Pinned Tweet
Competence in the absence of a system is incompetence. I learned that in trauma bays at 3 a.m.
Today I'm releasing Think Like A Surgeon: 6 steps to cut through chaos and decide what matters, in business and in life.
On Amazon now, link in bio.
Ron Hekier retweeted
This happened because a radiologist is working their ass off to get cancer scans read at 11 pm on a Friday before the weekend and it is Federal law that results are immediately available to the patient in the electronic record
Healthcare is the only industry that drops your cancer scan results into an app at 11 PM on a Friday, then closes for the weekend.
No call. No context. Just a PDF full of words like "suspicious" and "cannot be excluded" and a little banner that says "Sleep well!"
Meanwhile billing found me in 4 hours 😐
Next time you hear "Michelin-starred," remember it started as a way to sell tires. In 1900, France had only a few thousand cars on the road.
The Michelin brothers could have waited for more people to drive. Instead, they gave away a little red guidebook with maps, gas stations, tire-changing instructions and, eventually, restaurant ratings.
Two stars meant "worth a detour."
Three meant "worth a special journey."
Every detour wore out more tires. That's audacity: don't wait for the market, create it.
It's step four of the TRIAGE system in Think Like A Surgeon. What would the Michelin Guide move be in your business?
Why did Charlie Munger think about killing pilots? Why do trauma surgeons think about patients dying? And how can those inform us about decision making? Learn here in my book, available for pre-order now.
HR does not approve of this message.
Replying to @sapinker
Its opening sentence is one of the greatest in the history of the social sciences: “Killing one’s antagonist is the ultimate conflict resolution technique, and our ancestors discovered it long before they were people.”
I’ve followed this account for years. He’s winning in the game of life.
I've been actively fighting almost guaranteed age-related loneliness for years, studies show after age 30 you start seeing friends less and when you get older especially men don't have any social life left!
It's preventable, but it takes effort and initiative
We've now organized 70 weekly coworking days where we meet with friends and work together, do show and tell, and try help each other make things (also hardware stuff more recently)
We've also started organizing movie nights, art nights, barbecues, we watched the World Cup final on a projector screen in the garden with friends
We did a collage night the other day where we bought cheap gossip magazines, colored paper, and Pritt glue, and gave everyone scissors to make their own art, I think nobody spent time on their phone for at least 4 hours, making things puts you in a flow state and it's fun to do it in a group because you talk about different stuff while making things than you would for ex having a dinner
Movie nights are nice too but less popular I think cause everyone prefers to watch movies alone and also you can't really talk during a movie
Coworkings range from having sometimes 20 people to sometimes just 2 people, people have their own lives, but me and @rameerez still try to organize them weekly
One thing I realized is that we are usually the ones organizing stuff, but that's not a bad thing, there's even studies about this, there's usually a few people in a group who organize most of the events
If nobody in your group organizes stuff, it doesn't mean nobody wants to do stuff, but you have to take the initiative to bring people together which isn't easy in a time where phones and apps and the internet are simply easier and cheaper dopamine than driving to a friends house for a party
You can start with a coworking day, everyone brings their laptop, and you provide WiFi and coffee, then later you can try more types of events
Having an active social life is just as important or in some studies even more important for health than physical fitness
After a nice party I feel tired but satisfied, I had fun and didn't spend time on my phone or computer but instead talked and laughed with friends etc.
We don't drink alcohol with very few exceptions and nor do our friends, so it's mostly just having really nice food and sparkling water or kombucha etc, and we don't really need alcohol, after a few hours it gets fun enough anyway!
So I recommend everyone, take initiative, and organize something and get people together, it'll be fun! 😊
A deficit in my knowledge base shall be addressed with this book.
Srivijaya is out in good and bad bookstores. A magnificent tale of a forgotten empire - Borobudur, Prambanan, temple diplomacy, wars, feuds, Chola invaders, itinerant monks, sailors and wily merchants. An ancient university and… a old“zero”. Links below. #SejarahIndonesia #india
I began writing a book in the chaos of March 2020. I thought it would take 30 days. Six years later, Think Like a Surgeon is coming soon. The premise remains: chaos is inevitable, but clarity can be trained. For pre-order soon.
Whenever I'm on a cruise or at an island vacation, I think of how brave and perhaps even reckless the ocean-faring explorers were.
Ron Hekier retweeted
When you truly work for yourself, you won’t have hobbies, you won’t have weekends, and you won’t have vacations, but you won’t have work either.
Hey @grok Which area of human anatomy has the highest prevalence of anatomical variants which would be of a concern to a surgeon in any discipline?
Everybody’s talking robotics. But robots are built to do one task w/precision, need simple, consistent anatomy to operate surgically, like w/cholecystectomy. This brain AVM extends from cortex to ventricle, is supplied by convexity arteries + deep perforators, sits next to motor strip. Good luck Optimus….
Ron Hekier retweeted
My pet theory is they’re all masking. I think elite athletes learn early on that normies don’t respond well to truths about innate talent disparities, the amount of practice and hard work that goes into succeeding, and the insane focus and competitive mindset required to excel. So they smile and murmur platitudes to the civilians.
This is a core part of what we do at YC actually, creating a safe space for elite practitioners (in this case startup founders) to be themselves and talk about how they actually do their work with other founders.
One really great essay by David Foster Wallace is about exactly this.
He wrote about the gap between the inner experience of a tennis athlete, approaching Olympian transcendence through iron will supreme self master and endless sacrifice, and how athletes fail to convey this in anything other than the most tired cliches.
They don’t have words for what they go through, they cannot convey it, and so they fall into a very bland stock phraseology that makes for very poor memoirs and reading.
An intern is happy when they get to do any part of a case.
A PGY-3 is happy when they do most of a complex case.
A chief resident with an attending mindset is only satisfied when they see their surgical patient back in clinic after discharge.
Replying to @Bibimboppoo
Long ago, one of my attendings told me that you could do these big operations in sick people, but if you can’t get them through the rest of it, then in fact, you really can’t do big operations in sick people. So it’s all part of it. 🤷♂️






























