sss-bias-opinion

“Every piece of data is biased. Every argument has opinion.”

 

TASK AT HAND: This week I’m thinking about the effects of bias and opinion. Analysis after the US election show that “fake news” – stories that are false but presented in a truthful manner (e.g., newspaper article format) so as meant to deceive – outperformed legitimate news stories on social media. We now occupy the post-truth economy of thought. In this state, opinion and argument are given the same credence as fact and truth.

Recently, the Oxford Dictionary announced that “post-truth” is its 2016 word of the year. It defined it as ‘relating to or denoting circumstances in which objective facts are less influential in shaping public opinion than appeals to emotion and personal belief.’ Simply put, If you believe something strongly enough, talk loudly enough about it, and can connect with someone emotionally with your argument, then it impacts others like truth or fact.

As a scientist, I am vehemently against this idea that opinion can be substantiated for fact. Truth requires evidence and logic. Truth should be void of bias and opinion.

“Truth requires evidence and logic. Truth should be void of bias and opinion.”

I have heard many times, “what’s the problem with voicing your opinion?” There is nothing wrong with expressing your opinion – I encourage this! However, please don’t confuse the expression of worthy words versus baseless chatter. Your argument should still be based on truth and constructed in a logical manner.

The problem of repeating nonsense over and over is related to how our brains form memories. Studies show that the more often a message is repeated, the more likely we are to remember it. This effect is called fluent retrieval. However, our brains then erroneously extrapolate that, what we can remember easily, must be true (Inferring facts from fiction: reading correct and incorrect information affects memory for related information. Memory 2012 Jul;20(5):487-98; you can find the full study here). The effect is that if you repeat a lie often enough, it starts to feel like truth.

But how to uncover bias and opinion? First, assume every piece of data is biased and every argument, whether it be in a newspaper article, social media post or formal communication, has opinion. You are a detective and must identify the bias and opinion in everything you consume.

“You must identify the bias and opinion in everything you consume.”

You can minimize bias and opinion by sticking to trusted reporting. However, this is not enough. In science and medicine, we have peer-reviewed literature which is considered the benchmark for bias-free communication. Peer-reviewed studies have experts and thought leaders review the work in question to ensure it is scientifically sound before being published. Having personally published over 100 papers, I can tell you that even this process can have bias. Reviewers have personal and professional biases and humans operate poorly in recognizing their own biases.

Second, when developing an argument, use multiple sources. Never stick to one reference and never rely solely on one authority. Attempt to survey as many respectable sources as possible when trying to come to a conclusion. This synthesis of thought is the crux of thinking for yourself because it forces you to take multiple vantage points and create a unique one for yourself. This is hard work and the main hurdle to overcoming herd mentality.

Finally, refute and reject frequently.Blind belief in authority is the greatest enemy of truth” (Albert Einstein). This is not a call for anarchy but a reprisal for individual thought. Authority, or that which is accepted as truth, needs to be questioned. Force yourself to formulate independent thoughts as often as possible. This is not your brain’s default mode so you have to work at it. The goal is to have a society of independent thinkers that question truisms and myths alike. A culture that challenges arguments without fact and calls out opinions lacking logic.

How to uncover bias and opinion:

1.    Assume every piece of data is biased and every argument has opinion.

2.    Never stick to only one reference. Use multiple sources.

3.    Refute and reject regularly.

 

“The goal is to have a society of independent thinkers that question truisms and myths alike. A culture that challenges arguments without fact and calls out opinions lacking logic.”

 

MEDICINE & MACULA: One of our recently featured publications on the ongoing debate of auto-antibodies.

osli-auto-ab

Check out the paper, Positive Auto-Antibody Activity With Retina and Optic Nerve in Smokers and Non-Smokers: The Controversy Continues, published in Ophthalmic Surgery, Lasers and Imaging Retina (OSLI Retina). You can find the study here.

osli-retina

 

GRATIS: “If you tell the truth, you don’t have to remember anything.” ―Mark Twain

 

My best to you,

David Almeida

david@davidalmeidamd.com

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sss-no-time-no-rush

“It’s when you realize that you are out of time that you must focus on not rushing.”

 

TASK AT HAND: This week I’m thinking about the last minute, the eleventh hour, time as it expires. We are constantly rushed and hurried in our professional commitments and personal relationships. In these pressured moments, we tend to rush when, in fact, we should be deliberate and purposeful with our strategy. As time slips away, we can succumb to bad decisions but there are strategies you can use to avoid errors in these situations.

“As time expires, each second is worth more.”

First, realize that, as time expires, each second is worth more. I like to think of the eleventh hour in terms of relativity. Although one second is one second, in the closing moments of an assignment or instances where a quick decision is required, I like to think of those seconds as “more valuable” than previous ones. When you only have minutes to act, each second is crucial. When you have days to decide, deliberation can be consummate with a longer time window, and seconds seem to matter less.

Previously, on the Decision Triage post of the Sunday Surgical Scrub (you can find it here), I emphasized that, in the last minute, every decision must be made right away and that all triages become urgent in this context. For example, in surgery, I imagine expanding each second to feel like minutes so that I can carefully execute the maneuvers that will bring the outcomes that are required. If there is an unforeseen complication or adverse event – where there is a very small amount of time to correct the error – it is here, I cannot rush! Realizing each second here is worth more than at any other time during the surgery, I can focus solely on these intense junctures. This approach allows speed and efficiency, without ever being rushed or forced into shortcuts.

“Quiet your mind, then plan and execute!”

The feeling of “running out of time” is an external force. It comes from outside you and is then transferred onto your inner self. This creates needless self-inflicted pressure. Quiet your mind, then plan and execute! When you are left with what seems as no time and limited options, still your mind and see beyond the time frame. Find the character of the decision  and align yourself with the basic principles of what you want to achieve.

 

MEDICINE & MACULA: I was in Toronto this weekend for the 56th Annual Walter Wright Symposium, Retina 2016: A Practical Approach to Navigating the Future.

walter-wright-2016

On Saturday, I presented a talk on my approach and techniques for infectious endophthalmitis. The evolving paradigm calls for early surgery and aggressive treatment to salvage vision from this devastating infectious condition.

044_rs0916_North_RK.indd

 

GRATIS: “Why do they call it rush hour when nothing moves?” -Robin Williams

 

My best to you,

David Almeida

david@davidalmeidamd.com

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sss-paloma-beat-your-own-drum

“Live dangerously.

Embrace pain and take risk.

Desire to beat your own drum.”

 

TASK AT HAND: Last week, here on the Sunday Surgical Scrub, we discussed the idea that pain is certain but suffering is optional (you can see the post here). Thank you kindly for all your emails on this topic. Given the interest, today we are going to take this one step further.

This week I’m thinking about not only accepting pain as certain, but embracing this as an opportunity for growth and discovery. Yes, embrace pain, risk and the myriad of challenges that confront you. Live dangerously without fear of these experiences. As humans, we have evolved a strong tendency for loss aversion: avoiding that which is unpleasant is hardwired into our central nervous system. I prefer to invert this reaction: embrace the pain and risk that life brings forward because, it is in these moments, that we carve out character and define development. It is in these formative moments that lies occult opportunities to beat our own drum.

“Embrace pain and risk for it is in these moments that we carve out character and define development.”

“Believe me! The secret of reaping the greatest fruitfulness and the greatest enjoyment from life is to live dangerously!” (Friedrich Nietzsche) I have never known convenience to be a great innovator. I have never met idle chatter that sparked sentiment. I have yet to see predictability spawn spontaneity. It is when we take risks, accept difficulties, and elevate ourselves that we – more often than not – push through boundaries and breakthrough into new landscapes of creativity, sincerity, and understanding.

As you move in the pursuit of happiness and satisfaction, it may be necessary to live dangerously and take risks. Next time you are confronted with difficulty and dissatisfaction, embrace it and attempt to reveal its impact on you. Accept the painful transition and see how you are forced to adapt to navigate it. There is no permanence in pain.

“Accept painful transitions and see how you are forced to adapt. There is no permanence to pain.”

Refuse to bow to the pressures and difficulties you encounter. You will be left with the ultimate satisfaction that no matter what song echoes in the background, you’re playing to your own beat.

 

MEDICINE & MACULA: Thank you, Retina Specialist magazine, for showcasing our work on complicated viral retinitis retinal detachment repair in the November 2016 issue. This is part of our evolving work on approaches to complex retinal detachments.

viral-retinitis-retinal-specialist-nov-2016

Check out the publication here.

retinal-specialist-mag

 

GRATIS: I was in New York City yesterday to watch the musical Hamilton. This fantastic production made me smile as it reminded me of the Stella Adler quote: “Life beats down and crushes the soul, and art reminds you that you have one.”

hamilton

 

My best to you,

David Almeida

david@davidalmeidamd.com

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sss-pain-vs-suffering

“Pain is certain, suffering is optional.”

 

TASK AT HAND: This week I’m thinking about pain and suffering. Take the sutured incision pictured above. After a surgical wound, almost everyone will experience pain. However, only some become burdened with suffering, while others do not. As a surgeon, I realize that almost all patients experience pain, but I find it distressing when patients become entangled in prolonged suffering.

We can extend this concept to the trials we encounter in our personal lives. We all have to bear duress, inflictions, and loss. The twists of life invariably ebb and flow between states of pain and vulnerability and moments of joy and satisfaction. Experiencing pain is certain. But we do not need to suffer. Suffering is optional.

Accept pain. One of the fundamental strategies to minimizing the experience of suffering from the pain we face is to, simply, accept the pain. This can be somewhat counter-intuitive but, by accepting the pain we face, we choose to not react to it. In not reacting, we are denying the possibility of succumbing to maladaptive behaviors like suffering. Accept your pain, and if at all possible, let it not elicit any reaction from you.

Deny suffering. Suffering can become a haze. A fog of uncertainty that can impair your ability to make effective decisions. We too often aggrandize the value of suffering. Instead, avoid internalizing forces that may weaken you. “Life is short. You have to be able to laugh at our pain or we never move on” (Jeff Ross).

If you take one sentiment from this post, please know that suffering is optional. I have found this alone to be liberating because it gives us this choice of how to react to the pain we encounter in life. Pain is guaranteed but suffering is not. Suffering is not predestined or inevitable. Instead, find a way to look back, laugh, but then move on.

MEDICINE & MACULA: Check out our new publication, Ocular Hypertension After Intravitreal Dexamethasone (Ozurdex) Sustained-Release Implant, published in RETINA. Our report shows that the intravitreal dexamethasone implant, Ozurdex, can be used in various types of patients, including glaucoma suspects, with a good safety profile.

ozurdex-retina-nov-2016

Check out the publication here.

retina

 

GRATIS: “One good thing about music, when it hits you, you feel no pain.” -Bob Marley

 

My best to you,

David Almeida

david@davidalmeidamd.com

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sss-disclosure

“Men often hate each other because they fear each other; they fear each other because they don’t know each other; they don’t know each other because they can not communicate; they can not communicate because they are separated.” -Martin Luther King, Jr.

 

TASK AT HAND: This week I’m thinking about truth and lies. All humans lie. There are numerous research reports and published studies that show that we all lie. Whether a pastor or prisoner, black or white, we all lie. From rationalized half-truths to orchestrated cons, lies hurt our unique ability to communicate. They, as the MLK quote states above, separate us and break down real discourse with each other. This has serious consequences that negatively impair our personal and professional relationships.

However – in knowing we all lie – what is the best strategy to free us from lies and liars? Disclosure is a forgotten tool that helps us navigate the byways of truth and lies. Disclosure, loosely defined as the action of making new information known, is a powerful weapon against the tendency to blur reality and fiction.

“Disclosure is a powerful weapon against the tendency to blur reality and fiction.”

As a surgeon and scientist, I disclose all possible positive and negative outcomes of a treatment or surgery to my patients. Before I say anything else, I disclose to the patient. I disclose all the good and all the bad. My hope is that the patient then reciprocates and starts an honest conversation with me about their questions, fears and anxieties. From here, we can cement a trustful rapport that will allow us to share in decision making and achieve what is in the best interests of the patient.

One can build on this concept of disclosure. Whether you are discussing with a friend or negotiating with a competitor, start by disclosing up front. Leslie K John’s book, How To Negotiate With A Liar, shows that humans have a strong reaction to reciprocate and return disclosure with truth. This disclosure is a surprise tactic when you encounter a liar. When you are facing a deceptive strategist, start with disclosure and they will find it difficult to avoid the honest road.

“When you are facing a deceptive strategist,

start with disclosure and

they will find it difficult to avoid the honest road.”

MEDICINE & MACULA: Check out one of our recent publications, Chronic Recurrent Pseudophakic Endophthalmitis, published in JAMA Ophthalmology (JAMA Ophthalmol. 2016;134(4):455-456. doi:10.1001/jamaophthalmol.2015.3638).

This study details a case of an immunosuppressed patient with active chorioretinitis and chronic endophthalmitis after cataract surgery.

jama-endophth-2016

Thanks to everyone for their interest in our growing body of endophthalmitis literature. This is a significant interest of mine and we have more studies planned.

Check out the publication here.

GRATIS: “No man has a good enough memory to be a successful liar.” -Abraham Lincoln

My best to you,

David Almeida

david@davidalmeidamd.com

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sss-compare-despair

“When you are content to be simply yourself and don’t compare, everybody will respect you.”

-Lao Tzu

 

TASK AT HAND: This week I’m thinking about the pitfalls of comparing ourselves to others. “The human brain is built to compare; it’s Darwinian to consider an alternative when one presents itself” (Helen Fisher). Multiple studies, from monkeys to humans, show that we are hardwired to compare ourselves to others. There is a basis for a need to compare – it’s part of our evolutionary drive. We look to compare options for refuge and food, to assess alternatives to mates and future offspring, and how to judge potential threats in our environment.

Now, the pitfall occurs when comparison is escalated with judgment. It’s fine to compare one hotel to the other, consider prices and geography when making a choice for lodging. However, when we compare our hotel to a nicer option, and judge ours as inferior, we start to degrade our degree of satisfaction from an experience. This need to compare is a sure way to decrease our happiness because we ostensibly look at those who have more leading to judging ourselves as lesser.

“You can’t compare an apple to an orange. It will cause a lot of self-esteem issues” (Craig Sheffer). The problem is magnified when we compare ourselves to other people. This is never a fair comparison because we tend to, as the preceding quote describes, compare apples to oranges. No two individuals are the same, and thus, any subsequent comparison is faulty. You need to avoid this malevolent want to compare because its eventual conclusion is despair and insecurity.

How do you avoid the cycle of compare and despair? Judgment is the key! Compare all you want, but don’t judge. Don’t judge a better or worse option. And, most importantly, avoid comparisons between individuals with simplified “better” or “worse” terms. This faulty comparison is filled with intangibles that surfaces insecurities and inadequacies.

When we compare and judge ourselves as inferior,

we start to degrade our degree of satisfaction from an experience.

Similar to my previous post on Anticipation versus Expectation (you can find that post here), liberate yourself from mindless comparisons and find value in the attributes of different individuals and the characteristics of different options. “The surest route to breeding jealousy is to compare. Since jealousy comes from feeling less than another, comparisons only fan the fires” (Dorothy Corkille Briggs).

In my opinion, the most vital form of happiness is derived from the respect we pay to others, and the respect we receive in return. Focus on the value you provide to relationships and members of your tribe. Hone skill in accepting events beyond our control. You will find that the need to compare to others fades away into the singularity of realizing that, the only one worth comparing to, is yourself.

MEDICINE & MACULA: I do a significant amount of speaking and presenting to diverse groups, from retina surgeons to corporate clients. But this past Monday, on Halloween, I got the privilege of presenting an “eye introduction” to my son Max’s preschool class. It was a wonderful time with a lot of props as you can see below.

max-halloween-school-high-res

Although rudimentary in its content, it served to remind me that I sometimes get caught up in esoteric specialized terminology. Speaking to these hungry-eyed preschoolers emphasized that one must have a bulletproof ability to distill complex information in a basic and accessible form to any audience. I am grateful for this.

With the help from my wife, Jasmine, we all made scary eyes for the class!

scary-eyes

GRATIS: “If you’re asking me to compare myself to other people, I don’t really know what other people are like.” -Jules Shear

My best to you,

David Almeida

david@davidalmeidamd.com

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sss-survival-bias

“Hi, I’m Bill. I’m a birth survivor.” -Bill Maher

 

TASK AT HAND: This week I’m thinking about survival bias, also known as survivorship bias. Survival bias is a logic error that produces false conclusions by looking at a person who achieved an outcome and overlooking those that did not, despite both having similar characteristics. Simply put, the “survivor” is used as a model to extrapolate from, only because they survived the event, despite the fact that many similar individuals exist for comparison that did not survive the event.

Let me use a couple of examples to illustrate the point. Usain Bolt, the Jamaican sprinter, is heralded as the fastest human ever timed. He is the first man to hold both the 100 and 200 meter records. He is an amazing sprinter, a charismatic character, and a fantastic entertainer. Many have tried to ascertain how he is able to run so fast. Bolt usually states common athletic creeds such as “belief in yourself” and “training hard”. Survival bias enters here because Usain Bolt is the fastest human in the history of mankind not because he trains hard and believes in himself, but despite this.

How many athletes believe in themselves and train hard? How many fall short? Too many to count. Many times athletes are asked how they achieve greatness and they usually provide the same predictable answers. The reason is, because they don’t know. They trained hard like everyone else but they, for some reason, were able to produce superlative results. Now, in no way do I diminish these feats. I celebrate them! But, you have to be careful in their extrapolation to your life.

Another example. Many want to be the next Steve Jobs and create a behemoth success like Apple. Steve Jobs dropped out of college and started a business. Do you think this was the reason? How many others have dropped out of school and started business that failed? Too many too count. Steve Jobs was the “survivor” of this event and succeeded not because he dropped out of school, but in spite of this.

There are numerous examples of survival bias in a myriad of disciplines so one needs to be aware of this erroneous process of reasoning. Survivorship bias leads to overly optimistic and simplified beliefs because only successful survivors are used while the many similar failures are ignored. Most of the time, the failures have very similar attributes and no significant relationship is evident.

This important because one needs to understand that successful groups – most of the time – do not have any special property. This does not diminish or lessen their achievement. But, when you are trying to reproduce some of these behaviors, consider both successful and failed examples. The role of timing, coincidence, and serendipity will become apparent.

How does this help you? Personally, it serves to balance my emotional reaction to events. I know I’m never as good as my best day. But, I’m also not as terrible as my worse day – and I don’t beat myself up over it. I survive each day, despite how factors beyond my control play out, and I remain focused on what I have defined as important.

MEDICINE & MACULA: A couple of weeks ago I described our technique for retinal embolectomy. This technique was recently published in Retinal Cases & Brief Reports. Retinal embolectomy involves the removal of emobli from the retinal vasculature in selective cases of arterial occlusions.

embolectomy1-copy

embolectomy2-copy

Check out the publication here.

rcbr

GRATIS: “Science is the search for truth, that is the effort to understand the world: it involves the rejection of bias, of dogma, of revelation, but not the rejection of morality.” -Linus Pauling

My best to you,

David Almeida

david@davidalmeidamd.com

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sss-enigma-2

“People want riches; they need fulfillment.” -Robert Conklin

 

TASK AT HAND: This week I’m thinking about the difference between achievement and fulfillment. Achievement is commonly confused for fulfillment. In the culture of 80-hour work weeks, dog-eat-dog cynicism, and the perpetual climb of the job ladder, one can easily place achievement as the ultimate external benchmark of success. This strategy will eventual burn out. Instead, the focus should be on the internal barometer of fulfillment, to guide our plans.

Achievement can be defined as the process of successfully completing a task. As one can see, there is lots of good in achievement. It requires commitment to an end. It emphasizes  ability. However, achievement can become an empty end. Without an internal desire for excellence and without a process of development and introspection, achievement can result in empty goals and lackluster methods. Fulfillment, in totality, extracts meaning from our tasks. In other words, it is why we want to achieve a goal? This why is the crux of what fulfills you. While achievement is the “how”, start to think of fulfillment as the “why” to a strategy or goal.

People often ask me, “what is the easiest path to fulfillment?” I say: start by collecting experiences and not things! Collecting experiences, for example by traveling, allows you to focus on transitions without some definitive end target. One of the most common end-of-life regrets is the wish to have traveled more during years of good health.  Too often, the substitution to the acquisition of items creates confusion in endless consumption. Goods – are only of value – if they are good for something.

 

MEDICINE & MACULA: Check out our new publication, Elevated intraocular pressure following pars plana vitrectomy due to trapped gas in the posterior chamber, published in Retinal Cases & Brief Reports (Fall 2016, Volume 10, Issue 4, pages 334–337).

trapped-gas

Clinicians should be aware of elevated intraocular pressure secondary to trapped gas in the posterior chamber. Aspiration of the trapped gas can alleviate both pupillary block and angle closure without compromising gas tamponade.

trapped-gas2

 

Check out the publication here.

rcbr

 

 

GRATIS: In your achievements, find fulfillment. And, in the life you are creating, seek a path that leaves you fulfilled and you will achieve that which is paramount.

 

My best to you,

David Almeida

david@davidalmeidamd.com

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sss-sunk-cost-2

“Don’t dwell on what went wrong. Instead, focus on what to do next. Spend your energies on moving forward toward finding the answer.” -Denis Waitley

 

TASK AT HAND: This week I’m thinking about sunk costs. Also known as retrospective costs or the fallacy of commitment to sunk costs. Do you own an old pair of shoes you don’t wear any more but, because you spent a pretty penny on them, you refuse to throw them away? This is the sunk cost fallacy at work. It is an erroneous approach to strategy focusing on trying to recover your past investment by holding onto something because you cannot accept it is no longer working (Psychology Today, 24 September 2014). By definition, it is a cost that has already been incurred and cannot be recovered. In other words, it’s time to throw away those shoes!

When trapped by the sunk cost fallacy, you become concerned with what you “paid” for something in the past, rather than what you will get out of it in the future. The fundamental problem with commitment to sunken costs owes to it being a backward looking decision. Consequently, it does not offer you any prospects or opportunities for the future. Interestingly, humans are the only animals who honor sunk costs. Other animals will look for new opportunities as soon as previous ones have been exhausted (Psychological Bulletin 125(5):591–600).

The fallacy of honoring sunken costs resides in our old nemesis of insecurity. The insecurity that changing or giving up on a sunk cost will show others we made a mistake. This relates directly to the phenomenon of loss aversion: we all fear loss and we all want to avoid it. However, you need to see beyond this. That submerged boat, let it sink. Feel stagnation in your current job but afraid start over? It is time to consider your options. Is there a void in your relationship but deny it because of the “time you have already invested in it”? Abandon old rationalizations and bring yourself to realization.

The mindset to best eliminate loss aversion and bypass the sunk cost fallacy is to consider only future benefits and costs when pondering a decision. Assess what you need to invest moving forward. Minimize the desire to include resources, capital or emotion that has been previously spent. The latter is baggage which can weigh you down. By letting go of past costs incurred, you can frame your strategy de novo with improved clarity.

MEDICINE & MACULA: I was in Chicago this week for the American Academy of Ophthalmology (AAO) annual meeting!

aaoembolectomy1-copy

On Friday I presented a talk on our technique for retinal embolectomy at the AAO Retina Subspecialty Day. Retinal embolectomy involves the removal of emobli from the retinal vasculature in selective cases of arterial occlusions.

embolectomy2-copy

Thanks to everyone for their interest in our technique!

GRATIS: For those who know me, a common place to find me is on a squash court. This past week was the Beyond Walls Squash Week in Saint Paul MN. My home club, The Commodore, was the host club.

squash-mn

In addition to playing in the A singles draw, davidalmeidamd.com was a proud sponsor of this fantastic event benefiting Beyond Walls.

commodore-logo-ex2-150x150

For more information, check out the MN Squash Week page.

My best to you,

David Almeida

david@davidalmeidamd.com

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sss-forgive-enemy

“Always forgive your enemies; nothing annoys them so much.”― Oscar Wilde

 

TASK AT HAND: This week I’m thinking about forgiveness. Whether we accept it or not, it’s easy to forgive our family for errors. It’s convenient to forgive our loved ones for most omissions. We want to let transgressions from friends disappear. But, how about your opponents or those you distrust? What happens when these transgress against you? The simplest strategy for this complex intonation is forgiveness.

1. Forgiveness annoys those who attack you. As the introductory quote above explains, forgiveness – to the closed arms of an opponent – is extremely annoying. Your sporting opponent, corporate rival, or feuding adversary attack you to elicit a reaction. The hope is your reaction is irrational, hastily conceived, and poorly executed. This is the benefits of an attack and why we don’t just engage in predetermined deliberations. By responding with forgiveness, you disarm most of the possibilities your opponent is trying to elicit from you.

2. Forgiveness is strength. Forgiveness is not about being a doormat. Forgiveness is not about being a pushover. “Forgive your enemies, but never forget their names” (John F. Kennedy). Forgiveness is about strength!

By forgiving, you show restraint and the ability to strategize counterpoints. Forgiveness, in this context, is counterintuitive because of our overriding desire to tap into primal reflexes in moments of duress. But, “the weak can never forgive. Forgiveness is the attribute of the strong” (Mahatma Gandhi). Your opponents will be dumbfounded by your act of forgiveness and your enemies will be confused by this show of strength. Then, consider what the attack was based on and begin to develop a plan that addresses the reasons for the existing adversarial relationship and how it can be mutually overcome.

3. Forgiveness is a sustainable overarching strategy. No one can survive with grudges against all who have ever crossed them. No one can grow while holding anger and resentment in their hand. Strategy, without the ability to forgive, eventually falls to some stronger opponent. However, one who shows forgiveness can broker relationships based on trust. The latter is a fundamental part of a long-term successful strategy.

MEDICINE & MACULA: Check out our new photo essay in the October 2016 issue of Ophthalmology entitled, Pigmented Paravenous Retinochoroidal Atrophy (Lucas T. Lenci MD, D. Wilkin Parke III MD & David R.P. Almeida MD MBA PhD)

pprca

This is a great example of prominent atrophy of the retina and choroid surrounding the retinal venous circulation. You never know what’s going to walk into clinic…

ophthalmology-pprca

pprca-fa

Check out the publication here.

GRATIS: There is another benefit to acts of forgiveness. “If you haven’t forgiven yourself something, how can you forgive others? (Dolores Huerta) If you can forgive others, it means you can forgive yourself. That you can accept events beyond your control. That you can let go of the errors we are all bound to make.

My best to you,

David Almeida

david@davidalmeidamd.com

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