The Brownies

January 8th, 2012 by Nick Jacobs No comments »

San Diego Chargers - Nick Jacobs, FACHEFive years ago, I wrote an article about my visit to the Steelers/Chargers game in San Diego. It was a special birthday gift for my brother. The Jacobs boys were dressed in Bettis shirts and, even though the Steelers lost that game, the San Diego fans screamed at us the entire way to the bus and wanted to brawl with us. If you have ever seen the two of us, even without the Bettis jerseys, you’d realize that not only was this humorous; it was hilarious.

Well, an old friend called me on New Year’s Eve told me he had an extra ticket and asked if I’d like to go to the Browns/Steelers game with him. The good news is that this guy has good seats. The bad news is that he lives there and is a Browns fan. The trip to Cleveland wasn’t bad, roads were clear, sun was in and out, and it only took two and a half hours to get there. (Getting back was an entirely different story that begins with the words…Lake Effect.) There are no tunnels, lots of four lane highways, and because the Browns had lost eleven games, there was almost no traffic on the way into the stadium. My buddy and I met at a downtown bowling alley/restaurant, had a salad and headed for the stadium with over an hour to spare. He was in his Browns attire, and I had my terrible towel.

As we got closer to the stadium entrance, we saw what could only be described as a gigantic human traffic jam. There were literally thousands of people jammed up outside the stadium, and no one was moving anywhere. This is when the fun began. Several police cars passed us with lights and sirens flashing and roaring, and left us Browns and Steelers fans literally stacked on top of each other as we tried to get into the game.

Terrible Towel - Pittsburgh - Nick JacobsAt first there were a few rough words from Cleveland fans. For example, the Pitt in Pittsburgh was replaced with a plural word that rhymes with Pitt and ends in burgh. Then things started to heat up a little with more shouting between both sides in this massive stationary mob scene. Because neither my friend nor I would be considered Ultimate Cage Fighters, we just moved silently ahead one tedious inch at a time, hoped and prayed for the best.

Halfway through the first quarter, we made it to the pat down gate and watched as couples were broken up and women were sent to the back of other lines that were female only. We found this to be a curious situation because normally there would be a bag search line and a no bag line, but it is not typically a male line and a female line. Then we noticed something really strange. They were making the non bag carrying women remove their hats and gloves. What the heck was that about? Had there been a tip that some female terrorist was smuggling plastic explosives under her hat or in her mittens?

I stood beside one Cleveland fan who told me that he had been coming to these games for 55 years and had never experienced anything as brainless as this. Bottom line, we arrived at our seats three quarters of the way through the first quarter. Our outside the gate wait was nearly 90 minutes and no one, not the guards, not the friskers, not the ticket takers, not the ushers, and not even the hot dog sales people seemed one bit concerned or remorseful. I’m not sure what the announcers were saying about all of the empty orange seats, but the place was probably sold out. We just weren’t able to get into the stadium.

As soon as we sat down the 50 mph winds, rain and snow hit hard, but we won!

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In the Room of an Eight Year Old

January 7th, 2012 by Nick Jacobs 2 comments »

His room is a virtual wonderland of enjoyment and entertainment.  It is a kid’s world of both toys and secret stuff.  Hanging from the underside of his top bunk are helicopters, at least four of them, filled with miniature GI Joes or WWE figurines ready to rappel and hit the bottom bunk bed to engage in a toy war or a wrestling match unprecedented in scope and dimension anywhere in this galaxy.
The floor of the room is covered with cat’s eye marbles from his race game, a DSI, his Harry Potter books and the white cardboard from my recently laundered shirts.  On these cardboard canvases, are incredibly complicated and elaborate drawings of pirate ships surrounded by sharks, whales, a dingy  or two and either soldiers or pirates from other ships poised to sword fight their way to ownership of the booty hoarded within the bowels of these terrorist vessels.  There are cannons firing into the sails of the enemy and bearded men with patches, hooks and peg legs fighting across the decks.

On his desk, which is a worn antique procured from the estate of his great grandparents, sits a wooden box that his father bought for him during his time in Iraq.  In that box are many of his most prized kid treasures: decorative coins, an arrow head, the tiny jaw bone from some skeleton found in the woods near his house, and multiple folded dollar bills of various denominations that had come from either his birthday party or various other celebrations.

On the dresser is an aquarium with two chameleons, neither of which are usually discernable with the naked eye as they disappear on either the brown piece of drift wood or the decorative green plastic leaves that had been carefully placed in the glass container.  The exhaust fan and light/heater are on 24/7 as the chameleons are fed a stable diet of crickets and more crickets.

On the window sill above the desk are several kid trophies from his numerous athletic accomplishments such as wrestling, horseback riding, football, soccer and baseball.  They say things like, attended wrestling camp, or participated in the horse show; you know, trophies that sometimes are more indicative of one’s capacity to breathe than to actually win any given sport, but they are his treasures.

There is a baseball autographed by the entire Pittsburgh Pirates team that someday will probably be worth less than the $12 paid for the ball, and beside that is a small statue of his favorite retro football star, plus a bobble head of what could only be described as a Thor-like figurine that is most probably representative of some other wrestling dude.  Finally there are pictures of him and his sisters from various Easter Bunny, Santa Claus visits.

Under the bottom bunk of the bed is a virtual arsenal of Nerf guns,  fake plastic knives, a flintlock pirate gun,  a toy compound bow with no arrows, and numerous Dollar Store plastic hand guns and automatic AK-47’s.   He carefully explains to me that, should an intruder make it past his dog, Chipper, and up the stairs to his room, he will be comfortably positioned under his bed and armed to the teeth.  (I pity the fool.)

The cupboard is filled with both new and hand-me-down clothes, and on top of the end table is a clock that consistently flashes the wrong time, no matter what time of the day or night you visit.  Finally, in the top dresser drawer is a collection of his poppa’s old cologne and a beaker where he carefully mixes his own, sometimes overwhelming fragrances.

It’s a virtual womb of comfort, practicality, and fantasy where everything is in place to imagine and dream his way through childhood.  I’m sure someday soon, he will add his own microwave and refrigerator. Oh, yeah, that would be college.

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THE AMERICAN BOARD OF INTEGRATIVE HOLISTIC MEDICINE (ABIHM)

December 17th, 2011 by Nick Jacobs No comments »

 

STATUS OF THE FUTURE

 

The ABIHM was incorporated in 1996 with a vision to establish and maintain the highest standards of medical care, ignite and sustain the joy and passion of physicians in their work, establish the role of unconditional love as the basis of healing and support, and to recognize the importance of the health of the planet as integral to human health. Since 2000, the ABIHM has provided the only peer reviewed, psychometrically validated certification process in comprehensive integrative holistic medicine to over 1600 Diplomates.

 

When the ABIHM was incorporated, educational opportunities in integrative holistic medicine were scarce. The past 15 years have brought tremendous growth to the field, and training programs in integrative medicine now abound. Many residency programs are offering integrative opportunities, and fellowship training programs in integrative medicine are becoming increasingly available.

The leader in the integrative medicine fellowship arena is the Universityof Arizona(U of A), whose directors have initiated a relationship with the American Board of Physician Specialties (ABPS) to develop a new board of integrative medicine. For more information about the ABPS, please see www.abpsus.org. The ABIHM has been invited to participate in the development of the new board, as have a number of representatives from academic institutions. Many have historically inquired about the possibility that board certification in integrative medicine might be recognized by the American Board of Medical Specialties (ABMS). Both the ABIHM and the U of A have explored this prospect, and all indications are that the ABMS is not interested in recognizing such a specialty. The ABPS is currently officially recognized in 33 states, and it is our hope that more state medical boards will rapidly follow suit in recognizing the ABPS.

It is important to explain that the new board plans to require a fellowship level of training as a prerequisite for board certification. The number of required hours has yet to be determined.  However, at least during the first few years that the new board exam is offered, the fellowship requirement will be waived for active Diplomates of the ABIHM.  Nonetheless, ABIHM Diplomates who wish to pursue certification through the ABPS will need to sit for the new exam.  For ABIHM Diplomates who do not wish to undergo ABPS certification, the ABIHM intends to continue to offer its maintenance of certification process into the foreseeable future.

The ABPS anticipates offering the new certification exam as soon as 2013. Therefore, the ABIHM plans to stop offering its certification exam after January, 2013 (though these dates are not fully established). The ABIHM will offer the certification exam several times over the next year, as a means to offer more robust opportunities for those who do not wish to pursue a fellowship to become certified by the ABIHM and/or to be forgiven the fellowship requirement by the ABPS, should they wish to sit for the new exam:

  1. January 22nd, 2012, at the conclusion of the Scripps Natural Supplements Conference inSan Diego (paper and pencil exam);
  2. May 7th-18th, 2012; this is a computer based exam offered in 200 cities within theUSA andCanada;
  3. November 2nd, 2012, following the ABIHM/Scripps Annual Review Course, The Science and Clinical Application of Integrative Holistic Medicine inSan Diego (paper and pencil exam)
  4. January 28th-February 9th, 2013; computer based exam

The ABIHM supports the development of the new board as a natural progression of the work we have done over the past 15 years to establish the standard for knowledge in integrative holistic medicine. We see the new board as part of the evolution toward a higher and more broadly recognized standard, and we are proud to be a part of the process.

Feel free to contact our office by phone at 218.525.5651 or email at admin@abihm.org if you have questions about these plans. Please recognize that while we have described the current nature of the situation accurately, the process is still under development and subject to change.

 

Yours sincerely,

The Board of Directors of the American Board of Integrative Holistic Medicine

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Music for Healing

December 13th, 2011 by Nick Jacobs 3 comments »

As some of you may know, I’ve been on a journey for almost a decade and a half to find the connections between music, vibration and health or healing.  We have studied the works of indigenous man, listened to the quotes of comparative mythologist, Joseph Campbell on the power of music, read Nancy Shute’s article about a study, published by the Cochrane Collaboration which looked at 30 clinical trials of music therapy, both those led by trained music therapists and ones where patients listened to recorded music on their own. Both methods were found to reduce anxiety and pain, and to improve mood and quality of life for cancer patients.  Music may also improve heart rate, breathing and blood pressure in cancer patients, the review says.

While at the Windber Research Institute we engaged in a study commissioned by the Yamaha Foundation to determine the genetic nuances of music as a stress reliever and a few weeks ago we passed around a story from NPR where a musician  and teacher named Holland performed sound studies on various cancer cells and saw a 50% reduction of cancer cells in pancreatic cancer . . . but this is still a work in progress.

We have known that indigenous man has used music as a part of healing ceremonies for thousands of years, and we know the impact that music can have on us emotionally.  In fact, back in the early part of the 21st Century we spoke with scientists and leaders from the University of Hawaii and the University of Pittsburgh who were doing studies regarding the bending and folding of proteins within our bodies as they responded to music.

There are also numerous studies demonstrating that music provides some relief from Autism, and from an undocumented Autism blog we read the following:  Autism is a neuro-developmental disorder that affects children, and its effects can be seen as early as infancy. Symptoms may appear at the age of six months, and the disorder is established before the child reaches three years of age. Typical symptoms of autism include impaired communication and social interaction, repetitive behavior, and limited interest. Autism is considered a disorder because it prevents the affected person from being self-dependent and leading a normal life. Most autistic people are unable to take care of themselves, even after they reach adulthood, but there are a number of them who have succeeded in becoming independent after they received proper guidance during their childhood.
Music therapy helps in treating autistic children, but it has to be applied with kids in mind. It should not be too complicated for them to follow. Music that engages autistic children in dancing and singing works very well in helping them communicate and develop social skills. Autistic children respond to music by singing in the same note, and some of them may even start communicating through singing. They may take up an instrument to play, and this will help them gain interest in acquiring a certain skill. Music therapy can help different autistic patients in different ways, but generally, it is beneficial to them because it makes them more responsive to things around them.

The reason behind such great response to music is that autistic children do not engage in normal social activities, and music sessions give them an opportunity to express themselves. Music therapy for an autistic child starts with learning how to play a musical instrument, as he or she may get intimidated by human contact. Slowly, the therapy moves on to include singing and even dancing, if the child shows interest for such activities. This gives the child an emotional outlet as well as a sense of fulfillment, which were lacking in the past because of limited social activity.

I’m still not exactly sure where this is all going, but today, I heard a segment on “The Splendid Table” on NPR in which an Austrian wine maker has successfully applied music to the craft of making wine.

Sonor Wines    December 10, 2011
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December 10, 2011

Episode Rundown

19:36 – 25:03 Sonor Wines of Austria

Markus Bachmann uses a unique fermenting process with his wines: He drops a speaker in the tank, plays music, and “the yeast starts doing total different things.”

The speakers have magnet and not membranes which makes the wine fluid  the membrane.  The vibrations mix the yeast . . . and the movement of the sound waves determines the type of mix.   Consequently, the yeast doesn’t have to move to get its food.   This effect is referred to as glycering and produces high end and enriched aromas plus it causes the yeast to use all the sugar.   The result is that it produces a very dry wine and sometimes sweet flavors.  Through this method the wines taste very rich and very mature, but it is actually a new wine, a new wine that tastes three years old.  It also tastes wooden but has never been in a barrel.  Mr. Bachmann describes it as a very oily wine that when tilted against the side of the glass creates sheets and not legs.   Finally, he says that the key in the music is that it depends on frequencies, volume, pulse.  It is like mixing the wine and keeps it more alive.  He has discovered that there is 30% more yeast that is alive at the end of fermentation than in regular fermentation processes.

http://splendidtable.publicradio.org/listings/111210/

Music for Grapegrowing
by Angela Ricci on June 28, 2011 – 12:47 amNo Comment

Sonor Wines is the brainchild of Viennese food and wine expert and horn player Markus Bachmann. This pioneering method exposes the wine to music during fermentation – a process that, according to its Austrian inventor, refines the finished product.

Bachmann explains that once in the steel fermentation tanks, a biochemical reaction is set into motion by tiny vibrations triggered by the sound. He also believes that varieties of wine that have been treated using this technique contain less sugar, have a fuller flavor and are more drinkable.

Different genres of music are also said to give the wines different characteristics. In principle, any type of music can be used, from symphonic works to hunters’ classics, waltz and polka melodies and even Viennese folk sounds such as Schrammelmusik. The process has been put to the test at the Wienbauschule Klosterneuburg on a Grüner Veltliner white wine. A number of leading growers have put the new approach into practice, including Vienna-based producers Peter Uhler and Franz-Michael Mayer, who have already bottled the first generation of Sonor Wines.

So, I’m going to keep on keeping on as I look for music/healing answers and would enjoy hearing from scientists and healers alike as this journey continues.  Seriously, folks, we know that the vast majority of our pharmaceuticals come from the rain forests or the oceans . . . why isn’t it possible that all of the cures that we need for everything are right here within our grasp?  Hmmmmm or oooooooooooooM?

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The Patient-Physician Connection

November 28th, 2011 by Nick Jacobs 2 comments »

With age, one sometimes begins to accumulate wisdom, and, although I am not one to focus on the woulda, shoulda, coulda opportunities that have passed me by, one regret that I surely have is that I had not met Dr. David Rakel  until about three years ago. Dr. Rakel is the Director of the University of Wisconsin Integrative Medicine program.  He attended medical school at Baylor in Houston, Texas, and completed a family practice residency in Greeley, Colorado.  He is a doctor, a father, an academician, but most importantly, he is a healer.  Of all of the physicians that I have ever known – and there have literally been hundreds of them, Dr. Rakel embraces all that is good in the medical profession.

David P. Rakel, MD - Healing Hospitals - Nick Jacobs, FACHE

David P. Rakel, MD

In his presentation, “Placebo or NoCebo,” David outlined the ingredients present in a healing environment:  1. A relationship with a helping person, 2. A healing setting, 3. An explanation that gives a sense of control of a symptom.  4. A ritual procedure or plan that involves active participation of both parties – patient and clinician – that results in belief towards action.  He spoke passionately about the importance of touch, the intrinsic value of healing, and the fact that something was done with the ritual.  One of my favorite, tongue- in- cheek quotes that David had was from Voltaire: “ It is the physician’s duty to amuse the patient while nature cures the disease.”

Dr. Rakel talked about the intelligence of being positive while giving the prognosis, showing empathy, empowering the patient, and demonstrating the importance of having a connection between the physician and patient.  I’m sure that I’m not capturing all of the salient points that David carefully made, but I am sure that I understood his commitment to connection with the patient and the significance of using as many positive words as possible to convey that connection.

Once again, a great quote from Dr. Rakel revolved around the fact that you get better faster if you have unconditional love from your pet than a bad connection with your doc.  He and his research on the common cold both suggested that, “It is better to stay home and be licked by your dog, than to spend time  at a clinic with a grumpy doc!”

His recommendations to his residents and to all of the physicians to whom he lectures is that the physician needs to display empathy, compassion, patience and the ability to listen.  His counsel to meditate revolved around the need for us to get out of our chaos and influence self-healing mechanisms.  He described this journey from awareness to awakening to authenticity and finally to awe where the closer that we get to authenticity, the more beautiful our lives become.

Dr. Rakel then launched into numerous studies that evolved around the placebo effect such as the study where arthroscopic knee surgeries were “faked,” but resulted in positive outcomes.  By referring to obesity as working toward optimal weight; chronic pain as myofascial health, depression (and this is my favorite) as potentially happy, the patients are not labeled with negative implications, and we accomplish a shift in our intentions.  Not unlike what Newton, Einstein and Stephen Hawkins have done in physics, perceptions have been shifted by changing the manner in which we observe things.  He said, “How about if we tell the patient that they are potentially happy rather than clinically depressed?” Our intention is reflective of our future.

Finally, Dr. Rakel suggested that physicians protect time in their schedules, create space, create positive patient expectations, be fully present and listen to the patient, that they offer support and collaboration and create a plan by using words that heal rather than words that harm.

Right on. Thanks, Dr. Rakel.

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Temporary Immortality

November 8th, 2011 by Nick Jacobs 2 comments »

ABIHM Header 1 - Integrative holistic medicine

I’m speaking at the American Board of Integrative Holistic Medicine’s Educational Conference today at 2:00 PM, but have been listening intently to the various presenters — my fellow board members, throughout the event. All of these folks are MD’s who embrace holistic (body, mind and spirit) and integrative (the world’s greatest) treatment modalities for appropriate care in medicine.

I’ve learned about Abraham Flexner who wrote a white paper in 1910 that became the de facto guideline for what would be taught in medical schools; essentially, a reductionist approach to practicing medicine which has led to the modern formula of medical practice, where the physician asks, “What’s your chief complaint.” Then he or she treats that — many times as if it were a stand-alone, unconnected condition, unrelated to any other causal factors.

This type of practice has virtually eliminated the holistic approach and pushed medicine into ICD9/10 codes, (currently going from about 14,000 codes to nearly 68,000…in fact, there’s even one, specific code for “injury caused by riding on the back of pig.)  It all becomes a matter of diagnosis of disorders leading to the prescription of drugs. The U.S. is spending $308 billion a year on pharmaceuticals, which is one half of the expenditures of the rest of the entire world in drug purchases. We’re spending about $14.6 billion on anti-psychotic drugs and $10 billion on antidepressants, alone.

The $2.5 trillion that we are spending on healthcare in the United States is NOT allowing us to live longer than other countries, and the really sad news is that most of these expenditures are for preventable diseases. About 90 percent of our expenditures are because of stress related issues, and when we take such amazing statistics into consideration as the fact that the United States consumes two times more fat than Asia, three times less fiber, and 90 percent more animal protein, it has to make us think a little bit about this course that we are currently pursuing.

If you study the statistics, you’ll see that China consumes less red wine than us…but their population lives longer. Japan consumes less fat than we do, and their population lives longer. Italians consume much more red wine than we do, and they live longer. Germans do everything wrong, i.e., eat high fat, drink lots of beer, eat sausages and fats and even they live longer than Americans. What must our conclusion be? Maybe living in the United States is the problem? (Just kidding . . . but maybe it is the fact that we are so intensely committed to a more-is-better philosophy.)

As a population we eat about 50 tons of food in our lifetime. In fact, it’s probably been closer to 51 tons for some of us, and, for the most part, we’re eating lots of chemicals, insecticides and antibiotics in our unnatural and subsidized corn fed animals, and farm raised fish.

Where am I going with all of this? Have you ever been around a really cocky kid who acts like he or she is invincible? That’s why our highest death rates in the teenage years are primarily related to automobile accidents with Caucasian teens and guns with many of the ethnic teens. They truly believe that they are invincible.

It’s always been interesting to me that those people who have been fortunate enough to have lived charmed lives with no sickness and no close relatives or friends who have died have a certain air of immortality that surrounds them. They are lulled into the belief that they will beat the odds and live forever. We are, in fact, on a finite journey that requires us to provide some self-nurturing, lots of personal lifestyle education and a willingness to try to do what is best for our long term quality of life issues the majority of the time.

The bottom line? as my blogger friend, Paul Levy says in his most recent blog post, we are dealing with “temporary immortality.” So, live every day as if it is your last and take better care of yourself.

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People You Need (and People You Don’t)

October 31st, 2011 by Nick Jacobs No comments »

Tom Atchison - http://atchisontom.com/ - Nick Jacobs, FACHEA few weeks ago, I mentioned that I was in Santa Fe, NM for an ACHE educational training course. Since then, I’ve been thinking a lot about some of the things that were said there by Master Instructor, Dr. Tom Atchison, Ed.D. (a/k/a, Yoda), the President and founder of Atchison Consulting Group. In fact, a few of the tidbits that he offered have been wedged in my brain to the point of obsession. It took me 40+ years to learn some of this, and now I am dying to share it. If you are a boss, a manager, or an employee, it applies equally to everybody, and the information has been valid for as long as mankind has roamed this earth.  So, thanks to Dr. Tom, I can finally articulate it.

SSCS…yep, that’s it. SSCS. If you know what these letters stood for, you can stop reading now, but let me explain. In any group of workers, volunteers, employees, leaders, there are four very distinctive types of people:

Stars

There are the stars, and we all know the stars. No, not the “I’m going to get paid a million dollars to pose for a magazine” or for “selling the rights to my make-believe wedding” kind of stars. Rather, these are the bust your butt, be on the right seat in the bus, make it happen, hard working, cooperative, dedicated stars. They’re the people who lead the way and make things happen.

Skeptics

The next group of employees is the skeptics. Skeptics are generally really good people, sometimes slightly below the star category because they question everything in a meaningful, truth-seeking manner. The only problem with the skeptics is that they take a lot more energy than the stars. You must keep them informed, up to speed and appeased. Once they do get it, they are on board and make things happen in a big and important way. It’s just a little harder to get them there.

Cynics

Next we have the cynics. These people are insincere, and they are motivated by self-interest. They question everything, but more importantly, they dis everything, don’t cooperate and try to block every idea, action or activity. They are the ones who work behind the scenes to make sure that things don‘t get done, that people don’t cooperate and then openly criticize each and every idea no matter how sound the concept may be.

Slugs

Finally, there are the slugs. Usually they are nice enough people, but on a scale from one to ten with the stars being a ten, the slugs are exactly what they sound like. In fact, in reference to printing, the word slug came from traditional hot-metal printing where a strip of type metal is used for spacing that is less than type-high, hence a slug to fill in SPACE! They are space-fillers.

So, here’s what leaders who were present at this workshop were told. The cynics suck your life out of you by continuously challenging and undermining everything, and the slugs add no value to the organization. The problem with stars is that they are often taken for granted, or passed over because they are consistently amazing, and because we spend so much time dealing with the cynics and redoing everything the slugs don’t do.

His solution? Fire ‘em. (The slugs and cynics, that is.) Now if that seems a little harsh, maybe it’s because we all know and love both slugs and cynics. Unless you’re a tenured professor or the boss’s kid, it’s really tough to stay in a job where you do these sluggish and cynical things over and over again. Of course, if you fall into either of those categories, you could change!

Final advice? Be kind and nice and wonderful to the stars and the skeptics, and spend time explaining everything to the skeptics so that they embrace the concepts and dreams and vision and move forward with the rest of the team. Oh, yeah, and help the slugs and cynics find work, especially if you can find them work with a competitor because they will be the gift that keeps on giving cause they’ll probably be cynics and slugs for the next place, too, and all of those disgruntled patients and customers will come to you!

The new Brad Pitt film, Moneyball offers some object lessons here…

“We’re building a baseball team, here. We’re not looking for Fabio. We’ve got to think differently!”

“Who’s ‘Fabio?’”

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Steve, Dean and Nick: Be “Insanely Great.”

October 25th, 2011 by Nick Jacobs 1 comment »

Steve Jobs - HealingHospitals.com - Nick Jacobs, FACHE
During this time of economic uncertainty, the recent loss of creative, innovative leaders like Steve Jobs and Dr. Lee Lipsenthal adds to a collective national and personal concern over what seems like a serious lack of truly inventive and ethical leadership. Who will represent the next wave of 50-something leaders, and how will their personal characters influence upcoming generations?

One hope that I have for the future is Dr. Dean Ornish, a man who has been a personal friend, mentor and physician to both Mr. Jobs and Dr. Lipsenthal. To describe Dr. Ornish as a man of character, knowledge and creative medical vision would be akin to calling Winston Churchill a “good dinner speaker.”

Dr. Ornish and I have a long history of friendship, respect and support for each other’s work. Years ago, wanting to avoid being a heart surgery patient, I began to explore alternatives to legacy procedures and regimens. And, not unlike Steve Jobs, whose initial interest was also to avoid having his body violated by surgery, my research led me to the work of a young Dr. Dean Ornish. As soon as I learned more about his extraordinary program for coronary artery disease reversal, it was a simple decision to invest my own personal funds in one of his intensive workshops, held near his home in California.

Dean Ornish at PopTech (2009) - Camden, Maine - Nick Jacobs, FACHE - HealingHospitals.com

Dean Ornish at PopTech, Camden, Maine (2009)

 

As providence would have it, my own work resulted in what became a steady stream of research grants, and my subsequent personal decision to include Dr. Ornish in our appropriations for the next half-dozen years at the hospital and research institute where I previously served as President and CEO. Each year, I fought to have at least one million dollars invested in the Preventative Medicine Research Institute in California so that Drs. Ornish and Lipsenthal could continue to move forward in their research, as well.

Once, Dr. Ornish asked me, “Nick, what do you really want from our work together?” Without a moment’s hesitation, I replied, “Dean, I want to lose the question mark after the name of the town, ‘Windber.’  Whenever I tell people where we’re based,  they usually respond, ‘Windber?’…’You mean Windber, PA… the old coal mining town?’” Some history here: I had been hired by the board of rural 102-bed, acute care hospital in that historic, rural community to either radically turn it around, or shut it down. For me, the latter option was never a consideration.

Among the many transformational changes we made as part of the turnaround was to be among the first hospitals — and most probably the first rural hospital — in America to implement Dr. Ornish’s evidence-based program that arrests (and can even reverse) the effects of coronary artery disease. The results — with patients of broadly diverse ethnic backgrounds — were so successful, that we were asked to present to the World Congress on Cardiology in Belgrade, Serbia in 2007 on our outcomes and research discoveries, garnered from our experience implementing the Ornish program.

We were also instrumental in introducing the program at other sites for Highmark Blue Cross, as well as a host of other innovations and reforms at our own hospital; from live music playing, to fountains, delicious, nutritious food, cooked by classically-trained chefs, 24-hour family visitation and… wait for it… pajama bottoms for the comfort, dignity and modesty of our patients.

The goal: an environment entirely dedicated to the healing of body, mind and spirit.

The result: among other verified successes, one of the lowest hospital acquired (i.e., nosocomial) infection rates – less than 1%) in the U.S., where the national average is around 9%.

And, yes, we were profitable. Consistently profitable, quarter over quarter.

On one flight in a private plane with my board chairman and me from Cincinnati, Dr. Ornish and I had mutually planned to spend some “quality time” together – collaborating, planning and just trading stories about our experiences. Instead, he wound up honoring an emergent commitment as a personal health advisor and consultant to the leader of an Asian nation, and spent the majority of our flight in direct, one-on-one communication with this person. Awesome? That’s just the kind of guy he is.

My personal hope is that Dean Ornish will take up the mantle for both Jobs and Lipsenthal, as he takes his wellness programs to new levels through mobile apps and enterprise solutions using  iPhones and other mobile devices, and iPads and other tablets, making innovative use of social media technology. (Talk to my friend Mike Russell about that.) My further hope is that  Dr. Ornish’s success as an agent of influence and change will continue to be used in a powerful way, to not only help improve the health of the world, but to continue to positively influence public policy in the United States, as well.

Newsweek cover - Dr. Dean Ornish - Healing Hospitals - Nick Jacobs, FACHEDean Ornish has long been recognized as a leader, a man of character and a visionary, but with the loss of two of his closest friends, the pressure to perform grows exponentially greater. So, my best to you Dr. Ornish. Thanks for your confidence in my work. Keep the faith, and keep up the good fight to make a phenomenal difference in this world, thinking in insightful new ways and never resting on your laurels. As your friend  Steve Jobs famously said at his Stanford commencement address, “Stay hungry. Stay foolish”…but especially the phrase he immortalized early in his career: be “insanely great.”

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Going “Rogue” – An Open Letter to Healthcare CEOs

October 17th, 2011 by Nick Jacobs 1 comment »

For the past three years, I have had a chance to dig heavily into the future, and I’m pretty convinced that the old saying, “Necessity is the mother of invention,” has never been more true than in today’s healthcare environment.  What was a given before in healthcare management may no longer be so in the future, and since most hospitals only Chief Innovation Officer is the President him or herself, their tasks of visualizing, understanding, deciding and directing the future of the organization will be shifting even more heavily from quantitative deciding-and-directing to the more qualitative visualizing-and-understanding side of this leadership equation.

Although I understand the reluctance of most CEO’s to be on the bleeding edge of creativity, my experiences at my former positions can significantly reduce or mitigate the majority of risk from any decision regarding innovation.

Our new competitive environment has an insatiable appetite for information, access and connectivity and it’s a well known fact that a periodic injection of chaos fosters creativity and forces your co-workers to leverage technology.   Because most organizations already have an environment that is built on trust and collaboration, injecting a little creativity can put their CEOs in more of a position to be the orchestrator and the inspirer.

That Used to be Us That Used to be Us is the new book by Thomas Friedman and Michael Mandelbaum in which they analyze four specific challenges Americans face as a nation—globalization, the revolution in information technology, the nation’s chronic deficits, and our pattern of excessive energy consumption—and spell out what they believe needs to be done to sustain the American dream, and achieve true supremacy based on innovation and excellence.

As an innovator and futurist,  several sections of this book captured my imagination and brought closure to a myriad of beliefs that I have instinctively embraced over the past few decades.  When my responsibilities revolved around the CEO position, I always saw my job as being a contributor to an environment where creative decisions were embraced allowed to happen and then those innovators were rewarded and inspired to keep going.

As the co-founder of a Research Institute, one issue that continually resonates with me is that  “We don’t have enough ‘rogue’ CEO’s in healthcare administration to take risks so that the rest can benefit from both their successes and knowledge.”

Well, fortunately, I’m your guy.

For the last several years I have been out there implementing unusual things, and many of these disruptive ideas are coming to pass in a big way.  I was the first hospital CEO to blog, starting in 2005 (HealingHospitals.com), was an early Planetree board member, created the first breast cancer research center dedicated to the Department of Defense, and filled my hospital with Integrative Medicine, hotel amenities, and music.

Below, I’ve listed thirteen new examples of areas of innovation, in which we’ve been working for the past three years, as well as numerous ways to pay for these initiatives.

 Thirteen Examples of Disruptive Technologies and Practices That Hospitals Need to Understand 

  1. Robotic algorithmic software that improves emergency room flow by 37 to 50 percent.
  2. Financial transaction software that reduces electronic transfer fees exponentially (25% of health care income is from electronic transfers.)
  3. Utilization of nurses and actuaries as patient advocates to significantly reduce your employee health costs.
  4. Preventative medicine reimbursements that can double a physician’s income and add bottom line profits to hospitals.
  5. Treble growth potential of your organization through adding Integrative Medicine
  6. Diabetic retinopathy telemedicine for Family and Internal Medicine docs.
  7. Proteomic and genomic testing creating new “hospital income.”
  8. Peritoneal lavage that extends Stage 4 cancer patients from three months to five years or more.
  9. Bone scaffolding that supports bone growth and virtually eliminates bone infection.
  10. Special bandages that protect and stem cell cocktail sprays that heal burn wounds
  11.  Access to a cancer consortium that allows small and medium hospitals to become Certified Cancer Centers
  12. Hospitals paid “not to play” during an energy crisis as a back-up to the power grid.
  13. Green hazardous waste disposal costing 25% less than traditional methods

If you’d like to learn more about any adopting any of the concepts above, or receive a leadership presentation that will enable your staff to see the opportunities (rather than just the threats) in our current, uncertain environment, here’s where to find me.

Why Are Hospitals The Way They Are? from Nick Jacobs, FACHE on Vimeo.

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Look, Up In The Sky…

October 7th, 2011 by Nick Jacobs 5 comments »

I have to admit that the 12-credit, continuing education course I signed up for was not supposed to be fun. In fact, I fully expected it to be two full days of classroom work, in a room with no windows, followed by exactly zero recreation time. I knew it would include a working breakfast, working lunch and a couple of bathroom breaks. I’ve done this before in places like Hawaii, Fort Lauderdale, Cape Cod; you name it. And,  because of my work schedule, I usually fly in, take (or teach) the course, sleep in some no-nonsense business hotel, then head home the following day. What have I been thinking about for all of these years?

Vintage New Mexico Postcard - Nick Jacobs, FACHE - HealingHospitals.comWhen I arrived in Albuquerque, New Mexico on Sunday and went to the rental car agency desk for my trip to Santa Fe, I should have guessed that something big was going on that week. The service representative told me that she could not rent me the compact car that I had ordered, but, in fact, had to rent me one of those black Secret Service type RV’s that hold eight people, a few rocket launchers and a small quad, but she’d cut me a break on the price. When I asked her about gas mileage, she put her head down and said something like, “Drill, Baby, drill.”  The helpful young lady informed me that the Albuquerque International Balloon Festival was taking place throughout the week, and there were virtually no rooms and very few rental cars available anywhere in the area.

Because I had run a visitors bureau in the 80’s, I had seen pictures of hundreds of hot air balloons floating over New Mexico and knew there was such an event, but didn’t realize it was, you know, this week.

My course was being offered by an organization called the American College of Healthcare Executives; the recipient of many thousands of my dollars over the last 25 years.  You see, they provide you with a credential that some hospital CEO’s have, and even when you’ve stopped running hospitals, it is important to keep paying them and taking courses in order to maintain the credential until at least six months after your death.

Albuquerque Baloon Festival - Humpty DumptyOne of the unusual things about this credential is that it is spelled FACHE.  My former assistant once asked me why I signed my name as Nick Jacobs, FACHE, but she pronounced it “fake.”  It actually means Fellow in the American College of Healthcare Executives, but, really, her pronunciation was more fun…and a great conversation starter, too.

The rain started during my 5:00 AM trip to Santa Fe and continued for two days.  So, because the balloons always fly very early in the morning, I never saw even one of them, but on my way to the airport this morning in the shuttle, I overheard a man and his wife discussing “the cow.” He went on and on about how big “the cow” was. It never dawned on me that he was talking about a cow balloon.  Finally, when he said, “Those were the biggest set of udders I’d ever seen,” I had to interrupt and question this discussion.  At that point he explained to me that the basket was in front of the udders, but I still didn’t get it until he laughed and said, “Heck, man, it was a hot air balloon the size of the Astrodome.”  Hence, the title of this post.

I’m glad New Mexico, the Land of Enchantment, isn’t wine country. Could you imagine finishing that 22nd sample of some great vintage, walking outside and seeing that colossal, airborne cow coming at you?

The course was great, the hotels were clean, and the people were nice, but missing that cow has me really upset.  I mean, how many chances do you have in your lifetime to see 600 hot air balloons flying overhead?  How many days in a lifetime provide a person with that type of visual opportunity?

It’s time to stop and smell some roses. From now on, I’m only going to go to courses that end at noon.

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