People Who Reach Certain Levels Of Frailty,

Writing Lets You Step Back And Think Through A Problem. Even The Angriest Rant Forces The Writer To Achieve A Degree Of Thoughtfulness.

Over Time I Learned That There Are Two Very Different Satisfactions That You Can Have In Your Life. One Is The Satisfaction Of Becoming Skilled At Something. It Almost Doesn't Matter What The Terrain Is. There Is A Deep, Soul-feeding Resonance In Mastery Itself, Whether In Teaching, Writing A Complicated Software Program, Coaching A Baseball Team, Or Marshalling A Group Of People To Start A New Business.

At Times, In Medicine, You Feel You Are Inside A Colossal And Impossibly Complex Machine Whose Gears Will Turn For You Only According To Their Own Arbitrary Rhythm. The Notion That Human Caring, The Effort To Do Better For People, Might Make A Difference Can Seem Hopelessly Naive. But It Isn't.

Human Interaction Is The Key Force In Overcoming Resistance And Speeding Change.

We Yearn For Frictionless, Technological Solutions. But People Talking To People Is Still The Way Norms And Standards Change.