Blog
Writing for owners scaling beyond themselves, and for new leaders scaling their impact.
We spend decades teaching brilliant people to follow instructions and then wonder why innovation feels so hard. A look at what conditioning costs us, and how to foster innovation to improve the way we practice healthcare.
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Quote from Brene Brown I fired my first employee within 90 days of becoming a VP. Not because he couldn't do the job. Because he'd been set up to fail for years before I got there. The top brass were ready to let him go before I even started. Here was the problem: no one had ever told him he wasn't meeting expectations. Because no one had ever told him what the expectations were. They hired him for a stretch role and assumed he'd figure it out. He waited for clear direction since it was...
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The friction between your office and field teams isn't attitude. It's ignorance... and it's avoidable. Does this sound familiar? Your team in the field thinks your admin department is a bunch of penny-pinching Gen-Xers who don't understand how crazy their day is. Your admin team thinks you hired a bunch of overpaid brats who can't turn in their paperwork or respond to an email to save their life. And you're stuck in the middle, wondering why everyone is So. Damn. Petty. Here's the thing: it's...
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Same-day add-ons aren't "good problems." They're just problems. And they're usually a signal of something deeper. Teams that rarely get surprised by add-ons aren't lucky. They're proactive. Someone checks in before the week starts. Someone is paying attention. When add-ons are constant, it's not a scheduling failure. It's an ownership failure. And ownership doesn't scale by accident. It scales when leaders model it, hand it off, and trust their people.
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I was talking with a senior leader at a small neuromonitoring company about getting ready for her maternity leave. It's over months away, but she was already losing sleep over it. Not about becoming a first-time mom, but about leaving her team for 12 weeks during their biggest expansion year. "What if my director can't handle it and/or people quit?" "What if we get an RFP or new contract that someone needs to redline?" "What if a surgeon requests me for a case?" I asked her: "𝗪𝗵𝗮𝘁 𝗮𝗿𝗲...
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We've all heard of the "gender pay gap", but rarely do we talk about the "gender feedback gap" and how it affects women's careers. I watched a VP give her director "feedback" a few years ago. "Great work on the presentation!" (No notes...) After the director left, she turned to me: "She completely lost the room after slide three. I guess I'm doing the next one." I asked the obvious question: "I agree... Will you tell her that?" Long pause. "Maybe, but I don't want to discourage her... She'll...
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It's 9:47 p.m. You just wrapped a long case. Your phone buzzes. You have an add-on for tomorrow morning. You decide it's too late to...
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Last week, I asked a question on LinkedIn: What's worse for your career: job hopping or staying in the same role at the same company for...
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Intraoperative neuromonitoring (IONM) is one of the most powerful safeguards we have in surgery. It helps prevent devastating neurological injuries, gives surgeons real-time feedback, and provides patients with peace of mind. But behind the operating room doors, 𝗮 𝗳𝗶𝗻𝗮𝗻𝗰𝗶𝗮𝗹 𝗰𝗿𝗶𝘀𝗶𝘀 𝗵𝗮𝘀 𝗯𝗲𝗲𝗻 𝗾𝘂𝗶𝗲𝘁𝗹𝘆 𝘂𝗻𝗳𝗼𝗹𝗱𝗶𝗻𝗴.
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Leadership doesn't mean doing it all, it means creating space for you and your team to thrive. #1 - Assess Your Energy Take an honest...
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Image: Mission Trip to Nepal in November 2022 After nearly two decades in med-tech, wearing every hat from case support to CEO, I've...
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