Elsa Lee
173 posts

Elsa Lee
@ElsabhLee
Doctor soon to be | PM @Dem_Dx | @Moorfields @UCLeye @KingsCollegeLon
London, England Katılım Ocak 2020
252 Takip Edilen119 Takipçiler

@Theholisticpsyc 1. Yes
2. Adjusting to the transition between uni&work, moving away from home, mental trap of “social time sacrifice is necessary to achieve X”
3. Short term study/work “priorities” (which become a self fulling prophecy having watched the NYT video “the lifespan of loneliness”)
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@Codie_Sanchez what a perplexing set of messages.
"Yo booty look tutti fruti.
Do you consider TVPI when entering a fund as an LP or just DPI / IRR?"
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@hanslorei Love your content Hans! Off topic but I keep seeing the same globe lights fixtures around London in restaurants/bars, what’s your take on these? :)

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For anyone here who hasn’t worked in corporate strategy at a Fortune 500 company and wants to understand how utterly bone-headed decisions—such as changing your customers’ cell-phone plans unless they proactively call to opt out—get made, here’s a quick explainer 👇
This chain of events typically starts during a quarterly board of directors meeting, during which an independent director (generally a current or retired CEO of a company in a different, non-competing industry) says that the company isn’t making enough money and that it’s the fault of the CEO, who is a supremely unqualified buffoon.
(Tangent: Every board director has his own pet favorite metric, be it growth (e.g., year-over-year sales), profitability (e.g., EBITDA margin), investor returns (e.g., change in share price if public, return on invested capital if private), or some byzantine metric that he used to love when he was the division president of a Ma Bell carve-out back in the 1980s (e.g., change in same-store gross profit divided by number of people on the sales team, raised to the power of pi and divided by 1998, which represents the year his current girlfriend was born). The exact metric doesn’t matter; what matters is that, by the standards thereof, the CEO sucks.)
The independent director will then pull open the calculator app on his iPhone 7, punch some numbers in, and say something to the effect of, “If we can increase revenue per customer by just $5, our market cap will increase by billions. Get your strategy team to figure it out.”
From here, the CEO and the CFO will then set up a meeting with the SVP of corporate strategy for 7:15 AM the next morning, to be held in the locker room of the country-club whose $20k annual membership dues the company’s shareholders generously cover. Sitting in the sauna, buck naked save for bleached white towels barely sufficient for the mission to which they’ve been called, the executives will decide that the most prudent course of action is to call McKinsey and pay them approximately $2.5M to figure this out for them. (Note: The CFO will get a quote from his buddy at Deloitte or KPMG, just to be able to tell the board that they solicited competing bids, but everyone knows that the work is just going to end up with McKinsey. Or Bain.)
McKinsey will rapidly set up office in a large conference room on-site, as if it’s the makeshift command-and-control center of an air base in Kuwait on the eve of Operation Iraqi Freedom, and they’ll deploy a dozen MBAs with a weighted average age of 26.5 years across the company’s headquarters. The consultants will meticulously evaluate all levers for revenue growth, including M&A, organic growth from new customers, and organic growth from existing customers (either by reducing churn or just finding ways to get more money out of each one). M&A will quickly get crossed off the list, since McKinsey doesn’t want Goldman coming in and taking over, and new-customer growth is always just painful, so, by process of elimination, they’ll decide on getting more money from existing customers.
After performing an analysis called a customer segmentation, McKinsey will realize that the company has already squeezed every last dollar possible out of the company’s highest-paying customers, whose loyalty is already pushed to the limit. They will therefore instead try to figure out how to get more money from lower-paying customers.
Associate 1: How do we get more money from our cheapest customers?
Associate 2: Can we go back to selling ring tones, like we did in 1998?
Associate 1: I did a case study on that at HBS! Ten minutes go by. Anyway, that’s why it won’t work. What if we just… raised prices?
Associate 2: These customers are highly price-sensitive. We can’t do that unless the customers think they’re getting additional value.
[CONTINUED IN NEXT TWEET]


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@Max_Shelton93 Honestly if someone did that to me they’d be on a trip to minors.
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Unsurprisingly, a consultant at the hospital where I was dragged down a corridor by my ear by a senior doctor who thought I'd forgotten to take a blood sample.
Simon Fleming 🛠@OrthopodReg
Of course he did OF COURSE HE DID #medtwitter
Adelaide, South Australia 🇦🇺 English

I think I'm getting the hang of corneal suturing. I might even consider turning the Tennants forceps curve-side down.
#ophthalmology #ophthotwitter #medtwitter
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Elsa Lee retweetledi

Your qualifications only matter when you have a losing record.
The corollary to this is that nobody cares where a winner went to school or who they worked for.
I was reminded of this as I read the saga about the President of Stanford resigning over some research papers. Had these papers actually solved something, no one would be saying anything.
wsj.com/articles/stanf…
Why does this matter to you?
The real value to society is when smart people can do ground breaking work, be experimental and then publish work publicly without having to go through a hierarchy whose incentives aren’t entirely those of scholarship.
Take the most relevant research paper of our current times: “Attention Is All You Need”. Notice that the authors were a scrabble of folks from within and outside Google.
arxiv.org/pdf/1706.03762…
The paper above has helped create a tsunami of AI for all of us. Would it have been the same outcome if it had to meander through a university faculty?
In the Stanford case, the research wasn’t that groundbreaking so the hierarchy didn’t care if the research was valid…just that they were able to put their name at the front of it.
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Elsa Lee retweetledi

@healthcareandy Did the same happen when parkour, extreme sports, mountain biking etc became popular in the last 50 years?
GIF
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Wall Street thinks pickleball will cost Americans an extra $250-500 million due to injuries.
Of the 22 million players, approximately 1/3 are seniors.
UBS predicts pickleball will lead to:
- 67,000 ED trips
- 366,000 outpatient visits
- 8,8000 outpatient surgeries
- 4,700 hospitalizations
- 20,000 post-acute episodes
The belief is that these “unexpected” increases in medical care will negatively impact health insurers, especially Medicare Advantage plans.
Now I get the intellectual exercise, but there’s no world where Americans (especially seniors) playing and socializing outside isn’t net positive.
I’m sure you could calculate some fancy positive impact due to exercise and reduction in loneliness too.
I don’t take these analyses too seriously, because life is worth living. And if pickleball (as much as it pains me to say as a tennis player) is your desired sport, go for it.
Thoughts?

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I usually don't share correspondence between me and my investors but I had to make an exception for this sweet message 🥺🥺🥺

MrBeast@MrBeast
I was invited earlier this month to ride the titanic submarine, I said no. Kind of scary that I could have been on it
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Official junior doctor specialisation question: where’s the rota coordinator? @BMA_JuniorDocs

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Tip of the iceberg on the disenfranchisement of doctors as a profession
Medlife Crisis (DEFUNCT)@MedCrisis
I'm a consultant interventionalist, but was a trainee just 18mo ago. I am an educational supervisor (to doctors) and have mentored ANPs & pharmacists to expand their skills. I am clinical lead for my department, so all too aware of the pressures on trusts. Here are my thoughts. twitter.com/GHCardiology/s…
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Elsa Lee retweetledi

Jamie Dimon is one of the world's most respected business leaders. Politically he is a centrist. He is pro-business and pro-free enterprise, but also supportive of well-designed social programs and rational tax policies that can help the less fortunate. He is extremely smart, thoughtful, and pragmatic, and he knows how to bring opposing parties together. He is highly respected by the Right, the Left, and the Center.
Jamie is beloved by his 240,000+ employees, highly respected by our military as well as by the global political and business leaders that matter. He has superbly managed @jpmorgan through every crisis, and has built the world's best, large, global financial institution working for clients from startups and mom and pops, to global institutions and countries.
Our country is at risk with $32T of debt with no end to massive deficits in sight, heading into a recession at a time of great political uncertainty. We need an exemplary business, financial, and global leader to manage through what is likely to be a critically important decade for our country in determining our destiny.
Jamie Dimon is that leader.
Jamie is of exemplary and unimpeachable character. He is a no bullshit, straight-talking, charismatic leader with an enormous grasp of the world's issues and how to address them. He is a great communicator that makes everyone who hears his words feel respected and inspired. He has enormous energy, vigor, and drive.
He is a wonderful father, friend, husband, and son. In sum, he is the kind of person our country deserves as our next leader. And clearly he is thinking about running:
finance.yahoo.com/news/dimon-hin…
I can't imagine a better time for him to do so.
@POTUS is extremely weak and in cognitive decline. 70% of Democrats don't want him to run. Biden's weakness sets up a large opening for a qualified outsider to run as a Democrat.
Jamie can beat Biden in the primary and @realDonaldTrump in the general election, but he needs to start now and build name recognition among the broad electorate. He will easily raise billions of dollars from Democrats and Republicans to fund his campaign, and he knows how to build support.
Each year, Jamie gets on a bus and travels around the country meeting with tellers, branch managers, and other employees to spread the culture and inspire the JPM team; great preparation for a presidential run. He will also be incredible on the debate stage.
And there is nothing more for him to achieve at JPM. He has already been crowned the world's best banker. JPM stock will go up even more when he becomes POTUS as he can do more for the bank and our economy as President than he can as Chairman and CEO of JPM. The bank will be in great shape since he has built a deep succession bench that is more than ready to step up.
There is only one better job for Jamie than CEO of JPM and that's POTUS.
Jamie just needs a push from people he respects and from the broader electorate. If you agree that he should be our next POTUS, give him a call, send him an email or go see him, and like and retweet this tweet.
This will be one of the most important elections in our country's history. Jamie is more likely to run if we build a groundswell of support for him. Let's do our civic duty and make it happen.
Our challenges as a nation are largely due to failures of leadership. America needs and deserves great leadership and we need it now.
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