Why We Should Take Few Things As Finished Or Perfect

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Tuesday, 8.24pm

Sheffield, U.K.

Looking not to any one time, but to all time, if my theory be true, numberless intermediate varieties, linking most closely all the species of the same group together, must assuredly have existed; but the very process of natural selection constantly tends, as has been so often remarked, to exterminate the parent forms and the intermediate links. Consequently evidence of their former existence could be found only amongst fossil remains. – Charles Darwin

In one of David Attenborough’s programmes there is an arresting scene of two bulls, a challenger and an old veteran, going head to head.

Weighing over half a ton each, their foreheads crash together, again and again.

The challenger seems to be winning until the veteran gets broadside and drives him away.

It’s the kind of clash you remember, that sticks in your mind – because of the beauty and majesty of these animals and the seeming pointlessness of their way of setting a dispute.

But then you have to ask yourself, what alternatives do you have?

In a post on Ben Orlin’s very funny Math With Bad Drawings blog he explains the Intermediate Value Theorem as effectively saying that if at one time you were three feet tall and then at a later time you were five, then at some time in between you must have been four feet tall.

Now, what this means for you and me is that evolution and maths are telling us that what we see is not all there is.

Let me explain.

If you have a job right now, in order to start that job you signed a contract.

A contract that sets out the rights and obligations between you and your employer.

Maybe it’s a very restrictive one, where they own everything you make, even what you come up with while you’re dreaming.

Maybe it’s one where they can fire you at any time.

Or maybe there isn’t one at all – it’s cash in hand, or sometimes it’s not.

Or it’s a loose contract setting out what you will do for this employer but leaving room for you to work for other as well.

Those of us that aren’t lawyers tend to look at contracts as perfect documents, set in stone – while to lawyers they might simply be a set of statements, often imperfect, and something to argue over and settle after they’ve been paid.

An approach to management might have evolved along similar lines, from forced labour to a postmodern network of capabilities – each approach fitting into a particular niche, surviving, evolving, dying.

What’s obvious is what is in front of you – the end products of all those small changes, those intermediate states.

We see them as they are now – bulls, markets, societies, economies, theories – and wonder how they ever got so big and complex – surely it cannot have been by chance?

There must have been a guiding hand, a creator, someone omnipotent?

But somehow, the more plausible explanation is that these things just happened over time.

And they took time.

Which human beings don’t like – I saw a post where Paul Graham quoted some as always asking if you think something will take ten years ask yourself how you will do it in six months.

Maybe some things can be addressed that way.

Others can’t.

You can’t make a baby in one month by getting nine women pregnant, for example.

If you want to become good at something – playing music, writing, programming, managing, science, learning a language, assimilating into a society – it’s hard to shortcut those 10,000 hours or 10 years that you usually need.

But most of that applies to things that you want to do – like those bulls who want to protect their territory – or take over another one’s patch.

For human beings we have the advantage of being able to consider what to do.

We can see how those bulls resolve their differences and understand that it involves pain and a lingering headache.

And we can choose to do things differently – change the things we don’t like.

As long as we don’t get fooled into thinking that change is not possible – that the way things are is the way they have to be.

Because you can make a difference.

Cheers,

Karthik Suresh

Why Looking At What You Do Tells You Who You Are

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Sunday, 9.13pm

Sheffield, U.K

And Pharoah said, ‘You are lazy! You will be given no straw, but you must produce the same tally of bricks each day.’ – Exodus 5

Do you know how to find out what people will do in a given situation?

For example, if you’re marketing a new brand of healthy cereal, what questions would you ask to find out whether people will buy it?

Many people will assume the right thing to do is ask people what they will do.

“Would buy this type of cereal?”, might be one.

A simple direct question – would you do this.

Many people, when asked such a question, will probably say that they would buy that type of healthy cereal.

Should you now go and build your factories – start producing tons of the stuff?

Before you do that the question you should ask is “What types of cereal do you buy now?”

The point is that studying the past will tell often you more about what will happen in the future than any amount of prediction or forecasting.

Why is that?

Well, the future has an infinite set of alternatives – every possible thing that could happen from the next instant.

The past is defined – a single timeline of things that have happened.

The past is certain and the future uncertain.

But what is likely is that things that have happened in the past will happen again in the future.

If your preference has been for chocolate ice cream for most of your adult life you are unlikely to change to a pomegranate fusion.

This is the time of year for resolutions – for ideas and plans for how you will do things differently.

Imagine you were to tell a friend about how you have spent the last few days, the last few weeks, the last few months, the last year – what would you say?

If you could talk through what’s taken your time, what you’ve enjoyed doing, how things have gone – then you will have an insight into what you’ve done.

And in what you’ve done lies the information you need to understand what you’re going to do.

Let’s take writing as an example – something like keeping a blog like this one you’re reading.

If I look back at what I’ve done, the one constant that’s always been there is writing.

I have sheets of yellow paper with pencilled writing from 1998 in a file, letters, diary entries – not everything but enough to know that writing has been something I’ve done for a few decades.

I use writing as a way to examine what I think, as a way to understand other people’s ideas, as a way to work through unsettling situations.

In the first decade of this century I held a view that if something wasn’t in writing it practically didn’t exist.

In the second decade I revised that view to if something isn’t on the Internet it doesn’t exist.

Now, if someone starts a website or a blog or whatever else because they think it would be a useful thing to do – something utilitarian – perhaps something as part of a content marketing strategy – the test of whether they will keep at it is whether they have written much in the past.

Because if they haven’t this task will wear them down, doing something they don’t really like doing day after day.

And you can’t outsource it easily – because that person writing has the same problem.

Do they do it because they have to – in which case that angst will show – or do they do it because they like writing?

The thing you have to look for when trying to see whether something that you want to change is likely to do so is the voice of the process.

If you want to increase the number of customers you have, how much time did you spend last year having conversations with prospects, partners and introducers?

If you want to lose weight how many days a week did you exercise last year?

If you want to spend less how much time did you spend last year filling in your cashbook and updating your budget?

The fact is that we are all anchored in the past, rooted there – just like a giant tree.

If we want to change ourselves or our situation in a way that is very different from where we are now we need to pull up that anchor, uproot that tree – and that’s very hard work.

Not impossible – but very hard.

You should have started taking baby steps to change ten years ago.

But if you haven’t – today is good too.

Cheers,

Karthik Suresh

What Do You Do When You Feel Less Good Than Everyone Else?

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Saturday, 9.30pm

Sheffield, U.K.

What fascinated me most was Churchill as a young child. He had a kind of Dickensian childhood. The neglect. And he was a terrible student. His whole life is a study in trying to overcome your feelings of inadequacy. – John Lithgow

I said I probably wouldn’t write about the fourth chapter of Alain de Botton’s book The consolations of philosophy but I’ve changed my mind.

The reason I thought I’d skip it is because it covers areas that are not nice to read about as part of an essay on inadequacy.

The problem is one of how people in history have treated other people because they were different – lesser than them.

And it’s happened all over the world, all across time – from South America to Africa to Europe and Asia and Australasia.

The scars of these histories are still visible today – just pick a country – it seems unfair to single out one and there will be something in their history people now wish was simply forgotten.

The good thing is that it now is unlikely that such things will be forgotten – the Internet has a long memory and gives people a voice when they did not have one.

Some of those stories are ones you may not wish to hear.

Right now, for example, with young children and knowing what we now know- I am unable to pick up a book in the library that has letters that Jewish children living in ghettos wrote during the war.

I know it’s there, and must be read – but later.

But my reason for writing about this chapter is that it introduces a French philosopher, Montaigne, who wrote about how important it was that we understand one another.

It is easy to see anything different as worse – and that is how people have seen things for most of history.

In some ways that is a natural, instinctive way to look at the world.

It’s natural and instinctive to see your country being filled up with foreigners and feeling like you’re being pushed out.

And that’s why it’s wrong.

If you want to be a “good” person they you have to fight against what is your natural and instinctive reaction to things – a reaction based on what you think is normal and abnormal based on what you have learned and been exposed to.

And Montaigne pointed out that they only way you can do that is by learning more about other people, other cultures and other ways of doing things.

In any situation you will have some people that are in charge, in control, this is their space.

And you will have others that try to fit in – but feel small, marginalised, without a voice, facing a glass ceiling or outright antagonism and violence.

Who feel inadequate.

And this happens to individuals as well – the inadequacy that affects us when we see people living perfect lives on social media – when we see others that seem to be doing much better than we are.

Montaigne points out that respect or value seems to come from people who are furthest away from you.

To your family you are an eccentric – while to someone on the other side of the world your words might be life changing.

Now one solution to the inequity in life and society is for the majority, the winners to make place for the minority, the marginalised.

Some places do this – and some places fight it and depending on where you live – you take the opportunity or you live with the injustice.

But if you are lucky you have something now that almost no one had in the past.

You have the ability to get a voice – a global one.

And one can hope that when we hear these voices we will be more open to change.

Let’s be real about this – you will have some people build walls and ignore the evidence – fight against any suggestion that they or their ancestors did anything wrong.

And you will have others that accept what happened and try to make a difference.

For example, this article analyses Japan’s history and suggests that what is needed in such situations is a permanent way of memorialising and apologising for national crimes – in law, in education, and in culture.

But while you’re waiting being able to tell your story is one way of dealing with what has happened.

What we should be doing is teaching people the right way to treat others.

You’ve all heard of the golden rule, “Do unto others as you would have them do unto you.”

What’s actually needed, but less well known, is the platinum rule.

“Do unto others as they would have you do unto them.”

Cheers,

Karthik Suresh

How Do You React When Things Don’t Go The Way You Want?

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Friday, 9.23pm

Sheffield, U.K.

It took 10 months for me to learn to tie a lace; I must have howled with rage and frustration. But one day I could tie my laces. That no one can take from you. I profoundly distrust the pedagogy of ease. – George Steiner

I’m on the third chapter of Alain de Botton’s The consolations of philosophy and this is about frustration.

The basic problem with life is that every once a while what we wish for is blocked by reality.

You really wanted that promotion, but someone else got it.

Or you wanted to get those tickets but they were sold out.

When this kind of stuff happens some people get angry.

It’s a natural response to being frustrated, they argue. If you don’t respond like that then you’re emotionally shut down – not in touch with your feelings – a robot.

de Botton draws on the Roman philosopher Seneca whose advice pretty much comes down to shit happens – so expect it to happen and then you won’t be surprised when it does happen.

Bad things can happen – in fact every bad thing that could happen to you could happen pretty much in the next minute.

So, prepare yourself and be ready for whatever might happen.

And then you won’t feel so bad?

Hmmm. Not sure about that last bit.

Seneca went through his share of troubles – he was exiled, brought back and finally ordered to kill himself by his former student, the Emperor Nero – and he did so – without falling apart.

The thing is, when you look at Seneca’s approach to dealing with frustration it really only applies to things that frustrate you – things that affect only you.

If you’re passed over, if you’re swindled out of a commission, if people use you and then discard you – then yes you can choose to be stoic and calm about it all.

But then there are times when you can be calm and very angry at the same time.

And those times are when, I suppose, you are in a situation where other people have absolute power over you and your family and your people.

The next chapter of de Botton’s book, which I think I will skip writing about, talks about what happened to the Native American population in the 1500s.

They were seen as non-human by the invading Spanish – and butchered and treated worse than animals – 70 million died out of a population of 80 million.

This might seem like a long time ago – but you have to then remember the history of slavery a few hundred years later.

And the guillotine and the inquisition were still there in the East in the last century.

Should the Indians and the slaves have just taken this stoically – accepted that bad things happen to them and their families and got on with living – or more often, dying?

How would you react?

But then, coming back to something approaching normality – you have frustrations that can be overcome – like building a bridge or inventing new things.

Being too stoic and accepting of everything might also mean that you never grow or learn or push yourself.

So, perhaps here’s a conclusion from the essay.

Most things are small things – don’t sweat the small stuff.

Many things can be overcome – don’t give up too soon.

But what’s not in the essay is when frustration should be absorbed and used and redirected.

Sometimes you should work to make change happen – and anger can drive you to do that – especially when things are unfair.

And sometimes you should go with the flow – accept reality and live the best you can.

As always – the approach you take depends on the situation you’re in.

Cheers,

Karthik Suresh

The Vantasner Danger Meridian – Why It Should Exist

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Monday, 7.26pm

Sheffield, U.K.

And this was known as that greatest of treasures, which is Hope. It was a good way of getting poorer really very quickly, and staying poor. It could be you, but it wouldn’t be – Terry Pratchett, Going Postal

It’s that time of year when we’re almost at the end – and we start thinking about how we’re going to do things differently.

After a short period of doing nothing, that is, other than reading and watching TV – which is where you pick up a few interesting insights.

Take Terry Pratchett’s book “Going Postal”, for example.

It’s a story about a con man and his sometimes involuntary journey towards redemption, and along the way we could learn something about human nature and management.

Pratchett clearly has a history there, given his first story published when he was 13 is called “Business Rivals” and he spent time in the Central Electricity Generating Board.

One thing you should really take away from the book is that you need to make it easy for people to give you money.

In the book you have a man who figures that you might as well go for the impossible – because if you do achieve it you’re a hero and if you don’t – well it was impossible anyway.

You don’t get marks for reaching for something safe and not making it – people don’t notice that happening.

So what should you do and when?

That’s where the TV series “Patriot” comes in and especially the episode on the Vantasner Danger Meridian.

The Vantasner Danger Meridian is defined as “the point or line after which danger to your mission and/or sense of self increases exponentially. Often used to demarcate conditions of grave and approaching danger.”

It doesn’t exist in real life – but it should.

Here’s why.

We all know about the Sunk Cost Fallacy – you might have spent lots of time and money into a particular idea or cause but that shouldn’t be taken into consideration when deciding what to do next.

You should make that decision based on the facts you have now – not what you did previously.

Which is where we are all right now.

You have have spent decades building up a career, or failing to build one.

You might have spent lots of money on a project that isn’t working out the way you might like.

So, should you walk away because things don’t look good?

The Sunk Cost Fallacy would have you do just that – and that’s probably a fallacy in itself.

The difficulty is that we don’t know – we can’t know the best thing to do.

Endless possibilities unfold in front of us – it’s only when we make a decision that some disappear and others appear.

So what really matters is not the right decision but the next decision.

And this is where something like the VDM should really exist in real life.

Given where you are now what are the next things you can do?

And which of those do you want to do?

And where is the line – where is the point where danger increases exponentially.

Let’s take an example – it’s the New Year and you think it’s a good idea to start it by chucking in your job.

For many people that creates a number of dangerous scenarios.

Where is your money going to come from, how will you pay the mortgage, where is the next job, do you have clients lined up if you’re going to go independent?

That’s probably well past the VDM

What we need to do is figure out where the line is and how close we can get to it without things going bad.

And that needs us to be conscious of another introduction in the plot – that of jellyfish.

Apparently if you cut a jellyfish in two, the pieces can regenerate and form two new jellyfish.

The analogy here is that if you screw up a situation then that results in more things to deal with – lies beget more lies and so on.

And pretty soon the number of things you have to handle grows more quickly than you can handle them – and things start to go wrong.

When you pull all this together and combine Pratchett’s observations and the Patriot’s script you are left with something like this.

Hope is not a strategy.

Wishes are for wells.

If you want to change things the challenge is figuring out what you can do in the situation you’re in without crossing a line where danger increases exponentially.

When you’re on the right side of that line you can try and experiment and innovate.

On the wrong side of that line lies panic and desperation.

And at the edge – the edge between Newtonian physics and chaos lies complexity.

Which is where change emerges.

And if you’re lucky, it’s the change you want.

Happy New Year.

Cheers,

Karthik Suresh

What Might Being Open And Transparent Do For Your Business?

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Sunday, 6.52pm

Sheffield, U.K.

The poet strips naked. The philosopher takes notes. – Marty Rubin

How open and transparent should you be is a contingent question – it depends on where you are right now.

If you are a large corporate then having friends in the right places and laws that protect your business are perhaps more important.

If you are new and fresh then showing everyone why you are different might be what matters.

What’s interesting is the range of views you get from different people – a range you can see in a sampling of quotes.

Many politicians say they believe in being transparent – which might get a laugh or two from the masses.

A lot of people say transparency is absolutely good – perhaps they are the poets Rubin talks about in the quote above.

But then you have a rejoinder like this one from J. Richard Singleton, “The truth is like sunlight: It causes cancer.”

Harsh.

Plausible?

How open should you be, for example, when it comes to negotiating a pay rise?

Should you be open about how much you need the money? About how much of a struggle it is to meet your bills?

Or should you be open about the work you put in – or don’t put in because of the obstacles in your way?

What if you make a mistake on a client’s account – how do you handle that?

Do you tell the client everything that’s happened or do you try and manage the impact it has on them?

The thing that led me to think about this question has to do with free software.

There are a number of tasks that are better done with such tools – tasks that matter – because they can help with things like climate change.

Should this be done with proprietary, secret tools or should we be trying to use tools that protect our freedom?

When I re-read Richard Stallman’s essays I’m reminded of the huge effort that went into creating the free software ecosystem that many of us use now – the ecosystem that allows me to type this words and share them with you.

But what is it that protects us?

Is it humanity and good feelings – sharing and brotherhood?

Or is it the copyleft – that legal instrument that means work you do for free on free software cannot simply be taken and owned by your employer?

I started this post with the vague thought that openness and transparency are good things.

I may have changed my mind half-way through.

Being completely open and transparent is like standing naked on a beach.

It is unlikely to attract people to you.

The most famous example of such an exercise is perhaps the story of Lady Godiva – but no one seems to be quite sure what the point of it all was.

Or perhaps it’s the story of the Emperor’s new clothes – but that is a story of self-delusion.

You see, the whole point of being open and transparent is not about what it does for your business.

It’s about what it does for your users, your customers.

Free software protects the rights of its users, their freedom to run, study, copy and improve a program.

And it does that by using the law – by using the conventions that society has come up with.

If you help your customers to do the same thing – you might create something unexpected.

You might create trust.

And that’s priceless.

Cheers,

Karthik Suresh

What Do You Do When You See Things Differently From Those Around You?

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Saturday, 7.25pm

Sheffield, U.K.

The limits of my language means the limits of my world. – Ludwig Wittgenstein

There are a lot of things worth learning out there.

That’s the purpose of this blog – to wander around a garden of ideas, looking, sniffing and picking ones that seem interesting or different.

And along the way, the way I look at things has shifted.

For example, I no longer think much of targets and tracking and effort.

The way most people are taught the way the world works is that they should set goals, decide what their targets are going to be and then go ahead and make it happen.

If you are working with other people who aren’t achieving what you think they should achieve – you should set them targets and monitor their progress to see how they are performing – and take corrective action when they fall short.

This kind of thinking is seen as normal, reasonable – of course you should do something like that.

But, if you are interested in Systems Thinking and the work of W. Edwards Deming, then you will counter that what happens is because of the system.

The system you have in place is perfectly designed to deliver the results you are getting.

If you want to get different results then you don’t start by setting goals and targets – you start by understanding the system and then you might see what you need to change to get different results.

Yeah so what, you say, that’s the same thing.

Start with targets and change how you act is the same as changing how you act and getting different results.

At this point, you are in a conversation that has no resolution.

Let me explain why.

Many years ago I used to go to University sessions where someone would talk to you about their religion and why you should consider making it yours as well.

I went to my first session by mistake – I was told there would be cake there.

I kept going because there was free food – but there was an obligation to talk to someone about What You Believed.

And it was fun, for a while – but eventually, after a number of discussions, I had a pretty good feel for how the argument would go.

They would say this and I would counter with that and then there would be something else with another response – and eventually we would come to certain points that had no way of being proved and we would have to just agree to disagree – because we believed different things.

It is difficult to resolve differing beliefs – it’s probably best not to try in the first place.

But that leaves us with a problem – what do we do when we see things differently?

Well, to boil a lot of theory into one simple, obvious approach – we have to take the time to listen.

We try and understand the other person’s point of view – their perspective – the way they see the world.

We don’t have to agree with it but we do have to take the time to try and see it for what it is.

And then, if we want to work together or live together we need to figure out an accommodation – a compromise – that will work for us in the situation we face.

A compromise that will, hopefully, make things better.

But don’t be lulled into thinking this is easy.

As we see from the world around us and the politics that happens the easy route is to hate and fight.

It takes effort to build a society that can live under common laws – especially if individual perspectives are very different or are subject to different laws.

It’s not really a cold end state that we get to – but rather one where we simmer instead of boiling.

Because in the end we share the same world.

Even if one of us happens to be looking at it upside down.

Cheers,

Karthik Suresh

What Is The Key Thing To Look For In Any Situation?

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Thursday, 9.05pm

Sheffield, U.K.

This is a world of action, and not for moping and droning in. – Charles Dickens

I mentioned yesterday that I had come across James Thurber again.

Over the last few days I’ve been copying his drawings in my sketchbook – trying to get a feel for how they work and I noticed something.

In every drawing there is something happening.

You don’t see it at first – it doesn’t grab your attention because it just seems like his style.

But as you look more closely, draw the pictures, you see action, movement, tension in the lines.

Many of my drawings so far, for example, have a person standing there looking at something – passive, uninvolved, disinterested.

The fencers in Thurber’s depiction are anything but disinterested.

And it comes out using the spare economy of a few lines – two people walking past each other holding umbrellas in the rain, his animals creeping and peering, and my current favourite – a man hiding under a fortress made from his chairs and tables.

And that got me thinking about real life and work and trying to sell stuff.

All too often we look at things from a static point of view.

We see things as set in stone, as rules, as dogma – and we think that if we follow a formula then things will happen.

Think good thoughts every morning and the universe will move things around to give you what you want.

Things like that.

But really, what we need to be doing is looking for where the action is.

For example, you could commission any number of studies telling you what people should pay attention to.

But, you’ll do better focusing on what people are actually doing.

It reminds me of that story by Gary Halbert where he says that he’ll bet you that he can sell more burgers than you can.

You can pick any type of burger you want – the quality, the advertising, the colours.

You have the ability to do whatever you like to make your burgers the best in the world.

But he will still sell more – because all he wants is one thing.

A hungry crowd.

And that’s the action bit – that’s where the real thing is happening.

It’s what the Japanese call Gemba – where the work is done.

You can spend a lot of time thinking and agonizing and wondering.

And I think that is a good use of time – I’m not averse to thinking and I think theory is useful.

But when you come into the real world and try to apply that theory – you need to be able to see where the action is – where things are happening.

Because that’s where life happens to be.

Cheers,

Karthik Suresh

What Do You See When You Look Around You At The World?

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Wednesday, 10.27pm

Sheffield, U.K.

Unless artists can remember what it was to be a little boy, they are only half complete as artist and as man. – James Thurber

I stumbled over James Thurber again today.

I remember reading him as a child, remember the humour and pictures and laughing.

And then three decades seem to have passed.

So, I went back and looked at some of his work, starting with The beast in me and other animals.

This time, I’ve been looking at the drawings – his way of capturing what is going on around him, and what goes on in between the lines – in between what is obvious.

I gravitated towards the drawings because they seem to capture something that few other things seem to do – an essence that is lost in other forms of media.

For example, all parents take millions of pictures of their children.

But the images I remember are the sketches I dashed off as I watched mine play near a river or draw during a train journey.

They are not good drawings – they lack any pretence at being art.

They are doodles, dashed off in the moment, but they capture a memory differently than a photograph – which retains every detail but that which matters.

So, it’s reassuring to learn that Thurber took a similar approach to his drawings as well – despite being featured on the New Yorker and around the world they were dashed off in minutes and somehow drastically reduce complexity to comedic brilliance.

And observation – of the small things that make up our world today.

I tried to do a Thurberesque sketch of a scene we see all too often these days – a child with a device and other children gravitating towards it.

We see this more and more as children (and adults) consume content – while once we might have had them creating it, sat on the floor drawing and doodling instead.

Which makes me wonder – if children grow up too quickly – too aware of perfect images before they have time to doodle – then what happens to their ability to create?

The thing that Thurber did was observe – look around and see humour and contradiction in everyday life.

It’s not perfect.

But it can be amusing.

Cheers,

Karthik Suresh

The One Skill Every One Of Us Has To Develop To Do Good Work

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Sunday, 7.02pm

Sheffield, U.K.

Listen to your patient, he is telling you the diagnosis – William Osler

I was talking about the state of medicine today with someone who should know – and learned that there is a serious problem with training new doctors in the developing world.

Privatisation of teaching inevitably results in the standard of teaching going down – as the superstars migrate to the highest paid and most prestigious roles and the rest staff the other places.

Doctors don’t know the basics – how to take a patient history, how to present their findings and how to do the things that doctors should learn to do.

The fact is that there are things that can be trained easily and there are things that can’t – like a good bedside manner.

And all this has been known for a long time.

William Osler came up with the idea of a medical residency – and the idea that students should see and talk to patients.

An essay of his titled Books and Men has this line:

“To study the phenomena of disease without books is to sail an uncharted sea, while to study books without patients is not to go to sea at all.”

The first point we should take from this is that it’s not enough to read about things – we must practice as well in real life situations.

If you’re a writer, an artist, a salesperson, a consultant, a photographer – you will learn much by reading about it and you will learn much by doing it.

Doing both will make you brilliant at what you do.

Doing either one on its own will not.

Good, perhaps, but not exceptional.

Of course, you have to learn how to learn – and Osler has something to say on that, quoting an old writer who says there are four sorts of readers.

Sponges who soak up everything without asking or checking; Hour glasses that get knowledge and pour it out just as quickly; bags, that retain the dregs and let the wine escape and sieves that keep only the best.

Strive to be a sieve – it takes longer than you think.

And then there is the quote that starts this blog – which tells you all you need to know about the skill you need to have.

Too many people, many doctors don’t listen.

They look at the symptoms and make a diagnosis.

They sweep in, look at the person, the situation – and say what they think.

It’s something you see all the time – with managers, executives, partners – anyone in a position of authority.

What they want to do is get to the solution – and of course it’s the solution they have in mind.

People like that are very confident – they’ve been successful – that’s why they’re in charge.

Successful anyway in the sense that what they did or didn’t do can’t be measured and the people judging them had no idea what was really going on.

And the thing about people like that is they don’t want to listen – they might politely give you the impression they are but really they’re thinking about something else and will, as soon as they can, squish you and anyone else that’s in their way.

What such people don’t do is listen.

They don’t take a patient history – a situation history.

They don’t ask what has been going on, what’s the background, what’s the context – what led up to the events that are being considered.

And this is what you find when you listen.

The answer is in front of you every time – one answer anyway that fits the facts that you’ve now taken the time to gather.

It’s just sitting there hidden in plain view – and what you needed to make it visible is get people talking – and just listen.

And then, when you’ve listened, you can add your professional opinion.

You will now know what to name the problem, the disease, the condition.

You will know how to test for it, how to measure it, how to detect it.

And you will know what to prescribe, how to fix it, how to solve it.

It doesn’t matter what you do or how you help other people.

But you will do it better if you first learn to listen.

Cheers,

Karthik Suresh

p.s. If you want to learn more about how I do this professionally, here is a paper I wrote today that sets it out in more detail.