Adi Kumar Profile picture
Sep 1 7 tweets 2 min read
Books that have made me a better decision maker for my patients.

1. Thinking, Fast and Slow - Daniel Kahneman
2. Antifragile - Nassim Taleb
3. The Black Swan - Nassim Taleb
4. Stumbling Upon Happiness - Daniel Gilbert
5. Super Thinking - Gabriel Weinberg, Lauren McCann
1. Thinking, Fast and Slow - Daniel Kahneman

This taught me about System 1 thinking. Near-instantaneous; minimal effort. Driven by instinct and experience. System 2 thinking is slower and requires more effort. It is conscious and logical.

Both have strengths/weaknesses.
2. Antifragile - Nassim Taleb

This taught me how to think about systems. Fragile - breaks easily. Robust - adequate, persists unchanged (medical systems lean toward robustness). Antifragile - Improves with uncertainty and feedback.

I aim to be Antifragile in my mental models.
3. The Black Swan - Nassim Taleb

Black Swan events come as a surprise, have major effect, and are often rationalised after the fact with hindsight.

You generalise all swans are white, until you see a single black one.

Systems should factor in rare high risk events.
4. Stumbling Upon Happiness - Daniel Gilbert

We have 2 selves. The experiencing self and the remembering self.

What a patient experiences and what they will remember are different.

I factor both of these into my patient interactions.
5. Super Thinking - Gabriel Weinberg, Lauren McCann

Along with reading Charlie Munger, this book taught me the strength a use of mental models. A must read IMO for those who make complex decisions within a team.
#neurosurgery #thinking

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More from @adi_kumar1

Sep 2
Nature has hard-wired us for bias enabling us to make quick general assumptions as a survival benefit.

However this leads to bias and tribalism.

Being aware of these 3 common biases when seeking opinion from others, can help you filter these out.
What You See is All There Is (WYSIATI)

We assume what we see is more common that it actually is.

This is why we x10 the perceived incidence of violent death due to news articles vs x1/1000 the more common causes such as stroke/MI/diabetes.

Ask - what am I not seeing?
Burst The Bubble

Online search algorithms will show you articles you want to see. This will keep your thinking contained with a bubble.

This is known as a Filter Bubble.
Read 5 tweets
Aug 29
Surgeons in training - be aware of context switching, attention residue and decision fatigue.

Below is a near miss of mine I don't want you to repeat.

#neurosurgery #training
I was performing an out of hours emergency operation when a referral came. The referring doctor was adamant that they wanted to speak to me.

I was at the stage of training where I would stop operating to take referrals.

I no longer do this.
I took a brief history, reviewed the scan and said there was nothing to do.

After finishing the operation I sat down to look at the patient's electronic notes and review the scan again.
Read 11 tweets

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