One big benefit of being a part of “community” is to be the recipient of the concern of others histiocytoma surgery cost when something does not go as expected. I know that many faithful readers were scratching their heads histiocytoma surgery cost wondering what might have happened when by 3:30 last friday they had not received an email in histiocytoma surgery cost their inbox to announce that the latest edition of healthcare histiocytoma surgery cost musings was ready for them to read. When nothing had arrived by 5 PM, one of my family members surprised me with a phone histiocytoma surgery cost call to ask if I was ill or in the histiocytoma surgery cost hospital. She knew that I never missed a posting.
The answer that I gave her was that I was histiocytoma surgery cost fine and that the posting had gone up on the histiocytoma surgery cost internet at exactly 3 PM, as it always is. What did not go as planned was that the notice histiocytoma surgery cost of its posting did not go out because of an histiocytoma surgery cost issue with “get response,” the service that sends out a notice of a new histiocytoma surgery cost post to all subscribers. I was more and more distraught as the hours passed histiocytoma surgery cost and the origin of the issue remained unclear. “these things happen” is never enough explanation at the patient’s bedside, and that placeholder answer was not enough to calm me. Cyberspace is new territory for most of us and we histiocytoma surgery cost all expect that mysterious things happen there. I guess the event suggested the sad fact that a histiocytoma surgery cost lot of my identity and sense of reputation is tied histiocytoma surgery cost up in readers being able to count on seeing the histiocytoma surgery cost notice whether or not they read what follows. I will need to think about what that means for histiocytoma surgery cost a while. I am not sure it is a good sign.
The notice finally did go out in the wee hours histiocytoma surgery cost of saturday morning after my technical guru, russ morgan, the man who really makes these notes possible, discovered that the issue was not a technical issue, but rather it was a business systems issue. A recent change in a telephone number on our account histiocytoma surgery cost had interrupted the automatic billing process, and our account had been discontinued without notice. We do live in a very complex world where what histiocytoma surgery cost happens often does not make sense. I think that I could write a post about the histiocytoma surgery cost unintended consequences of highly automated systems that are driven by histiocytoma surgery cost algorithms, but I will save that note for another day and histiocytoma surgery cost just give a big heartfelt thanks to russ who had histiocytoma surgery cost two big jobs friday evening and on into the wee histiocytoma surgery cost hours of saturday morning. Job one was to discover the underlying problem. Job two was to hold my hand and calm my histiocytoma surgery cost anxieties. He succeeded in both tasks, proving once again what a remarkable and generous person he histiocytoma surgery cost is.
As I reflect on the discomfort I felt knowing that histiocytoma surgery cost there were some people out there who were wondering why histiocytoma surgery cost what they expected had not happened, I realized that in many activities in our communities, and in the practice of medicine, we have always been dependent on people like russ. He represents those people who are both critical thinkers and histiocytoma surgery cost can solve big problems, but that alone is not enough. They also have the ability to manage big problems while histiocytoma surgery cost simultaneously managing the fears and concerns of the “afflicted.” almost always they table their own agenda to deal with histiocytoma surgery cost the concerns of others. They never suggest that the demands on their time are histiocytoma surgery cost an imposition. Their response is always, “what can I do to help?” I think it is a manifestation of a type of histiocytoma surgery cost personality that we associate with a traditional sense of professionalism histiocytoma surgery cost that we take for granted, but is essential to the stability of our communities. There are people like russ who are quietly doing what histiocytoma surgery cost it takes to keep things moving in any successful enterprise. They are concerned 24/7 about what is happening and are always ready to histiocytoma surgery cost step forward because they are committed. Without these individuals there would be even more chaos and histiocytoma surgery cost dysfunction in these “fast times.” these people are quiet leaders, and I think they model behaviors that we sometimes take histiocytoma surgery cost for granted. We are often attracted to leaders who look like they histiocytoma surgery cost come from central casting, but if we think back on when we were best histiocytoma surgery cost served, we find it was when we had leaders who set histiocytoma surgery cost aside their personal agenda for the greater good and facilitated histiocytoma surgery cost our search for the solutions we needed as they simultaneously histiocytoma surgery cost dealt with our fears and hopes while reminding us to histiocytoma surgery cost stay true to our core principles and values.
That was the kind of leadership demonstrated by lincoln, the two roosevelts, and even lyndon johnson that doris kearns goodwin described in histiocytoma surgery cost her recent book, leadership in turbulent times. That is the kind of leadership and character we sense histiocytoma surgery cost we have lost with our current president. I hope that whoever the two candidates are in 2020, the election will be won by the person who comes histiocytoma surgery cost closest to the ideal of being able to lead in histiocytoma surgery cost the resolution of big problems while reassuring us that we histiocytoma surgery cost are making progress toward the ideals of our foundational values. I am not convinced that donald trump will be a histiocytoma surgery cost candidate because he doesn’t move us closer to the true resolution of the histiocytoma surgery cost problems that challenge us, and his disrespect for norms of civility move us further histiocytoma surgery cost from, not closer to, the realization of our foundational values. There is much written about his successes in producing a histiocytoma surgery cost stronger economy and how his “america first” trade policies seem to be making a difference, but these successes are built on policies that promote inequality histiocytoma surgery cost at home and abroad and are unlikely to endure. His policies and operating principles are inconsistent with our journey histiocytoma surgery cost toward our espoused ideals.
There has been a lot written about “servant leadership” and “leading from behind.” there has been less written about distributed leadership, but all three ideas are meaningless without a defined relationship histiocytoma surgery cost to “community.” to those three forms of community oriented leadership, I would add lean leadership which focuses on organizational success histiocytoma surgery cost by requiring that leaders coach, mentor, and empower those that they lead. I have written several posts that have focused on lean histiocytoma surgery cost leadership as a powerful tool for medical leaders who seek histiocytoma surgery cost to pursue the triple aim.
I am convinced that there is a high degree of histiocytoma surgery cost alignment between these four conceptual descriptions of how leaders function histiocytoma surgery cost when their goals are defined by the needs of the histiocytoma surgery cost community rather than by raw personal ambition. There is also a high degree of similarity between those histiocytoma surgery cost four concepts of leadership to the characteristics jim collins found histiocytoma surgery cost existed in many successful companies. He described the best of what he found as “level five leadership” in his book, good to great: why some companies make the leap…and others don’t. The principles of servant leadership were first described in 1970 histiocytoma surgery cost by robert greenleaf , a very atypical executive and leader at ATT, in an essay entitled “ the leader as servant.” there is now a robert K. Greenleaf center for servant leadership. Their website describes the concept of servant leadership. I added the bolding to emphasize what speaks to me:
“the servant-leader is servant first… it begins with the natural feeling that one wants to histiocytoma surgery cost serve, to serve first. Then conscious choice brings one to aspire to lead. That person is sharply different from one who is leader histiocytoma surgery cost first, perhaps because of the need to assuage an unusual power histiocytoma surgery cost drive or to acquire material possessions…the leader-first and the servant-first are two extreme types. Between them there are shadings and blends that are part histiocytoma surgery cost of the infinite variety of human nature.
“the difference manifests itself in the care taken by the histiocytoma surgery cost servant-first to make sure that other people’s highest priority needs are being served. The best test, and difficult to administer, is: do those served grow as persons? Do they, while being served, become healthier, wiser, freer, more autonomous, more likely themselves to become servants? And, what is the effect on the least privileged in society? Will they benefit or at least not be further deprived?“
A servant-leader focuses primarily on the growth and well-being of people and the communities to which they belong. While traditional leadership generally involves the accumulation and exercise of histiocytoma surgery cost power by one at the “top of the pyramid,” servant leadership is different. The servant-leader shares power, puts the needs of others first and helps people develop histiocytoma surgery cost and perform as highly as possible.
If you clicked on “the servant as leader” link back a few paragraphs you found a PDF of histiocytoma surgery cost greenleaf’s 1970 essay. Greenleaf begins his essay with the recounting of hermann hesse’s story “A journey to the east.” david brooks references the same story in his discussion of histiocytoma surgery cost community leadership on page 285 in his recent book, the second mountain: the quest for a moral life. Greenleaf writes:
Hermann hesse’s story, T he journey to the east, tells of a band of men, each having his own goal, on a mytical journey to the east. With them is the servant leo, who does their menial chores, sustains them with his spirit and his song, and, by the quality of his presence, lifts them above what they otherwise would be. All goes well until leo disappears. Then the group falls into disarray and the journey is histiocytoma surgery cost finally abandoned. They can not make it without the servant leo. The narrator, one of the party, after some years of wandering finds leo and is taken histiocytoma surgery cost into the order that had sponsored the journey to the histiocytoma surgery cost east. He discovers that leo is the titular leader of the histiocytoma surgery cost order, its guiding spirit, a great and noble leader.
…listening, empathy, healing, awareness, persuasion, conceptualization, foresight, stewardship, commitment to the growth of people, and building community… servant-leadership is an ethical perspective on leadership that identifies key histiocytoma surgery cost moral behaviors that leaders must continuously demonstrate in order to histiocytoma surgery cost make progress on greenleaf’s …”best test.”
All four characteristics of the servant leader model and its histiocytoma surgery cost “best test’ seem reminiscent to me of the ideals and principles of histiocytoma surgery cost lean leadership and to a lesser degree, jim collins’ concept of level five leadership. I was saddened as I thought about most of the histiocytoma surgery cost medical organizations that I have seen in the context of histiocytoma surgery cost the four characteristics, especially # 4, matters of heart, spirit, joy, and community. Could it be that trying to practice medicine in an histiocytoma surgery cost environment that is blind to issues and matters of heart, spirit, joy, and community is a risk factor for professional dissatisfaction and histiocytoma surgery cost burnout?
Think about that question in the context of the pursuit histiocytoma surgery cost of individual goals versus working in a community of purpose. Brooks talks about our cultural disease of “hyper individualism” and the dissatisfaction and disillusionment that paradoxically increases for many histiocytoma surgery cost the higher they climb in their chosen careers. He contrasts hyper individualism with relationalism. I would like to explore that contrast in depth. My objective is to get you thinking about the value histiocytoma surgery cost of practicing as part of a community for community. Over the years I have developed the bias that “community” is an uncomfortable word for many when it is applied histiocytoma surgery cost to a profession or used in the larger sense of histiocytoma surgery cost those who live and work where we live and work. There is more to come.
Prepping can get expensive. Almost all of us need to invest some money in histiocytoma dog removal cost equipment and supplies, and that can take a good…
Today, researchers and health care providers have a better understanding of histiocytoma dog removal cost cancer and post-treatment survivorship. For…
I’m struggling a little bit tonight. It’s only two days, ffs. I don’t want to hear from him but I also do. I kinda wish he’d tried. Which just seems…