Where Would We Be Without Words? I Can Imagine.

Years ago, when John Corcoran told me that almost half of his students were not able to read beyond a third grade level, I didn't want to believe him. And yet, I believed him.

I believed him because third grade was a pivotal year in my education too. It was the same year that my grandmother made the decision to have me repeat the third grade outside of the public school system. Had nothing changed, I would have landed on the wrong side of a statistical division.

According to the John Corcoran Foundation, two-thirds of students who cannot read proficiently by the end of fourth grade will end up in jail or on welfare. Not all of them do. Corcoran was a teacher.

He learned to cheat, but only cheated himself. 

As Corcoran progressed through school, he became more and more resourceful in hiding his illiteracy behind his natural aptitude for math, athletic prowess and deep friendships. He hid it so well, in fact, that he taught bookkeeping, social studies, and physical education for several years.

Living this lie wasn't easy for him, he told me, but it was not nearly as painful as not being able to help students who faced a similar problem. They could not read and he could not teach them.

Corcoran eventually did learn to read, but not until long after he left teaching and entered real estate. He was 48 years old at the time and an exception to the rule. Most people never learn to read.

A brief look at the growing literacy problem in the United States.

There is a growing literacy problem in the United States and our self-confidence, much like Corcoran's self-esteem, makes us blind to it. According to the U.S. Department of Education, 14 percent of adults in the United States cannot read (the same number of people who do not use the Internet) and, according to the National Assessment of Adult Literacy (NAAL), this number swells to 40 percent when counting those who only possess level one reading skills (marginally functional).

High school graduation is not an indicator. As many as one in five students graduate without being able to read. About one in four graduate without being proficiently literate. One recent study, OECD Skills Outlook 2013, placed the United States 16th in literacy proficiency (among 23 countries).

The same organization warned that the U.S. was the only country among 20 OECD free-market countries where the current generation is less well educated than the previous one. It published this finding as part of the National Commission on Adult Literacy in 2008. It's not any better today.

Individual career paths aside, literacy is a family matter. 

Any time I step on stage or in front of a classroom, most people cannot imagine me as anything but a writer. Even with other occupational titles, writing has provided my career with a strong foundation. I write approximately 10,000 to 15,000 words a week (excluding email and social networks), which is the equivalent of a novel every other month (and the reason I don't write a novel every other month).

Ironically, I can imagine my career path without ever becoming a writer. From the onset, I wasn't very good at it because strong writing is indicative of being a strong reader. I wasn't a strong reader.

Reading came much later for me. I didn't learn to appreciate it until seventh grate. Writing came even later. My skill sets were only passable up until my freshman year. Both have stories for another time.

The point is that I can imagine it because I had to imagine it. But what I could not imagine would be the inability to help my daughter when she needed it most. She reads with confidence now.

While it has been an amazing journey transforming my daughter into a strong reader during the past six months, I can't help but wonder what might have happened without intervention. What if I didn't know how to read well, let alone teach? How long could she have hung on as a struggling reader?

Three days this week with literacy. Maybe you could connect to one.

Thursday is All Hallows Read. Most people pass out candy, but Neil Gaiman continues to make the case that people could pass out books instead. He calls the campaign All Hallows Read, a program that inspires more stories and less sweets for Halloween.

I wrote about the program last year, including five titles that have always conjured up an appropriate spirit for the season. Feel free to add The Ocean At The End Of The Lane, written by Gaiman. Coraline is another family favorite. The film is part of my family's Halloween lineup.

Friday is National Family Literacy Day.  The National Center For Family Literacy (NCFL)  is hosting a fundraising challenge for literacy. Proceeds from the campaign will help the center continue its work, which has helped more than one million families make educational and economical progress.

The reason family literacy is so important is that children's reading scores improve dramatically when their parents become involved and help them learn to read. This isn't possible without literate parents so the program goes a long way improving the household. The NCFL is my friend Geoff Livingston's account and he is raising funds along with hundreds of others. They have a "thunderclap" scheduled.

Saturday is the Vegas Valley Book Festival. The Vegas Valley Book Festival is the largest literary event in Las Vegas, bringing together hundreds of writers, authors, artists, and illustrators to celebrate literacy and creativity. All programs and events are open to the public. Admission is free.

As social media director for AIGA Las Vegas, I have been overseeing elements of the social media campaign, including an event schedule on Facebook. If you are in Las Vegas this Saturday, there isn't a better way to promote family literacy and art appreciation. There is also an event kick off tonight with Catherine Coulter as this year's keynote.

One last thing for my own curiosity: What are you reading and why? I really would like to know. It's important because you never know who it might inspire next because words inspire lives. They inspired mine.

Listening: The Most Important Lesson In Communication

Yesterday, Nevada held its primary elections. If you were listening to pundits, it was a night filled with surprises. If you were listening to the public, most races played out exactly as expected. And despite a few upsets, some people still aren't listening.

Listening isn't only about politics. Listening is about business too.

There are dozens of studies and hundreds of surveys making the rounds right now. All of them are hoping to catch a snapshot of how consumers might behave. Most of them have useful data, but most people don't listen. They only "hear."

There are several developing stories that underscore the point. It's why Utterli died. It's why Digg is struggling (but probably not dead). It's why the BP oil spill response has eclipsed Hurricane Katrina as the worst response in American history. It's why not everyone is cheering Santa Clara, Calif., for banning Happy Meal toys. And, there are dozens of more examples.

Politicians are "hearing" constituents. Business executives are "monitoring" social media. But few are "listening."

Utterli heard Utterz turned some people off at a glance, but they didn't listen to how people came to love their enduring cow mascot. Digg heard that being allowed to share content among a Digg network fueled some spammers, but they didn't listen to understand that people love to share social media while tuning out spammers anyway. There are several other social networks in jeopardy too.

BP and the Obama administration hear that people don't think they did enough, but they are not listening closely enough to understand the public wants them to admit their mistakes and that they don't have anything under control. Santa Clara elected officials that heard parents wanted something done about childhood obesity, but they didn't listen to responsible parents who consider McDonald's and Happy Meal toys a once-every-few-months treat. They can make decisions about Happy Meal toys with their own pocketbooks.

Even researchers are becoming deaf nowadays. There is another portion of the Harris Interactive poll I mentioned yesterday that proves the point. Harris Interactive couldn't understand why 70 percent of Americans gave the Constitution high marks, but low marks to the government (43 percent) and political system (23 percent) it empowers. They heard, but didn't listen.

Most Americans think that the political system to driving government is operated well beyond the Constitution, which was originally written as the people's contract with its government. This also set the stage for a volatile election cycle because people don't believe politicians are meeting their commitment to protect the Constitution.

How a lack of listening undermined several campaigns in Nevada.

If you want to understand how this all played out in Nevada, never mind what the pundits say. Sue Lowden, who is a dynamic business woman I had the pleasure to do work with years ago, didn't lose the primary because of her chicken comment. The gaffe could have easily been corrected, but her campaign didn't know how (we did, ho hum).

But what really underscored the race was that she wasn't listening. Candidate Sharron Angle was listening. People are tired of hearing about what establishment representatives want to do for them. They want elected officials to represent them.

U.S. Sen. Harry Reid isn't listening. Almost immediately after Angle won (he'll face her in the general election), Reid's campaign launched a release attempting to label her ideas as "wacky." Someone didn't think to tell his staff that the block who voted for her might be put off by it. At least she's representing Nevada, some might say.

The story played out the same in the gubernatorial race. Gov. Gibbons could have turned his time in office around, but he consistently didn't listen. It wasn't the economy that cost him his incumbency. It was how he handled the economic downturn. While he made some of the right decisions, he only "heard" people didn't want tax increases. That's true (they can't afford them). But what he didn't hear is that they wanted him to demonstrate leadership. By the time he did, it was too late.

In the one race I was engaged with, it was much the same. Tim Williams was an underfunded underdog. His opponent was "anointed." Some insiders were so convinced that he could not win that they advised him to directly attack his opponent. He refused. The public is tired of games. Williams listened.

Are you listening or are you hearing?

Whether it is a political campaign or consumer product, the public is much more sensitive to who is listening and who is not. Generally, you can tell the difference in whether they react to what they hear or respond because they are listening.

Case in point: the Obama administration thinks that they didn't communicate their response to the BP oil spill clearly enough. So, he reacts by defending what the government did do. He's not listening. People don't care about what they did do or whose "ass" he intends to kick. They want someone to clean up the spill. Use hair. Use hay. Use air filters. Just clean it up and stop making it worse.

Managing Crisis: Silence vs. Social

"We are not eliminating any medical benefits," Rob Stillwell, spokesman for NV Energy, told the Las Vegas Review-Journal. "That's all I can say on the record."

There is a reason NV Energy cannot discuss its decision to place a cap on contributions to employees' retiree medical plans: textbook public relations. Regulated companies are almost always silent in the midst of union contract negotiations.

Unions are not.

Some 200 union workers rallied in the rain yesterday to protest planned reduced health care benefits for NV Energy retirees and cutbacks in the utility company's work force. But the traditional pickets are only one piece of the union's communication program. IBEW Local 1245 has launched a Web site and a Facebook page, aptly titled Shame On NV Energy.

Paid advertisements help drive traffic to the site. Banners were placed on the The New York Times several days ago. It seems the communication is aimed at would-be investors considering the company after it reported a profit, credited to a 6.1 percent increase in Southern Nevada's general rates. Even without the rate hike, NV Energy was already delivering the most expensive energy in the mountain states.

The union also seems especially irritated by the changes in retiree compensation plans because it was hopeful that NV Energy would be investing in a new transmission line and receiving $138 million in stimulus funds, which Senator Harry Reid claims as a feather in his cap. Instead, the union was surprised by a planned cut in retiree health benefits and the closure of offices in Las Vegas, Elko, Yerington and Carson City.

The cuts are likely a consequence of NV Energy's planned move into renewable energy. In its most recent Integrated Resource Plan approved by the Public Utilities Commission of Nevada, NV Energy will be spending approximately $2 billion to purchase and invest in new renewable energy by 2015. The emphasis is on solar, wind, and geothermal.

Recent announcements in its moves toward renewable energy all but drown out the union protest. However, that does not mean the complaints are falling on deaf ears. Since Monday, the Facebook account has tripled as consumers, concerned about energy prices, join the retirees. Like many utilities, the answer is never to reduce rates but to reduce consumption, they say.

There is also speculation over the resignation of the company’s chief financial officer and treasurer just days before what would otherwise be good news. Speculation is commonplace, given the timing and lack of any specific reason.

The story raises several interesting questions about social media and the current state of media. One of the most pressing has less to do with message management and more to do with message control, which social media is often credited in rectifying. However, in this case study, it seems social media makes communication a crapshoot.

The success of IBEW communication relies on nothing more than drawing attention to the topic. The success of NV Energy communication seems much more to do with talking more about everything else, as there is no mention of cuts on its Web site or toe test on Twitter.

Diagnosing Medical: Where Las Vegas Hospitals Miss

With more than 80 percent of all patients looking for medical advice online, up 31 percent from two years ago, one might conclude the medical community would be among the most likely and best suited to provide medical information online. But based on a cursory study commissioned last July, we found the majority of hospitals in the Las Vegas metropolitan area are absent.

Instead, area hospitals seem to be mostly reliant on traditional push marketing, with an emphasis on proximity. In fact, only one of 11 hospitals is experimenting with social media, and that one hospital has a program than can best be described as confused. They launched it, but don't know what to do with it.

From a broad perspective, the apparent absence of the Las Vegas medical community online is creating a deficit against any ROI on traditional communication. Specifically, they cannot spend enough offline or benefit from enough earned media to offset the growing negative impressions related to each hospital nor the Las Vegas metropolitan area as a whole.

Five Specific Consequences For Online Absenteeism

• It drives the general public to consult other medical opinions that primarily consist of two types: moderated forums, which provide opinions from medial experts (guest authors with widely varying degrees of vetted and unvetted experience); and unmoderated forums and bulletin boards where visitors share their experiences and provide patient-to-patient support and consult.

• It creates a disproportionate amount of negative impressions online, resulting in long-term brand damage. Specifically, one hospital earned 10 negative reviews and no positive reviews in a 90-day period, and all hospitals received more negative than positive reviews.

• It impacts the entire medical community, with jokes being made by neighboring markets. In one case, a medical professional in a neighboring market joked that they place bets on how many Las Vegas residents would fly in for second opinions and/or primary consult because of their general distrust of area expertise.

• It hinders the community's ability to recruit quality nurses and attract medical practitioners as potential employees are more likely to find negative reviews, commentary, and conversations that place a consistent emphasis on staff shortages, unfriendly medical staff, long waits in emergency rooms, and lack of medical expertise.

• It hinders the ability to find area hospital Web sites, which are most often designed as unsearchable modulated sites with an emphasis on the wrong messages. Specifically, area hospitals talk more about their vision, values, associations, accreditations, and awards than they do about the care they provide or any medical expertise. In sum, they address issues that customers are least likely to search for when they are considering a hospital.

Current Traffic And Traditional/New Media

As part of the report, we ranked area hospitals in terms of total Web traffic (provided below), but even more interesting, research revealed that most site visitation lasted between 1.8 and 4.4 minutes (2.5 minutes was the medium) and many missed their primary demographics.

In addition, most were not frequently mentioned by mainstream media or social media, with exception to recruitment (e.g., openings), standard news (e.g., promotions), event news (e.g., union disputes), and negative patient reviews. None of those mentions linked back to the hospital's Web site, leaving each hospital with a neutral to negative public sentiment.

1. St. Rose Dominican, ranked 6th in social media/media mentions
2. Sunrise Hospital & Medical Center, not ranked in social media/media mentions
3. University Medical Center, ranked 5th in social media/media mentions
4. MountainView Hospital, ranked 7th in social media/media mentions
5. Desert Springs Hospital, ranked 1st in social media/media mentions
6. Summerlin Hospital Medical Center, ranked 4th in social media/media mentions
7. Valley Hospital Medical Center, ranked 2nd in social media/media mentions
8. Spring Valley Hospital Medical Center, not ranked in social media/media mentions
9. North Vista Hospital, not ranked in social media/media mentions
10. Southern Hills Hospital & Medical Center, not ranked in social media/media mentions
11. Centennial Hills Hospital Medical Center, ranked 3rd in social media/media mentions

A Solution That Moves Beyond Hospitals In Las Vegas Market

Whether hospitals are unwilling or unable to implement online communication programs (or benefit from effective public relations) is less important than what it might mean for the area medical community. Currently, area hospitals tend to set the pace for perception. However, any number of professionals could shift online conversations and information away from the hospitals and toward their areas of specialty.

Quick care centers, medical specialists, and other practitioners could implement social media programs that help fill the growing need for medical information online while minimizing the apparent communication deficit being created by hospitals. Over time, even without the support of area hospitals, the market could begin to reverse its medical reputation, assuming the best professionals pursue the opportunity.

Beyond the medical community, such cursory research reaffirms how social media still has an impact even if companies within a sector or industry do not develop a program. As long as the general public seeks out information online, it determines who they receive information from, what type of information they receive, and the quality of the opinions they formulate.

The cursory report is available upon request. Breakdowns of each area hospital are also available with lead time.

Blacklisting Vegas: President Obama

According to the Las Vegas Convention and Visitors Authority (LVCVA), Las Vegas hosted 22,454 conventions and meetings that attracted more 6 million business people and conventioneers in 2008. It accounted for an economic impact of $8.5 billion, employed more than 46,000 Southern Nevadans (75,000 with indirect employment), and represents close to 15 percent of the city's total visitor volume.

On Monday, President Obama said he wanted to end that.

“We’re going to do something to strengthen the banking system. You are not going to be able to give out these big bonuses until you pay taxpayers back. You can't get corporate jets. You can't go take a trip to Las Vegas or go down to the Super Bowl on the taxpayers' dime. There's got to be some accountability and some responsibility.” — President Obama, Town Hall discussion in Elkhart, Indiana

There does have to be accountability and responsibility.

"Mr. President, I understand the enormous burden you carry in dealing with the worst economy since the Great Depression. I also understand the need for accountability, but your comments are harmful to the meetings and convention industry as a whole and Las Vegas specifically." — Mayor Oscar Goodman, Las Vegas, Letter posted at Las Vegas Now

Careless research and ill-advised words damage lives.

According to the Las Vegas Review-Journal, President Obama based his decision on a report that cited "$300 hotel rooms" as an example of extravagance. The Venetian, which is a more upscale property, lists rooms for $189 per night. The LVCVA reports the average room rate was $119.19 in 2008, with a low of $96.39 in December.

Specifically, businesses attend conventions and meetings in Las Vegas because of its room rate discounts, reasonable air fare, diversity of offerings, and the strong local infrastructure to support it. Since 2000, the city has gone to great lengths to carry a dual message that, despite its party town image, it is an extremely smart and cost-effective choice for business.

At least four major companies have already canceled their plans to meet or hold conventions in Las Vegas this year. Some of the cancellations have to do with the perception of Las Vegas, while others might be because of their own financial constraints. State Farm planned to book 11,000 rooms in September, but those rooms will now remain vacant. Wells Fargo, which received some bailout money, also backed out of a 12-day junket in response to cries that the meeting represents wasteful spending.

Unless replaced, the damage caused by these lost bookings could be severe to a local economy already experiencing a 9.1 percent unemployment rate, well ahead of the national average. It is anticipated to hit double digits this year, with the state facing a economic crisis, which began after it was hit especially hard by the subprime mortgage situation.

The campaigning needs to end and bailouts too.

During campaigns, politicians are sometimes quick to call out and vilify opponents, industries, and government. The message becomes simple. Everything is bad, and we need to change it all. While I'm not a fan of peddling fear, many campaign managers understand all too well that these trumped up rally cries can move certain publics to the polls.

However, once elected, most politicians are seasoned enough to understand that the communication needs to shift in order to govern. As elected officials, most know that effective leadership requires the polarization to stop and productivity to begin. They recognize that they no longer represent campaign slogans but rather the Wall Street stock broker in New York and the maid in Las Vegas and the automotive lineman in Detroit. They are no longer entitled to pick and choose which American people they represent. They represent us all.

Regardless of how you feel about Las Vegas, President Obama's message did not communicate anything about this city as much as it communicated something about the recent waves of bailouts and the stimulus package in general. The power of the purse is the ability of one group to manipulate and control the actions of another group by withholding funding, or putting stipulations on the use of funds. This power grab is alive and well in America.

After Monday, it now seems all to clear that President Obama is intending to use this power and perhaps abuse it, under the guise of protecting taxpayer money. However, in delivering this message, he neglects the obvious. The 46,000 Americans directly employed by the convention industry in Las Vegas are taxpayers too. They are owed an apology.

Good night and good luck.

Losing Truth: When Astroturf Wins

While the nation celebrates the victory of President-elect Barack Obama, Nevada is already lamenting the unintended consequences that came with his victory. Two respected state senators, one of which I worked with this cycle, lost their seats to campaigns best described by the only paper to endorse those who benefited.

“Don’t look to Allison Copening, who defeated Beers, or Shirley Breeden, who defeated Heck, to become a driving force during the next legislative session. The candidates relied on outside expenditures that hammered the incumbent with negative ads, a national Democratic wave, and ducking debates and tough questions,” wrote Cy Ryan with the Las Vegas Sun. “Now, they’ll have to navigate the politics of Carson City. And their positions on the issues, from renewable energy to higher taxes, will be on the record.”

The surrogate smear campaigns against Beers and Heck, which exceeded the early estimates of $1 million against both to be closer to $1 million against each for races that usually require around $100,000 to run a substantive campaign, included lies about their records, their characters, and their professions.

Specifically against Beers, the mailers and television advertisements eventually claimed a fictitious ethics charge and accused him of “making up” a law enforcement endorsement that he had. In one of the television commercials, they included a four-frame fraction-of-a-second image of a gun pointing to his head. The owners of that advertisement said they stood by it.

Where was the media? For the most part, the newspapers were there. The more conservative Las Vegas Review-Journal, the more liberal Las Vegas Sun, and the liberal alternative Las Vegas CityLife all vetted the false claims, damned the smear campaigns, protested the refusals to debate, and demonstrated direct ties from the candidates to the surrogate attacks. The latter of the three papers ultimately joined the more conservative first to endorse Beers.

Yet, with print circulations declining and mostly unanswered anonymous comments attached to those articles online, the weight of independent or even biased journalism is waning; something that needs to concern us all. Even when budget-crunched newspapers are not resorting to "he said, she said" reporting that masquerades as objectivity, fewer people are reading. Instead, they only rely on whatever can be burped out by black hat public relations professionals and political spinsters.

Ultimately, two well-funded Astroturf campaigns carried the day in both races, backed by Obama-led straight-ticket voter turnout and diminished Republican turnout that left even Richard McArthur, candidate for the more conservative Assembly District 4, vulnerable for most of the evening against an opponent who did not campaign at all. McArthur won by a small margin.

As for the state senate races, the losers are Nevadans. In Beers, they lost the only accountant in the state legislature, who even his adversaries agreed knew more about the state budget than anyone serving in the state senate and credited with being a champion for the underdogs, even if it meant going against his own party. In Heck, they lost a smart legislator, emergency room doctor, and U.S. Army Reserve colonel.

What is the cost? Considering, before the ink was even dry on the morning newspaper, some of the would be winners who promised no “new taxes at this time” are already saying they feel pressured to raise them, which reminds me of a fitting quote from American writer and economist Thomas Sowell:

“If you have been voting for politicians who promise to give you goodies at someone else's expense, then you have no right to complain when they take your money and give it to someone else, including themselves.” — Thomas Sowell

Eclipsing Nevada Day: Everything

Today is Nevada Day, but most Nevadans barely know it.

Nevada was the 36th state and admitted to the Union on Oct. 31, 1864, rushed in by President Abraham Lincoln during the American Civil War. It became a state only eight days prior to the presidential election to help ensure Lincoln's reelection on Nov. 8. The only real reminder for some citizens is the phrase "Battle Born," which resides above a single star on our state flag.

Although I'm a native of Wisconsin, my family relocated here after a major airlines moved my stepfather to help open its first route to Las Vegas in the late 1970s. Perhaps it was my Midwest sensibilities or maybe being raised a good part of my life by grandparents, but one little bit of culture shock that still remains with me is the apparent lack of attachment to the state by a large percentage of our population.

What Eclipses Nevada Day?

The most obvious is Halloween. It's even more prevalent today since the population exploded from 250,000 people in southern Nevada in 1980 to about 2 million today; most kids relate to having the day off in celebration of Halloween. (To be fair, northern Nevada has a much better sense of things).

The pitfalls of a democracy. In 1997, voters advised the 1999 legislature they wanted to celebrate Nevada Day on the "last" Friday in October beginning in 2000. However, the few mini celebrations in southern Nevada occur on Saturday. It's more confusing than ever.

The proximity to Election Day. Since Nevada is a battleground state for the presidential election, some celebrations might be trumped by get out the vote efforts.

Why Bother With Nevada Day?

According to Las Vegas Sun, state admission is no big deal to post about. They report Nevada is one of the few states to celebrate its entrance into the Union, and then simply direct people to celebrate by voting on Nov. 4. If that's true, maybe that's something that states could reconsider.

Every four years, voters take an interest in elections because of the one office that probably impacts them the least. This isn't to say voting for President isn't important, but rather a nod to the notion that we don't pay close enough attention to local or state races, where our votes directly impact our daily lives. It's also the reason that other than the occasional communication issue post, I'm mostly quiet about the national races.

You see, unless you are a pundit, personal branding and political posts don't mesh well, which is why I haven't shared too much on the state races in Nevada despite the fact that dishonest campaigning has reached historic proportions. Likewise, all I can say about national campaign messaging is that neither side deserves congratulations.

While the election is still a few days away, most people recognize that Sen. John McCain's campaign has consistently missed the communication mark, that the media has been overwhelmingly quiet on some issues (such as the unfair investigation of Samuel "Joe the Plumber" Wurzelbacher), and that Sen. Barack Obama was named Marketer of the Year.

However, winning Marketer of the Year is not necessarily a feather in the cap of the candidate, in my opinion. Sometimes he spins too much, including his joke the other day in an attempt to dismiss his previous comments on redistributing wealth.

"Y'know, I don't know when they decided they wanted to make a virtue out of selfishness," said Sen. Barack Obama. "Y'know, the next thing I know, they're gonna find evidence of my communistic tendencies because I shared my toys in kindergarten — cause I split my peanut butter and jelly sandwich with my friend in sixth grade."

No matter who you vote for in the upcoming election, framing up tax increases in this manner concerns me because wealth redistribution is not the same as a charitable contribution. When government "pre-collects" contributions, it denies people the opportunity to be selfless and distances them from the direct contributions they make to worthwhile causes every day.

In other words, if Sen. Obama really did split his peanut butter and jelly sandwich with a friend in sixth grade, it might be admirable. But if someone took three quarters of his sandwich, ate half of it, and then stole that selflessness by dividing the rest among three strangers, then all it accomplishes is leaving everyone, except the distributor, largely undernourished.

Yeah, it's Nevada Day. And for all the challenges our state faces, it reminds me why I'm glad we're part of the United States and not the United State or why there are still a few people in this republic who recognize that two foxes will vote to eat the one sheep in a democracy.

Walking For Arthritis: Arthritis Walk 2008

My daughter is only two years old, but she wants to walk for arthritis on Saturday, Oct. 25 in support of the Southern Nevada Arthritis Foundation.

How do I know she does?

You’d never know to look at her, but she is one of the 46 million Americans living with arthritis, the nation's leading cause of disability. She has juvenile rheumatoid arthritis in both ankles and one hand, a bitter reminder that underneath her firecracker smile she’s always had to fight a little harder. There are no free rides.

What’s worse for us is that Nevada is only one of nine states in the U.S. that doesn’t have a pediatric rheumatologist. In lieu of seeing the specialist she needs to, we take her to a clinic that specializes in children with cancer. One of the doctors there flies in from Calif. four days a month.

We’re just grateful she was diagnosed. The quick care doctor who initially saw her rejected the obvious: the first ankle had swelled to twice the size of the other. He thought it was a hip infection. (The misdiagnosis might have been worse had some legislators not fought for tort reform.)

Tort reform in Nevada.

A few years ago, Nevada was facing a very real medical crisis. Doctors and nurses were being squeezed out of state as the cost of malpractice insurance continued to rise and health insurance companies added more hurdles than help. (Health care premiums for families here have increased 54.6 percent in the last seven years.)

State Sen. Bob Beers led the fight for tort reform in the state of Nevada and continues to fight for doctors and nurses, which is one of several reasons that the Nevada State Medical Association, the Clark County Medical Society, and Southern Nevada Medical Industry Coalition endorsed him.

It’s very sobering when you can make personal connections between your life and state government. For the three plus months we lived in Summerlin Hospital NICU, rarely did a day go by when I didn’t wonder what might have happened had the doctors and nurses who saved my daughter’s life moved on to greener, more doctor friendly states.

She won’t walk alone.

Two years later, add my daughter to the list of his endorsements.

Sen. Bob Beers told us yesterday he would take a few hours off the campaign trail to help her raise money for arthritis. In fact, since his father also suffers from arthritis, he asked that we set up my daughter’s page under the Team Beers banner. His campaign will be jumpstarting my family’s modest $5,000 fundraising goal with the first $1,000.

For more information about the walk, visit the 2008 Arthritis Walk schedule. And if you’d like to help us reach our goal, you can find the Team Beers page here.

Digging Holes For Bloggers: Naked Boy

Sometimes, the best rule of thumb for bloggers is to think before taking action. Take J. Son, who produces Naked Boy News, for example. He almost jeopardized the entire jury selection process in the ongoing O.J. Simpson trial.

He jeopardized the trial by contacting two jurors and allegedly claiming to be with CNN. However, in this trial, like many trials, the court had previously ordered restraint by members of media to ensure an unbiased jury. In fact, media attempting to contact jurors would be in violation of a court order and charged with contempt of court and/or have their their press credentials confiscated.

Upon learning the contact came from a blogger, District Judge Jackie Glass said she could control media representatives, but couldn’t stop the public from trying to speak to prospective jurors. Other than hoping to tell him to knock it off, the judge has taken the position that there is nothing she can do.

”The folks on the street — I cannot control them,” District Judge Jackie Glass told the Las Vegas Review-Journal.

I disagree. While I tend to be an advocate for the relatively few bloggers who hope to cross over into civil journalism, I also believe J. Son should be held in contempt of court just as any other publisher would.

If he is not held accountable, his actions will hurt bloggers over the long term by pressuring the courts and others to define what is a 'legitimate' journalist. Doing so would not only be bad for bloggers, but for everyone.

It’s simple really. Bloggers acting as or claiming to be journalists need to accept the responsibilities of journalists or else they risk a future where journalists will become licensed by the state and the First Amendment a mere privilege. With freedom comes responsibility.

Closing Campaigns: Francis Allen

Many local stations and newscasters attribute former Assemblywoman Francis Allen’s primary loss to her domestic violence charge that was dropped after her soon-to-be former husband recanted his police statement. In reality, it was near constant credibility erosion and inconsistent communication that killed her career.

Here is a truncated hot list from various political mailers and news reports:

• Promised to be strongly opposed to taxes, but would not sign the Taxpayer Protection Pledge in a district that expects it.

• Was engaged in several ethics complaints. The most recent was filed by a florist after Allen cancelled a check for more than $5,000 for wedding flowers. The business never recovered.

• Sponsored several questionable bills, including one that would have allowed homeowner’s associations to raise fees without resident approval. But Allen was not familiar enough with the bill to address the section that caused it to be vetoed.

• The mailer that claimed an erroneous endorsement that she didn’t have. This was not the first time it occurred during her political career. It was the second.

• The political mailer that seemed to exploit her martial problems after the stabbing scandal and included disparaging remarks about her husband despite the fact he had recanted his story.

There are almost a dozen more, which was my point in a post several days ago. While there is rarely a silver bullet, the daily wear and tear of individual brands will eventually be unrecoverable.

While Allen would have faced a challenging race, the difference between winning and losing came down to a few bad communication choices and an unwillingness to apply the better remedies:

• Allen could have ended speculation about the Taxpayer Protection Pledge by either just signing it or addressing her reasons for not signing it.

• Allen could have offered full disclosure on the complaints, her views, and their outcomes. While voters might not have agreed with her, they may have dismissed some of them.

• Allen could have explained her reasoning on the passage of certain bills, but only attempted to claim she didn’t sponsor them.

• Given the circumstances, Allen should have never claimed the endorsement. At minimum, she should have double-checked with each association.

• While most of the candidates avoided discussing the stabbing scandal, Allen seemed to bring it up frequently. Her decision to run to the problem with a political mailer was ill advised. However, if it did need to be addressed, it needed to be addressed differently and should have avoided any opinions about her husband or whether or not they would be divorced.

Unfortunately for her, communication never seemed to be a strong point. In her concession to challenger Richard McArthur, Allen claimed to have run a positive race. Some people might not agree with that assessment, including voters.

McArthur, a United States Air Force veteran and retired FBI agent, comfortably beat Allen by a 2-to-1 margin in the four-way primary. He had been campaigning door-to-door for 10 months. In addition to some signage and an extensive grass roots campaign, he sent several introduction and contrast mailers that resonated with registered voters. Tomorrow, he’ll start again.

In contrast, Allen relied almost exclusively on name recognition (signage) and direct mail (one-way communication). Case closed.

Spinning Yarns: Assemblywoman Francis Allen

You can always tell when early voting is in full swing by the amount of political mail stuffed inside the mailbox. My mailbox is no exception. It’s stuffed.

Every few days, I receive one or two campaign mailers from Assemblywoman Francis Allen, who I mentioned on Monday. Allen’s campaign is struggling this election cycle after six years of credibility erosion.

While I supported Allen during her initial run years ago, I am supporting one of her primary challengers this year. The campaign mailer I received yesterday reinforced this decision. The piece lacked credibility.

Political lie detector or poorly disguised mud slinger?

The mailer, entitled “Political Lie Detector,” is meant to resemble a rebuttal piece, which would normally point to errors contained in an opponent’s piece.

Generally speaking, a truthful rebuttal is smart when time and money allow. However, when rebuttals strain to spin the story, it doesn’t work very well.

Where does Francis Allen’s last minute rebuttal mailer go wrong?

Missed Opportunity
Allen says her opponent lied about her being charged with battery domestic violence because the case was dismissed. However, she was charged, the prosecutors are reportedly not letting it go, and her challenger never attacked her on that point. The missed opportunity? The rebuttal doesn’t claim innocence nor did Allen the last time she was asked.

Record Misrepresentation
Allen said her opponent lied about her position on taxes, citing a newspaper editorial that says Allen was a reliable vote against taxes years ago. However, Allen has voted on bills that have allowed for tax and fee increases.

Games With Numbers
Allen said her opponent lied about the number of bills she sponsored. It seems her challenger did not count resolutions, revisions, and bills that didn't represent her district. You can find them here.

Factual Misrepresentation
Allen said her challenger lied about the cost of a bill she sponsored. She said it cost taxpayers nothing. But what many legislators fail to tell voters is that every bill they sponsor costs time and money.

Demonstrative Ignorance
Allen said her challenger lied about her sponsorship of a controversial homeowner’s association bill that would have allowed HOAs to raise fees every year without a vote by those paying HOA dues. But she did. Fortunately, the bill was vetoed.

Overreaching Stories
Allen then overreaches, claiming her opponents placed trashy literature on parishioners’ cars at her church. It seems unlikely to me that any of the opponents she is facing would do that. The risk vs. reward just isn’t there.

In the very next sentence, she reinforces her pledge to run a clean campaign. However, the reality is that Allen has never been known to run a clean race.

Most politicians ask voters to verify facts and Allen is no exception.

So why would someone like Allen put out a piece that misses on every point? Although I do work on select political campaigns from time to time, this is one area of politics that never really sat well with me. But it is what it is.

It seems that Allen is banking on two assumptions: that her challengers have not raised enough funds to correct these errors and that voters will not check the facts.

Whether she is right on either point, I have no idea. We’ll know on August 12.

Preserving The Earth: Earth Day

With Earth Day a mere seven days away, it seemed fitting to devote a post to a date that many consider the birth of a global environmental movement (1970) and that helped usher in the concept of ecotourism.

What’s ecotourism? A few years ago, I interviewed Klaus Toepfer, then executive to the United Nations Environment Programme (UNEP), who succinctly defined ecotourism as tourism that “promotes the conservation of earth’s biodiversity.” He said that ecotourism was a unique niche because it required increased cooperation among industry, government, local populations, and tourists to ensure sustainability.

While it’s not covered as much today as it was then, ecotourism continues to grow at a rate of 20 to 25 percent annually, especially in countries like Nepal, Madagascar, and Kenya. In 2003, more than 43 million Americans considered themselves ecotourists. Today, as many as 1 in 3 would qualify.

Interestingly enough, most ecotourism is not passive. Some, like those offered by Thrill Seekers Unlimited blend in rock climbing, sand surfing, kayaking, hovercraft racing, and other extreme sports — activities that founder Rich Hopkins recognized as acceptable because people in their 20s to 40s grew up on skateboarding.

Think Globally.

Beyond thinking about ecotourism, Earth Day provides an opportunity to act on a global scale. This year, it is estimated that as many as 500 million people in 175 countries will celebrate Earth Day on April 22.

A few notable events include the free Green Apple Festival in ten cities across the United States; the Green Schools programs across America; and hundreds of other events listed all over the world, from Tokoyo, Japan, to Togo, West Africa.

Act Locally.

In Las Vegas, the fifth annual Summerlin Earthfaire, the largest Earth Day celebration in southern Nevada, runs from 10 a.m. to 4 p.m. on Saturday, April 19. It features an acoustic performance by Anna Nalick at noon.

In Reno, Econet hosts the largest celebration in northern Nevada at Reno Idlewild Park from 10 a.m. to 5 p.m. on Sunday, April 20. It includes several bands, ranging from bluegrass to reggae, performing on a solar powered stage.

Make It Daily.

Earth Day doesn’t have to be confined to a single day. In Las Vegas, the Springs Preserve is one of the city’s first major cultural attractions developed around the environment. Located three miles off the Strip, the site used to be home to palatial artesian springs that nourished the valley’s fragile ecosystem.

Although the springs dried up in 1962, 180 acres of land were preserved after the area was listed on the National Register of Historic Places. Today, the Springs Preserve has been developed into an indoor and outdoor recreational and educational site, with live concerts, artistic and eco-friendly exhibits, several play areas for children, eight acres of indigenous botanical gardens, and 25 acres of recreated desert wetlands.

Every building at the site was developed to maximize green design, including reclaimed timber, recycled building materials, on-site waste water reclamation, and solar power that provides 70 percent of all the facility’s power needs. Eventually, the Springs Preserve will also be home to the Nevada State Museum.

Failing Forward: Clark County Schools

In 1996, I accepted $50,000 in stock in lieu of cash to help the startup of an amusement park invention. I still have the original stock certificate. It’s worth nothing, except as a reminder that failures are seldom free. I paid for it.

It’s a valuable lesson, but one our school district does not teach.

Last week, I mentioned a Las Vegas Review-Journal story how Clark County School District (which includes Las Vegas) students were failing Algebra I, Geometry, and Algebra II — approximately 88 percent of all students — according to tests administered in January.

This week, the Clark County School District sent a letter to parents, assuring them that these test results will not be a “deciding factor in awarding or withholding a diploma or promoting or retaining individual students in math classes.” In other words, there is no need for concern.

No need for concern. Students will be moving forward regardless.

The letter goes on to stress that the exams were not mandated by the state or federal government. So, these tests will not be used to determine school status under the No Child Left Behind Act and affect federal school funding.

On the contrary, the school sees these tests as an opportunity to convene a committee of experts — as opposed to the experts supposedly entrusted to teach students — to evaluate “the concerns that have been raised about the exams.”

Parents are also advised to visit their Web site to become acquainted with curriculum overviews. It includes bulleted curriculum items like this:

• Problem Solving: Students will develop their ability to solve problems by engaging in developmentally appropriate opportunities where there is a need to use various approaches to investigate and understand mathematical concepts, (sic)

In reviewing the document, I found less comfort in the ability of our school district, not more. The above sentence, ending with a comma as opposed to a period, not withstanding. In fact, the curriculum overview seems to provide an indication why Nevada scored among the worst in the eighth-grade NAEP writing exam, slightly above New Mexico and Mississippi.

No need for concern. Students will be moving forward regardless.

Two years ago, my cousin arranged a meeting with administrators after his stepson brought home a report card with all Ds and Fs. He was concerned.

“No need for concern. He will be moving forward regardless,” he was told.

“You don’t understand. I want you to hold him back.”

“Oh no, we can’t do that. It would be bad for his self-esteem and we really don’t have room anyway.”

No need for concern. Students will be moving forward regardless.

The message is clear, but it’s not the right message. Parents do need to be concerned for the very reason the school district tells them not to be.

The measure of academic success in a school district is not federal funding, number of expert committees, the percentage of correct sentences in a poorly written curriculum overview, how many students are failed forward, or how many receive diplomas. On the contrary, the only measure is whether these students will master certain subjects or not, which will no doubt determine how well they perform as they move forward.

So while there is a perception that “trying” is good enough to move ahead, the reality is that “trying” is not good enough. The truth is that “trying and failing but moving forward anyway” is delusional and detrimental because it deprives students of learning from their mistakes and sets them up for more failures.

Worse, if teachers are continually required to present material suitable for the lowest performing students, it eventually results in entire classrooms receiving a deficient education. That means the paper with the words “diploma” has as much value as the stock I accepted in 1996, except without even providing students the benefit of learning from any of their failures along the way.

Ergo, if there are some faulty math skills, it’s not just students. The school district is operating under a formula that suggests it continually needs more funding while continually producing less educated students, which demonstrates a need for more funding. At the same time, it continually claims to be making progress, with the only proof being the growing number of students who are failed forward.

Right. It doesn’t add up.

Wondering About Funny: Corey Levitan

“For the record, I apologize to all the readers I offended, even those who aren't prominent rabbis. Offense is never my intent,” said Corey Levitan, Las Vegas Review-Journal columnist. Humor always is. And humor is subjective, as proven by the people who somehow find Dane Cook to be hilarious.”

This is part of an unsolicited apology received (I’m part of his e-mail list) from columnist Corey Levitan after he “portrayed” a cantor for his Fear In Loafing column a few days ago. The column features Levitan assuming various occupations and then writing about them. Sometimes he is funny. Sometimes he is not, at least not according to some people.

”Mr. Levitan's glib misrepresentations about Reform Judaism were not just erroneous, but disgusting and hurtful,” wrote Rabbi Kenneth I. Segel in a letter to the editor. “Being a clown and imposter is one thing, but denigrating a religious faith is another.”

If the reader was offended by Levitan’s column, there seems to be little doubt that he would have not appreciated the e-mail apology e-mail, as Levitan states … “Frankly, I just can’t see how anyone can interpret the sarcasm of my condensed Jewish history as anything other than glaringly obvious. (Um, I KNOW that Christmas and Easter are not Jewish high holy days.)”

Levitan also mentions receiving about a dozen phone calls accusing him of hating himself for being Jewish. And later goes on to drop Larry David, Jackie Mason, and Mel Brooks as other humorists he is inspired by as a defense.

Ho hum. While the column was meant to be satirical, it was also obvious, in my opinion, that he held back compared to other articles , hinting that maybe he was less comfortable with this one than others. David, Mason, and Brooks never were, which is why they are funny.

While Levitan is right, people are often too sensitive when humor is presented, one wonders whether his e-mail was the best idea. Certainly it was better than Michael Richards’ attempt to defuse racism but perhaps not so solid as what Chris Rock might have done as mentioned in the Richards post.

It invites others who would never have known to opine, dismisses the complaint in a communication vehicle that generally doesn’t employ sarcasm, and alludes to the notion that Levitan might not be against the idea of using the angst of others as publicity. Of course, that all depends whether the two offended rabbis were privy to knowing that they were the rub of Levitan’s more private correspondence.

If they were not included, then no, not so funny. If they were included, then I hope they’re smiling because that might make it funny.

Failing Education: Here, There, Everywhere

“How can we do more to encourage young people to pursue careers in science and technology?” — Bill Gates on Linkedin

If there was ever a Linkedin question I wanted to answer but did not have time to answer, this was the one. Never mind the 3,567 people who did provide answers.

The question came to mind again after I opened the Las Vegas Review-Journal today to read that Clark County School District (which includes Las Vegas) students who were tested in January on their grasp of first semester material in high school algebra and geometry did not hit the mark.

• 90.5 percent failed the exam for Algebra I
• 87.8 percent failed the exam for Geometry
• 86.6 percent failed the exam for Algebra 2

The test results mirror some of the early results for writing proficiency on the other side of the country. In Vermont, only 37 percent of the students were proficient writers.

Maybe the answer is simpler than expected. When Richard Feyman, winner of the Nobel Prize in physics, taught abroad, he made an observation that students in some countries were excellent testers. However, if he deviated even slightly from the memorized material, none of the students could produce an answer. All they had been taught, it seems, was memorization.

It’s becoming the same here. Upon learning my son’s school stopped its educational curriculum to dedicate an entire month preparing for tests mandated by the federal government and tied to educational funding, I couldn’t help but wonder if our educational priorities have shifted to be the same. The school’s motivation was to produce test scores that resulted in more funding.

Maybe it’s me, but I thought the priority was to educate students.

Don’t get me wrong. The tests are fine, especially because they seem to be revealing a disconnect between what educators are teaching and what students are learning. The administrative priorities, on the other hand, are not. The more emphasis school administrators place on teaching students to rote memorize material rather than learning to apply it across a variety of circumstances and subjects, the faster the educational system will sink.

So how can we encourage young people to pursue careers in science and technology? By teaching students to apply basic math skills like Algebra 1, Geometry, and Algebra 2 to equations that are interesting, applicable, and tied to practicality in the fields of science and technology as opposed to the rote memorization of formulas that most cannot connect to any real life application.

It has always been that way. Homer Hickman, who was inspired by the first Sputnik launch to take up rocketry, learned advanced mathematics and physics not for a love of memorizing numbers, but because they were necessary. More educators are speaking to this fact, but the concepts of applied learning need to be introduced much earlier than college. Craig R. Barrett, the chairman of Intel, said the same.

The same holds true for writing. Students who completed my Writing For Public Relations class noted the difference. While I would cover common mistakes on homework assignments over and over, most assignments were structured to reintroduce them to learning how to learn.

Learning how to learn is the single most important skill set for public relations, because the best practitioners tend to learn about companies and industries they serve as opposed to simply counting phone numbers in a Rolodex. Truly, they must learn to work through problems as opposed to blindly applying rules like Michael Scott (Steve Carell) did during one of my favorite episodes of The Office.

The same holds true in just about everything. It’s easy enough to find top ten tips to increase Web traffic, which storylines trigger brain activities, or allow the opinions of 25,000 viewers to dictate network programming. You don’t have to think to apply any of these solutions. Anyone can do it.

Wasn’t that partially the fate of the Roman Empire? The society became so advanced that the population began to promote entertainment over education and popularity over production until one day, their laurels could no longer hold up to the weight of the luxurious lifestyle they inherited.

Playing In The Road: State Needs PR Help

Sometimes elected officials are only as good as their advisors. One wonders what Nevada Gov. Jim Gibbons’ advisors were thinking recently, allowing the governor to address the crisis surrounding the Endoscopy Center of Southern Nevada, almost a full month late, without the most basic facts, and without any sense of empathy for those affected.

Instead, he came out against the media, criticizing them for their “buffoonery” in covering the health crisis caused by the Endoscopy Center and downplaying the roll of majority owner Dr. Dipak Desai, despite mounting public testimony that Desai and other doctors directed nurses to employ unsafe practices.

John L. Smith, columnist for the Las Vegas Review-Journal, lists dozens of mistakes made by the governor today. Smith likens him to a clown, with a rubber nose and oversized bow tie. David McGrath Schwartz of the Las Vegas Sun called it a crisis response dance.

Papers across the state have published similar reviews, likening the stunt to playing in traffic. It hardly matters that the governor regretted his words the next day.

“My intention was to be sure that people were not fearful of seeking medical care because of the intense media coverage, it was a poor choice of words and I regret it,' Gibbons had said, referring to “buffoonery.”

He might regret them even more. After several members of the Nevada State Board of Medical Examiners revealed ties to the Endoscopy Center of Southern Nevada and recused themselves from any investigation, Gibbons called for their resignations as well as that of the board’s executive director. Some publicly stated today that they have no intention of stepping down. Maybe they sense the obvious.

But this post isn’t about the governor. It’s about communication.

If the intent of the communication was to instill confidence in a health care system under fire, the better message needed to be about 180 degrees different. What could it have been? Here is a five-minute solution, painfully better than the one delivered over the weekend.

• There is a health care crisis; empathy for those affected
• That any Nevadans (regardless how few) are affected is not acceptable or tolerable
• There are many excellent doctors doing their best to help statewide
• There is a cross-agency investigation being undertaken by the state
• A task force is making recommendations to ensure it does not happen again
• Board members with conflicts of interest might ask themselves if they can meet their obligations to the state
• But above all, if you or a loved one is affected, it is important for you and your family to be tested. It’s the right and responsible thing to do.

In addition, the state could have recognized several medical facilities that are offering educational seminars to help people who need to be tested. And, it could have urged Nevadans to give blood. Donations at United Blood Services’ five fixed sites have dropped 25 percent since the crisis began in early March.

That is the message the state needed. Instead, the wrong message had the opposite impact. It has further shaken the citizens’ confidence in the center, in the health care system, and in the state.

It didn’t have to be that way. Crisis communication 101 suggests that you never adopt someone else’s crisis as your own. Or, in other words, no brand is so invincible that it belongs playing in the road against oncoming traffic while cursing at delivery boys when they drive by. You know, they don't ride bicycles anymore. Someone might get hurt.

Playing The Numbers: Endoscopy Center Forgets People

Since the beginning, the Endoscopy Center of Southern Nevada, which is responsible for the largest hepatitis C scare in the history of the country, has communicated a message much like it ran its practice — by the numbers.

Its message is clear. The risk is minimal to 40,000 patients who must be tested for hepatitis C as well as hepatitis B and HIV. Only six patients have been proven to be diagnosed with acute hepatitis C. Except… Except…

We’re not really talking about numbers. We’re talking about people.

Numbers don’t tell stories; people do.

My longtime friend and colleague Keith Sheldon, for example, is not a number. He’s a person. He’s also one of the many who never learned he needed to be tested because of a letter. He learned, like thousands of other patients, through the media.

“I was sitting in bed with my wife reading the Saturday paper,” Sheldon said. “At first, I didn’t think the crisis applied to me.”

It wasn’t until his wife started crying that his initial reaction, things like this happen to other people, didn’t apply. Sheldon was not only at risk, but had unknowingly put his wife at risk. And learning the center was notifying patients by letter and setting up a foundation was little consolation.

“As soon as I learned my health was at risk, I immediately made an appointment with my doctor,” he said. “He saw me the same morning … when it comes to your health, you don’t wait for red tape.”

It didn’t matter to Sheldon that he had to pay out of pocket for the test, despite promises that the center had already made arrangements with various health insurance providers. He needed answers … answers that still haven’t arrived. Because of the number of people being tested, most results will not be made readily available for seven to 10 days, which is next Monday or Tuesday at best.

“I hold the clinic’s management responsible for this disaster,” Sheldon said. “Specifically those individuals who had the day-to-day responsibility and oversight for how business was conducted.”

Recently, one doctor, who was employed at the center and asked the Las Vegas Review-Journal for anonymity because he fears "retaliation" from Dr. Desai (majority owner of the Endoscopy Center of Southern Nevada), said he left the clinic in 2000 — which places the start of the unsafe practices back to more than a decade — because he "was so depressed." He was reprimanded several times, the article says, because he was allegedly pressured to perform unnecessary biopsies, coupled with fabricated lengthy patient examinations, that could add more than $300 to a bill.

"It was so unethical," he said. "I couldn't live with myself."

As more stories surface, it seems to be that the entire practice was built on the concept of placing profits before people. By the account, it was always about playing the numbers: Reusing a single dose vial or the same syringe here and an extra biopsy there, well, it could help the clinic pay the bills.

Sheldon, who also teaches public relations and assists companies in crisis communication situations, is also mortified by the lack of empathy or apology by the center. From a business, ethical, and public relations perspective, the clinic is doing a dismal job of handling this crisis, he said.

“Rather than waste thousands of dollars on a poorly written, ill-conceived and
disingenuous full-page ad in the Review-Journal, the Endoscopy Center should have offered to pay for people to have their blood tested immediately,” he said. “ You just cannot put profit over people.”

When asked how the clinic might have responded, Sheldon offered…

“We demonstrated dismal judgment. We lost track of our mission of taking care of our patients to the best of our ability. We put profits over patients. For these transgressions, we are sorry. We pledge to make full restitution to the degree determined by the courts.”

I wholeheartedly agree. Anytime a company has surrendered all measure of professional efforts, there is nothing left to be done other than offer full disclosure, pledge full restitution, and permanently resign from the medical profession. These are not numbers; they are people — 40,000 people who are slowly learning through the media that they and their families — wives, husbands, sons, daughters — are at risk, one person at a time.

And, worse, it seems more and more clear every day that the numbers like six people infected and 40,000 at minimal risk, are designed to diminish the impact of real people, are growing every day. Dr. Desai ran six number-crunching clinics in southern Nevada. And, it has already become clear that the first clinic only offered a truncated list with 40,000 patients. Many more patients need testing.

For all of them, restitution seems obvious.

• Direct and full compensation for all testing without any fees being passed on to insurance companies.
• Free counseling for patients who are having challenges coping with the situation.
• Compensation for the pain, suffering, and anguish caused to the thousands of people put in harm’s way.
• The maximum amount paid out in medical malpractice to anyone who has to endure a shortened lifespan and risk of infecting loved ones as well as compensation to their families.
• The pledge that none of the management team will ever work in the medical profession again.

These are the only numbers we’re interested in reading about. As for the rest, it’s all about people. People you know and people who may never know if they are infected.

When handling a crisis, always put people first.

Sheldon offers up some hard but true advice for companies that abuse public or employee trust: “Would you have treated members of your family like this?”

The answer, more than likely, would be no. But we can only assume that. Other than the one-page advertisement that claimed patients should still have trust in the clinic, Dr. Desai isn’t talking.

Repeating Milgram: Endoscopy Staff Behavior

In 1963, Stanley Milgram gave the world a glimpse into obedience by publishing the results of his experiment in the Journal of Abnormal and Social Psychology. I learned about the study in college.

The experiment, conducted at Yale University, tested how much pain one participant would inflict on another, provided the participant inflicting the pain would relinquish responsibility to the person they perceived as an authority.

Although the experiment was staged (the person enduring the pain was a actor) and no one was injured, Milgram found that 65 percent of participants would administer an electric shock of what they believed to be 450 volts. Even more surprising, not one participant refused to administer shocks before the 300-volt level, despite several switches clearly marked “danger: severe shock” and the actor complaining of chest pain, banging on the wall, or dropping silent.

With light to moderate prodding, an authority figure in the experiment was able to convince the participant to deliver electric shocks. Some would protest, but continue to “shock” the actor nevertheless.

Understanding Obedient Staff Behavior.

Understanding Milgram’s experiment was followed by strip search prank call several years ago. It was not an experiment. It involved a caller claiming to be the police and instructing fast food managers to strip search employees. In more than 70 reported cases, managers surrendered personal responsibility to an authority figure, becoming like a puppet, and demanded employees remove their clothes.

By comparison, the notion that staff at the Endoscopy Center of Southern Nevada would blindly follow the instruction of administrators to reuse vials of single-dose medicine would likely take less surrendering of responsibility to a higher authority, especially one who had served on the board of the Nevada Board of Medical Examiners.

Why? Proximity to the authority figure. Perceived level of authority. Assurances of a minimal risk. Other nurses already practicing the procedure. And on. And on.

It the only answer for people still wonder why they didn’t stop the practice at the Endoscopy Center of Southern Nevada. Objectivity was sacrificed in favor of perceived acceptance. As one CDC officer reported it: the center’s practices to be so obviously dangerous that it was like “driving the wrong way down the freeway.”

I feel the same way about the center's crisis communication plan. It's like watching a horror show of a horror show, where you watch the next victim stumble up stairs with a flashlight.

The latest update: The Las Vegas Metropolitan Police Department and county prosecutors opened a preliminary criminal investigation. These investigations join inquiries by the FBI and the Nevada attorney general’s office.

Add to all this news an endless stream of sources being tapped by the media, including a very telling and almost incoherent interview with the center’s recently hired third-party crisis expert. Somebody forgot to tell her she wasn't a spokesperson.

Employees Need To Learn To Say No.

Comedian George Carlin includes it in his bit. He says people are too fat and happy to question authority. He's right. It happens all the time.

Even on social networks, it's obvious people blindly follow perceived authority figures, sometimes even participating in a “pile ons” just to be accepted. There is no concern for facts. Most online diatribe can be traced back to obedience and acceptance. It happens everywhere in places all over the world, places just like the Endoscopy Center.

There is only one lesson, and more employees could learn it:

• Th nurses could have complained to the administration that the practices were unsafe, refused to perform them, and demanded correction.
• Upon administrative insistence, the nurses could have told the center to correct its practices or report the incident to county health officials.
• Upon insistence or further inaction, the nurses could have resigned and immediately reported the infractions to county health officials.

Three simple steps could have protected thousands of people from being at risk of hepatitis B, hepatitis C, and HIV. Unfortunately, no one was up to the task. In all the world, only a mere 10-25 percent of people would have been willing to step up to the plate, depending on the country where they were raised.

Skirting Apologies: Endoscopy Center Not So Sorry

On Friday, the Las Vegas Review-Journal reported that the city of Las Vegas shut down the Endoscopy Center of Southern Nevada. After waiting until six patients had completed treatment, all employees were asked to leave the building and the doors were locked.

As mentioned last week, the Endoscopy Center of Southern Nevada was using single dose vials of medication, some of which had become infected with hepatitis C, a potentially fatal blood-borne virus, more than once. Hepatitis C is not the only potential infection that could have been spread; some fear hepatitis B and HIV could have also infected patients, some as far back as 2004 or earlier.

In what appears to be an effort to "control communication," the Endoscopy Center of Southern Nevada, which has declined to comment to any media outlet, did not seem short on words this Sunday. They ran a full-page advertisement in the Las Vegas Review-Journal.

The advertisement, designed to mimic an "open letter to the public" with the headline “Open Letter to Our Patients and the People of Southern Nevada,” smacks as a near-exact carbon copy of an ill-advised communication disaster attempted by Jack in the Box several years ago. Somebody must have missed that case study. It did not work then. It will not work today.

Dr. Dipak Desai offers sympathy but no apology.

“Recent events at the Endoscopy Center of Nevada of Southern Nevada are causing great concern to our patients and the community at large.”

This opening line says it all. It is so obviously written to mask where the responsibility might reside. This was not an accident. The responsibility lands squarely on the medical director and presumed "letter writer" of the advertisement.

In fact, according to the Las Vegas Review-Journal story referenced above, clinic staff has already told health investigators that they knew this technique fell well below accepted medical practices and was dangerous. However, they say they were ordered by administrators to engage in the practice anyway. So they did. The ad continues…

”First, I want to express my deepest sympathy to all our patients and their families for the fear and uncertainly that naturally arises from this situation. The trust we have spent for years building in this community has been challenged by the discovery that some of our patients may have been exposed to blood-borne diseases at our facility. In cooperation with the Southern Nevada Health District and other health agencies and officials, we have carefully reviewed our procedures and implemented the changes they recommended.”

Despite the near admission in the third sentence, there is no direct admission (despite mounting testimony) or any apology whatsoever. Clearly, the aim is an ill-advised attempt to position the crisis as an accident while once again attempting to leverage "trust" that patients placed in the clinic while they were "unknowingly" placed at risk by what seems to be a very "knowing" staff. The ad continues…

“We are also working with third party payers to be sure all our patients who need to be tested are, and that the costs are completely covered.

For those who are uninsured, a foundation is being set up to cover the cost associated with their tests. You will learn more about this in the days to come.”

It amazes me that any company or organization would attempt to promote the argument of denial, despite the fact that the clinic is already proven responsible for the infection of several patients. In addition, the attempt to portray itself as a good public citizen by setting up a foundation reminds me of post-crisis measures employed by Jack In The Box, which they only implemented after sustaining a loss of $20 to $30 million.

The ad continues with another paragraph, first thanking the health district for bringing the problem to the Endoscopy Center of Southern Nevada’s attention and continued clarification that the clinic did not spread the disease to patients one way as has been reported, but another erroneous way all together. As if that matters. The ad closes…

"At the same time and without making excuses, I think it’s important for the public to know that the chances of contracting an infection at our center from 2004 though June 2007 were extremely low. Of the six cases reported, it appears one exposure took place in July 2007 and five on Sept. 21, 2007. Regardless, if you were a patient at our facility, I encourage you to get tested.

Thank you for allowing me to share these thoughts with you.”

The six cases mentioned were those that prompted health officials to conduct an investigation, and not the results of 40,000 tested. Worse, this closure attempts to use the number of confirmed infections as a tool toward exoneration, as if six patients who have been confirmed infected are less significant when compared to the 40,000 that have yet to be tested.

What it also neglects to mention is that health officials are also concerned, however, that even more patients could have been infected prior to 2004 when the clinic operated under a different name. Not everyone is taken by these controlled statements. As expected, one local law firm, Craig P. Kenny & Associates, ran a full-page advertisement in the same section. Its advertisement encourages patients to contact the firm to discuss legal action.

While heroes are seldom found during a crisis, there is one clear hero in Las Vegas. Quest Diagnostics, which is completely unaffiliated with the Endoscopy Center, is the first business to offer to test patients for free. The offer from Quest Diagnostics to provide this community service came after the Endoscopy Center was slow to offer the same and after another health care provider, one that sent overflow patients to the Endoscopy Center, shrugged off any responsibility.

As shocking as it seems, the Endoscopy Center of Southern Nevada has not made any mention of how it intends to compensate those patients who have been infected nor has there been any comment that seems to demonstrate remorse or empathy. So far, it seems they are content to play the numbers and control an uncontrollable message.