing great analytics work in adoption of secure chat across 14 hospitals and 1000 clinics. What lessons learned?

Mandy White, Collin Hoffman, jordan TS, Brian Montague, Kelly Bookman, presenters.

Joy is having a team of cool smart people. Andrea Rea, Carolyn Swartz, Melissa Szkil, Brittany our Epic TS. And Abe Wick in next row. Thanks for your teamwork over the years. Great hanging with you this week. In this case we are just the cheer squad for our unified comms team in Shake auditorium.

How might we be thoughtful about communication overall, of which secure chat is simply a new method? For unified communication?

Spanning our go live across the system in 2023. Big peak is residents (magenta) early on. Slight gradual increase with nursing (gold). Attendings as a flat line.

About 10% of a shift spent in messaging. Seems appropriate before and after chat transition.

Fascinating analysis of actual messages for 90tg percentile resident and attending. And yet for median use, pink line protracted time not messaging. Useful to know how people using comms. There are more efficient patterns.

Lessons learned. There is an effective batched focus work pattern.

Message wisely! Turn off sound and buzz for normal priority. Only buzz me for important or urgent. Huge reduction in task switching and cognitive burden.

Don’t be a victim. Change your settings. Batch your attention and work.

Turns out, everybody wants to talk unified communications.

Q: Who can save us from Social Media? A: Just Us. (Harvard Gazette, Nicholas Carr)

Superbloom: Nicholas Carr’s latest book, is sure to be another mind-blowing read. Sign me up.

Who can save us from social media? At this point, perhaps just us.

Nicholas Carr is a thinker I like to follow. The Glass Cage (reviewed in my recent blog post)  was  a terrific read and, I thought, a critique of my entire professional career.

He’s back and talking about the prevalence of social media and the “technologies of connection” and what it means for us.

This goes on my ever-growing to-read list.