Business Is Built One Person At A Time

I am in the midst of hiring a new person to join my team.

Since the team is global, it can sometimes create challenges.

At times I will lean on the local leadership team to give me their perspectives, their opinions, and to share with me the pulse of the team.

I was ‘sensing’ that someone within the team may be interested in the role, but that the local leadership team maybe not as fond of the idea. A situation in which the needs of the business may be placed before the needs of the individual.

I took the time to reach out. I had a conversation. I was very open and transparent with both the individual and the other business leaders.

I asked the leadership team what the gap would be if the role would be filled by a current employee versus hiring outside the company. I asked to understand the overall business risk and if there is a mitigation and succession plan.

I also triangulated with my local team to get their perspectives.

My perception is that the business was placing its needs before that of the individual. As a leader, this is not my philosophy nor is this the way I make business decisions.

I made a few calls. I had several tough discussions.

I am a firm believer that in order to have a high functioning and producing team, that each individual on the team needs to feel appreciated, heard, understood, and that their professional and personal needs are being met.

In my opinion, the best way to meet the needs of the business is to deliver on the expectations of the individuals. The same individuals that do the work day in and day. The individuals that make up the team. The team that builds a business. A business that meets the needs of its customers.

When one of the individuals does not perform at their highest level, then the entire team is impacted.

Businesses are no different than healthcare.

Both are built at the N of 1.

As always feel free to email me at or follow me on Twitter and Instagram as @cancergeek



Healthcare’s Big Insecurity

A few weeks ago I learned of a story that made me take pause. It made me question not only myself but my work and my point of view.

I learned that a physician I respected was giving mentoring advice to younger physicians to “stay away” from some of my more poignant and bold messaging.

The physician specifically was cautioning others of being seen in apparel or affiliated with the story of Good Fucking Healthcare.

I was astonished and taken aback by this news.

People’s need to justify their actions in hopes of achieving their ambitions versus just focusing on themselves.

There is so much insecurity in healthcare.

People are so fearful of what another person may say, do, or think about them that they are paralyzed in making change happen.

Not change on a piece of paper, or in an article, or at a conference, but real change.

Change that actually impacts patients.

Change that impacts physicians.

Change that moves patients and physicians closer to one another. Making connections, building trust, listening to the expectations of patients, and delivering care at the N of 1.

Last week I came to the realization that I am thankful that someone out there is telling people to stay away from me.


Because it means I am doing something that is causing people to take notice.

I am doing something that is risky, something that may not be for everyone and something that causes a reaction. I do the difficult work on a daily basis that changes care delivery.

I have the self-esteem, the self-worth, and the confidence to take on the task of making a ruckus and changing healthcare.

I care enough about the people that need/seek healthcare to address the difficult conversations, to welcome constructive conflict, and to take the time and listen to various communities around the world that provide the purpose for my work, patients.

While others may need closed doors, closed sessions, private messages, or backdoor conversations to have a real dialogue, I have it in public.

I have the confidence in myself and in my beliefs that I can have an open and transparent dialogue.

Even if I occasionally swear.

I am fucking secure enough in myself to know that I will always win in making change happen because that is who I am and what I do.

I will still have the opportunity to sit on boards, lead organizations, and be asked to keynote.

I build healthcare for patients and physicians.

I scale the unscaleable.

I change healthcare at the N of 1.

As always feel free to email me at or follow me on Twitter and Instagram as @cancergeek