Success At All Costs?

I touched on this briefly in my New Year’s post.

What saddened me when I dug deeper into medical startups in 2016 was that, quite often, success was seen as something to achieve at all costs, with no respect for customers, colleagues, or the wider community.

Even if a brand has a carefully constructed facade, it will all fall apart behind the scenes if you don’t genuinely care.

Coming from the similarly ruthless world of physician training, I found it very disappointing, especially when startups and the entrepreneurial world are trying to attract more clinicians.

Most clinicians are attracted to healthcare because of the caring aspect. They genuinely want to help make a great contribution to people’s lives, through direct patient-clinician contact.

That compassion and vulnerability can be misused by unscrupulous individuals and companies, and even with a strong Corporate Social Responsibility (CSR) program, the WHY behind the company can be lost.

Is any industry safe from this?

No.

But it’s up to us, the individuals, to keep our values in mind, and live them.

For real.

Are you living your Mission Statement?

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!

Course Suggestion: Machine Learning on Coursera

Who wants to learn some tech skills in a flexible, free/low-cost learning environment?

Taught by Andrew Ng of Stanford, the Stanford Machine Learning course on Coursera is one of Coursera’s most famous courses; it actually launched the famous Coursera platform! Easy to learn and quick to understand, it’s a great course for learning ML concepts quickly and effectively. It’s a course I’ve wanted to do for a long time, and finally, I have time for it.

Start at https://www.coursera.org/learn/machine-learning/home/welcome.

What other tech courses have you done online?

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!

The Tech Revolution in Regional Australia, and Opportunities for Future Growth

Here’s an article I wrote in March 2017 for StartupsInnovation.com. You will notice this was pre-2018 Australian leadership spill! I have a real love for Queensland, and regional Australia’s potential to be world leaders in innovation and creativity. This article has heaps of resources and events to be aware of if you’re keen to get started with your big idea in Queensland, whether in the big city or further out. Share your thoughts below.

There's a tech revolution Down Under- and we have ideas on where the next opportunities will be.

As a frequent city-hopper throughout Australia, we've noticed that the tech revolution isn't solely limited to our most famous capital cities. 

Brisbane skyline at night. Louise Teo

Brisbane skyline at night. Louise Teo

The rural towns dotting the 2300km expanse of the Great Barrier Reef have long been subject to “boom or bust” economic conditions in Australia. With the recent Australian mining sector downturn affecting once-bustling cities throughout Central and Northern Queensland, the time is ripe for entrepreneurialism to take place.

The Australian Federal Government's Innovation Agenda has helped foster an environment for numerous innovation events. One such event coming up is Myriad, the global entrepreneurs’ conference to be held in Brisbane, Queensland’s capital, at the end of March. Bringing speakers from TechCrunch, Estonia, Western Europe and rural Queensland to the city, the event promises to help connect and inspire attendees as Australia’s answer to SXSW. 

Myriad’s timing coincides with the World Science Festival, which will host Hack The Reef, the world’s first hackathon dedicated to the Great Barrier Reef. Held in Townsville, one of Northern Queensland’s largest Reef gateposts, Hack the Reef will bring participants together to brainstorm solutions for the Reef’s rapid bleaching crisis, with global warming sending water temperatures 1-2 degrees Celsius higher than usual and irreversibly bleaching the beautiful coral. Hack the Reef will send winners to Myriad, and help boost tech and entrepreneurial skills in a region not known for its Opera House or laneway coffee spots. 

Great Barrier Reef from above! Louise Teo

Great Barrier Reef from above! Louise Teo

Maker spaces and coworking centres have also opened up in Mackay, Cairns and Townsville. Startup Mackay is a hub for the sugar cane city and former mining hub now focusing on tourism. The Assisted Devices Hackathon will be held in Mackay, Toowoomba and Townsville later this year, with support from Advanced Manufacturing Queensland helping to re-energise Queensland manufacturing and engineering. theSPACE Cairns and Canvas Coworking in Toowoomba also host startup events and coworking space for locals and visitors. 

Additionally, Australia’s largest corporate startup accelerator Slingshot has announced a presence in Cairns this year. It will dedicate funding and resources to projects focusing on travel, hospitality and entertainment in this city of 160,000 people which hosts international guests such as Elton John. Slingshot is known for running one of Australia’s largest health-tech accelerators, and currently has Australia’s first Human Resources Tech accelerator open for applications to be the next Freelancer or similar. 

Finally, small business groups in these towns continue to host events for local startups and small-to-medium enterprises (SMEs) alike. Small Biz Big Future has been held in Cairns for several years’ running, bringing together web developers, agricultural, marketing and legal experts in the region to deliver Top 3 Business Tips for attendees. 

Advance Queensland also completed a regional tour featuring 6 of Queensland's most successful entrepreneurs, including Shark Tank Australia's Steve Baxter and We Are Hunted's Stephen Phillips, visiting ten rural cities to share their experiences with locals. 

How else can regional towns pivot from existing business models and upskill in entrepreneurship? Currently, the options for rural business owners and aspiring entrepreneurs are to attend local events or education providers; otherwise, if they can afford it, to relocate to one of the capital cities. In our opinion, education shouldn't be limited to local TAFE centres and universities, which are often costly and not suitable for time-poor owner-operators. It's also worthwhile remembering that many small business owners are successful despite not completing school, or not having a strong tech culture within an Indigenous Australian community. Private tech skill educators such as General Assembly and Academy Xi are based in major capitals such as Melbourne and Sydney (with GA opening in Brisbane). These cities are doing their bit for entrepreneurship, but are becoming saturated with choice of events. Surely such schools could also aim to broaden their reach to rural areas by offering free or paid video access to classes and talks. 

In times of crisis, there is a long-held resilience demonstrated by local farmers, retailers, and other small business owners, with communities devoted to buying local. Much can be learnt from business owners who have dealt with cyclones, droughts, banana plantation destruction and international trade adjustments. Perhaps a platform needs to be developed for giving these stalwart regional business owners a chance to share their lessons virtually with young and tech-savvy entrepreneurs across Australian cities. This could help introduce a new revenue stream to such business owners, in a valuable collaborative effort of Ideas Exchange. 

Australia's current Prime Minister, Malcolm Turnbull, a former tech entrepreneur himself, has tried to shine a light upon regional innovation. Taking in rural Queensland towns such as Bundaberg and Rockhampton last year, Prime Minister Turnbull was impressed with technologies such as drones used by farmers for crop surveillance and pest control. As mentioned during his visit, it's important to remember that entrepreneurs are not just city-based friends in T-shirts coding in a garage for fun. The real need for tech and entrepreneurial skills comes from those who are geographically isolated and time- and resource-poor. 

Ongoing support for local businesses and education providers, whether rural or metropolitan, will continue to drive the future of Australian innovation. We'd be glad to hear your thoughts on this article and other ideas you may have.  

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.

The Australian Startup Aiming For Zero Waste In Healthcare

Globally, there’s been increasing awareness - and action- regarding sustainability and climate change.

Healthcare is no different.

Have you ever wondered what happens to the tonnes of unused, sanitised medical supplies found in well-stocked hospitals and clinics in the developed world?

The pristine cannulas and IV drips. The instruments in the operating room. Even the surgical gloves.

Melbourne anaesthetist Dr Martin Nguyen studied this with Hospital Sustainability expert Dr Forbes McGain and their team, and was perturbed by the findings that, in one week in Melbourne, 23% of waste generated from six operating rooms was recyclable. Was it feasible to recycle this waste? The study showed that, yes, it was, both financially and with infection control integrity.

This brought Martin back to his journeys on medical missions trips, where, he says, “in isolated pockets of Vietnam, I noted these communities were in desperate need for medical supplies, but did not have connections or the resources to reach out.” Furthermore, “we discovered (through our research) that there were unused items thrown out into landfill. This practice upset many staff who were avid reducers and recyclers at home, but had to be wasteful at work. They were keen to collect and donate these supplies, but did not know where to send it to.

“This is where the inspiration for Medical Pantry came from. The Medical Pantry sits in the middle to match the needs of undeserved communities with the generosity of the givers.”

Since inception, Medical Pantry has successfully donated high quality, unused clinical goods to communities worldwide, including in Tonga and Papua New Guinea. Led by Martin and a team of eager volunteers, goods are readily donated from hospitals and clinics, and are given to recipients usually via clinicians on missions trips and other aid ventures. Goods can also be used locally; wildlife sanctuaries have benefited, along with local businesses in Victoria’s Western Health district; local clinics may run short, and mechanics find the unused, sterile kidney dishes useful! However, Martin envisages a future where tech enables donors to match recipients’ needs directly online, saving further costs, time and resources that can then be put to use expanding the reach of their work.

A hospital in Papua New Guinea using donated goods from the Medical Pantry.

A hospital in Papua New Guinea using donated goods from the Medical Pantry.

“Our ultimate goal is for the Medical Pantry to not exist at all - for there to be no waste from the healthcare system,” says Martin. “But, while there is waste, the Medical Pantry will find a second life for medical supplies and stop it heading to landfill. I hope in future, this will be a national program with collection/distribution centres in each major city in Australia. I believe the data collected will raise awareness and feedback to those in healthcare to help achieve zero healthcare waste.”

Currently, Medical Pantry is in the running for up to $100,000 in local government grants to help with more permanent warehousing, distribution and storage. (People with Victorian addresses can vote for Medical Pantry to receive funds in this grant, until 5pm, Monday 17 September.) However, to fulfil its dream of recycling goods in other cities and expanding its reach, it will need more funding and support beyond this grant. It’s amazing what impact local work can have on global health.

To reach out to Medical Pantry regarding funding or other support, please visit medicalpantry.org or facebook.com/medicalpantry.

All images in this article courtesy of Medical Pantry.

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