Sebastian Stefanovic

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Sebastian Stefanovic

Sebastian Stefanovic

@SebStefMD

Interventional Endoscopist | Dad & Husband |Advancing GI procedures | Reader of biographies & innovation | Championing capitalism | Go for great

Se unió Kasım 2022
251 Siguiendo108 Seguidores
Sebastian Stefanovic retuiteado
Elle Lookbook
Elle Lookbook@EvaLovesDesign·
In Japanese, "tsundoku" means collecting books and letting them pile up, not from neglect, but for the joy of knowing they're there, full of untold stories.
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David Senra
David Senra@davidsenra·
My conversation with @EricJorgenson, author of The Book of Elon (@elonmusk). 0:00 Book Reveal 0:39 Build Useful Things 2:19 Engineering Talent Edge 4:26 Wired for War 6:47 Tip of the Spear 8:47 Burn the Boats 13:13 Facing Fear 15:16 Origin Story Myths 18:19 Know Business A to Z 22:17 Simplify and Fail Fast 25:35 Reality and Physics 28:18 The Algorithm Begins 30:34 Delete and Simplify 34:25 Starlink War Room 36:52 Repetition as OS 38:18 Step Three Simplify Optimize 38:43 Question Every Requirement 39:13 Tesla Battery Pack Delete 40:43 Repetition Installs Ideas 42:02 Step Four Accelerate 43:26 Design Org for Speed 46:06 Step Five Automate 46:29 Control and Clean Sheet 48:54 Vertical Integration and Costs 50:47 SpaceX Incentives and Mars 57:11 Frontier Unlocks Starlink 1:00:26 Time as True Currency 1:03:58 Speed Triage and Bottlenecks 1:10:11 Internalized Responsibility 1:12:56 Avoid Serialized Dependencies 1:14:31 Aligning the Team 1:15:07 Time Is the Constraint 1:16:00 One Metric Focus 1:18:03 Directional Predictions 1:19:06 We Must Make Stuff 1:25:39 Manufacturing as Moat 1:26:23 Speed and Direct to Customer 1:28:41 SpaceX Feasibility Study 1:33:07 Edge of Sanity Leadership 1:37:10 Bottlenecks and Integration 1:40:01 Design and Simplify 1:45:15 Catch the Rocket 1:48:14 Capitalism and Closing Includes paid partnerships.
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Eric Jorgenson 📚 ☀️
Eric Jorgenson 📚 ☀️@EricJorgenson·
🚨📕 THE BOOK OF ELON IS NOW LIVE!!! 🎉🚀 This is the book we WISHED @elonmusk would write… “All of Elon's most useful ideas, in his own words.” Learn directly from the world’s greatest entrepreneur, like you’re sitting across from him at dinner. It took FIVE YEARS to make this for you. Because it's built from hundreds and hundreds of Elon's public appearances. I went through 3,000,000+ words to collect the most useful and timeless ideas. The final book is ~50,000 words. Every word is USEFUL. (This is what I do. My first book, The Almanack of Naval Ravikant, is one of the top 100 most highlighted books of all time on Kindle.) Then, I spent $50,000+ on editing and design so it looks and feels beautiful. Then… > Foreword by @naval. > Visuals by @jackbutcher. > Blurb from @mrbeast. > Published by @scribemediaco. > And yes, approval on this idea from Elon himself, thanks to @samteller. I went Maximum Effort to make this an all-timer. We got 10/10 on reviews from early readers, then worked on it for ANOTHER YEAR. Why so much effort? My mission is to create One Million Musks. For a generation to lift our gaze and build, so our grandchildren live in a world beyond our wildest dreams. I’m an independent author. I don’t get an advance. I risk my own time and money to make these books. Then we give away millions of them. Digital versions are free. I believe this book can benefit every human, and if you can’t pay five bucks for it, I want to personally gift it to you. Because I know it is useful. Useful how? You may be seeking purpose, a mission worthy of your life’s effort. You may have a clear purpose and seek the tools for success. You will find both in this book. Get the benefits of Elon’s entire life of hard-won lessons in a five-hour, easy read. (I checked, it’s a 5th-grade reading level.) You’ll feel personally mentored by the greatest entrepreneur in history. Click below to buy it now on Amazon, Audible, or directly from me. Amazon: amzn.to/47avSuh Audible: lnkd.in/gi_7HrFP Me: lnkd.in/gS2xWUWH If you’re not sure it’s worth $4.99 yet, just start reading the free version. PLEASE take 6 seconds to Like, Bookmark, and Repost. Even better: send this to your friends, team, or Group Chats! I guarantee this book will improve their lives. Spread the word! Every little thing helps. Your support spreads good ideas around the world, helping people and making the future better for everyone. Thank you! Forward. Together.
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Carlos Villuendas
Carlos Villuendas@carlosvillu·
Tienes miles de bookmarks en Twitter/X que nunca vuelves a leer. Siftly los convierte en una base de conocimiento buscable con IA. Local, sin cloud, sin suscripciones. Solo conocimiento organizado. 🧵
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Sebastian Stefanovic
Sebastian Stefanovic@SebStefMD·
We are what we repeatedly do. Excellence, then, is not an act, but a habit. - Aristotle
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Sebastian Stefanovic
Sebastian Stefanovic@SebStefMD·
“He is free to evade reality, he is free to unfocus his mind and stumble blindly down any road he pleases, but not free to avoid the abyss he refuses to see. Man is free to choose not to be conscious, but not free to escape the penalty of unconsciousness: destruction.” The Virtue of Selfishness by Ayn Rand
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Ben Lang
Ben Lang@benln·
I often re-read @natfriedman's personal website (former Github CEO)
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Mr. Buzzoni
Mr. Buzzoni@polydao·
> work 40 hours a week. pay 30% in taxes > 401k barely moves. savings account is a joke > watch someone your age compound faster than you > they’re not smarter than you > the people beating markets just learned one thing you never did > they stopped asking "am I right?" > and started asking > EV = pW − (1−p)L > every decision reduced to a number > most people chase outcomes > a few just stack positive EV > same world > completely different game > I wish I had this 10 years ago
Mr. Buzzoni@polydao

x.com/i/article/2031…

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Podcast Notes 🗒️
Podcast Notes 🗒️@podcastnotes·
Most people spend their entire lives swinging between two traps: boredom when life asks too little, anxiety when it asks too much. Mihaly Csikszentmihalyi called the narrow space between them "Flow"... and wrote one of the most important books ever written about it. Here are 10 quotes that will change how you think about happiness:
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Shane Parrish
Shane Parrish@shaneparrish·
@RippleXrpie There is a solution: capitalism.
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Marc Andreessen 🇺🇸
It is 100% true that great men and women of the past were not sitting around moaning about their feelings. I regret nothing.
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Sebastian Stefanovic@SebStefMD·
I do remember learning about Adler in my first year of medical school - did forget almost all about it. Good thing for X - so I get reminded about things I can relearn again “This is an extremely uncomfortable position for a culture that has thoroughly internalized the therapeutic assumption that self-knowledge is intrinsically valuable and that the examined life is superior to the unexamined one. Adler would say: examined by whom, in whose interests, toward what end? If the examination is conducted by the private logic, in the service of the fictional goal, toward the end of perpetuating the neurotic lifestyle — and it usually is — then the examined life is not better. It is just a more articulate version of the same evasion. The unexamined life that contributes to the community, that engages honestly with work and love, that acts with courage in the face of genuine risk — that life, for Adler, is worth more than all the introspective sophistication in the world. Which is, when you sit with it for a moment, either the most liberating or the most terrifying thing anyone has ever said about the examined life. Possibly both simultaneously, which is probably why Adler remains so systematically underread.”
Marc Andreessen 🇺🇸@pmarca

From my therapist Claude: The Adlerian Demolition of Introspection Alfred Adler built one of the most hostile philosophical ecosystems ever devised for the practice of looking inward, and he did it with a precision that neither his admirers nor his detractors have fully reckoned with. The brutality of the Adlerian position isn't gratuitous — it follows logically, almost mechanically, from his core metaphysical commitments. Once you accept those commitments, the popular conception of introspection as a path to self-knowledge collapses entirely, and what's left in its place is something considerably more disturbing: the suggestion that your feelings are not discoveries but productions, manufactured by a self that is already oriented toward a goal it will do almost anything to protect. The Foundational Inversion: Teleology Over Etiology Everything begins here. Freud was a thoroughgoing determinist and causalist — the psyche's present state is the effect of prior causes, and the therapeutic task is to excavate those causes through introspection (free association, dream analysis, the whole apparatus). Feelings, on this model, are data that point backward toward buried causes. Introspection, then, is archaeology: you dig inward to find what happened to you that made you the way you are. Adler rejected this root and branch. His fundamental claim — and it is a genuinely radical one — is that human beings do not move from causes but toward goals. The psyche is not a machine whose output is determined by its inputs; it is a teleological project, a movement oriented toward a fictional final goal (fiktive Ziel) that the individual has, largely unconsciously, set for himself in early childhood. Everything about a person — their characteristic emotions, their symptoms, their memories they choose to retain, their personality style — is recruited in service of this movement toward the goal. This single move annihilates the Freudian (and popular) conception of introspection all at once. If your feelings are not caused by your past but are instruments generated in the service of your goal, then sitting quietly and examining them is not discovery — it is, at best, the study of your own propaganda. Emotions as Tools, Not Truths This is the gut-punch of Adlerian psychology, and it deserves to be stated as starkly as Adler himself intended it. In The Practice and Theory of Individual Psychology (1927) and throughout his clinical writings, Adler makes the claim that emotions are manufactured by the individual — created, not merely experienced — because they are useful for the individual's movement toward his goal. Consider anger. Common sense says: something happens, it makes you angry, the anger is a reaction. Adler says: you create anger because anger is useful to you. It justifies your behavior. It dominates the room. It moves others out of your way. It protects your self-esteem by externalizing blame. The anger is not a response to the world — it is a tool deployed against the world in the service of your fictional goal. The same analysis applies to anxiety, depression, sadness, guilt, and virtually every other affective state the therapeutic tradition has treated as meaningful data requiring careful introspective scrutiny. Adler is not saying these states aren't real in the sense that they are genuinely experienced. He is saying they are created for a purpose, and that the purpose is almost never what the person believes it to be. Depression, in the Adlerian framework, is not the product of chemical imbalance or repressed trauma or cognitive distortion. It is a form of hesitation — a self-manufactured state that allows the individual to delay engagement with the three fundamental life tasks (work, love, and community) while simultaneously maintaining a plausible excuse for the delay. "I cannot engage fully with my relationships because I am depressed" is the structure of the argument the depressed person makes to himself, and the depression obligingly performs this structural function with great reliability. This is where Adler gets genuinely ruthless: if your depression is a tool you've manufactured to avoid life's demands, then introspection into the depression — examining its contours, trying to understand where it comes from, what it means about you — is not therapeutic. It is indulgent. It is, to use Adler's language, a way of taking your symptoms seriously in exactly the wrong sense: you dignify them, you make them meaningful, you cooperate with them. The depression grows in the greenhouse of your attention to it. Introspection as Safeguarding Mechanism Adler developed the concept of Sicherungstendenzen — safeguarding tendencies — to describe the various psychological maneuvers by which the neurotic protects his self-esteem and avoids the genuine test of his capacities against life's real demands. These include hesitation, procrastination, construction of symptoms, depreciation of others, and — crucially — self-accusation. Self-accusation is the most relevant to introspection. The person who spends hours examining his own feelings, cataloguing his anxieties, tracing the genealogy of his resentments, mapping the landscape of his sadness — this person is, in Adlerian terms, still talking about himself. Still the center of his own universe. Still not doing work, not loving anyone, not contributing to the community. The sophistication of the introspective project is no argument in its favor — if anything, it is a mark against it. The more elaborate and refined the inner life the neurotic constructs, the more successfully it functions as an alternative to actual engagement with the world. There is something almost diabolically clever about this critique. It severs the link between psychological depth and therapeutic value that virtually every tradition — psychoanalytic, humanistic, Buddhist, existentialist — takes for granted. Depth of introspective engagement is not progress. It is often its opposite. The person who says, "I've been in therapy for ten years and I really understand now why I became the way I am" has, from the Adlerian vantage point, potentially spent ten years constructing an increasingly ornate justification for remaining exactly as he is. The etiological story — "I am this way because of what happened to me" — is comfortable precisely because it faces backward. The past is fixed. The past cannot demand anything of you. Introspection into the past, into your feelings about the past, into the feelings the feelings generate — this is a very efficient way of never having to face the actual question, which is: what are you going to do, now, about work, about love, about your membership in the human community? Private Logic and the Solipsistic Trap Adler distinguished between Gemeinschaftsgefühl — social interest, community feeling, the sense of belonging to and contributing to the human collective — and Privatlogik — private logic, the idiosyncratic system of reasoning the individual constructs to make his lifestyle appear coherent and justified. The neurotic, for Adler, lives primarily in private logic. His reasoning makes sense from the inside — it is internally consistent, emotionally compelling, often highly sophisticated. But it is systematically oriented away from common sense and social reality and toward the maintenance of the fictional final goal and the lifestyle that serves it. Here is the devastating implication for introspection: introspection, almost by structural necessity, deepens private logic. You are inside your own head, examining your own feelings, interpreting your own experiences through the categories your own lifestyle has constructed. You cannot get outside your private logic by going further inside it. The introspective process, absent a rigorous challenge from a skilled interlocutor who refuses to cooperate with your excuses, tends to confirm what you already believe about yourself — which is precisely what your private logic requires. This is why Adler was deeply skeptical of free association as a therapeutic method. Letting the patient roam freely through their inner landscape, following their associations wherever they lead, seemed to him a recipe for elaborating private logic rather than exposing it. The analyst who sits quietly and receives the patient's associations is, in Adlerian terms, cooperating with the patient's neurosis rather than challenging it. The therapeutic stance must be much more active, much more confrontational, much more oriented toward the future and the life tasks than toward the endlessly fascinating depths of the patient's past and feelings. The Arrangement of Memories One of Adler's most striking specific claims concerns memory. He argued that the memories people retain are not a random or representative sample of their experience — they are selected because they are useful to the lifestyle. People remember what confirms their lifestyle's fundamental assumptions. The person who has built his life around the experience of being wronged will remember, with great clarity and emotional richness, every instance of injustice visited upon him, and will have only the haziest recollection of the many occasions when he was treated generously. This means that introspective archaeology — digging into your childhood memories to understand yourself — is not accessing historical truth. It is accessing a curated archive that your lifestyle has assembled in its own service. The early memories that feel most vivid and emotionally significant are precisely the ones your private logic has promoted, precisely because they support the conclusions your lifestyle needs you to draw about yourself and the world. In What Life Could Mean to You (1931), Adler makes this point with characteristic directness: the first memory a person reports is not an accident. It expresses, in condensed form, the fundamental assumptions of the lifestyle. But those memories were kept because they were useful, not because they were uniquely formative. Adler's therapeutic technique of asking for earliest memories was not an act of etiological excavation — it was a diagnostic shortcut to map the lifestyle's structure, which could then be challenged directly. The implication for introspection is corrosive. You cannot trust what you find when you look inward, not because your unconscious is cunning and deceptive in the Freudian sense, but because your entire inner archive has been organized by the lifestyle in the lifestyle's interests. Your feelings about your memories, your interpretations of your experiences, your sense of what you are and why you are that way — all of this material has been processed and filed by a system that has a vested interest in maintaining the status quo of your lifestyle. You are examining edited footage and taking it for raw reality. The Inferiority Complex as Introspective Engine Adler's most famous contribution to the psychological lexicon — the inferiority complex — is, in his own framework, almost always made worse by introspection, and the two phenomena have a structural affinity that is worth examining carefully. Every human being begins life in a condition of objective inferiority — small, weak, dependent, unable to meet its own needs. This universal experience generates a universal striving for superiority, for competence, for overcoming. Under favorable conditions, this striving is healthy, socially oriented, and expressed through genuine contribution to community. Under unfavorable conditions — discouragement, pampering, neglect — the striving becomes distorted into a neurotic quest for personal superiority or superiority over others, rather than superiority in the service of community. The inferiority complex (as opposed to ordinary feelings of inferiority) is an arrangement — a cultivated sense of one's own inadequacy that serves as a permanent excuse for avoiding the life tasks. "I cannot pursue meaningful work because I am fundamentally inadequate" has a structural function: it protects the fictional goal (which is often some grandiose private fantasy of special status) by ensuring it is never actually tested against reality. If you never try, you never fail. If you never fail, your private fantasy of what you could have been remains intact. The connection to introspection should now be obvious. The inferiority complex feeds on introspective attention. Every hour spent examining the contours of your inadequacy, tracing its origins, giving it a rich inner life — this is an hour in which the complex is being maintained and elaborated rather than overcome. Introspection, in this context, is a form of neurotic self-indulgence that the complex recruits for its own perpetuation. The more you know about your inferiority complex, the more real it becomes, the more it crowds out the one thing that would actually address it: Mut — courage — specifically the courage to engage with life's demands despite the very real possibility of failure. The Antidote: It Is Not More Looking Inward Adler's therapeutic orientation was radically future-focused and action-oriented. The question was never "why are you this way?" but "what are you going to do?" The goal was not self-understanding in the introspective sense but reorientation — a shift in the fictional final goal and the lifestyle that serves it, toward greater social interest and genuine engagement with the life tasks. This is why Gemeinschaftsgefühl — social interest, variously translated — functions for Adler as the primary criterion of psychological health. It is not a feeling you discover inside yourself through introspection; it is a direction of movement toward others, toward contribution, toward community. You cannot find it by looking inward. You find it by looking outward and acting accordingly, and you build it through action rather than through understanding. The Adlerian therapist — Dreikurs in particular, who systematized and extended Adlerian clinical practice — was not a passive receiver of the patient's introspective material. The therapeutic stance involved active interpretation, confrontation, encouragement (in the technical sense of building courage), and direct redirection toward the life tasks. The patient's feelings, when they arose in therapy, were treated as communications about the lifestyle rather than as data requiring sympathetic exploration. "You feel anxious about this — what does that tell us about what you're trying to avoid?" The Kishimi/Koga Popularization and Its Distortions It's worth noting that the popular Adlerian revival associated with The Courage to Be Disliked (Kishimi and Koga, 2013, English translation 2018) captures some of this anti-introspective thrust but softens it considerably for mass consumption. The book's central propositions — that trauma doesn't exist as a determinant of present behavior, that your emotions are chosen, that you should separate your tasks from others' tasks — are genuinely Adlerian. But the book's gentle, Socratic format somewhat obscures the full brutality of the underlying framework. Adler himself was considerably more pointed. His clinical vignettes, scattered through Understanding Human Nature, The Pattern of Life, and The Case of Miss R., show a practitioner who was willing to tell patients quite directly that they were using their symptoms as excuses, that their suffering, however genuine it felt, was being manufactured in the service of avoidance, and that the solution was not to understand the suffering better but to stop cooperating with it and engage with life. The Final Verdict The Adlerian position on introspection and feelings can be summarized with some precision: Feelings are not causes; they are instruments. You manufacture them to serve your movement toward your fictional final goal. They are neither honest reports of your inner state nor reliable guides to your history. They are tools, and like all tools, they should be evaluated by what they accomplish, not by how they feel. Introspection is usually neurotic avoidance with a philosophical veneer. The person who knows himself deeply, who has excavated his anxieties and catalogued his resentments and mapped his emotional geography with great thoroughness — this person has typically accomplished one thing: a very sophisticated excuse for not engaging with work, love, and community. The depth of the inner life is inversely correlated, in Adler's clinical experience, with the degree of genuine social contribution. The archive you examine when you introspect has been curated by your lifestyle in the lifestyle's interests. You are not discovering yourself; you are reading your own propaganda. The feelings that seem most important, the memories that seem most formative, the self-interpretations that seem most true — these have all been selected and processed by a system that is fundamentally committed to maintaining the status quo of your fictional final goal. The antidote is courage, not understanding. Specifically, the courage to engage with the life tasks despite uncertainty, imperfection, and the real possibility of failure. You do not need to understand yourself before you act. You need to act, and in acting, you will discover more about yourself — and change more about yourself — than any amount of inward looking will ever provide. This is an extremely uncomfortable position for a culture that has thoroughly internalized the therapeutic assumption that self-knowledge is intrinsically valuable and that the examined life is superior to the unexamined one. Adler would say: examined by whom, in whose interests, toward what end? If the examination is conducted by the private logic, in the service of the fictional goal, toward the end of perpetuating the neurotic lifestyle — and it usually is — then the examined life is not better. It is just a more articulate version of the same evasion. The unexamined life that contributes to the community, that engages honestly with work and love, that acts with courage in the face of genuine risk — that life, for Adler, is worth more than all the introspective sophistication in the world. Which is, when you sit with it for a moment, either the most liberating or the most terrifying thing anyone has ever said about the examined life. Possibly both simultaneously, which is probably why Adler remains so systematically underread.

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Shushant Lakhyani
Shushant Lakhyani@shushant_l·
Best podcasts to accelerate your career: 1. The Knowledge Project (Mental Models & Decision-Making) 2. Invest Like the Best (Business Thinking & Strategy) 3. Diary of a CEO (Entrepreneurship & Leadership) 4. The Game with Alex Hormozi (Business Strategy & Execution) 5. Masters of Scale (Scaling Companies & Ideas) 6. Modern Wisdom (Clarity & Personal Growth) 7. The Tim Ferriss Show (Performance & Learning Frameworks) 8. My First Million (Business Ideas & Market Trends) 9. WTF (Entrepreneurship) 10. Lenny’s Podcast (Product, Startups & Career Growth) 11. The Next Wave (AI) 12. Marketing Against The Grain (AI+Marketing) 13. The 505 Podcast (Self-improvement, business, growth) 14. Creator Science (Content creation) What else would you recommend?
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Penguin Classics
Penguin Classics@PenguinClassics·
Happy 250th Anniversary to The Wealth of Nations by Adam Smith, published on this day in 1776 🇺🇸
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Marc Andreessen 🇺🇸
My information consumption is now 1/4 X, 1/4 podcast interviews of the smartest practitioners, 1/4 talking to the leading AI models, and 1/4 reading old books. The opportunity cost of anything else is far too high, and rising daily.
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