Friday, September 23, 2016

Innovation Over Quality

It has been called many things but it boils down to thinking and planning without limits.

Now this sounds creative, innovative and forward thinking and at times it is, but when the foundation of any structure or organization is not solid, any thinking or planning without limits only creates stress and frustration.

Any organization, (be it healthcare, education focused or business) must focus on it's core functions and operations before it can be innovative. And simplification of thought and planning can help immensely.

But for many in leadership, the urge to innovate instead of working toward a solid foundation first, is tempting at best, paralyzing for the organization at worst. Leadership's role must be to focus the workforce on the present instead of dreaming of what if's of the future or failures of the past, particularly as operations are hampered in the present by mismanagement, missed deadlines, unfocused operations, unsatisfied stakeholders, excuse filled customer service and lack of focus.

Efficient operations and quality service providers are focused on immediate quality improvement and planning with the intent to make solid the day to day operations that is the core function of the organization. It's tremendous to pontificate the what-if's of innovation unless this core functional foundation of operations is in disarray.

Focus first on the core elements of operations and make those perfect. Then innovation builds on a strong foundation and is likely to propel operations into the excellence everyone imagines. Build innovation upon chaos, and there is no hope for excellence, let alone survival.

Monday, August 15, 2016

System Failure

"When the system fails, you create a new system." 
- Michael K. "Omar" Williams

Friday, March 18, 2016


Marcel Schwantes writes and literature confirms dysfunctional leadership...
These common thought patterns hold leaders back, destroy their self-esteem, and damage relationships in the workplace.
1. VERY EXTREME—seeing things in black and white, and blowing things out of proportion.
2. VERY BROAD—generalizing from a specific; labeling people rather than their behaviors.
3. VERY NEGATIVE—seeing the glass as half empty and dwelling heavily on the worst possible outcome.
4. VERY DEMANDING—wanting things their way and having expectations that cloud a sense of reality.
5. VERY JUDGMENTAL—condemning others for their shortcomings and being unable to forgive.
6. VERY OBSESSED—getting on a track of being unable to budge or view things differently; persevering about something that is out of their control.
7. VERY CONFUSED—having pictures in their heads that do not match the "real world"; feeling that they don't get what they think they're "supposed to" get; having a hard time seeing things without denial, blame and negativity.
8. VERY INTOLERANT—having a need to have things the way they "should be"; finding it difficult to have patience and tolerance for differences that don't fit their needs and expectations.
9. VERY PERFECTIONISTIC—having a need to be "right" and not make mistakes, as that would mean one is inferior or is a failure; having permeating low self-esteem.
10. "SHOULDING" ON SELF AND OTHERS—placing expectations of how one "should" be, thereby limiting their ability to accept self and others without judgment, leading to negativity and tendency to criticize.

Saturday, February 6, 2016


Fat Triggers are responsible for weight gain. Obesity is the proximate cause of many diseases.

Fat Triggers

1. Allergenic Foods - inflammatory responses that make losing weight impossible

2. Sedentary Lifestyle

3. Toxins in foods, in the water we drink, in the air we breathe, and within our homes; Disruption of hormone signaling system that regulates metabolism

4. Deadly Belly Bugs: A healthy gut is critical for ensuring health; stimulate  formation of new fat cells;  cause leptin resistance,

5. Sugar Overload

6. Too Much calorie consumption; satiety mainly affected by food quality not caloric content

We have to eliminate the triggers to eliminate obesity to create better health.

Saturday, November 14, 2015

Death in Paris

This is one of those days I'll remember.

Paris was attacked today. Nearly 150 people were killed in several venues with the largest loss of life being at a small concert hall where a rock band from the U.S. was playing.

Like many who take advantage of global opportunities in college, Nohemi Gonzalez, a student at California State University, Long Beach, was in Paris studying during a semester abroad program. She died in the attacks. I can't imagine how her parents feel at this moment.

Live like everyday is your last.
It could be.

Friday, August 28, 2015

I Teach, Therefore I am

Marveled at "10 Things This Instructor Loves" by Jane Dmochowski in the Chronicle of Higher Education. She astutely notes that "affection and respect do far more to improve student behavior in the classroom than snark and irritation." I've always had a healthy respect for students as well as respected those instructors who have respected other students and me as a student. There is something powerful in the relationship between an instructor and growing health care professional student. I've been amazed at how satisfying the process of teaching is.

I too agree with Professor Dmochowski and her 10 things she loves:

1. Students.
2. Students who come to class with an open mind.
3. Students who come to my class to fulfill a requirement but decide to make the most of the experience.
4. Students who give eye contact during a lecture
5. Students who come to me when they need help.
6. Students who aren't afraid to ask questions.
7. Students who tell me not just that they enjoyed my course, but why.
8. Students who have their own ideas.
9. Students who give me unique and powerful things to say in a letter of recommendation.

10. Students who are fully engaged in the learning process.

The list highlights the important contribution the student must make to the relationship. It is a two-way relationship based on responsibilities of both parties. Students who show up with an open mind, good attitude, pay attention, ask thoughtful questions who have their own ideas are my favorite students. We don't have to love each other, but if we make it a point to like each other, and have a vested interest in the others success, the student-instructor link is a powerful one.

Monday, August 10, 2015

Another Fine Physician Award

Just received this communication from this self prestige publication.


Dear Dr X [that's me!];

It is my pleasure to inform you that based upon your [insert social media name here] Profile, we've selected you as a Top Doctor to be spotlighted in the renowned publication, The Leading Physicians of the World.

Your candidacy was approved this week, and your prompt response is needed to ensure that only your correct professional information in published.
For accuracy purposes, please be sure to visit your personal application website to verify your biographical information at:


LPW highlights and profiles the world's Top Physicians by specialty. The organization has been designed to spotlight physicians that have demonstrated success and leadership in their profession, as well as to provide an opportunity to network, collaborate and share information with other medical professionals from around the globe.

Upon your final confirmation you will join thousands of other highly accomplished physicians, and your biography will appear in The Leading Physicians of the World, where a full color page will be devoted to you, highlighting your achievements, education and offered services. Inclusion in this book is not only a tribute to your success, but it is also a valuable resource for potential patients who are looking for a Top Doctor in their area.

Best wishes for your continued success.
Warm Regards,
Director of Communications


P.S. Remember, there's never a charge for inclusion in The Leading Physicians of the World.


Really? Based on my social medial profile? I am honored by anyone who raves about me, but I'm skeptical at best of any award based on what I chose to put up on any social media site. So thank you IAHCP for the honor. Instead, send me a free year supply of Starbucks Coffee and we'll call it even. OK? Rather a mocha than a full page color anything.

Friday, July 3, 2015

Happy July 4th, The Birthday of the U.S.

When, in the course of human events, it becomes necessary for one people to dissolve the political bonds which have connected them with another, and to assume among the powers of the earth, the separate and equal station to which the laws of nature and of nature's God entitle them, a decent respect to the opinions of mankind requires that they should declare the causes which impel them to the separation.

We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable rights, that among these are life, liberty and the pursuit of happiness. That to secure these rights, governments are instituted among men, deriving their just powers from the consent of the governed. That whenever any form of government becomes destructive to these ends, it is the right of the people to alter or to abolish it, and to institute new government, laying its foundation on such principles and organizing its powers in such form, as to them shall seem most likely to effect their safety and happiness. Prudence, indeed, will dictate that governments long established should not be changed for light and transient causes; and accordingly all experience hath shown that mankind are more disposed to suffer, while evils are sufferable, than to right themselves by abolishing the forms to which they are accustomed. But when a long train of abuses and usurpations, pursuing invariably the same object evinces a design to reduce them under absolute despotism, it is their right, it is their duty, to throw off such government, and to provide new guards for their future security. --

Such has been the patient sufferance of these colonies; and such is now the necessity which constrains them to alter their former systems of government. The history of the present King of Great Britain is a history of repeated injuries and usurpations, all having in direct object the establishment of an absolute tyranny over these states. To prove this, let facts be submitted to a candid world.

He has refused his assent to laws, the most wholesome and necessary for the public good.

He has forbidden his governors to pass laws of immediate and pressing importance, unless suspended in their operation till his assent should be obtained; and when so suspended, he has utterly neglected to attend to them.

He has refused to pass other laws for the accommodation of large districts of people, unless those people would relinquish the right of representation in the legislature, a right inestimable to them and formidable to tyrants only.

He has called together legislative bodies at places unusual, uncomfortable, and distant from the depository of their public records, for the sole purpose of fatiguing them into compliance with his measures.

He has dissolved representative houses repeatedly, for opposing with manly firmness his invasions on the rights of the people.

He has refused for a long time, after such dissolutions, to cause others to be elected; whereby the legislative powers, incapable of annihilation, have returned to the people at large for their exercise; the state remaining in the meantime exposed to all the dangers of invasion from without, and convulsions within.

He has endeavored to prevent the population of these states; for that purpose obstructing the laws for naturalization of foreigners; refusing to pass others to encourage their migration hither, and raising the conditions of new appropriations of lands.

He has obstructed the administration of justice, by refusing his assent to laws for establishing judiciary powers.

He has made judges dependent on his will alone, for the tenure of their offices, and the amount and payment of their salaries.

He has erected a multitude of new offices, and sent hither swarms of officers to harass our people, and eat out their substance.

He has kept among us, in times of peace, standing armies without the consent of our legislature.

He has affected to render the military independent of and superior to civil power.

He has combined with others to subject us to a jurisdiction foreign to our constitution, and unacknowledged by our laws; giving his assent to their acts of pretended legislation:

For quartering large bodies of armed troops among us:
For protecting them, by mock trial, from punishment for any murders which they should commit on the inhabitants of these states:
For cutting off our trade with all parts of the world:
For imposing taxes on us without our consent:
For depriving us in many cases, of the benefits of trial by jury:
For transporting us beyond seas to be tried for pretended offenses:
For abolishing the free system of English laws in a neighboring province, establishing therein an arbitrary government, and enlarging its boundaries so as to render it at once an example and fit instrument for introducing the same absolute rule in these colonies:
For taking away our charters, abolishing our most valuable laws, and altering fundamentally the forms of our governments:
For suspending our own legislatures, and declaring themselves invested with power to legislate for us in all cases whatsoever.
He has abdicated government here, by declaring us out of his protection and waging war against us.

He has plundered our seas, ravaged our coasts, burned our towns, and destroyed the lives of our people.

He is at this time transporting large armies of foreign mercenaries to complete the works of death, desolation and tyranny, already begun with circumstances of cruelty and perfidy scarcely paralleled in the most barbarous ages, and totally unworthy the head of a civilized nation.

He has constrained our fellow citizens taken captive on the high seas to bear arms against their country, to become the executioners of their friends and brethren, or to fall themselves by their hands.

He has excited domestic insurrections amongst us, and has endeavored to bring on the inhabitants of our frontiers, the merciless Indian savages, whose known rule of warfare, is undistinguished destruction of all ages, sexes and conditions.
In Jefferson's draft there is a part on slavery here

In every stage of these oppressions we have petitioned for redress in the most humble terms: our repeated petitions have been answered only by repeated injury. A prince, whose character is thus marked by every act which may define a tyrant, is unfit to be the ruler of a free people.

Nor have we been wanting in attention to our British brethren. We have warned them from time to time of attempts by their legislature to extend an unwarrantable jurisdiction over us. We have reminded them of the circumstances of our emigration and settlement here. We have appealed to their native justice and magnanimity, and we have conjured them by the ties of our common kindred to disavow these usurpations, which, would inevitably interrupt our connections and correspondence. We must, therefore, acquiesce in the necessity, which denounces our separation, and hold them, as we hold the rest of mankind, enemies in war, in peace friends.

We, therefore, the representatives of the United States of America, in General Congress, assembled, appealing to the Supreme Judge of the world for the rectitude of our intentions, do, in the name, and by the authority of the good people of these colonies, solemnly publish and declare, that these united colonies are, and of right ought to be free and independent states; that they are absolved from all allegiance to the British Crown, and that all political connection between them and the state of Great Britain, is and ought to be totally dissolved; and that as free and independent states, they have full power to levy war, conclude peace, contract alliances, establish commerce, and to do all other acts and things which independent states may of right do. And for the support of this declaration, with a firm reliance on the protection of Divine Providence, we mutually pledge to each other our lives, our fortunes and our sacred honor.