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Five Blogs in Five Days…I Can Relate to That

15 Friday Jun 2018

Posted by Burning Manager in Uncategorized

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accidental manager, General practitioner, GP, Harvard Business Review Press, Institute of Managers and Leaders, Jeffey Pfeffer, RACGP, Rasmus Hougaard, Stanford Graduate School of Business, The Mind of the Leader, The Potential project

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Well I got to day five of my blog-a-day for Men’s Health Week. There’s lots of areas I could cover in the last episode but I wanted to make some linkages to what I have covered this week, so am going to discuss relationships. We know from research that relationships are important in our lives. Good relationships are instrumental to our physical, emotional and mental well-being. The ‘big four’ relationships (in no particular order for reasons you will discover in a minute) are:

Our relationship with:

1)     Our self;

2)     Our family and intimate friends;

3)     Our manager at work; and

4)     Our GP.

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I was going to concentrate on the relationship with your General Practitioner (GP) – and I will get to that – but I went to a master class this morning and it broadened my horizons like all good master classes should. It was conducted by Rasmus Hougaard of The Potential Project. Rasmus has just co-authored a best-selling book, published by Harvard Business Review Press no less, entitled ‘The Mind of the Leader’. Based on extensive research across many countries, where senior executives were interviewed, (open disclosure – I was one) Rasmus found that there are three key components to extraordinary leaders who get extraordinary results. These can be summarised as:

1)     Being mindful;

2)     Being selfless ; and

3)     Being compassionate.

I would strongly recommend getting a copy because it really does provide great insight into how to be a better leader of people and thereby improving business performance. In chatting with Rasmus after the masterclass, I mentioned my blog and he emphasised the point that THE key relationship in terms of  our physical and mental well-being is in fact our relationship with our boss. Clearly I had to touch on that in my blog!

bad_bosses

Given the amount of time we spend at work, our boss can have a direct impact on our mental and physical health. This certainly aligns with what noted management writer and Stanford Business School academic Jeffrey Pfeffer talks about in his recent book called ‘Dying for a Paycheck’. A toxic workplace he argues comes at a huge cost in terms of morbidity and mortality and is a clear work health and safety issue. Managers as leaders in their respective areas have a very strong bearing on the level of toxicity in the workplace, given the culture is either set by them, or allowed to flourish by them. Clearly it’s an area where more focus is needed min addressing men’s health concerns.

The ‘accidental manager’ is often the problem. Frequently technically gifted, they lack the insight to realise that the skills that make an effective leader and manager are not technical at all, but rather the ‘soft ‘ issues like emotional intelligence, insight, reflection , calm, poise, diplomacy etc. Quite often these new managers don’t want to reveal their vulnerability, so fall back on the ego that gave them great succor as content and technical experts. Humility is the key here and the insight to know that it’s good to ask for help. No-one can drive a car without getting driving lessons. Believe me you can do way more damage in charge of people than you can in charge of a vehicle. Learning is paramount and it should be lifelong. Like for me today…I learned new stuff and I do every time I am in the company of people like Rasmus.

The second relationship I want to give some focus to is our relationship with our GP. This is particularly important to us blokes because we under use this incredibly important service. We will get our car serviced within a week of its due date but will put off regular health check-ups. Let’s face it, most of us have less knowledge about what’s going on beneath our skin than we do about what’s going on under our car’s bonnet. Seems the wrong way around somehow.

What if we had a GP with whom we shared a good rapport? I suspect we would be willing to engage with them on a more frequent and earlier basis if they would engage better with us. This is an issue I raised recently with the peak body for General Practitioners, the Royal Australian College of GPs. They have been advertising a lot lately promoting themselves as ‘your specialists in life’, quite possibly mindful of the fact that Ai is already out performing them in terms of diagnosis and treatment choices. So far I haven’t heard ‘boo’ back. A shame really because they must have conducted research in terms of how to engage effectively with their customers, especially men who are a business opportunity just waiting to happen? Before a GP has a practice, first and foremost they have a business. I would encourage all GPs that they need to think long and hard about how they engage with their customers, particularly men to avoid disruption. Ai and machine learning is here and if lawyers’ days are numbered, GPs can’t be far behind.

This would be a great shame because it strikes me rapport with a robot will be much harder to establish than with a human. This got me thinking as to how you might build rapport and get to a level where you have a friendly and trusting engagement with ‘your specialist in life’. Unless you are a contestant on ‘Married at First Sight’ you don’t get married without first building a relationship with your partner. The first step on this journey starts with rapport. If you can’t build this, the marriage is doomed. So it seems counter-intuitive to me to end up with a GP without having some sort of selection process. Otherwise it’s no better than those faux relationship experts who put the MAFS contestants together – and we all know their success rate! I think the best approach if you need a new GP is to draw up a list of what’s important:

  • Would you be more comfortable with a male or female doctor?
  • What age demographic would you feel more comfortable with?
  • Do you need a specialism? e.g. asthma or diabetes – many practices have a sub specialists who cover particular areas in greater depth.

Armed with this list of requirements then, I think the next step is to shop around a few local practices identifying those who might fit your criteria. Asking who specialises in Men’s Health is the next action to be taken. Once you know this you can see whether that GP or those GPs meet your earlier criteria i.e. age, gender etc. Most likely some will.

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The next step, I believe, will be some of the best money you can spend to live a longer, more active and fulfilled life. Book appointments to meet with your shortlist and simply chat with them. This will quickly identify whether they are someone you could establish a long-term trusting relationship with. If you need help narrowing the field, tell them what you are there for i.e. you are interviewing them to see if they will make your short-list. Those interested and understanding of what you are doing should make the list. Those who take umbrage should not. There is no place for ego or power gradient differences with your GP.

If you really want to turn the heat up in the interview, move the patient chair from next to the Doctor’s desk to the middle of the room and get them to swivel their chair towards you. This changes the power dynamic and disrupts what is known as the ‘sociology of illness’ where the patient feels like the child in a parent-child relationship. If they can get through this without batting an eye, they might just be the one for you.

Next you should really dive deep into what does their self-professed interest in men’s health mean for you and what does it look like? If I’m having a GP who specialises in men’s health I need to ‘feel and touch’ the difference. In my experience quite often there is no appreciable difference between a GP who is a men’s health specialist and one who isn’t. This surely can’t be right.

The final clincher is can you see yourself liking this person? Will you build rapport and trust such that you can will be able to tell them anything that may be bothering you no matter how squeamish or embarrassed you might feel? If you can get all these issues covered in an appointment then you are building a key cornerstone into your long-term well being. Be prepared to book a double appointment (GPs love those) and don’t be worried about not finding your ideal match on the first ‘date’.

We know that relationships are key to good health. They can help us avoid anxiety and depression. They can intervene before issues build to a point where suicide might be considered an option. They help us build resilience and nurture us through times of hardship and suffering. Relationships at work can help us flourish or flounder depending on culture and how good the manager is. Relationships play a pivotal role in our physical and mental health. As humans  we want to live longer and be healthy and happy. We can all relate to that!

 

Mystics and Statistics on the Gut

23 Wednesday Mar 2016

Posted by Burning Manager in Uncategorized

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Alice Bowman, Barry Marshall, Build Fitness, Caroline Myss, Challenger, Desperdaos Under the Eaves, Godstein, gut, hpylori, Jeffrey Pfeffer, mystics and statistics, NASA, New Horizons, Richard Branson, Robin Warren, Scientific American, Space Shuttle, Stanford Graduate School of Business, Warren Zevon, wholehearted you

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One of my favourite artists of all time is the barely-known but hugely talented singer songwriter Warren Zevon. He’s a great wordsmith and this snippet from my favourite song of his, Desperados Under the Eaves, is testament to that:

“And if California slides into the ocean,

Like the mystics and statistics say it will,

I predict this motel will be standing

Until I pay my bill”.

 I’ve always loved that line ‘mystics and statistics’ because spinning on the head of that particular pin is one of the great divides of nations, society and management. It’s classic God versus science or put in management speak, measurement versus intuition. Today more than ever we seem polarised in this domain with heavyweights pulled into opposing corners. It doesn’t have to be thus.

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Given Easter is upon us I thought it might be interesting to explore matters that go beyond the merely physical. Recently at a Business Summit in Sydney, respected NASA scientist Alice Bowman spoke about how she manages a large team that is delivering the New Horizons space project; the one that did the Pluto flyby. She blew a few myths into outer space at the same time. The idea of the extrovert, charismatic and somewhat arrogant is now regarded as passé given that hyper-connected networks triumph over hierarchies. What was really important about what Bowman discussed was the fact that a blend of both science and the arts were what made her a better leader. Furthermore she indicated that the development and use of intuition is an important aspect of her leadership style and the delivery of her aggressively scientific project. She said

“A lot of the problems I encounter leading, I address intuitively. What I think it is, it’s allowing yourself, in the workplace, to also have that emotional side, not just have that technical skills. Once I accepted that I have this other side of me, I became much more calm, because I didn’t feel like I was fighting that part of me. So I guess it gets back to that – know yourself. When you’re leading, you’re in tough situations, and you want to draw on all those strengths that you have, some of those are on the emotional side. “
Pretty heady stuff coming from a rocket scientist. I like it though. I did both art and science at University in the belief that a well-rounded education required engagement of both hemispheres of the brain. Economics, accounting, statistics, chemistry, epidemiology, psychology are all science and evidence based. However I also reckoned that ideas imagination and creativity are essential elements to have as well so I did Shakespeare, political science, film studies and literature. Some days I was reading sonnets in the morning and dissecting cats in the zoo lab in the afternoon. It seemed somewhat schizophrenic at the time but now it makes total sense. Perhaps it was my intuition at play that guided me to take that particular academic path.

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One of my favourite management writers is Jeffrey Pfeffer, Professor of Organisational Behaviour at Stanford’s Graduate School of Business. I’ve been a fan since reading Power in Organisations which was a real eye opener for me. His most recent book, co-authored with fellow faculty member Robert Sutton is entitled Hard Facts, Dangerous Half Truths and Total Nonsense: Profiting from Evidence-Based Management. It’s a catchy title to be sure, if not a tad verbose! In it Pfeffer argues that every company needs evidence based management. I can’t argue that. What Pfeffer though doesn’t factor in is intuition. He believes that evidence-based measurement is the key to business success or more correctly a way to avoid business failure. The problem here is the unyielding belief in the science that lies behind measurement. Data does not provide the total solution. While at business school in the US I led a management simulation team competing with a number of others. It was based on a racing team scenario and we analysed data to determine whether we should compete in the last race of the season with the risk of blowing an engine if we did or losing a sponsor if we didn’t. Getting knee-deep in the data we plumped under my inspiring leadership to race. I, with others, was devastated to find that it wasn’t actually about a racing team but rather the data given to the NASA team that sent the crew of the doomed space shuttle Challenger to their deaths. Sobering indeed.

The strength and flaw of science, of course, is its reliance on being exact. To publish scientific results in a peer reviewed journal you need the appropriate experimental design and results need to be repeatable. The findings need to stand up to scrutiny from the rest of the scientific community, hence where the peer reviewed journal comes in. Quite often the findings become the new understanding despite poor design, the incorrect measurement or statistical tools and inadequate sample size. At other times those who have made discoveries that fly in the face of received scientific wisdom get hammered by their colleagues in the field. A perfect example of this, which involved two Australians, was the discovery in 1982 by Barry Marshall and Robin Warren that a bacteria (helicobacter pylori) and not stress and bad diet cause ulcers. I was around at the time working in hospitals and my gastroenterological colleagues were pretty scathing of the notion. A Nobel Prize each and the rest is history. Prior to that science stated quite adamantly that in no way was a bacterium to blame.

Those of a more intuitive bent have known about the importance of the gut for centuries. In fact in the area of our stomach/intestines we are reaching something of a nexus – where art and science are beginning to converge. To put it another way, science is beginning to catch up. Latest thinking is that mental illness may well originate as a bacteria in the gut. The gut is becoming recognised as the second brain. The Scientific American no less (May 1, 2015) describes a ‘superhighway between the brain and GI system that holds great sway over humans.’ This superhighway is known as the enteric nervous system and it connects to the brain though hundreds of millions of neurons. In fact the gut is so smart it can operate independently of the brain. It needs this brain scientists think because it has to listen to the trillions of microbes contained therein. There are estimated to be ten times as many bacteria in your GI system than cells in the human body.

So when we say we get butterflies in our stomach when we feel nervous or get a gut instinct this is no longer the stuff of ‘old wives tales’ but fast becoming scientifically mainstream. The gut has a huge impact on our mood as well. Scientists estimate that 90% of serotonin is produced in the gut. Serotonin is probably the best-known brain chemical for influencing our emotions and behaviour.

Richard Branson is often quoted as saying ‘I rely far more on gut instinct than researching huge amounts of statistics.’ And you can’t argue against the enduring nature of Branson’s success. There are those like Caroline Myss who believe intuition isn’t something that can or necessarily should be trained and practiced. I for one do not agree. The fixation we have had with numbers and analysis has meant that we have pushed this sense of self and intuition to the background. We respond to intuition all the time but we don’t know it. It’s a higher level function. It’s organic and we don’t think about it; a bit like our olfactory function – we don’t realise we smell something we just do. It’s a side of ourselves we have to bring forward, nurture and begin to acknowledge as a powerful tool for transformation and managing complex situations and complex personalities.

science-vs-religion

This consideration of the ‘Godstein’ (spirit and science as one) paradox is also apposite this week as we launched our 24/7 gymnasium (Build Fitness) at work. It’s just not any ordinary gym, it is about an opportunity for our staff and tenant’s staff to get fit and explore the possibility of whole-heartedness. Build Fitness has a strapline which is ‘whole-hearted- you.’ Rather than just concentrate on the factually-oriented scientific notion of fitness (though lord knows theories on what constitutes a good diet and good exercise seem to change by the month) we are gingerly treading into the areas of body, mind, spirit, heart and self. It’s long been known – since Maslow anyway that there are other elements at play that are important and to achieve self-actualisation a mere concentration on physical well-being is not going to set you there. Here’s what I wrote to explain the WHY question on our website (buildfitness.me) for those wishing to use our facility.

UNC-COM CTC Gym Logo with strap 270116

Body

Physical well-being is a logical place to start. Many of us on the CTC Precinct live sedentary lives. Worse than this our out of work activities have also taken on a distinctly sedentary flavour e.g. sitting and watching Foxtel and Netflix. Our weekend of sport these days might well be watching it on telly. There is increasing evidence that sitting for prolonged periods has a very detrimental effect on long-term health outcomes. This can be ameliorated by physical activity but the use of a gym may not be that attractive when we just want to get home at the end of a busy day. At some stage in the future it is likely that employers, deemed to know of the health risks of sedentary work, will be asked to justify why claims should not be made against them for doing more to avoid premature death of their workforce or retired workforce. The issue of asbestos exposure in the workplace many years ago may well be ‘sitting exposure’ in the 2000s. Sitting as they say is ‘the new sugar’.

With a 24/7 gym available at work employers will be able to say that their employees were given the opportunity to avail themselves of facilities that are recognised as being the perfect antidote to an unhealthy work environment. At CTC we provide a collaborative leasing model and enable our tenants to feel part of a bigger whole. In the same way as the Café can be regarded as a facility that they our tenants make available to their staff so too is the gym a facility for all CTC Precinct employees. Harvard School of Public Health now believes that healthier people are happier and as a result are healthier. It is a continual feedback mechanism. Happier people will suffer fewer colds and less heart disease as a result. What better gift to give your workforce than fewer colds and less chronic heart disease!

Heart

When we think of fitness the heart is often what we think of first and it is true that Build Fitness does have a good range of cardio equipment to get the heart racing. We are also including other aids to assist in getting a good view of your heart health like charts and a blood pressure monitor. A heart rate monitor will be available in the centre for those who wish to monitor their heart during some of their exercise program.

Heart, of course, has other meanings including the centre and courage, determination or hope. Each has an applicable meaning for what we are trying to do with Build Fitness. The gym is likely to become somewhat of a hub or centre within the Precinct with those involved with it showing determination (and in my case at least) hope in improving our physical and mental well-being. Heart is lastly about love and love of self and self-image are all issues that are important with respect to physical and mental wellness.

Mind

Mental health is a very important concern for those running organisations. Under workplace health and safety legislation employers, as Persons Conducting a Business or Undertaking (PCBU), have a statutory duty to ensure that their workplaces do not cause mental health issues. Employee Assistance 9EA) schemes are one thing but in terms of duty of care employers will be asked to demonstrate that they had a culture that encouraged both physical and mental well-being. The gym has a role to play here as well. There is a now a great body of research that says that exercise is good for mental health. Exercise has been shown in studies to improve memory of complex stimuli. Exercise is critical to handling stress; a key exacerbator of mental strain and illness. When we get stressed two potentially harmful (and in some circumstances life-saving) chemicals are produced being cortisol and adrenalin. While the rewarding chemicals that make us all feel good (e.g. dopamine that we get from exercise) have a half-life of around 3 hours adrenaline and cortisol hang around for 22 hours. We have to work much harder to get their effects out of our system. High levels of cortisol on brain function have deleterious effects long-term. Dr Wendy Suzuki who studies brain function at NYU says that high levels of cortisol in the brain accelerates the aging process and reduces memory function. The impact on the pre-frontal cortex is such that it affects our ability to plan, make decisions and engage in flexible thinking; all important skills we require in our workforce.

Long-term chronic stress affects the brain. If your staff is suffering stress there is a duty of care to know about it and to have in place a range of measures that can help the employee confront it and get it under control. The old adage of ‘suck it up’ is no longer defensible.

There is another consideration to stress in the workplace and that it is contagious. There is a belief in neuroscience that says ‘I stress, you stress, we stress.’ This sheets itself straight back to efficiency and productivity. A recent study by St Louis University found that ‘second-hand’ stress is very real and can be passed on through things like tone of voice, facial expressions, posture and even odour. Renowned healthcare researcher the Mayo Clinic advise that stress can be addressed through exercise. It is as they say ‘meditation in motion’. Spirit/Soul

This can be a problematic one because it gets confused with religion and that is not what we are talking about in terms of spirit. Here we can ascribe two meanings. Spirit is about the way in which you do things e.g. in a positive spirit. A positive spirit comes from a positive mind-frame and this is definitely made easier by being physically healthy. Spirit is also that inner feeling of peace or calmness. It is the inner yearning and quite often what makes us want to improve or transform in terms of our careers, our abundance and our relationships our lives. Renowned neuroscientist Deepak Chopra believes that soul is an important aspect in everyday life but particularly in the world of work. He believes that leadership, an attribute many of us must bring to bear in the witness of our daily work-life, requires soul.

Supporting our Build Fitness approach is an initiative we are calling Alert@Work. This will require all CTC staff undergoing mindfulness training with the aim of ensuring we can be in the moment, less distracted by the ever increasing distractions of the modern workplace e.g. open plan offices, endless emails, texts, tweets on Twitter etc. Being situationally aware which is one of the key aims of our mindfulness training arising from meditation will improve the delivery of services to our customers and make the Precinct a safer place. Increasingly large and credible organisations are looking to mindfulness to give hem that extra edge in service delivery and profitability. All CTC staff have undergone emotional intelligence (EI) training to provide deeper insights into the way we interact. Neuroscience, EI, mindfulness and different ways of looking at creativity and leadership are all now becoming the new ‘black’ in the world of management. Many of these aspects touch on spirit and soul and it is down to the individual to what extent, if at all, they wish to indulge in such matters. Build Fitness, especially through the website (http://www.buildfitness.me/) will explore some of the traditional and emerging philosophies that might create a pathway for those interested in exploring the transformational possibilities of such modalities.

 Self

Self-image is a very critical component of our mental health. Our self-worth is often linked to self- image and this can be recalibrated through seeing improvements in one’s physical appearance. It’s no surprise that we looked hard to find ‘friendly’ mirrors to help those in training feel good about the journey they are on. Self is the whole package and it is where the mind body and soul reside as one. Some say people glow when they feel good about themselves and pregnant women are a prime example of this. Others see auras around people. This is merely the physical energy given off by people who have fabulous self-esteem who are self-assured and selfless. Without doubt the focus on self is the opposite of narcissism and more about improvement. The narcissists love themselves because of their faults. The self-assured love themselves despite their faults.

Easter is a great time to celebrate re-birth and transformation, no matter your religious beliefs or lack thereof. In the Northern hemisphere it is closely associated with spring and for us in Queensland it celebrates the arrival of autumn – our most pleasant season. And ‘praise the lord’ because with climate change our temperatures and humidity this summer have been higher than ever and we’ve all had a gut-full of that!

 

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