leading with power chippewa falls, wi december 6, 2012 richard a. swenson, md finding balance and...
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Leading with PowerChippewa Falls, WIDecember 6, 2012
Richard A. Swenson, MD
Finding Balance and Margin in Stormy Seas
A Special Moment in History
GutenbergGutenberg ColumbusColumbus Wright brothersWright brothers Radio, television, computer, Radio, television, computer,
InternetInternet Cell phoneCell phone
GutenbergGutenberg ColumbusColumbus Wright brothersWright brothers Radio, television, computer, Radio, television, computer,
InternetInternet Cell phoneCell phone MathMath
Our Special Moment in History
First Era: First Era: 3100 BC to 1750 AD3100 BC to 1750 AD
Year 0 500 1000 1500 2000
Progress 1.0Progress 1.0slow, grinding, destitute
Second Era: Second Era: 1750-20001750-2000
Year 0 500 1000 1500 2000
Progress 2.0Progress 2.0ascendant, glorious, hopeful
Third Era: Third Era: Past 25 yearsPast 25 years
Year 0 500 1000 1500 2000
Progress 3.0Progress 3.0explosive, uncontrollable, volatile
Our Special Moment in Our Special Moment in HistoryHistory
The math is dramatically The math is dramatically different different The numbers are The numbers are
incomprehensibleincomprehensibleThe math is dysfunctionalThe math is dysfunctionalThe curves are increasingly The curves are increasingly
exponentialexponential
Our Special Moment in History
The Math Is Dysfunctional
>500 baccalaureate degrees>500 baccalaureate degrees 1,100 movies a month w/ satellite dish1,100 movies a month w/ satellite dish 40,000 different products in grocery store40,000 different products in grocery store 55,000 configurations of coffee at Starbucks55,000 configurations of coffee at Starbucks 10 hours of media exposure/day; TV 34 10 hours of media exposure/day; TV 34
hrs/weekhrs/week 400,000 books/yr published in US and GB400,000 books/yr published in US and GB More video uploaded to YouTube in 60 days More video uploaded to YouTube in 60 days
than all 3 networks created in 60 yearsthan all 3 networks created in 60 years 1 trillion URL (resources) on the Web1 trillion URL (resources) on the Web Twitter 350 million tweets/day; 2007, Twitter 350 million tweets/day; 2007,
5,000/day 5,000/day
Learn to operate 20,000 pieces of equipment Learn to operate 20,000 pieces of equipment Technology will ↑ a million times in this centuryTechnology will ↑ a million times in this century Change will increase 1,000 times in this centuryChange will increase 1,000 times in this century Knowledge workers check email 50x day, instant Knowledge workers check email 50x day, instant
messaging 77x and visit 40 websitesmessaging 77x and visit 40 websites Avg desk worker starts something new q 3 Avg desk worker starts something new q 3
minutesminutes Information overload costs businesses $650 Information overload costs businesses $650
bil/yr and stress costs $300 bil/yrbil/yr and stress costs $300 bil/yr Read 2 healthcare articles qd → 1,000 yrs behindRead 2 healthcare articles qd → 1,000 yrs behind PDR 2011 - 3,300 pages; 1948 – 300 pagesPDR 2011 - 3,300 pages; 1948 – 300 pages ““There are 35,000 publications a year in There are 35,000 publications a year in
neuroscience, and no single researcher knows neuroscience, and no single researcher knows even 1% of that.”even 1% of that.”
1900 1950 2000
$1 trillion
$2.6 trillion
The largest, most The largest, most complex domestic complex domestic
problem the US has problem the US has ever experiencedever experienced
Health Care Costs
UnderestimatedUnderestimated Fold paper 40xFold paper 40x MismatchMismatch
Day-to-day context → linearDay-to-day context → linear Global context → exponentialGlobal context → exponential
Curves Are Increasingly Exponential
More and more of everything
faster and faster on a collision course with
Human limits
leads to
Overload & Imbalance
Fast Company, Balance is Bunk
The global economy is antibalance . . . The global economy is antibalance . . . Someday, all of us will have to become Someday, all of us will have to become workaholics, happy or not, just to get workaholics, happy or not, just to get by . . . Great leaders, serial innovators, by . . . Great leaders, serial innovators, even top sales reps may be driven by a even top sales reps may be driven by a kind of inner demon—the need to prove kind of inner demon—the need to prove themselves . . . anxiety is a central part of themselves . . . anxiety is a central part of our existence . . . Can any couple facing our existence . . . Can any couple facing two full-time jobs, kids, aging parents, two full-time jobs, kids, aging parents, groceries, the dog, the bills, and groceries, the dog, the bills, and telemarketers at dinnertime expect telemarketers at dinnertime expect anything but all stress, all the time? anything but all stress, all the time?
. . . successful professionals found ways . . . successful professionals found ways to switch the focus of their full attention to switch the focus of their full attention with lightning speed among activities and with lightning speed among activities and people in different realms . . . Consider people in different realms . . . Consider it an exercise in continuous redesign, in it an exercise in continuous redesign, in adapting to ever-changing circumstances adapting to ever-changing circumstances and priorities. For couples, this also and priorities. For couples, this also requires constant rebalancing of roles requires constant rebalancing of roles and responsibilities . . . Those who and responsibilities . . . Those who succeed are the people who learn to succeed are the people who learn to dance with change . . . They don’t make dance with change . . . They don’t make decisions once or twice, but all the time.decisions once or twice, but all the time.
ImbalanceImbalance
Everything in the universe Everything in the universe displays sophisticated balancedisplays sophisticated balance
Human body – Human body – HomeostasisHomeostasis 123123
1010
1010
The Universe Is Pro-Balance
Restoring BalanceRestoring BalanceRestoring BalanceRestoring Balance
Priorities from death bedPriorities from death bedDying teaches us about living Dying teaches us about living World Trade TowersWorld Trade Towers
Place Life in Stable Orbit Around Priorities
Place Life in Stable Orbit Around Priorities
Restoring BalanceRestoring BalanceRestoring BalanceRestoring Balance
Priorities from death bedPriorities from death bedDying teaches us about living Dying teaches us about living World Trade TowersWorld Trade Towers
North tower hit 8:46 AMNorth tower hit 8:46 AM
Collapsed 10:28 AMCollapsed 10:28 AM
1 hour 42 minutes1 hour 42 minutes
Place Life in Stable Orbit Around Priorities
Place Life in Stable Orbit Around Priorities
Restoring BalanceRestoring BalanceRestoring BalanceRestoring Balance
Priorities from death bedPriorities from death bedDying teaches us about living Dying teaches us about living World Trade TowersWorld Trade TowersThings that matter most must Things that matter most must
never be at the mercy of things never be at the mercy of things that matter least. Goethethat matter least. Goethe
Place Life in Stable Orbit Around Priorities
Place Life in Stable Orbit Around Priorities
Restoring BalanceRestoring BalanceRestoring BalanceRestoring Balance
Priorities from death bedPriorities from death bedDying teaches us about living Dying teaches us about living World Trade TowersWorld Trade TowersThings that matter most must never Things that matter most must never
be at the mercy of things that matter be at the mercy of things that matter least. Goetheleast. Goethe
““I don’t want to spend my last I don’t want to spend my last week week
on earth apologizing for my life.”on earth apologizing for my life.”
Place Life in Stable Orbit Around Priorities
Place Life in Stable Orbit Around Priorities
Counter Escalation of the Norm
The rapid escalation of the norm The rapid escalation of the norm is followed by an normalization of is followed by an normalization of the escalation, which becomes the the escalation, which becomes the new normal.new normal.
Counter Escalation of the Norm
Everything escalates: sunglasses, Everything escalates: sunglasses, weddings, funerals, hospital weddings, funerals, hospital beds, cars, computer features, beds, cars, computer features, church programs, kindergarten church programs, kindergarten birthday parties, salaries for birthday parties, salaries for professional athletes, professional athletes, Christmas…Christmas…
Counter Escalation of the Norm
You can have escalation, You can have escalation,
or you can have balance, or you can have balance,
but you can’t have them both.but you can’t have them both.
Compare the Opportunity Costs
Whenever we spend time, money, Whenever we spend time, money, energy, or attention on one thing, energy, or attention on one thing, we pass up the opportunity to we pass up the opportunity to spend it on something else.spend it on something else.
International VPInternational VP Mayo Clinic cardiologistMayo Clinic cardiologist Dentist with a slow morningDentist with a slow morning
Compare the Opportunity Costs
Learn how to say No to non-Learn how to say No to non-prioritiesprioritiesNoNo is a complete sentence; a is a complete sentence; a
mathematical necessitymathematical necessity
Do the Math on Yes vs. No
Restoring Margin in Restoring Margin in TimeTime
Learn how to say No to non-Learn how to say No to non-prioritiesprioritiesNoNo is a complete sentence; a is a complete sentence; a
mathematical necessitymathematical necessitySteve JobsSteve JobsA holy wordA holy word
This company needs
focusing. Focusing does not
mean saying yes. It means
saying no.
Do the Math on Yes vs. No
Do the Math on TV
Avg person watches 34 hrs/week Avg person watches 34 hrs/week More TVs than people in More TVs than people in
average homeaverage home20% of two-year olds have TVs 20% of two-year olds have TVs
in roomin roomLate night TV is very Late night TV is very
educationaleducationalWhat did we do before TV?What did we do before TV?
Periodically Disconnect
Closure on the end of day and Closure on the end of day and week?week?
Checking into hotel in home Checking into hotel in home towntown
Manitoba MDManitoba MD The Finnish MokkiThe Finnish Mokki
Cherish Relationships
Man who drove 90 milesMan who drove 90 miles Child psychologist forgot kid’s Child psychologist forgot kid’s
namename Half-hour at ClubMacHalf-hour at ClubMac Communication: Adam, Matt, Communication: Adam, Matt,
LindaLinda Balance: A cooperative effortBalance: A cooperative effort
Practice Simplicity
Everything we own owns us; ClutterEverything we own owns us; Clutter Jesus exampleJesus example Einstein’s suitsEinstein’s suits Anesthesiologist’s classic carAnesthesiologist’s classic car Quaker neighborQuaker neighbor A walk to Dairy QueenA walk to Dairy Queen Ophthalmologist: Ophthalmologist: I tried to simplify I tried to simplify
for six yearsfor six years
Hagar’s Two Rules for HappinessHagar’s Two Rules for Happiness John Kenneth GalbraithJohn Kenneth Galbraith Immanuel KantImmanuel Kant
Cultivate Contentment