Kevin Pezzi, MD

Disagree with something I wrote? So do I! Read more

“To avoid criticism, do nothing, say nothing, and be nothing.”

— Elbert Hubbard, American editor, publisher, and writer (1856–1915)

Trivia: He and his wife, Alice Moore Hubbard, the noted feminist and writer, died aboard the RMS Lusitania, which was torpedoed and sunk by a German submarine on May 7, 1915, when they were heading to Europe to cover the war and interview Kaiser Wilhelm II of Germany.

If you disagree with something I wrote, feel free to challenge it. Some of my viewpoints are the antithesis (exact opposite) of what they once were. That isn't flip-flopping; that is changing opinions with scant evidence to support them into convictions with a firmer foundation of facts.

My political philosophy is an amalgamation of libertarian, conservative, and liberal principles. My opinions have changed so significantly that my conservative friends might be horrified by how I strongly believe that liberals are correct on certain issues. I've previously written about some of them, but to make this more fun, I will present others as challenges in which I offer $100,000 to the first person who can refute the logic I used in forming that opinion. Please note that due to my limited time and difficulty using my hands after I broke my neck, I cannot quickly update my previously published opinions. However, now that I am balancing the promptings of head and heart, I strongly disagree with many opinions I expressed in my writings.

I like finding people who make me think, not necessarily those who agree with me. Genius Robert Heinlein said, “I never learned from a man who agreed with me.” If you can educate me, I'm all ears.

“Few people are capable of expressing with equanimity opinions which differ from the prejudices of their social environment. Most people are even incapable of forming such opinions.”
— Albert Einstein

“Great spirits have always encountered violent opposition from mediocre minds.”
— Albert Einstein

“What I would like to see more often in this nation is an open and intelligent conversation, not people just casting aspersions at each other … it's unbelievable to me the way people act like third graders. And if somebody doesn't agree with them, they're this and they're that … it comes from both sides. And it's just so infantile.”
— Dr. Ben Carson, neurosurgeon

“The ultimate ignorance is the rejection of something you know nothing about and refuse to investigate.”
— Dr. Wayne Dyer

“If everyone is thinking alike, then somebody isn't thinking.”
— General George Patton

“Man's mind, once stretched by a new idea, never regains its original dimensions.”
— Oliver Wendell Holmes

“A lot of people risk their lives in a brief act of heroism, which is kind of cool, but Jill has what I call slow heroism. She is risking her professional life on something that her own calculations show may not work for a thousand years—may not ever. So I like to support people that are risking their lives.”
— ex-Microsoft billionaire brainiac Nathan Myhrvold speaking about Jill Tarter, who inspired the character played by Jodie Foster in the movie Contact. It takes a brilliant person to see that others who go against the grain of conventional wisdom may be sages although lesser minds often ridicule their ideas.

“I am not young enough to know everything.”
— Oscar Wilde

“You have enemies? Good. That means you've stood up for something, sometime in your life.”
— Winston Churchill

“Talk sense to a fool and he calls you foolish.”
— Euripides, Greek tragic dramatist (484 BC - 406 BC)

“It is socially unacceptable to be right too early.”
— Robert Heinlein

“I'd rather stand alone on the truth than with millions on a lie.”

“The most distinctive mark of a cultured mind is the ability to take another's point of view; to put one's self in another's place, and see life and its problems from a point of view different from one's own. To be willing to test a new idea; to be able to live on the edge of difference in all matters intellectually; to examine without heat the burning question of the day; to have imaginative sympathy, openness and flexibility of mind, steadiness and poise of feeling, cool calmness of judgment, is to have culture.”
— Arthur H. R. Fairchild

“It is not the critic who counts: not the man who points out how the strong man stumbles or where the doer of deeds could have done better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood, who strives valiantly, who errs and comes up short again and again, because there is no effort without error or shortcoming, but who knows the great enthusiasms, the great devotions, who spends himself for a worthy cause; who, at the best, knows, in the end, the triumph of high achievement, and who, at the worst, if he fails, at least he fails while daring greatly, so that his place shall never be with those cold and timid souls who knew neither victory nor defeat.”
— Theodore Roosevelt

“It has been my experience that folks who have no vices have very few virtues.”
— Abraham Lincoln

This reminds me of something stressed by one of my psychology professors, who said that society imposes rigid boundaries for what behavior is acceptable, and applies tremendous pressure trying to force people to conform to the behavioral expectations. Some of the most brilliant and productive outside-the-box thinkers led unconventional lives. One of the side effects of forcing people to think inside the box is that by lopping off outside-the-box behavior, potentially great outside-the-box ideas are lost, too.

“We must not confuse dissent with disloyalty. When the loyal opposition dies, I think the soul of America dies with it.”
— Edward R. Murrow, American journalist (1908-1965)

“You will not do incredible things without an incredible dream.”
— John Eliot

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Narcissists Look Like Good Leaders, but They Aren't

Americans like people who sound good and we love people who look good, so it's hardly surprising that we elect politicians with those attributes.

Is anything wrong with that? Yes. If you are familiar with the attractive expert syndrome, or if you can wrap your mind around elementary statistics, you know that selecting people on the basis of exceptional appearance almost invariably ensures that the chosen ones will be less qualified; they will not be as intelligent, knowledgeable, innovative, or otherwise talented.

Mary was as attractive as this model

It's easy to see why. Consider who you might end up with if you select your doctor on the basis of appearance. The most attractive person amongst the 256 people in my medical school class was Mary, whose beauty was resplendent. She now has MD after her name, but she wasn't at the top of the class, or even close to it. One of my friends who knew her said she flunked one rotation, but later made it up—the med school equivalent of summer school. Perhaps she flunked other rotations or units, too. If for some reason you want a doctor who looks good, she's a great choice. However, if you want the brightest doctor, you could do better. Much better.

Immediately after meeting more than a few patients in the ER, they'd frown and bluntly say, “You don't look like a doctor.”

That's true. On some days, I looked like the BEFORE picture in a Clearasil^® ad, while on other days I simply looked too young to have graduated from high school, let alone medical school. Indeed, when I'd walk into a room and introduce myself, some surprised patients would blurt out, “You're a doctor? I thought you were in high school!” (Leaving me wondering why they thought high school students moonlight in the ER!)

While some patients were concerned with my appearance, not one bothered to ask how I did in medical school: top 1% of my class. Surely that would matter more than appearance, right?

The director of my residency program once commented that I was the smartest resident they ever had, and one of my former bosses told me that I was the smartest doctor he ever met. While working in a busy ER that handled cardiopulmonary resuscitations (“codes”) every day, I've gone over 1½ years without losing one patient while other ER docs put patient after patient into the ground. Most codes for patients with outside-the-hospital cardiac arrests (the ones I'm discussing) are not successful, but my “batting average” (so to speak) in saving those patients was much better than average. In baseball terms, the average ER doc batted less than .050 (striking out over 95% of the time), while I batted 1.000 (never striking out) for many months in a row even while sometimes handling up to three codes at the same time. Wouldn't any of that matter more than appearance?

Nope. People are apt to make snap judgments based on appearance alone even when that is a poor criterion. The stereotypical doctor has gray (if any) hair, is plump if not downright fat, and plenty of wrinkles, evidently thought to confer wisdom. It's a mystery to me why anyone would seek health advice from people who don't look very healthy. Some older doctors are brimming with knowledge, but even more are not up to date.

One of my bosses (not the aforementioned one) was Hollywood handsome but pathetically incompetent. As one of the many examples I could cite to illustrate that, I once found him standing with his arms crossed in the corner of a room, far from the patient: a young child near death. Was he intubating the child? No. Was he inserting an IV? No. Administering medications? No. Did he even properly position the child? Hell no! He was just standing in the corner with his arms crossed (oh, how a body language expert could dissect that pose!), just waiting for the kid to die.

Pathetic!

Is standing motionless near critically ill patients how ER doctors earn their paychecks? Obviously not. We do stuff. Undoubtedly seeking to justify his inaction, Dr. Incompetent lamely explained that he tried to intubate and obtain intravenous access on the patient, but couldn't.

I thought, WTF? An ER doctor should be able to insert a breathing tube and IV into anyone, even supremely challenging cases—and this wasn't one of them. I took over, did the things Dr. Incompetent should have done, and saved the patient's life. It was super easy for me: child's play, in fact. If Dr. Incompetent thought this was a tough case, I shuddered to think of how he would botch more difficult ones.

Had I been his boss, that one episode of incompetence would have been more than enough justification to immediately fire him. He'd been there so many years the hospital administration and community had numerous opportunities to spot his incompetence, but he had one thing that insulated him from such scrutiny: he wasn't just handsome, he looked like the epitome of a brilliant doctor. And I looked like the BEFORE picture in a Clearasil^® ad … but I saved the child's life.

The best are rarely the best looking

The best teacher I ever had looked like Alfred E. Neuman who hadn't aged well, but he was a fount of knowledge with a heart of gold and a knack for instilling a love of learning that made me as fond of education as most men are of beauty queens.

If you needed a carpenter, you would have to have rocks in your head to hire a handsome one instead of Norm Abram. Inexplicably, most people care more about the qualifications of someone fixing a leaky roof than they do about who will lead our nation into a bright future or economic doom.

The relative scarcity of attractiveness ensures that when a preference for appearance takes most people out of the running, the pool of rejected people is statistically more likely to include more qualified ones.

This gorgeous model isn't filling out a Fox News application, but physically she has The Right Stuff to work there.

This explains why the foxy women on Fox News, although very bright, are not the smartest women available. Their silver tongues often mask an alarming affinity for inside-the-box thinking that makes me wonder if they can do more than look good while parroting ideas that are hardly unique. They are superb at finding fault with politicians who don't march in lockstep with their ideology, but they likely never consider that they are partly responsible for America's economic woes.

Speaking at a TED Conference, Susan Cain, author of Quiet: The Power of Introverts in a World That Can’t Stop Talking, said, “There is zero correlation between being the best talker and having the best ideas.”

The news media is the Fourth Estate given constitutional protection of free speech because our Founding Fathers deemed that essential to keeping our government on track. Our government derailed long ago, but the foxes on Fox don't hold Republican feet to the fire. That isn't fair and balanced as they claim, but their mesmerizing beauty is so spellbinding that few viewers ever consider how they would be better served by watching programs hosted by people with better brains but less attractive bodies.

The best girlfriend I ever had was not the most attractive; the most attractive was a narcissist who I'd gladly introduce to an enemy.

The best mechanic I ever had could immediately diagnose and quickly fix any problem, even when he was drunk, as he usually was. His smoking and drinking ravaged his body, but his mind was sharp. The best looking mechanic I had put a steering part on backward.

Perhaps it is no coincidence that my best teacher, girlfriend, mechanic, builder, plumber, electrician, barber, doctor, you-name-it, was not the best looking. People strive to achieve success and acceptance, but when attractive people get want they want, it limits their incentive to try as hard as others. Therefore, while attractive people may get as much as—or more than—others, they often give less because they learn less and feel less need to work hard. Things just fall into their laps because others often are eager to give things to attractive people (especially women): smiles, compliments, jobs, money, and other stuff.

Roland Burris was appointed by Rod Blagojevich (then Governor of Illinois) to fill the U.S. Senate seat vacated by Barack Obama after his election as President. According to the Wikipedia, “The appointment was controversial, as the governor was already under investigation and there were rumors of his being paid for the appointment. [...] Calls for Burris's resignation from the Senate began after allegations were made that he had lied under oath about his contacts with associates of Blagojevich prior to his appointment.”

Yes, but have you ever seen Burris? He looks so sweet, innocent, and adorably charming that my girlfriend and I both said we wanted to hug him, have him as a neighbor, and bake tasty treats for him. Even after allegations surfaced suggesting he may be a wolf in sheep's clothing, we still wanted to hug him—scoundrel or not; we just didn't want him in the Senate.

Once our minds have a positive association with someone, it can be difficult to erase the attraction we feel even when our better judgment questions that affinity. Since the elite in Washington, DC are often just as attractive as the elite in Hollywood, we often are too eager to assume that politicians have The Right Stuff even when they, like Dr. Incompetent, don't know what the hell they're doing or, like Roland Burris, know exactly what they are doing.

As an ER doctor, I sometimes needed to involuntarily commit insane people who were a danger to themselves or others. Most of those folks could not appreciate why they should have to relinquish control over their lives. While leaders in the U.S. government are not insane in terms of standard psychiatric criteria, from a commonsense standpoint, one could reasonably argue that they are running our country in an insane manner and therefore should be removed from power. The best way to do that is via elections, of course, but elections have not been an effective remedy for our political and economic ailments. Elections do not work as well as they should for a number of reasons. Foremost among them is our affinity for good-looking candidates.

I turned on the TV to find a Fox News program in progress: a forum consisting of amazingly attractive middle-aged women. “Where did they find so many foxes, I wondered?”

I watched more and found out: Washington, DC; they were all Members of Congress. There is no correlation between attractiveness and leadership ability, or attractiveness and brainpower, so finding so many especially attractive women in Congress proves that elections are often just beauty contests.

Research has shown that people tend to vote for the candidate who is taller (in the case of men) and more attractive, unconsciously falling victim to an innate tendency to equate a better appearance with better leadership skills and more brainpower. Men often make the same mistake in assuming that beautiful women make better wives, when the converse may be true.

Until we become more proficient in differentiating leaders based on their ideas instead of their Pepsodent smiles, we could usually choose better ones by not voting for physically attractive candidates. We've voted for Ken and Barbie dolls who've collectively done something that not too long ago would have seemed impossible: take the United States, seemingly destined to be the world's indomitable economic superpower, and inflict considerably more damage upon its future than all of our past and present enemies combined, including Japan and Germany in World War II, the USSR during the Cold War, Islamic terrorists, and everyone convicted of treason in U.S. history. All of those enemies combined couldn't begin to deliver the KO blow that our liberal and conservative politicians have given to present and future Americans.

Physical attractiveness combined with narcissism is a malignant combination that often blinds onlookers, preventing them from seeing even obvious flaws. When we are dazzled by the veneer, we often cannot see the rotten core.

Let's face it: most of us are followers, not leaders. We look to the man with something extra—the man (or woman) who radiates self-confidence—to lead us because, deep down, we feel inferior. We feel that anyone audacious enough to brazenly display so much ego must have good reason for it. They must be smarter, more creative, capable of generating brilliant ideas, wise, judicious, decisive, conscientious, and every other attribute from A to Z. But no, it's often just plain ol' ego masquerading as competence.

If you want to find someone who could be a good leader, with better ideas, here's a bit of advice: Look in the mirror.

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