Day 85: Friday

Morning, Tim!

The Pope is visiting you tomorrow — how exciting!

I’ve been pondering your chances of becoming Pope. What with your ability to speak languages and translate — somehow, miraculously, English included! — perhaps you have a shot. Now, you may remember that there were betting sites on who would become pope, with demonstrable odds. But that was back when there was a Pope opening…so we’ll have to factor that in. Here’s what I’ve found.

First, there’s a simple 14 step guide, so it seems pretty easy. There’s even a step about going back and talking to your high school guidance counselor!

But that seems perhaps too straight forward. Ultimately, what I’ve found in reading, is that you must be 1) Catholic and 2) Male.

So you’re fairly close, I suppose.

But that’s only on technicality. There’s also the piece around for the most part having to be a Cardinal (because that’s who decides…). So what are those requirements?

Well, you have to be a priest, then a bishop…so you’ll need education (Which you’re rocking now!…wait…I guess composition doesn’t count..). And some years of experience.

Ultimately I like this post’s description best:

So that’s the career path: be born into the right half of the population, become one of a billion catholics, then one of 400,000 priests, then one of 5,000 bishops, then one of 200 cardinals, wait for the current pope to die or retire, and convince 2/3rds of your fellow cardinals to select you as the one, the only pope.

But let’s be honest, Tim. This is a boring analysis because it’s already been done. Let’s think of other factors that may limit you…

  1. Handlebar mustache. To date, scrolling through the 266 Popes, I found that none had a handlebar mustache. Being the first mustachioed Pope would be impressive, but also may be a limiting factor if they weigh that and discriminate against your kind.

Well…perhaps that’s it. I’ve sat and thought of other factors. For example, age; but, while you’d be young, you’re apparently older than the youngest ever pope. I also considered height and weight, ownership of birds, an ability to ride a unicycle, sense of humor, etc., but surprisingly there aren’t readily available datasets on those…that seems like a good blog idea. If we start to run out of topics here we can go start that one.

In fact, Pope facts generally aren’t readily available, I think an oversight the internet has made! So rather than an unusual use of a spoon, I’ll offer the fact that made me chuckle the most:

There are about 5.9 Popes per square mile in Vatican City

…pretty crazy.

Until Monday,


p.s. Do you think the pope gave up something really important to him for Lent? Perhaps his new year’s resolutions…

Passionately Curious

Day 81: Monday

Morning, Tim!

At work, we have this commitment to “being curious over right”. The idea here is that, rather than being committed (with ego) to a position or idea, to take on the lens of curiosity and understand why people might be coming to a different conclusion, how their background and experiences contribute to their understanding of the thought at hand.

In your last post:

You could present the most pointless and ridiculous ideas to him, and he would always dive right into them with you head first.  There wouldn’t be even a moment of hesitation to ask how worthwhile something really was.

I think there are hints of that theory in your professor’s actions. There seems to be a passionate commitment to curiosity, a keen desire to explore in order to better understand patterns, connections, ideas.

It’s curious that we have a commitment to being right. Certainly, the spot of dopamine the brain receives when being right helps. But put up mechanisms to fight our own ignorance, as if we don’t want to even explore the possibility that we aren’t right. What causes this blindness?

First, we love putting on the lens of confirmation bias. I’ve linked to the below comic before, but it’s one of my favorites so here it is again.C4C4E4A9-363E-4112-97D0-11964D9AC29F.jpg

The idea here is that we seek information that confirms what we already believe. Rather than take an objective lens, we put on blinders to information that is contrary to our existing beliefs.

Second, we don’t want our ego to be hurt. The way this pans out is our unwillingness to challenge others. We accept as fact or highly researched opinion others points of view, failing to challenge for fear of embarrassing others. Too often someone will state their point of view, perhaps more confidently than what they could otherwise back up if someone continuously asked “why”. But societal norms suggest we don’t do that to others — and likely because we would have a hard time handling that being done to us.

Third, there are elements of peer reinforcement. We fall prey to group think, choosing to go along with the crowd to balance the need for relationships and/or not have to do the hard work of thinking ourselves.

I like the idea of being curious. It’s something I look for in those I hire — people that are passionately curious to learn more, to understand how things work and why others think the way they do. I’m glad you’ve enjoyed that too. I hope we can continue to be curious.

Until tomorrow,



Day 79: Thursday

Morning, Tim!

I have a new mentor of sorts at work. He’s a pretty amusing guy – wise in how he approaches situations, doesn’t take himself too seriously. He’s retired from a great job, and I think he does the work with my company largely because it’s intellectually engaging and he can make a difference – but he doesn’t ever (seem) to let it overwhelm him. I admire that. When we get on the phone and I ask how he is, he has always responded ‘alive!’

Not that there couldn’t be more, but it’s enough to move along the conversation and, at least honest.

I’ve been a bum of a correspondent recently. Lots going on. Unlike Bob, I have allowed myself to become overwhelmed. I hope to dig out soon.

Until then…I’m alive.

Until tomorrow,


Ps here are a few pictures of all the new geese exhibits they had at the zoo! Remarkable.

Also one close up of the sleepy bear…

Overwhelmed – thanks a lot, healthcare…

Day 68: Friday

Morning, Tim!

So I obviously missed my Wednesday post. Not that I didn’t write it — it was scribbled through tired eyes while on a plane home. Unfortunately, without internet, I was unable to actually post it.

If you’d like to torture yourself, it seems the zoom on this image allows you to read the handwriting. For less torture, please see below for what, upon reflection, is exhausted stream of consciousness.


Morning, Tim!

Obviously this is quite late. I’m on a flight back to Chicago right now, and all of my electronics are out of battery. That might seem weird since you are seeing this online — it was first written in very poor handwriting while experiencing turbulence, though.

I just spent 3 days at a healthcare IT conference. Quite the spectacle, some 40 thousand people convene to discuss how technology both new and old play a role in advancing care delivery. There were companies that helped patients schedule appointments, nurses communicate with one another, physicians dictate their notes. Still others provided security around the information, connected devices to the cloud to share data and enable care delivery in the patient’s home.

I love technology. It allows me to communicate with you seamlessly and empowers smarter, faster decisions to be made all the time. in healthcare, this translates to better patient care and opportunities to save lives. Getting to work in healthcare tech is even better than tech generally — not only is there ample room for healthcare to catch up to other industries, the passion healthcare entrepreneurs bring to helping others is truly inspiring. So I love technology.

I also hate technology.

Phones and tablets abound, alerts all over the place. An amazing amount of opportunity — yet as with everything that comes to mind, the greatest of strengths can also be the greatest of weaknesses. The ability to connect anyone at any time allows a a father to video chat and say goodnight to his kids — so too does it enable a man to get caught up in work, unable to de-tether while home as that same child yearns for attention, guidance, and love. Technology enables the spread of information, empowering scientists to collaborate on wonderful breakthroughs — so too does it enable groups to congregate and self-reinforce radical beliefs that bring harm to others. Technology can help focus, it can be the largest distraction. It can educate or inundate, facilitate encouragement or discrimination. But it doesn’t do any of this itself. It is a tool, used by people, often exacerbating the existing intuitions — booth virtues and vices.

I hope to have kids someday. I’m not sure what to do with technology. TO disallow is to deny the world these kids will be born into, disadvantage them in a world where these skills will be table-stakes. Yet, there seems a certain sadness that comes with this, a weariness weighing on a heavy heart and off-put mind. What about play and creativity, about bodily movement? We are physical beings — is using only our minds a hindrance to what our development might otherwise be? How can they use these tools for good — to help others — and not be addicted and lose themselves?

How do I do that?

Until tomorrow,

Until Monday,


Costing a leg

Day 54: Thursday

Morning, Tim!

Silly Josephine…

Tim as you well know I work in healthcare. Thinking about healthcare as a business feels kind of grimy at times — you are making money off of those who desperately need help, many times in order to live. That said, having worked with a lot of Catholic hospital systems, the usual saying goes “No margin no mission”. In order to operate, in order to help all of those people, they need to have the financial backing to do so. They certainly have a lot of write-offs each year, essentially donating care back to communities; but it’s no news that in the U.S., healthcare is expensive, and many people are paying all they can afford in medical bills.

I’m not sure how I’m supposed to think about making money off of others’ misfortune. In one hand, I’m helping them extend life; in the other, the cost of that extension is often a poor quality of life, constantly fretting about bills and work.

I recently came across some articles about financially backing legal cases. I asked a friend of mine with a law degree to explain in a bit more detail, but the gist is that there are many wrongs done to people – e.g. abuse, discrimination, etc. – done by a corporation that has quite a bit of money. If the individual were to sue, there are legal ways for the corporation to spend those dollars quickly prolonging and “drowning” the individual, making it effectively impossible to sue in many cases. There are some lawyers who will work on a contingency basis, not getting paid until the individual does — but they typically have caps far smaller than would be necessary to take on a corporation.

The linked article discusses financially backing some of these cases. Now I certainly don’t have enough money to bankroll anyone’s legal case, but the idea still intrigues me. If real harm was done, shouldn’t there be some recompense paid? The same problem we saw above begins to arise, though – in order to operate like this, the financial backer would need some form of compensation, thus taking a portion of what would go to the individual. There’s this feeling of doing good while simultaneously lessening the good done.

I’m not sure there’s any way around it within healthcare. Hopefully make it cheaper to deliver care, I suppose. It’s just unfortunate that there’s a cost to doing good.

Until tomorrow,


Defend your base (Drawing challenge; business models)

Day 33: Tuesday

Morning, Tim!

Thank  you for the beautiful imagery yesterday. I could be referencing either your poem, the star across Milan, or perhaps (and here’s the frontrunner…)

The choir members are hilarious.  They’re all adults, some of them quite elderly, but they act like little children […] This meant that yesterday, instead of just chatting during mass, they also told each other to be quiet in between conversations.

This is perfectly like children. It’s kind of a beautiful thing.

Tim have you ever ridden a Segway? I’m going to ride this one to now discuss business models…

So working with early stage companies I come across a variety of ways businesses provide value, ranging from “outsource the humans to other humans” to providing new datasets (e.g. by monitoring something previously not monitored [patients/staff/supplies/etc.]) to making existing datasets useful (e.g. predictive analytics; visual dashboards), among many, many others. It’s a great chance to think about where there are gaps in the market — where there are meaningful problems that there are no real solution for. It has also provided an interesting case study on business models.

Walking through some history, you had mom and pop stores selling things locally — groceries, shovels, bicycles, flowers. Enter Walmart, who truly displaced many of these locally owned stores and sold the same goods. So how did they succeed? They had more shelf space then anybody else, and became a one stop shop — the stores were much larger than what they were displacing and each sold “everything”, at least in that seemingly at that period in time. Having the convenience of going to one store for your cereal, orange juice, and kid’s Christmas present was only part of the story, though. Because Walmart had such scale, they were able to negotiate with suppliers to lower prices; not only could you get Cheerio’s and a rocking horse, but you could do so cheaper than you would be able to anywhere else. That’s part of why Amazon is so interesting current day – by putting your inventory online, you have effectively infinite shelf-space; and by having  (free) Prime 2-day (or 1-day/same-day/2-hour depending on location) delivery, you also begin to chip away at the immediacy constraints of traditional retail. Among many other reasons, it’s why Amazon has an interesting business model.

So that’s the kind of business model stuff that’s going through my head (except a lot more detailed and nerdy) when I’m at work talking with these companies. Take yesterday for example. Doctors are highly trained, and thus are “expensive” labor in total dollars. Wanting to keep tabs on patients and visits, when Doctors take notes about visits they are effectively acting as highly trained, very expensive scribes. To help alleviate this problem, there was dictation software — you could speak faster than you could write, and so notes could be gathered quickly. Alternatively, if you put an actual medical scribe in the room, you could have notes taken in real-time, saving the doctors time entirely but now paying another person. The business model continues to move forward — if you put the scribe remotely and simply have an audio and/or visual stream coming to them they could do some from a call center; you could put that call center in a labor market where it is cheaper and also gain the efficiencies in staffing to obviate the down-town it would take an in-person scribe to e.g. switch rooms. Finally, the direction that is exciting, is in the automation of the scribing all-together. To add color, this would be technology that takes the audio and/or visual stream, parses the audio, and then algorithmically places the necessary snippets of information into the relevant fields within the system. What is really exciting about this model is the lack of marginal cost (put too simply: the cost to serve the next customer). Because it is software (outside the very small tech investment to capture the audio stream), no human is being hired to do scribing, and so you no longer scale linearly with costs and revenues, but instead have a high fixed cost up front (to get the algorithm right and have servers to process the necessary information) and then distribute it over every new customer you have.

whew. That was a really large text wall. I doubt anyone has read this far, but I’m going to include a picture and a game as a reward if anyone has.

So Tim here’s how the game works:

  1.  I’m going to draw a base (See below).
  2. You then draw a base. Then draw something to attack my base.
  3. I then draw something to defend my base, and attack your base.
  4. You then draw something to defend your base, and attack my base.
  5. Repeat steps 3 & 4 (as reasonable)


  1. There are no rules (I kid. I just like it how it sounds intense when people say this…)
  2. Be creative

Zak’s Base


Until tomorrow,


p.s. the title of this post was supposed to somehow capture the fun nature of the game and also the very dry nature of my post about business models. I’m imagining someone shouting “Defend our base!” in each case…and in the case of someone shouting it in business in reference to protecting, for example, their customer base, that person would be…annoying.

Blessed, with Responsibility

Day 30: Friday

Morning, Tim!

Depending on how you count it, we’ve been at it for a month! I figured I’d count it this way so that I could note it before you did (though you could have made a claim regarding “But February only has…” A missed opportunity…).

[…] Close our eyes and imagine somewhere we would like to be if we could be anywhere in the world.  When we opened our eyes he asked if the place anyone had imagined was room 312 YC high school.  I was the only one who raised their hand.  Maybe I was over thinking things, but if I really wanted to be somewhere else, wouldn’t I just get up and leave?

Decisions are a challenging thing. To be fair to your 14 year old classmates, I wonder if they really did have the power to go where they’d like. Perhaps some thought “man, I’d love to be at tacobell!” (depending on the hour of your class, perhaps Starbucks…). But others probably imagined the word Italy (it’s probably hard to imaging if you haven’t gone) or somewhere foreign – and where was a 14 year old to get the means to travel to Italy? Even getting up and leaving wouldn’t get them there. And so of course they sat in class, for that’s what they were told to do, many with the hope that life would be a long conditional. “If I do this [e.g. sit in school like I’m told], I’ll get to do that [e.g. go on vacation where I’d like, or perhaps even live there depending on my willingness to dream…]”

Or you could be an odd boy, realizing this train of thought, and….suggested that this was the place you wanted to be. I was that boy too…

Leaving your work would be an administrative decision that you make about the infrastructure of your life.  We don’t make those kind of decisions on a daily basis.

You don’t state it explicitly, but your discussion of decisions, infrastructure life decisions in particular, seems to lean toward an inability in at least some cases to truly make these changes. There are people who can make them (e.g. Jim Koch founded Sam Adams brewery after being fed up with consulting – but it was precisely because he was a management consultant that he was in a position to quit). In cases such as these, he describes them as scary but not dangerous; not dangerous because the other option was dangerous – looking back at 65 and wondering why he spent his whole life doing management consulting when that’s not what he wanted to do. I can appreciate this line of thought – I have been blessed with opportunities; while I work hard, I also know I’m lucky to be in the position I am.

In other cases, though, it is dangerous to make those infrastructure changes. For a single mom with three kids, there isn’t much room for adventure in the job market, nor to simply “get up and leave” because the consequences mount so high – hungry kids, an unpaid mortgage, utility bills mounting. Or, much worse, someone in a war-torn country who can’t leave because they literally can’t. They have nowhere to take refuge, no country to take them in.

Obviously you know all of this; I’m merely reflecting on decisions, infrastructure choices in particular. Reflecting on the choices I deliberate over…

I feel blessed to be able to even have the options I have in my choices. I also wonder what responsibility comes along with those options…

Until Monday,


p.s. I hope you chose to join the choir. Also if you do, I’ll anticipate a good picture of you doing some handshaking…