Thoughts on Just Completed Behavioral Health in Social Virtual Reality Event: Personal, Respectful, Insightful

Yesterday, during the National Council for Behavioral Health Conference, I hosted a one-hour meetup about behavioral health in social virtual reality, using the @AltspaceVR social VR platform. 42 potential participants indicated their interest beforehand. I’d guestimate about 20 ultimately showed up. The conversation was excellent, a provocative mix of personal stories, research, and insight. In the following, I’ll summarize some of the most interesting moments and observations.

First of all, I’ll set the stage, in this case, literally! We were avatars in a virtual set. The virtual set was a large room, with (apparently) a wood floor and a large projection screen on which I displayed one of the most favorited and retweeted #NatCon18 tweets. Three walls of floor-to-ceiling windows separated us from a mountaintop park and a sky full of clouds.

Here is a tour of the virtual space I used (the same as that I used during the recent #HIMSS18 conference)…

Our avatars are somewhat customizable. I was a brunette male in a blue shirt, almost, but not quite, a stick-figure man. But most of the other attendees appeared as floating robots. Some robots had hands that occasionally gesticulated. Heads, and therefore implied gazes, were in constant motion as we looked around at each other, depending on who was speaking, along with occasional nodding of heads in agreement. By the way, as far as I could tell, each of us was anonymous except for our AltspaceVR user handle (mine was ‘wareFLO’, the same as my Twitter handle, though I could have chosen a different AltspaceVR name to display).

About half a dozen avatars congregated and conversed. The rest wandered around, sometimes stopping to listen, and to occasionally interject or be drawn into the conversation. Others went off, some outside, gathering in what I assumed were conversations… the greater the distance between you and another avatar, the less the audio volume, just like in real life.

While I’ve occasionally hosted social VR events attended by one or two people, mostly to experiment with this new (to us) social media experience, this was the first larger scale event I’ve hosted. Frankly, I did not know what to expect. Should I be prepared to give a presentation to an audience? Should I ask people to introduce themselves? Should I just throw out questions, hoping to provoke conversation? Turns out, the last option felt most natural. I asked two or three questions about why folks came to this particular event about behavioral health, and eventually, someone answered. Which led to other folks chipping in. Which led to twisty-turny conversation, mostly about personal experiences with, and subsequent research about, such things as drug and alcohol rehabilitation as well as depression, but also about what social virtual reality has meant to each of us. One theme that came up multiple times was that anonymity behind our (to my eyes) cartoon character avatars was a plus. More than one person indicated or implied that while they were quite shy, that they were more comfortable communicating in the manner we were communicating.

By the way almost everyone was wearing a VR headset. Thus, they felt as if they were literally present in this virtual space. I found this interesting, while I have a VR headset, I was using one of the 2D desktop clients; I was the host and might have to occasionally quickly type a URL. Also, using the 2D Mac or PC clients is a great way to dip your virtual toes into AltspaceVR, prior to the expense of a compatible VR headset.

Here is how the conversation started off…

As a group, we speculated how stress might contribute to triggering mental illness episodes. We discussed how workplace culture can be oppressive when it comes to alternative lifestyles. We talked about kindling (“process by which a seizure or other brain event is both initiated and its recurrence made more likely”) in the context of alcoholism and epilepsy, which lead to a discussion of PTSD (post-traumatic stress disorder).

Then the conversation pivoted to VR technology itself, including speculations about a new generation of less expensive standalone  VR headsets about to be released. Here, I took advantage of having some real VR experts present to ask a lot of questions, such as how some folks were able to have, and gesticulate with, virtual hands (requires high-end headsets and extra hand movement detection hardware) and how much that added to the  VR experience. One person remarked that they gesture a lot with their hands in real-life, so it definitely feels more natural to them to be able to do in VR. Someone joked that someone was giving me a virtual massage, and I turned around to see that indeed was the case. What a strange but interesting moment that was!

Then I asked if folks saw any uses for  VR in behavioral and mental health. I heard several yeses. We discussed how it is potentially easier for many people to speak to a VR avatar than a real person, even if there is a real person behind the avatar. I said I was reminded of research from decades ago about patients more comfortable about divulging sensitive information to computer interviewer. I wondered, can  VR help with social anxiety? Someone noted they were afraid of public speaking, but they experience no such anxiety in social VR.

I asked if anyone had participated in the Blab group social video platform a few years ago. Some had. I noted that some folks from my Twitter social media community had really taken to Blab, but that others were resolutely resistant. I wondered if some of what we were discussing about VR and social anxiety might be relevant.

Interesting, someone raised their hand (an emoji of a hand appeared over their avatar’s head) to explain they were absolutely petrified anxious in real-world social situations but had no problem at all in social VR. (Of course, I’m thinking, wow, they had no problem raising their hand and telling us, a room full of strangers, this personal experience, wow…). Further, they believed their experience in social VR was also helping them better manage their social anxiety in the real world social situations.

We talked about VR tech again for a while…. but then again conversation returned to emotional well-being. An attendee referenced an AltspaceVR user (not at this event) who had lost his parents, and been terribly disfigured, in an automobile accident, but found great solace participating in social VR. This sort of story certainly stimulates my imagination about how social VR can help not just shy people, but folks in more extreme psychological and physical difficulty.

We eventually went past our scheduled hour by about 10 minutes. As folks took their leave, and we said our goodbyes, I felt just like when I occasionally throw a small party in the real world, and we’ve finally come to the end of the night, even though it was still 1:10 PM in the afternoon.

Here are several observations, looking back on the experience. First of all, despite anonymity, there was no troll-ish behavior, not one bit. I occasionally Periscope, and invariably have to block one or two commenters. AltspaceVR also has the ability for the host to block a participant, but I didn’t want to have to use it. Everyone seemed quite kind toward each other. In fact, I was reminded, somewhat, of group therapy sessions I participating in when I was a medical student. I hope all of my future social  VR experiences are as pleasant.

Finally, the topic of Ready Player One did not come up, not even once. 🙂

I hope I have piqued your interest in social  VR, and the  AltspaceVR platform. If you’d like to participate in one of my upcoming Health Systems Chats in Social VR Series of events, head on over to!

Smartbutton Social Media Sightings Before, During, and After #HIMSS18 #BEAM4healthContest!

A.S. (Antescript, the opposite of a postscript…) I think programmable interactive smartbadges, smartbuttons, wearable health IT conference hardware, are the future of conference badge technology! One cool idea will/would for a vendor to give all their representatives a BEAM smartbutton and control their slideshow content from a central marketing situation room. As the conference progresses, topical content could be continually updates, sort of like the daily newspapers at HIMSS18.

In the past I’ve been to several hardware conferences (such as the Open Source Hardware Summit) that gave attendees programmable computers with displays that functional as customizable interactive badges. Around the first of the year I researched programmable conference badges to assess the state of the art. I even started to build my own, out of a Raspberry Pi Zero, battery, and LED display. And then I discovered the BEAM Authentic customizable programmable smartbutton. I tweeted a 2:20 minute video of a slide show I created (about workflow, of course)…

…and @Lygeia suggested we buy a button to give away during HIMSS18 as part of what came to be the #BEAM4healthContest.

Specificially, we looked for patients telling a story about how they used technology to empower themselves. While there eventually were 73 tweets with the #BEAM4healthContest hashtag, there were probably more like a hundred to total, if you count tweets misspelling or omitting the hashtag. The post collects some of the most interesting, including videos of, and graphics for, the BEAM smartbutton.


Oh, the winner of the #BEAM4healthContest? @MedPinkRanger! She create the following animated GIF, telling her story… watch it and let us know what you think she said!

Me? I see a long and winding road. Lots of dead ends, but also lots of persistence. Finally finding the door to a diagnosis. Ending, finally, with a very clever Conway Game of Life explosion! (visual pun?)

PS More recent tweets about BEAM Authentic:

Social Media Ambassadors’ Patient Power Tech Challenge Winners & Next Steps

The #BEAM4healthContest contest spearheaded by Lygeia Ricciardi & Chuck Webster was a fun way to learn & highlight patient empowerment through information and technology

By Lygeia Ricciardi (@Lygeia)

A sample #BEAM4healthContest entry

In our roles as Social Media Ambassadors for HIMSS, Chuck Webster (@wareFLO) and I teamed up to run a contest celebrating patient power through information and technology and, at the same time, exploring a new technology.

What We Did

Using blog posts (HIMSS18 Social Media Ambassadors kickoff patient power tech challenge), Twitter, and LinkedIn, we challenged participants (the contest was open to anyone) to create an image celebrating patient power using the BEAM button—a digital smart button you wear on your clothing that lights up like a mini-TV screen. Using an app on your phone you can program the button to show a still image, slideshow, or short GIF movie. The button lets you bring digital communication right into the physical room with you, without the distraction of turning to a phone.

Contestants used the BEAM app to design images, and share them on Twitter. We announced the winner and an honorable mention at a meetup at HIMSS, and made awards including a BEAM button (for the First Place) and some awesome 3D-printed gear made by Chuck (for Honorable Mention).

The Winners

We had some creative entries—thanks to all who submitted them! First Place went to Twitter user Pink Ranger (@medpinkranger), based in Boston, who submitted a couple of entries. One was a crossword made up of words related to patients, technology, and health:

Crossword by First Place winner Pink Ranger

What really impressed us about Pink Ranger, though, was her animated GIF made from 121 individual JPG images that shows how technology creates a sense of connection in healthcare. In her words, electronic health records (EHRs) “open doors and give us a bigger picture. As we engage more with one another, magic happens.” This is her GIF:

Animated GIF by First Place winner Pink Ranger

Unfortunately, the BEAM button doesn’t yet enable users to upload and project their original GIFs the way they can display images and slideshows—but that feature is in the works. For now, BEAM users are restricted to using GIFs from a subset of existing ones on

Honorable Mention went to Lisa Davis Budzinski (@Lisadbudzinski), a patient advocate and the cofounder of Central Pain Nerve Center. Her BEAM slideshow rotated to show the Central Pain Nerve Center logo; an image of herself and her co-founder, Rebecca Brandt, illustrating the fiery pain nerve patients endure; and a playful picture of them displaying their pink socks. Pink socks and the #pinksocks virtual community is a grassroots effort related empathy and change in healthcare. (Side note: it always makes me happy to link parallel advocacy and change efforts to leverage and amplify each others’ work!)

Images from the BEAM slide show that won Honorable Mention

We received other great entries, like this one from fellow HIMSS Social Media Ambassador and Janae Sharp (@CoherenceMed), related to health IT and mental health.

So What?

Through the #Beam4healthcontest we tried a new technology, celebrated patient power, and connected via social media with some fabulous people with creative ideas.

We also learned that launching a tech challenge just days before the HIMSS conference isn’t the best timing. Although the contest was not limited to HIMSS participants, many of the 40K or so HIMSS attendees were overwhelmed by the task of finding a cup of coffee, never mind downloading an app and designing and submitting a creative message. If we’d started earlier, we likely would’ve had more participation. In addition, we discovered the limitations of this particular technology (as mentioned above, BEAM doesn’t *yet* let you upload a homemade GIF or transmit directly from a social media feed, though both functionalities are in the works). But by definition exploring technologies on the edge means trying what is and imagining what might be in the near future.

So what’s next? Personally, I intend to keep experimenting with BEAM and other digital tools that are new to me, as well as looking for ways they can empower patients and other individuals to be their healthy, best selves. And Chuck is consistently pushing the envelope in technical tinkering and applications to improving workflow!

We are considering running another contest involving BEAM or another gadget that is just out of the mainstream. What do you think? Would you want to participate? If so, what technologies would you like to learn about, and what would make the process most easy and fun for you?

Augmenting 21st Century Health Conferences with Social Virtual Reality

In previous related posts (1, 2, 3) I’ve discussed social virtual reality (using @AltspaceVR) and my use of it during the recent HIMSS18 conference. In this post I present one possible path toward incorporating social media, virtual reality, and augmented reality into the health conference experience.

The goal will be to smoothly blend IRL/F2F (In-Real-Life/Face-to-Face) physical experience with online social virtual reality and augmented reality digital experience.

The first requirement is a virtual conference space that mirrors, in some ways, the physical conference space. While building such a space may seem like a lot of work, startups are already working on automatic conversion of digital architectural files into virtual reality models and experiences. Most social virtual reality platforms have tools for creating custom virtual event spaces. Here is a tour of the space I used during #HIMSS18. It was prebuilt. I did no customization except the HIMSSTV video and the floating white text orient new arrivals. However, it gives you a sense of how you can move around and what avatars look like.

Imagine something like the above event space, but a bit larger and containing rows of exhibitor booths. Each booth has a table and a backdrop. Both contain, on their virtual surfaces, various branding information (logos, taglines, etc.) and content (text, video, interactive apps, etc.). At the end of the aisle is a viewing area and a virtual projection screen. You are wearing a virtual reality headset and appear to others as they appear to you, as a customizable cartoon character-like VR avatar. You can move around and talk to other attendees. If you are using a VR headset, you feel as if you are physically present in this virtual space.

During the actual, physical conference, videos of keynotes and select parallel sessions are streamed live. Audio is audible within viewing area, but subsides to a murmur when you are between the virtual exhibitor booths.

At the physical conference, each booth is equipped with an inexpensive (~$100) 360 video spherical camera capable of live streaming 360 video over Youtube Live. Here is an example of video I streamed from the recent HITMC conference in New Orleans.

Click through to Youtube and view in appropriate browser or VR headset to view in 360 video mode. One of the four dozen inexpensive #HIMSSVR VR glasses I sent to my favorite Twitter friends work great too!

In a compatible browser you can pan around to look in any direction, including look back to see folks emerge out of the audience to receive their awards. One award recipient was not physically present, but watched the announcement of their receiving the award. If you watch until the end, you see folks milling around, chatting, next to the camera. While video resolution is low, it nonetheless feels as if you are literally present, especially when the camera is addressed, or glanced at, directly.

Here is my 360 video camera rig from #HIMSS18…

Now imagine waking over to a booth, clicking on a link or hotspot (possibly represented by a 360 spherical camera on a tripod) and then suddenly viewing the booth, including staff, attendees, and conversations among them, from the point of view of a 360 video camera among them. The feeling of transition is reminiscent over changing to street view in Google Earth. Someone in the booth looks at you (that is, looks at the 360 video camera) and say, “Oh, hi!” And then conversation ensues. Viewer comments can be seen via the Youtube Live activity stream. (Yes, typing is difficult while wearing a VR headset! One might temporarily doff the headset and switch to web browser 2D mode, or, in the not not too distant future, use a device such as the Tap glove to enter text without an apparently keyboard.)

That is what can be done in the near term, using existing, inexpensive technology. In the longer term, if this is a workable and desirable vision, you’ll see more seamless, turnkey, services offered by startups. Also, we’ll see lots of improvements in every dimension, from higher resolution 360 video (s)ee examples from the recent #VirtualMed18 conference 360 video livestream, which used a high-end 360 video camera) to more customizable avatars (so they will look more like their owners) to cheaper, more comfortable, functional, and convenient (look for standalone Daydream and Oculus headsets next month!).

So, what will a similar experience be like farther in the future, say, by 2050? Try this out. Yes, it seems like science fiction, but then SF has predict most of our modern technologies!

My Social VR Avatar on my Social Smartbutton

Wearable smart glasses and virtual reality headsets will be anachronisms. Their functional will be in us (implants, in our eyes, or even brains), and surround us in such a way we don’t even notice it (ambient & ubiquitous computing).

Here will be a typical morning for a potential health conference attendee. An internal alarm clock gently nudges them awake. Lying in bed, without opening our eyes, we review notifications which apparently scroll up the inside of our eyelids. They’ve been filtered and sorted by our implanted AI assistant. With which we can silently converse via subvocalization, so as to not wake our spouse. We mark a future health conference as interesting.

Later, conference details scroll up the wall in your breakfast nook. You notice a virtual option. You authenticate (to get the discount) and pay via a combination of blockchain and bitcoin.

Meanwhile, someone else, who you’ve never actually met in real life, but is your best friend, sees the same conference. Since they live in the same town where is to be held, they choose to physically attend.

On the day of the conference, you walk into a white room, the floor of which moves in any directly (like an omni directional treadmill, this already exists). You blink slightly longer than usual, an contextual AI interprets this as a command (like a click) to enter the conference venue. When open your eyes, the white walls are now 360 screens surrounding you with what appear to be the actual conference venue (this also exists, and was demoed at HIMSS18 in the Intermountain booth).

Meanwhile, your friend walks across the park, into the physical event facility, and as they do, you see them seemingly enter your immediate vicinity, near the health conference “registration desk” (no longer needed for that function, but present out of tradition, and as a point of common reference, for example, “I’ll meet at the reg desk). Your friend is projected, via augmented reality (perhaps glasses, perhaps smart contact, or perhaps smart implanted corneal lens), into the room with you, the backdrop of which is the health conference venue.

You two then walk togther, to your first session. The floor moves beneath your feet. The venue’s background shifts perspective. And your friend appears to walk beside you.

And so on! You get the idea. Virtual reality, augmented reality, the internet of things, will all work together to create the illusion that you and your friend, plus hundreds of colleqgues (some physically present, most virtual present), are attending a health conference together!

Wrap Up!

I hope you’ve found my fevered speculations about the future of health conferences, leveraging virtual, augmented, and mixed reality technology, entertaining. But I also want to be educational. Just like the four dozen #HIMSSVR glasses I sent out to Twitter pals (just in time for some of you to feel as if you sat in the front row at #VirtualMed18), I’m trying to combine two worlds I love, the HITSM/HCLDR twitter sphere, and the social VR-sphere. I hope you’ll invest some time playing around with this cool tech, so you can become a pioneer in the heath conference experience on demand (after a great book about VR, Experience on Demand).

By the way, great minds think alike. Lot of people are thinking about how to use virtual reality and augmented reality at trade shows! An obvious use is to entice folks into your booth so they can experience AR or VR, and to then show them something about your produce. But folks are also beginning to think along the lines of this post. How can we blend physical and digital tradeshow experiences?

Here are some interesting references.

PS It’s also worth thinking about how virtual reality, augmented reality, and smart buttons and badges fit into today’s #HITSM questions! See my Smartbutton Social Media Sightings Before, During, and After #HIMSS18 #BEAM4healthContest!

BTW, today’s #HITSM tweetchat is about the future of health conference experience, so…

T1: What can conference organizers do to provide tangible value to conference registrants – and those considering registering for the conference – BEFORE the event starts? #HITsm

Send attendees inexpensive VR googles, which work with either iPhone or Android, to view 360 videos of exhibitor products and services in action. Perhaps from the point of view of the patients! Though I’m not sure how many people would willingly go through ED and then into and out of surgery this immersively! (Wait, actually, I think a lot of rollercoaster, bungee cord jumping adrenaline junkies would jump at that chance!). These same VR googles can than be used used by colleagues to attend virtually in the manner described above.

T2: What are some of the most interesting and useful ways you’ve seen conference speakers and panelists share information to, or interact with, conference attendees? #HITsm

Each and every slide should include the speakers Twitter handle, conference hashtag, and an explicit exhortation to share on Twitter. I now do this every time I speak. If you can get folks to type your twitter handle into the twitter client to tweet about your talk, they’ll often follow you too. Another thing I do is literally give the talk before the conference while recording the audio. Then I match the slides to the audio in iMovie and upload to Youtube. And then I include that URL on the slides too. The way audience members can tweet not just the slide, but a close approximation to the entire talk. Getting back to virtual reality, the next time I speak (about workflow, usually), I’ll live stream 360 video. I often periscope my presentations. If I use a fish lens I can set my phone on the podium and viewers can see both my slides and me. In a sense, 360 video is the ultimate fish eye lens! Folks can see my slides, me, and even swivel to observe activity in the audience.

T3: What technology-based approaches can conference organizers and exhibitors use to create new or enhance existing opportunities for content identification, acquisition, and dissemination? #HITsm

Technology-based? Virtual reality (see above) and smart buttons/smartbadges! BTW, there is a connection. These badges can sense where they are and the direction they point. So they could serve to knit together virtual and augmented realities of the health conference experience. Imagine, though your smart glasses, being about to see the “ghosts” of virtual attendees. And virtual attendees being able to see the “ghosts” of physicial attendees in their virtual world. And then being able to communicate!

T4: How can those physically attending a conference and those ‘following along remotely’ originate, share and/or discuss conference-related content? #HITsm

I think what I describe above goes miles toward allowing folks to not just follow along remotely, but rather to feel as if they are literally, physically present at the health conference.

T5: What can conference organizers and exhibitors do to provide additional value to conference attendees and others AFTER the conference is over? #HITsm

Access to slides, obviously. But I think the most important thing conference organizers and exhibitors to provide is a means to continue the networking conversation. Getting people to follow each other, wherever, on LinkedIn, Twitter, etc. Which is why the “social” part of #socialVR” is so important. Social platforms, like LinkedIn, Twitter, and Facebook, allow you to follow and friend. If you ever used Blab or Firetalk, the social group video platforms, you’ll recall that after you register interest in an event, you’ll get a notification it is about to go live. Whether in social VR or social none-VR, encouraging and supporting these communities is the most important thing to me as conference goer. Just as conferences host before and after conference tweet chats, I’d love to see them also host social virtual reality experiences.

Bonus: What are some of worst examples of a conference organizer ‘dropping the ball’ that you’ve ever experienced or heard about? #HITsm

I’ve been very lucky. I’ve never been to disaster of a conference. And I can’t, at the moment, think of any such in healthcare. However, most of the controversies I’ve heard about in the IT conference industry in general have been about representation and diversity.

PSS Testimonials!

From #HIMSS18

From #VirtualMed18

My Trip Report: Virtual Reality, Artificial Intelligence, and Workflow at #HIMSS18

“We are your here!” said anchor and host Adam Johnson (@AJInsight on Twitter) during our interview on HIMSSTV (the first live segment, 9AM, March 6th).

“Hereness”! It really is a word (noun: the state of being here in this place, according to the Webster Dictionary). I’ve been thinking about hereness a lot recently, ever since I started traveling to distant places and meeting distant people via virtual reality. For example, I watched the recent eclipse, with others, in real-time, via 360 video, wearing a VR headset, SIX TIMES, as it moved from Corvallis, Oregon, to a cruise ship off Florida. HIMSSTV is an important move toward making folks feel as if they are “here”, present at the center of action, at HIMSS18, at future HIMSS conferences, and in between!

If I had to boil HIMSS18 down to a half a dozen takeaways, here they are… (keep in mind, I’m a quirky person with idiosyncratic, even obsessive tastes…)

1. HIMSSTV is great!

In our house we have the news on, in the background, most of the day. When I got back from HIMSS18, I replayed all 9 hours HIMSSTV on ROKU instead. Loved it!

Action item: + Add Channel!

2. There were a lot of virtual reality demos on the exhibit floor!

Check out the photos on Twitter. The Virtual Reality Gets Real in Healthcare educational session at HIMSS18 emphasized that VR increasingly learns from, and adapts to, patients and clinicians. Costs keep dropping and the Star Trek holodeck is getting closer!

By the way, during HIMSS18 I hosted two-hours-a-day of social virtual reality experience. Folks from all over North America and the world, some wearing VR headsets, hung out in a cool meeting space in a beautiful Park on top of a mountain, discussing health IT!

Here is a tour of that space…

And here is one reaction to participating.

Action item: Join me in social virtual reality to chat about health IT!

Workflow has arrived in health IT, big time!

Workflow, and its technologies (workflow engines, graphical editors, workflow analytics…) have finally arrived in a big, big way. As an industrial engineer (basically a degree in workflow), who went to medical school, I’ve been evangelizing workflow technology in healthcare for almost three decades. Every year since HIMSS12 I’ve searched every single website of every single HIMSS exhibitor for workflow-related content, and then blog, tweet, livestream, and now host social virtual reality experiences, about it. Back then, believe it or not, hardly anyone even mentioned it. Now almost everyone has some sort of workflow story. This year my search query was: “workflow engine” OR “business process management” OR BPM OR RPA OR “robotic process automation” OR orchestration OR orchestrator. As a result I tweeted about over 200 exhibitors (peruse here, even if you don’t have a Twitter account).

Action item: Apply my Litmus Test for Detecting Frozen EHR Workflow (which applies to healthcare software in general).

Ai yai yai! AI!

Don’t get me wrong. I love artificial intelligence. I have an MS in Intelligent Systems, met John McCarthy (who named AI), and attended lectures by Herbert Simon (sometimes called the father of AI). Also, see my pre-HIMSS17 series, including A guide to AI, machine learning and new workflow technologies at HIMSS17 Part 1: Machine learning and workflow. The key to getting useful results from AI and machine learning is to ask, show me the workflow! Show me, step-by-step, MY workflow, and how AI/ML applied at a specific step in MY workflow, increases something good, or decreases something bad. That said, I saw a lot of AI/ML startups taking about customer workflow, particularly in combination with robotic process automation tech.

Action item: If someone tries to sell you an AI/machine learning solution, shout “Show Me The Workflow!”


If you’re interested in workflow, draw it and show it to me. I’m genuinely interested. You can contact me via Twitter ( or my blog’s contact form. (

If you’re interested in HIMSSTV, watch it!

If your interested in all the above, including artificial intelligence and machine learning, book your hotel in Orlando for HIMSS19! Review proposals! Submit a proposal! Exhibit!)

If you are interested in virtual reality, I have a really great book to recommend, it’s called Experience on Demand by @StanfordVR. It just came out. It’s about virtual reality from the point of view, not of a techie, but of a psychologist. It’s full of medically-relevant examples, from training to pain management. It’s about achieving hereness, through “presence”, the “illusion of non-mediation.” (My interpretation? Presence is the illusion that an illusion is not an illusion.) Since I was interviewed about virtual reality (and its connection to workflow) in the very first live HIMSSTV segment, watch it now! Please subscribe to my Youtube channel! I’ll post more segments from my social virtual reality experiences.

I’m so excited about VR, I’ve been playing Johnny Appleseed, giving away (over four dozen!) inexpensive VR glasses on health IT social media.

If I’ve run out, you can still get them on Amazon.