Category Archives: Figure Stuff Out

Thoughts and observations about everything in the kitchen sink from the meaning of life to deep-fried sushi.

Sometimes it’s okay to turn the car around

Let’s say you decided to start a new project, one that requires significant investment of effort on your part and has an element of uncertainty.  This can be an academic project, a new start-up, or maybe you’ve decided to start a new year resolution.

A fair assumption may be that we wish to succeed in that project we’ve started.

If this project happens to be related to scientific research or entrepreneurship, then odds are not to our favor.  I’ve been told on several occasions that the failure rate of projects in either category is more than 90%.   This statistics forms the pillar of several success-related famous quotes, my personal favorite being one from Warren Buffett:

The difference between successful people and really successful people is that really successful people say no to almost everything.

What Mr. Buffett neglected to advise is how to pick out what is part of almost everything and what would be the occasional something where ‘yes’ is the right answer.

So sometimes, we end up committing to projects before we have enough information (or the guts to overcome the academic fear of missing out) to say ‘no.’  When I first began training, one of the most salient advice was that a trainee should “stick with your project and see it through.”  The most helpful mentors sometimes nudge their trainees along the path by asking “what’s the best next step?”

But what if the “best next step” is to stop “seeing it through?”

If starting a new research project is like driving down a long road with many forks but only one correct path, then the endpoint may be like getting to White Castle at the end of that road trip.  And that each of the forks leads to a cliff.

The problem is: when you’re at a fork in the road, all you see is the fork.  You don’t see White Castle, and you certainly don’t see the cliff.

While everyone wants to find a White Castle at the end of their sober, not otherwise herbaceously enhanced academic road trip, knowing the statistics that 9 out of 10 roads lead to a cliff naturally leads to a different approach:

If the best thing that can happen to a project is to succeed, then the second best thing that can happen is to know exactly when it was going nowhere.  Unfortunately, sometimes you just keep driving after making a turn, not knowing where the end of this fork leads.

The worst part is that the more you drive along a forked branch, the more committed you become to it, and the harder it is to stop and turn around.

I have been advised numerous times to define endpoints, visualize the White Castle at the end of the trip, smell its hamburgers, and at every step find the next best action to get there.   Although sound, maybe it is an incomplete advice.  What if the best thing to do is to turn around and start over?  How will I know when it’s time to move forward and when to stop?

Harvard Business School gives this approach a fancy name called Discover-Based Planning, one element of which involves an inverted income statement where entrepreneurs are encouraged to start by writing down a Net Income forecast  necessary for the nascent start-up to survive.  Then, assumptions are added one by one – if these are the bottom lines, then when must the next rounds of funding happen? What must our operating profit be?  How many widgets must we sell to achieve these numbers?

The first generation Amazon Kindle was designed with the instructions that the engineers can do whatever they want as long as the device has 3G connectivity, long battery life, easy to hold, and use ink-like screen, a stringent set of criteria set by the CEO Bezos as necessary for success, without which the project becomes no longer worth pursuing.

Mr. Buffett knows how to be very successful by saying no to almost everything.  But for those of us who don’t have the same acumen, we may fare better by creating internal checklists and establishing hard-stops that makes the next “no” easier to say to our hardest customers – ourselves.

Have we begun to think like our media?

Once upon a time, there was no social media.  There was no traditional media.  There wasn’t even writing (yes, we are going way back).

Information relied on stories, particularly stories with well-defined heroes and villains whose actions are followed through elaborate stories of their deeds, as events were far more memorable than simple lists of facts.  Anthropologists believed that information was passed down by song, a natural mnemonic that helped countless village elders remember these elaborate stories. Continue reading

The bliss of doing the same thing over and over again

Some people say that happiness and fun is a function of spontaneity, to do the unpredicted.

But sometimes the opposite is true.  My wife spent the past two weeks on night shift while I continue to work regular day shift.  For two weeks our schedules overlap only between 6pm to 9pm on a lucky evening assuming she doesn’t return home late in the morning and need those few extra hour of sleep, and assuming that her service doesn’t require her attention earlier.

We spend those three hours after she wakes up doing the same thing every day.  I begin dinner on the stove, always shortly after returning home and before she wakes up.  We share a meal over a discussion, always about her night, my day, and everything in between.  After dinner, we put Netflix on the TV, always following The Mindy Project, laughing either with or at the show.  Her pager always rings during this time.  We say our goodbyes, and off she goes to work.

Rituals are an important part of life.  It’s what makes the high-achieving medical student through the arduous months of studying for the USMLE.  It is what brings you to brush your teeth every day long after mom and dad stopped urging you.  And for young busy professional couples that rarely spend time with one another, it’s what gives you the sense of bonding, signaling that this is our time together.

rit·u·al

noun
: a formal ceremony or series of acts that is always performed in the same way
: an act or series of acts done in a particular situation and in the same way each time

From Merriam-Webster Dictionary

The journey of a thousand miles

The best question you can ask your doctor sending you off for a bunch of tests – blood test, biopsy, x-ray – is this: how will it change what you do next?

In my work as a resident in radiology, one of the most important teaching focuses is Recommendation.  Although not commonly placed in a diagnostic report, the element of advising your referring doctor is implicit in your Impression of the radiologic examination.  It took a while for me to recognize what it means to fully embrace the role of a consulting physician:  Your colleagues are in doubt about their next step, and your job is to help them decide.

This has two implications:

(1) If the doctor ordering the test is 100% sure about what their next step, then your test is extraneous and therefore should be cancelled.

(2) If your test will not help the ordering doctor move closer to that next step at all, then your test is unhelpful and therefore should be cancelled.

In life, many of us have been “stuck” before too.  We have overarching, bird’s eye view of what we want to accomplish.  We know that these goals are divided into smaller goals, and smaller goals, and yet smaller goals.  But we are “stuck” because there is nothing that connect us from where we are to where we want to be.

As a radiologist, if you can help a doctor find the right next step, then you’ve done your job very well.

As a friend, if you can help someone make that connection between where she stands and where she wants to be, help someone make that single next step, however small, you will have been a great friend.

It begins with a single step.

Sometimes it’s okay to just come up with an answer

Humans are lazy.  We don’t like to think hard.  Proven. In this smart guy’s book.

But sometimes people take brilliant decision science theories too far.

It’s true that very few decisions in this world can be made as black-and-white, but most of us find making a decision using black-and-white terms much easier than by “weighing all the pros and cons.”  This phenomenon is well studied and is called heuristics or attribute substitution – we make decisions by replacing a hard question with an easier one (subconsciously).

Case in point:  Continue reading

Moving from past perfect to simple future

“What would have been” is easy to imagine.  It’s everything that we don’t have but we want, glazed with the syrup of optimism and a flare of fiction.

“What will be” is also easy to imagine.  It’s everything that hasn’t happened yet but will inevitably become pending our next actionable step, permeated with the grating texture of reality and a hint of truth.

The past perfect tense is exactly what it is – it’s perfect.  But “what would have been” is not quite past perfect.  It’s actually past conditional perfect tense. Conditional because we should have made that perfect decision in the past, but now it exists only in the imagination.

“What will be” is a simple future tense.  It looks ahead with a prediction of the near future.  It’s not quite “what will have been.”  The future perfect is a little far ahead, a little scant on realism.

Simple future isn’t necessarily better or worse than the past perfect conditional or the future perfect.  However, it is different, and we sometimes think too little about it.   So next time you found yourself looking back and thinking down a bifurcation towards a fictional future, it might be worth asking yourself “what’s the next actionable step, and am I willing to take it?”  It brings out the real you.

A Double Take on “What’s Your Take?”

“What’s your take?” is a question people sometimes ask when they want your opinions on a subject at hand.  Sometimes it also mean they are actually asking whether you agree with them.  If you were to agree, you get the opportunity to paraphrase their opinions.  If you were to disagree, the phrasing is such that you aren’t forced to start the response “No” as would be necessary with the question “do you agree?” (or risk not actually answering the simple yes-or-no question).

It’s an opportunity to create an engaging discussion without confrontation, a question worth pondering over for a few seconds before answering.

What’s better than better?

Throughout management training I was taught “More isn’t better; better is better.”

But there’s a problem with being better. To be better means to be compared against something.  Sometimes it’s competition against another person – do better than that rival.  Sometimes it’s competition against the self – do better than what you did yesterday.  Sometimes it’s competition against an ideal – as in “you can do better.” Being better implies optimizing on something, that somewhere above where we stand exists a higher level of achievement.  To be better means to take what we  already do and improve it based on the evaluatives of an existing rubric.

The problem with “better,” then, is that it only works when your customers – and here “customers” takes on a wide meaning: patients, buyers, parents, whatever – uses the same rubric that you do.

Being better is also very hard to do – to find the “Best” out of N choices, a computer makes N-1 comparisons, each comparison based on a rubric of many parameters. Humans take shortcuts by substituting this algorithm with a heuristic – a much easier question.  Most of the time, “who’s the best doctor/plumber/dogsitter” gets subconsciously substituted with “who comes up in your head first when I mention doctor/plumber/dogsitter?”

In other words, our customers very frequently end up thinking very differently about “better,”  and being better isn’t always better.

We end up with ourvery own type of better – how we uniquely contribute to the team, the organization, the customer.  How we communicate these qualities shapes how we differ from their choices. Different is how people remember us, walking away from that first meeting.  Different is what stops us from becoming a substitutable commodity.  Different is better than better.

Taking the second step

We all know getting started is tough; that’s not news.  Writing the introduction of your paper, the first day on a new job, starting a company, all tough tasks.  Taking the first step requires a certain amount of know-how.

Taking the second step, though, is an entirely different matter.  It requires trusting that the first step you took was in the right direction, and that you are ready to commit and take things further.  With the first step, you are just experimenting.

The second step requires courage. It is what transforms a footprint into a path.

Making Friends

Some people say we make friends because we learn vital life skills through them.

Some people say we make friends because talking to yourself is strange.

Some people say we make friends because no one wants to be alone in a time of need.

But at the end of the day, we do it because at some point, if you’re lucky, you get to spend the rest of your life with your best friend.