Jan 02 2010

why all this talk about diabetes & what’s a knol?

Published by admin under diabetes,healthcare,process

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.

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.

Olympic sprinter Gary Hall, Jr.

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

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

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

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

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Nov 18 2009

drive fast – stay healthy with type 1 diabetes

Update: AFS Racing/Andretti Autosport Signs Charlie Kimball to 2010 Firestone Indy Lights Lineup. This was the strongest team in the series in 2009 and should lead to a good 2010 for Charlie.

Parade Magazine talks about Charlie Kimball racing with diabetes and our shared “Charlie’s Angels”.

I’m excited to have my own driver racing at Indianapolis this weekend. Now Charlie Kimball wasn’t always my driver. He was a recent discovery – or more precisely he discovered my wife to become his diabetes doctor. The Camarillo resident was over in Europe racing in the Formula 3 Euro Series when he was hospitalized after becoming ill in England. He had developed Type 1 diabetes and consulted with my wife, Dr. Anne Peters. She has worked with other top athletes with diabetes including Olympic swimmer Gary Hall, Jr.

Intense focus before his qualifying run at the Long Beach Grand Prix

Intense focus before his qualifying run at the Long Beach Grand Prix

She worked with him first on managing his diabetes to stay healthy and then progressed to helping him manage his blood sugar while driving. In addition to gauges that monitor his car’s performance you can see his continuous glucose monitor mounted on his steering wheel. The condition that once threatened to end his racing career has now helped him to land major sponsors as he returns to racing in the Indy Lights Series. He even has a new green Levemir paint scheme on his #35 car.

In the middle of his steering wheel is a Dexcom sensor

In the middle of his steering wheel is a Dexcom Continuous Glucose Monitor

The second race of their season was on the streets of Long Beach and I was able to tag-a-long with his “race doctor” and visit with him back in the racing trailer and be in the pits as he prepared for his qualifying runs and the race. Sitting with his friends and family in the stands it was thrilling to watch him come down the long straightaway and picking off car after car in the 1st turn passing zone. It was very different than my normal NASCAR fan behavior of rooting for a good race, unlike the die-hard fans of Jr. Nation that cheer for Dale Earnhardt Jr.

Preparing for his qualifying run

Getting ready for the race

This Friday (May 22nd) Charlie will race at Indianapolis –  the most important track in America. As he quotes in his blog, “I have been to ‘big’ races all over the world- Monaco Grand Prix, Macau Grand Prix, Long Beach Grand Prix, a Moto GP race. I have even been to qualifying at the 500 before, but being a part of the whole ‘Month of May’ is a totally different experience.”

To learn more about Charlie you can read his blog and follow him on Twitter.

Charlie also has been the talk of the healthcare blog and Twittersphere after he sent out the first branded tweet under his @racewithinsulin moniker. There was a bit of an uproar at first that has died down to an official review of FDA guidelines on how pharmaceutical companies and medical device manufacturers can use social media.

Mark Harmel

harmelphoto.com

@MarkHarmel

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Oct 21 2009

zippora karz “the sugarless plum”

Published by admin under diabetes,healthcare,portraits

Update: There is a cover feature on Zippora in the February, 2010 issue of Diabetes Forecast.

Zippora Karz was living her dream of dancing in the New York City Ballet. She was a standout in the School of American Ballet founded by George Balanchine and had been anointed by Jerome Robbins to dance in leading roles in the New York City Ballet.

But something was wrong with her instrument – her body.  As she explains“…I didn’t feel right. I felt more fatigued than I should have and tried to ignore the symptoms that were affecting me daily, from hunger pangs and frequent urination, to a spaced- out feeling in my head. But it was the sores under my arms where the costumes rubbed that threatened my ability to perform. They got so infected I could not lift my arms and forced me to go to a doctor.”

Zippora tells her story as a dancer with diabetes in her new book “The Sugarless Plum”. In it she shares her passion for dance and her struggles to find a doctor that could properly diagnose her condition and balance her treatment with the demands of being a world class athlete.

Zippora posing for her Malibu sandstone portrait

Zippora Karz posing on sandstone rock formation near her Malibu home

The diabetes doctor she eventually discovered is my wife, Dr. Anne Peters and Zippora shared some of her story in Anne’s book Conquering Diabetes.

“Next I found a doctor who was very balanced in her approach to diabetes. I went back to frequent blood sugar monitoring and taking injections of insulin, but never right before I went on stage. I always kept my meter right offstage in my dance bag and always kept something to reverse a low blood sugar in it. I was finally learning how to adapt to having diabetes.

As I learned the delicate play of dancing with diabetes I also had to look reality in the face. Dancing was my passion, but was this lifestyle realistic for a person with type 1 diabetes? Part of me felt relieved at the idea of quitting. I was tired. But more than that I had lost confidence in my body and in my dancing. Using diabetes as an excuse felt like an easy way out. I thought long and hard about this and eventually decided if I quit then I would never know the truth. So I stayed with the company and hung in there. I eventually found a way to balance my diet, exercise, and performances. Ultimately, I was promoted to the rank of soloist ballerina of the New York City Ballet where I performed until August of 1999.”

Zippora preparing one of her doses of insulin.

Zippora preparing one of her daily doses of insulin

Zippora was living and dancing in New York City when she was diagnosed with diabetes.  She had access to many endocrinologists and was very persistent in changing doctors until she found one she could work with to help her manage her diabetes and continue dancing.  Because of her persistence, Zippora has done amazingly well.  She had a successful career in the ballet and is now working as a teacher in Los Angeles.  She has no complications from her diabetes and serves as a role model to lots of young people who have diabetes.

I’ve been fortunate enough to witness Zippora in action a number of times at diabetes camps sharing her story and joy of movement with youngsters learning to live with diabetes. There is a great video of Zippora telling her story at her booksite where you can read some excepts as well.

Mark Harmel

harmelphoto.com

@MarkHarmel

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