Author: authoress

Black Box Thinking

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The Book of the Week is “Black Box Thinking, Why Most People Never Learn From Their Mistakes– But Some Do” by Matthew Syed, published in 2015. This volume attempted to answer the question: “How does failure-denial become so deeply entrenched in human minds and systems?”

The author described two ways of thinking:

1. Some people believe their abilities are fixed, so they won’t improve with practice. They have fear of failure, and make excuses and / or blame others for their failures.

2. Other people believe they can get better with practice, and they are honest about admitting they have made errors. They learn from them. Success is achieved only through trial and error, hard work and persistence.

Number 1 above is also described in the following quote from Bertrand Russell: “There is something feeble and a little contemptible about a man who cannot face the perils of life without the help of comfortable myths. Almost inevitably some part of him is aware that they are myths and that he believes them only because they are comforting. But he dare not face this thought! Moreover, since he is aware, however dimly, that his opinions are not rational, he becomes furious when they are disputed.” Yet another way of putting it is “hubris syndrome.”

Two of America’s recent presidents– George W. Bush and Donald Trump– were this kind of thinker. According to the author’s thesis, they succeeded against the odds (if success is defined as getting elected president), considering that they were blind to their own character flaws.

BUT– their common beginnings saw them through: They both began with the special advantages of inheriting money, mentors, lawyers, and valuable career and political contacts. They proceeded to fail upwards until they reached their peak “Peter principle” level, kind of like the joke: How do you make a small fortune in Israel? Answer: Come with a large one.

The author drew parallels between the topic-areas of aviation and healthcare delivery. These involve life-and-death scenarios when things go extremely wrong. However, that is where the similarities stop. People who have shaped the evolution of aviation have built up a knowledge-base that has served to produce lower and lower death tolls when catastrophes have occurred; powerful, influential people working in healthcare have been stubbornly resistant to adopting measures that would result in a drastic reduction in unnecessary deaths.

The author cited real-life examples from Great Britain and the United States. But there are other major reasons why his comparison is mostly invalid. These involve lawsuits, unions, government regulations and the political climate at the time of the disasters, and the following:

Obviously, workers in aviation have more of an incentive to improve safety, because in a disaster, many more people might die all at once in a plane crash, compared to the one patient on an operating table or examination table. Even if members of the flight crew survive a disaster, their careers are likely over. Even when doctors are at fault, they usually continue their careers.

The author discussed the pros and cons of just-culture versus blame-culture. He described the latter thusly: “It may be intellectually satisfying to have a culprit, someone to hang their disaster on. And it certainly makes life simple.”

The author recounted how a public-relations campaign can fool even intelligent people into believing a particular method of crime-prevention among young people, works wonders. The only way to debunk such a myth is through numerous Randomized Control Trials.

Read the book to learn about additional concepts surrounding psychological self-deceptions that humans employ in order to avoid admitting failures: cognitive dissonance, narrative fallacy, top-down versus bottom-up product development, various biases, and others.

The Courage to Survive – BONUS POST

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The Bonus Book of the Week is “The Courage to Survive” by Dennis J. Kucinich, published in 2007. This raw, emotional, personal story was similar to those of: journalist Joe Queenan (Closing Time), and teacher Tara Westover (Educated).

Born in October 1946 in Cleveland, the author had a difficult childhood in an ever-growing, poverty-stricken family. His mother was of Irish ancestry; his father, Croatian. The latter was a mean, physically abusive drunk. In his daily life, the author was fortunate to receive guidance and life-lessons from community role models such as his parents, teachers, coaches, his many relatives, (Catholic) priests, godparents, etc.

Nevertheless, the author’s take on life by the time he reached his teens was as follows: “The violence I witnessed at home percolated … I was ready to unleash it, but not in the street… What do you do when you are a kid and you feel violent? Do you look in your neighborhood for people to beat up? Do you vandalize? Do you just plain raise hell?”

More and more in America, such young males who feel like powder kegs pick up firearms and shoot innocent strangers or rival gang members, or engage in cyber attacks and fraud. Instead, if they are lucky– their anger is channeled into competitive sports, the military, performing arts, or politics.

Read the book to learn about the forces that shaped the author’s start in politics.

Sandworm

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The Book of the Week is “Sandworm, A New Era of Cyberwar and the hunt for the Kremlin’s Most Dangerous Hackers” by Andy Greenberg, published in 2019. In this eye-opening volume, the author provided the backstory (out of chronological order, in a confusing, cherry-picked way) on how and why Russia has become the world’s biggest disrupter of society yet again through a new method. “Sandworm” refers to the Russian hackers who perpetrated cyberattacks. The author implied that knocking out power grids was one new way to destabilize target nations. But this is NOT a new idea.

Anyway, as is well known, in recent decades, for various reasons, Russia’s leader, Vladimir Putin, ordered his military to attack Estonia (in 1999 and later), Georgia in 2008 (yes, Soviet Georgia– not the American state), and Ukraine. These offensives were accomplished not just on the ground, but also through technology. Ukraine’s election process and electric power were both seriously damaged through the Internet.

In the United States, various federal agencies fight for the power to set policy on the country’s cybersecurity: FBI, Department of Energy, Department of Homeland Security; plus the U.S. military, North American Electric Reliability Corporation, and SANS Institute.

During the George W. Bush administration, America and Israel started a secret project to develop virulent malware that could wreak cyberwar on their enemies, but whose main purpose was to stop Iran from making nuclear weapons.

During the Obama administration, a young, bright Air Force officer was hired to build a cyber-security department from the ground up, within the NSA. However, he got disgusted with the abusive hierarchy of the American military, as new recruits’ talent was wasted because the status quo dictated that they pay their dues.

Meanwhile, after years of work, investigators found evidence that the Russians were to blame for penetrating America’s technology infrastructure in 2016. Even conservative radio-show host Rush Limbaugh jumped on the bandwagon, saying, “It was an acrylic [sic] keyboard!” [He meant Cyrillic].

In 2017, Britain’s National Health Service was disabled via malicious software code that demanded a small amount of bitcoins as ransom. Other entities hit included a German railway, a Russian bank , colleges in China, police departments in India, and malware called “NotPetya” that did a number on Ukrainian civilians who were really inconvenienced in living their everyday lives.

In sum, it’s deju vu all over again in terms of a Cold War arms race involving Russia, China, North Korea, Iran and the U.S. This time, though, the weapon is technology and the threats are made by numerous worldwide terrorist cells who can hack a target’s infrastructure and its political system (like with online voting in Arizona and Illinois) whenever their territory’s leader commands them to do so. Another difference is that the kinds of cyberattacks seen thus far are akin to one aspect of Nazism: sowing social unrest (rather than killing people; not that the Nazis didn’t also do that) to bring a nation down. Damage done by psychological harassment from foul play via the Internet is economically incalculable and extremely difficult to regulate because it is international.

As is well known, through the twentieth century into the new millennium, information sources evolved from newspapers, magazines, books, and radio, to television, cable television, and then the Internet. Currently, Google and social media can serve as news aggregators, but more often, they are for-profit propaganda tools, just like all the aforementioned media. Most Americans think of movies as entertainment rather than as a source of news or education, but in the Postwar Era, they have also become for-profit propaganda tools.

But take heart, America! There is at least one area of optimism that will help this country’s democracy continue:

Compared to now, there was as much as or even more social unrest in this country in 1968. Before and after, the nation suffered through two dictatorial presidents in a row— LBJ and Nixon– who were recruiting all men of military age; many against their will, to fight in Vietnam, Cambodia and Laos in a war that was extremely expensive in so many ways. They sowed social unrest among their own people. America has not had two such presidents in a row since.

Even so, LBJ was kind of schizophrenic because he helped pass major civil-rights legislation. However, his ego wouldn’t let him order a stop to the war. Nixon went all-out on lies and deception, wreaking vicious political vengeance on his perceived enemies because he didn’t think he’d ever get punished. As journalist P.J. O’Rourke commented, beginning in the mid-1960’s, the Baby Boomers threw “a decade-long temper tantrum.” But now, their generation is wise to political shenanigans of decades past.

In 1972, voter apathy was so severe that Nixon was reelected in a landslide. Nowadays, voter turnout is at an all-time high. This is cause for celebration. Americans are starting to understand why voting is so important: it shows they believe in the democratic process (regardless of for whom they vote). A significant number of voters are required in order for democracy to work. When a dictatorial leader senses the people aren’t paying attention to what he’s doing, he will take advantage of that to acquire more power. He’s more likely to do the people’s will when he sees their anger is close to reaching critical mass.

On that note, read the book to learn much more about the author’s alarmist take on the global cybersecurity situation.

The Emergency

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The Book of the Week is “The Emergency, A Year of Healing and Heartbreak in A Chicago ER” by Thomas Fisher, published in 2022.

At the start of the COVID-19 pandemic in 2020, friendly bedside manner disappeared in the Emergency Room of the author’s employer, a medical center affiliated with the University of Chicago, on Chicago’s South Side. The author, a medical doctor, was tasked with judging whether to put newly arrived patients on ventilators.

Already a stressful place, the Emergency Department was put under excessive tension when an edict was issued that everyone entering the building was required to cover his or her mouth and nose (with any old piece of germy fabric or a plastic shield; most wore the fabric). The authorities perpetuated the scientifically questionable assertion that covering one’s face (with anything) would stem the spread of disease.

BUT, requiring the country’s entire population to wear medical masks would be impractical and unenforceable. There wouldn’t be enough medical masks for everyone; meaning, masks that would filter one’s toxic exhalations, allow one to breathe relatively easily, while presumably, disallowing most germs from entering and exiting one’s mouth and nose. So, instead, across the country, there was rampant abuse of power by numerous officials in controlling the population with petty, dishonest mask-orders.

Anyway, a nearby Chicago hospital had no more ventilators, and another had only three on hand. A patient might not have COVID, but still might be struggling to breathe because she had heart failure from postpartum cardiomyopathy. The author decided to treat a young patient such as this one with magnesium, additional Lasix and nitroglycerin instead of a ventilator, because she would be more likely to survive than an older patient in poor health who had severe COVID.

“Still, too many physicians and scientists accept that the inequities around us emerge from inside the body we treat, rather than in relation to prevailing societal structures or systems… But it is society that shapes the population-wide patterns we see.”

This volume presented, in a series of anecdotes on the patients admitted and treated by the author, reasons why this country desperately needs NATIONAL HEALTHCARE. It is the right thing to do at this time in history. Other reasons can be found in this blog’s posts:

Morphine, Ice Cream, and Tears. (sic); Chasing My Cure; Clinging to the Wreckage; and I Shall Not Hate.

Read the book to learn of the physical and psychological traumas suffered by not just patients, but also caregivers, that could be prevented or minimized by improving policies in national healthcare in the United States.

Dr. Folkman’s War

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The Book of the Week is “Dr. Folkman’s War, Angiogenesis and the Struggle to Defeat Cancer” by Robert Cooke, published in 2001.

In the 1970’s, Judah Folkman was a competent surgeon and a very popular professor at Harvard Medical School, but his first love was medical research. He hypothesized about why and how a tumor grows. He inferred that blood vessels grow toward a tumor, but was unable to provide proof for a very long time. He was ostracized for having this radical idea, so he had difficulty attracting enthusiastic graduate students to assist him, and with getting funding for his research.

Traditionally, university medical studies in laboratories had been funded by government grants. Profiteering from patents and medical products resulting from research was considered sleazy in scientific circles. In 1974, Harvard broke the taboo and partnered with the large, profit-making organization called Monsanto.

Even after receiving generous funding, Dr. Folkman worked around the clock simply because making new medical discoveries requires months or years of blood, sweat and tears. The materials required to do experiments can be expensive, messy, odorous and pose unanticipated problems. For a while, Folkman’s lab was working with vast quantities of cow and shark meat (and other obscure, problematic materials) because the animals’ cartilage contains no blood vessels.

Even after the doctor’s studies yielded exciting breakthroughs, media articles influenced the medical community and the public in ways that were harmful to Folkman’s research operations. There were even accusations of fraud against him. It turned out that in his team’s haste to treat cancer patients, many errors were made. Time was of the essence, and procedures for organized data collection were lacking. Folkman wasn’t deliberately trying to deceive anyone.

Folkman was a rare bird in that he was quite altruistic with his time and talents. His patience and persistence allowed him to ignore his detractors and the naysayers (most of whom were jealous). He eventually acquired an area of expertise that not only spawned a new way of thinking about cancer treatment, but also led to treatments for other medical conditions, and whole new industries, including biotech. He also helped shatter a myth in cancer treatment. But this additional idea of Folkman’s still might not be fully accepted in oncology circles (due to GREED), even two decades after the writing of this book.

This is what he learned: The approach to cancer-drug delivery to a tumor of:

“low [dosage] and slow [buildup over the long-term]” was shown to be superior to

“might makes right” and come in with guns blazing; in the past, it was hoped that immediate, large doses would eliminate the tumor before metastasis, and before the patient died from the deaths of too many healthy cells that were also killed in the process.

In other words: The patient’s treatment should begin with a low drug dosage, and if that proves ineffective, increase the dosage gradually until it is effective. Folkman’s experiences with patients showed that that was the successful way to go, and he even saw a few miraculous cures.

Read the book to learn many more details on Folkman’s trials and tribulations and the reasons for them, and what transpired when he finally found vindication.