Social Distance for More Better Care

Please social distance so healthcare providers can see MORE patients and save MORE lives.  Yes. MORE. And that’s a GOOD thing.

Social distancing helps flatten the curve.  That is, the odds of getting the virus don’t change.  But the odds of surviving the virus DO change.

It’s not about IF getting the virus.  It’s about WHEN getting the virus.

Social distancing is not about protecting ourselves from getting the virus.  Social distancing is about slowing down the spread of the virus.

A flat curve means everyone that gets the virus gets care.  A flat curve means that MORE patients get care. A flat curve means health care providers are more rested, focused, and properly protected and able to give BETTER care.  A flat curve means need-a-bed, get-a-bed. It means need-a-ventilator, get-a-ventilator.

If you sold pizzas and your maximum capacity was to produce 100 pizzas a day.  To get a new oven will be at least one week from now. But, you need all the customers you can get to afford that new oven.  Would you rather get 700 customers today and only sell 100 pizzas? OR, would you rather get 100 customers today, 100 tomorrow, and 100 every day for the full week?  By the end of one week, you will have sold 700 pizzas and next week, you’ll be ready to sell 200 pizzas a day. Flatten the curve. Sell MORE pizzas.

Flatten the curve so that the healthcare system can serve MORE patients.  Flatten the curve so that the healthcare system can have the time it needs to build capacity.

Health & Happiness for All
Andrew

Canceling Sports and Covid-19

Respectful from the Start

I wouldn’t be adding to the deluge of opinions on Covid-19 if I weren’t honestly attempting to add value.  I also want to start by saying that global, federal, state, and local leaders, both from the public and private sector, that have decision making authority with public safety implications are in a tough spot.  I don’t envy their jobs.  Lastly, people are reacting differently to Covid-19 and I just want to encourage respect for all people in dealing with this global health crisis.

At the end of the day, this post is intended to be helpful for all people interested in slowing down the spread of Covid-19.

Point Counterpoint:
Cancelations and Quarantines

There’s significant evidence that Covid-19 could break our healthcare system and lead to unnecessary deaths if the disease spikes too rapidly.  The best piece of factual reporting on this topic that I have read is How canceled events and self-quarantines save lives, in one chart by 

Indeed, canceling events and self-quarantines will likely save lives.

BUT, should we be canceling ALL events?

Yesterday was a personal test of higher order thinking:

  • Major sporting events and seasons were canceled and/or postponed.  My reaction was that this sucked for everyone involved, players and fans, but ultimately was sound thinking.
  • My mother was put in a rehab facility that is quarantining all of their patients from any visitors.  No family members, loved ones, nor friends can visit.  The sad reality of the elderly passing away alone in nursing homes became very real.  My reaction was that this was beyond sad.  But it is also sound thinking as tough as a decision this is to make.
  • My son’s high school baseball season was postponed, including all practices.  My reaction?  This is negligent.

“Negligent”???  Sure, the response is strong.  It was my honest reaction.

As a Professor, I take seriously teaching our youth critical thinking skills and higher order thinking.  So, when having reactions like these, I need to take my own medicine.  I need to do the homework and do that critical thinking.

The Logic

#FlattenTheCurve is sound judgement to slow the spread of Covid-19 and spare a crippling effect on our healthcare system.  It is in many ways the 2nd order effects of the illness that will result in deaths not caused by the virus itself.  Rather, they may be deaths due to those that need care for other reasons being denied  from an overwhelmed system of care.

So, when considering a response to Covid-19, also consider the higher order impacts.

Canceling major sporting events that draw crowds in the 10s of thousands may suck.  But, it is sound thinking.

Quarantining at risk populations such as the elderly in nursing homes is very sad.  But, it is sound thinking.

Canceling high school sports???  Let’s think about the higher order impact.

High school student athletes are among the healthiest group of young adults.  They can carry Covid-19 with little to no symptoms.  They are involved in an activity that has a built in quarantine.  They are a small group that spend nearly all waking hours together practicing and playing.

What happens when state and local sports associations and school districts cancel sports, including practices?  What will these 15-18 year olds do with the sudden spike of free time?

A good friend of mine noted that their high school lacrosse team self quarantined in an ice cream shop.

I call it negligent behavior because those making these decisions are trying to do the right thing.  But in effect what they’ve done is to reverse the built in quarantine of high school sports.  Their second order impact has released a potentially contagious yet healthy group of young adults into an unusual array of locations they would otherwise not be found.  This can have the opposite effect of flattening the curve of Covid-19, and instead be a contributing factor to spreading the disease.

High School Athletic Associations and Local School Districts should consider sound thinking regarding sports.  Even if schools get canceled, which may or may not be sound thinking, they may want to consider keeping sports in place.

There are some sound considerations these organizations can make.  Consider limiting fans to under 100 people.  Consider restricting travel to teams outside of a geographic region.  Consider postponing large tournaments and events that do draw the bigger crowds.  Consider distancing measures, such as limiting post game handshakes.  Consider hygiene measures, such as having the players bring their own personal water bottles and not sharing from a cooler.

Canceling practice?  This is where negligence shines the brightest.  This is an isolated space of young, healthy athletes together under the leadership of their coaches.  There’s literally no better place for these young adults to be for the health and wellbeing of our own families and loved ones that are at risk of Covid-19.

Respectfully and Considering Health & Happiness for All
Andrew

Just a Slice a Pizza Post

Drew and I like Pizza.

Growing up in Rutherford, NJ, pizza was a food staple.  My favorite pizza hangout is Park Tavern, just over the tracks in the old home town.  But a slice?  That’s got to be Benny Tudino’s in Hoboken.

Drew, he was born in Chapel Hill, growing up right on pizza at IP3.

Today we live in Downtown Raleigh, NC … and there’s some great pizza options around here.  We love Trophy Pizza, Vic’s, and Amedeo’s when ordering our pies.

Last week Drew and I wondered, “where’s the best slice in Raleigh?” and started by venturing out to a few new places.  Drew made a survey considering factors such as quality of the crust, cheese & sauce, atmosphere, price, time to get the slice, and size of the slice.  You can check out Drew’s survey here, noting that 1 is the lowest grade, 5 the highest, and helping us collect data next time you head out for a slice.

We hit up 8 slices of pizza in two days in the following order of slice eaten: The Original Ruckus in Mission Valley, Slice of NY Pizza on Hillsborough St., Times Pizza on Wilmington St., Oakwood Pizza Box on Person Street, Moonlight Pizza in Boylan Heights, DeMo’s Pizzeria & Deli in Glennwood South, Bella’s Wood Fired Pizza in Morgan Street Food Hall, and Frank’s Pizza on New Bern Ave.

Bella’s wasn’t my favorite, but our only big disappointment was Slice if NY on Hillsborough.  It was real dive, not in the good way, playing classical music and littered with TVs playing a combination of blank screens, corn hole, and women’s basketball (not that there’s anything wrong with that) … but NOT airing the NFL playoff game going on.

On the flip side, The Original Ruckus hands down had the best atmosphere.  The rowdy crowd kept a balloon afloat while the Patriots were dominating the Chargers (with local hometown favorite at QB).  Their pizza is great too … a large slice that’s a meal.

All of the pizza was good, but to Drew and me, Moonlight really stood out as the best slice in town (out of those 8).  We have a lot more pizza to eat and much more data to collect.

Let us know where you find your favorite slice in Raleigh or anywhere in the world with great pizza.  Leave us your thoughts in the comments section below, fill out Drew’s survey, or join the twitter conversation at #DiMeoPizza.

See you around town for a slice!

Health & Happiness for All
Andrew

Ignorance is not Bliss

A few years ago I was at a conference and heard a speaker speaker say:

“It ain’t what you don’t know that gets you into trouble. It’s what you know for sure that just ain’t so.”

He attributed the quote to Mark Twain.  I liked it and wanted to use it myself in future speaking engagements.  Wanting to ensure I got the quote right, I researched it that night.  The result was interesting … there was no record of Mark Twain ever using it.

Was the speaker being intentional?

Not long after,  I noticed the quote as it appeared during the opening of motion picture, “The Big Short.”

Now that must have been intentional, right? I hope so. I can’t imagine producing a movie and accidentally using a _fake_ Mark Twain quote.

At the moment, I’m reading12 Rules for Life” by Jordan Peterson. And here it is emerging again in Peterson’s outstanding book which dives deep into philosophy, religion, and history to devise a set of rules to manage the chaos of life.  And, if everyone followed, potentially make the world a better place. I might disagree with Peterson on some points here and there throughout the book, but, on the whole, he’s hard to argue with.

So when Jordan Peterson refers to a fake Mark Twain quote, it has to be intentional. I hope it was, and intend to tweet on the topic too see if we can hear from Peterson himself about his intentions of using it.

The answer might be obvious…, but, it would be fun to hear his thoughts.

Health & Happiness for All
Andrew

Use Everything

This morning I had an egg sandwich for breakfast.  It wasn’t any egg sandwich though.

You see, I’m visiting my parents in the town I grew up in, in the very house I grew up in.  Mom’s going to be 79 soon, and Dad recently turned 80.  They use everything.

When mom makes a chicken, or any meat with a bone, she’ll save the bones, and make a broth.  Fat drippings, reused.  Containers, zip lock bags, and most things I might call trash, they reuse.

I’m a critical thinker and I care about the environment.  So I ponder questions like, “Are electric cars really better for the environment?”

Just the other day, I saw a Tesla with a vanity plate.  It was something like 0EMISSIONS or ZEROEMSN or whatever it was, read out loud, “Zero Emissions.”

I wanted to meet this person and understand how they justified that claim, and in general, what they thought about the 1st, 2nd, 3rd, and higher order environmental impacts of the car.

What do you think about nuclear power plants, coal mines and coal energy plants, and other sources of electricity, including the waste that those plants create for our world?

What about other natural sources of energy? Solar, Wind, Waterfall? Have you considered the environmental impacts of those plants, what materials are used to construct them, capture the energy, and convert that into electricity?

What about the oil used to lubricate the components of that Tesla engine?

What about the batteries, how they are produced, and discarded, and that impact on our global environment?

What about the power exchanges from original source, through transformers and power lines all along the way, to the charging station, to the car’s battery, and then finally converted to locomotion?

I don’t have the answers to these questions.  Nor do I know what is better for our environment, gas guzzlers or electric cars.  What I do know is that the answer isn’t as easy as, “Zero Emissions.”

So yesterday, Mom and I went to the town’s farmers market and bought eggplant.  Last night, mom and I (mostly mom), made eggplant parmesan.  This consisted of flour, then egg, then frying, before layering into a dish with gravy and cheese.

There was a little egg left when we were done frying all the eggplant.  Mom said, “that pan’s still hot, fry up the rest of that egg.”

“This egg that we used for the eggplant?”

“Yes. That egg.”

Wrapped up in a likely previously used plastic, I found that fried egg in the refrigerator this morning, and used it to make a breakfast sandwich.

While I’m not so certain about electric cars, recycling plants, and solar power’s total impact on our environment … I do feel pretty good about using that egg.

Health & Happiness for All
Andrew

Thanks Dad

In 2012, I was invited to give a TEDx Talk at Wake Forest University’s Wait Chapel.  With over 1000 people expected for their inaugural TEDxWakeForestU event, the idea of speaking in front of that many people was something I didn’t take lightly.

This talk was a defining moment for my life as a public speaker and for my craft of coaching innovation and design.  With the market research and prep put into the talk, I ended up coining the process “Ideation through Enlightened Empathy” to describe the journey I was taking NC State Biomedical Engineering seniors through.

More importantly, it was recorded, watched, shared, and watched again.  Some of the people that watched it would reach out to me and provide feedback, constructive criticism, counterpoints, just plain criticism, and/or ask for clarification.

I’ve changed so much since this talk, both mentally and physically, that I often wish to have the stage back to do it again.  Bottom line, I learned more from giving this talk than any other … and thirst for that kind of learning.

I’ve always been a free thinking, open minded, criticism seeking person.  But, I didn’t actively enter into a blog or a lecture thinking that those opportunities to share were my biggest ROI for learning.  Thus the “Your Feedback Matters” on the right bar of this blog page.  Today, I take every opportunity to share with others as an opportunity to learn from the resulting discussion.

So, what’s this got to do with Dad?  It’s Father’s Day Morning right now, and I’m thinking about my Dad.  He turned 80 this year and he’s still sharp as a tack, especially when telling “Uncle Noon” jokes.

Well, during this talk, I make a note that my first motorcycle was a 1968 BMW R60/5 and compared that to Steve Jobs’ 1966 R60/2.

“If this is all I have, a motorcycle similar to Steve Jobs, then I’ve done something right. Right?”

What I failed to mention was that my first motorcycle, that I started riding in 1990, was originally bought, brand new, by my dad.  So, really, what I should have said was:

“If this is all I have, a motorcycle similar to Steve Jobs, then my dad did something right.”

Maybe that’s why I end my phrase in 2012 with a, “Right?” – a hint that something was missing.

My Dad was a pioneer in the computer industry.  After graduating with a Mechanical Engineering degree in 1959, we went on to work for the US Government to help develop the computer systems behind our national security system.

As a kid, I remember dad working as a computer center director for City College of New York and bringing home punched cards that I’d fashion into roadways for matchbox cards.

I can also remember with amazing clarity the day Dad brought home the Apple IIe from work, which I subsequently spent endless hours playing on.  I became an original leetspeaker where I gained elite status on the pre-internet bulletin board systems of the 80’s, allowing access to remotely located games and chat rooms. (Remind me sometime to tell you the story about my phone number up on the white board as a college professor.)

By the time I was turning 16, I grew bored with computers and was more interested in getting my hands greasy and working on cars, and  learned how to rebuild engines.

At 18, I asked my dad if I could have his motorcycle.  He said, “No.”  At the time, it hadn’t been ridden in yeas, and was collecting cobwebs in the garage, flat tires, dead battery, and in fairly significant disrepair.

Even though he said no, I bought the shop manual for the motorcycle and proceeded to take over the garage by tearing the bike down and rebuilding it over several months.

The day I started it for him, he handed me the title.

So, Dad.  Thank you for teaching me that rejection does not mean failure, and that hard work comes with rewards.

Happy Father’s Day

Health & Happiness for All
Andrew

20 years in a day

Things on DiMeo-dot-info have been quiet lately as I’ve recently made a significant career pivot from teaching biomedical (BME) senior design at NC State to Innovation and Design coach at Trig.

If you are looking for blog posts related to innovation and design, the best thing to do is subscribe to the Trig newsletter.  I’ll continue to post on occasion here at DiMeo-dot-info with a focus on more personal topics such as philosophy, education, and art.

Last weekend I celebrated a 20 year mark in BME.  It was literally 20 years in a day, and included faculty and alums first met in 1998 and students representing every graduating class from 2007 to 2018 (the time I served on the BME faculty).

The turnout lasted a solid 11 hours at MOFU Shoppe and left me speechless, not just from going horse after 11 hours of talking, but from the outpouring of support from so many walks of life including friends, family, former students, fellow alums, faculty members, and industry mentors.

A “thank you” to everyone that came, both in person and in spirit, simply doesn’t do it justice.  No words can.

A week later, I found myself speechless again as we spent the day in Wilkes County mourning the loss and celebrating the life of a 24 year old state trooper who gave his life in the line of duty.

Again, no words can describe the day.  It was by far the most impressive outpouring of love, support, and patriotism that I’ve ever witnessed.

In all, the week, Saturday to Saturday started with the 20 year celebration of BME, then the woman that married us visiting all week while volunteering her time at the AmeriCorps Build-a-Thon, the First Flight Venture Center’s Annual Low Country Boil, the funeral of a State Trooper, a gathering at Ponysaurus in Durham with the Trig team, a graduation ceremony for 20 new State Troopers taking on the roads this Memorial Day Weekend, and visiting with close friends in their new home, with their new baby girl.

From Saturday to Saturday, Abby was by my side…   A father brought his daughter to First Flight Venture Center…  A letter from a fiancé was read to her fallen hero…  Couples sat side by side at Ponysaurus and shared pictures of dogs…  Families celebrated their newly sworn in Troopers achievements…  A one-year-old girl explored her new home.

I suppose if I had to sum it up into one word…

Family

Health & Happiness for All
Andrew

Graduation Day

Today, students from the UNC and NC State Biomedical Engineering class of 2018 will cross the stage and receive their diplomas after 4 (or 5 or more) years of very hard work.

Over the past 12 years, I’ve had the distinct pleasure of welcoming these bright minds into a lab and taking a journey with them through a process of innovation.

In 2007, the class decided to celebrate the year of hard work with a symposium.  Since that time, pioneers of the program (the students) have transformed the symposium from a small crowd at MCNC to standing room only at the NC Biotech Center, to it’s current format, renting out the Durham Convention Center.  These students have transformed the class from academic projects to startup companies.

Last week, at the 12th annual symposium, I was honored to give the closing remarks.  Fittingly, it started with failure: (pro tip … never use the term “pro tip”)

The talk was a play on Star Wars: Lifelong Learners that choose to study Biomedical Engineering have the most innovative minds in the galaxy

It was graciously recorded by one of the students and I’m humbled to present it here today on this graduation day.  Congratulations to the class of 2018!!!

Health & Happiness for All
Andrew

Past/Present/Future Celebrations

In lieu of a blog post this week, I’ll encourage you rather to attend one or both of the upcoming events to celebrate the past 20 years in Biomedical Engineering, the current class of 2018, and the next 20 years for all of us together.

12th annual BME Symposium at the Durham Convention Center
Wednesday, May 2nd from 2:00pm to 8:30pm
http://bmesymposium.com/

Come see BME Seniors and i4 Competition Finalists present their work, Dr. Lalush give a keynote address, and closing remarks will be my last lecture as a BME faculty member.  Then join us to take over Fullsteam for an after party.

Restaurant/Bar Takeover
Saturday, May 19, Noon to 10pm at MOFU
https://www.mofushoppe.com/

Contrary to popular belief, my next career move is not to take over a restaurant or bar.  Although, based on the excitement of that potential news, I may have to seriously consider that as an option.

MOFU was opened up by BME alum Sunny Lin, and there’s no better place I can think of to have what we are now referring to as “Bar Sit Day”

I’ll be hanging out at MOFU from Noon until 10pm, so, if you are in town, please stop by to say hi, get a hug or a high five, and toast to the last 20 years and next 20 to come.

All Alums (class of 2018 too!), Faculty, Staff, Friends, Family and the BME Community are encouraged to come out on May 19 if you are in town!
Health & Happiness for All
Andrew

Pragmatic Yoga

Last week I was having dinner with a few old business partners and discussing some of the things we are up to these days.  They included design thinking, nondualism, and yoga.

At one point, Tony said, as he typically does: “OK, all this stuff is great.  But how are you applying this to everyday life?”

I was the one talking about Yoga, so, I started to rattle off some benefits:

  • Increased flexibility
  • Reduced back and joint pain
  • Breathing calmly in stressful situations

That last one lead into nondualism, which Tony has been exploring lately.  I guess I have been also.  Javier?  Well, he’s working for a design firm, and, I’ve been looking more into design thinking.  So, they all started to come together.

It was a fun evening catching up with Javier and Tony.  But that night, I had a hard time falling asleep, reflecting that my thoughts on pragmatism around yoga were weak.

Tony had a great example on pragmatic nondualism.  It’s a personal story, so, I’m not going to share it.  But the bottom line is, Tony truly took an abstract concept and used it to make life better.  Wham!  That’s nondualistic thinking right there?

Anyways, my answers were weak.  That’s what was keeping me up.

First, I started to explore this word: “pragmatic

Google seems to think it means, “dealing with things sensibly and realistically…

I think that was part of my hangup…  That this idea of being pragmatic meant to think in terms of reality.  I mean; we were eating at a Latin-Asian Fusion Cuisine / Tequila & Sake Bar in Chapel Hill.  That in and of itself was unrealistic…, but, it was still applicable to everyday life.

The bottom line is this: I’m of the opinion that totally unrealistic ideas can be part of an equation to usefulness in everyday life.  This notion is explored in detail in a Forbes / Tech post by Greg Satell: “How The Impossible Becomes Possible“.

As it turns out, the Latin and Greek roots of the word “pragmatism” stem from knowledge of the law and doing deeds.  BINGO!  Recall my post on “collaboration” in which the word “law” with respect to science was discussed.

Laws are what we use to describe scientific explorations that have been boiled down into what can be made useful.  We might not know what light is (wave? particle? both?), but we can boil light down to something useful (my students will get that one).

This definition of pragmatism felt better.  This notion that things we don’t fully understand (physics) can be useful (engineering).  Again, nondualism; right there.

Phew!  OK.  Now back to the deal with my response to Pragmatic Yoga being a weak one.

How is Yoga useful to everyday life, more than just making my body feel good and keeping calm under pressure?

There’s this part of Yoga were I’ve learned to be intense in one part of my body (maybe I’m standing on one leg and that’s really hard), while being totally relaxed in another part of my body (like keeping my shoulders loose).  Or, maybe it has to do with some vigorous flow, normally sending me into hyperventilation, but instead, I’m keeping my breathing at a calm, relaxed pace.

In every day life, we have fires burning all around us that need attention.  Fires burning around our jobs, our homes, our personal lives including friends, lovers, and family members.  From the bills we need to pay to the deadlines for work and the assignment at school; maybe we fail to see what’s really important and miss a child’s game or recital; or miss date night with our spouse.

I feel like sometimes, I may be stressed about everything.

Other times, I’m like The Dude, and just chill out, about everything.

Yoga.  How that applies to everyday life for me?  It’s about being able to mentally balance the fires.  It’s about attending to the important fires with great effort, while chilling out about the not so important ones.  That’s my answer Tony.

I would love to hear your points and counterpoints on this topic in the discussion section.

Health & Happiness for All
Andrew