St. God’s: Intake

In their forecasting workshops, the Institute for the Future trains practitioners to sensitize themselves to “signals,” something that may seem banal but on reflection foretells great change or deep meaning. That story about the arctic penguins who accepted a furry remote controlled camera as a chick is one of mine. Still wrestling with its implications. This interface is another.

After Joe walks past the FloorMaster and Insurance Slot Machines, he finally makes it up to the triage desk. It’s labeled CHECK-IN, and the sign devotes a large portion of its space to advertising. He speaks to the employee there, named Biggiez, who blankly listens to him talk about how he’s feeling. As he talks, she looks down at a wide panel of buttons, floating her pointing finger above the unlabeled icons that kind-of describe common ailments.

When Joe says, “I don’t even know where I am,” she finally pushes an icon featuring a stick figure, shrugging, with two question marks floating in the space beside its sad face. In response, it lights up, we hear a ding, and a SMARTSPEEK device on Biggiez’ blouse says, “Please proceed to the diagnostic area on the right…and have a healthy day.” Joe moves on to the diagnosis bay, which I’ll discuss in the next post.

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A shout-out to these icons

While I normally stick to the canon of what actually appears in the final edit, these are hilarious, and the designer has published the lot of them online, so feast your sense of humor on the whole smörgåsbord.

Behold them. They are, literally, 9 kinds of funny.

  1. Some are slapstick. Squirting hole in butt cheek. Hole in gut. Ow, my balls.
  2. Some point to the stupidity of the patients. Baby drop. Things-what-damaged-my-head (lightning, knife, nail, gun, bump). All the evisceration.
  3. Some point to the stupidity of the maker of the panel. Options for gender include and are limited to (rather than, say, the much more reasonable 63:
    • I cannot tell. (Alternately: They are feeling gender dysphoria.)
    • They are hermaphroditic/intersexed.
    • They are a female to male transsexual.
  4. Some point to not-hospital problems. Feeling angry.
  5. Some point to not-problems. Thinking of atoms. I recycled.
  6. Some are nigh-impossible. Hello, I am dead by decapitation. Have I drowned? I am in such pain that I have gained a third eye.
  7. Some show how slipshod the QA on this thing was. Two left/right arrows (when there’s nothing), two guns-to-head
  8. Unhelpful nuance. My arm is chopped off. My leg is chopped off. My scalp, arm, and lower leg are chopped off.
  9. Some are inscrutable. An asterisk. A takete (with no baluba). Updown.

That’s graphics carrying quite a bit of comedy load here. Readers interested in behind-the-scenes will like to know they were made by designer Ellen Lampl. (A significant portion of her portfolio is film graphics, so be sure to check it out.) In 2014 she had an interview with Phil Edwards which you can read on triviahappy.com, where she tells more about her process.

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The set is even funnier because of course how could the breadth of human problems be reduced down to 48? (And these 48.) There are 14,400 codes in IDC-10 alone. What is Biggiez supposed to do if Joe was complaining about being struck by duck? IDC can handle that. (No really.)

But aside from praising the comedy, let me do my due diligence and discuss four (off the top of my head) improvements that could be made if this was a real system. Even for morons.

How about labels?

Yeah. Not a single one of them are labeled, introducing way too much ambiguity. Labels don’t always provide the specificity they need, but not having them on icons practically assures it.

Allow multiple ailments

Another failing of the panel is that is doesn’t appear to handle multiple ailments. In fact, Joe complains about hallucinations (R443), a headache (R51), and aching joints (need some help with that one, but her finger is so close to the knee icon), but she only indicates the one about confusion. You’d hope there was some way for her to touch an icon for every ailment, and then submit them but that just doesn’t seem to be the case. Maybe patients just have to keep coming back to check-in to care of each thing, one at a time.

Rank urgency

The purpose of triage is first to rank the urgency of the need medical care. The gal with the baby dropping needs to be seen now, but the gal who just has some questions can wait over there for a while. How would this panel code urgency?

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Urgency might be just part of the code (gun to head less than knife buried in head), but that would mean this panel would have to have separate icons for light scratch to the scalp and a gaping free flowing head wound, and they just don’t require the same levels of attention.

The panel seems to have a simple pain scale on the left of [happy | sad | neutral], but since Biggiez doesn’t touch them, it’s not clear that these work like a chorded button or some separate code for someone who comes in complaining about their base emotional state.

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A better system would let you identify the problem and pain scale separately, as different facets of the complaint.

Chunk stuff

Just to make sure I’m saying the 101 layout principle: if you really had a panel of flat options, chunking them into groups helps the user understand, recall, and find items.

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This points to an opportunity

So of course there are lots of reasons why this is funny as hell, breaking lots of fundamentals for a funny, body-horror kind of joke while Joe figures things out.

But I think the reason this interface has really stuck with me is that it would pass a usability test. As in, Biggiez finds it perfectly easy to use. She can scan the icons, tell them apart, select one with ease. Hell, the SMARTSPEEK even makes sure she can’t mess up telling the patient what to do next. This would get a very high Net Promoter Score. It would do well on any self-reporting satisfaction measure. And it still sucks.

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Sure, it would fail an efficacy test, but what if we took on the hubris of rethinking the role of the interface here. To the point, this interface lets Biggiez just stay dumb. (And we have way too much of that in the world as it is.) What if it could make Biggiez smarter?

First draft: What if two nurses listened to the patient’s complaints side-by-side, and their codings were only revealed to each other when they’d both completed them. Then, as the patient went through diagnosis, a fedback loop rewarded the nurse who was most correct. The reward could be money, or rankings amongst peers, or almost anything really? Biggiez would have incentives to not just do the task (or have the task done for her.) She would have incentives to get better and smarter at her job.

This may not be the best actual design proposal, but I’m intrigued by this possibility. What if our interfaces could make everyone who used them smarter? Faster? Stronger? (Musical break.) What if every technology was like this? With technology everywhere, what if technology made us better instead of treated us like petri dishes for colonizing?

I am thinking about it.

Fighting Idiocracy

Another way you can help fight American idiocracy is to sign up to volunteer your time for the last weekend. As The Last Weekend notes, “Study after study shows that the most effective way to get people to vote is by having conversations with them in the four days before Election Day (Saturday, November 3rd – Tuesday, November 6th).” It’s a short commitment for that last big push before the election. Sign up now at https://thelastweekend.org/.

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Cyberspace: Beijing Hotel

After selecting its location from a map, Johnny is now in front of the virtual entrance to the hotel. The virtual Beijing has a new color scheme, mostly orange with some red.

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The “entrance” is another tetrahedral shape made from geometric blocks. It is actually another numeric keypad. Johnny taps the blocks to enter a sequence of numbers.

The tetrahedral keypad

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Note that there can be more than one digit within a block. I mentioned earlier that it can be difficult to “press” with precision in virtual reality due to the lack of tactile feedback. Looking closely, here the fingers of Johnny’s “hands” cast a shadow on the pyramid, making depth perception easier. Continue reading

Cyberspace: Navigation

Cyberspace is usually considered to be a 3D spatial representation of the Internet, an expansion of the successful 2D desktop metaphor. The representation of cyberspace used in books such as Neuromancer and Snow Crash, and by the film Hackers released in the same year, is an abstract cityscape where buildings represent organisations or individual computers, and this what we see in Johnny Mnemonic. How does Johnny navigate through this virtual city?

Gestures and words for flying

Once everything is connected up, Johnny starts his journey with an unfolding gesture. He then points both fingers forward. From his point of view, he is flying through cyberspace. He then holds up both hands to stop.

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Both these gestures were commonly used in the prototype VR systems of 1995. They do however conflict with the more common gestures for manipulating objects in volumetric projections that are described in Make It So chapter 5. It will be interesting to see which set of gestures is eventually adopted, or whether they can co-exist.

Later we will see Johnny turn and bank by moving his hands independently.

jm-31-navigation-f Continue reading

HYP.SL

The android David tends to the ship and the hypersleping crew during the two-year journey.

The first part of the interface for checking in on the crew is a cyan-blue touch screen labeled “HYP.SL” in the upper left hand corner. The bulk of this screen is taken up with three bands of waveforms. A “pulse” of magnification flows across the moving waveforms from left to right every second or so, but its meaning is unclear. Each waveform appears to show a great deal of data, being two dozen or so similar waveforms overlaid onto a single graph. (Careful observers will note that these bear a striking resemblance to the green plasma-arc alien interface seen later in the film, and so their appearance may have been driven stylistically.)

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To the right of each waveform is a medium-sized number (in Eurostile) indicating the current state of the index. They are color-coded for easy differentiation. In contrast, the lines making up the waveform are undifferentiated, so it’s hard to tell if the graph shows multiple data points plotted to a single graph, or a single datapoint across multiple times. Whatever the case, the more complex graph would make identifying a recent trend more complicated. If it’s useful to summarize the information with a single number on the right, it would be good to show what’s happening to that single number across the length of the graph. Otherwise, you’re pushing that trendspotting off to the user’s short term memory and risking missing opportunities for preventative measures.

Another, small diagram in the lower left is a force-directed, circular edge bundling diagram, but as this and the other controls on the screen are inscrutable, we cannot evaluate their usefulness in context.

After observing the screen for a few seconds, David touches the middle of the screen, a wave of distortion spreads from his finger for a half a second, and we hear a “fuzz” sound. The purpose of the touch is unclear. Since it makes no discernable change in the interface, it could be what I’ve called one free interaction, but this seems unlikely since such cinematic attention was given to it. My only other guess is to register David’s presence there like a guard tour patrol system or watchclock that ensures he’s doing his rounds.