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“A man can have as many diseases as he damn well pleases” — Hickam’s Dictum
Every profession has oral traditions you can’t find in textbooks. I was a doctor before I became an entrepreneur, and like every medic I have been steeped in the maxims and mantras of the craft. These memorable sayings are passed down through the generations, gettingabsorbed rather than studied, for example:
“Common things are common.”
“Put your finger in it, or you’ll put your foot in it.” (don’t skip the rectal exam)
“Don’t f**k with the pancreas.”
“All bleeding stops eventually.”
Some are quotes from wise colleagues, others are my attempt to capture lessons learned. As I've curated my collection they've started to feel less like a mélange of founder tips, and more like mantras that signpost the way to deeper truth. They have become a cornerstone of my practice.
Mantra Health Warnings
(i) Your milage may vary: items might seem trite or irrelevant depending on your context;
(ii) They are mantras not commandments, you're meant to reflect on them;
(iii) No mantra is an authoritative ‘last word’ on any theme or subject;
(iv) For best results it’s a good idea to create and curate your own list — it is a craft after all.
The world is overflowing with good ideas. We come across them every day: in our work, with our friends, in the news. But there's a reason why humanity hasn't cured cancer, solved climate or colonised space - execution is what matters. Our responsibility isn't to dream up big ideas, it's to realise them. Successful companies understand this. They put their effort into the hard thing - building. Above all else, this requires focus.
"Not finance. Not strategy. Not technology. It is teamwork that remains the ultimate Competitive advantage, both because it is so powerful and so rare." – Patrick Lencioni, The Five Dysfunctions of a Team.The team is the basic unit of computation in a company, it gets the work done. A single developer might be able to code an app, but success and scale nearly always depends on the collaboration and contribution of many others: product managers, researchers, designers, marketing, finance, etc.
The archetype of the all-seeing, all-powerful executive is bullsh*t. Steve Jobs and Elon Musk are extraordinary, but they are too often venerated in a way that shows no understanding of their actual gifts, and total ignorance of their weaknesses.
Complex problems create uncertainty and inertia. Instead of struggling for the elusive grand solution, you should consider: "what is the path towards a better outcome"? i.e. from red through amber to green.
This mantra paraphrases James O. McKinsey, who understood that an organisation's accounts are a powerful source of truth. Understanding how much money you make, how much capital you spend, and where you spend it, will tell you what kind of business you have, and where it's going. To understand your business, get a grip of your budget.
As teams scale communication becomes harder, coordination degrades and departments can slip into silos. A common response is for executives to create more processes, rules and meetings… but this causes even more damage. The way out of this swamp is to accept that scale has tradeoffs, and focus on alignment.
Featured image is HackerNoon Stable Diffusion Prompt of ‘What's the path to Green?’