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2025 I will be reading and listening to a lot more books so I’ll write up reviews for the #bookstr hashtag of worthwhile content. Expect spoilers, my goal is to inform you whether this is worth your time and attention.

Peak is a book about how expertise is developed. The author is behind the study which Malcolm Gladwell turned into the 10,000 hour rule (which isn’t strictly true, but it sounds good).

My best takeaways from this book:

1. Perfect pitch can be trained in children. I had NFI that was possible but it’s been proved that you can train young children to hear and identify tones which is very cool.

2. Doctors get worse with age. You don’t want an older doctor, their health outcomes for patients get worse with age HOWEVER you do want more experienced surgeons as their health outcomes improve with more surgeries.

You will get sick of the phrase “deliberate practice” by the end but it’s the central tenet of the book. If you want to improve in anything, you need “deliberate practice”.

This is differentiated from “practice” and “performance” by being targeted towards specific outcomes to overcome weaknesses with measurable improvements.

This is useful in the context of “plateauing” where you reach a certain level and stop improving; something we’ve all experienced. The book provides some practical advice on how to break through and keep getting better.

I’m skeptical of the claim that there’s no such thing as inherent talent even with the evidence presented, but it’s overall good to see how people succeed in becoming the best.

Worth a read/listen if you want to better understand how learning actually works, what it takes to become one of the best in a given field, and what it might take if you want to make your kids into child prodigies 😂

Quote: Doctors get worse with age.

Better an old one that still remembers old effective remedies who isn't quite at the top of their game than a pharma rep who just wants more business... 😂

Yes yes, they may make a mistake (maybe you should be checking eh), the latter certainly will.

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Well that’s the point - the old doctors aren’t as up-to-date with more modern effective treatments as the younger ones and by now even the old ones are all just pharma reps any way.

There’s a big difference in surgeons the other way where treatment outcomes are worse for new surgeons and measurably better once they’ve got a few hundred surgeries under their belt which makes sense when you think about it from a practice perspective.

You want to live long, stay the fuck away from them.

And you're right, the last true old one I knew is now retired, so like I said, stay the fuck away from em. 🤣

Or find yourself one that is a survivalist & will do the right thing on the sly.

"up to date" is a meaningless sentence, always was.

up to date for whom, to do what...

Measured effective outcomes of treatment.

The surgeon example was on testicular cancer if I recall and there was a variance of 7-8% in more senior surgeons over junior from recurrence of cancer at a 1 year interval.

You can argue about specific treatments or how outcomes are measured, but some modern medical treatments truly are good and the old guard aren’t keeping up with newer knowledge as readily as the younger Gen who are exposed to more of it through their education and ongoing self-learning whereas the practical interventions of surgery require more attempts to hone the skills although the exact nature of why the outcomes are measurably different aren’t understood.

Better off not eating shit, irradiating yourself & otherwise fucking up your immune system in the first place & when you pass its eventual used by date, it ain't going to matter what you do...

P.S. None of it counts a damn if your shit advice caused the disease in the first place...