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Again, I'll refer to the Lions game.
The Titans made up a play the week before Detroit came down to Nashville called "Maroon Six." They saw an opportunity and ran that play in the game, and it resulted in a touchdown.
Then, the Titans were in desperation mode. They'd lost their first two games and looked awful doing it, and they needed a win badly. The situation they're in now isn't much better.
The team has three wins under its belt, but it's also got two losses in a row, and the one against the Bears was one of the worst in team history.
Now is the time for Palmer to draw up some plays that opponents haven't seen the Titans run before. Now is the time for Gray to dial up heavy blitzes every once in a while. Now is the time for Mike Munchak to maybe take a timeout in the first half to give his defense a rest.
The Titans need to try new things in all aspects of the game, because as it stands, what they're doing isn't working very well. If the new stuff doesn't work, scrap it. However, they might just find a couple of things that do work, and that they can build on.
Something has to change, and if the coaches don't try something new, the thing that changes might be them.