Jeremy Au HF: Pay It Forward

Hello friends! I run across intriguing thoughts everyday - which center on a better life through business, social change, and personal improvement. I hope that we will be informed, inspired and even challenged together. These posts are also not my personal opinions on any particular issue. Happy Reading!


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    Parents often say: ‘I just want my children to be happy.’ It is unusual to hear: ‘I just want my children’s lives to be meaningful,’ yet that’s what most of us seem to want for ourselves. We fear meaninglessness. We fret about the ‘nihilism’ of this or that aspect of our culture. When we lose a sense of meaning, we get depressed. What is this thing we call meaning, and why might we need it so badly?


    Billions of dollars are spent on experts who claim they can forecast what’s around the corner, in business, finance and economics. Most of them get it wrong. Now a groundbreaking study has unlocked the secret: it is possible to predict the future — and a new breed of “superforecasters” knows how to do it.


    Like many in the field, Steven Ma helps kids apply to college. Unlike his competitors, Ma guarantees that his students will get into a top school or their parents get their money back.

    Ultimately you have to enjoy your life as an entrepreneur. It’s great to provide professional satisfaction from work, but work can’t be everything. You have to be able to say that this weekend I am going to enjoy something and not think about the work I could be doing.

    5 business tips from Tough Mudder’s CEO (via forbes)

    (via goodideaexchange)


    Why Asking for Help Makes You a Stronger Leader

    "We’re all imperfect and we all have needs. The weak usually do not ask for help, so they stay weak. If we recognize that we are imperfect, we will ask for help and we will pray for the guidance necessary to bring positive results to whatever we are doing." — John Wooden


    Networking in a new industry can be daunting for even the most socially adept. Here’s how to dissolve the nerves.

    Networking is research-proven to be the overwhelmingly best way to land a job, better than job board hunting and recruiter services.

    But for most of us—introverts, especially—selling oneself as a “brand” doesn’t come naturally. Something as small as fully owning the skills section of your resume feels like pulling your own teeth; shoving yourself out the door to walk into a room of strangers feels like a root canal.

    Here’s how to calm the nerves and awkwardness that come with wading into a crowd of industry pros, in search of your next big break:

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    (via goodideaexchange)


    On the set of “Utopia,” the reality show that wants to save the world (Spoiler: It won’t).


    Firefighter Danae Mines just broke through one of the FDNY’s most hallowed glass ceilings

    New York City firefighter Danae Mines is the first woman to appear in the FDNY’s annual Calendar of Heroes, which features different firefighters in various locations for each month of the year.

    The calendar is notorious for its photos of shirtless male firefighters; its yearly release is usually met with applause and long lines of people waiting to snag copies.

    Why she’s a rarity in the FDNY

    (via fastcompany)


    Why are Russians dying in numbers, and at ages, and of causes never seen in any other country that is not, by any standard definition, at war?


    Summer: This mural, painted by Catalan artist José Maria Sert and found on the ceiling of the Spanish Room or Council Chamber, depicts the commitment of the five continents to peace and co-operation. The grasping of hands represents international law. By no coincidence, this is the room in which many ceasefire agreements were made, including the ones for Iraq-Iran, India-Pakistan and North and South Korea. #Geneva #inspiration (à Palais Des Nations, United Nations Headquarter, Geneva)


    Summer: Wrapped up my time in Nations with a tour around the #Geneva seat of the UN. The Spanish Room, so named because the walls and the ceiling of the Council Chamber are decorated with gold and sepia murals, painted by Catalan artist José Maria Sert, depicting the progress of humankind through health, technology, freedom and peace, and offered by the Government of Spain to the League of Nations. This painting, depicting the dead of war and the desire for revenge, presents the suffering of the vanquished in war. The other end of this wall depicts the suffering of the victors too, the human sacrifice made even in victory. Between the victor and vanquished stands a painting of five men, representing the five continents making an alliance for peace. (à Palais Des Nations, Genève)


    Clearing your mind and living in the moment isn’t about putting productivity on hold. You can be more profitable with less brain clutter.

    If you are like me, you probably find yourself multitasking more, yet feeling like it really isn’t benefiting you. As a society, we’re stressing out about more and accomplishing less, adversely impacting both our mindsets and our productivity.

    Most of us think of this as the new normal, and we’ve gotten used to juggling more. The begrudging acceptance of this attitude prevents companies from taking actions needed to keep workers focused and productive.

    A stretched-thin, stressed-out workplace is not the workplace of the future. It falls on business managers to change this culture and promote focus and compassion—a concept making the rounds in workplace circles known as “mindfulness.” This is the technique of tuning out the noise and focusing deliberately on what is important.

    Studies have found that mindfulness at work can increase engagement, productivity, innovation, and measurable business results. Here are three tips to increasing your mindfulness so that you cross tasks off your list and stress about them less.

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    The moments in the careers of women at Airbnb, Pinterest, Facebook, and more that changed everything.

    What we see of others’ lives are highlight reels.

    From a distance, the road to working for a headline-making tech company looks smooth and simple: Start at the bottom, work hard, make the right connections and boom, you’ve made it.

    But for these six women, working for companies that impact our daily lives means making more than a decent salary and having fun doing it. There were moments in each of their lives that changed everything. We asked when they knew they wanted to get into tech—and when that career choice clicked for them.

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    In 2012 the Pebble smartwatch became the most backed product in Kickstarter history, gaining $10.3 million during its fundraising period.

    That record stood until yesterday, when another product smashed Pebble’s pledges—earning an astonishing $11,045,769 (and counting) for a Kickstarter project that still has around 24 hours on the clock.

    The project? The Coolest Cooler: a $299 USB-enabled, Buetooth speaker-pumping, illuminated, partitioned, accessory-holding cooler featuring an onboard blender. It is, to put it simply, the most incredible story in crowdfunding history—and made all the more amazing by the fact that Portland-based creator Ryan Grepper only set out to raise $50,000.

    So how did a glorified drinks holder become a Kickstarter record breaker?

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    What is unique about how Sherpaa doctors practice medicine?

    You can think of Sherpaa like a corporate medical practice in the cloud. When an employee health issue arises, employees launch the app, create a case, tell us their story, answer our questions, and see their plan. When an employee has a new message from our doctors, they get an email saying they have a new message and they should go to the app to read it. Ninety-eight percent of all communications our doctors have with our patients is done via asynchronous, private messaging within our app. The other 2% is via the phone. It’s essentially secure email within our app. Needless to say, this type of communication is one everyone in the working age population is far too familiar with.

    First, let’s define how this is markedly different from the traditional way of practicing.

    Sherpaa is online and asynchronous vs. real-time and in-person. Traditionally, communication between doctors and patients is done in real-time in an exam room with time spent on the case dictated to the patient by the doctor. Patients must think on their feet and answer questions upon command without the luxury of contemplating the question, or looking up terms they don’t understand. Although this is how it’s always been done, it’s highly ineffective and inefficient. Granted, there is some value in in-person body language. But that is relatively rare. The vast majority of patient-physician communication is matter of fact.

    Sherpaa leverages checklists when taking a history vs. not. Although most doctors are average history takers, there is risk in not having a standardized process of taking a good history from the patient. When taking a history is unstructured and not part of a formalized, repeatable process, things can get missed or you can go down a rabbit hole. At Sherpaa, when a patient reaches out to us with a chief complaint of, say, abdominal pain, all of our patients are asked the same questions, depending on their gender. We’ve created a standardized way to take an accurate, complete history. For the top 200 chief complaints, we’ve created protocols to ask the right questions— questions that rule out the serious issues but also cover all bases and lead us to the right diagnosis. This ties back in to the issue of real-time and in-person. The only way to do this is with a checklist. Essentially, Sherpaa, at almost every point in the process from history taking to treatments, utilizes the concept of a checklist. A checklist is what enables 45,000 commercial planes to take off and land every day with years in between crashes. The same should be used in healthcare to effectively take a history and treat most appropriately.

    Sherpaa doctors can take a time out. Just as patients need to sit back and think about the questions being asked them, doctors sometimes need to do this too. If doctors are in an exam room with a patient trying to ask the right questions and stumble upon a situation that either stumps them or is something they don’t have a ton of experience with, how do they, in real-time, educate themselves about the best way to diagnose and treat? Remember, doctors don’t and can’t know everything. Because Sherpaa is asynchronous, our doctors can also take a time-out and read up on the condition and/or how best to diagnose and treat it. It’s extremely valuable and safe.

    Sherpaa leverages all diagnostic tools, including time. Doctors have tools to make an accurate diagnosis— asking the right questions, ordering the right blood or imaging tests, conducting a skillful physical exam, and, finally, leveraging the passing of time as a diagnostic test. For example, diseases often have a relatively predictable course. Doctors sometimes say, “well, I don’t know exactly what this is now, but if we wait 12 hours and see how things develop, we’ll have a much better idea.” The problem with this is how the healthcare system isn’t set up to leverage time as a diagnostic tool. A visit separated by 12 hours is double the cost. It’s an opportunity to bill twice, when it should be simply billed once. With Sherpaa, we always have a direct communication line to the patient at all times. As doctors, if we want, we can say to the patient, “we don’t know exactly what’s going on, but with your permission, we’re going to reach back out to you in 8 hours to check in and see how you’re doing.” And, then, 8 hours later, we send a check-in message to the patient to get an update. The passing of time is a wickedly powerful diagnostic tool that doctors who practice traditional medicine simply can’t employ. If you are discharged from the ER, good luck trying to reach that same doctor 8 hours later to give them an update on your condition. So Sherpaa doctors leverage time and they also have the luxury of ordering the right lab and/or imaging tests. Every day, we send people to Quest or LabCorp to get their blood drawn or to radiology centers to get imaging. Those results are then sent back into Sherpaa’s platform and our doctors diagnose and treat accordingly. Since our doctors never see a patient in-person, we can never do a physical exam. But that’s ok for 70% of our cases. One of the four rules of practicing Sherpaa is, “if you are in any way uncomfortable, get the patient seen in-person fast.” And that happens 30% of the time.

    Sherpaa treats in an evidence-based way. In the same way we’ve built 200 protocols for taking an accurate history, we’ve also built about 200 treatment protocols based on the best available evidence. You would be highly surprised to know that 90% of everything a doctor does is essentially hearsay, folklore, wisdom, and faith. There is very little scientific evidence backing up the majority of what doctors do. So we’ve taken what little evidence there is in western medicine and created protocols around them. Essentially, safety checklists again. This standardizes care and allows us to understand its efficacy by tracking outcomes. Was this treatment plan effective? What was the outcome? With an always-on direct communication line with the patient, we have the luxury of gathering outcomes and understanding how effective our treatments are. Traditional doctors don’t. Once you’re out of their office, you’re gone and it’s on you to make another appointment to update them on your outcome. That’s wrong.

    Sherpaa leverages data. Since 98% of what we do is online text communication, we have access to massive amounts of analyzable data from which we can learn. Because the rest of healthcare happens verbally in real-time, that is lost data that can never be used to study and improve best practices. Sherpaa is a vast medical practice full of usable data that can be used to help us get better and better. This allows us to understand “If the patient answered yes to this one question, the diagnosis of x is 90% likely. If the patient answers yes to these 5 questions, x diagnosis is 99% likely. If the patient is treated with this treatment plan for x diagnosis, there will be a 96% cure rate.” This data-driven practice of medicine simply can’t happen anywhere else in healthcare. It can only happen because we can analyze online communication and iterate on best practices.

    We’re building something that happens nowhere else in healthcare. It’s quite astounding, unique, and powerful. Once you see it in action as a doctor or as a patient, you understand how revolutionary it truly is.

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