Thank you, 2018 :)

It’s strange sitting here, 1.5 hours before midnight in my home city, 2.5 hours til 2019 in my current one.

But it’s a great time for reflection, particularly when you and your other half saw the Early fireworks as he’s oncall tonight.

2018 was a huge year for me.

One of my faves, Ariana Grande herself said it best- “I find it interesting that this has been one of the best years of my career and the worst of my life.”

I guess personally, it wasn’t the absolute worst it could have been for me, but it definitely had a huge amount of challenges that really rocked me- but also gave me the extraordinary chance to reset and reframe the difficult situations in my personal life.

You can dread each day and its challenges, or you can reframe it to be uplifting for someone else who’s going through a hard time.

Every day counts.

I really believe that, no matter what challenges your career throws at you, you and your loved ones come first.

They’re your anchor, they’re your reason, your “Why” in most cases.

And you should never be ashamed of putting your wellbeing first.

Because no matter how big your career gets- and I believe that your career is your startup - you’ll enjoy it more when you respect yourself.

If you need more time before saying “Yes” to a project, ask for it.

If you feel pressured to work weekends and public holidays because that’s “the startup way,” but you’re actually more productive just working on odd weekdays, go ahead and set your boundaries.

If your personal circumstances mean it’s more favourable for yourself and your family if you work a bunch of part-time and casual freelance roles, go ahead and do it.

If you feel your co-founder’s doing something dodgy, reassess and consider trusting your instincts.

If someone’s being two-faced, don’t be afraid to call it out.

If you love doing several other things along with medicine, allow yourself to do it.

Give yourself permission.

And many more examples like this.

Everyone will be better off for you owning your power.

—-

Someone wise I met recently gave me that wonderful piece of advice.

“Own Your Power.”

Own your decision-making capability, your strengths and skills, your relationships, your identity.

People will try to take advantage of your vulnerability.

So-called “friends” and “partners” in startups and medicine will show their true colours to you, even when the rest of the world can’t see it immediately.

It’s disheartening. It can be isolating, and you can question yourself and your perception, wanting to believe you’re wrong.

It’s okay, because questions are healthy, and I’ve learnt how valuable it is to be mindful, and become more self-aware.

It’s a great defence mechanism, mindfulness. I’ve found it’s a great decision-making tool, productivity booster, and mental health balm. (Ooh, I should package that! Next to the lip balm jars!)

But I guess my rambling here right now is to say,

THANK YOU.

Thank you, 2018, for teaching me even through my weaknesses and dark times this year.

Thank you for giving me the chance to grow stronger.

Thank you for helping me to speak my truth.

Thank you to every single one of you who stumbles across my page; who reads my articles from way back when; who follows and likes (for real) my stuff on social media; who has become a true friend from this crazy journey; who has bumped into me at some event or clinic somewhere around the world and said hello; who believes in me even when I don’t; who believed in me even when it doesn’t all make sense.

I can’t wait to share 2019 with you all.

Have a wonderful New Year and enjoy the celebrations :):):)

*I think I am serious about the mental health balm!

Confidence

You can be confident when you succeed.

You can be confident when you present.

You can be confident when you pitch.

You can be confident when you fail, too.

Because that’s growth.

That shows humility and strength.

People admire that.

Deceleration as a Tool for Identity and Preventing Burnout

I was listening to The Tim Ferriss Show (his podcast), Episode #295, where he goes into “The 4-Hour Work Week Revisited.” If you’ve read any of his books, or even if you’ve just heard of “The 4-Hour Work Week,” I highly recommend listening to it. He has some thoughtful insights from the unprecedented response to his most famous book on working well, productivity and “lifestyle design”, and answers some of the most commonly asked questions he’s received since first publishing it over ten years ago.

Approximately midway through the episode, Tim discusses what he believes is the most important and overlooked chapter, “Filling the Void.” In a nutshell, the chapter is about what the reader could do after finding their success on their terms; automation, fantastic cashflow, a great team, flexibility, low stress; as detailed in the book. However, Tim has found that people too often mistake the chapter as being a treatise on the benefits of lifelong idleness after achieving “success” in this manner. Furthermore, he believes people who misread this chapter may misunderstand how to relax well.

“It’s about contribution; getting yourself out of a ‘me, me, me!’ focus, so that you’re hopefully putting a positive dent in the world, in a way that extends outside of yourself and your immediate family, and hopefully has some persistence over time,” says Tim. “And taking the tools you’ve developed in a business capacity, and applying them to impact in some fashion. I expect many people skipped (the chapter) because they don’t expect to succeed…. But (perhaps) what started out as a party or a celebration ends up being really lonely, they feel isolated and don’t know how to address that…. and by thinking about filling the void, about starting to incorporate those pieces into your life, BEFORE you end up in a challenging psychological position where you end up being reactive, … since you haven’t filled the void with anything non-business related, you’re going to continue to work for work’s sake. This is really common for people who succeed in any capacity. .. It’s really rare you see someone who’s been in sixth gear for a very long time, who then retires and is really good at chilling out. Learning to relax and enjoy other aspects of life, and engage with people around you- friends, community or built community- those are skills you need to practice and develop, just as you need to develop and practice the skill of split testing (ie. A-B testing) to anything else. It’s not a default ability you have as soon as you stop.”

“They can be really existential (issues) for someone. If the business has been your identity for a long time, and all of a sudden you want to replace that, if you don’t have a compelling replacement, you’ll just continue working because you don’t want to have to sacrifice that identity.”

(If you don’t have a business, feel free to replace it with “work” in the quotes above to apply to your situation.)

I think this is why people have trouble taking a break; even if you haven’t felt that you’ve reached your ideal of “success” yet; even if you’ve failed or had a hard time and wanted to distance yourself from your work for a time; in order to recuperate. If your identity’s so wrapped up in your work (and don’t worry, you’re not odd- it’s very common in medicine and startup land), you’ll feel that strange sense of time stretching out, empty and unfilled, and you’ll perhaps feel guilty for having that free time, and try to keep “busy” by filling it up with quick dopamine rushes, which may be simply starting a bunch of new projects with too much zest (who doesn’t love enthusiasm?), or at their extreme, can include overspending, binge eating, even drugs and so forth.

Or maybe you don’t experience any of that, but you think that to fill that void, you have to go back to work ASAP. And if that work environment was toxic for you, or you had issues to work through that you didn’t get addressed while having time off, those issues can quickly reappear, or be amplified, creating an even worse situation for yourself.

And the worst is that you may feel you’ve trapped yourself.

But there’s always a good way out.

You can be proactive about this.

As Tim suggests, no matter where you’re at in life, you can start today by asking yourself if you’re enjoying enough time with your friends/loved ones; if you’re doing something meaningful to you that is part of your identity, like a hobby that isn’t directly related to your work; or you can start something new, a new activity or hobby that helps build your identity beyond your medical life or startup life. You need to know that you’re valued beyond the workplace. And if you do find that you want to go back to work, that’s okay, but you could consider an option of trying a different work environment; working fewer hours/part time; or changing your work style in some other way. (A burnt-out, bullied doctor shouldn’t necessarily jump straight back into the exact same workplace; locuming a couple of days in a different workplace, or volunteering your compassion, integrity and other qualities into a tutoring job for homeless children, let’s say, could help you recuperate and feel fulfilled beyond your initial job description.)

It takes time to decelerate; even a car doesn’t do it gracefully when the brakes are slammed on! Patience with yourself will go far.

Feel free to comment below with your thoughts!

Don't Be Afraid

Don’t be afraid to say no to a deal that isn’t fair.

Don’t be afraid to walk away from teammates who don’t support you, despite false words and appearances.

Don’t be afraid to walk away from those who discredit you and your hard work.

Don’t be afraid to call out what’s wrong.

Don’t be afraid to believe in you.

Don’t be afraid to persist.

Don’t be afraid to wait to figure out your next move.

Don’t be afraid to walk away from that which doesn’t nourish you.

Don’t be afraid of time.

Don’t be afraid of change.

Don’t be afraid of success.

Don’t be afraid of happiness.

Don’t be afraid of your dreams.

Don’t be afraid to put your health first.

Don’t be afraid to put your loved ones first.

Don’t be afraid to say what’s tough.

Don’t be afraid to have values.

Don’t be afraid to care.

I hope this helps you.

Best Reads This Week, September Edition

We’ve been quiet for awhile! Hello again :)

It’s great to be back!

We’ve got a lot happening at The Medical Startup- thankyou for bearing with our site facelift as it happens.

For now, entertain yourselves with a roundup of some great articles we’ve enjoyed from around the Web this week.

• Beth Comstock’s a CEO- and an introvert. Tips and strategies at Girlboss.com.

• Clinical trials are underway for novel early-stage cancer screening through a simple blood test. (The article’s from January but still relevant!)

• Our friends at Lysn have been listed as one of the top 5 Mental Health social enterprises in tech to watch, along with other inspiring startups. Check out the full list at Social Change Central.

What are some articles and resources you’ve enjoyed recently? Share your finds below!

Lessons from Business, Medicine and Life

First published December 4, 2017

This blog started as a way to empower doctors and others involved in healthcare to take charge of their lives and recognise their skills as being transferable to other industries-

Including business and entrepreneurship.

Most of my time the past few years has been spent reading and following business leaders to learn how they tick, and it’s amazing how relevant their lessons are for managing your lives on the wards, in clinics, at your medtech startup, and even in your personal life.

Business is an uncertain world; yet it’s powerful to remember that, generally, lives are not at stake in this situation- at least not with the immediacy that’s faced in the chemotherapy unit, for example.

Remember to arm yourself with your number one tool: PERSPECTIVE: and take time to figure out what values you hold dearest; what frustrates you most; what strengths and weaknesses you think you have; and how you can serve the world best through your strengths and individuality.

This is an intro to an ongoing series on productivityand insights from my readings on how to take charge in your life.

Feel free to let me know how you go; we’d love to hear your success stories if you’ve been inspired by one of these people, or of course, by something you’ve read on The Medical Startup 

Cheers and good luck!!

#themedicalstartuptips

New Zealand Clinicians’ Challenge Open For Entries

First published June 13, 2017

If you’re a clinician in New Zealand with a great idea, the Clinicians’ Challenge may be right for you.

Attendees mingling at HiNZ 2016. Pic: The Medical Startup

The Clinicians’ Challenge aims to help healthcare workers from all disciplines improve the lives of patients through innovative projects. There are two categories: New Idea, or Active Project/Development. Prizewinners will share in $20,000NZD worth of funding, supported by HiNZ and the Ministry of Health, New Zealand.

Last year’s winners who presented at HiNZ include:

• anaesthetics registrar Mark Fletcher’s New Idea award for collecting the most relevant big data efficiently across elective surgery lists;

• pharmacist Amber Young for her New Ideas award-winning medication information project, integrating both tech and paper to tailor medication summaries for patients in an efficient and visually optimised format

• Yvonne McFarlane, a resident at Dunedin Hospital who developed an idea for a simple one-page handover list that can be integrated into existing EMRs; and

• public health physician Nick Eichler and his Auckland Public Health Service colleagues, with their TeleDOT electronic medication monitoring system for tuberculosis patients. By improving education and adherence, TeleDOT also aims to reduce the transport burden for patients and healthcare workers across the country while undergoing lengthy treatment.

Entries for the Clinicians Challenge close Friday 16 June- visit here to enter.

Other opportunities for the annual HiNZ and NZ Nursing Informatics Conferences are also open til Friday 16 June, including speaker and paper/abstract submissions. More details at hinz.org.nz.

Read our recaps of last year’s events at Day 1, 2 and 3.

Celebrate Crazy Socks for Docs Day on June 1st

First published June 1, 2017

“June 1st. #CrazySocks4Docs. But not just for Docs only. This day is for nurses, dentists, pharmacists, social workers, physiotherapists, psychologists, dietitians, speech pathologists, audiologists, respiratory therapists, anaesthesia techs, paramedics, medical students, veterinarians and all other specialties that work in the health care industry for patients. Doctors are dying by their own hands. The overall physician […]”

via Crazy Socks for Docs — Dr Eric Levi

Thank you to Dr Eric Levi for your articles on your blog, which recently relate to physician suicides and the challenges we face as healthcare workers in a challenging industry.

Embrace your personality and your colleagues’ health this June 1st. Wear odd socks. 

Breaking The Boundaries You’ve Set Yourself: Thoughts and Events To Inspire Your Tech Journey

First published May 28, 2017

How do you learn about tech as an outsider?

For awhile, before The Medical Startup became an idea, I was toying with creating something in tech.

I was a full-time doctor in a Melbourne hospital, spending all my spare time studying for fellowship.

When you’re at that stage in your career, you’re usually facing another four to six years of focusing on fellowship full-time.

I was surrounded by peers who were working towards the same goal.

It was all we knew at that time. We’d forgotten what life was like pre-training, it was deemed a “waste” if you paused for breath, and it took a long, long time to learn to breathe above water again.

So it seemed impossible.

But when you start to act towards those “strange” goals, the world opens up beyond anything you’d imagine. 

Attending events and online webinars helped tremendously. I was surrounded by others who were teaching themselves, too.

I started learning how to adapt to new environments, even more new than running a Code Blue at 3am.

I started learning the lingo of life outside of medicine.

And the love of learning I have for medicine sustained me through this journey, too.

So here’s a thought for the next time you’re thinking, “I can’t do this” or “It’s impossible, I have no background in this area.”

Think laterally about what you’re telling yourself.

Is it really impossible?

 You’re not just a doctor.

You’re a woman in tech.

You’re not just a nurse.

You’re a father of three.

You’re not just a clinician who sees patients one by one at scheduled appointments at your clinic.

You’re facilitating their wellness beyond their current condition. How they are at home, at work, at the shops and their daily lives.

You have to stop thinking of yourself as a single job description. 

Otherwise, when you’re stuck, how will you remember who you are again?

Think about those who have the courage to uproot countries and settle in a new culture, starting from scratch with their careers again. Often, their degrees aren’t recognised at their new home.

Or think of those who graduate from one degree, then use their determination and self-belief (even when it’s down) to apply to study post-graduate medicine or another degree.

Don’t underestimate yourself.

We’re all learning, after all.

And that shiny, suited person speaking up on the big stage? They had to start somewhere, too. 

This is literally just a random post after reflecting on recent events and conversations. You have to normalise curiosity and your hunger for knowledge. 

Thinking about it, there are a ton of events coming up around the world that may help you along your journey; I’ll list them below. Perhaps you’ll find some of them useful, too.

A couple are med tech, but most are actually more general and will help you learn the vibe and get comfortable in the tech and entrepreneurship worlds, too.

Who knows what new friends you’ll make, and what skills and knowledge you’ll bring back to your usual lives? You’ll almost certainly realise that you already know more about tech than you thought you did.

Be inspired.

Let me know in the Comments or by email if you have been or end up going to any, and how you enjoyed it/what you took away from it. I’m also speaking at an AMA leadership event tomorrow, aimed at junior doctors but hopefully useful for others, too.

Below:

• “The Sunrise Conference” by Blackbird Ventures in Sydney. One of Australia’s most renowned tech venture capital firms. (Last year it was streamed online; here are a couple of tips we took from some of the talks.)

• The Melbourne Accelerator Program Launch Party 2017. Last year, two Melbourne digital health startups founded by doctors were part of the program. Nebula Health and CNSDose have both benefited hugely from MAP, with Nebula now partnering with hospitals and surgeons, and CNSDose breaking ground as part of Texas Medical Center’s Innovation program.

• General Assembly, a tech education company running coding bootcamps, one-day workshops and even two-hour events across their centres in Australia, Asia, the US and UK. Visit generalassemb.ly to find your nearest centre and see what’s available. I’ve found their events very helpful.

• HIC, Australia’s premier health informatics (digital health) conference, run by HISA, the Health Informatics Society of Australia. It’ll be in Brisbane in August, and I’ll be presenting as part of the UX (User Experience) workshop, along with others interested in digital health. I really recommend joining HISA, HiNZ, HIMSS (including their APAC branch), COACH (Canada) or other organisations as a way to get access to valuable resources, networks and skills for eHealth.

• COACH, Canada’s annual health informatics event early June.

• HIMSS Asia-Pacific Summit, in Singapore in September. (As a member of HiNZ, you also get full automatic membership to HIMSS Asia-Pacific.)

• HiNZ, which we wrote about last year; it’ll be in Rotorua this year.

• The Global Ideas events in Melbourne, inspiring global health innovators with skills including tech and human-centred design thinking. (Read about founder Dr Lloyd Nash’s journey here.)

• Vogue Codes, an Australian event running in Sydney and Melbourne in August aiming to inspire more women to take up careers in STEM. Speakers include the founders of ClassPass and Shoes of Prey as well as female members of Australia’s startup and tech communities. Being a woman in STEM who loves fashion and the arts, (even if I don’t look the part!), this event really speaks to me, knowing that although society places us into simplistic career boxes (“Medicine!” “Science!” “Engineer!” “Designer!”), we’re much more than just a “science person” or “arty person” 100% of the time.

• Vivid Sydney’s Ideas program, coming up this week.

• Girl Geek Academy, an Australian organisation aiming to educate 1 million girls and women in tech by 2025. It also has events in the US.

Doctors, You’ll Never Be Good Enough- And That’s Okay

First published May 12, 2017

Like many in the medical world, I’ve been deeply saddened by the suicide of a Brisbane gastroenterologist, the father of four children, the husband of a loving wife.

I don’t know them personally, but am touched by the email that his wife wrote and son sent online- which has triggered a flood of goodwill from his patients (the Facebook comments on the CourierMail post are so heartening) and from other health professionals and members of the public, who, like me, may not have known him personally, but felt devastated by this very unnecessary loss.

So what can we do? How do we stop others from thinking the only way out is suicide?

What’s the worst that could happen if you choose NOT to die?

Your patients may be looked after by other colleagues, or will find other specialists.

Your family will be concerned and worried about you, but they will be happier that you’re taking time to recover.

Your colleagues will most likely be concerned about you too, not mean-spirited. (If they are, why choose to work with them or choose to listen to them? What do they know about who you really are?)

Maybe part of it is our fear of delegating responsibility for our patients to others when we’re too crushed or sick to continue. Handover is so complex- even more as a consultant in private practice for many years. You would have built strong relationships with some of your patients who’ve grown with you; with your staff; with your routine. You would know their test results and the dates of their treatments off by heart.

And of course, when a patient dies, it is never easy.

Just because you’ve dealt with a patient’s demise or deterioration over and over again during the years, it doesn’t mean your feelings will be bulletproof forever.

And then, you also may fear delegating the responsibility of your struggles to others, to psychologists, to counsellors, to psychiatrists, or to a friend who’s a listening ear.

You’re good at curing patients. Why can’t you cure yourself?

You’re feeling enormous responsibility. Why burden others with that terrible weight?

There’s so much blame in medicine. We constantly want to be better. It’s the mark of a true professional, a craftsperson even in other professions. You want to better yourself.

But even doctors are only human.

Maybe we think it’s the absolute end, there’s no way out if we step back for a few days, weeks, months, years- it’s too terrifying at that moment to deal with the enormity of a future you don’t know.

We try too hard to control our futures and our patients’ futures, but as doctors and health professionals, and even startup founders, even we can’t control everything.

Maybe it’s time to recognise that and embrace it as something positive we can learn to live with.

But don’t do it alone.

Please seek help, no matter what your journey is.

Condolences and respects to Dr Bryant and his family. 

People may look like they’re doing okay on the outside, but are actually screaming for help inside. Please be kind to each other and ask directly, “are you okay?” 

Some useful sites/resources in Australia if you’re seeking help or contemplating suicide:

– Lifeline

– BeyondBlue

– Mens HelpLine

– Mindful in May

– R U OK? suicide prevention

– Victorian Doctors Health Program (please reach out even if you’re not living in the state, people are always happy to suggest other resources)

– your GP

– a psychologist

– a counsellor

– the AMA, which has other links to Drs4Drs which lists resources for Doctors in each State/Territory, and other sites; and the Australasian Doctors NetworkAustralasian Doctors Network which advocates for doctors’ health.

– Online video calls to a psychiatrist (you’ll need a GP referral but it is bulk billed)

– Lysn, a provider of online video calls to a psychologist

– your work’s Employee Assistance Program (many public and private companies including public hospitals in Australia, possibly in your country too, offer this free confidential service through external providers. The RACP also offers this, and probably other fellowship colleges do, too. Don’t be afraid to ask your HR or Workforce managers about this; it’s your right as an employee, and they are human, too, and know everyone goes through stuff.)

Feel free to list other resources you’ve found helpful below in the Comments.