28 November 2024

The “Sinatra” option

The otolaryngologist entered my pre-op area. I had recognized him from a distance and had already waved at him. Like my regular doctor, he is very personable and has a great sense of humor. Instantly, we started talking about Thanksgiving plans and all that.

“So, Mr. Roy, you understand why you are here right?”
“Yes, we will take out the growth in my voice mail box.”
“Indeed”

He explained once again the non-surgical choices I had (including laser) and confirmed that I wanted the surgery.
We went over the chances of things going wrong and what might be the worst case scenarios.

“I am committed, Doctor. Let’s go for it.”

“Okay. We will do the Sinatra option then”

“Sinatra option? What is that?” I asked.

“Well, we take the growth out and seal with nearby tissue in a way that if Frank Sinatra had come here, he would be singing back on stage in two weeks’ time”.

“Sinatra option it is, then Doctor”.

—

For my Bengali friends: সেই থেকে আমি হন্যে হয়ে একটা গানের মাস্টার খুঁজছি !!

(For the Bengali challenged: I have been looking for a music teacher ever since)

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28 November 2024

Lessons in Silence on Day 0

1. Dogs care very little about hand signals or sign language
2. After I am thru, my family can take any of your families in a game of Charades.
3. Salad places like Salata are completely out. (this is where you have to pick each ingredient in your salad)
4. Some of my friends are not doing the math before calling me to wish me a speedy recovery
5. I am very scared to go to the airport now. If I see something, what should I do?

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28 November 2024

Silence as an opportunity?

Imagine this… you have to stay completely silent for 2 weeks. This is not like your silent retreat kind of thing. You are home. Free to go around doing your usual stuff at home and office as long you do not use your vocal chords. This is due to a medical surgery – but you are guaranteed full recovery at the end of it. So, you do not have to worry about health complications from this.

Well, this is what I am going thru.

Of course, being silent means I have to slow things down. Also, I have a bit of extra time at hand since I cannot do any strenuous physical exercises – so no running or gym and all that.

Now, my question is – how would you use this as an opportunity? What are some of the ideas you have for me that I can use this to come out with a better version of me?

So far, I have started learning ASL. What else?

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20 November 2024

Book Review: The Unaccountability Machine by Dan Davies

“Why big systems make terrible decisions – and how the world lost its mind”

This is a freshly published book (just came out a few months back) and still not available in the digital version. I had to get my hard copy delivered from Great Britain.

It is a fairly dense and interesting book.

It basically establishes the concept of “accountability sinks”. How post war, certain systems came of being where effective walls were built such that no one could be held accountable. It starts with the story of the airline passenger who got bumped off his seat but cannot talk to any manager because it is not there in their “policies”. By citing something as a “policy”, management can effectively shirk from accountability that is required in exception cases. (Policies are still required for 99.99% of the cases).

It talks of how the financial system has effectively created many accountability sinks which has led it to behave for short term gains till the whole system collapses upon itself – as we have seen in the many financial crises and then the average taxpayer is left with the burden.

It talks about how government and politicians have created accountability sinks – e.g. different agencies, where any economic disaster can be blamed on the Fed (or central banks) whereas people vote their government directly to fix their problems in the economy.

The book shines a particular spotlight on how the Private Equity firms are creating havoc by behaving in a short term way by leveraging debt-laden buyouts. He points to how companies post war went from being a lot more employee and society conscious (they were big then too but short term profit was only one of the motives) to today’s world where shareholder value is the sole motive backed by Friedman’s philosophies.

He also directs a lot of his ire towards economists in general, Friedman in particular, who he says tries endlessly to fit the world into their pre-conceived models rather than the other way round.

He points out how globalization, outsourcing and such constructs completely broke down the information flow and led to further short term behaviors by companies.

Finally, he explains this rise of the investor class has created a deep schism in the society where nobody needs to take accountability for the real challenges of the common person. He points to how this has created a sense of helplessness and anger, how news channels like Fox figured out how to productize that rage and sell it and the eventual rise of populist leaders like Trump or Modi. This, he says is nothing but a cry from that populace for help.

Dan, an ardent student of cybernetics, uses a lot of concepts from the science of cybernetics (which kind of faded away once technology took over) to explain how to think of what is happening in the various systems. I, for one, learnt the contribution of Stafford Beers for the first time. I loved one quote of Beers where he laments that when we discovered fast information processing systems like computers, instead of using that increased information flow to rethink systems (e.g. management structures) that were built in the previous two hundred years, we applied them to do accounting (crunch numbers). He compares this to getting Einstein, Feynman and the likes to a room and see if they can figure out how to count sheep in a field faster than a shepherd can do today – or something like that!

Whether you agree to his views or not, the author will make you think. Again, a fairly deep book and deserving of a second read. But a dense book – especially the concepts of cybernetics needs careful understanding. So, give yourself some time if you pick this book up.

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11 November 2024

Some old numbers from K.L. Saigal

Listening to his songs, I was reading up about his life and learnt a lot. For one thing, I did not know that the epicenter of Hindi movies was Calcutta before it moved to Bombay. Apparently, he sang under the name Saigal Kashmiri (he was born in Jammu) for the first few movies before changing it to his real name – Kundan Lal – but used his initials. He died at the age of 43, a few months before India got its independence. His death was due to his alcoholism, the records indicate.

Interestingly, before becoming a singer-actor, he was a railway timekeeper for some time (did not finish school), then a typewriter salesman and then a hotel manager!

Growing up, we heard quite a few of his Bengali songs. That was a language he picked up much later in his life.

10 November 2024

This book could have been alternately titled “A guide to Hysteresis Curve”

This Saturday, there was not much action in Farmers’ Market. Most of the vegetable folks were missing due to the cold weather. Picked up this book from a coffee stand.

Purportedly this will bring my experiments in coffee and mixology together. Wonder what lack of barista skills added to lack of bartender skills sum up to.

Will try a drink this evening. Would be interesting to see if the alcohol makes me sleepy or the coffee keeps me awake!!

2 November 2024

Saturday music evening… after a really long time

“যেমন করে মেঘ যায় গো উড়ে
যেমন করে সে হাওয়ায় ভাসে
কই, তাহার মতো তুমি আমার স্বপ্নে কভু ভাসো না তো
অলির কথা শুনে বকুল হাসে
কই, তাহার মতো তুমি আমার কথা শুনে হাসো না তো”

Like the way the clouds float by
Like the way they waft into the winds
How come you never shimmer into my dreams
But in the same way?

Like the ways the bees’ humming words
Drive the flowers to endless chortle
How come you never laugh at my own words
But in the same way?

30 October 2024

Why I almost broke into a dance in the doctor’s office

In a streak of single minded determination, I tried going after the unwanted protrusions in my body – all this week. Some poet, in an inspired moment, no doubt has written “Deformities, thy name is Rajib” or something of similar import. After throat, came the wrist.

This thing on my wrist came up around the same time I got into trouble with my throat. And also around the time I started bicycling. Since it was not hurting, I did not care much about it. But when I met my friend Avijit in Australia (who is in the medical industry), he had advised me to see a doctor although his guess was it is entirely benign.

There I was, in front of an orthopedic surgeon. First, I had to get the X rays done. Then the assistant came in. Abbey was her name. Very friendly, young lady who always wanted to be in the medical field. By the time she was done taking all my vitals and writing down the notes, I had figured out her entire life. Or most of it at least.

Presently, the doctor came. Believe it or not, for about 15 minutes we talked about PE firms!! And we had a good debate on “PE industry… is it really a Ponzi scheme?” In his defense, he finally did bring me back to my persistent swelling.

After the consultation, we looked at the options and unlike the throat outgrowth, here we basically decided to just live with it. I did not care about the grotesque look (it is on brand with my image of not caring about my looks) and it does not give me any pain anyways.

The doctor left and Abbey came in. She handed me some paperwork, printouts of my X-rays and a business card in case I changed my mind and wanted to go ahead with the surgery anyways.

“What was the diagnosis, Mr. Roy?”

“This is a cyst”. And an inspired moment, I added in a sing song voice… “Ganglion style” 🙂

(It is a Ganglion cyst but I am sure you get the musical reference).

Both of us laughed out loud!!

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29 October 2024

The fine art of choosing between medical options

“Good news, Mr. Roy. There is no cancer!”
“And, what is the bad news?”, I asked my otolaryngologist, mildly worried
“Well, we still have to go in and take it out”, he said sympathetically.

I kept on staring at the small outgrowth in my voice box showing up brilliantly in the big monitor. A few minutes back, I had to go thru the uncomfortable procedure of cameras going down my nose and diving deep in the voice box and then video recording all the muscle movements as Joey (doctor’s assistant) instructed me to make all sorts of weird noises.

All this came about when I reported to my general physician about breathing shortness while talking. I thought he would take me thru all sorts of lung and heart tests to look at abnormalities. Instead, he asked a few questions and did the initial diagnosis. The logic of which was pure and I was struck by how quickly he narrowed it down.

“Are you still running?” he had asked.
“Yes. Although miles have gone down and so has speed. Also, I have started biking.”
“Good. Good. Good. Are you feeling any shortness of breath while running or biking – more than what it used to be a year back?”

It suddenly occurred to me. I have had no discomfort doing any exercise. Only when talking – especially in the morning, on Zoom calls or phone calls.

“Actually no.” I said, a bit perplexed myself.

He was clear in his mind though. “Well, there you go. Your lungs and heart are fine. There seems to be a problem in the voice box and you are having to take more effort to push the air thru. I would ask you to immediately see my friend Dr. Law”.

And there I was as Dr. Law, laid down the law for me on a surgery.

I was too busy staring at the video and in complete awe of how the whole thing works. I guess I had asked one too many question. The doctor asked his assistant to instruct the scheduler to give him ten minutes. She stepped out. He took off his gloves and manipulating the video frame by frame, patiently explained to me the different muscles that come together to make noise. He showed me how my flaps were closing asymmetrically compared to another video he had. And all this because of the outgrowth. I could have sat there for another hour and learnt how the whole laryngitis area works.

But I was struck with another question.

“Without biopsy, how did you know it is not cancer?” I asked getting a bit worried that I was taking too much of his valuable time.

I guess doctors do live by the maxim “Treat the patient, not the disease.” Because he doubled down on showing me pictures of what a cancer in that area would look like. The surface dryness, the shape of the outgrowth and all that.

“You match none of the three mandatory symptoms. I will return my degree if proven wrong.”

Somewhat assured by his confidence, I returned to our question in hand…

“So, what are our options?”

“Well, Option 1 is surgery. We will go thru your mouth and take it out. 100% chance of recovery.”

“What are the risks?”

“Negligible. No more and no less than other options.”

“Can it come back after the surgery?”

“Very rare. We might see one case in three to four years. Usually always benign.”

“Post surgery, will there be any restrictions – like eating and all that?”

I suddenly remembered that Dr. Vine in Dallas had told me I had to stop drinking wine for the medicine (Methotrexate) that he was going to put me on to combat the onset of psoriatic arthritis. I landed up getting him to refer me to another doctor who would do a deal with me – half a glass of wine every evening, half the dose of medicine, twice the time of recovery and every Monday drawing of blood to keep a watch on the liver.

“Well, we do not want any scars in that area immediately after surgery. So, you cannot talk for 5 days.”

“Come again?”

“No talking for 5 days. Absolute silence.”

“Well, Option 2 it is then, doctor!” I declared without even hearing what that option was!!! So much for my intellectual curiosity.

This had nothing to do with learning. I was in no mood to make Sharmila THAT happy.

Or my office friends, for that matter!!!

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26 October 2024

Book Review: Obliquity by John Kay

This is one of those books that totally gets me. I cannot possibly overemphasize the importance of reading this book if you are a leader of any kind – business, community, politics or even of your own household. The book, at least for me, articulates eloquently the struggle I have had with simplistic solutions I hear in business world on how to solve problems – “right talent” often being suggested as the panacea. This book – along with a cursory reading of a book like The Drunkards Walk should give a sobering thought to anybody who wants to be a leader.

By the way, I got to know about this book while listening to a Ted Talk by Rory Sutherland. Another guy with some great concepts

I am quoting a few paragraphs together from the book as is but there is simply no substitute to reading the book. And if you do read the book, call me. Would love to discuss your thoughts.

Excerpts:

The success of the physical sciences has encouraged us to believe there might be a science of decision making. All kinds of problems in our business and our financial lives, in the political and personal spheres, could then be managed objectively. Such a scientific procedure would, if done carefully enough, lead every conscientious person to the same answer. As a result, both political and personal disputes could be resolved by applying evidence and rational discourse. The distinction of the great business leader, the measure of financial acumen, would rest only in the ability to arrive at the right answer faster than other people.

There is no such science, and there never will be. Our objectives are typically imprecise and multifaceted; they change as we work toward them, as they should. Our decisions depend on the responses of others and on what we anticipate those responses will be. The world is complex and imperfectly understood, and it always will be.

We do not solve problems in the way the concept of decision science implies, because we can’t. The achievement of the great statesman is not to reach the best decision fastest but to mediate effectively among competing views and values. The achievement of the successful business leader is not to foresee the future accurately but to continuously match the capabilities of the firm to the changing market. The test of financial acumen, as described by Buffett and Soros, is to navigate successfully through irresolvable uncertainties.

Mostly, we solve problems obliquely. Our approaches are iterative and adaptive. We make our choices from a limited range of options. Our knowledge of the relevant information, and of what information is relevant, is imperfect. Different people will form different judgments in the same situation, not just because they have different objectives but because they observe different options, select different information and assess that information differently; and even with hindsight it will often not be possible to say who was right and who was wrong. In a necessarily uncertain world, a good decision doesn’t necessarily lead to a good outcome, and a good outcome doesn’t necessarily imply a good decision or a capable decision maker. The notion of a best solution may itself be misconceived. The skill of problem solving frequently lies in the interpretation and reinterpretation of high-level objectives.

There is nothing wrong with using trust as a basis for decision. Finding people you can trust, or establishing trusting relationships with them, is the most effective—often the only effective—means of achieving the delegation that is necessary to accomplish objectives and goals in large organizations. Successful decentralization relies on the transmission of high-level objectives, not just intermediate goals and basic actions, to the agents who will implement them. This is a world apart from principal-agent models that treat social organizations as mechanical systems in which agents respond to the stimuli that incentive structures impose.

Obliquity is the best approach whenever complex systems evolve in an uncertain environment and whenever the effect of our actions depends on the ways in which others respond to them. There is a role for carrots and sticks, but to rely on carrots and sticks alone is effective only when we employ donkeys and we are sure exactly what we want the donkeys to do. Directness is only appropriate when the environment is stable, objectives are one-dimensional and transparent and it is possible to determine when and whether goals have been achieved. The world of politics and business today is afflicted by many hedgehogs, men and women who mistakenly believe the world is like that.