Uncategorized Jan 30, 2020

Indian spiritual leader, Sri Chinmoy, explains that peace begins when expectation ends.

Perhaps the most dangerous trait I see in perfectionist doctors and business owners is the attachment to their expectations on how things should be; how a certain result should be achieved. They are attached to a very specific outcome.

You know this sets you up for disappointment, frustration and failure.

Instead, attach to nothing other than your belief that you can be the best at getting better, adapting and solving complex problems that others avoid. When you hit a wall, go around, over or under it. This sounds simple, but how often as a business owner do you throw your hands up and surrender?

“My employees won’t do it, my patients or customers would never appreciate or respond to that, my town is too small, my town is too big, people here just want what is cheapest, the competition is too difficult, etc.” I’ve heard these excuses for...

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On Ego and Change.

Uncategorized Jan 30, 2020

There’s a great article in the Wall Street Journal today about NFL coach Andy Reid, who is taking the Kansas City Chiefs to Super Bowl LIV in Miami this weekend.

The author, Andrew Beaton, focuses on two of Coach Reid’s unique abilities. He thinks like an outsider and he doesn’t have an ego. He’s been a head coach in the NFL for 21 years and made the playoffs 15 times.

Those familiar with him say the reason he’s successful because “he’s willing to incorporate unusual, often unpopular perspectives.”

I never played football and I know enough to watch and enjoy the game, so I can’t add anything to the conversation about his unique offensive style, how he hired college coaches with playbooks that were not only unconventional but often mocked in the NFL, etc.

Beaton says, “Reid didn’t just tolerate these newfangled ideas. He actively sought them out and learned them better than almost anyone in is...

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Lowering The Bar.

Uncategorized Jan 30, 2020

From the first Netflix earnings call of 2020 and MarketWatch:

“What does it mean to “watch” a show on a streaming service? For Netflix Inc., it now means viewing at least two minutes. The streaming service noted in its first quarterly earnings report of 2020 on Tuesday that it has changed the definition of viewership — while Netflix used to consider any customer that streamed 70% or more of a single episode or film as having viewed that property, it now will count a view after viewing two minutes or any offering. The company admitted that it would boost the limited viewership numbers it provides by more than one-third.

“The new metric is about 35% higher on average than the prior metric,” Netflix executives said in their quarterly letter to shareholders. “For example, 45m member households chose to watch ‘Our Planet’ under the new metric vs. 33m under the prior metric.”

This, my friends, is the definition of insanity and a...

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It's Not Where You Left It.

Uncategorized Dec 30, 2019

I’m back from a whirlwind trip to Las Vegas, where we hosted 50+ TC Boot Camp attendees, three private coaching clients, a quarterly planning meeting for two of my companies and a scouting trip for a few long-shot investments. In two of the three private coaching meetings, a common theme we discussed was systems management. I reviewed business systems through three lenses: communication, oversight and recalibration.


Everyone seems to enjoy talking about systems, creating systems, perhaps even training their employees on new or existing systems. Since the first mention of “business systems” in 1980 by McKinsey and Company and through the creation and adoption of Six Sigma, business leaders throughout the world have been obsessed with automation and systems, to help eliminate defects in any process.

Sounds great, right? Just like “running a marathon” sounds great, the problem arises in the distance between idea and implementation. We all want...

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Strategic vs. Reative.

Uncategorized Dec 30, 2019

Dwight D. Eisenhower was a brilliant general. In the Second World War, he devised the “Eisenhower Box.” This is a matrix that ranks priorities according to importance and urgency.


Eisenhower didn’t want unimportant things coming to him in an urgent manner. He also didn’t want important decisions to be made urgently if time wasn’t a factor. Many business schools actually teach the Eisenhower Box, even though it was originally intended to help make strategic decisions in times of war.


Think about how much information comes to your desk or device. How often do you react quickly to non-urgent items? How often do you treat urgent items with a level of importance they don’t deserve?


Eisenhower forced his chain of command to be strategic instead of reactive. He wanted his team to go a mile deep on what mattered instead of an inch deep on a million things that were inconsequential. He wanted everyone around him to understand...

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The Cost of Free.

Uncategorized Dec 30, 2019

The internet once promised complete information equality. Children in poor countries would have access to the same knowledge as a child in California. But, it hasn’t turned out that way.

Different countries have different ideas about the internet. China and Turkey censor their internet aggressively, while America allows disinformation, extremists, hate speech and pornography to infiltrate every corner of the web.


The Arabic language, for example, is spoken by more than 350 million people, but represents less than 1% of the information on the internet. The Spanish internet isn’t that far off.


In an absolutely brilliant and impressively in-depth report by Kevin Roose, Elizabeth Weil and Bill Wasik, contributors to The New York Times and Atlantic magazine, the argument is made and thoroughly supported that the free internet we were all promised has devolved into a cesspool.

I obviously agree and have been beating this drum for many...

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Nothing New.

Uncategorized Nov 29, 2019

Mark Twain wondered, “whether the world is being run by smart people who are putting us on, or by imbeciles who really mean it.“

His quote could have been written 1,000 years ago as easily as today or 1,000 years from now. This is one of many reasons I like Twain. He knew how to think accurately about human nature. He focused on things that never change.

This way of thinking is an antidote to the well-intentioned, even deeply thoughtful leaders around the world that lead our nations into pointless wars, drag our economies into and through idiotic trade negotiations, levy taxes on the core tenets of growth and prosperity and deceive themselves and, sadly, their voters.

Not because they are bad people, but because they are misinformed by scholars, ego and the status quo – promulgating nonsense.

Let’s unpack these three sources of hogwash:

Scholars have strong opinions, tightly held. We joke, cerumen deeply impacted, that the local ENT...

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On Narratives.

Uncategorized Nov 29, 2019

Five years ago, Nir Eyal wrote a book called Hooked: How to Build Habit-Forming Products, which helped startup tech firms understand user psychology. He discussed the research on slot machines, which use variable rewards and pleasures that come at unpredictable intervals. If you haven’t read, Addiction by Design, it is both amazing and alarming.

In response to pressure from psychologists and child development specialists, tech industry insiders have blown the whistle at Google, Facebook and WhatsApp, becoming critics of the very tools and addictive apps they spent years developing. In his latest book, Eyal admits that there will be a movement to be “post-digital” in 2020. He says, “We will start to realize that being chained to your mobile phone is a low-status behavior, similar to smoking.” But, he does not think technology is the problem. We are.

Throughout the book, Mr. Eyal challenges the idea that technology is doing all of this...

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Savaged by Noise.

Uncategorized Nov 29, 2019

“Silence is the presence of time undisturbed.”

In a world savaged by noise, distraction and heedless entertainment, it has become more and more difficult to locate and protect our ability to be silent.

It’s fascinating to consider the amount of creativity produced during a day in which one is silent.

Taking long walks in nature, spending time near the water, carving out a reading nook or reflective space in one’s home – these are common strategies amongst my most successful and happiest clients and friends.

Some practical tips:

Kill the digital brain stimulation before bed. Most Americans watch television or scroll through the social feeds on their smartphones and then hop into bed. Your brain is too active to sleep restfully. Instead, turn all your digital devices off a few hours before bedtime. Lull yourself into a great night’s sleep by reading a book, praying or meditating after stretching and thinking about what you learned today, what...

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Healthcare Trends.

Uncategorized Oct 30, 2019

It’s Q4 2019 and time to start planning for next year. According to Definitive Healthcare and McKinsey and Company, here are the top healthcare trends for the coming year:

Consolidation – Over 803 mergers and acquisitions took place in the last 12 months, in addition to 858 affiliation and partnership announcements. This trend brings newer technology to smaller clinics and hospitals, as they join larger groups, driving down costs. Consolidation is predicted to accelerate over the next 2-3 years. It also decreases competition and creates mega-hospitals, with regulators watching closely.


Convenience – 65 percent of consumers buying commercial insurance select cost as the top factor when choosing where to seek care. Today, 24 percent of consumers reported using retail clinics like CVS Minute Clinics, compared to only 9 percent only four years ago. To go around this trend, you must get really good at marketing to the 35 percent who don’t list...

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