Sometimes, when you get sleepy early, it isn't because you're really tired, but because your brain needs the bandwidth to figure something out. Last night was one of those nights. Yesterday, I was contemplating the difference between modern achievement theory and modern medicine. It wasn't an odd thing, because in my day job, I am in medicine, work for a medical services company, and maintain an internal wiki to educate people who support caregivers. This morning at 2:30 AM, I woke up with a couple of epiphanies; thought I might share them here. Goals are Broken When trying to achieve things, we set goals; then we measure deficiencies and set deadlines for changing those deficiencies into adequacies. If I make it sound dull and unexciting, that's because it is. It's a lot of work, and 100% of the time, when we're working toward goals, we are inadequate by our own measures. One modern not-a-guru describes it this way: "A plane is off course 100% of the time
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