Vitamins and painkillers: Difference between revisions

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{{a|shitmaxim|}}The theory goes, so say any number of [[Thought leader|thought-pieces]], that there are three kinds of business:
{{a|shitmaxim|{{image|Huey|jpg|A vitamin fan yesterday.}}}}{{quote|
{{l1}}'''Painkillers''': Those that address acute immediate problems<li>
One that won’t make me nervous <br>
'''Vitamins''': Those that prevent problems over the medium to long term: <li>
Wondering what to do <br>
'''Candy''': Those that do nothing, but distract us from the existential horror of our daily lives, what the doctor is about to do to us, the dawning realisation that this is all there is, and so on.</ol>
One that makes me feel like I feel <br>
When I’m with you<br>
When I’m alone with you <br>
:— Huey Lewis, ''I Want A New Drug'' (1984)}}The theory goes, so say any number of [[Thought leader|thought-pieces]], that there are two kinds of business offerings: ''painkillers'' that address acute immediate problems, and ''vitamins'' that invisibly guard against problems over the medium to long term.


This seems a threadbare view of the medical profession, let alone the commercial world at large. Isn’t there a bit more to it than that?
Opinion is divided as to which is better: painkillers yield quick revenues in the short term but have low barriers to entry and are, thereby ''on-piste''; vitamins generate returns more slowly but are stickier, build better relationships, and might be a more stable source of income over the longer term.


To indulge what may be just a bad [[metaphor]], it overlooks important medical functions such as, you know, ''diagnosing'' patients and then ''curing'' them.
Seeing legal service as something that either masks a deep-seated malaise without fixing it — a “painkiller” — or that is a quick, cheap and hard-to-prove substitute for the boring work of living a healthy lifestyle — a “vitamin” — but anyway overlooking, you know, ''diagnosing and curing patients'' is the classic [[Legaltech startup conference|legal-tech take]].
=====Painkillers=====
Paracetamol has the appeal of being quick, generic, asking no great talent of those who prescribe or administer them, and being, at first blush, effective. This they share with [[legaltech]], if by “first blush” you mean “powerpoint pitch to GC".


Painkillers work best where what your patient suffers from is superficial, baffling or terminal. If you  haven't looked, it is lazy, and liable only to compound the injury.  
But let us extend what may be just a bad [[metaphor]].


Of course, diagnosing is hard and — when your client is a sclerotic institution, forged over the ages through countless regretted mergers, siloed, recombined, spun out, reverse-merged and now sputtering asking with a consumptive wheeze, riven by turf wars, haunted by all this past catastrophe and silted up with poor practice, bad process and superfluous policy — treatment is harder. You too may be tempted to say “take two of these and call me in the morning”.
====Painkillers====
{{quote|
''Long-term or frequent use of pain medications can lead to gastrointestinal problems and kidney damage, and the medication may become less effective over time. Additionally, some painkillers may interact adversely with other medications.''
:ChatGPT, proving it can speak more sense than management consultants}}
Thus the appeal of Paracetamol: it is quick, generic, asks no great skill of those who prescribe it and, at first blush, it does the trick. A lot like [[legaltech]].


=====Vitamins=====
Painkillers work in three cases: where problems are ''superficial'', ''baffling'' or ''terminal''.
{{quote|Most people do not need to take vitamin supplements and can get all the vitamins and minerals they need by eating a healthy, balanced diet.<br>
''[https://www.nhs.uk/common-health-questions/food-and-diet/do-i-need-vitamin-supplements/ NHS Common Health Questions]''</ref>}}
Painkillers have at least that benefit of demonstrable difference. Vitamins are more oblique in their quackery. Their instant appeal is that they ''sound'' technical and by design, are not meant to work immediately, so there is no disappointment from the patient when they don't make a difference.


The beauty of the long time frame is the scope for intervening causes: by the time your vitamins are meant to have worked the patient night have, of its own motion, mended is dissolute ways, in which case you can credit this to your pills.  
Patients with ''superficial'' or ''terminal'' conditions may be grateful but they won’t pay much — at least, not for long.


More likely, if your clients are anything like the JC’s, it absolutely won't have got better, will in face be a lot worse, but in the mean there plenty enough will have happened by way of obliterating alternative intrusion. Macro geopolitical events like COVID, Brexit, the war in Ukraine, and climate change are easy to cite and magnificently unfalsifiable  —
Where a patient’s condition ''baffles.'' either ''it'' is a freak, or ''you'' are a bozo.
Advising our patients to live better lives, and therefore avoid the need for quack palliatives, quick fixes and cute misdirection.  


Seeing legal service as something that either masks a deep-seated malaise without addressing it - a painkiller - or a quick, cheap and hard-to-prove-or-falsify substitute for the hard work of maintaining a healthy lifestyle — a vitamin — is the classic legal-tech take.
Freaks are — freaks, right? The exception. That leaves lots of bozos.


It is excellent advice in cynicism: the last thing you want to do is ''heal'' your client, much less advise her about her diet of lifestyle, because by these you do yourself out of a regular stream of income. Sad face.
And here is the JC’s main gripe with the legal operations world: much of it presumes that you can solve deep-seated, difficult problems, with generic technology and cheap, low-skill labour.
 
If this were true, ''law would not be such a persistently lucrative profession''. Everyone would have done this by now.
 
Now the cynical view — one, by the way, the JC largely shares — is that most sticky legal problems ''aren’t'' all that difficult, being premised not on solving real-world problems, but feathering legal nests. Lawyers tell ghost stories and then charge their clients to plan ornate escape routes should these phantasmagoric contingencies come about.
 
If this is the problem to be fixed, then “optimising for absurd outcomes” — in other words, leaving the fantasies and complications in place, but muting the pain so customers don’t notice — is no great answer. Any bozo can do that.
 
What the customer needs is someone — or some''thing''— to debunk the ghost stories, demythologise sacred scripts, untangle knotted organisations, sort wheat from chaff and give simple, clear, practical advice.
 
The customer needs BS defeat devices that ''keep feather-bedding legal eagles out of the picture''.
 
''Not'' any bozo can do this. Diagnosing this sort of thing, at the best of times, is ''hard''. And, when the patient institution was forged through countless regrettable mergers, siloed, outsourced, downsized, recombined, spun out, reverse-merged; when it is sclerotic, riven by turf wars, wracked with ancient enmities, haunted by a catastrophic past; when it is bound, encrusted and silted up with generations of bad practice, lazy governance, mis-engineered process and perfidious policy — when the patient presents with a persistent consumptive, hacking wheeze — ''treating'' it is even harder.
 
====Vitamins====
{{quote|''Most people do not need to take vitamin supplements and can get all the vitamins and minerals they need by eating a healthy, balanced diet.''<br>
— ''[https://www.nhs.uk/common-health-questions/food-and-diet/do-i-need-vitamin-supplements/ NHS Common Health Questions]''}}
Painkillers, at least, make a quick, demonstrable difference. Vitamins are more oblique in their quackery: their instant appeal is to ''sound'' technical. Since, by design, vitamins aren’t ''meant'' to work immediately, patients are usually not disappointed when they don’t.
 
Matter-management technology is the vitamin du jour, especially inhouse. It pitches well — GCs ''love'' it — but however fine it is in principle, its actuality is forlorn.
 
The most remunerative course of vitamins is one that never ends, of course. If it doesn’t kill the customer outright, it must stay the course in perpetuity, its benefit eternally deferred.
 
This permanently delayed gratification offers great scope for intervening causes. By the time the vitamin “effects” are meant to kick in, who knows? The patient could have mended its dissolute ways by itself, in which case ''you can take the credit''. Me and my magic vitamins!
 
More likely, of course, the patient will be sicker than ever. Even if you haven’t seized the chance to scarper, time allows alternative causal explanations to intrude. Geopolitical events — COVID, Brexit, Ukraine, climate change and so on — are easy to cite and magnificently unfalsifiable.
 
The real business of restoring a patient’s vitality is, again, much more work and much less glamour. However much prudent counsel might recommend this, ''it doesn’t pitch well''. No-one wants to be told to lay off the booze, cut out the fags, go jogging and eat more vegetables.
 
So what do we recommend instead? Aspirin and vitamins!
 
{{Sa}}
*[[Legaltechbro|Legaltech bro]]
*[[Legaltech startup]]
*[[Legal operations]]

Latest revision as of 17:14, 12 January 2024

Crappy advice you find on LinkedIn
A vitamin fan yesterday.
An occasional paean to the empty-headed aspirational gems that gush from from LinkedIn’s wellspring of bunk.
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One that won’t make me nervous
Wondering what to do
One that makes me feel like I feel
When I’m with you
When I’m alone with you

— Huey Lewis, I Want A New Drug (1984)

The theory goes, so say any number of thought-pieces, that there are two kinds of business offerings: painkillers — that address acute immediate problems, and vitamins — that invisibly guard against problems over the medium to long term.

Opinion is divided as to which is better: painkillers yield quick revenues in the short term but have low barriers to entry and are, thereby on-piste; vitamins generate returns more slowly but are stickier, build better relationships, and might be a more stable source of income over the longer term.

Seeing legal service as something that either masks a deep-seated malaise without fixing it — a “painkiller” — or that is a quick, cheap and hard-to-prove substitute for the boring work of living a healthy lifestyle — a “vitamin” — but anyway overlooking, you know, diagnosing and curing patients is the classic legal-tech take.

But let us extend what may be just a bad metaphor.

Painkillers

Long-term or frequent use of pain medications can lead to gastrointestinal problems and kidney damage, and the medication may become less effective over time. Additionally, some painkillers may interact adversely with other medications.

— ChatGPT, proving it can speak more sense than management consultants

Thus the appeal of Paracetamol: it is quick, generic, asks no great skill of those who prescribe it and, at first blush, it does the trick. A lot like legaltech.

Painkillers work in three cases: where problems are superficial, baffling or terminal.

Patients with superficial or terminal conditions may be grateful but they won’t pay much — at least, not for long.

Where a patient’s condition baffles. either it is a freak, or you are a bozo.

Freaks are — freaks, right? The exception. That leaves lots of bozos.

And here is the JC’s main gripe with the legal operations world: much of it presumes that you can solve deep-seated, difficult problems, with generic technology and cheap, low-skill labour.

If this were true, law would not be such a persistently lucrative profession. Everyone would have done this by now.

Now the cynical view — one, by the way, the JC largely shares — is that most sticky legal problems aren’t all that difficult, being premised not on solving real-world problems, but feathering legal nests. Lawyers tell ghost stories and then charge their clients to plan ornate escape routes should these phantasmagoric contingencies come about.

If this is the problem to be fixed, then “optimising for absurd outcomes” — in other words, leaving the fantasies and complications in place, but muting the pain so customers don’t notice — is no great answer. Any bozo can do that.

What the customer needs is someone — or something— to debunk the ghost stories, demythologise sacred scripts, untangle knotted organisations, sort wheat from chaff and give simple, clear, practical advice.

The customer needs BS defeat devices that keep feather-bedding legal eagles out of the picture.

Not any bozo can do this. Diagnosing this sort of thing, at the best of times, is hard. And, when the patient institution was forged through countless regrettable mergers, siloed, outsourced, downsized, recombined, spun out, reverse-merged; when it is sclerotic, riven by turf wars, wracked with ancient enmities, haunted by a catastrophic past; when it is bound, encrusted and silted up with generations of bad practice, lazy governance, mis-engineered process and perfidious policy — when the patient presents with a persistent consumptive, hacking wheeze — treating it is even harder.

Vitamins

Most people do not need to take vitamin supplements and can get all the vitamins and minerals they need by eating a healthy, balanced diet.

NHS Common Health Questions

Painkillers, at least, make a quick, demonstrable difference. Vitamins are more oblique in their quackery: their instant appeal is to sound technical. Since, by design, vitamins aren’t meant to work immediately, patients are usually not disappointed when they don’t.

Matter-management technology is the vitamin du jour, especially inhouse. It pitches well — GCs love it — but however fine it is in principle, its actuality is forlorn.

The most remunerative course of vitamins is one that never ends, of course. If it doesn’t kill the customer outright, it must stay the course in perpetuity, its benefit eternally deferred.

This permanently delayed gratification offers great scope for intervening causes. By the time the vitamin “effects” are meant to kick in, who knows? The patient could have mended its dissolute ways by itself, in which case you can take the credit. Me and my magic vitamins!

More likely, of course, the patient will be sicker than ever. Even if you haven’t seized the chance to scarper, time allows alternative causal explanations to intrude. Geopolitical events — COVID, Brexit, Ukraine, climate change and so on — are easy to cite and magnificently unfalsifiable.

The real business of restoring a patient’s vitality is, again, much more work and much less glamour. However much prudent counsel might recommend this, it doesn’t pitch well. No-one wants to be told to lay off the booze, cut out the fags, go jogging and eat more vegetables.

So what do we recommend instead? Aspirin and vitamins!

See also