Are you in?

20130411-060633.jpg

The generations since World War II have been separated into marketing niches of Greatest and Boomer, then X,Y, and Z, but I suspect that no set of people since Homo erectus figured out fire, speech, and monogamy, have faced as much rapid technological and cultural change as have the people born since 1950. This unmooring of cultural institutions, socioeconomic niches, and family structures is remarkable and deeply unsettling to many.
Modernity has atomized the family, but we are still the Pleistocene mammal subject to possessiveness, territoriality, and stranger anxiety. We are just a handful of base pairs removed from our mutual ancestor with the chimpanzee who kill and eat intruders. And so we naturally flock with our kind in our hominid fashion, and wish to destroy the other if they get in the way. What stops us?

Strong ideas keep us from burning witches. Ideas of justice, equality of human worth, and an appreciation of value of freedom and liberty bind us together in a common identity. These ideas are shared across borders instantaneously, usually in English, on the internet via smart phones and social media. These are rather old American ideals and should not be new to those wary of change. Instead, it is the broadening of the definition of *American* that jars people. It is an America that people are still looking towards as they overturn dictatorships and established tyrannies. We see it in the Arab Spring, in the continue march of the huddled masses to the gates, and in gay Americans fighting to achieve equal status. We witness it as a force that China is trying to subvert with overt fascism, with likely failure in the long term.

This neo-Americanism is the lingua franca of business and diplomacy. It is the common operating system that everyone demands. At home, to succeed in this new America, you have to learn how to pass for a new kind of American. It is a fact that if you make yourself smile, your brain will register positive in its happiness centers, and you will transition to happiness (try it!). If you carry a smart phone, participate in social media, and read at above elementary school level, the centers of the brain that are stimulated will drive change. Corporate HR policies, public school codes of conduct, and public social mores are aligning around and driving this change, even for older Americans who one would assume would be all for not changing. It used to be said that you are basically set in your ways by the time you are forty, but I think even that generalization is done because I increasingly see retired people with smartphones and tablets watching the latest Youtube videos and family photos on Facebook. This at least informs them about the tectonic shifts in society, and at best changes deep seated notions.

Public perceptions of gun ownership, healthcare, education, equal rights, and our relationship to the world are being debated because the minds of the people are changing. And contrary to what even the history books say, it was not the federal government and federal troops that desegregated the schools, it was We the People. The shibboleth of these times, our times, are the smart phone, social media accounts, and the networks connected by these. Are you in?

What Good is a Stinkin’ iPad?

IMG_0721

My good friend SY wrote me yesterday asking basically, “what good is a stinkin’ iPad?”

Hi Mike!

How are you??
My husband and I bought an iPad for my dad, but he decided he didn’t really have use for it (i.e. he uses his laptop and his phone and can’t get Java to work on the iPad so he can’t play ba-dook on it).

So now we are deciding whether to take it back or keep it for us–How useful is it really? You can’t edit documents or talks on it can you? Is it good for taking notes at conferences? Isn’t the wireless plan expensive on it? I pretty much bring my Mac everywhere with me, but I’m not sure it’s more than an indulgent toy for us.

SYP

I wrote back.

Hi Sung Yun. I have been asked this same question many times and can answer in the affirmative that tablets are overall great for reading and looking at stuff on. For editing and taking notes, it depends on what you are used to. And for portability, tablets>laptops. Tablets in general get a lot done, and of the tablet choices that you have, the iPad is still, for now, the best tablet a lot of money can buy.

I went all in when the first iPad came out, buying not one but two iPads. It occurred to me from the start that the pain of lugging my 15 inch Macbook Pro was soon to be relieved by the magic iPad, but I was worried that I would not be able to multitask. I normally keep several desktops and multiple windows going at the same time on my laptop, and to get a similar functionality from tablets, I feel you have to have multiple tablets. I also figured two iPads were still more portable than a single Macbook Pro (2007 issue).

The first great use of the iPad was as a reader. I own several Kindles and while I love reading books on my Kindle Paper White 3G, I equally enjoy reading them on the larger screen of my iPad. The skeuomorphic iBooks with their faux page turns are fun, but the iPad Kindle App with an Amazon Prime Account is reading heaven. Toss in FreeBooks app that feature everything out of copyright, and you have a public library in portable form. Overdrive reader app lets you access your local public library -you can look up and check out eBooks from your library! If you read magazines, most magazines feature an iPad App. Harder to find magazines can be found in newsstands like Zinio, but the killer app for magazines is Next Issue which for a monthly 8 to 15 dollars features hundreds of magazines like Esquire, Time, and People. I can’t live without my New Yorker magazine, and now rather than a mess of magazines around the house, they are all in my iPad.

The next use of the iPad is as a portable widescreen TV. While iTunes lets you purchase and then download movies and TV shows from iCloud onto your Mac, AppleTV, or iOS device (iPad, iPod Touch, iPhone), the streaming app trio of Hulu, Netflix, and Amazon Prime gives you access to thousands of current and vintage movies and television shows. Hulu Plus, a monthly subscription, gives me access to every episode of South Park, the Daily Show, Colbert Report, Community, and The New Girl. It also features the Criterion Collection of critically acclaimed but difficult to find foreign films -I am in the midst of watching Riso Amaro (Bitter Rice), an Italian post war film of lust and crime in the Italian rice paddies. Movies-Riso_AmaroNetflix has a great selection of movies and TV shows as well, and the ability to have DVD’s mailed to you. Amazon Prime’s video player also features many recently released films for streaming, and beats iTunes by letting you stream rather than download then watch rental movies. Amazon also has every Ken Burns documentary, if that is your thing.

These two features are the core of how the adults in the house use the iPad. Jen enjoys watching Downton Abbey in the bed while I read the NY Times and listen to Paloma Faith on Spotify. The NPR app, by the way, lets you listen to all the NPR that you missed during your busy day. The boys love watching their shows anywhere, anytime. The funny thing is, because we watch shows on our terms, the TV goes the whole week without being turned on except for family movie night or when dad watches sports. During baseball season, by the way, I buy an MLB season ticket to watch major league baseball games -usually as a ten minute summary of outs and hits the next morning, but often I stream the live radio broadcast just to hear John Sterling howl, “Yaaaaaaankeeeees Winnn!”

The third feature is up to you to decide if you want in the house. The iPad is a great gaming platform. While not as immersive or complicated as an XBox, Wii, or Playstation, games on the iPad are no less fun or addictive. Words with Friends pops on a larger screen. Pinball is a great stress reducer. My boys play all manner of games -most of which are free or cost 99 cents which is a lot cheaper than the average XBox game.

The utility of tablets is that eliminating the keyboard frees you to interact with the computer in a far more natural way. Drawing and music creation are two ways I put mileage on the iPad. My favorite art app, Paper, was the App Store’s App of the Year last year, and I doodle constantly. The Brushes app is used by David Hockney and other artists to create serious art. I frequently use Adobe Ideas to sketch on top of CT scans for patient consultations.

For note taking, there are innumerable apps for taking freehand notes and the better ones allow you to record the presenter’s audio synced to your notes. My favorite second brain app is Evernote which lets me data dump important files, notes, and ideas for access across all my gadgets. If you type fast, you probably aren’t going to change note taking tasks but I have to mention that it’s less intrusive to write notes on iPad than click clack away on a keyboard.

This brings me to the last part -work. I composed this blog entry on an iPad using the Logitech Slim Keyboard Case, which I recently reviewed. It turns the iPad into basically what the Microsoft Surface wants to be, a post-laptop work device. While Office for iOS isn’t out in the wild yet and probably never will be, there are many options for writing and editing. Pages is a good word processor, but Word is more universal and more importantly has collaborative editing and version control that is superior to anything on iOS. That said, Pages is unmatched in its ability to layout documents. That’s how I use it -after composing the content in a simple text processor like iA Writer, I open up and prettify it in Pages and save it as a Word file for sending out.

For presentations, Keynote is how I make all my presentations. I can make them on the fly during and after cases to present complex operations to patients and their families. You can export into Powerpoint or PDF, but equally powerful is the ability to present directly off your iPad, either via a cable or wirelessly to an AppleTV (an unpromoted feature). The usual way I create presentations is I upload all the pictures and graphics to a Dropbox folder and then compose the presentation on my iPad after taking intraop photos with my iPod Touch or iPhone. I’ve uploaded a sample presentation SFA-POP-Tibioperoneal Trunk EndoRE that I created right after a case for explaining what I did for a patient’s family.

The wireless plan is pricey if you’re not needing it, but I find it indispensable because my iPad 3 with Verizon 4G has a hotspot function which will allow me to tether other devices like a Macbook Pro or iPod Touch at high speeds. The typical use scenario is on long car trips where the iPad is the hotspot for streaming video to the boy’s tablets and I listen to This American Life episodes (every episode ever is available on their app). In a pinch, the iPad can act as a ridiculously large phone via the Line 2 app, which gives me a phone number (in Manhattan no less) for non-work use.

Now here is the last tip -I suggest you trade in your iPad for an iPad Mini with Verizon Wireless. The big screen is great, but impossible to carry around the hospital in a white coat. The 8 inch size fits perfectly. I’m holding out for the retina display iPad Mini which hopefully is next. For now, my Android Tablets fulfill this in the pocket function, and match the iPad largely feature for feature except for speed (they are older single processor devices) and ease of use. I think if you are adventuresome, the Nexus 7 is probably hits the sweetspot of price (about 200 bucks) and size (fits white coat pocket), but for cheaper, you don’t get the cellular wireless or nifty form factor, and you have to geek out on Android.

Hope that helps.

Mike

Printstagram Flipbook Calendar BOOM

Just received from Printstagram, this Flipbook calendar features 356 square pictures I took last year and can now keep. It comes with a handy box to preserve your calendar sheets. One of the problems with digital media is its impermanence, but this desire to archive is a kind of narcissism. I should be okay when these pictures disappear into the ether like memories but there is a selfish corner of my kind that wants to keep these in a box.

20130108-133851.jpg

The Logitech Ultrathin Keyboard Cover for iPad 2, iPad 3, iPad 4 Trumps the Microsoft Surface

20121223-062514.jpg

After sitting on the fence about purchasing a MacBook Air or an Ultrabook, I finally decided to pass on those items (no Retina display!) and equipped my current iPad 3 with a Logitech Ultrathin Keyboard Case. I had handed over my Macbook Air 2010 over to my son for school use (and Minecraft play), and was in need of some keyboarded mobile input device. This category used to be all about laptops and netbooks, but this past month Microsoft Surface was released and I did the due diligence of checking it out and rejecting it despite the fact I could have expensed it.

20121223-062739.jpg

Finding a Microsoft Surface to try out is a bit like trying to find authentic takeout Thai food or a Porsche dealership -it’s only available in a handful of places in the US. In the Cleveland area, it means going to the Microsoft kiosk at the Beechwood Mall next to the kiosks selling iPhone covers and fluffy slippers. I thought it was a bust because someone had messed up the Surfaces which were all rebooting. More recently, I got to try the Surface at the local Best Buy. Microsoft in their marketing wisdom decided to widen the release of the Surface in the few weeks before Christmas.

Despite the bad marketing, I was impressed by the beauty and speed of the Surface. The keyboard cover was nice and far more responsive than expected. Unfortunately, without the tactile feedback of keypresses it was only a little bit better than a virtual keyboard. I grew weary of it in the first few lines of typing.

It gets worse. The Metro interface seems like a tacked on after thought. Launching Office apps caused the screen to jump back into the old Windows desktop screen which doesn’t work all that well with touch, but it keeps lurking in the background waiting to show its big fat corporate OS face whenever it gets the chance. Instead of the Start menu, you jump back into Metro, but how or when you did so was mysterious. I am sure that with use, I would be able to figure out how to turn off the Metro or stay out of the classic Windows desktop. As a casual shopper seeing Windows 8 for the first time, there is mystery involved, and that is not good.

I get why Microsoft put out the Surface RT. What Microsoft is battling is the constraints imposed by the demands of the consumer and corporate markets. It has designed Surface RT to the perceived needs of the consumer market. It is making the bet that Office is 90% of what people want on their computers. This is true of laptops and desktops, but not so much for tablets and smartphones.

For 90 percent of my work, content creation means translating ideas into text. Who really needs Word to record text? For example, I’m wrote this piece over a week at various intervals on my iPad, iPhone, iPod Touch, and MacBook Pro using Ia Writer, a text processing app that stores the file in the cloud. I never have to press SAVE because there is no such button. When I am ready to make a formatted document, I can do so in any number of apps like Word, Pages, or Google Docs. The fact is, I am using Word less and less because it is unavailable on iOS devices and smartphones, and I think Microsoft is uncomfortable with this trend.

Surface is basically recapitulating the most useful configuration for a tablet that you can also do work on -something that the iPad has had since launch which is variations on the keyboard case. The Logitech Ultrathin Keyboard Cover greatly enhances the iPad as a productivity tool. It latches on like the original magnetic cover and when in laptop mode will prop the tablet with magnets in landscape orientation. The keyboard works perfectly and has many enhancements for iOS oriented shortcuts.

20121223-062626.jpg

When closed, it looks like a MacBook Air, being clad in aluminum all around, but of course it is thicker. It does offer laptop functionality with a 10 inch Retina display. The keyboard charges via a mini-USB port, and claims a 6 month battery life with two hours of use. It has been seamless and tenacious in gaining and holding a bluetooth link, something that is not always possible with other keyboards. I have been typing on it, and I like it. I can type at full speed. My only gripe is the half height number row which also has a truncated delete key. I still rip off the cover to use it as a tablet and find that the keyboard is on and prevents me from using the virtual keyboard -just remember to turn off the keyboard when not in use.

The Surface is a beautiful product but is an evolutionary dead end because its OS, Windows RT, has no past and an arguably a shaky future. Despite creating a product that integrates Office, and makes it basically the only compelling reason to buy a Surface, it does so by making you work in Office in a way that is no different from the 10 pound laptop that IT will give you for business trips. The moment Microsoft releases rumored Office for iOS with full implementation of touch interface, it will have killed any argument for Windows RT. We will see Office for iOS in the App Store one day, but we will have to see Surface die the same way as RIM’s Playbook -in about 8 months before we get to buy it for $129 for the Student and Home Edition.

RIP RIM

20121113-063937.jpg

The day has arrived when I get to swap out my Blackberry 9930 for an iPhone 5. I had given up using the Blackberry as anything but a text/phone device because getting on the Internet was tricky at best. The 9930 is a device conceived by a committee of people who don’t understand how people use technology. I used my iPod Touch as a daily communicator and Internet surfer over the BB 9930. Fact is I had high hopes over its beautiful screen and okay keyboard but these could not overwhelm sheer misery in the browser, email (yes email) and paucity of apps to get things done. Goodbye.

Milestones and Millstones

Image

The top ten list from iTunes shows Taylor, Kanye, and Bieber just who’s boss.

When I was a kid in the 70’s, mentioning that you were Korean-American got at best a shrug, maybe a laughing reference to the backdrop people on MASH, or a punch in the face. This began to change in the 80’s as more stuff started coming from Korea -people forget that for a time, Korea was to cheap stuff what China is now, but the first real milestone was the arrival of Hyundai automobiles in the mid eighties. No question, the car they sent over was a cheap POS, but it was a sign that we were arriving. The Olympics in ’88 in Seoul further confirmed this, and capped off a run that while sputtering in the late ’90s with a debt crisis, was balanced by real democratic transfers of power between competing parties, and the rise of Korean popular culture in the 00’s. K-POP, a genre that mixes commercialism (think Monkees perpetrated by a Zenith/IBM/NBC conglomerate if it had existed in the late 60’s) with world youth culture, has exploded first in Asia, then Europe, now the rest of the world. PSY’s viral Youtube video (http://youtu.be/9bZkp7q19f0) is just establishing a beachhead for the rest of KPOP which is already here in the US among pockets of youth who like to be different.

If you check out other KPOP groups like 2NE1 or BigBang, you’ll see that it’s only a matter of time -a few months I bet, before their supermegahits from Asia/Europe/Latin America will hit the US with English lyrics which these groups sing without an accent. The difference between now and the 1970’s when Pink Lady showed up on US airwaves with a variety show (with Jeff!) is the weight of social media which clearly outweighs the effect of traditional media which would never have seen/featured/mentioned/played PSY.

What does it mean to have PSY dancing with Al Roker on the Today Show at 30 Rock? What does it mean to have a Korean-American Jersey Shore-type reality show (Ktown – http://youtu.be/2rhDjxDLyjk)? What does it mean to have K-Drama and K-Movies on Hulu and Netflix? Not a clue, but the sudden urge to get my weight down to 150lbs, bleach my hair platinum blond, and go and wear Prada has hit me because I want some of that Gangnam style, and that is the real deal -getting into my head and programming me is something The Killers, Jay-Z, Eminem, Coldplay, Lady Gaga, and Nicky Minaj haven’t been able to do as well as PSY has with the opening scene of his music video (is that a short person or a really talented toddler?).

Now, I must go and dance.

The Millstone:

Simple>Complex

IMAG0077

Pictured above are the Blackberry Bold 9930 and the iPhone 4. They demonstrate two divergent approaches to design. The Blackberry has a full QWERTY keyboard and a few more buttons. The iPhone has famously the single button up front, a power, and volume rocker switch. There are people who swear by the keyboard and for them the Blackberry will always be king. Truth be told, there is an appeal to having a physical keyboard for typing out longer pieces, but all of this is trumped by the convenience of a single large screen. There is a principle laid out in The Innovator’s Dilemma (link) regarding disruptive technologies that is at play here.

The Blackberry represents the sustaining technology of an established company, RIM which has been putting out keyboarded email communicators since the days of beepers and the Clinton administration. It offers a load of features and the apparent love of corporate IT with its locked down security features. The iPhone and other copycat Android phones are the disruptive technology that paradoxically offers less features, an apparently less accurate virtual keyboard, and the ire of corporate IT and geeks in general for missing lots of buttons, but offers utility in its screen, simple interface, and applications which can turn the iPhone into an infinite variety of gadgets. With evolution of the virtual keyboard, and increasingly higher resolution screens, and soon to be introduced bigger screen, and an app store with over half a million apps, the iPhone is eating the Blackberry’s lunch.

This is played out again and again and the established companies invested in their sustaining technologies get rolled over by startups with disruptive technologies that initially offered less or inferior specifications but offered utility with simplification. In vascular surgery, this happened with endovascular technology which compared to classic open vascular surgery appears to offer inferior results on some measures, but offers the utility, particularly to patients, of less invasiveness, fewer dire complications, faster recoveries, and ability to reintervene with acceptable consequences.

The Blackberry Bold 9930 is likely the last of its proud kind –highly evolved, beautifully manufactured, but frankly crippled by trying to be more than it should be by adding touch features to its core product –keyboarded email and text. I was told that IT will be swapping all of these out for iPhone 5 in October.

Apple isn’t sitting on its hands either. It is disrupting itself with its change of screen size and aspect ratio, with its change from a 30 pin connector to a 9 pin connector, and its introduction of Siri. Siri, while initially viewed with enthusiasm, is being panned for often hilarious inaccuracies which ironically mirror the gaffs of its ancestor the Newton in handwriting recognition, but it is classic disruption. It offers the simplicity of NO KEYBOARD, and the promise of conversing with your technology in meaningful ways.

Which leads me to my last point in that in a shifting landscape, you have to be willing to adapt or face the fate of the wooly mammoth, the floppy disk, and even the Blackberry.

Addendum: August 15th -I’ve been using this for two days straight. The battery lasts nicely all day -a reflection of RIM’s parsimony with regard to push email, I think. Dropbox and Evernote apps work okay, but the small screen, as sharp as a tack, is still too small and landscape oriented to be useful. While I don’t mind reading at 5point font or less, and am impressed that the display is nearly Retina-display level pixel density, the lack of space is problematic. Also, no obvious way to number lock the keyboard, but the keyboard does contextually switch to a num lock state, I think. The limitation of the OS to 192mB of total application memory is painful to even think about in this day and age. I don’t think RIM has the time to get this right after wasting so much time getting it wrong.

 

Addendum: I do have to remark that the screen on the 9930 is amazingly bright and visible in bright daylight and at all angles. The newest downer of the day is when you update or install an app -you are asked to restart which can take upwards of 2 minutes.

The Metro Municipal -Highland Park GC

Image

One of the things about the USGA and GHIN is that you have to be part of a club to register your golf scores. I could join the several Northeast Ohio based golf associations, but it would be nice to just join a club. The problem is that a private club is a considerable commitment of time and money.Image So it was with some joy that I found Highland GC, which is a large 36 hole municipal course. The Red Course is two traditional nine holes that go out and back into the clubhouse, while the Blue Course is an 18 hole track that does not come back for a breather between nines. They are about ten minutes from my driveway, and there is hardly ever a line.

That kind of convenience comes with some compromises. There is no pro shop. There is no driving range. And finally, there is no club for affiliation and registering of scores. It is a municipal golf course and there is a golf egalitarianism that is lost in the rarefied districts of private club golf. In the parking lot, there is an eclectic mix of luxury sedans, beaters, and even a loaded pickup truck. At one time in America, all the different classes mixed in the public sphere, at school, work, and play. This has eroded and you can see it in the economic gerrymandering of neighborhoods and suburbs reflected in their anchor malls and grocery stores. The municipal golf course is the last preserve of the public commons. On the first tee this morning, I saw three groups lined up, Asians, African-Americans, and whites.

Image

Sadly, they were segregated and rather prickly, being all men of a certain age. If you are in the late fifties and are playing golf on a municipal course with swings that could be good for tree chopping, you worked hard all your life, never got handed anything, and have generally skeptical view of the world. On line, the reviews complain of lack of services, poor conditions, and discrimination (both forward and reverse). Yet even with the apparent race relations of a prison yard, and stiff necked, flinty eyed glare of blue collar pride, golf etiquette prevailed and all the groups let me play through with courtesy and even a little banter about the good weather. And that is the lesson for us all. In golf there is hope.

The African American twosome were the first to let me through. Both had the mien of philosopher kings, ancient wise men, spiritual healers. They clearly enjoyed each other’s company and were in no hurray, and shooed me onwards. The Caucasian twosome were clearly betting on everything that could be bet upon during a round of golf, and seemed to be making bets about me as I played through. They were congenial and courteous. The foursome of Koreans were the most fearsome. They didn’t smile at me when I asked to play through, and I held off speaking in Korean because I thought it might trigger some kind of outburst that could only come from 4 Korean dads, but I overheard them their captain say, let him through in Korean. They watched me tee off in silence and I bid them adieu.

Image

On the fairway!

The course had its problems -I suspect from lean budgets and a very hot and dry summer. There were dead patches on the greens and fairways, and uneven mowing on both. That said, from the tips, the course was a lot more fun than I could usually expect to get for 35 bucks.

Addendum: found out they mow on Monday. Once mowed, the fairways and greens are very nice. This place is growing on me. Plus, the starter asked me if I was a golf pro or golf writer, which really made my day.