Peter Beck Kim’s Other Blog

for more than Tweets, less and less formal than www.MedicalRecordShow.com

Plant this in your bone marrow, or be doomed forever: How facts backfire

Recently, a few political scientists have begun to discover a human tendency deeply discouraging to anyone with faith in the power of information. It’s this: Facts don’t necessarily have the power to change our minds. In fact, quite the opposite. In a series of studies in 2005 and 2006, researchers at the University of Michigan found that when misinformed people, particularly political partisans, were exposed to corrected facts in news stories, they rarely changed their minds. In fact, they often became even more strongly set in their beliefs. Facts, they found, were not curing misinformation. Like an underpowered antibiotic, facts could actually make misinformation even stronger.

This story from the Boston Globe -- special thanks to Garr Reynolds for the retweeted pointer -- pushed the "Play" button on a little video in the back of my mind:

(me): This is so incredibly infuriating! Aaaargh...(trailing off into incoherent snarls)

(my wife, looking up from munching on an apple)...So?

(me): This! This is...aaarghgnash!!!

(my wife, rolling her eyes): Use your words.

(me): Says so right here! Facts, clearly presented and reasoned, often make NO DIFFERENCE in changing people's minds! Just the opposite, in fact, among the most smug, sure of themselves idjits out there! Contradicting, irrefutable facts even make them MORE sure they're right!

(my wife): ...So?

(me, exhaling): I'm working on developing change techniques, to help change patient behaviors, fellow doctor behaviors, and organizational behaviors. I KNOW that telling folks "the facts" isn't very effective, but still! Hey, where are you going?

(my wife, walking away): This is boring.

She's absolutely right. Even though the conversation is imaginary, we've had some version of it any number of times:

  • People aren't mostly rational.
  • Other people don't have to play by your rules.
  • A few "select" folk actually thrive by acting irrationally, twisting you up in your own reason, and quite happily letting you abide by your funny rules and then folding their hands -- or worse -- when it's "their turn."

And the biggie:

  • None of this should be news.

Folks are folks.

Insanity isn't doing the same thing repeatedly and expecting a different outcome, it's expecting people to behave the way you think they should, instead of how they actually do.

In the personal realm, this means accepting that you told yourself you were going to cut out the salt and late night snacks -- then just did both anyway.

In the professional realm, this means accepting that you can tell patients what is so clearly true, and they'll wander away into the night doing their own thing anyway.

In the organizational realm, this means accepting that telling colleagues how such-and-such will save them money, get them home earlier, and protect them from harm will actually budge their routines very, very little.

You know that kumbaya piece of advice that flits around the Internet periodically -- It All Begins with you learning to accept and love yourself? Sounds like fluffy hamster cage lining?

If you reject the most fundamental proposition of mathematics, history, and human behavior, you are screwed, screwed, screwed.

a = a, "Religion will drive irreligion to the wall," and folks believe more than they think, and will change the facts before they change their beliefs.

Now, let us please move on.

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Filed under  //   aaargh   Beliefs   change agents   Facts   Reason  
Posted July 13, 2010
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6 ingredients for humble pie: TacFit Commando, Day 3

Or "6 Exercises Done Tabata Style -- Need I Say More?"

I was first introduced to the Tabata protocol -- 20 seconds of active work, 10 seconds of rest, repeated 8 times -- by Steve Maxwell, gentleman and grueling taskmaster/trainer extraordinaire, so I already knew that peaceful smokey feeling. And today was supposed to be more an intro to the 6 exercises for the introductory level, with tomorrow, Day 4, being the push it session.

Feeling mighty smoked, nonetheless. Mayhap the 20 minute jog beforehand had something to do with that.

In TacFit Commando (TFC), you keep track of the number of reps of each exercise you do per the 8 rounds, and watch to see how they change over time. The lowest number is what you record for each of the 6 exercises, and when the sum reaches 40, it's an indication that you may want to kick it up a notch. Tonight's sum was 27: 6, 5, 6, 1, 6, 3.

The system overall is much more than this, including mobility warmup, active yoga-based cooldown, and a unique 4-day cycle. All designed specifically to prepare you over 9 months for tactical fitness: very active burst work, in any plane of motion, including functional endurance. Based on movements and needs of law enforcement, military, fire and first responder folk. No equipment needed. Recovery and careful cycling in an upward spiral built in.

I can tell my bod will need more loosening; the warmup and cooldown, extensive as they are, are challenging in themselves. Yin and Yang, but my own physiology is hankering for a bit more Yin :)

Luckily, there's plenty of that on hand: the RESET material, plus the Intu-Flow joint mobility that I've been doing for some time. Lots of unkinking, unbinding, and redistributing of bloodflow and nutrients. Extra TLC for TFC.

Next steps:

  • Following the protocol, esPECially the low/light/medium/high intensity wave
  • Improving technique with the unfamiliar movements, by chaining them together in a FlowFit-style routine, and practicing them -- gently and at near zero intensity -- on non "working" days
  • Continuing with my running for stress decompression and BP control, but sensibly integrating it with TFCMDO
  • Attending, and improving incrementally

And sleeping and eating properly!

 

 

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Filed under  //   exercise   FlowFit   Intu-Flow   RESET   Tabata   TacFit Commando  
Posted July 11, 2010
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The Seatbelt Video: Tears, Verklempt, and Influencing 101

Quite simply, this YouTube video is perfect.

As of this moment, this public service announcement has been viewed 9,610,576 times. And as a model for influencing behavior, it hits all the right buttons:

  1. It's a video, so extremely easy to consume and spread to others.
  2. It tells a story, and bypasses many of the usual filters that oppose dry facts ("Car crashes without seatbelts take lives").
  3. It tells its story wordlessly, so further bypasses the remaining left brain defensive linemen.
  4. Anyone can place themselves in the storyline, so everyone boards the story train.
  5. The storyline hits with a potent, emotional punch -- more credible, memorable, and understandable than verbal arguments.
  6. It closes with a call to action to channel that empathic, emotional response.

Influencer: The Power To Change Anything by Petterson, Grenny, et al, points out that the best influencing experience is walking someone through the story in person. Clarence, from It's A Wonderful Life, had nearly everything right, though he left out the key call to action.

Luckily, George was smart enough to take the right steps, but that's not always the case. And you probably don't have the resources his guardian angel did. Storytelling done well hits the sweet spot between a high quality output and a low cost input.

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Filed under  //   influencing   It's A Wonderful Life   Seatbelt Video  
Posted July 4, 2010
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Saw this video in our medical leadership group, came home to my wife watching it on YouTube.


Not only is Daniel Pink the man, whomever did the marker drawing is pretty frakkin' amazing, too.

Doctors: motivated by money? Change their behavior by carrots and sticks, alone? Not nearly so much as you'd think -- witness the still low rates of adopting electronic medical records, despite major subsidies and financial incentives.

But publish their achievement scores over time where they and their colleagues can see them? How good they've been at improving, and how they compare to their office mates? Watch the curves bend!

Most physicians are intrinsically motivated by an internal standard of merit, with scorecards built into their DNA. Who survives 4 years of grueling pre-med undergrad work, 4 more years debt-building med school, and 3-9 more years of residency training at ridiculously low wages? Not folks motivated by money -- you've got to be able to survive and thrive on how you score and perform.

We've all pursued things that made no sense from the standpoint of basic loss and gain. This video -- a 10 minute snippet summary of Pink's book, Drive -- explains why.

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Filed under  //   Daniel Pink   Drive   influencing   YouTube  
Posted July 1, 2010
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Ok, if you like Yorkie pup pics, who am I to argue?

           
Click here to download:
Ok_if_you_like_Yorkie_pup_pics.zip (6230 KB)

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Posted July 1, 2010
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A Good Source Of Protein for lunch, Eclipse, and Influence

Instead of dropping 2 lbs. this past week, I gained a pound -- not surprising, after being bitten by the dreaded Starch Monster. Dastardly fiend, his werewolf countenance and six pack abs have left me yearning for all manner of white fluffy carbs.

So it's back to the protein plates and chamomile tea from Starbucks.

Speaking of beasts, have no expectations about the third Twilight film, Eclipse, which the family and I will be seeing shortly. Am hoping to be pleasantly surprised. The 1st movie was phenomenal, even with its lower production values, the 2nd less so -- an example of how storytelling trumps...pretty much everything else.

That's an awfully powerful lesson for anyone interested in innovation and spreading that innovation around. Storytelling is practically hardwired into us; as social creatures, we have no defenses against engaging tales.

Tell a good enough story, and you can get people to stop abusing their wives, lose weight and quit smoking, cut HIV transmission by 25%, and part with $2000 for an online business course. You can convince them that change is possible, worthwhile, and desirable RIGHT NOW.

Or that you can lose 19 lbs. in 3 weeks and drop your BP 30 points :)

Anyhoo. Tea and work beckon.

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Filed under  //   Eclipse   influencing   innovation   Starbucks   storytelling   Twilight  
Posted June 30, 2010
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Quick breakfast w/falafels, Udo's Oil, and salsa

Vegan, and nice sopping up by the falafels of the omega-3 rich Udo's Oil.

Except for the Udo's, courtesy of Costco. 

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Posted June 25, 2010
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Back on track with a homemade Primal salad lunch after a morning walk and run.

Not entirely sure why I've become a CARB DEVOURING MONSTER this past week, but it's time to stuff Mr. S. Tarch Hyde back into the shadows.

Ingredients:

  • organic salad greens, prewashed and packaged
  • 1 tin of sardines packed in mustard
  • a few ringlets of purple onions
  • handful of organic walnuts
  • vinaigrette of Udo's Choice Oil, balsamic vinegar, a goodly squirt of organic Dijon mustard, ground pepper, and a few shakes of Italian Seasoning

Pretty much zero prep time, no carbs to speak of, and muy high in protein and omega-3s (from the fish, the nuts, and the oil).

To go lower on the sodium (the sardines have about 500 mg), substitute a hardboiled egg or two and don't add salt.

Morning routine, replete with vitamin D, wind in the hair, hugs and sunshine:

  1. 22 minute park walk with the pups, kids, and my honey
  2. 30 min garage treadmill session, moderate program with RESET loping, HR 116-130s

BP still doing alright -- no longer in the hypertensive range, though I'd still like it lower. So next steps will be losing another 5-10 lbs, and carefully adding another activity layer to the running foundation, all while carefully monitoring BP, energy levels, injury proofing, etc.

 

 

 

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Filed under  //   exercise   Primal   RESET   running  
Posted June 19, 2010
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What happens when you mix a return to Vibram Five Fingers running with a slow moving cute puppy

A pulled calf muscle, that's what.

Decided to use the VFFs to combine a doggie walk, runnin' with the younguns, and an outdoor run -- 3 birds with one stone, at 130 bpm.

Treadmill running works different muscles than regular running, doesn't it?

And VFF running the way I'd been doing it, trying to emulate The Great Ali as I floated like a butterfly on my forefeet, is different from regular running.

And so is doing side shuffles to mix things up -- and our little pup doesn't do running at daddy speeds.

Lots of springing in place.

Could use some liniment, and a Mr. Han laying on of hands to the old calf.

Learning about the body every day, yessir.

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Filed under  //   exercise   running   Vibram Five Fingers  
Posted June 12, 2010
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How the heck do you change others' behavior to start a movement? TED source video lesson in 190 seconds -

via ted.com

Abso-frakkin-lutely a gem of a video.

Whether you're in medical IT, social media, or business -- anywhere that creatively influencing others is key -- it doesn't get any pithier than this 3 minute narrated video.

Want to start a movement (substitute here, "change your employees' behavior," "convince colleagues of your insight," or "generate snowballing interest in your product or services")?

It's all here. Slap yourself in the forehead, omigosh clear.

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Posted June 9, 2010
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