Wednesday, May 28, 2014

Remembering Gifts: Maya Angelou

I think I smiled when I learned she died in the morning… some thoughts on the gift of Maya Angelou.

I woke up this morning to a New York Times notification on my IPhone that Maya Angelou had died. I paused, and thought hmmm…

I considered jumping out of bed and tuning in to the opening of the Today Show. Instead I got my coffee and got back under the covers and thought about her 1993 recitation at President Bill Clinton’s First Inauguration, “On the Pulse of the Morning,” and then I wondered who would be the first posters on Facebook.

“RIP Maya Angelou”

I have never liked the acronym RIP, it seems a cheat of words and a life.

I Know Why the Caged Bird Sings” came to mind, the title always grabbed me and I thought about her gift of using words to inspire people. Last fall when a "Tag, Your It, Post a Poem” game went viral on Facebook, I read “Phenomenal Woman” for the first time. Blown away.

I tried to name five Great American Poets. Robert Frost, Walt Whitman, TS Elliot and well, I struggled, somewhere an English Literature professor is cringing. But I do remember a few poems. Sometimes a verse sticks, “These woods are lovely, dark and deep, But I have miles to go before I sleep.” 

So I got distracted back on Facebook and was pleased that the usual suspects succeeded in posting her death before others. As the day progressed, it took about an hour before a few posts were quotes and verses she penned over the years. And finally there was a post with a YouTube clip of her reciting. Suddenly I heard “And Still I Rise” for the first time. 
I smiled thinking that she died in the morning. 

Back again on Facebook, I was struck by one comment about not caring about the death of a celebrity. A celebrity?

Maya Angelou inspired us with words. She used words as her tool. Just like a great baseball player uses a bat to hit a ball out of the ball park and we cheer in joy, and a singer uses their voice to soothe us, or a leader uses their gifts of negotiating to bring individuals together into a team, or a chef thrills us with his ability to blend flavors, and I was reminded of another simple Angelou quote I read this morning: "Be certain that you do not die without having done something wonderful for humanity" (Letters to My Daughter). And I somehow, thought about a mother’s gift of kissing a scrapped knee and lovingly placing a Band-Aid on her child's hurt.

So I started my day thinking about all the unique gifts my friends have. What they do to inspire others. What their tools were to showcase their talents. It made me think about all we let go un-acknowledge. All those great gift for humanity.

Maya Angelou inspired us with words. The same words we use every day. Often, odd juxtapositions of words. She inspired me today to set down my coffee and start my day and recall her final verse from “On the Pulse of the Morning” and I smiled again.

Here, on the pulse of this new day 
You may have the grace to look up and out 
And into your sister's eyes, and into 
Your brother's face, your country 
And say simply 
Very simply 
With hope -- 
Good morning.

Saturday, May 3, 2014

Coincidence? Some Folks Think I'm Lucky

Some folks think I am lucky. They always suggest I should head out and buy a lottery ticket. I sorta just shake my head, smile and instead think of old Mr. Magoo, the cartoon curmudgeon, blindly walking forward and missing the falling brick, missing the fast paced car and always landing on his feet after walking over a cliff. My luck falls in the category of what could have happened and didn’t but you never knew. So that’s how I like to think about luck. And I am reminded of luck, regularly. You see, I find four-leaf clovers. Probably I’ve found close to 300 in the past three years!

Here’s my trick, just glance down and you’ll see one, don’t try standing in a patch of clover. It helps to have your golden retriever by your side sniffing for a place to do his business. Maybe he’s my lucky charm.

Really it has nothing to do with luck, it is just my little belief in something a bit more meaningful, a bit of hocus-pocus, and a bit of the spiritual connections we want to believe in and heck, just believing things are not always coincidental.

I found a few four-leaf clovers over the years, and when so, I would show my Mom and she would always shake her head and say, “I’ve never found one, but my mother could, she’d look down to the ground and spot one in a second.” Years later, I was out on the lawn with my Mom and looked down and spotted one, and she said: “Just like my Mother. I’ve never found one.”

My mother’s mother died before I was born. There a family tale that after my grandmother died in the spring of 1960 my uncle gave my mom a prescription for sedatives to help her sleep. I came nine months later. And much later I started finding four-leaf clovers.

Just like stopping to smell the roses, sometimes you need to glance down and look, and I was doing quite a bit of that in early Spring of 2011, my business had failed, my financial position was destroyed and I had time to walk. Walked a lot with my dog. Someone shared with me later, that my posture was pretty bad in 2011, but being slumped over allowed me to glance down at the ground while my dog sniffed. And suddenly, though, I started finding four-leaf clovers again, and bringing them home. At first I pressed them in books, eventually just taping them to the back of old business cards. One day I found a great big one and taped it onto one of my personalized notecards and stuck it in the book I was reading.

Later that month, with book in hand, I got on a plane and headed east to visit my parents, quite aware of my 87-year-old Mom’s ailing health. We spent most days that week, talking and visiting in her kitchen; where in her final years she liked to “hold court” as friends and neighbors, her physical therapist/trainer and eventually nursing aides came to see her. It was a gentle week of conversations with my Mom, I was beat up by the loss of my business and she did her best to listen, and encourage me and promised things would turn around and I got to share with her about some wonderful lessons I thought I had learned and she continued to try reassuring me, telling me I had great things yet to accomplish. At some point, there in her kitchen, my bookmark with the rather large four-leaf clover fell out of my book onto her lap.

She held it up, “I’ve never found one, but my mother could, she’d look down to the ground and spot one in a second,” she said. And knowing the many I had back in Seattle, I encouraged her to keep it, and use it as a bookmark, knowing though she wasn’t doing much reading anymore.

A few days later, when I was preparing to return to the west coast, Mom said, she was a bit tired for the ride to the airport and saying goodbye in her kitchen would be easier. The four-leaf clover  on my personal stationary, rested on her own book, on the kitchen table, beside her. We looked deeply into each others eyes and we both smiled, kissed and hugged one another and we said “I Love You!”

And I walked out of the kitchen and left my mother.

When you live 3,000 miles from home, goodbyes can be awfully emotional. As my Dad and I rode down the hill heading to the airport, I realized, I had experienced the simplest farewell possible, I somehow understood what had just occurred and I realized I was smiling knowing that a significant force in my life was fading away and that would be the last time we hugged. I knew somewhere deeply in my soul, that I was not going to ever see my Mom vibrantly alive again, but I felt myself smiling and loved.

She collapsed three days later and although lived another four weeks in the hospital, mostly unconscious, when I finally returned home in her final hours, I only saw a bright quick twinkle in her eyes when she heard the tone of my voice. Later, arriving at my parents' house, I walked into her bedroom, our shared four-leaf clover bookmark was on her dressing table against the mirror. She died the next day.

The days before my mother’s funeral were busy and I spent a lot of time on my phone outside talking to consoling friends back on the west coast. Phone reception was better outside, and it was a bit cooler in the shade of the west hill behind their home overlooking Seneca Lake. I talked, paced and found myself looking. And I would find nothing.

You don’t find four-leaf clovers, they find you.

My sister, brother-in-law and I helped my Dad through those emotional days as family, friends and neighbors gathered; we rallied and straighten their home, did yard work, planned the funeral, cried and laughed and shared memories as families do during these times. Mom’s interment was to be at the local cemetery, less then a mile from my parents’ home. The cemetery was small and Mom and Dad had decided 20 year earlier to be buried there among the vineyard and Mennonite farms of New York’s Finger Lakes.

Plans seemed to be in order, and all going smoothly, until after the visiting hours at the Funeral Home on Thursday night. My Dad then decided he was ready to drive by to check out the cemetery and the plot selected years ago. So my sister, brother-in-law and other extended family and close friends headed back to my parent’s home where a lovely buffet was waiting.

Dad and I however took the back road to the cemetery, and upon arriving; nothing was as my father remembered from their careful planning 20 years ago. And although he had vigilantly attended many burials of childhood friends and neighbors in that very cemetery, the changes in the landscape that had occurred, had gone un-noticed. The raspberry bushes had been removed and the adjacent wooded acre cleared and leveled and suddenly my Dad was shocked that the cozy corner where he thought his beloved wife of 59 years and he would rest for eternity appeared to be an empty un-shaded field. He was devastated and confused. And convinced someone had marked the wrong plot for the early morning backhoe dig.

“I have been to the cemetery, and it is not right and I will not bury Catherine tomorrow unless we can figure this out.” He announced upon entering his home filled with family and friends. My sister, with a drink in her hand, walked over in my direction, rolled her eyes till they focused directly on mine and said, “you’ve been on the west coast most of the time, this one is all yours.” And I said “ok” and we hugged.

So Dad and I searched some files and found some papers and called some neighbors who were on the cemetery board. And it was agreed, Dad and I and two men would walk the cemetery at 8 am, with the funeral at 10 am and the internment immediately after. After breakfast, I went off dressed on the top in my Paul Smith suit for my mother's funeral, and in gym shorts and running shoes to walk the grassy, dew covered grass of the cemetery with my Dad just in case we did not have enough time and needed to go straight to the church. The rest of my "funeral clothes" I put in the car.

It all turned into a very easy fix; there were other available multiple plots nearby, we looked at two options, Dad focused on one in particular near a nice oak tree. He was happy and there was enough room for him and his children as originally Mom and he had planned, and he asked me whether I thought Mom would approve.

I looked at the tree and the view of Seneca Lake beyond the vineyards; I turned around and momentarily glanced down. Stunned, I caught my breath, for out of the corner of my eye as so often before… there two were and I knew…

“This is a good place, Mom would like this tree.”

And I leaned over and picked not one, but two four-leaf clovers.

So now on morning walks with my ten year old gentle golden retriever, who frequently stops to sniff, I often look down or catch a notion out of the corner of my eye, to make a quick glance towards the ground. And just as I have described, four-leaf clovers find me and I'm always startled and elated. It is not really about being lucky. Pure coincidence, this happens week after week? Some days, I just sorta know to look, sometimes as I walk I'm thinking about a challenge or issue and then as if someone is calling my name. I'll see one. It is really quite odd and really a little magical, somedays I just know they are out there.

I bend down, feel the warmth a smile brings across my face, feel a whole lot of love and know my Mom is there walking with us and I quietly and simply say:

“Good Morning, Mom.”

...and I think, lucky me!

Sunday, April 6, 2014

Non Technically Speaking / Yet Another Lesson Learned from my Dog

Non Technically Speaking is my professional blog appearing on NEXT WAVE CONNECT a collaborative social network for Healthcare professionals.



A little over ten years ago, I realized life was passing by and I decided it was time to get that long dreamed over best friend! A dog. Shortly thereafter, OSLO, a golden retriever puppy came to live with me.

He’s ten and a long distant friend of our prolific CONNECT blogger DUSTY!

These days Oslo spends most of the time sleeping and looking at the treat jar in the kitchen. Years of trying, yet he still has not perfected his skill at making the treat jar open and spill onto the floor through the power of his mind. He’s retired now after an illustrious career as a shop dog, the store mascot to the small men’s boutique I opened during my healthcare hiatus. Named it after him: OSLO’s. 

And well having a shop dog was a great way to build community. He babysat the children of customers and monitored the fitting rooms. Here’s a simply trick we learned rather quickly. He served as our triage nurse; he greeted every entering customer for 5 years. If someone walked in the shop and said “Hello Oslo” we knew they were returning customers and we greeted them like family. If someone walked in to the shop and said, “well, who are you?” we knew we needed to pull out the “Welcome to OSLO’s speech” and talk about our fashion style, who we were, the in-shop barber and learn a bit more about their own personal style and what they were looking for and why. It was just a slightly different approach.

Just like we are trying to do here on Connect, we welcome folks into our CONNECT Communities and encourage them to jump into conversations. What are your interests? What are your war stories and victories? What are your challenges?

I’ve learned so much over the years from Oslo. Unconditional love. There’s joy in a car ride. Treats are good. Naps are better. 

His companionship is rich; he’s laying under my desk right now at my feet. It was startling when a few years back I got a postcard reminder from his vet that he was due for his semi-annual senior visit. He was only seven. Today he still runs like a puppy, carries his leash home on all walks but sometimes he can’t get off the bed in the morning if his legs are stiff... I have trouble some mornings as well. We are aging together.

And he still is teaching me. The lessons are gentler these days. We’ve shared a lot of ups and downs in our ten years.

This week I received an email from ePEThealth.com.

OSLO now has an Electronic Medical Record! I don’t.

I can order his medication, and check his weight history and access
articles on aging dogs, see what shots are needed. I worry about his health, probably more then my own… he’s my best bud, and so I hug him a bit more every day. And we go to the park more often. Accessing his EMR is easy, quick and I will continue to monitor his health through it… I’m engaged!

I don’t yet have access to my own medical records. I had to sign several forms to just get a paper copy… So for now, I’m learning another lesson from OSLO.

Or as our four-legged friend DUSTY said: “HEALTHCARE HAS GONE TO THE DOGS!"

John McDowell
Senior Community Manager / Next Wave Connect
April 6, 2014

Non Technically Speaking / My Dad CONNECTed me to Dale Carnegie and here's what I learned

Non Technically Speaking is my professional blog appearing on NEXT WAVE CONNECT a collaborative social network for Healthcare professionals. 


As a very young child my parents taught me many things. Two things I remember are my home phone number P I 7 – 8 5 2 6. The PI was PIoneer. Eventually it was okay to just use numbers: 7 4 7 – 8 5 2 6. No need for area codes back then. The other thing was “never talk to strangers.”

Then somewhere in time the “paradigm shifted” and I was heading off to Friday Night Recreation from 7-9 pm at the Willets Road Middle School. Things start to shift in middle school, but back in 1973, I don’t think we were talking about paradigms. Shy, quiet me was suppose to be talking to my classmates on a Friday night. That meant casual interactions with classmates. And my father was coaching me from one his Dale Carnegie books on “How to Win Friends and Influence People.”

“You can make more friends in two months by becoming interested in other people than you can in two years by trying to get other people interested in you.”

That’s Dale’s quote, but my Dad just paraphrased it and encouraged me to take an interest in other people. Ask questions, and if they start to talk about something they seem to enjoy talking about, ask more questions. When I went off to my college interviews, Dad reminded me again to ask questions. He was always reminding my sister and me to take an interest in others. Be inquisitive!

So that brings me to today, the paradigms keep shifting and we’re playing with social networking as a collaborative tool. We are bringing together health care professionals eager to interact and learn from each other. But stop dangling your toes in the water and really start to play. What brings you on-board? What is your biggest challenge? Why haven’t you been back? What was your biggest success last year? Who do you want to talk to? How can I help?

I miss the old white World Book Encyclopedias my Dad bought one year that sat on a walnut book rack in the center hallway and I paraphrased for many a school report. I don’t have to run up and down the stairs to look up something any longer, now I can just shift over to another open window and search Wikipedia. Thomas Kuhn first mentioned a paradigm shift in his 1962 book “The Structure of Scientific Revolutions.” Somewhere in the late 80s and early 90s, Paradigm became a pretty popular management buzzword. And the frog in boiling water was a popular analogy. I’m no scientist but I think the acceleration rate for shifting paradigms is rapid these days. However, I’m not sure it is too cool to talk about shifting paradigms any longer, as I’m probably dating myself. But today you can reach out easily and CONNECT with colleagues across the country, no need for area codes or even phone numbers.

I’m going start asking questions, as I make CONNECTions, I’m hoping some of you will answer, and in return reach out to others and ask the more questions. Post those questions in the communities you are interested in and let’s watch what happens.

The way we do our work keeps changing.

CONNECT is an exciting way to be part of yet another change. In a lot of ways, CONNECT is your Friday Night Recreation, but available all hours, every day. If you want to hang out in the gym and talk ICD-10 check it out, there’s arts and crafts and ACOs in the cafeteria, and if you want to step outside and hide in the bushes… for a private chat… well yeah, that’s possible too... you can set up a private community within CONNECT... you get the idea.

Talk to strangers! I think my parent would approve.

Start with asking questions. And suddenly you’ll realize we’re not strangers, we’re all healthcare professionals working, exploring and solving together today’s healthcare challenges! Collaborative networking and problem solving, learning together and from each other. Make CONNECTions; it’s for the patient!

Thanks for reading.


John McDowell
Senior Community Manager / Next Wave Connect
February 6, 2014

Non Technically Speaking / Sometimes it is all just a bit confusing

Non Technically Speaking is my professional blog appearing on NEXT WAVE CONNECT a collaborative social network for Healthcare professionals. 


I mean I sit down at my desk and I start to think about Meaningful Use, ICD-10, Patient Engagement, Accountable Care Organizations, just to name a few and I scratch my head, and perhaps mutter an expletive and then I think where do I begin. Ever try to talk healthcare to your friends? 

MUS2, HIX, CAH, EHR, ACO, EPs… I stepped away from Healthcare for ten years and all that has changed are the acronyms. It can be one big alphabet mind boggle, or at least sound like a conversation in your head before you make your next “Words With Friends” move on your mobile device.

Sometimes there is a great sense of being lost.

Welcome back to Healthcare. About eight weeks ago, I joined Next Wave Connect, and returned to the Healthcare industry. Next Wave Connect made sense! Start-up, relationship driven, collaborative tools.

I spent 14 years in Healthcare Administration and then my professional pendulum swung back to my own retail startup ten years ago. Seemed like helping men dress better, more stylishly, was easier then healthcare. You could assist a customer and hear about their problems while helping them buy a new pair of jeans and feel better about themselves. But it was never about the clothes, it was always about the relationship, the connection and helping someone spruce up for that date, interview or trip to Vegas with the guys. 

But here I am, now back and energetic about developing CONNECT. Building “smarter communities” online, right on your desktop, and the desktop down the hall, and the desktop across town and the desktop in the neighboring state as well on the opposite coast. CONNECT, a collaborative tool to help Healthcare professionals and clinicians work together through the alphabet mind boggle. The possibilities of finding the answers together, sharing successes and helping others learn how you did it, assisting someone with the answers you figured out last week, or month or season, and building virtual relationships that will help us solve the challenges of Healthcare 2014 and beyond are endless.

But why?

For me it was quite simple. Somewhere in every issue we are challenged by, for every dialogue we pursue, for every organizational implementation and goal we strive to achieve… we are helping someone. And for me it was not the kid dressing for a weekend in Vegas, but for the mother fighting breast cancer, or the neighbor who suffered a back injury when he fell off the ladder, or the baby born prematurely. When you walk back into Healthcare, no matter where you land, everything you do should be for one reason… and that’s the patient.

The only person who should ever feel lost in Healthcare is the patient and that should only be on the very first day of their diagnosis. After that day, after their first encounter with their provider, with their diagnostic exams, with their treatment protocol, our patients and their families should never feel lost again. That’s what we are here for. Think about it, Healthcare is really about building one big large interconnected safety web of relationships and collaborative processes, best practices and shared data to assure no patient ever feels lost. Working together and sharing, creating a smarter community gets us the answers to solving that alphabet mind boggle. A “smarter community” working together.

That’s why I jumped to work on CONNECT. I don’t get to see the patient, and there a good chance maybe you don’t either, but in the end, the patient remains foremost in our minds, and is truly at the core of all we do. It is why we believe here at CONNECT that the synergies that social networking can create, the experiences that we share, that methodology that emerges, the processes that are enhanced, the system integrations that are achieved; it is for the patient. And that patient is often, our daughter, or father, or neighbor, or best friend. That’s why we are so eager to get you, your colleagues, your business associates, near and far: CONNECTed. We can accomplish great things working together; it’s for the patient.

Thanks for reading!

John McDowell 

Senior Community Manager / Next Wave Connect

January 4, 2014