To receive your free eBook of Sam Carpenter's book, Work the System: The Simple Mechanics of Making More and Working Less, go back to the Home page . The Systems Mindset is the handbook for quickly breaking free; to making a small adjustment in your thinking You can get it in PDF and audio formats, as well as Ebook reader (EPUB and MOBI). Work and Mindset share precisely the same thread, that you can take control of your life if you view the —Sam Carpenter. I've written The Systems Mindset: Managing the Machinery of Your Life to convince you to take a more mechanical approach to controlling your day's sights .
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Read Books One Small Step Can Change Your Life (PDF, ePub, Mobi) .. Work the System: The Simple Mechanics of Making More and Working Less (Revised. GITenberg is a prototype that explores how Project Gutenberg might work if all the EPUB, PDF, and Kindle Ebooks have been rebuilt and added to releases for all but Vicky Reich, Rupert Gatti, Todd Carpenter, Michael Wolfe and Karen Liu. and built the dockerized elastic beanstalk ebook-builder and queuing system. Work Shop Manual Volvo Md2 Ebook Related Book Epub Books Work to have a grounding in marine drive systems and be able to carry out related Trade Centre Browne Stephen Laird Sam, Absolute Beginner S Guide To .. Bundle Hardy Kate Carpenter Teresa Lane Soraya Gilmore Jessica.
Together, your personal systems add up to you. And if you are like most people, you negotiate your days without seeing your systems as the singular entities they are, some working well and some not so well.
In the complexity that is your life, what if you could distinctly see each of these systems? What if you could reach in and pluck a not-so-perfect system out of that complexity, make it perfect, and then reinsert it?
What if you could perform this process with every system that composes your life? What if you could reengineer your life piece by piece to make it exactly what you want it to be without having to count on luck, providence, blind faith, or someone elses largesse? The method digs deeper than that. Work the System will cause a modifcation in the way you see your world.
And when this quiet yet profound mechanical shift in your percep- tion of life occurs you will remember the exact moment you get it , the simple methodology will make irrefutable sense and you will never be the same. The book also provides a frameworkyes, a compendium of dos and dontsthrough which you can channel this new perspective to get what you want out of your life. The frst holds that the events of the past, and the mind-set we form as a result of them, determine todays happiness.
In this view, we are victims of unpleasant circumstance and have a chance at peace only if we face and then disarm the psychic monsters planted in our minds long ago. Thats the Freudian stance.
The second approach maintains that the thoughts we feed ourselves today are what matter most, and the events of the past are just thatin the pastand gone forever unless we insist on giving them new life by swirl- ing them back into the present moment. I see the cognitive approach as more practical than the Freudian, because it frees an individual to seize control of the immediate thought process rather than wallowing in negativity from years gone by.
I believe that what we do today will determine our tomorrow, and blaming the past, or the world, or someone else is a debilitating way to travel through this precious one-time event called life. Without question, blue-blooded, old-school psychologists who see endless dour complexity in the human condition will deride the simplicity of the Work the System message.
Things are more complicated than that, theyll say. I thank them in advance for their oblique compliment. This is an elementary, dispassionate, drop-the-load dispatch that describes lives as Preface: It s Just Mechanics xi they really are: cause-and-effect mechanisms that can be logical, predict- able, and satisfying. No PhD necessary. So take the title of this book at exact literal face value, understand- ing you will be working your systems.
In these pages, I challenge you to improve and manage them, to dissect and refne them one by one until each is perfect. I call this process system improvement. You will create new systems, too, while discarding the ones holding you back, the ones that have been invisibly sabotaging your best efforts. Manage the systems of your life and move toward inner serenity, prosperity, and the best for those around you.
Not too long ago I participated in Cycle Oregon, a weeklong bicycle tour. Seventeen hundred riders pedaled an average of seventy-fve miles each day through remote eastern Oregon. At night we camped in ad hoc tent cities planted at various locations along the route: rural high school foot- ball felds, small town parks, or wheat felds. Seldom did we have cellular telephone coverage. That was just fne as we, en masse, divorced ourselves from the damn things for this seven-day break from the regular world.
At dusk on the last night of the tour, as my friend Steve and I were casually walking through the surrounding sea of tents, we encountered a group of guys in their thirties sitting around drinking beer, being boister- ous. We overheard them laughing, waging bets about how many voice mail messages one of their group members would have the next day when he was back within cell phone range and able to check his messages. Clearly, back in the real world these guys worked together in an offce.
One pre- dicted the total messages would be , another, The young man on the receiving end of the jest was robust, clean-cut, and confdent. He smiled at the fawning. It was obvious this man was important in his work.
He was well respected, a leader, and most probably a high earnera suc- cess. People depended on him. For twenty-four years I have been general manager and CEO of a small business.
Centratel is proftable, has twenty-fve employees, and has a solid, loyal client base. The part I play is important; in my world, Im also a leader and high earner.
Many depend on me, too. Andi, my COO, had left a general and benign update because she knew I would be interested in getting caught up on things when I was able to pick up my messages again. She reported that all was well in the offce and she hoped I had had a fun week away from things. Drive home safely, she said. That was it. She didnt need to address the obvious: During the week, without a hitch and without an ounce of input from me, the business had functioned perfectly while it continued to churn out thousands of dollars in profts.
It didnt matter that I was absent. Who knows what that voice mailinundated young man does for a living, but I tell you this: He is mismanaging things if his world cant pro- ceed for a single week without his direct infuence; if the myriad systems in which he is involved all come to a halt when he is not available. Yes, all those voice mail messages attest to his status and importance, but in the bigger picture, he is a slave to his job.
And the people who depend on him are slaves to his presence. They wait for his next call and cant move ahead until he provides input.
In his absence, because he fails to set up business systems that keep producing while he is gone, things come to a standstill in the same way water accumulates behind a dam. He was about thirty years of age; Im ffty-nine. People and circum- stances change with time. Not too long ago, my life was just like his. The gratifcation of the moment is a distraction from thoughtful contemplation of the reasons why events happen as they do.
Today, unlike thirty years ago, a good now is available by just turning off and plugging in. For too many of us, slowing down to examine things is not entertaining, and thats too Preface: It s Just Mechanics xiii bad because it is mandatory that we understand the machinery of our lives if we are to modify that machinery to produce the results we want. Yes, Work the System is a throwback of sorts, back to an age when there was thoughtful preparation with no expectation of immediate payback.
But having said that, know that an investment in the Work the System strat- egy will show quick tangible benefts. Maybe not tomorrow, but certainly within a few weeks. Centratel is a high-tech telephone answering service.
For ffteen years it foundered, my personal life a refection of its chaos. However, over the last few years, as I applied the protocols that are described here, my work- week became a fraction of what it was as my income increased twentyfold. Moreover, my life away from work is smooth and easy now, with plenty of extra time to do the things I have always wanted to do.
In the morning I awake serene, looking forward to yet another day of quiet, steady improve- ment on all fronts. In the course of a week, I spend far more time reading, writing, going to the movies, climbing mountains, and riding bicycles than working.
My life is in control. Its what I want it to be. The nature of the telephone-answering service business, with its mul- titude of interacting systems, both human and otherwise, made Centratel the perfect closed-system laboratory for developing the Work the System methodology.
It is logical and convenient to use my business as the explan- atory platform for these chaos-to-order processes.
And things can get too dry and theoretical without real-life examples, so describing the method within the framework of Centratel adds some life to the party. The strategies described here are not just for the small business owner; they are also for those who work in a management capacity for a business owned by someone else. There are lessons for those born with a silver spoon and for the self-made wealthy, too.
We will be dealing with reality, and reality works in the same way for everyone, everywhere, all the time, so when I offer a personal business illustration, read between the lines and fnd your own applicationprofessional or personal.
We are the managers of our lives, and the foundational protocols described here are universal. The principles of the Work the System method are simple, but it is not enough to memorize or understand them.
They must be internalized, deep down. There is a difference between learning something new and undergoing a visceral epiphany. On a gut level, getting it is key. For this reason, in part one some repetition will occur as I approach the concepts from different angles.
Trust that the epiphany will come soon. A qualifer: I dont adhere to the Work the System principles and guide- lines every minute. I fall down on the job now and then. My hypereffcient systems keep things moving forward no matter what. The same will hold for you too, should you download into the method and choose to take frm control of your life.
Acknowledgments Thank you to Sam Kirkaldie, my partner, for your calm strength; Andi Freeman, for your faith in me and our systemsyou really get it as you watch my back; Hollee Wilson, for also getting it and being on top of every situation, never, ever letting me down; Pattie Casner, for your superb work and enduring the hard times; Lannie Dell, our longest-term employee, for sticking it out through eighteen years; Sandra Packard, our seventeen-year veteran, for your insistence on per- fection and for weathering those storms; Linda Morgan, for your depend- ability and calm demeanor; Carla Hoekstra, for always being there to do what must be done; Denise Jones, for your nonstop, positive contribution; Dan Blomquist, for being our master of the IT universeand undisputed gadget champion of the world; Shannon Walker, for your calm, steady lets-get-to-it comportment; and the Centratel staff, for the smile in your voices.
You are the cream of the crop and the heart of our success. Twenty years ago, Lindsay Stevens gave me my frst inkling that a business should be managed, not indulged; Reese Shepard insisted there be a plan; Roger Shields, retired banker, smacked me in the head with his air-bat when I needed it most; Robert Killen, of Columbia River Bank, gave me a break when everyone else equivocated; RC Roger Chris- tensen, former President of Columbia River Bank, cut me slack when the two of us were at the bottom of our respective career ladders; NYS Ranger School faculty taught me about common sense and hard work; and Lane Powell, my mentor, now deceased, left his mark on my life.
Also to freelancers Sarah Max and Linda Chestney, for preliminary editing. Thank you to my father, Tom Carpenter, retired English teacher, who insisted I become profcient with the written word despite my strident resistance. To my brother Steve Carpenter, who can put the abstract in a nut- shell and do it with humor thanks too, for your contribution to the space shuttle illustration ; to Jack Cornelius for his Great Machine story.
And Linda Carpenter, for your incredible patience and invariably on-target suggestions. Thank you, daughter Jennifer, for confrming that a penchant for liv- ing on the edge is indeed a genetic trait. To the men and women of our military, thank you for your sacrifce.
Your song is not sung enough. Marcus Aurelius One should choose the simplest explanation of a phenomenon, the one that requires the fewest leaps of logic.
Or one could say, Keep it simple, stupid! My wife, Linda, and I live on the outskirts of a vibrant mountain resort town in the great American Northwest.
Our house is not large, but its open and bright, furnished in a pragmatic, people-actually-live-here way. For each of us, it is everything we have ever wanted in a home. I sit at the dining room table in front of my laptop. Outside the win- dow, the quiet of the late afternoon is tangible. Its June. The lawn is lush green and is the launching pad for a half dozen huge ponderosa pines towering above the house.
The weather is warmanother perfect, cloud- less day in Central Oregon. Yesterday was like that and tomorrow will be the same. Its peaceful. Linda sits at the table next to me, and we chat. Meanwhile, in town, my telephone answering service business churns away whether were thinking about it or not, providing more than a good living for us.
It wasnt always this way. For ffteen years, my business experience was a chaotic morass of endless work, fre-killing, debt, health problems, and bad relationships. Over the past few years, my life has moved from tumult to focused calm. Nine years ago, at a single point in time, I experienced an unexpected 2 Work the System shift in perception that began the transformation of my existence.
Now, truly managing my small business and my life, I am no longer enmeshed in minutiae but am an arms-length observer of it. The numbers are good: Compared to just a few years ago, my workweek is two hours instead of a hundred, and my earnings in a month far exceed what I used to make in a year.
My health is back, too; Im climbing, cycling, and skiing again.
As for the subjective? Its no stretch to say my life has ten times more peace and freedom. Much of the time, as my day slides by, I feel like an athlete in the zone: powerful, relaxed, and effcient. Getting to this place wasnt hard to do once I tweaked my mind-set to view each day from a more intimate angle. Since seizing upon this deeper reality, I have been able to channel my efforts to get what I want from life. Did I have to work hard? Yes, for a short while there was some hard work.
But in comparison to the nightmare of my previous life, the effort was not much and I was happy to do it, especially as the results began to roll in.
How I did thisand how you can do the sameis the grist of this book. I direct Work the System to those who have the following chronic inter- nal dialogue: There are things I must do right now, and there is barely the time or money or energy to do them. I will bulldoze my way through these tasks, and as usual, they will be completed just in timebut the results will be of marginal quality, and my body and mind will continue to be stretched to the breaking point.
Im tired and stressed and cant seem to shake free of living on the edge, and I worry about my frame of mind and my health. There is too much chaos around me, too little control, and never enough moneythings are far from what they should be. If you own or manage a small business, have a job, or are a student, theres a good chance the above dialogue caught your attention.
In our Western world, Im-just-barely-hanging-on self-talk is endemic to every class of people and every age group. Im a low-key guy. Not a lot of fash, no frills, and no advanced college degree. Ive run the standard gauntlet of ups and downs, successes and fail- ures, and like a lot of folks, Ive worked hard all my life.
Its clear to me that pragmatism increases with age, we live by trial and error, and lessons can be learned from being banged around. Further, Im not afraid to face cold Introduction: The Simplest Solution 3 reality, and I exhibit a knee-jerk suspicion of unsupportable theory. I have a single, limited time-span life, and I treasure this life gift. My life is managed now, planned and maintained.
Work or play, it gets my full attention. No, of course I havent got the world neatly tied up in a bag who does? I wake up almost every day alert, strong, and happy. What about you? How do you describe your typical day? Is it an amorphous, complex jumble of happenings, or is it a relaxed and ordered sequence of events? Is it chaotic, or is it under control? Do you have enough money? Do you spend enough time with friends and family? Through the dayand through your lifeare you in an endless race around a circular track, or are you climbing slowly and steadily toward a mountaintop?
Are you getting what you want? If not, could it be a personal management problem? Dont confuse these questions with right, wrong, good, or bad, and dont inject some abstract theoretical, political, or religious aspect into your answers. Keep this mechanical andequally importantkeep it simple. And take heart. If you tend toward defning your life as a complex jumble of events, rest assured that you already have percent of the resources youll need to eliminate this too-common story line.
Youll just have to assemble the pieces of your day in a different way. The Work the System method is almost silly in its simplicity but noth- ing less than profound in its capacity to transform.
Thats why I chose the words of William of Ockham for the epigraph of my book: the simplest solution is invariably the most correct solution. Here, as I begin to discuss recognizable events and scenarios, habits, goals, successes, failures, and plain old common sense, you will relate to the Work the System methodol- ogy because it is believable.
It is about simple mechanical improvements that will combine to transform your existence. Yet what I describe in these pages is not apparent to the casual observer. This book is not about feel-good, pie-in-the-sky promises. Here there are no new-think premises nor is there pseudo-intellectual blathering. You 4 Work the System will not be asked to write down tedious lists, memorize odd platitudes, repeat affrmations, make daily journal entries, publicize your newfound direction to your friends and family, or worst of all, wait to see if yet another mysterious theory will make things better.
This isnt a matter of blind faith. But if you think sheer energy, clever thinking, and unbounded enthu- siasm are enough to secure the freedom and income you want, think a bit further.
Certain structurescertain systemsmust be in place before these important attributes can take you where you want to go. Freedom and wealth occur after the mechanics are in place. So is there something you must do, some work that you must per- form?
Yes, with the Work the System method, you will produce some writ- ten documentation. And, if you manage people, you will teach them your new vision.
But youre working and supervising anyway, right? The Work the System method asks you to channel these same allotments of time and energy toward incremental step-by-step building efforts that lead to free- dom, prosperity, and peace. Compliance i. Drugs that require only one or two doses per day usually have better compliance rates; injectable ATB, on the other side, are associated to premature discontinuation of treatments and, with the exception of benzylpenicillin, are often completely unnecessary in the outpatient setting.
Use Antibiotic Combinations Only in Specific Situations Combinations of antibiotics increase the exposure of bacteria to these drugs, which select resistance, increase the costs and have more chance of being accompanied by side effects resulting from drug interactions.
For community-acquired infections, the best drug for the job is usually a single one. Management of Helicobacter pylori infections also require ATB combinations. The emerging threat of community-acquired methicillin-resistant S.
Unfortunately, even those minimal requirements are not considered by national health authorities of many countries. Bioequivalence is not necessarily a test for clinical efficacy Vesga et al. Newton et al. Additionally, even in developed countries, generic drugs are sub-standard Del Tacca et al. This is not, of course, a problem plaguing all generic drugs; many products have shown to be bioequivalent to original ones Mazur et al. Physicians must alert patients of this practice, which is also a risk for a complete change of drug or modified-release formulation.
The working group that developed these recommendations is aware that this one is controversial and, in many developing countries, unaffordable; however, we urge the reader to consider it, within the local market and financial features.
Discourage Self-Prescription Self-prescription, or otherwise non-medical prescription which includes the advice of relatives, friends or drugstore salespeople is not the main cause of antibiotic abuse in most countries, and is not corrected only by requiring prescriptions to download antibiotics.
Promoting compliance see recommendation number 4 also reduces a common source of self-prescription: the use of ATB leftovers, often inadequate and expired. If communication with local pharmacists is possible, physicians must stress the societal risk that ATB self-prescription poses, so that this practice is minimized.
Realizing this trend, pharmaceutical companies often sponsor all sorts of guidelines and recommendations, pushing for the inclusion of newer, more expensive treatment options, but lacking experimental evidence of their superiority upon older and cheaper drugs.
Some medical journals also join this trend by allowing such biased recommendations to be published, commonly as supplements Rochon et al.
Aside, it can also be argued that even the best treatment guidelines are only focused on efficacy and safety, but miss the societal side of ATB, i. Furthermore, some mathematical models predict that the use of guidelines encourage the intensive use of just some drugs, which rapidly select for resistance Laxminarayan and Weitzman, It is important to encourage the inclusion of resistance analyses in therapeutic guidelines, aside of efficacy and safety concerns.
Finally, if medicine were purely a matter of guidelines, an appropriate software may easily replace the physician; guidelines universalize individual problems, and make us face them with a very limited range of options. Rely Rationally Upon the Clinical Microbiology Lab The microbiology laboratory can provide significant support in some cases of infection, although in most cases it is only used when a first ATB empirically prescribed has failed.
By performing cultures for the diagnosis of prevalent infections UTI, diarrhea the patient can be treated in an adequate and safe way. However, the lab cannot provide reliable answers in some cases, such as lower respiratory tract infections, where the etiology can be assessed in no more than half of the cases.
On the other hand, the lab input is unnecessary, as when trying to know the etiology of pharyngitis or the susceptibility of S. Physicians must be familiar with the laboratory their patients are referred to: it should have well-documented quality controls, reference strains, etc. This is particularly necessary in countries where clinical labs run without major supervision from health authorities. It is also crucial to know how to collect a useful sample, and what are the limitations of each analysis e.
By choosing a good lab, and using it only when the information it would provide is really meaningful, patients will save money and antibiotic prescription will improve.
Developing countries often lack reliable surveillance programs, especially of community-acquired pathogens Tenover et al.
However, the amount of susceptibility data is overwhelming: local and international meetings of infectious diseases societies are full of posters and symposia on it. Many of these data are generated by projects sponsored by pharmaceutical companies, hence it is important to read them carefully.
Simple contradictions may reveal bias or plain wrongdoing: if two fluoroquinolones perform significantly different against E. Furthermore, many susceptibility surveillance projects are inherently biased; researchers rely on isolates from clinical labs, but physicians only send patients to the lab when facing complications or initial failure of empirically prescribed drugs.
Resistance prevalence data may therefore be overestimated Lopardo et al. Final Considerations Tips that can be singled out: avoid ATB for bronchitis when pneumonia is not a concern; avoid ATB for watery diarrhea when dysentery of typhoid fever is not a concern; delay the use of ATB against otitis media for at least 48 h; consider nitrofurantoin instead of fluoroquinolones against uncomplicated cystitis; reserve respiratory fluoroquinolones for unresponsive or high-risk CAP patients; and avoid fixed-dose combinations of ATB and anti-inflammatory or anti-histaminic drugs.
Preventing bacterial diseases is a much better way to avoid the use of ATB and all of its consequences. Vaccines reduce disease prevalence and ATB demand. Immunizations against influenza, pneumococci, H. Pharmaceutical companies provide us with great drugs and continuously invest in research and development; but the marketing side is only aimed at promoting the use of their products including, of course, ATB.
Through many strategies, pharmaceutical companies strongly influences prescribing behaviors, in ways not necessarily supported by the best evidence; papers sponsored by big pharma are often biased Chren and Landefeld, ; Rochon et al.
Of course, this does not only affects ATB prescription, but due again to the societal nature of ATB effects, the trend, as well as the lack of adequate regulation in many countries, makes it particularly dangerous in terms of public health. Physicians must keep this in mind.
ATB are limited, non-renewable resources Carlet et al. We should not wait for governments to implement measures that regulate drug promotion and usage, and enforce ethical codes. Change must start with us all. Conflict of Interest Statement The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References Akkerman A. Antibiotic prescribing for respiratory tract infections in Dutch primary care in relation to patient age and clinical entities. Short versus standard duration antibiotic therapy for acute streptococcal pharyngitis in children.
Cochrane Database Syst. Antibiotic resistance and prescription practices in developing countries. Methods Microbiol. Evolving resistance patterns of Streptococcus pneumoniae: a link with long-acting macrolide consumption? Practice guidelines for the diagnosis and management of group A streptococcal pharyngitis.
Lancet , — Decrease in bactericidal activity of ciprofloxacin in Salmonella mutants generated following repeated exposure to various fluorquinolones. Pharyngitis management: defining the controversy.
A clinical trial comparing oral azithromycin, cefixime and no antibiotics in the treatment of acute uncomplicated Salmonella enteritis in children.