Posts tagged “medical”

Elaine’s War Story: I thought my client was going to die

Elaine Ann, the CEO of Kaizor Innovation in Hong Kong tells a story about consciousness – both cultural and physical.

One of my most memorable research experiences was ten years ago in China. My Western client fainted in broad daylight in the middle of our Beijing field trip. We had completed field research work and were touring an exhibition. She just plopped on the floor without any previous sign that she had any health problems.

We called the ambulance and a white van came along. There was nothing on it – no ambulance emergency lights, no oxygen equipment, no CPR equipment, only a stretcher. Not knowing what was wrong with my client’s health, we (me, my colleagues and her co-workers) decided to take her to the hospital anyway.

Upon arriving at the hospital, we had to first pay for the ambulance fees in cash (this is China). Then the client was carried onto a hospital bed. I was caught in between cultures at that point as my client’s Western co-workers were dubious about the medical standards in Chinese hospitals and refused an injection from the doctor; while the Chinese doctor was quite annoyed by the Westerners’ attitude (reading their horrific facial expressions) and challenged them whether or not they really want to be helped after coming to the hospital. Meanwhile, I was trying to translate everything in both English and Mandarin, amidst all the chaos, trying to not offend either party (who couldn’t communicate directly with each other).

Finally, the client’s co-worker decided to take a risk with her boss’s health rather than risk it with the Chinese hospital, so we had to shuttle the client back to the hotel instead. (We then discovered that five-star hotels usually have English speaking travel doctors for emergencies – a handy tip for researchers doing field trips in China). In the hotel elevator, my client fainted a second time and we had to drag her off the elevator, along the corridors and into her room like a dead fish.

My client finally became conscious again and luckily we found out this was caused by a low blood sugar syndrome and happened all the time. All she needed was a candy. We had to decline her request to visit the Great Wall the next day. I really wouldn’t know how to carry her down from the Great Wall if she fainted on top of that, as it’s a defense wall designed to make it difficult for invaders to climb even in ancient times!

Seriously, I would have made the national news if my client died on our China research trip! Phew!

Out and About: Steve in Sydney (2 of 2)

I got back last week from two weeks in Australia, traveling around as well as speaking at UX Australia and Service Design Melbourne. Here is the second of four posts with some of the highlights. Part 1 is here.

All my pictures are making their way to Flickr, as well.


Nice combination of cultural iconography.


I liked seeing the range of medical services laid out like this. Not very confidence inspiring, however.


Manners poster.


Asian preferred.


A really awful brand name and sign. What does crocodile have to do with thai? And what is added by making him or it senior? It’s a puzzle.


Father’s Day is September 2.


Milk for the workplace. At last.



360Àö Self-Portrait at the Museum of Contemporary Art. Although there are no visual cues, the artist is in some contraption that moves her around, through a complete circle. As she moves, gravity deforms her face slightly while she essentially remains expressionless. The net effect is compelling and disorienting.



The 18th Biennale of Sydney was chock full of astonishing spectacle. Really wonderful. And I only heard about it because I checked in (via Foursquare) at the museum and a kindly person on Twitter suggested I head over to the island and see it.


A crushed car was on display and yet needed to be marked before and after with warning signs so that traffic going by would not be alarmed. Are the signs part of the work or something that is imposed on the artist in order to allow their work to proceed? And what does it mean to have a sign announcing “End Artwork” anyway? Is that an observation or an imperative?

“Organizational Empathy, from Top to Bottom” published in Appliance

My article Organizational Empathy, from Top to Bottom has been published by Appliance magazine. I consider my experience as an HMO “customer” as a way to look how organizations instill and act on empathy at all levels.

I went online to make a medical appointment recently, and I was surprised that there was no place to explain my symptoms or reasons for needing to see the doctor. When I arrived at the clinic a few days later, a receptionist collected my copayment without any discussion of my situation. I found my assigned room and dropped check-in printout in the appropriate tray. After a moment, my name was called, and a medical assistant brought me back and began administering “treatment.” I was told to stand on a scale, and then brought to a room where she took my blood pressure. Then she wheeled over a device on a pole and produced a long metal probe. She advanced on me with it, pointing it at my face, without saying a word. Bewildered and slightly afraid, I soon realized it was a digital thermometer and that I was supposed to open my mouth (which I did, seconds before impact).

ChittahChattah Quickies

  • The Computer Will See You Now – how the computer interferes with the doctor-patient interaction – Doctors struggle daily to figure out a way to keep the computer from interfering with what should be going on in the exam room — making that crucial connection between doctor and patient. I find myself apologizing often, as I stare at a series of questions and boxes to be clicked on the screen and try to adapt them to the patient sitting before me. I am forced to bring up questions in the order they appear, to ask the parents of a laughing 2-year-old if she is “in pain,” and to restrain my potty mouth when the computer malfunctions or the screen locks up.

    The computer depersonalizes medicine. It ignores nuances that we do not measure but clearly influence care. Room is provided for text, but in the computer’s font, important points often get lost.

    A box clicked unintentionally is as detrimental as an order written illegibly — maybe worse because it looks official. It takes more effort and thought to write a prescription than to pull up a menu of medications and click a box.

  • Tension between medical and colloquial language – an issue I explored in interactions column (Poets, Priests, and Politicians) – (via MeFi) Dr Ardill, in evidence, said he did not use the words alleged by Ms McQuade. He said he asked her was she “next or near a man’s willy bits” in the last six months and in relation to her sleeping he did suggest a drink, light exercise, a trashy novel or some “rumpy pumpy”. He said he used this kind of “childish” language with all patients to make them feel at ease. Nobody before had found it offensive. He said he would not use the term “willy bits” again.

ChittahChattah Quickies

  • Interaction designer Oliver Bayley's blog about 3 months in a wheelchair while recovering from a snowboarding accident – The soap dispenser and sink were co-located so no problems there. But next I needed to dry my hands. Looking around I discovered that the paper towel dispenser was on the opposite wall from the sink. In order to get to it I had to maneuver my wheelchair, which meant grabbing the grips on the wheels with wet hands. Doing this felt very disjointed and somewhat unsanitary. I was immediately struck by the apparent lack of consideration for wheelchair bound patrons of this restroom within a hospital.
  • A designer from frogdesign has her first mammogram and reflects on the experience – Two images came to me as I stood half naked responding to the technician’s requests to hold perfectly still — the first was the entwined bodies of two dancers from an article on choreographer Alonzo King that is currently featured in the design mind Motion issue, so compelling in their unity, singularity and flexibility; and the second was my daughter smiling and dancing with a sculpture at Maymont Park in Virginia — the cold stone made warm from its wave form and her delight in its human character.
  • Designer Debbie Millman goes to the beauty salon and reflects on life and aging – As I navigate through these fears, I realize that after all the years of wanting, after all the years of feeling bad about who I was and where I was and what I had, I have recently come to the realization that I don’t want life to end. Ever. And though I grimace when I look at myself naked and I have given up trying to read the small type on a menu, I want to do want to continue to get older. So what, I am nearly 50. Big deal. Whether I am fat or thin, rich or poor or with more hair on my face than I have on my head, with each observation, with each day piled high on top of another, I am reminded that I still get to be right here as it all continues to unfold in front of me.

Series

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