Migraine Dinner

I went to a dinner lecture last night at the Riverplace Hotel down by the waterfront here in Portland.  Very nice hotel with a beautiful conference room.  The lecture was on migraine headaches and the newer research that shows that it’s not entirely a vascular phnomenon as was previously thought (and as was taught to me in medical school).  It used to be thought that the blood vessels in the brain would go through a spasming period (which could produce an aura) and then would dilate and become engorged and congested (producing the migraine).  But new studies show that the headache actually begins before the engorgement of the vessels, and maybe that is actually a response to the headache and not the cause.  All very interesting… and offers some insight as to why neurotransmitter modulating drugs have helped prevent migraines for a lot of people (things like the SSRI anti-depressants and some anti-epileptics like Topamax and Depakote).

Anyway – the talk was interesting and I got to enjoy a very good dinner, starting off with some great appetizers!  I love appetizers.  They make me smile.  They are definitely on my list of "Happy Things".  🙂

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Bumming around in Portland

A cool fountain:
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An impromptu bike parade… we never did figure out what it was for:
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Enjoying some gelatto (coconut and blackberry flavors are very yummy!):
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One of the new "natural" parks in the Pearl District:
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Walking barefoot in the park:
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Dinner at Typhoon, this was the "Fish on Fire" entree:
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A bear went over the mountain…

I have been here in Portland on my visiting rotation for one week now, and after telling people about my experiences thus far I’ve made a discovery.  It’s not earthshaking news or anything, just an observation about regions of our great country.

During this relatively short week I have met med students and residents and attendings (as a side note: I often can’t tell the three apart except for the ubiquitous med student short white coat… everyone treats each other as colleagues.. very cool)  Anyway, I’ve met these people and had many opportunities to chat with them about all sorts of things medical and otherwise.  Whenever we get to talking about our lives outside of medicine the conversation is dominated by discussion of hiking trails, camping areas, beaches, golf courses, ski slopes… you name it, one of us has been there, done that.  I’ve been getting advice on where to see the coolest waterfalls and what time to explore the coastal beaches – because these are the kinds of things that people in the Northwest do during their free time.  We like to be outside.  A lot.  We like nature.  And it’s great since there’s so much of it around.

Now compare that to the three years I’ve had in St. Louis and the countless conversations I’ve had with med students, residents, and attendings.  Activity suggestions tend to center around where to find the best bars (and restaurants).  Every once in a while they might stray into catching a Cardinals game.  But no one ever talks about hiking.  Or camping out.  Or even walking trails.  Certainly no suggestions for beaches or ski slopes, since they don’t even exist there.  No one really does anything outside in St. Louis, and maybe that’s why I feel so cooped up when I’m there.  Even walking around the block is a chore most of the year.

So, this just chalks up another mark in the "Come back to the Northwest ASAP" column, bringing the tally to about 572 and leaving the "Stay in the Midwest" column with a pitiful score of 3 (I do love Sen Thai, the Moolah and Chase theatres, and Cardinal Glennon).

Geico Ads

I happen to love the "Tiny House" ad that Geico uses… and I ran across this article today that deconstructs the puzzling collection  that is Geico’s ad campaign – and it makes a lot of sense.  But I still say that the Geico website should actually have the gecko dancing the robot – they do it on the commercial!

The Best Ad on Television
The brilliance of Geico’s "Tiny House."
By Seth Stevenson
Posted Monday, July 25, 2005, at 10:05 AM PT

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The Spot: It appears we’re watching a promo for a new reality-TV series. In the show—called Tiny House—a newlywed couple moves into a midget-sized apartment. For one full year, they will endure cramped quarters and rising frustrations. Heads smash into low ceilings; limbs spill out of a teensy bed. "Are you kidding me?" shrieks the wife. But wait a second: We’ve been had! "The drama will be real," intones the announcer, "but it won’t save you any money on car insurance." Aha—it’s yet another ad for Geico. (To see the ad, click here, then click "What We’ve Done" and "Geico.")

Of course it’s another ad for Geico. It seems you can’t sit through a commercial break these days without seeing a new pitch for the auto insurer. Why are Geico ads all over your television? And why are some Geico spots so sharp and clever while others are disappointingly bland? The answer is more about the product than the marketing.

But before I delve into the strategy behind Geico’s wall-to-wall advertising, I wanted to take a moment to recognize the brilliance of "Tiny House." This ad is a dead-on parody of those high-concept reality-show teaser clips. It’s got the absurd setup, the moments of peaking tension (in theory plucked from many months of filming), the familiar security-camera angles and night-vision lenses, and the doom-saying announcer. "The marriage was built to last. But the house was built too small!"

The first time I saw "Tiny House," I was totally fooled. Part of me said, "There’s no way this can be real," but the other part was thinking, "Well, Fox did run The Swan…" When Geico’s logo popped up at the end, it was too late—I’d been punk’d.

I still stop to watch "Tiny House" every time it comes on. The details are exquisite: the soft-focus dream wedding; the much harsher lighting of "reality"; the guy scrunched over the range-top in frustration ("I just want to make an omelet!"); the vapid couple’s increasingly agitated banter ("This is not awesome!"). I asked Creative Director Steve Bassett for his take on what makes the spot hum. He pointed out that, during filming, these actors were kept on the set (with its 4.5-foot ceilings) for far, far longer than they would have liked. Thus a lot of the frustration we see on screen is real. Sure, "Tiny House" is indebted to the low-ceilinged office spaces of Being John Malkovich, but it’s still top-notch stuff. It may be the funniest ad of the past year.

But what’s the deal with the broader Geico campaign? It seems to work so many different angles at once. There’s the series of spots with the surprise punch line: "I’ve got great news—I just saved a bunch of money on my car insurance!" There’s the campaign where a talking gecko serves as an annoying, generally unfunny spokes-character. There are the one-off jokes, like "Tiny House" and (another personal favorite) the group of spots where cavemen get outraged by a Geico announcer’s insensitivity. "It’s so easy to use Geico.com, a caveman could do it," the announcer says. Cut to cavemen watching TV. One sighs in disgust: "That is really offensive."

Geico’s scattershot approach makes more sense when you think about their customers. Car insurance has perhaps the broadest target audience of any product. Who is Geico selling to? Pretty much everyone—man or woman, gay or straight, black or white, hip or hick. If you drive a car, they want your business. Even extremely broad brands, like Coca-Cola, still have niches they’re trying to dominate (it’s mostly young people who drink sugary sodas, for example). But car insurance companies know no niche. We all drive. We all have insurance (I hope). And we all stay insured through every stage of our lives—no matter our mood or marital status or income.

As a result, Geico needs to air a range of spots that will appeal to many different people. Some ads are straightforward and tame (aimed at older drivers), while some are absurd (the kids seem to like this). All for a single product.

Still, it’s not just the range, but the volume of ads that’s so astonishing. It seems like there’s a Geico spot every time you turn on the TV. Other car insurers run huge numbers of ads, as well. According to Ted Ward, V.P. of Geico marketing, insurers are spending more than ever on ad buys right now. The industry has seen a profitability spike in the last few years. This is because accident rates have gone down (partly due to better-built cars, partly due to an aging—and thus slower-driving—population), and claims have thus decreased. Since there’s suddenly more money to be made, everyone’s trying to grab a bigger share. The quickest way to do that is by ramping up your television ads.

At the moment, Geico’s market share is 5.6 percent—far below that of the big boys like State Farm (18.2 percent) and Allstate (10.4 percent). But Geico is growing fast, and it relies on direct-to-consumer sales (through a Web site or 800 number) instead of a network of salesguy middlemen. While its competitors are running lots of dour ads that exploit our fear of accidents, Geico stands out from the clutter with its oddball humor and lighthearted tone. The company has managed to inject fun into a product that we resent having to buy and that we associate with miserable moments. That’s no mean feat.

Grade: A-. Bonus factoid: The Martin Agency, which made the "Tiny House" and "Cavemen" spots, was also behind the legendary Quiznos spongmonkeys. This makes sense, as both Quiznos and Geico are underdogs in their categories and were looking to stir up attention. The spongmonkeys have been unceremoniously dropped from the Quiznos campaign, but I’ve got good news—I just saved a bunch of money on my car insurance! (No, really, I did. I might as well fess up: I’m a Geico customer.)