Vincent Collins

Vincent is one of those great, easy-going, friendly kind of people. Last night I was walking down Van Ness killing time and snapping some photos of churches when I hear a guy yell, “hey! Take a picture of me!”

Vincent is exactly the spontaneous, warm people that I’m loving meeting in San Francisco and am so overjoyed to be photographing! Sometimes, you just have to go for it. Scratch that. You should always GO FOR IT. Vincent’s 47 years old and has been living in the Bay Area his whole life. He’s spent the last 12 years working for the city and has an impressive knowledge of churches… I still need to scope out the one near Van Ness and Fell! The Advent?

Unlike my last photo sesh, this one was quick. I only got 3 pictures of Vincent, but I think this one’s perfect. It’s how I knew him. If only for 10 minutes at a time, but he was wonderful and shared some of his favorite parts of SF with me. Thanks, Vincent!!

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Stuart King

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Hello, world. Meet Stuart King. No not that Stuart King. My roommate, Stuart King! In addition to being a confident cook, brew enthusiast, software engineer and all-around class act (and not just because he’s British), Stu is a bit of … Continue reading

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The Big Bounce: The Need for Integration of Mobile Apps and Healthcare IT

#mhealth enthusiasts were quick to tweet and retweet reactions to a Bloomberg article published about Novartis AG and Merck’sinvestments in mobile applications. Citing an Ernst & Young report, Bloomberg claimed that investment in applications and educational websites by these two pharmaceutical companies increased 78%.

While Novartis’ Theraflu app is cool, it’s a little early to hail the pharmaceutical industry as the champions of healthcare 2.0. While the tools are interesting and helpful (maybe?) to how consumers take and monitor their medication intake, they are hardly game changers.

mHealth fans have plenty of reasons to get excited. Mobile applications present an attractive investment opportunity for pharmaceutical companies to help prove efficacy, allow clinical study practitioners to target study participants, receive better, constant feedback from study patients, and help customers to manage drug costs. And that’s just the start. With limitless possibilities, the only reason to be disappointed at the current usage of an app that compiles news stories about the incidence of flu in your local area is that it seems a bit narrow.

The most fascinating part of the article was that major conglomerates like General Electric, IBM, and others have already committed to spending at least $20 billion on health-related information services! GE’s Healthymagination campaign has made amazing partnerships with MedHelp to develop a wide range of trackers (for everything from weight to menstruation to diabetes), Howcast for humorous and instructional videos, GOOD.is to create infographics describing healthcare trends and markets, and even developed their own mobile app, Morsel 2.0 (which will have to be a blog post in its own right). Not to be left out on the mobile front, AT&T recently launched ForHealth, a division focused on providing wireless, networking, and cloud-based services to the healthcare industry – more than $30 billion market in 2010.

IBM’s Healthcare Industry leader, Robert Merkel is quoted saying, “Business and technology integration can show big results–not just for the health of the company, but for the health of its patients, too.”

Blah. All of this hoopla could have been covered in a headline reading “Large Companies Participate in a $2 trillion Payday.” Big companies will invest in markets with high growth and scale. None of these initiatives are earth shattering, however they do point to an opportunity.

The focus is the individual patient. The big guys are missing the key by trying to focus on the big picture. Human health by nature is unique. By taking a 10,000 foot view the big guys are able to identify the flow of money, major trends in the industry, and key indications to focus on. However, the technology that comes out of these companies is not disruptive.

There’s a need for actionable insight into how we live and how we can live better. Yes, it’s important to know how much I weigh, so that I can fight obesity and all the related ailments that being overweight can spur. But it’s not that important to know that I weigh 120 lbs if I don’t know if that is high, low or average for my build. What is more important is knowing why my weight rises and falls unexpectedly (as that can have just as many serious side effects and indications) and what the proper level of diet and exercise is to maintain my ideal weight.

Mobile applications promise a holy grail of patient data. In concept, it’s accessible to collect and share, available to patients at precisely the moment they need advice, and could hold the key to enabling people to make better decisions about their healthcare from behavior modification to cost management and provider selection.

Adam D’Augelli recently said, “the fundamental issue with mHealth today is that it’s simply a rehash of the old line without actually leveraging new technologies (much akin to how internet banners are just the same as billboards and posters).”

Simple solutions like the Pill Phone, which uses an alarm function with a photograph of the drug to remind users to take their medication, adapts an existing technology and gives it a healthcare application. Instead of the standard snooze / dismiss popup of a typical cell phone alarm, it asks the user to record “taken / skipped dosage / snooze.” This basic feature allows the user to easily track when treatment was skipped and better understand possible causes for missed pill. This is an easy fix with the potential to save the medical industry “$100 billion a year in avoidable healthcare costs,” according to a study out of George Washington University.

However, the real opportunity lies in the integration of disparate data (populated from apps like Pill Phone and RunKeeper) with electronic patient records. Using applications and devices to create personalized records generated and controlled by patients has the opportunity to transform healthcare – both from a patient and provider perspective.

mhealth Apps provide people, your customers, with a small, but real opportunity to gain actionable insight. Amongst large volumes of data, a patient (or the physician) can begin to see trends emerge in their every day life – and they can change it. Customers will pay for real value. Does it improve their lives? Is it easier to manage their healthcare, as opposed to a neat app they will lose interest in after a week?

Currently, mhealth is a couple of kids jumping on a trampoline at a birthday party. You’ve got medical textbook applications and fitness trackers and prescription adherence apps – and they’re all bouncing around each other having a lot of fun. Here comes the birthday boy! An EHR backend aggregator waits on the edge of the trampoline, ready to join his friends. He waits for the right moment to get in the game and jumps! A double bounce sends them all rocketing up 10 feet. All they needed was to be launched in tandum.

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Occupy & the Jersey Shore: Why Unfulfilled Entitlement has my Generation “Actin’ a Fool”

Months ago, I was concerned about the underlying motivation behind the Occupy Wall Street (OWS) movement. Additionally, I’m disappointed by the popularity of the Jersey Shore and how strong its influence was when I visited my alma mater this year. Game Day was once a day of storied traditions, dressing up for your family and alumni visiting. Everybody having a good time, sometimes getting a little rowdy, but coming together to represent something bigger than ourselves, and for that, we aimed to be on our best.

For goodness sake, Gainesville is home of the brightest class of Gators ever! “The fall 2010 incoming freshman class had an average 4.3 GPA and 1945 SAT score.  UF admitted 1,315 International Baccalaureate students — more than any other university in the U.S. — in fall 2010.” Yet, as I walked through a frat house this past weekend, looking to meet up with one of my closest friends in school, I was appalled at the hoochies and guidos. Theme party? Not on Game Day. And what’s worse — the place was crawling with parents, alumni and families.

So, after 50+ years of tradition, what would lead these young people to completely abandoning all sense of decorum?

I tried to make sense of these trends that were seemingly alarming to me – all I could think about was that these movements are born out of fear.

My generation was raised to KNOW that we are the smartest and the best and the prettiest. Momma calls it the Gold Star Generation. They’re not protesting how things have worked out or what exactly was the point of wrong-doing. They protest, because they didn’t get what was promised to them. College, eventual management (even C-suite) role and a McMansion – that was a certainty. We grew up a risk-averse generation now facing an uncertain future. It’s not that other people shouldn’t have success, the whole thing just doesn’t seem … fair.

NERD ALERT: History example: Mary of Scots. She’s born, the eldest daughter of Henry VIII and rightful heir to the English throne. Through no fault of her own, what she has been raised to consider “hers” is given to another, Elizabeth. Is it a surprise that she challenges and threatens and disrupts Elizabeth’s rule? Certainly not. However, it doesn’t change the fact that Elizabeth is Queen, and Mary is just some ubiquitous aristocrat through no wrong-doing of her own and must find another purpose for her life if it is not meant to sit on the throne.

With no one ahead to set our goals, tell us what will be acceptable in terms of lifestyle, what will make us happy — what should we do?

Even flawed ideologies, ill-conceived and incomplete seem better than no ideologies. The Jersey Shore represents freedom, sorta. They do what they want, they have fun, they’re celebrities. By simply being honest about who they are (no matter how dumb or parasitic), their whims are provided for and people seem to love them. Live to party, get it done with GTL.

Similarly, Occupy Wall Street had vague, unclear mission. They are the 99%? They are against 1%. Even without a mission, they have been able to attract hoards of people to join their cause. Live to protest, get it done by evangelizing any agenda to anyone who will listen.

I don’t mean to criticize, merely suggest that OWS and the Jersey Shore represent two options for young people. Humans (especially youthful ones) need purpose. I have two younger brothers who mean the world to me. As they begin to set of onto their own paths, create their own lives, I hope that they will find a way to take pride in what they create, the people in their lives and focus less on their sense of loss and doubt.

When people are looking for opportunity / experiences / work, it is critical that we provide them with meaningful chances to be valuable. As a community, we should give them causes to be excited about. This generation is exceptionally driven and ambitious. However, they’ve had success and path defined for them their entire lives. Give them hints and be patient as they find their way. I truly believe we are capable of great things, if we unplug the Shore and sit down and plan a solution for the real and great problems of today.

 

So for what it’s worth, there are 3 things we need to address as a society:

Step 1. Curbing Entitlement – or how to live happily when you’re not going to marry Jessica Alba, live next door to Shaq and become best friends with Bill Gates after you successfully takeover his company.

It’s tough. It seemed as if things were going to continue to progress rapidly forever. And your parents always told you how many opportunities you have that they didn’t. And your teachers always told you how smart you are, your coaches marveled at your extraordinary talent, and you grew up with the many comforts typically allowed only to kings of developing continents. With such a divine upbringing, certainly you would grow to be a leader of men, famed and respected.

The insult of being a peon in some job without the ability to control, let alone secure a lifestyle with the comforts of home is unthinkable. You have a college diploma!

Take solace in life as an adventure. Try everything. Try new careers and hobbies. Surround yourself with people who make you laugh and are kind and smart. Adopt role models with many dimensions, not just fame or money or looks. Those things are fleeting and do not guarantee happiness. One day you will rise to see the sun come up on the life you have built; with many good people and interests, it will satisfy and delight you.

Aim to be this type of person for other people.

 

Step 2. Hard work. It is perhaps the simplest (and most old-timey) advice I have, taken from a sincere and true place in my heart. I know nothing that gets me through the darkest of hours than the forced sense of accomplishment achieved from work and productivity. Write a story or a poem, volunteer at your local hospital, record a song, photograph a series. Millenials, this is your preference, just create something so that should you doubt things are worth doing, you have something to show for your effort.

 

Step 3. Role models. This country was built on them. From the guys who made fortunes in tobacco crop in the Carolinas to entrepreneurs like Joe Kennedy and Ted Turner. We need to redefine our heroes. Each decade or half century, U.S. society chose men (and women) who embodied hope, honor, courage, and self-defined success. We can no longer afford to live on the beacons of yesterday. Our issues are different, more complex and even exciting! But they require today’s champions and I can promise you, Snookie is not it.

Seek out the people who are fighting to change the game. Bring light to their fights, expose their needs for hands and resources and ignite those who despair and search for purpose. It takes a village, but I find some of my favorite people have a knack for building up other people. Highlight the achievements of others; it all comes back to you.

 

It shouldn’t be a surprise that our generation is looking for some guidance, are eager to join any cause. It’s something to do. It appears noble. We were promised a future brighter than any had ever seen before and instead we inherit an aging, deteriorating country, more debt than we can hope to pay off, and dismal employment opportunities. We can still make something amazing! We just need to define specifically what problems need fixing and then focus. It will be difficult and our future probably won’t look like we expected, but it’s going to be ours, we will have defined it for ourselves, and it’s going to be AWESOME!

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How to Make “Librarian” the Coolest Gig on the Planet

I read an intriguing post by Seth Godin about how future librarians could be more valuable to society. Godin claimed that with increasing access to free resources, we (as communities) should not be hiring someone to “guard” stacks of dusty books.

So I dug in. A quick search of Monster.com reveals some interesting things. First, the only organizations hiring “Librarians” are higher education (mostly smaller universities and community colleges, I assume the big schools don’t post online) and companies that need help with research. These job descriptions are tough – no less than 3 – 5 years experience PLUS a masters degree in library science (aka MSLS).

We SHOULD be looking for a curator, an impresario, an expert of ideas, people, and resources. Godin’s librarian listens and suggests people, readings, classes or anything else a person might need to expand their knowledge base and skill set. Libraries should offer leisure courses and operate as a collaborative workspaces to inspire new projects, businesses and studies within the community. And it is the librarian, with his/her vast knowledge of relatively disparate data and random resources who is trained to see connections, opportunities and guides members of his/her community towards them.  It is the librarian’s knowledge of growing fields and those of gaps that allows them to make connections for the library’s users.

1. Each community should set their own agenda or focus. I’m from Ohio, where a lot of smart, talented people lost their jobs in the downturn. With the closings of several manufacturing plants we’ve got a population of engineers and highly skilled labor that simply needs to focus less on an industry that is struggling to survive (American automotive) and instead on one that will grow to almost a $100bn industry in a few years time (clean energy).

This is the opportunity for each community to say what is most important to them and to holistically refocus every community resource to make them the leader in that field.

2. Reset expectations / qualifications. Maybe a MSLS is necessary for a college librarian helping students cite resources for their theses (not my experience, but whatevs). In most of the country, especially small towns and communities with strapped budgets, it would be much more beneficial to have someone who is resourceful (in a broader, less grad-student kind of a way) and knowledgable about more than the dewey decimal system. More Ben Franklin, less Laura Bush. It really depends on each communities pre-defined objectives as to recruit a librarian whose professional and academic experience mix supports their constituents.

3. Aside from the great “work-life-balance,” there need to be clear perks to the job. A good lesson to take from startups – relatively low dollar value things make significant improvements to people’s lives – autonomy, free food, Mac books, and feeling like your work has true impact can make up for a lot of monetary compensation. Throw in unlimited access to proprietary subscriptions and hell, you’ve almost convinced me to leave my job ;)

4. Connector – Everything is about people. But by having a personality at the center of our town’s knowledge, you’ll insert a human level of interaction to your town’s heritage, culture and curation. A person who knows everyone and can identify those human connections is much more likely to be able to reach people and garner buy-in and support for new initatives from the broader municipality.

5. Bring back the rec center. Learning is more than books. A community thrives on a diverse set of individuals and their talents. As such a library or community think tank should foster many different skill and knowledge sets. Offer classes on creating mobile applications and civic engagement and local fern identification… whatever!

My whole thing about technology is that it should be make my life better. As it gets more advanced, I expect it to take out the cumbersome manual tasks that annoy me. The same should be true for librarians. With more databases and resources, there should be an expectation that they (the librarians) will be available to host more enriching learning experiences and activities for the communities they serve.

When looking at relatively large data sets: say defunct retail properties or the dwindling population of bees all over the world, an analytical eye begins to see movement… and with more experience can identify powerful trends. Gaps are perhaps even more telling and point the way towards potential savings, efficiencies and even opportunity.

It’s going to take more people with a wide range of interests pulling available resources together to retool them for esoteric case uses, but that’s how we make products that are valuable to as many individuals as possible. Wouldn’t every community want to sponsor a person who brings those resources and people to the forefront of these opportunities (gaps)?

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Gift Cards Suck — Bill Gates Rocks

Image representing Bill Gates as depicted in C...

Image via CrunchBase

Growing up my mom was always SUPER opposed to gift cards. Terribly inconvenient when you’re 14, going to a birthday party nearly every weekend, and you aren’t even that great of friends with the birthday boy/girl. It’s always awkward when you give some pseudo-friend an artistic necklace that their face immediately reads as “weird” before they throw out an obligatory thanks to get to the next card of cash. Thanks, Mom.

I always thought my mom was being persnickety, but as with many things in life, it turns out she’s right.

Great gifts can change your life.

Mine was forever bettered by a typewriter, a grant for my gifted class from Bill Gates, and a sewing machine. The stories on each are a bit long-winded, so suffice to say that they each fostered a passion in me (my love of practical arts and applications) and gave me an outlet for self-expression at a young age.

Sometimes it takes being introduced to something outside of yourself to discover new interests. For me, receiving an unexpected tool with no instructions always drove me to play and test. These gifts nurtured life-long passions for great stories, new technology and design. Because what I was given was an experience. An opportunity to create. Almost 15 years later and I’m still addicted to that feeling.

Now, I constantly sign up for beta versions to test new web applications and can’t be found with less than 3 devices, which keep me in touch with friends on 4 continents. My notebooks are full of sketches for new ensembles and my closet is populated with staples, contemporary designers and mb originals. But perhaps, the most enriching is the story. It’s the one that I share with friends over good food at the end of a busy week. It’s the way we communicate our client’s unique product offering, its importance to the healthcare community, and the opportunity to investors. It’s the one I’ll tell my grandchildren about when they’re rolling their eyes and drooling over Megan Fox (she’s a robot and therefore will be hot forever).

Be good to the ones you love. Spare them the gift card … I’ve never known $34 to Boston Market to change anyone’s life (except for the homeless, in which case a much better donation than cash). And if you’re unsure about what would be a great gift for someone, think of something you love. Think of something that has gotten you through rough times or revealed new truths. And then, instead of squirreling it away for memories’ sake, give it away.

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It’s the Kiss.

Long story short – Gustav Klimt‘s The Kiss (1907) is one of my favorite paintings.

I’m not some sexed-up maniac who canvasses art for masked phallic symbols. I’m slightly bolder than your average midwestern, American girl: living in NYC, analyzing new opportunities for billion-dollar companies by day and exploring counter cultural movements by night.

I am defined by my passion. It’s at the core of all that I am and do: my initiative, ambition, and enthusiasm. It’s that fire that I saw when my art history professor first unveiled The Kiss to me. For years, the painting encompassed all the energy, complexity and reward that I sought in my own ventures and projects.

And so, a few months ago, my love of Klimt took me to the Neue Galerie on Manhattan’s Upper East Side. Until August 2011, they’re showing an exhibit on Vienna’s defining cultural and stylistic movements at the turn of the century. I went to indulge in Klimt and left a devoutest for the strict adherence to function exemplified by Adolf Loos’ furniture.

A great kiss can change everything. It’s been at least a year since I’ve written publicly, but I hope that this blog has all the passion, personality and strength that I try to bring in my offline life. I hope it’s a great “kiss” – exciting and uncomplicated. It’s the beginning of a transformative journey for me – from a young woman’s brash passion and obsession with the deeply impactful experiences of life to the sophisticated, learned woman’s understanding of simplicity and subsequent mastery of life.

“Any intelligent fool can make things bigger, more complex, and more violent.  It takes a touch of genius – and a lot of courage – to move in the opposite direction,” said E.F. Schumacher. My hunt for the simple is a search for the essential. Thanks for being part of the journey.

MB

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