Diagnosis: Chasing Nuts

I like to watch this video every now and again to remind me the importance of having a strategy versus being tactical.

At the beginning, Scrat has a great strategy — to collect as many nuts as he can and to store them in an open log.

As Scrat puts his head down and focuses on the tactics of implementing his strategy, he forgets that his log can only hold a finite amount of nuts. Scrat forgets that there is a hole at the bottom of the log. A challenge that ultimately leads to losing his entire stash of nuts.

Even as Scrat is plumetting to his death, he begins collecting nuts again and refocuses on trying to get as many as he possibly can corral.

There are so many lessons from this video that I can relate back to healthcare.

  • Healthcare loves to chase the new shiny object
  • Many times we set it and forget it (strategy)…we forget to generate feedback, close the loop, iterate, and update our strategy based on market dynamics (we believe strategy is static versus dynamic)
  • At times we become so focused on the execution (tactics) that we forget to observe the things going on around us
  • We are so busy running around trying to catch a nut, or in our case, checking a box, documenting a visit, or reprocessing paperwork for authorizations (to name a few things) that we forget to focus on the person in front of us
  • We forget that technology is supposed to enable our ability to be more effective, not make us more inefficient
  • We forget to check our blindspot…we tend to focus on copying best practices from other healthcare systems versus understanding the takeaways and adjusting for our own communities

I believe that we can learn from our surroundings.

We just need to take the time to listen, understand, and observe.

Success is not measured in the number of boxes we check, or how many nuts we collect.

Success is measured in the number of lives we touch.

We can only care for one patient at a time in healthcare.

Success is measured at the N of 1.

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



Where Do You Want To Be In 10 Years?

I was recently asked,

“Where do you want to be in 10 years?”

I paused for a moment. I thought to myself, where do I want to be, what do I want to do, how do I get there, and what does it all mean.

Then as quickly as I thought all of those questions in my head, it became clear to me.

I do not have an ultimate destination in 10 years.

What I want is not a place. It is not a thing. It is not a position. It is not a company. It is not fame. It definitely is not fortune.

I do not even want people to remember my name necessarily.

What I do want is to leave a legacy. (←dare to click)

I want to be the pebble that causes a ripple in this chaotic and messed up thing we call healthcare.

I want to be the pebble that created a change, forced people to pause and ask questions of patients, to place less priority on the technology and to become laser focused on the people we care for on a daily basis.

I want my legacy to be the one that gets back to delivering care between a patient and a physician. A world in which we answer the “why do I feel this way” and “what can we do about it” for patients on their terms, in their words, and with their expectations in mind.

I want my legacy to ensure that physicians feel their “why” is delivered professionally with each appointment, exam, and patient interaction.

I want my legacy to deliver the one thing we all have, the one thing we can all give but never return, the one thing that once we spend we can never buy more….time.

I want my legacy to build a world in which patients and physicians spend more time with one another and fulfill each others “why.”

It begins with me. It begins with you. It begins with each other.

It begins by choosing to deliver care the N of 1.

My legacy will be in scaling the unscalable, choosing to take the time to connect at the N of 1.

Legacy is built at the N of 1. So is #GFHC.

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