A rarely talked about truth is how the act of learning is really messy. Whenever I learn a new skill I always go back to how I learned to play the guitar. Probably because this was the first skill I truly learned by myself; no books, no teachers. Just listening to loads of music and doodling… Continue reading The Messiness Of Learning
Super specialisation in the last few decades has become commonplace. In the hospital we now have surgeons who can only operate on hands for example. Other doctors often joke that some of these surgeons only operate on the left hand and not the right. But even the doctors who don't consider themselves super-specialised are nowadays.… Continue reading Divided Knowledge
Every doctor had a bright future, in their past. The trick is to not let the future catch up with you.
I absolutely love this scene from Ramsay's Kitchen Nightmares. Ramsay is visiting a failing restaurant with a super talented French chef. It's failing even though the chef is clearly capable of winning a Michelin Star. The reason? The talented young chef is over complicating his food. [Watch the scene which starts at 20.04] https://youtu.be/TrwC0mo43QM?t=1204 "You… Continue reading A Tale Of Two Whiskeys
If you are making a tough decision, one way to know that you are making the correct decision is if your options increase. For example if you are wondering whether you should go to University or not, it is probably worth considering whether you will have more options at the end of your course, or… Continue reading Optionality
There's something unique about the business of medicine. In a traditional business such as a burger joint, if you have more customers and sell more burgers, then the restaurant owner will make more money. But in medicine, the more patients a clinic sees and the more patients a hospital serves, the less money they often… Continue reading The Business Of Medicine
There's an old business story about a cookie factory owner. His company was making millions of cookies and was very profitable. However, his board was always asking for more profits. One day the cookie factory owner thought of a great idea! "What if we got rid of 1 of the 13 spices we put in… Continue reading I Can Guarantee Something That Will Never Ever Change And It’s Where To Find All The Opportunities.
Two fish swam past one another. One turns to the other and says: "The water's nice today isn't it?" After a few minutes the second fish thought to himself: "What's water???" Ideas are valuable. Ideas are the birthplace of innovation, entrepreneurship and value creation. The problem in today's world is that many ideas go unquestioned… Continue reading It All Starts With An Idea
The large majority of the public don't know anything about health and therefore healthcare provision. The majority of journalists and politicians who write and speak about the NHS don't know anything about working in healthcare and therefore the realities of delivering healthcare to actual patients. If these two statements are true, then it's safe to… Continue reading This Is Why You’re Wrong About The Future Of The NHS
Maybe one day I'll hang this list in the waiting room of my clinic: I can't cure your cold I can't give you antibiotics for your cold I can't give you antibiotics for your flu I can't give you antibiotics for your diarrhoea of two days I can't give you antibiotics for sinus congestion I… Continue reading Things Your Doctor Can’t Do…