The Quality of Your Work Will Catch Up to Your Ambition

Thank you for reading the High-Grade Newsletter!

Back in my gold mining days, the most high-yielding ore was termed, “high-grade”. We divided it out, kept it separated from the rest, and just processing a few hours of the high-grade ore would produce more gold than months and months of processing the low-grade material.

 

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Quotes

“A soft, easy life is not worth living, if it impairs the fibre of brain and heart and muscle. We must dare to be great; and we must realize that greatness is the fruit of toil and sacrifice and high courage… For us is the life of action, of strenuous performance of duty; let us live in the harness, striving mightily; let us rather run the risk of wearing out than rusting out.” -Theodore Roosevelt

What I’m Listening To

Link. Excellent book about a really interesting guy, Charlie Munger. “Born in Omaha, Nebraska in 1924 Charlie Munger studied mathematics at the University of Michigan, trained as a meteorologist at Cal Tech Pasadena while in the Army, and graduated magna cum laude from Harvard Law School without ever earning an undergraduate degree. Today, Munger is one of America’s most successful investors, the Vice Chairman of Berkshire Hathaway, and Warren Buffett’s business partner for almost forty years. Buffett says “Berkshire has been built to Charlie’s blueprint.”

What I’m Reading

Link. Company of One by Paul Jarvis. Summary: Start small, prioritize profitability, share knowledge, grow through customer retention, don’t forget fundamentals.

Link. Ultimate guide to writing well by David Perell

Link. Investment advice from Berkshire Hathaway that makes alot of sense, but isn’t common sense: Invest in what you know, Never compromise on business quality, plan to hold stock forever, diversification can be dangerous, most news is noise, there is no easy button, know the difference between price and value, the best moves are usually boring, low-cost index funds are sensible for most investors, only listen to those you know and trust.

Link. Great advice: The quality of your work will catch up to your ambition, find ways to fall into intellectual rabbit holes, take mental breaks, chase what you don’t know, be interesting, not perfect, competence is the antidote to fear, your choices belong only to you, love is not an emotion it’s a skill, life is about good people and good stories, no matter what bet on yourself, get proximate to suffering.

Link. Stop undermining your Leadership article: Stop using your phone during meetings/ talking to people, manage your “CC” email list wisely, stop micromanaging use the 80/20 rule focus on the 20% of your actions that will account for 80% of the results, return your peoples’ messages, its the little things that will make an impact with your team.

Link. 11 Reasons not to become famous by Tim Ferriss. Very interesting perspective.

Link. Interesting thread on scaling a service company and lessons learned.

Link. Amazing list of resources on business, tech, philosophy, science, history, and more. Two the stood out so far were Basecamp’s legal structure laid out for free and an essay titled, “Solitude and Leadership“.

Link. Great thread on James Clear’s learnings about entrepreneurship. He is the author of Atomic Habits and NYTs best seller.

Interesting Companies

Link. Really interesting business that lets you create virtual events and build an audience. This would be great for teaching online and content creators.

Link. Interesting business that allows you to search for anyone’s email address.

Link. Interesting business that allows you to build your first machine learning model in 10 minutes without code experience.

Link. Business that makes it easy to build a membership for your podcast.

Orthopedic Surgery

Link. Interesting article on the effects of being active on osteoarthritis: “Running significantly reduced OA and hip replacement risk due to, in part, running’s association with lower BMI, whereas other exercise increased OA and hip replacement risk.”

 

If you enjoyed reading this, please share it with someone you think would be interested!

Here is the link: https://drewalbertmd.com/the-high-grade-newsletter/



High Grade Newsletter – Step Outside the Game and Pull a Kobayashi Maru

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Quotes

“You can always change your environment, take ownership. No matter how seemingly difficult.”

 

(Link) “Seek wealth, not money or status. Wealth is having assets that earn while you sleep. Money is how we transfer time and wealth. Status is your place in the social hierarchy. Understand that ethical wealth creation is possible. If you secretly despise wealth, it will elude you.” -Naval

What I’m Listening To

(Link) Just listened to this in audiobook form. Such a great historical account that is a must-read in my opinion. The River of Doubt is the true story of Theodore Roosevelt’s harrowing exploration of one of the most dangerous rivers on earth.

 

(Link) White Coat Investor interview of Morgan Housel, partner at The Collaborative Fund and a former columnist at The Motley Fool and The Wall Street Journal. “We talk about some of “the flaws, biases, and causes of bad behavior” he has seen often when people deal with money.”

 

What I’m Reading

(Link) “My mind” software example video. Wish this type of program was more accessible to self organize thoughts, ideas, and media. It organizes information to make it mores easily searchable in the future. It would be great if it could help you review information based on information you are trying to learn.

(Link) The Profile: Ultimate Guide to Successful Relationships

 

  1. Trust and respect go hand-in-hand

  2. Treat your arguments like a negotiation

  3. Conduct a relationship audit

  4. Forget grand gestures, opt for mini everyday gestures, instead

  5. Ask your partner to join for a walk

  6. Remember what matters

(Link) Interesting compilation of materials for founders by Dan Romero. 

(Link) Side Income ideas for physicians. Interesting example of Dr. Amir Baluch an Anesthesiologist’s side incomes, from an amazon store to real estate. Interview by Bootstrapmd.

 

“More importantly, it’s about how much money you make when you don’t work. The key is to have as many sustainable ethical revenue generating assets as possible. And my next guest has figured that out. This doctor started his first business while in medical school through a credit card transaction company, then shifted into flipping real estate and then now managing giant real estate projects with his team. He has a BioFund company and his next conquest is Amazon.”

(Link) Story about how we should be changing the game and thinking outside the box rather than just accepting things as is. Check out this great tweet thread by Kevin Lee, Founder @prodmanagerhq and Principal VC @pearvc:

 

“I was thinking through an interesting startup problem this past week, and I was reminded of a student I once had when I ran a student-led course in college on stock investing. She shocked the hell out of me by thinking outside the box and pulling a “Kobayashi Maru.” To set some context, Kobayashi Maru is a training exercise designed to test new academy students in Star Trek (I admittedly don’t watch the show but learned about this test from watching the theater film). To simplify, a student in the exercise is presented with two options: 

 

A) Cross a neutral zone to rescue civilian passengers aboard the Kobayashi Maru ship and cause a war.

B) Leave them to die.

 

If the student attempts a rescue, the simulation guarantees they are attacked and never escape or survive. If they abandon the civilians, the civilians die. It’s meant to be a no-win scenario. The simulation is meant to test one’s character.” Click the (Link) for more!

(Link) If I had extra time and spending money, this class by David Perell seems like a great investment. 

 

Orthopedic Surgery

(Link) This is one aspect of health that we’ve been working to address at Optimize My Surgery: “Forty-seven percent of patients undergoing spine deformity surgery and 64% of cervical spine surgery patients have low vitamin D levels. Postoperative bone health can be enhanced in women ≥51 years old with daily intake of 800 to 1,000 units of vitamin D and 1,200 mg of daily calcium. There is no solid evidence that pre- or postoperative bisphosphonates have a positive impact on bone healing. Conversely, some series have shown that teriparatide, an anabolic parathyroid hormone, may improve time-to-fusion and help reduce screw pull-out after lumbar fusion in postmenopausal women.”

(Link) Dr. Howard Luk’s take on muscle mass and longevity. “Muscle mass correlates with a decrease in all-cause mortality.  Simply put, the more muscle mass you have, the lesser the risk of dying from a chronic disease than some of your peers.  It turns out that just one hour of resistance exercise each week leads to a decrease in all-cause mortality risk.   One hour! One hour 🙂  You can do that!”

 

If you enjoyed reading this, please share it with someone you think would be interested! 

Here is the link: https://drewalbertmd.com/the-high-grade-newsletter/

Find the Best People, Then Trust Them

Thank you for reading the High-Grade Newsletter!

Back in my gold mining days, the most high-yielding ore was termed, “high-grade”. We divided it out, kept it separated from the rest, and just processing a few hours of the high-grade ore would produce more gold than months and months of processing the low-grade material.

 My goal for this newsletter is to provide high-grade material for the most resourceful and driven knowledge seekers that I know. I also enjoy sharing the things that I find myself learning throughout the week. Currently focusing on topics of health, orthopedic surgery, business, technology, and the future. 

Join the +20 High-Grade readers focused on continuous improvement and the love of learning: https://drewalbertmd.com/what-im-learning-newsletter/

Quotes

Found these quotes on James Clear’s 3-2-1 Newsletter

Olympic gold medalist Wilma Rudolph on how to lose:

“Winning is great, sure, but if you are really going to do something in life, the secret is learning how to lose. Nobody goes undefeated all the time. If you can pick up after a crushing defeat, and go on to win again, you are going to be a champion someday.” Source: Wilma Rudolph Biography

Entrepreneur Cindy Gallop on how to build a successful business:

“There is a formula for success in business, and it goes like this: You set out to find the very best talent in the marketplace, and then give them a compelling and inspirational vision of what you want them to achieve for you and the company. Then you empower them to achieve those goals using their own skills and talents in any way they choose. If, at the same time, you demonstrate how enormously you value them, not just through compensation, but also verbally, every single day, and if you enable that talent to share in the profit that they help create for you, you’ll be successful. It’s so simple, and virtually nobody does it, because it requires a high-trust working environment, and most business environments are low-trust. In order to own the future of your business, you have to design it around trust.” Source: The Most Provocative Woman in the World: Cindy Gallop

What I’m Listening To

 

(Link) Jon Rennie’s Deep Leadership Podcast: A former submarine officer’s lessons on leadership. Great interviews and thoughts about how leadership needs to be people business.

What I’m Reading

(Link) Ben Taft, co-founder and CEO of Mira, a seed-stage mobile augmented reality (AR) company working to make AR more accessible than ever.

 

 “Talking to people who have been there is the best way to learn -and to compensate for your own knowledge gaps in the meantime.”

 

 But people also tend to think the founder or CEO knows everything—and that definitely is not the case. I don’t know most things! That’s why it’s my job to find the best people and then trust them. When people come to you for advice, sometimes the best thing you can do is just ask honest, open questions; listen to their answers and give them space to solve the problem on their own. Just flipping the conversation helps them feel more empowered to make decisions for their area of the business, which is ultimately what they’re there to do.”


(Link) Elizabeth Yin on building a fund. Interesting thoughts on just doing what it takes to make things happen. Something that is applicable to all areas of life. Even if that means meeting with >345 people in less than a 10-month time span.


 “Once you get commits, then you can start talking with other potential investors about those commits, which generates even more commits.  The key is that you need to constantly be meeting with people.”

 


(Link) Million-Dollar, One-Person Businesses. Here is an interesting and education post from Trends.vc that breaks down thoughts around this one-person concept, and it isn’t about being a celebrity. This quote captures the concept perfectly,

 

 “Build your own dreams, or someone else will hire you to build theirs.”



(Link) Six Principles of Asset Location by the White Coat Investor. This is about investing with tax efficiency in mind. A thought that goes un-studied. 

Interesting People You Should Follow and Learn From 

(Link) Naval. A wise anonymous account on Twitter. Here is one of his threads (Link).


(Link) Sahil. A new venture capital fund manager who bootstrapped his own business, Gumroad. Here is how he manages working with founders and people looking to connect. Innovative networking flow in my mind.

 

(Link) Trends.vc. An interesting resource that does a good job teaching new concepts and distributing learning resources.  

Interesting Companies

(Link) Global Health Impact Fund and Network. A place for healthcare professionals to learn more about venture capital and its effect on building the future of healthcare.

 

(Link) Makerpad, the future of building platforms, websites, anything online, is no-code.

Orthopedic Surgery

(Link) Don’t use tourniquets while reaming. 


“The use of a tourniquet eliminates convective heat transfer by shutting down the global blood flow of the whole limb (Klenerman et al 1980). The importance of an intact blood circulation has been demonstrated by studies on thermal conductivity which showed a fourfold difference between dry and living bone tissue (Sunde ́n 1967).


If you enjoyed reading this, please share it with someone you think would be interested! 


Here is the link: https://drewalbertmd.com/what-im-learning-newsletter/

 

The 100-year Strategy

Thank you for reading the High-Grade Newsletter!


Back in my gold mining days, the most high-yielding ore was termed, “high-grade”. We divided it out, kept it separated from the rest, and just processing a few hours of the high grade gold ore would produce more gold than months and months of processing the low grade material.


 My goal for this newsletter is to provide high grade material for the most resourceful and driven knowledge seekers that I know. I also enjoy sharing the things that I find myself learning throughout the week. Currently focusing on topics of health, orthopedic surgery, business, technology, and the future. 


Join the +20 High-Grade readers focused on continuous improvement and the love of learning: https://drewalbertmd.com/what-im-learning-newsletter/

Thought of the Week

“If the canaries keep dying, you don’t need tougher canaries”. 


– Dr. Simon Flemming’s response to this research article’s conclusion: “Further work is needed to identify traits that will allow us to select trainees who are more resilient or identify ways that we may increase resiliency in our trainees to reduce the risk of burnout.” (Link


What I’m Listening To

(Link) Awesome book on the founding of Patagonia and the principles that Yvon Chouinard has implemented to make Patagonia such a success. Thought provoking and awesome story that we all should be adopting lessons from. 


You can also listen to my and Dr. Massoll’s discussion on the book at: https://anchor.fm/physicianforge

What I’m Reading

(Link) Great thoughts on marriage by “The Profile” substack. Go on walks, talk things out, treat arguments like a negotiation staying calm, rational, genuine curiosity, focus on mini everyday gestures.


(Link) David Teten, CEO of S.O.P. Finance, a venture capital fund, and an advisor to emerging investment managers. Put together a list of launching managing a VC fund. Here are his 14 steps.


(Link) GPT-3 is an openai project that allows humans to communicate with machines in Simple English. So, it can create things just based on descriptions in normal language. You should check this out because it could really make many things in the realm of coding and tech, more accessible. The only thing similar is how you Wolfram Alpha allows you to type what math problems you want done in plain english.


(Link) Why Japanese Businesses Are So Good at Surviving Crises? Apparently, 40% of companies in Japan have remained in existence for more than 300 years. How is this possible? Empathizing with others. Dedication to responding to the needs of employees and community first. Focus on creating lasting changes in society over gaining superior profitability and shareholder value. Companies in Japan are thinking in the long-term. This is not the typical 5-10 year plan, this is the 100 to 200 year plan. With a vision to create the kind of future they want to see.


(Link) Founders guide by Ed Zimmerman’s venture capital class at Columbia Business School on startup legal issues and overlooking tax problems in the early days.


I have been looking for a program that I can easily save information that I come across for easy access later on. It would be ideal to have a program that can retrace your thoughts and send them to you for your review on a consistent basis. If you know of such a program that can do this please share it! Here are some platforms that have promise:

readwise.io

https://roamresearch.com

Mymind.com



(Link) Interesting article by Andrew Wilkinson, founder of Tiny Capital, The Berkshire and Hathaway of the Internet. Andrew explains how Warren Buffett has a competitive advantage when it comes to finding and making deals. This isn’t something that I would have expected. Buffett makes it really easy for those he does business with to accept a deal. Tiny Capital has attempted to emulate this process by looking at these key things when purchasing a business: Do they trust them, are the numbers roughly right, any big risks, and is the business straightforward?


If you enjoyed reading this, please share it with someone you think would be interested! 


Here is the link: https://drewalbertmd.com/what-im-learning-newsletter/


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