My name is Denver...

... and I'm going to do a lot of things.

Stay tuned.

Latest Reading List

Slow goings, but going to pick up soon now that I dedicated myself NOT to write code for work outside of work hours.  

On the bookshelf: 

• Structure of Scientific Revolutions - Kuhn 
• Still Alice - Lisa Genova 
• A First Rate Madness: Uncovering the Links between Leadership and Mental Illness - Ghaemi 

On the Docket: 

• All The Strange Hours - Loren Eiseley
• Start with WHY - Sinek 
• Left Neglected - Lisa Genova
• Phantoms in the Brain - Ramachandran
• Battle Royale - Rowaiaru
• Doctors: The Biography of Medicine - Nuland 
• An Unquiet Mind: a Memoir of Moods and Madness - Kay Redfield
• The Drunkard's Walk: How Randomness Rules Our Lives - Mlodinow 
• Ready Player One - Cline 
• How Doctors Think - Groopmman 
• Look Me in the Eye: My Life with Aspergers - Robinson 
• Second Opinions - Groopman 
• One for the Money - Evanovich
• Every Patient Tells a Story - Sanders 
• The Center Cannot Hold: My Journey Through Madness - Elyn Saks
• The Fifth Discipline - Senge
• Only What They Could Carry - ??
• Under the Banner of Heaven - Krakauer
• Hippocrates Shadow - Newman 
• Consciousness Explained - Dennett 
• Death of the Guilds - Krause 
• Painful Yarns - Lorimer Moseley
• The Best Practice - Kenney 
• The Black Swan: Impact of Highly Improbable - Taleb 
• Dan Brown Books -  The Da Vinci Code
• Checklist Manifesto - Gawande 
• Blink - Gladwell (re-read) 
• One Step at a Time - Bliell 
• Courage to Teach - Palmer
• The Seven Laws of Magical Thinking.. - Hutson
• Blindness - Jose Saramago
• The Road - McCarthy
• The Postman - David Brin
• Oryx and Crake - Margaret Atwood
• A Canticle for Leibowitz - Miller
• Alas, Babylon - Frank
• Z for Zachariah - O'Brien
• Answer to the Question: What is Enlightenment? - Kant

Branding & Brand Loyalty

How does self image tie to brand loyalty?  Can we tie that to PT?

So I've started reading for fun again, finally.  I enjoy reading about incentives and decision making. The human capacity to fool itself amazes me.    My first brain-toy is this:  You Are Not So Smart.  It started as a blog written by @davidmcraney.  He's a journalist who writes about things that are fun and interesting.  I recommend checking out the blog or book!  

One chapter in his book stood out as relevant to some of the #SolvePT discussions. Craney pointed out that brand loyalty is created from buying (or buying into) unessential things - iPads or your favorite brand of smart phone. To oversimplify his point, spending a lot on something you don't need forces you to create a narrative in your mind about why you made the best decision for you.  A higher cost means a stronger internal justification.  It sounds to me like the effect lies somewhere between cognitive dissonance and confirmation bias.  Your unconscious interests in justifying your decisions tie directly to your own self image.  You are forced, after making the decision, to create a narrative supporting the decision. And ownership reinforces the emotional connection to "stuff."

Can physical therapy be stuff? Should it be?  Probably NOT.  I feel like the fact that we do not create the same brand loyalty to PT is a testament to our USEFULNESS.  Not to say that an iPad can't be useful,  but when you need physical therapy you definitely NEED physical therapy.  You never really NEED a new tablet. I am probably reaching here, but the idea of entitlement to PT via health insurance, and a client/patient's reluctance to pay for PT out of pocket definitely hurts our cause.  You lose the benefit of cognitive dissonance.  I am paying for PT, so I must value it!  

What's weird to me is the attachment people have to their chiropracters.  Does that the kind of brand loyalty Craney describes insinuates an unthinking devaluation of chiropractic care?  Craney also points out that for brand loyalty to occur, you must have OPTIONS, or a decision to make.  Reducing the # of options reduces buyer's remorse.  People LOVE their chiropracters and accupuncturists, and pay out of pocket for other services because they KNOW they have a choice!  The public is aware that they can go to a chiropracter first.  

Lets see if I can tie this together to make my point.  I am NOT saying we need to create a preception that people don't need us so that they have to justify going to see a physical therapist.  I'm saying we need to increase AWARENESS that we are a CHOICE, not just a place patients go because the workman's comp physician sent them to us. We need to give patients/clients/the public the opportunity to make [the right] decision about PT to allow self-image-affirmation to take over.  I think, too, that building a client/patient a reason to be more comfortable paying out of pocket will strengthen this bond.  Is this even possible???


Is anybody having success trying to create a self-paying base of patients/clients?

Your Carharts...

...should have to be checked in!

I just finished reading my National Physical Therapy Exam again courtesy of the FSBPT. 5 hours of stress, headache, and suicidal ideation and I decided to take a few days off!  Flying from Cody to Denver for the first time. Hard not to chuckle a little at the stacks of carhart jackets and boots people are trying to squeeze into those little plastic bins. 

6am flight. That's all I have today.

• Structure of Scientific Revolutions - Kuhn 
• Still Alice 
• A First Rate Madness: Uncovering the Links between Leadership and Mental Illness - Ghaemi 

On the Docket: 

• All The Strange Hours - Loren Eiseley
• Start with WHY - Sinek 
• Phantoms in the Brain - Ramachandran
• Battle Royale - Rowaiaru
• Doctors: The Biography of Medicine - Nuland 
• The Drunkard's Walk: How Randomness Rules Our Lives - Mlodinow 
• Ready Player One - Cline 
• How Doctors Think - Groopmman 
• Look Me in the Eye: My Life with Aspergers - Robinson 
• Second Opinions - Groopman 
• One for the Money - Evanovich
• Every Patient Tells a Story - Sanders 
• The Fifth Discipline - Senge
• Only What They Could Carry - ??
• Under the Banner of Heaven - Krakauer
• Hippocrates Shadow - Newman 
• Consciousness Explained - Dennett 
• Death of the Guilds - Krause 
• Painful Yarns - Lorimer Moseley
• The Best Practice - Kenney 
• The Black Swan: Impact of Highly Improbable - Taleb 
• Dan Brown Books -  The Da Vinci Code
• Checklist Manifesto - Gawande 
• Blink - Gladwell (re-read) 
• One Step at a Time - Bliell 
• Courage to Teach - Palmer
• The Seven Laws of Magical Thinking.. - Hutson
• Blindness - Jose Saramago
• The Road - McCarthy
• The Postman - David Brin
• Oryx and Crake - Margaret Atwood
• A Canticle for Leibowitz - Miller
• Alas, Babylon - Frank
• Z for Zachariah - O'Brien
• Answer to the Question: What is Enlightenment? - Kant

Note to self (again)...

Rule #1: Keep Your Mouth Shut
Rule #2: You Reap What You Sow
Rule #3: No One Can Help Your or Be Helped By You if You Won't Help Yourself
Rule #4: You Do Not Know Everything
Rule #5: Pull When Possible
Rule #6: First Seek to Understand, Then to Be Understood
Rule #7: Do The Job, And Do It Well

Can Anybody Help Me?

Want a checkbox to write this sentence (a very small portion of a much larger project) and it's not working... Any ideas??? Much longer (non-functioning) version here: MvtDscROUGH

Does anyone reading know PAXScript?



var FOXTROT,NOTES:String;
function LowerFirst( InStr: String ): String;
begin result := LowerCase( Copy(Instr,1,1) ) + Copy(Instr,2,1000);
end;
begin IF SF.GetFieldText('ExamMeasurement','ZZTRNSTYPE')='' THEN
   FOXTROT:='' ELSE
   FOXTROT:='Patient is able to perform ' +
   LowerFirst(SF.GetFieldText('ExamMeasurement','ZZTRNSTYPE'));

SF.AssignFieldText('ExamMeasurement','ZZTRNSNOTE',FOXTROT+NOTES); END; END;