Wednesday, March 25, 2015

We need to think of ways to improve or rethink our stroke recovery system

There are 10 million stroke survivors every year. At least several of them have some great ideas to improve stroke rehabilitation and recovery. I bet if you collected and analyzed those ideas you would find that all of them would be better than anything coming out of our stroke associations.

These paragraphs from Stephen J. Dubner author of Think Like a Freak are more likely to come up with a decent solution. I see no hope of anything useful coming out of our stroke associations, they don't seem to have any communication with survivors. And the boards of directors must be ok with ignoring survivors.
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A really basic rule of thumb or a basic MO that happens very frequently now is a firm will say, “We need to come up with a plan or a solution. Let’s get our top 20 people together in a room for an hour” — that’s 20 person hours — “and let’s come up with the best one, the best idea, and then put all our resources into that and go.” What are the odds? If this were science, what are the odds that that would bear a good result? Almost none.
Then there is the counter-example of something like a Google, which lets its engineers take 20% of their time and work on their projects on the side — the idea being, have a lot of ideas, most of them will be bad, but let the triage process work and let people figure out through scientific or empirical ways how they can really learn stuff. Then, once you have done some experimentation and some small-scale work, then maybe put some resources behind it.
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