Month: November 2008

  • Dr. Wow

    Thanks to links to the post below on medicine as information, I heard from Dr. Jay Parkinson, who is starting an incredible company and platform called HelloHealth to reform the relationship between doctor and patient around (a) the patient and (b) conversation. I’ll let him tell you about it (from Poptech):


    Jay Parkinson at Pop!Tech from Jay Parkinson on Vimeo.

    As the man says at the end, it’s enough to make you wish you lived in Brooklyn to take advantage of the service. I don’t want to jinx myself, but I almost want to get sniffles to try it out.

  • The new news mindset

    It’s so great to see more and more news executives face the tough questions in the business and recognize the fundamental and urgent change upon them. Chuck Peters, CEO of a newspaper and TV company in Iowa (and the guy who created a blog bridge to the outside world from behind the closed doors of the recent API news CEO meeting) wrote a good post this weekend about the need for a new mindset in staff, a new understanding of the value of news organizations, new jobs and tasks for everyone, and a new and more open relationship with the community.

    Peters summarizes the state of mind of news organizations:

    As we work to develop this new game, or business model, within our own company, conflicts arise. Those who see the future, but can’t articulate it, are frustrated. Those who see the future and want to make it happen quickly are very frustrated by those who don’t even perceive the need for a new game. Those who don’t perceive the need for a new game are frustrated by all the commotion.

    “We cannot continue to focus on products,” he says wisely. “Products are just nodes on the network, promotional flags to local intelligence, in context.” He also argues that they must change every job:

    It is my strong belief that an organization such as ours, with over 500 employees, cannot expect that we can change all the mindsets and pursue a new game by simply repeating the forces and ideas driving the change in a series of seminars or links to interesting articles. We need to change the tasks, titles and organization so that we are doing new tasks, in new ways, and making the results of our efforts available immediately to our communities as we begin the larger task of organizing all this information elegantly.

  • Medicine is information

    John Naughton has a good Observer (UK) column today about patients getting health information on the internet.

    The medical profession is, to put it mildly, not over the moon. The more literate practitioners shake their heads and quote Mark Twain’s adage: ‘Be careful about reading health books. You may die of a misprint.’ But others are more righteous and wax indignant about what they see as the errors and misinformation peddled by many sites that purport to deal with health issues.

    It’s tempting to regard this as the blustering of an elite threatened with the kind of ‘disintermediation’ that has wiped out travel agents. But quite a few studies suggest that the quality of web health information is pretty variable. For instance, several estimate that about 5 per cent of sites dealing with cancer are inaccurate, while those dealing with nutrition (45 per cent inaccurate) and nutrition (89 per cent) are especially suspect.

    In my book, I argue that – as with other apparent problems in industries – there is opportunity here. Doctors should act as curators, selecting the best information for their patients and making sure they are better informed. I had this discussion with some doctors at a lunch a year ago:

    What if they created resource sites? What if they blogged to keep patients informed and up-to-date—and also linked themselves with a larger community of doctors working on the same conditions? If their patients got more of the right information, would that make them better patients? A bit grudgingly, the doctors accepted the notion. I’ve debated my prescriptions and treatments for afib with my doctor and what I really want from him is data and information about my choices to make better decisions together. I’m no citizen cardiologist, but it is my heart.

    I’ve also been amazed at the power of PatientsLikeMe, which enables a community of patients to share their qualitative and quantitative data, which is valuable to fellow patients and to doctors.

    Medicine is a science of information. The more information that is more openly available, the more we need help sorting good from bad, true, but the more we will all benefit. This requires less control – and more value added – from the still-closed priesthood of medicine. As with other professions and industries, this is a wrenching change but doctors, too, will soon hear demands to open up.

  • When witnesses take over the news

    I’m writing a Media Guardian column on the news after Mumbai: When witnesses take over the news, the impact on our experience of news, the impact on the news event itself, on the role of journalists, on what new we need in news (organization), on what comes next (live video, of course, and assigning witnesses). As always, I’m grateful for your observations, opinions, and links.

    : Great collection of links here (via sujeet).

    : Wonderful observation about the absurdity of joining pundits on American TV to talk about news from Amit Varma, who found safety in a hotel hard on one of the attacks.

    I was on Larry King Live on CNN about three hours ago. They called me and asked me to be on the show as an eyewitness, at which I protested that I hadn’t actually seen anything, I was merely in the vicinity. But they’d read what I wrote in this post earlier, and they wanted me to talk about that. So I agreed, and came on briefly. King asked me if I’d actually seen any terrorists—I felt guilty that I couldn’t offer him any dope there.

    Deepak Chopra was also on the show, speculating that the attacks had taken place because terrorists were worried about Barack Obama’s friendly overtures to Muslims. (I know: WTF?) That sounded pretty ridiculous to me, but such theories are a consequence of our tendency as a species to want to give gyan [knowledge]. A media pundit, especially, feels compelled to have a narrative for everything. Everything must be explicable, and television expects instant analysis.

    This is foolish, for sometimes events are complicated, and we simply need to wait for more information to emerge before we can understand it. But many of us—not just the pundits—don’t have the humility to accept that. We want to feel in control, at least on an intellectual level, so reasons and theories emerge. But the world is really far too complicated for us. Yet somehow we muddle along.

    The right kind of gyan, in the immediate aftermath of this, is historical perspective, which Christiane Amanpour provided on King’s show. Anything else is premature.

    : Amy Gahran tries to track down the rumor – and that’s what it is; an unconfirmed and unsourced reprort – that Mumbai police asked tweeters to stop.

    : Mindy McAdams on 10 changes in the news.

  • No bullshit here

    Let me make this clear: I did not say bullshit to Bill Keller. Not that I couldn’t, wouldn’t, or haven’t, but I didn’t. Nor did he to me.

    I said bullshit to the reporter (and, I suspect, his editors) who were trying to pit Times Executive Editor Keller against me and me against him as I refused to play into the us-v-them narrative of stories about news media today, whether the “us” and “them” are bloggers and MSM or “traditionalists” – the reporter’s word – and whatever the opposite is. The Observer’s John Koblin kept trying to pit me and I kept refusing to be pitted: The fucking pit bull just wags his tail. Gas him.

    Picture 43

    At the end of a few hours at a Lindy’s – not a place where I hang out but a convenient place he picked – he came to the point, as reporters do at the end (I know the tricks; I teach them). He wanted to set me against traditionalists and them against me. Later, I emailed him:

    One thing gnawed at me after leaving you last night: “traditionalists.” I think it’s a false dichotomy and false drama to try to pit traditionalists against whatever one calls their supposed opposites. That’s what I meant when I made reference to bloggers. It’s just like the tired, old bloggers-v-MSM matches I refuse to join anymore….

    I’m a traditionalist. I come from and respect the tradition of journalism. I teach journalism, including and especially its eternal verities. Last week, I met with the editor of a newspaper … who, as I said to his colleague afterwards, is far more radical than I am as he reinvents and even rejects the old value of a newspaper. Isn’t the editor of a newspaper the definition of a traditionalist? So what’s a traditionalist? How can these views be reduced – like silly red and blue states – to two camps? I won’t willingly join that fight.

    On the last “fact-checking” call, the reporter again got to the point, telling me that Keller says I have inched closer to him than he to me. The reporter asked my reaction. I said it’s a bullshit question. But the Observer says I said bullshit to Keller. Not true. Indeed, it appears that Keller didn’t say that either. Keller said we’ve inched closer together. That’s true and it’s also true that we were never that far apart. That was my point in my kumbaya exchange with Keller long ago. But after quoting Keller, the Observer creates one fuck of an antecedent problem – fact-checking aside – when it says:

    “That is bullshit,” Mr. Jarvis said when we told him what Mr. Keller had said. [No, the antecedent was the reporter’s question, not Keller’s statement -jj] But, it seemed, he was directing the charge at us. [Damned straight -jj] “That is journalistic cliché. That’s what every story tries to do: create a conflict. That conflict doesn’t exist. We’re all trying to figure what to do about it, and we all should have different answers and experiment with those answers. To say it’s traditional[ists] against something else is bullshit. And you can quote me on that. That’s dangerous.

    “I’ve been forced into this blogger-versus-MSM thing for a while and I refuse to play the game anymore. I don’t give a damn if Bill Keller is closer to me or I’m closer to him. The question is: What are we all doing to advance this? I am delighted to see The New York Times advance in many, many ways. I think they’re brilliant.”

    Hey, Bill, let’s hug.

    The story is fine and I’m glad that, at the end – when journalists make their points – it made clear that I believe journalists are trying to pull together. I just don’t see much of a story here, especially not a cover story. But it’s fine.

    What really pisses me off is that they couldn’t bother to mention my book – the only good reason to talk with a reporter – even after the reporter visited the recording of the audiobook. Now that’s bullshit.

    Also:
    * My glasses are too damned expensive to be unfashionable.

    * I always remind reporters that I was not shown the door at Time Inc. If I had been, I would have received three years’ salary, bonus, and benefits. I didn’t. Instead, I walked out that door for good reason. Just for the record.

    * I made it clear that I’ve not consulted for the Washington Post. I helped with one small task but I told the reporter specifically that I had not done consulting of note.

    * I’m honored that The Times’ Jon Landman thinks I’m a Maoist and then the reporter says that to “most” newspaper editors – survey results, please – I’m a Marxist. And I thought I was too far right for Daily Kos because I voted for Hillary.

    Koblin’s a nice guy to spend a couple hours with, even in Lindy’s. But what really struck me in this process – and it is always good for a journalist to endure journalism – is that the interview itself is becoming outmoded.

    I’ve noted before that Dave Winer (who, ironically, is beating me up for being too much the journalistic traditionalist) wisely refuses interviews, telling journalists that everything he has to say he has said online. True for me as well. I didn’t say a single new thing to the Observer; everything I said I’d written already on my blog, so I was only drawn to repeat myself (and after four days of recording an audiobook, even I was sick of the sound of my own voice – yes, it finally happened).

    The process of the interview has the reporter hold all the cards in his hand: who he talks with and what he will reveal to each and what he will say in the end, without links to what any of the parties has said. Then the reporter gets to toss it all on the table. A process of links and discovery and conversation and correction would be far more illuminating of the ideas and issues than this old process of control through the sieve (and efforts to trump up conflict and drama). That, you see, is the real moral to the story: It’s the form that’s bullshit. Keller isn’t. I leave it to you to decide whether I am.