Hello through Time and Space

I have been writing two five hundred word essays every week for the last two years as I worked on completing my healthcare MBA. But I have not found the time (or is it discipline?) to write a blog or share articles that I found along the way with my friends and colleagues.

I love being a surgeon. There is an intimacy to the relationship and a power within it because of the life and death nature of the work. It requires a high level of competence, self-reflection, and shared experience. My entire professional life has been spent as an agent of change primarily focused on the care of my patients but increasingly, in the last few years, with a new focus on the changes engulfing my profession.

For the first time in my professional career I have found my ‘career clock’ running and have shifted my focus away from day to day clinical practice to a consultancy. Given my experience as a surgeon, and that would include the good and patient of patient care, the many of you that I have met and engaged with along the way, and the enabling experience of being an adult learning MBA student, I am about to embark into my adjacent possibility.

What is an adjacent possibility? It may be a mashup of two ideas; that our life experience stands on the shoulders of those who came before us and the choices they made and that all change in iterative and incremental. For the first time since I began training the OR does not call to me in the same way, trying to give back to the profession that has provided me with a wonder life and is increasingly buffeted by society’s creative destruction becomes a more persistent call. So I am taking my experience, my training and moving into a mentor role, moving away from where I have been to an area close by but truly different; advising not controlling. Steven Johnson describes it far better than I

The adjacent possible is a kind of shadow future, hovering on the edges of the present state of things, a map of all the ways in which the present can reinvent itself.


So I am reinventing myself once again. As I make these changes in my life I am making a greater effort to share some thoughts and occasional observations with a larger audience. I have two hurdles to overcome. First, there is my inclination to intellectually explore an idea to death – to procrastinate. This initial ‘newsletter’ makes failure public so that will not be happening. Second is the futility of communicating solely to oneself, to share to emptiness. So I am beginning with my friends and peers

You take the blue pill, the story ends. You wake up in your bed and believe whatever you want to believe.

You take the red pill, you stay in wonderland and I show you how deep the rabbit hole goes


But you've come this far, to the blog on the website.  I am hoping you stay subscribed; that you stick around for a while and enjoy the show. It is going to be a very interesting time.