“RT”, for readers not engaged in the Twitter world is short hand for re-tweeting, or sending the post of someone else to your followers. It’s a way for you to agree with the original observation and spread the message while giving credit to original author.

This brings the mesage to your followers and introduces them to someone they may wish to follow. It’s an act of support and friendship that creates relationship all around, and serves as a form of currency in the network.

The new marketing haiku, “You RT me and I’ll RT you” came from Bryan Vartabedian, M.D. @Doctor_V who I recently met at the Digital Pharma West conference in San Francisco.

@Doctor_V - Bryan Vartabedian, M.D. speaking at Digital Pharma West

He was on a panel discussing ways that pharmaceutical companies can reach doctors now that golf junkets are out and drug reps have a hard time getting face time. Bryan gave a more intelligent sounding answer while on stage. But his private conversation RT quote was more profound and representative of the shift that’s going on in marketing. (You can read more profound thoughts on his 33 Charts blog.)

The drug companies can look to Twitter to find some of their marketing answers. They can move to creating a relationship, where there is an exchange with their audience instead of selling.

The traditional one way marketing message doesn’t work well on Twitter. Beverly Macy, the co-author of the upcoming book “The Power of Real-Time Marketing” @PowerRTM likes “the 80/20 rule of Twitter – give 80 percent of the time + ‘get’ or talk about yourself 20 percent of the time”.

TweetDeck is the new black bag for @Doctor_V

This could mean a paradigm shift from moving product to focusing on helping the patient become healthier. From selling to the doctor to helping them do their job.

We heard great examples at the conference of companies creating patient support communities. Could we see a similar support to doctors that would offer practice management tips, assistance in moving to electronic medical records, or working to connect attendees at dinner meeting talks to expand referral networks?

What would be other examples of RT a customer that would work to reach physicians? What else can we learn about marketing from Twitter?

Mark Harmel

harmelphoto.com

@MarkHarmel

I’ll even stage one if needed.

A racing gurney and looks of concern make me happy

I’ve been fortunate to have done most of my healthcare photography at major medical institutions. Mostly at University of California, Los Angeles and recently at Cedars-Sinai Medical Center. These are major trauma and research centers. The places you want to go when you have a major health issue like a heart attack.

An EKG and exam in the emergency room

This series was shot to illustrate an integrated team approach to handling a heart attack from the arrival and evaluation in the ER and the examination and potential intervention in the angiogram suite.

Opening a blocked blood vessel in the angiogram suite

Even though this case was a simulated heart attack I always enjoy the challenge of making the cases look realistic. They need to pass “the hallway test” of colleagues who will see the photos when this “Report to the Community 2010″ is printed.

As fun as it is for me to shoot these emergent situations. An often overlooked part of healthcare is preventing problems in the first place. This could be teaching healthy eating practices in an elementary school.

Eating fruit and yogurt at a nutrition lesson

Or having a trusted relationship with your primary care doctor.

Personal interaction builds a bond of trust between patient and doctor

In real life, patient areas don’t have that refined TV look that you find on “House“, nor are research labs as stylish as they are on “Bones” and the “CSI” shows.

The first challenge is always to understand what’s going on in the lab and determine how to communicate that unique story. In this case the researcher is doing an advanced DNA screening of an individual patient to calculate the respond to an expensive chemotherapy medication. This is an early stage of personalized medicine.

DNA screening to match effective treatment for a chemotherapy drug

Having cancer is about more than how your DNA reacts to treatment, it’s also about how you deal with the emotional aspect of the disease.

A cancer survivor volunteers to hear patient's concerns

Prevention, bonding, research and emotional health are important part of care. I love showing it all.

But that still doesn’t beat sending a trauma team racing down the hall.

Trauma team racing down a hallway

All these photos were taken for Cedars-Sinai Medical Center and were published in their “Report to the Community 2010″.  I’ll update the post when an on-line version is posted.

Mark Harmel

harmelphoto.com

@MarkHarmel

Update: Trailers for the Toy Story 3 movie have been released today. You can hear Don as Mr. Potato Head in the clips.

The battle for your attention has begun. It’s Superbowl ad season, and only one ad has caught my attention so far. It has a talking flower and more importantly the voice of Don Rickles.

Watch the behind the scenes video teaser that has too many flowers and not enough of Don. But it’s worth look for the quips from Don anyway.

Behind the scenes video

A nice touch is the playing of Don’s bull fight theme

Like many, I grew up knowing Don as wacky characters in the Annette & Frankie beach movies and his appearances on the Tonight Show. He fell off my radar until a couple of years ago when he became a patient of my wife and agreed to be involved in her Conquering Diabetes book.

"Diabetes can be controlled, provided you don't pass out every-time you prick your finger."

This gave me the opportunity to meet him in person and visit his house for a portrait session. After his initial joke where he asked the guard at the gate to turn me away, I discovered the secret to how he gets away with all of his insults. Deep down he’s a warm and loving guy.

When he’s not voicing a flower or Mr. Potato Head, Don still actively performs on stage where he is aggressively engages with his audience. (He’s in Vegas on Feb. 20 & 21st). What’s fascinating is how much he can get away with while bringing up the hot button issues of race and religion. He can insult people and make both the audience and the individual laugh. Balancing on that fine line of insult and compassion is what I think is his real talent.

It’s still a treat to pick up the home office phone and unexpectedly have Don on the other end of the line. He’s not always joking, but he is always kind. I honor my collection of memorabilia from his 80th birthday party and I look forward to Don and Barbara’s 45th wedding anniversary in a couple of weeks.

Memorabilia from Don Rickles' 80th birthday party

I hope that Teleflora will be sending plenty of flowers to their anniversary party. And with Valentine’s Day coming up: Get up order some flowers you Hockey Puck! Keep Don famous so that he can keep us laughing for another 80 years.

Mark Harmel

harmelphoto.com

@MarkHarmel

I managed to tweet my way into becoming an industry expert in 140 characters or less. After two decades of shooting in medical settings, I can comfortably proclaim to be a healthcare photography expert. But I feel more like a social media student than an expert. In fact it was a homework assignment that sparked my idea for the iPhone app that landed me in the MedAdNews article by Fabio Gratton and Michael Spitz.

Top 10 healthcare social media predictions for 2010 – more than 30 industry experts tweet their perspectives

I first became involved in social media through blogging and explored Twitter, Facebook and LinkedIn as ways to share the posts and to learn what was going on the space. The more I explored, the more I saw the early hype about the paradigm shift in communications becoming reality in the new space. I was being drawn into my Twitter stream, both as a way of learning about the new field and because the links, and conversations were so fascinating.

Social media is about making connections. This story started with the real life meeting of Charlie Kimball. He’s an Indy Lights race car driver with Type 1 diabetes that’s a patient of my wife. He tweets under his name @charliekimball and his NovoNordisk sponsor moniker @raceswithinsulin. I follow both versions of Charlie and most of the time he simply shares about going to the track or his exercise routine between races. But back in June of 2009, he made history with “the first branded Pharma tweet”. At first glance it was a routine post about Charlie giving himself an insulin shot, but to those in pharmaceutical advertising it was a watershed.

One of those people is the MedAdNews co-writer, Fabio Gratton @skypen. He’s a close follower of the issues surrounding Charlie’s Tweet who’s been a leader the healthcare ad community working to obtain clarification from the Federal Drug Administration about what can be said by Pharma companies in the social media space. Fabio and I have now met in person and I answered his Twitter question asking for a social media healthcare prediction.

The TCOYD iPhone app prototype

The iPhone app idea came from my recent work with the diabetes education group Taking Control of Your Diabetes. I’m helping to guide their entry into the social media space. We want to build an awareness for their events, keep the participants connected and ideally, healthier by providing continuing diabetes education. Their Twitter stream is now active @TCOYD , their Facebook community is growing, and more projects are in the pipeline. Working with them is extremely rewarding. It allows me to expand beyond my normal photography role and use my diabetes knowledge combined with my experience in healthcare marketing and social media.

My final project in my New Media Marketing class at UCLA Extension will be to describe what the app might do. It’s more of a thought experiment now with good artwork (thanks to help from PhotoShopDude, Micheal Standlee) where the intent is to pull together all of the social media streams we create at TCOYD into one place on the iPhone, and soon – the iPad. Once their streams are in place we will look into building the app.

The app could initially work like the New York Times app that breaks out the news into the section headings of politics, sports, business, and more. Further developments could turn it into a diabetes management tool and there could even be a way to use the app interactively at the live events.

Any suggestions on how it might be programed? Who do you know that could make the app? Can I build it myself with a little help?

Mark Harmel

harmelphoto.com

@MarkHarmel

Update: Is your resolution is to treat your diabetes better this year? I have great a place to start. My wife wrote an excellent primer on how to treat Type 1 and Type 2 diabetes. More on her background and the Google Knols can be found below. Happy New Year!

This is normally the time of year (originally published on June, 6, 2009) that I attend the American Diabetes Association Convention. It is a great opportunity to network, check out the convention displays and visit agencies in the host city.

You may have noticed that a number of my posts (like the recent one on Charlie Kimball) have references to diabetes. Its not that I have diabetes – my connection comes from being married to Anne Peters, a leading diabetes doctor. We met on assignment. I was asked to take a clinical research photo for UCLA Medical Center. The photo illustrated how the patient data was entered into a laptop and uploaded to the drug company from all the different research sites every night. It was used in a big fund-raising brochure that helped raise money to fund the new UCLA hospital.

The first clinical research photo and Anne's book cover

That first photo eventually led to a Las Vegas based Elvis wedding and working together on her “Conquering Diabetes” book. I shot the cover and a number patient portraits that were paired with their stories throughout the book as well as overseeing the development of the promotional website.

Patient portrait of Olympic sprinter Gary Hall, Jr.

This experience opened the door with Abbott Diabetes Care where I initially was asked about taking photos for the website that would announce the launch of their Navigator Continuous Glucose Monitor. A lunch meeting at the 2006 ADA Convention began with the usual discussions about what to shoot and budget and then spun-off into the territory of developing concepts. After an interesting brainstorming session back in their Alameda headquarters the project took a surprise turn. Instead of taking photos for the Navigator project I was asked to put together a team to convert an existing brochure to a website!

The home page of the Navigator website

There was the expectation that the Navigator would soon be approved by the FDA and a launch site was urgent. I had a resident expert in my wife (who was conducting clinical trials with the device) and I assembled the experienced team of copywriter, Roger Poirier and art director, Lon Davis. I suddenly became a creative director interacting with my wonderful client Steve Bubrick and extrapolating from my years of communication experience to steer the web project, a direct mail piece and bike rider cars for Team Type 1 (I finally was able to take some photos for those).

Ballerina Zippora Karz demonstrating drawing insulin into a syringe

In 2008 Anne was asked to be one of the charter contributor to the Google Knol project. The original seeding of the Knols came from experts in their field to differentiate them from Wikipedia. They have since become more broad based and similar to Squidoo Lenses. Both her Type 1 and Type 2 diabetes Knols were given the Top Pick Knol Award.

Video blogs produced for Medscape on diabetes topics

The most recent project with Anne has been producing video blogs for Medscape that have become popular in the professional community. These were supposed to be easy to produce reports and we were given Flip cams to shoot the spots. After I managed to get one of the early Canon 5D MKII cameras that also shoots HD quality video, we switched over to create the 35mm film look that the camera gives. A recent episode on “Treating Diabetes During the Economic Crunch” (free registration required) has content that crosses over to the general public as well.

I recently completed a test using this camera to work out the kinks to use it in a daytime TV promotion, but I’ll save that for a future post.

Mark Harmel

harmelphoto.com

@MarkHarmel