Books

January 09, 2007

An Angel Blowin' By

My service at the Louis Armstrong International Airport in New Orleans in the first days and weeks following Hurricane Katrina are the highlight of my career both a disaster responder and a medical professional. Surprisingly, it is not the fact that I reorganized triage along Integrated Triage guidelines, nor the lives saved in the critical care tent, but the life that reached out and touched me that is my most cherished and humbling memory.

It was the third day of operations in the airport. The flight line was still unbelievably busy with 80 to 90 evacuees arriving every 10 minutes. Thanks to the triage process, those requiring medical care were quickly separated from the fortunate majority who only needed transportation to a safer city.

One of those not so fortunate was “Mattie.” “Mattie” was 90 years old, or better, 90 years young. She had been rescued from the attic of her home in the flooded Ninth Ward. “Mattie” had not been able to evacuate despite the fact that she was in excellent health. Prior to the storm she cared for the home where she had raised her children and grandchildren. This spunky dynamo even cut her lawn with a push mower.

“Mattie” had seen the storm devastate her neighborhood and her home. Just when she thought the worst had past, the levee gave way and her home quickly flooded past the safety of the second floor. “Mattie” sought refuge in her attic where she waited for help for three days.

When the Coast Guard rescue swimmer repelled onto her roof with a chain saw and cut a hole, “Mattie” scrambled into the light and the waiting arms of her winged angel. “Matte” arrived at the airport dehydrated and looking terribly ill. Despite this, she had a glowing smile that grew larger as the intravenous fluids and Gatorade began to take effect. Soon “Mattie” was sitting up on her litter and thanking us for coming to help her city.

“Doc, would you pray with me?”

“Mattie’s” request left me a little uncomfortable. I am a devote Catholic, but I am not disposed to public displays of devotion. “Mattie’s” smile was however irresistible.

“Of course I will ‘Mattie’!”

“Mattie” began: “Dear Lord, please bless Dr. Ramirez…”

I was shocked and embarrassed. Here was someone who had lost her home, her community and for all she knew her family yet she was praying for me! Most people would be cursing God for their misfortune. Even those whose faith was strong would pray for their own needs. Here was this incredible woman praying for me.

“Mattie” continued: “… and the heroic men and women who have come here to help us in our hour of need. Surely they are here doing your will. They are your angels here on Earth. Amen”

“Angels” I had never been thought of as an “angel.” I knew I was far from an “angel.” I found myself staring at the floor in shame. I had come here to fulfill my need to serve, to be a part of something important for me as much as for those I served. Now this woman reminded me that my purpose for being was far greater.

“Mattie” soon felt strong enough to stand and walk. Soon she left us to travel to a safer city, but before she left she changed my life. My memory of Katrina is of an angel who visited me in those dark days. An angel I call “Mattie.”

(excepted from my book, Blowin’ Through the Big Easy: Memories of Katrina)

January 08, 2007

Don’t Let Your Business Become a Wounded Dog

In business, as in life, adversity is a recurrent and inescapable event.  The cliché:

“Into every life a little rain must fall”

is true no matter one’s education or level of success.  The key difference between the businesses that close never to reopen again and those that thrive through their adversity is resilience.

Everyone knows that there is nothing more dangerous than a wounded animal.  An injured animal seeks to protect itself by striking out against all who approach.  However dogs are unique in that they will invariably find one person with whom to bond.  This difference is inexplicable, but predictable.  They may not even choose their owner or master.  Nonetheless wounded dogs will drag themselves to the feet of their chosen protector, nuzzling and begging for help.  These wounded dogs know that they are no longer capable of caring for themselves and that one more adversity befalls them and they will die. 

Businesses become wounded dogs when they fail to ensure that an adversity does not evolve into a disaster.  In two decades of disaster field work and consulting to companies large and small I have seen and helped more than my share of wounded dogs.  In all cases it did not matter whether the adversity came from outside the company such as a hurricane, earthquake or terrorist attack or if the adversity came from within; poor product design, marketing mishaps, financial missteps, or employee sabotage.  The result is always the same.  Some critical business pathway collapses resulting in a business disaster. 

Observers both inside and outside the wounded business say that the disaster was “inevitable.”  In the disaster field office, we know that no disaster is “inevitable.”  Disaster is a simple equation no more different than profit and loss. 

Disaster = Needs > Resources. 

The most basic analogy is the financial disaster of “want” exceeding “wallet,” but this same equation holds true in all other critical areas of business. Conversely, resilience, the ability to cope with adversity and stave off disaster, is also represented by the simple equation: 

Resilience = Resources > Needs. 

Again the analogy is the financial resilience of “wallet” exceeding “wants.” 

Now if this were the end of the story, one short speech, one short consultation, one small article in the Wall Street Journal and I could end all business disasters.  The trick here is being able to identify what resources to have in abundance since nobody can have resources for all contingencies.  Resource identification is based not on determining every possible adversity that can face a business.  This is an incalculably high number and bounded only by the imagination not only of those that run the business but all of those who may wish it ill. 

Rather, resource determination is based on an evaluation of the processes and pathways unique to each business.  It requires the identification of “choke points,” those critical pathways that, if narrowed or destroyed, will choke off the life of the business.  It is these critical steps for which resources are amassed. The goal is to ensure that no choke point becomes so narrow as to strangle the life of the business.  This ensures resilience.

Some have adapted well through the application of the lessons I learned in the disaster field office.  Others have failed to learn these lessons resulting in business disaster. In a few cases, the businesses stumbled upon their resilience.  In others they were guided to it.  But in all cases it was the identification of choke points and the allocation of resources that ensured that a business remained in business and did not become a wounded dog.

December 26, 2006

Drinking Deeply of Resilience

On this second anniversary of the Indonesian Tsunami, the principles of resilience have a poignant significance. While those rebuilding lives and countries commemorated the event with religious services, memorials, events of state and moments of silence, I spent this day with a small group of medical students. These members of the Student Osteopathic Medical Association (SOMA) came to Central Florida to donate their time and holiday vacation to help severely disabled children and their families.

Medical school is a grueling experience. These students receive little or no time off during the four years while spending 50 to 60 hours per week in class and clinic. Without any conscious realization, these medical students found a way to rebuild their own resilience.

The greatest statement of resilience that I have heard in my years of nutrition counseling, medicine, or disaster for response and recovery are drawn from the daily prayer of Alcoholics Anonymous:

“Lord, grant me the strength to change the things I can change;
(physical resilience)

“The serenity to accept the things I cannot change;
(relationship resilience and emotional resilience)

“And, the wisdom to know the difference.” 
(spiritual resilience)

This simple prayer, or wise saying if you prefer, is not only itself a source of spiritual resilience, but the embodiment of the four canteens. 

Once we have filled our four canteens of resilience:  Physical, relationship, emotional and spiritual we are ready to deal with life’s adversities, but it is how we draw from our canteens of resilience that determine whether we will suffer a disaster (our needs will exceed our resources) or that we will actually remain resilient (our resources will exceed our needs). 

Although I have heard this prayer many times during my over quarter century of dealing with clients, patients and corporations, it was never brought home better than as I watched my own daughter go through her personal recovery.

Tiffany had been hospitalized with her own health challenge and at a time when I was deployed to a disaster scene.  Ordinarily I would have been released to go back home, however just the day before my daughter was hospitalized, the only other physician on the team had been called back also for an emergency and his was more grave than mine.

So, for the first time in her life, Tiffany had to face a challenge without daddy by her side.  Laura was there, as well as her older sister, Victoria and her brothers, Nicholas and Christopher.  My mother, Jean, was also steadfast at Tiffany’s side, but with all of this support and even if I had been there, Tiffany had to walk her road with only our emotional support.

Certainly the relationship resilience we provided, as well as the emotional resilience helped Tiffany’s resources, helped pace her needs at every moment.  Tiffany had been the only girl on an all boys’ football team in high school and was in excellent physical shape which provided her the physical resilience to bounce back from her hospitalization.

While Tiffany was well rooted in the spiritual and religious beliefs of her upbringing, they had never been personally tested for her.  Once more, being in her late teens and being like all other teenagers she had begun to question and challenge her own beliefs, internalizing was hers rather than a mirror reflection of what her parents had taught her.

It was during this period of challenging her own beliefs that she would be forced by necessity and by survival to believe, to state to herself that she believed even if she was not certain anymore and from that, draw her spiritual resilience.

I say with no modesty and with the greatest of pride that Tiffany is the embodiment of the four canteens of resilience.  She displayed physical resilience in the face of a life adversity.  She drew emotional, her relationship and emotional resilience from her family and friends. In the turmoil of early adulthood she found the inner peace and the well spring of strength that comes from believing that comes from the act of believing, from a full spiritual life that leads to spiritual resilience.

In the end, resilience is just that easy.  It is resilience that prevents an adverse event from becoming a disaster because it is through resilience that our resources always exceed our needs.

Your 40,000 gallon bathtub provides you the resilience to deal with any adversity that life or business may send your way.

(Excerpted from my lecture series and book Avoiding Business Disasters: Lessons from the Disaster Field Office)

December 25, 2006

Filling the Canteen of Spiritual Resilience

Of all of our sources of resilience, spiritual resilience, it is the only one that is self replenishing.  It is proven that the very act in believing adds to our resilience.  Like emotional resilience spiritual resilience grows when shared.  But unlike all other canteens of resilience it is spiritual resilience that refills itself.  Since we know that it does not matter in what we believe, but that we believe in some form of high order, high wisdom, or higher power a “God” or guiding force in life.  It makes sense that acting on our beliefs would add to our resilience.

It was spiritual resilience that sustained me during the multiple field response deployments of 2005. Hurricane Katrina was an absolute catastrophe in both humanitarian and a physical nature.  What the hurricane had not directly destroyed the levee breaches soon did.  Lawlessness and anarchy brought a few to the basis of human emotion and behavior.  But the tragedy also brought out the best in many people.  Like 9/11 before it Hurricane Katrina’s “ground zero” was dotted with signs that seem to reproduce like mushrooms each one declaring “God bless New Orleans” or we have faith, we will be saved.

These people not only publicized their beliefs (and their spiritual resilience), but they lived it.  These individuals shared not only their stories with us as we treated their physical ailments, they  told us that they would pray for us or that we were the answers to their prayers.  It is not unusual to receive perfunctory thank you’s in healthcare, but to be asked to pray with a group of survivors and then be the object of their prayerful thanks is both humbling and rejuvenating.

And for these wonderful survivors it was the act of expressing their spirituality that renewed them. Remember this is New Orleans, we are not just talking Christianity, Islam, Judaism, but Santorista and Voodoo.  Every form of religious expression both familiar and exotic and yet they all served a common end: they bound a people together and renewed them. The found the way to refill their own 40,000 gallon bathtub by pouring from their canteen of spiritual resilience.

(Excerpted from my lecture series and book Avoiding Business Disasters: Lessons from the Disaster Field Office)

Merry Christmas!

December 24, 2006

Filling the Canteen of Emotional Resilience

Emotional resilience is the product of our own experiences.  The unique thing about emotional resilience is that unlike physical resilience are experiences need not be the same as the adversity that we now face.

In the training environment this type of "cross over" is exploited to help create emotional resilience in a number of professions.  Airline pilots, the military, sales people, law enforcement officers and most recently healthcare professionals employ Immersion Simulation Environments to introduce controlled, simulated stress in a way that allows these professionals to develop emotional resilience.

The Internet abounds with software programs and even video games that allow a business person to "practice" their financial forecasting skills in their business management.  Computer games and board games even provide an opportunity for emotional growth and the development of life skills.

But there is no "Flight Simulator" for life... or is there?

The "Flight Simulator" for life adversity and business adversity however is experience.  The confidence that comes from encountering and overcoming the ebb and flow of daily life gently fills our canteen of emotional resilience.  It is in the dealing with the burnt dinner, the flat tire, the person in the ten item checkout line with 12 items, and the crying babies in the theater they give us the opportunity to build our emotional resilience.

Whether or not we in fact use these "life lessons" to fill or drain our canteen is entirely our choice.  We all know individuals who spend their lives complaining.  Every little set back is a major problem, every challenge an insurmountable object.  Some of these individuals when faced with a truly tragic adverse life event "rise to the occasion."  Everyone one around them is amazed that this individual is "managing so well."  Unfortunately this is the rare outcome of failing to build emotional resilience from everyday life.  In reality these individuals when studied (and they have been) are really drawing their resilience from the other three canteens and in fact most often from their spiritual canteen.  When studied objectively it is often discovered that these individuals are emotionally overwrought or emotionally numbed.  Their emotional canteen is bone dry and they are compensating from their other canteens.

On the other hand we all know people for whom life's little tragedies are nothing more than minor tribulations.  These individuals are lights in the lives of their friends and colleagues.  They are safe harbors when the emotional waters become stirred.  They are often described with phrases such as "unflappable" or "steadfast", or "strong."

With these individuals the trials of everyday life reassure them of their own strength and fill their emotional canteen.

It is not just our challenges that fill our canteen.  While our relationships fill our relationship canteen the emotions that are relationships create within us fill our emotional canteen.  That is right, we get a two for one return on our investment.  Even better, our emotional canteen is filled by the casual relationships we have at work.  While is true that some of these work relationships fill our relationship canteen by being friendships as well, the encouraging pat on the back from a boss, the applause or accolades of colleagues and even the camaraderie at the water cooler provides a sense of belonging and inclusion that quickly fills our emotional canteen to overflowing.

Our emotional canteen is also one of two that we can share with others.  During times of adversary we can actually help fill another person's emotional canteen by sharing the life experiences and the feelings that surround those experiences with that other person.

The beauty of this ability to share emotional resilience is that it does not take even one drop from own canteen.  In an almost miraculous fashion the sharing of the contents of emotional canteen allows us to pour almost perpetually into the canteens of others and yet retain a full canteen for ourselves.  It is not until we begin to sip or gulp from our own emotional reserve that we, ourselves, need to seek replenishment. Live richly, love honestly and fill the canteen of emotional resilience.

(Excerpted from my lecture series and book Avoiding Business Disasters: Lessons from the Disaster Field Office)

December 23, 2006

Filling the Canteen of Relationship Resilience

Keeping the relationship canteen full is more than just accumulating friends and acquaintances.  The relationship canteen is filled by the richness of those relationships and the connectedness created through the friendships and family.

It is said that a person with friends is never truly alone and when your resilience is tested a full relationship canteen is proof of that statement.

In my life I am fortunate to be blessed with a wonderful marriage.  My wife, Laura, is intelligent, caring, compassionate, supportive and beautiful.  She is a fantastic mother and my best friend. Laura is absolutely supportive of me in everything that I do.  No only my disaster response work but my every day life, my beliefs (even when she disagrees with them), my dreams, my goals, and even my desires. Laura and I share a relationship that is special and in modern society increasingly rare.

Because I strive for physical preparedness both in body and in resources we maintain family preparedness in the same realms.  We have a family plan in the event of an emergency and each of my children, as well as Laura, are well versed in every aspect of that plan.  I know that I can count on Laura to keep the family safe no matter where I may go, what kind of disaster I respond to, what may befall them in my absence, or even in the event that I should never be able to return home.

When I must call upon my resilience, I have a full relationship canteen.  Not only does my marital relationship contribute to this reserve, to this relationship resilience, but I have similar relationships with each of my four children and with my mother.  What is more, even though my father is now deceased,my relationship with him remains a source of relationship resilience.  I know that he is proud of me in the work that I do.

This limitless source of renewing strength ensures that I am able to endure and ultimately overcome any challenge ahead of me.

But again relationships are a two edged sword when it comes to resilience.

Several years ago my younger daughter Tiffany suffered challenges of her own and I was away to assist in response and recovery for a declared national disaster. As a result of Tiffany's hospitalization my resilience was seriously compromised. 

I was conflicted. 

I was physically strong and physically prepared.  I had all of the equipment and resources I needed to perform my disaster response duties.  But the challenges facing somebody who I cared about caused my relationship resilience to suffer significantly.  Rather than being a source of strength my need and desire to be home caring for my daughter sapped my strength.  I was no longer sipping from my canteen of resilience.  I was gulping deeply.  My 40,000-gallon bathtub had sprung a leak. 

The fact that I could do nothing even if I were at her side did not make a difference in how badly her needs affected my resilience.  The fact that I would not even be allowed to be at her side in the first week of her hospitalization did not change the impact of her needs on my resilience.

Relationships are a two-edged sword for resilience but this does not mean that we should limit our relationships based on their potential impact.  Quite to the contrary it means that we should expand our relationships. Make them as deep and rich as possible and share in providing for the resilience of those of whom we care most deeply. Are you growing relationships that fill your Canteen of Relationship Resilience?·

(Excerpted from my lecture series and book Avoiding Business Disasters: Lessons from the Disaster Field Office)

December 22, 2006

Filling the Canteen of Physical Resilience

Imagine being 50 pounds overweight, woefully out of shape, and recently discharged from intensive care after suffering an infection that devastated your liver and kidneys.  You've regained your physical health through the skill of your doctors and nurses, but you can barely walk across the room.  You are beyond couch potato... you're Jabba the Hut! 

This was my exact situation after a simple case of salmonella food poisoning resulted in severe dehydration and hepatorenal failure.  In essence, my liver and kidneys had all but shut down and my body spent two weeks using not fat, but muscle as it's primary fuel source.  While I had lost 15 pounds, but I had not lost more than a pound or two of my excess 50 pounds of fat. 

I had been a competitive swimmer in my youth as well as a competitive martial artist while in medical school. I had intended to begin exercising after the first of the year. The holidays had not yet passed, but it was clear that I had to do something to regain even the barest minimum of physical strength and stamina. 

Imagine jumping into your 40,000 gallon bathtub in December, literally.  Even in Florida, even in a heated pool, it is a shock.  Fortunately fat floats, so my risk of drowning was low.  The first few strokes were incredibly painful.  Not only had I not exercised at all during my extended illness, but these were muscles I hadn't used to any great extent in decades.  By the time I had swum the 200 yards it took me to warm up I was physically exhausted and panting like a greyhound after a race.  By 400 yards my now warm limbs were screaming and my face was hot and flushed.  I could almost feel steam rising from my body even while I was in the water.  By 500 yards I called it quits for the day. 

Not much of a story on physical resilience except that the next day I got back in the water and again the day after that and the day after that.  By February I was swimming two miles three times a week.  I had lost 35 pounds of weight and an estimated 45 pounds of fat.  My muscle mass was up and at the end of two miles I was not breathing any harder than when I entered the water.  My kidney and liver function were back to normal and I was in the best shape that I had been in since medical school.

Physical resilience is about dedication to repeated practice, to education, to creating resources needed for any event or situation. Physical resilience is the development of perseverance through perseverance.

Physical resilience is also the easiest resilience to develop.  In terrorism and disaster training it is simply the accumulation of knowledge and materials.  Five days of training, a 72-hour survival pack and four pocket handbooks shrink wrapped into a waterproof brick are sufficient to turn any healthcare provider into a proficient disaster response professional.  It is not the knowledge or the "brick of books" but the Four Canteens of Resilience that are key. What will you do to fill your canteen of Physical Resilience?

(Excerpted from my lecture series and book Avoiding Business Disasters: Lessons from the Disaster Field Office)

December 21, 2006

The Four Canteens of Resilience

What exactly, what is "resilience" and how do you build a 40,000 gallon bathtub in your soul?

If resilience is when your resources exceed your needs, then the key to resilience is to always have more resources than you need.  In life, these resources fall into four broad categories.  The first is simple physical resources:  food and water, shelter and, yes, money.  The second is relationships, friends and family; those people who count on us and those people on whom we can count for support. The third is emotional.  Although this may seem the same as relationships, it is far different.  This is the "inner strength," that reserve that we each possess that allows us to go on when we are alone, when we cannot tap into our relationships directly, when that lifeline is just not available. The fourth is spiritual resilience.  Contrary to what many believe, both scientific and theological research has proven that it is not the "what" of your belief, but the fact that you believewhich provides spiritual resilience. In short, it is the simple act of believing that provides you a renewing source of spiritual strength.

If our total resilience is a 40,000 gallon bathtub, then each of these four categories of resilience is a canteen.  They are our portable water supply carried with us at every moment. 

Ideally, when adversity strikes, it finds us with four full canteens. 

Through planning, we have all of the physical resources that we need to respond to any physical threat to our safety or security.  This includes knowledge as well as tangible objects and financial support.

Through our presence with family an friends, our relationship canteen is filled with  those we love; people who will lend a helping hand or shoulder on which to cry.   

Through our lifes experiences, our emotional canteen is filled with the high self esteem born of happy memories.  A child's first steps, a parent's encouraging words, the camaraderie of friends, the gentle "I love you" of that person most dear to us. 

Through our beliefs, our spiritual canteen is filled with the philosophy of the ages.  The beliefs that were passed on to us and those that we choose to pass on to those who will come after us.

When an adversity strikes, we will sip or even gulp from each of these canteens.  If we have prepared well, our 40,000 gallon bathtub is full. At the endof each day, at a moment of repose, we refill each of these canteens from that 40,000 gallon reserve. We are resilient.

(Excerpted from my lecture series and book, Avoiding Business Disasters: Lessons from the Disaster Field Office)

December 20, 2006

40,000 Gallons of Resilience

Living in Florida, I am used to the spring and summertime ritual of hurricane preparedness. Long before I became an expert in the field of disaster planning, preparation, education, response and recovery, I was expert in my own familys hurricane preparation.

In Florida, we all know the drill. Plywood for your windows, three days of food per personand fill your bathtub with water. Being an overachiever all of my life, I of course have a pantry full of food (okay, so I shop at Costco), I share a commercial generator with my mother who lives next door and I even have a 40,000-gallon bathtub. In Florida we call it a swimming pool.

My 40,000-gallon bathtub is a beautiful thing. It is a gathering place for the family, our own little oasis in the southern heat. It is chlorinated so it stores well and when we have to use it as our emergency water reserve we even have a small filtration and de-chlorination device that keeps the water safe to drink. But all of this physical preparation is just one small aspect of resilience and resilience is how we all get through lifes little and not so little disasters.

Now before we can really discuss resilience we have to understand a few simple definitions. First what is a disaster? A disaster is when your needs exceed your resources. During the holiday shopping season we all run into our own little mini-disasters, it is not uncommon for our wants to exceed our wallets.

Resilience is the opposite of a disaster. Resilience is when your resources exceed your needs. When we are out shopping for the holidays and the cash is low we all have the same call of resilience, Charge it!

But even this leaves the majority of resilience unaccounted for. Resilience is far more than physical or even financial resource management. Measuring our own resilience means answering the question, "How big is the bathtub in your soul?"

(Excerpted from my lecture series and book, Avoiding Business Disasters: Lessons from the Disaster Field Office)

December 19, 2006

Expand Your Business Horizons with Pattern Recognition

I regularly tell audiences that the practice of medicine is the practice of Pattern Recognition. The old adage, "The Eye Sees What the Mind Conceives" is all to true inthe ER and in the Disaster Arena. If you want to see new opportunities for your business and increase your decision-making speed and accuracy, begin by looking outside your own business—even outside your industry—at trends and patterns that you can apply to your own organization. Ask yourself, “How do others do what they do?” The fact is that you can learn from observing others companies’ patterns of how to change, and in turn solve problems, make decisions, and grow your business faster than ever before.

A failure to recognize an impending problematic pattern can be just as devastating to a Mom & Pop business as it is to a hospital or NASA or to a CEO’s career. Enron had a pattern of corporate corruption and failure of personal responsibility. MCI had a pattern of bad investment and then later fraud to cover those bad investments. All of these things were patterns which we can look back on in retrospect, as the books are open for everybody, and from outside industries we can say, “It was obvious this was happening.” And yet the people inside the industry, the “experts,” were looking at the same patterns and could not see them. They lacked perspective from the outside, just as we, in our own industries, can fail to have the perspective on ourselves that others may have of us. So how can you improve your pattern recognition skills to enhance your business? Consider the following:

Look beyond your own niche. You must be able to pull back your blinders to recognize those patterns that tell you something has changed or is about to change. Within your own company, you may have great pattern recognition and the ability to anticipate what’s going to come next, but if you can’t see outside your company’s bubble, you may be left in the same situation that IBM was in 1978. They only looked at their own company’s patterns and did not see the coming of the personal computer. Over at Apple, though, Steve Jobs identified patterns beyond the horizon, hired Bill Gates, and started a new company…and a revolution.

If other industries ultimately serve a similar purpose to yours, then even if they seem radically different than yours, their operating patterns may still be applicable. For example, health care has in recent years begun adopting the safety models used in the airline industry. Like doctors and nurses, pilots and air traffic controllers are among the few in their industry who have ultimate responsibility for a large number of lives. Many more support people are responsible for making certain that the pilots are able to do their jobs safely and effectively: the mechanics, the flight attendants, and the gate agents.

When the medical industry identified that it had a problem with safety (too many unfortunate situations were overlapping and people were dying as a result), they looked outside their own industry, to those where the stakes are very high and where a single error, if not caught, could result in not one death but 500. They learned that in the airline industry, everyone—from the lowliest mechanic or carpet sweeper, all the way up to the captain—has the authority to say, “Stop that plane!” if they have reason to believe a safety issue has arisen. Importing this and other patterns gleaned from the airline industry will be a long process for the medical industry but one that will ultimately lead to greater safety and efficiency.

Trust patterns, not data. If you’ve been wearing blinders for awhile, you may find it difficult to trust your instincts, even when you have identified patterns within your own business and beyond. Your natural tendency will be to look for data that will back up the pattern you’re seeing. If you do this, though, and the data doesn’t support the trend, that doesn’t mean you were wrong in your initial identification of the pattern. Data simply can’t predict the future; it can’t tell you where your business is headed, only reinforce what you already know about your business’ past. Data can tell you that profits are down or have leveled off, but only pattern recognition can give you a new perspective on your business and help you decide what to do to reverse trends and solve problems.

Use your eyes, then analyze. Albert Einstein said that the ultimate insanity is to continue to do what you’re doing and expect a different result. Perhaps you’ve identified a pattern that you want to adopt, but you don’t want to make significant changes just to make changes, nor do you want to take action with only guesswork to back you up.

First, you must have the ability to recognize what’s wrong. When you look at your business’ financial picture, for example, what do you see? If it’s not what you expect, what do you do? Supplement this analysis with the extra patterns you’ve added to your repertoire in your exploration of other businesses and industries. The perspective you gain from having these extra patterns to reference will give you a twofold gain:
1) With enough patterns, you’ll be able to see that the financial picture isn’t right, and
2) you’ll have a sense of what changes you can implement to make the situation better by borrowing patterns from other industries and adapting them to your situation.

Mimic, then make them your own. When NASA experienced the space shuttle accidents, the first thing executives did was to look back at where patterns failed. They discovered that a culture of silence had evolved at NASA. So they went outside of their industry and got experts in communications and team-building to teach them new patterns that enabled them not just to team-build, but also to teach them new patterns they could mimic. The experts enabled NASA to learn what the pattern looks like when a team is beginning to fail and to emulate new, more effective problem-solving patterns. Now they can recognize when the teams begin to fail and communication lines are crossed so the opportunity for absolute disaster is less likely to occur.

When you’re making an adopted pattern your own, don’t make a deliberate effort to change it around or adapt it to your business. You’ll find that if you fully internalize a pattern, as it becomes a part of your behavior and thought process, then your brain will automatically take any aspects of the pattern that are not particularly useful to you and set them aside, so that the pattern, though adopted from elsewhere, works for you. At that point, the pattern truly becomes yours; you have broadened your perspective and added additional facets or directions from which you can see still new vantage points.

Passing the patterns down. While your company’s culture will determine whether one leader learns this process or a group does, a group is ideal. You want any shift in paradigm for the organization to be a unified shift. Therefore, all of your core decision makers should learn new patterns simultaneously so as not to create the appearance to those below them that the senior executives are all headed off willy-nilly in some new, weird direction. So, as you develop a culture of mimicry in your organization, the rank and file will learn new patterns by simply mimicking the behaviors of those who lead.

Pattern Recognition + Positive Actions = Excellent Results
When you’ve built up your storehouse of borrowed patterns and perfected the processes of mimicry and internalization, you’ll see a myriad positive results occur. Among other things, you’ll learn that you are able to discern when something is not only different, but good-different—a positive shift that benefits your business. When that happens, resist any temptation to mess with it and instead ride it out. Likewise, should you identify a negative pattern approaching, you can take proactive steps to head it off at the pass. Either way, your business will benefit from your new pattern recognition skill, and your company’s bottom line will soar.

(Excerpted from my lecture series and book, Avoiding Business Disasters: Lessons from the Disaster Field Office)

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